This is a breast augmentation surgery, which is carried out with the help of implants. Implants in augmentation mammoplasty are used with a silicone elastomer shell, and a hydrogel, saline solution or silicone gel is used as a filler. Implants also differ in shape, volume, surface type, etc.

Description

Breast augmentation surgery helps to solve the following aesthetic problems:

Asymmetry of the mammary glands

Loss of breast shape after pregnancy and lactation, sudden weight loss

Small breast size

Operation description

The procedure is performed under general anesthesia. The method of access to the mammary gland depends on the task of the operation and can be:

  • An incision above the chest - this method is the most common, as it allows you to immediately install implants in the right place.
  • An incision in the axillary region is used when installing an implant under the pectoral muscle. As a rule, this option is used for very thin nulliparous girls, but the volume of the implant to be installed is limited to 375 ml.
  • An incision on the border of the areola of the nipple and skin in the form of a semicircle is used to correct the prolapse of the mammary glands.
  • An incision in the "bikini" area is used for a one-time tummy tuck.

After the surgeon has made the incision, the implants are placed. There are also several methods for installing implants, and its choice depends on the task of the operation, the condition of the mammary gland and the general condition of the patient. Implants can be placed:

  • Under the tissue of the gland itself
  • Between muscle and muscle fascia
  • Under the pectoralis major

After placing the implant, the surgeon proceeds to suturing the surgical wound. The operation is completed by applying a bandage or putting on compression underwear. The duration of the operation is from 40 minutes to 1.5 hours.

Postoperative period

After the operation, you need to stay in the hospital for 2-3 days. The recovery period itself takes about 6 months. The sutures dissolve within 10-12 days, the puffiness subsides after 2-3 weeks, after 1.5-2 months the inflammatory processes disappear and a "case" is formed around the implants.

The Scientific and Practical Center of Surgery performs various breast augmentation surgeries. The center is equipped with modern equipment necessary for the successful implementation of mammoplasty, the hospital is equipped with comfortable wards, the stay in which proceeds quickly and imperceptibly. The surgeons of the center are highly qualified in mammoplasty operations, and as you know, the success of any surgical intervention depends on the professionalism of the doctor.

One of the most popular plastic surgeries today is breast arthroplasty or mammoplasty, which brought a real dawn to cosmetic medicine.

Statistics show that plastic surgeons perform more than 100,000 operations per year related to changing and correcting the size of the mammary glands.

What are implants?

These are endoprostheses made of biocompatible material. High Quality giving breast larger size or change its shape.

Advantages and disadvantages of breast prostheses

Advantages

The advantages of using any endoprostheses include:


It is important to know that there are cases when, due to mechanical impact, the implant still breaks, then it can be replaced at the expense of the manufacturer of this prosthesis. As a rule, this item is specified in the product document in the warranty section.

Flaws

Deficiencies mainly occur when unforeseen cases occur, for example:


Implant classifications

Of course, the advantages and disadvantages can add up to a long list when viewed by filler, installation options, shape, or technical specifications. The information above refers to generally accepted factors.

By filler

Silicone

The world met them in 1991. They look like a silicone bag with a multi-layered elastomer shell and a gel inside. The filler can be:

Why are silicone implants better than others?

The most natural and best breast implants are silicone. They perfectly imitate female breast, have a wide range of models, look natural. Installation over the pectoral muscle is possible, as there is no wrinkling effect.

If the prosthesis is damaged, the internal filling will not enter the mammary gland, but will remain in place. It is this factor that recognizes silicone implants as completely safe. Therefore, they have gained the greatest popularity in cosmetology medicine.

The disadvantages include a large incision during the installation of the prosthesis and regular (1 time in 2 years) passage of magnetic resonance imaging to exclude the presence of an implant defect, since the problem cannot be detected by touch.

Salt

Anatomical

Working with anatomical forms is more labor-intensive and they are more expensive than round ones. This implant can move and deform the contours of the breast. However, this can be avoided by opting for a textured surface of the prosthesis. It should also be noted that anatomical implants rather dense in structure and even in the supine position, the chest keeps its shape, which looks unnatural.

Yes, and you have to forget about corrective and breast-lifting bras. Even the best teardrop shaped breast implants often deform into round shapes!

Both forms are available with different profiles: low, medium, high and extra high. The height is selected by the plastic surgeon after analyzing the client's physique.

