What is mammoplasty

breast augmentation by surgery

The most alluring, graceful, attractive thing about a woman's figure is her curves. And women themselves consider the ideal body, exactly as they see it, as a source of their pride and value.

Perhaps for the first time in history, a modern woman is able to get the body she wants. And also thanks to plastic surgery. Female breasts are the part of the body that women want to look ideal above all else. And mammoplasty or mammoplasty can help them with this.

Mammoplasty is a type of surgical intervention in the field of plastic surgery, the purpose of which is to correct the shape and/or size of the mammary glands. Often, to achieve the result, a special endoprosthesis (silicone implant) is placed under the gland or under the pectoral muscle, if this is the patient's desire.

Mammoplasty today is one of the most common operations among women in the field of aesthetic medicine. It aims to eliminate conditions such as micromastia (insufficient volume of the mammary gland) or excess volume (macromastia), tube breasts, asymmetry or ptosis of the mammary gland, conditions after breastfeeding, mastectomy, massive weight loss, and age-related changes. . Breast augmentation with silicone implants is one of the most common requests from patients to plastic surgeons.

Types of mammoplasty

Mammoplasty is divided into three types depending on the purpose.

Augmentation mammoplasty (enlargement) gives a natural shape and a toned appearance. In most cases, plastic surgeons achieve results by installing silicone breast implants. With its help, you can add volume to your breasts and give them a beautiful shape while maintaining their lactation function (ability to produce milk).

Augmentation mammoplasty is divided according to the type of access to the gland through incisions. There are three of them practiced today:

  • Armpit access - from the armpit
  • Areolar - along the lower or upper edge of the areola
  • Inframammary – in the area of the inframammary fold.

The type of access is selected by the surgeon individually for each patient, depending on the purpose, tissue condition, desired shape, breast size, etc.

Reduction mammoplasty is the reduction of breast size; plastic surgeons remove excess skin, glandular tissue and fat and perform a lift. This allows you to restore the elasticity and aesthetic appearance of the breast, adjust the shape of the nipple and the size of the areola.

Mastopexy – breast lift. It is often performed in conjunction with augmentation or reduction mammoplasty. With isolated mastopexy, skin tightening is performed, sometimes using movements to move glandular tissue and fix it in a higher position, as an alternative to implants, thereby correcting the shape and volume of the breast, but often during the same lift. silicone implants are used as with augmentation mammoplasty.

Breast implants and their shape

Modern breast implants or implants undergo many tests and studies before they are approved and reach the end user.

They are recognized as completely hypoallergenic, biologically compatible with human tissue and safe to use. The risk of rejection is reduced to zero; they do not affect the quality of breastfeeding or the course of a woman's pregnancy.

According to their shape, implants are divided into round and anatomical (drop-shaped). The surface can be smooth or micro-textured. It is created from certified hypoallergenic medical silicone. There are several leading global manufacturers. In modern clinics, surgeons work with high-quality implants from various well-known companies.

The plastic surgeon will help you choose the right implant in shape and size during the mandatory consultation, which precedes the surgical intervention itself.

Indications for mammoplasty

Indications for mammoplasty are:

  • ptosis due to age-related changes, breastfeeding, sudden weight loss
  • tube breast
  • mammary gland asymmetry
  • macromastia – very large breasts that cause physical discomfort. This can trigger poor posture, back pain, interfere with exercise and sleep, excessive sweating in the inframammary fold area causing moral suffering and greatly lowering a woman's self-esteem.
  • micromastia - insufficient volume
  • conditions, deformities after mastectomy
  • the patient's personal desire to enlarge or change the shape of the breast / areola / nipple if there are no contraindications for such surgery

Contraindications for mammoplasty

Contraindications include:

  • oncology prior to treatment and permission from an oncologist
  • neoplasms grow dynamically before healing
  • diabetes mellitus in the decompensation stage
  • serious blood diseases related to blood clotting
  • epilepsy
  • diseases for which general anesthesia is contraindicated
  • HIV, hepatitis B and C
  • serious mental disorders, especially schizophrenia
  • Chronic disease in the acute stage
  • age up to 18 years
  • serious renal dysfunction
  • lupus erythematosus
  • pregnancy at all stages, lactation. After the end of breastfeeding, at least 6 months must pass for the process in the mammary gland to stop naturally

Also, the operation is not performed during menstruation because of the increased risk of bleeding.

Prepare for surgery

The first thing that happens when preparing for mammoplasty is a consultation with a plastic surgeon. He collects anamnesis, conducts an examination, and talks with the patient. If there are no previously identified contraindications for mammoplasty, then the patient is prescribed a medical test.

