The aesthetic results of plastic breast augmentation depend on many factors.It is very important to choose a method of implanting the pocket and installing the implant.The aesthetics of the breast post-plastic bust circumference is influenced by the patient's various initial data, including the shape of the chest and breast, skin condition, and the thickness of the subcutaneous fat layer.These and other anatomical features are considered when selecting the basic width, size and shape of the inner body.An important criterion for successful operation is to achieve stable results that make women over the years.
The publication discusses the main ways of breast augmentation – the type of surgical channels, the types of anatomical bags used to install implants, the advantages and disadvantages of various mammoplasty methods.You will learn how to recover correctly after surgery, what you may do during recovery, and what you cannot do.
Indications for breast enlargement of implants
The surgery to enlarge the breast with an implant was performed according to aesthetic indications.The main indication of enhanced mammaloplasty is that the patient desires to improve the aesthetics of the breast by increasing the size and modeling shape of the breast.During the operation, defects caused by deformation of the nipple-arc complex (stretching of areola, changes in form) and missing glands after feeding the baby or due to age-related changes.
What attracts plastic surgeons may be the following problems:
- Deterioration of thymus aesthetics after pregnancy and breastfeeding.
- The shape of the bust is changed due to the interactive (aging) process.
- Congenital decline in breast or amastia.
- Asymmetry, both innate and acquired nature.
- Tube breasts.
- Breast phagocytosis, signs of breast atrophy.
- Women are not satisfied with the shape or size of their bust.
Patients who underwent essential surgery for the breast were also undergoing enlarged breasts as part of the treatment of malignant tumors.Reconstructive enhanced maleoplasty allows you to recreate naturally and aesthetically attractive breasts without increasing the risk of tumor progression.
What personal characteristics were considered before the operation?
The strategy of surgical correction depends on the individual characteristics of the patient.Yes, there is always a chance to place large implants, but far from that far away leads to the desired result - a natural and harmonious change in appearance.
The following factors are affected by the choice of the form, profile and size of the endosome, as well as the choice of the pocket and the method of installing the implant
- Age of a woman.
- The initial shape and size of the breast.
- Height and width of the chest.
- Severity of subcutaneous fat.
- Elasticity of the outer skin tissue of the breast.
- Ask for the width of the interval.
- Signs of ptosis (prolapse) of the bust.
Strategies for enhanced mastoplasty can also affect whether women plan to give birth in the future for delivery and breastfeeding.When choosing access, the necessity in nipple-Arolar complex plastics is also considered, which may require the achievement of optimal aesthetic results.
How to install implants
Taking into account the personal characteristics of the anatomy and other factors mentioned above, the plastic surgeon chose one of three ways of breast enhancement (type of surgery):
- The baby teeth (the enlargement of the breast "through the areola").
- Hair pressure.
- armpit.
Below are the features of each method of enhancement mammals in detail, with advantages and disadvantages.
Nostril visit
The plastic surgeon sets the implant through an incision in lactobacillus or surrounding channels that passes along the periphery of the areola pigment area.The main advantage of this surgical channel is the invisibility of scars.The scar is located on the border of light and dark skin, so it is difficult to notice it.
In the perilayer method to enhance the chest glands, in addition to the minimum severity of postoperative scars, there are other advantages:
- During the surgery, increments of the nipple-arc complex can be performed.In some cases, it is difficult to achieve the optimal aesthetic of the bust without correcting the size and shape of the SAK, and this advantage of Periarelar access can play a decisive role.
- The surrounding channels eliminate the risk of incoming (sensitive) nerve fiber damage, which is transmitted to the SAK in the loading fold area.Due to this advantage, the area of maleoplasty allows you to fully maintain the sensitivity of your nipples and areola.
- Meanwhile, as the bust increases, you can correct the initial stage of tilt.
Despite the advantages of Periarelar access listed above, the technology cannot be recommended to all women.In particular, this method of installing implants is not recommended for family planning children and girls who are breastfeeding.This is explained by the fact that during the surgery, there is a risk of damage to the milk tube, which will affect the lactation function.
