Enlargement of the breast with implants

The aesthetic result of the addition of plastic breast depends on many factors.Of great importance is the choice of implantation pockets and the implant installation method.The aesthetics of the bust after mamoplasty are affected by the initial individual data of the patient, including the shape of the chest and mammals, skin condition, thickness of the subcutaneous fat layer.These and other anatomical features are taken into account when choosing a profile, base width, size and shape of the endoprostese.An important criterion for a successful operation is to achieve a sustainable result that will enjoy a woman for many years.

Publication discusses the main ways of breastfeeding - types of surgical approach, types of anatomical pockets for the installation of implants, advantages and disadvantages of various mamoplasty methods.You will learn how to recover properly after surgery, what is possible and what cannot be done during the rehabilitation period.

Breast enlargement indications with implants

The surgery to enlarge the breast with implants is performed according to aesthetic indications.The main storyteller about Mamoplasty of addition is the patient's desire to improve breast aesthetics by increasing its size and modeling shape.During surgery, deficiencies due to deformation of the nipple-acre complex (extension of the areola, change in form) and inaction of the glands after baby food or due to age-related changes can also be eliminated.

The reason for appealing to the plastic surgeon may be the following problems:

• Deterioration of the aesthetics of the chest glands after pregnancy and breastfeeding.
• Changing the bust shape as a result of comprehensive processes (aging).
• Congenital hypoplasia of mammal glands or amastia.
• Asymmetry, innate and acquired nature.
• Tubular breasts.
• Mastoptosis with signs of gamant gland hypotrophy.
• Woman's dissatisfaction with the shape or size of a bust.

Breast enlargement with implants is also performed by patients undergoing radical surgeries in the mammals as part of the treatment of malignant neoplasms.Mammoplasty of reconstructive growth allows you to recreate natural and aesthetically attractive breasts, without increasing the risk of developing tumor processes.

What individual characteristics are taken into account before surgery?

Surgical correction tactics are determined by the individual characteristics of the patient.Yes, there is always the possibility of establishing a great size implant, but far from always such a step will lead to the desired result - a natural and harmonious change in appearance.

The following factors are influenced by the choice of shape, profile and size of the endoprostese, as well as the choice of implantation pockets and the method of implant installation

• Woman's age.
• The initial shape and size of the mammal glands.
• Height and width of the chest.
• The severity of subcutaneous fat.
• Elasticity of integration tissue of mammal glands.
• The width of the interval interval.
• The presence of bust (prolapse) signs.

Addition mamoplasty tactics also affect if a woman plans to give birth in the future to give birth and breastfeeding.When choosing access, the need in the plastic of the nipple-Arolar complex, which may be required to achieve the optimal aesthetic result, is also taken into account.

Methods for installing implants

Considering the above individual characteristics of anatomy and other factors, a plastic surgeon chooses one of the three ways (types of surgical approach) of breast addition:

• Areolar (enlargement of the breast "through areola").
• Submammaric.
• Axillary.

Below are the features, the good and the bad of each method of the Mamoplasty of the addition in detail.

Areolar access

With an areolar, or periareolar access, the plastic surgeon places the implants through the cut, which passes along the periphery of the pigmented area of the areola.The main advantage of such surgical approach is the invisibility of wounds.The scar is located on the border of light and dark skin, and therefore it is quite difficult to notice it.

In the periast method of growing the chest glands, there are other advantages, in addition to the minimal severity of after surgery:

1. During surgery, it is possible to accomplish the plastic of the nipple complex.In some cases, it is difficult to achieve the optimal aesthetics of a bust without correcting the size and shape of the SAK, and this advantage of periary access can play a crucial role.
2. Periareyulary access eliminates the risk of damage to the (sensitive) nerve fibers, which pass through the SAK in the loading folding area.Because of this advantage, the mamoplasty area allows you to fully maintain the sensitivity of the nipple and areola.
3. At the same time as the bust increases, you can correct the initial phase of mastoptosis.

Despite the advantages of the periarelar access listed above, the technique cannot be recommended for all women.In particular, this method of installing implants is not recommended for girls planning to give birth to children and breastfeed them.This is explained by the fact that during surgery there is a risk of damage to the milk canals, which will affect the function of lactation.

The periareyolar approach does not allow for a complete summary of all implant pockets, which imposes restrictions on the size of the implant.This method is suitable for those patients who want to place a small endoprostese and slightly grow the breast.In a situation where a woman wants to add 2-3 sizes to the breast glands, it is preferable to use submammamal or axillary access.