According to the size of endoprostheses

In addition, one must take into account anatomical features patients:

  • natural breast size;
  • skin condition and tissue elasticity;
  • chest size (asthenic, normosthenic or hypersthenic);
  • body proportions;
  • breast density.

After analyzing all the data, the plastic surgeon advises the patient on the shape and volume of the implant, which will look as natural and beautiful as possible.

Even if the patient has a flat chest, an increase will help to gain beautiful shapes. Special measurements are taken to determine the exact size and volume of the prosthesis. For this, indicators are determined not only of the volume of the chest, but also the thickness of the chest, the location of the nipples, the distance between the mammary glands.

The nuances associated with the incision for the implant are also discussed. In modern clinics, you can simulate the result on a computer. Of course, the wishes of the patient are always taken into account, but the decisive word remains with the doctor.

Lifespan of a breast implant

Theoretically, the implant does not require replacement, except in unforeseen cases. Re-operation may be required only if the breast is deformed after pregnancy and breastfeeding, after a significant change in weight and when a defect in the prosthesis is detected.

The manufacturer of endoprostheses gives a lifetime guarantee without harm to human health, and if an implant needs to be replaced, it is made at the expense of the manufacturer!

Implant companies


 Arion is a French company that produces anatomical and round implants with hydrogel and silicone filling.

Allergan— an American manufacturer offers implants with a special pore size of a textured surface. This allows the connective tissue to dissolve deep into the prosthesis. They sit in the chest like a glove. Filled with a soft gel that allows you to look natural breasts. The company also offers saline-filled implants.

According to the reviews of plastic surgeons, the implants of this company have a very small percentage of cases with complications, only 1-4%.

Nagor- British implants with a huge selection of shapes and sizes. Producing prostheses since the 1970s. Within 5 years, the percentage of gaps was 0%! Products are textured and filled with gel content. The product has a special casing.

Polytech— implants with memory effect from Germany. A product with a highly cohesive gel does not change shape at all, and the shell consists of many layers. May be smooth or textured.

Mentor- An American manufacturer has been producing one of the elastic prostheses in both anatomical and round shapes since 1992. The shell is strong and textured and filled with a highly cohesive material. Offers this company and saline implants that can be adjusted during the operation.

A professional plastic surgeon in a good modern clinic will always help with the choice correct implant and tell you which breast implants are the best for today.


It is round implants that are the most popular among all types of endoprostheses, which are designed to correct and increase the shape of the breast. Their main advantage is their inability to significantly spoil it when turning and shifting. appearance. That is why they are preferred in most cases by plastic surgeons.

Kinds

Generation of implants

Today, third-generation implants are used for operations, which have become much safer than their predecessors and do not require scheduled replacement.

Fillers

It could be:

Salt still retains market share due to the existing and media-supported perception of the dangers of silicone for the body.

In fact, it is these implants that cause the greatest number of inconveniences to their customers, since water seeps through the shell of the prosthesis, the prosthesis loses volume and gradually “deflates”.

And due to the fact that the saline solution easily overflows in the implant, they can gurgle so that it can be heard by people nearby.

If we talk about silicone gel, then modern gel is cohesive, i.e. non-fluid. It adheres to the shell and does not leave the implant cavity even if it is damaged. The video below shows just one such implant, which is cut with scissors in order to test the declared properties of the gel.

Additional safety is provided by a special three-layer shell that blocks the seepage of the gel to the outside. Multi-chamber implants are two spheres, one inside the other. In the first, outer chamber, there is a layer of silicone. Inside is a cavity that is filled with saline.

Such implants are better than saline ones in that the risk of splashing or gurgling noise is much less. They are better than silicone because the solution is injected into the implant during surgery. And this means that the size of each breast individually can be adjusted in order to get a symmetrical bust in the end.

Biocompatible or bioimplants are implants that are filled with a gel based on the natural polymer carboxymethylcellulose. The polymer, when it enters the tissue from a ruptured implant, is absorbed without a trace.

Their only drawback is the gradual seepage and resorption of the gel, as a result of which they lose volume and begin to require replacement.

Forms

The profile of the implant is determined by the ratio of its thickness to the length of the base. A high profile means that the implant itself is more convex. A low profile usually means it will be flatter. The presence of several options for the thickness of endoprostheses allows you to choose best option taking into account the structure of the patient's chest, in order to obtain the most natural breast in each case.

Video: Sectional silicone implant

Round breast implants after placement

There is such a common belief that round implants are suitable only for very young girls, and for those who are older, it is better to put anatomical endoprostheses. In fact, all women are very different. And physical parameters, such as shoulder width, chest dimensions, height, weight, are very different. In the same way, women's expectations regarding the final result of breast augmentation differ.