General blood and biochemical tests, ultrasound of mammary glands and lower leg veins will be mandatory for everyone. In addition, the doctor may prescribe other studies or consultation with a specialist. During the consultation, the doctor and the patient choose the type and size of the implant if breast augmentation is planned.

A month before the operation, you should stop alcohol and nicotine - these substances slow down the process of tissue regeneration, healing is worse, many international studies confirm this. 2 weeks before the date, it is recommended to stop taking hormonal drugs, NSAIDs, aspirin, vitamins, and drugs that affect blood clotting.

Operational level

The breast surgery process looks like this:

  1. The surgeon marks the line where the incision will be made with a special marker
  2. Then the surgery itself begins, with or without the installation of the implant.
  3. If it is mastopexy or reduction mammoplasty, then during the operation excess tissue is removed. If this is a breast augmentation, then pre-selected silicone implants are installed during the operation.
  4. Self-absorbable sutures are used and that's it

Recommendations after the procedure

Perhaps the most important recommendation is to follow your doctor's recommendations.

The following should be highlighted in general:

  • Expect to spend at least one night in the hospital. On the first day, it is better to entrust yourself to a medical specialist who will be nearby
  • wear compression garments. This is a mandatory condition - without it, the risk of complications increases significantly
  • You need to visit the clinic regularly for check-ups during the first 7-10 days. The doctor treating you will give you a visit schedule. Further visits to the clinic depend on the specifics of recovery

During the recovery period of 1 month, it is not recommended to engage in sports; you can only sleep on your back. It is undesirable to drive a car, because the seat belt imposes a compressive load. You should also avoid visiting solariums, saunas, baths and swimming pools in the period after surgery. Alcohol and smoking are not recommended.

Some myths about mammoplasty

  1. Implants affect breastfeeding. There may be little or no milk.
    Not true. Modern implants have absolutely no effect on breastfeeding and are safe for both mother and baby. They are installed under the muscle or under the mammary gland without disturbing its physiology, including ducts.
  2. There are folk remedies or pharmaceuticals that are safe for breast enlargement, and they work.
    Nope. Until now, such a non-invasive/folk method with at least proven effectiveness does not exist. And there may be health risks, but they are usually not warned.
  3. Over time, the breast will retract and another surgery will be needed.
    Gravity and age-related changes affect breasts with implants just as much as those without. The manufacturer provides a lifetime warranty on the implants themselves, which means that as long as they are installed, nothing can happen to them. But does this mean that a second operation is unnecessary? - no it doesn't mean anything. Breasts will not look the same as after surgery forever, and after 15-20 years, minor corrections may be necessary. There are many reasons for this: weight gain, pregnancy, breastfeeding, capsular contracture, ptosis.
  4. After surgery there will be a scar that does not disappear.
    Not really. No scar can be completely resolved, it exists and remains after any surgery, the question is how noticeable it is. The quality of the scar is affected by many factors, such as genetics, immunity, the course of the postoperative period, and whether the surgeon sutured the wound correctly. Scars can be corrected using cosmetic methods (laser, collagen therapy, etc. ) in the same way as on any surface with thin dermis - face, neck, stomach. And if you follow all the doctor's recommendations during the postoperative period, the tissue will scar properly, without occupying a significant area. As a last resort, unsatisfactory scars can always be corrected surgically.
  5. Breasts will lose sensitivity after surgery.
    After manipulation, breast sensitivity does decrease - this is due to various processes, trauma to sensitive branches, and swelling after surgery. At the end of the recovery period, in most cases, sensitivity returns.

Price for mammoplasty 

Prices for mammoplasty vary depending on the clinic's assessment, the doctor's qualifications and experience, and the type of implant. The price is also affected by the options included in the package: hospital stay, compression garments, postoperative support, bandages with consumables.

For example, if only a breast lift is performed without installing an implant, the price for mastopexy starts from 250, 000 rubles.

If the breast lift involves the use of implants, then the price of the operation will start from 270, 000 rubles and above.

On average, breast lift surgery together with implants and post-operative support costs the patient 270, 000 rubles - 350, 000 rubles.

Conclusion

Today, plastic surgery is gaining momentum in our country and is accessible. More and more women, whose breasts have undergone age-related hormonal changes, suffer after mastectomy, or initially do not fit the ideal of a housewife, decide and get the breasts of their dreams thanks to plastic surgery.

Mammoplasty is plastic surgery that corrects the shape and size of the breast. Often, an increase in breast size, areola size and breast lift is performed during any of the three types of mammoplasty, thus achieving the results that the patient really wants. Modern implants are safe and consist of hypoallergenic silicone, moreover, they are approved by the FDA (Agency of the Department of Health and Human Services). Performed by experienced and high-quality surgeons, mammoplasty is a way to achieve your dreams, the subject of praise and joy for years.