Submammarous approach

With submammar approach, the installation of the endoprosteses is performed through horizontal incisions, which pass under the chest gland to a natural folding of the skin.Scars after surgery when using this method of installing implants are significantly expressed, but they are hidden in folding the skin.The scars are visible in the stretch position, and in the standing position, they are covered by the lower pole of the chest gland.

The main advantage of submammarosis approach is a very good compilation of the field of operation.For a plastic surgeon, this is the easiest type of mamoplasty, as it has a full access to all the implant pockets and it is easy to achieve absolutely symmetrical placement of implants.Thanks to this feature, large endoproses can be installed.

Another advantage of submamare methodology for bust growth is the lack of risk of damage to the milk canals.After surgery, the lactation function is preserved, which allows you to recommend this method for patients planning in future pregnancy and breastfeeding of the baby.

The submammamant method of installation of implants is not of deficiencies.For many patients of plastic surgeons, the main disadvantage of methodology in a pronounced and prolonged scar, which passes into a folding under the chest.The disadvantage is the risk of damage to the afferent nerves that innovates SAK.If during surgery the nerve is distributed, the sensitivity of the nipple and areola will worry.

The use of submare access does not simultaneously allow mamoplasty of addition to perform plastic surgery through a cut.Moreover, women who have the initial signs of a bust (mastoptosis) often return to the help of a plastic surgeon.If the periareyular access allows you to eliminate age -related manifestations, then when using submammar approach, it is impossible to correct mastoptosis simultaneously with chest enlargement.

Axillary access

With axillary approach, breast addition is performed through cuts, which are in the axillary fossa.The main advantage of the methodology is that wounds pass from the mammal glands and do not affect their aesthetic perception.On the other hand, the wounds are visible, and this can become a problem if a woman wears open clothes.For example, wounds can be clearly visible during the sport, especially in a body position with their raised hands.

However, it is an axillary approach considered the "golden standard" in the addition mamoplasty.The operation is performed under the control of fiber optic equipment (endoscope), which allows a plastic surgeon to enter all implant pockets.There is no risk of damage to nerve drawers.There is no risk of milk canal dissection, which allows us to recommend this method of installing implants for girls planning pregnancy.There are no restrictions on endoprostese - the axillar type of access allows you to set implants of any volume, shape and profile.

The disadvantages of the axillary method of breastfeeding are that the plastic surgeon has no way of correcting the consequences of inaction of the mammal glands or to perform the plastic of the nipple-toan complex.For this reason, the axillary approach is mainly used to model the bust size, when there are no aesthetic problems at the same time that require surgical correction.

Surgical access criteria

In clinical practice, plastic surgeons use some criteria for choosing surgical access to growing chest glands.One of the main criteria is the woman's age and her further plans on pregnancy.If the patient plans to give birth to children, it is advisable to refuse access to the periaralar.An axillary access or submammarosis approach is preferable.

If a woman does not plan to give birth, you can use any of the previously considered surgical approaches.In situations when, to improve the aesthetics of the bust, at the same time its growth, it is necessary to perform the plastic of the areola, the periareyolar access is preferable.The same method of installing implants is best suited for patients with initial signs of mastoptosis.

Patients who want to increase the bust to several sizes, a plastic surgeon may recommend a submammamor or axillary method.The optimal choice in this situation is an increase in the chest glands through the axillary fossa, however, the aesthetic desires of the woman are also considered.If she expresses a desire to hide the scar in a natural folding under the chest, the submare access is chosen.

Choosing a pocket for implant installation

The other aspect of increasing mamoplasty is related to the choice of the anatomical region in which implants will be installed.

Implanting pocket can be located:

• Under the mammal gland (subgandular placement);
• under the pectoral muscles (subsuscular location);
• Partly under the gland, partly under the muscles (combined version).

Under -gradular placement.The implant is installed in the anatomical space under the glands.The most superficial pocket is separated from the surface of the body only with cover tissue and mammal glands, and because of this it is not recommended to use if it is necessary to grow chest with several sizes.A large endoprostese can be visually determined.Moreover, the risk of developing step deformation - the aesthetic complication increases, in which a type of "step" is formed over the upper edge of the implant.

With the subgandular placement of the endoprostese, the risk of developing other complications of aesthetic nature, in particular, the appearance of deformation of integration tissue over the thoracic gland in the form of "waves" or "mountain ash".With the development of capsular contracting, the deterioration of bust aesthetics is also more pronounced with the superficial placement of the implant.

Another feature of this type of placement is that the endoprostese and mammal glands are supported only by Cuper connections - connective tissue structures, whose elasticity decreases with age.For this reason, with a subgandular implant installation, the risk of developing mastoptosis increases, especially in women with initially large breasts.