For someone with the first breast size of 250 ml, it will be more than enough, but for someone on the third own size of 320 ml, it will not be enough. Therefore, someone will need an anatomical implant, while a round one is quite suitable for someone.

When choosing, consider the following. When a round implant is placed vertically on the chest, it changes its shape, since the gel in its cavity shifts more towards the lower pole, i.e. its shape approaches the drop-shaped. And then add pressure on the upper pole of the large prosthesis chest muscle under which it is partly located. This brings the final shape of the implant even closer to the teardrop shape.

Therefore, if you are at a crossroads and cannot decide which is better, round or anatomical to choose, then it is better to choose for yourself the size and shape of the breast that you want, and leave their choice to your surgeon.

Which is better to choose

The most demanded in the market of breast endoprostheses are the products of such companies as Mentor, Eurosilicone, McGan. If we compare prices, then products manufactured under the McGan trademark belong to the highest price category. It is connected with large quantity innovations that the manufacturer uses in the production of its products.

In particular, McGan endoprostheses have:

  • a special shell that prevents the displacement and rotation of implants;
  • a special form of silicone gel - a highly cohesive gel that retains its elasticity after vulcanization, but always returns to its original shape after deformation;
  • a huge range of implants, which allows you to choose an individual prosthesis for any woman with any requests.

Photo: endoprostheses McGan

Statistically, Mentor has the lowest risk of developing capsular contracture. Eurosilicone has proven itself in Europe and the world as consistently high quality and safe. If you are planning to buy implants from other companies, then first of all, read the information about the manufacturer, the manufacturing plant, and the availability of product quality certificates. And in no case do not buy into phrases like "This is a trade secret" in response to your questions.

Photo: Mentor implants

The origin of a product becomes a trade secret when it is not profitable for the seller to disclose any information about the product. Well-known European and American manufacturers are proud that they not only have head offices, but also the production itself is located on the territory of Europe or the States. You will be happy to name the country and city in which the production is located.

Video: Mentor implants

How to decide on an operation

12 simple rules that will allow you to get best result mammoplasty and a minimum of problems in the future.

  • Rule number one: breasts are constantly changing.

This means that you need to take into account possible changes in the shape and size of the breast in the future under the influence of changes in body weight, pregnancy and breastfeeding, care, age and other reasons. And don't expect that Plastic surgery will preserve the desired shape of the breast for decades.

This will avoid disappointment in the future from the fact that drooping of the operated breast, implant displacement, breast flattening, implant contouring and other changes may develop.

Also, taking into account the possible change in the shape of the breast in the future allows you to choose such a volume and configuration of implants that will allow the breast to look natural not only at a young age, but also at a more mature age.

  • Rule two: the choice of a surgeon and a clinic must be taken seriously.

It's no secret that in most clinics, breast augmentation surgeries are put on stream and are performed one after the other with virtually no interruptions. For yourself, it is better to choose a clinic and a surgeon who still leave time to perform all the necessary manipulations in full, even when it takes more time.

A simple example is capsular contracture. One of the factors why it develops is the discrepancy between the size of the pocket that is formed under the implant and the implant itself. A large prosthesis is pushed into a small pocket, which ultimately does not contribute to the normal healing and beauty of the breast, leads to the development of connective tissue, eruption of sutures, tissue necrosis.

Photo: capsular contracture

The second simple example is implant displacement. It happens when the pocket is very large for a particular implant. In order for the pocket to fit it, the surgeon needs to have a set of sizers - special prostheses that are inserted into the pocket during its formation in order to control its compliance with the implant. And several sizes to choose from, slightly larger and slightly smaller than those that need to be installed in order to be able to pick up during the operation optimal size, instead of stuffing an inappropriately sized prosthesis into a formed pocket.

Photo: implant displacement

It would seem that in the description everything is logical. But such an operation can take up to an hour and a half, and most plastic surgeons want to reduce this time to 40 minutes. It is good if this is a concern for the health of the patient in order to reduce the time of anesthesia. It is bad if operations are put on stream in order to bring maximum profit to the clinic.

  • Rule three: the patient must know everything. Forewarned is forearmed.

The necessary amount of information about augmentation mammoplasty, the features of pain relief, types of implants, the course of the postoperative period enable a woman to more consciously approach the problem of choosing the required volume, the future shape of the breast.