Submuscular placement.Placing the implant under a large chest muscle avoids the characteristic problems of a subgandular location.Less risk of capsular contracting and appearing skin deformity over the chest in the form of "Rowan" and "Waves".The endoprostese is safely fixed with the muscles and does not increase the possibility of developing mastoptosis.

But the placement of the implant under the muscle has the opposite side.

First, in girls who are actively involved in sports, rotation risk or implant displacement increases.If, to increase the chest glands, fashion implants are used, rotation (curves) can lead to breast deformity, which can only be corrected during a repeated surgery.

Second, with implicit placement, the rate of tissue damage during surgery increases.Because of this, healing goes more slowly and the rehabilitation period lasts to wear compression underwear and follow all restrictions for a longer time.

Combined setting.The best option is the combined setting, in which the upper segment of the endoprostese is under the muscles, and the lower pole is under the glands.With this agreement, the risk of step deformation is excluded.Under the risk of returning and displacing the implant, the development of capsular contracting and other aesthetic complications.Healing is faster, the rehabilitation period is reduced.

Types of implants

Breast enlargement is performed by implants by leading producers of the world.Medical silicone endoprostese with a high degree of cohesion and varying degrees of density have been made.Silicon is covered with an elastomeric shell, which eliminates the possibility of gel diffusion.The outer capsule is represented by a porous shell, the particular texture of which contributes to the integration of the implant into vivid fabrics and its reliable fixation.Due to the porous membrane, the risk of contracting with fibrous capsules is reduced.

The line of each manufacturer represents several hundred types of implants that vary in the following features:

1. Form: An implant can be anatomical (shaped) or round.
2. Base width: horizontal size of the lower pole of the endoprostese.
3. Profile: Endoprostese height.
4. Size: Volume.

The choice of implant is determined by the desires as well as by the initial patient data - the individual characteristics of the chest structure and mammal glands.For example, girls with a pronounced inter -Greek gap are best suited for low -profile anatomical implants with a wide base.Women who want to move accents on the neck of the neck are best suited for full round implants, which visually increase the upper pole of the mammary gland.

Preparation for breast addition with implants

Preparation for expanded plastic surgery can be divided into two stages - diagnostic and aesthetic.The purpose of the aesthetic phase of preparation is to choose the perfect implant and decide on the surgical intervention tactics.Based on the results of computer modeling and the analysis of the patient's initial data, the surgeon chooses the method of installing the endoprostese and an anatomical pocket for its placement.

The purpose of the diagnostic phase is to minimize operative and anesthesiological risks, as well as eliminate contraindications to surgery.Each woman, before growing mammal glands, undergoes a comprehensive diagnosis, including an expanded list of instrumental and laboratory methods.Mammography with a consultation of a gynecologist and mammologist is certainly prescribed.

A few weeks before the growth of mamoplasty, a woman should stop taking certain medicines, in particular, hormone contraceptive drugs and anticoagulants.It is necessary to abandon anti -inflammatory and analgesic drugs from the NSAID group as they slow down blood clotting.It is also necessary to stop taking alcohol and abandoning smoking, as ethanol and nicotine slow down regenerative processes and adversely affect the rhythm of recovery after mamoplasty.

Rehabilitation after mamoplasty

Early post -surgery period is associated with typical symptoms for any surgery - swelling, pain and hematoma in the operating wound area, fever, general mistreatment.These symptoms are a normal body reaction in response to violation of tissue integrity.Preparations determined by a plastic surgeon -anti -inflammatory, anti -explocate, soothing soothing will help to cope with the difficulties of this period.To prevent infectious complications, the doctor prescribes a short course of antibiotics.

The specifics of the post -mamoplasty rehabilitation period are that it is necessary to constantly wear a compression bra.Elastic linen is sewn with an individual order even before surgery.You have to wear it constantly, you can only remove it for a while of hygiene procedures.As for the body's hygiene, in the first 7-10 days after the growth of the chest glands, it should be limited by wet villas, you cannot shower.

You can sleep after surgery only on your back.From 10-14 days, you are allowed to sleep on the side, but it is still impossible to light your stomach.You can't play dances or sports.Prohibition of physical activity, including family, is valid for 4 weeks;Energy loads and some types of cardio training are contraindicated for 3 months (or up to the special solution of a plastic surgeon).

Throughout the restoration period, you cannot sun make in either direct sunlight or in the sun.You can't go to a sauna or bath, take hot bath at home.Alcohol and smoking are contraindicated.Compression linen is allowed to be removed from the second month, but during the year you need to wear a wide striped bra and a wide belt that supports the chest well.