In the postoperative period, informed patients can quickly find their bearings if something goes wrong, they know by what day the swelling will go down, they know that violating the doctor’s recommendations is The best way hurt yourself.

Some surgeons at the consultation refrain from discussing such details as how swelling affects the shape of the breast, when the long-awaited “ramp” appears instead of the bulge of the upper pole, which spoils the whole picture, how contractions of the pectoralis major muscle affect the shape of the implant, which there may be complications of the operation and when to start worrying. As a result, those patients who do not have information turn out to be helpless in a number of situations and begin to look for answers on forums and from people who are far from the topic, which only adds fuel to the fire of doubts and fears.

  • Rule four: the larger the volume of the implant, the worse the long-term results.

Each implant has its own weight. This weight is added to the breast's own weight. As a result, the process of breast prolapse only accelerates.


Photo: the correct selection of the prosthesis

Also, a large implant may begin to palpate or contour if there is not enough soft tissue to close it.

  • Rule five: the choice of the location of the implant is best left to the surgeon.

Depending on the shape and size of her own breasts, the patient's body structure and her motor activity the surgeon can choose the best placement option in order to ensure the best result of the operation.

  • Rule six: the patient chooses the type, shape and size of implants together with the doctor.

This is due to the different cost of different manufacturing companies, and their different characteristics, such as the degree of elasticity / rigidity. For some, it will be important that the softness of the implant does not differ from the softness of the natural tissue of the gland, and for the second it will be important that the implant perfectly keeps its shape. In the second case, you will have to choose a more rigid implant.

  • Rule seven: the shape of the breast changes under the influence of the volume of the implant, but does not always exactly repeat its shape.
In order to end up with a breast of a certain shape, it is necessary to take into account a lot of characteristics when choosing implants, such as the thickness of the glandular tissue, the amount of subcutaneous fat, the height and width of the mammary gland, the structure of the chest, and much more.

Therefore, before the consultation, it is best for the client to decide not so much on a specific implant, but on what kind of breast she wants. And the surgeon will select the implant for the result that the woman needs.

  • Rule eight: it is better to approach the choice of the incision site with knowledge of the matter.

Cuts can be made:

  1. under breast: the most convenient for the operation and the safest in terms of possible risk damage to glandular tissue access;
  2. Around the nipple: there is a risk of damage to the ducts and glandular tissue, it is difficult to form a pocket for the prosthesis, scars remain along the contour of the areola;
  3. From the armpit: there is a risk of contouring the implant, since the lower fixation points of the chest muscles are damaged during pocket formation, it is difficult to form a pocket, there is no 100% guarantee that the seam in the armpit will not be noticeable.
  • Rule nine: in the first days after the operation, the breasts may look terrible, but this is not a reason to be upset.

During the first week after surgery, the breasts may become almost twice as large as expected due to swelling. Plus there is a period when the implant is above its intended placement. In this situation, there is no need to panic. You just need to give your body time to recover. Surgeons even came up with a metaphorical description of this process, which they called "The Melting Island": the ice around the island will melt, the island will remain.

  • Rule tenth: everyone can have complications.

Here it is better to act consciously, instead of relying on chance or shifting responsibility to the surgeon.

This means that there is no need to hide from the doctor the presence of diseases or conditions that can lead to complications of anesthesia or surgery, go to surgery with malaise or symptoms of a disease that occurs in an acute form or is an exacerbation of a chronic process.

What does this mean in practice:

  1. You should not go for surgery if you feel that you have a cold or have recently suffered infection, such as flu, herpes of the lips, any infection of the skin, eyes, oral mucosa or genitourinary system;
  2. You should not agree to an operation in those moments of life when something bothers you a lot: serious problems at work or in the family, divorce;
  3. Tell your doctor about all your chronic or acute illnesses internal organs, it is better to undergo treatment and stabilize the state of health than to risk going for surgery right away;
  4. Tell your doctor about your bad habits such as smoking or drinking alcohol, taking medications, homeopathic or hormonal preparations, cases of allergies and intolerance to any substances or preparations;
  5. Do an ultrasound of the mammary glands even when nothing bothers you.
  • Rule eleven: the results of the operation change over time.

Weight changes, pregnancy, sports and many other reasons will constantly affect the skin and soft tissues of the mammary glands, therefore, over time, a second operation may be necessary, aimed at a breast lift or simultaneous lifting and replacement of implants. This is a common practice for plastic surgeons and a certain part of their patients.