Surrounding access does not allow a full overview of all implant pockets, which imposes restrictions on the size of the implant.This approach is ideal for those who want to place a small amount of endoplant and increase the chest slightly.In cases where women want to add 2-3 sizes to their breasts, it is best to use the neck or armpits to access them.
Secondary visit
With the help of a number of visits, the inner tube is installed through horizontal incisions that pass through the thymus under natural skin folds.When using this method of installing the implant, postoperative scars are significantly expressed, but they are hidden in the folds of the skin.The scars are visible in the lying position, and in the standing position, they are covered by the lower pole of the chest glands.
The main advantage of secondary access is a very good overview of the operational area.This is the easiest type of mastoplasty for plastic surgeons, as all implant pockets can be used completely and absolutely symmetrical implants are easily obtained.With this feature, large endogenous can be installed.
Another advantage of the matte method to increase the bust is the lack of risk of damaging the milk pipe.After the surgery, the lactation function is retained, which allows you to recommend this method for future planned babies and breastfeeding patients.
The number of times the implant is installed is not without its disadvantages.For many plastic surgeon patients, the main negative number of this method is in a distinct and sufficiently stretched scar, under the chest with a folded fold.The disadvantage is the risk of damage to nerves.If the nerve is dissected during the surgery, the sensitivity of the nipple and areola will be disturbed.
The use of hair can be performed simultaneously with a single incision to enhance mastoplasty and plastic surgery.Additionally, women with the initial signs of bust often turn to plastic surgeons for help.If the surrounding access allows you to eliminate age-related performance, it is not possible to correct the tilt with chest enlargement while using simbammar access.
Armpit access
Entering through the armpits, breast augmentation is performed through incisions in the armpits.The main advantage of this methodology is that the scar disappears from the breast and does not affect its aesthetic perception.On the other hand, the scar is obvious, which can become a problem if a woman is wearing open clothes.For example, scars can be clearly seen during exercise, especially in the case of body posture, with both hands raised.
However, it is considered the "gold standard" armpit passage in enhanced mastoplasty.This operation is performed under the control of a fiber optic device (endoscope), which allows the plastic surgeon to enter all implant pockets.There is no risk of damage to the nerve trunk.There is no risk of clearing the milk pipe, which allows us to recommend this implant to girls who plan to get pregnant.There are no restrictions in the chapter - the access type of armpits allows you to place implants of any volume, shape and profile.
The disadvantage of the axillary breast augmentation method is that plastic surgeons cannot correct the consequences of missing breasts or perform the plastic of the nipple-animal membrane complex.Therefore, when there is no accompanying aesthetic problem that requires surgical correction, the axillary passage is mainly used to model the size of the bust.
Surgery access selection criteria
In clinical practice, plastic surgeons use multiple criteria to select surgical channels to increase chest glands.One of the main criteria is the age of the woman and her further plans for pregnancy.If the patient plans to have a child, it is recommended to refuse Periarelar entry.Preferred axillary access or secondary access.
If a woman does not intend to give birth, any type of surgical procedure that was previously considered can be used.In order to improve the aesthetics of the bust, as it increases, it is necessary to perform the plastic of the areola, which can be accessed around the surroundings.The same method of installing implants is more suitable for patients with the initial signs of tilt.
For patients who want to increase their chest sizes, plastic surgeons can recommend the number of uses or armpit methods.In this case, the best option is to increase the chest glands through the armpits, but the aesthetic desires of the woman are also considered.Select a secondary visit if she expresses her wish to hide the scar in the natural folds below her chest.
Choose a pocket to install the implant
The next aspect of adding maleoplasty is related to the selection of the anatomical area where the implant will be installed.
Insert pockets can be found:
- under the breast (placed at the waist);
- Under the pectoral muscles (pressed position);
- Partly under the glands, partly under the muscles (combined version).
Size placement.The implant is installed in the anatomical space beneath the gland.The superficial pocket is only apart from the lid tissue and breast, so this feature is not recommended because it is necessary to add several sizes to the chest.Large endophytes can be visually identified.Furthermore, the risk of step deformation-availability increases, in which one of the "steps" forms above the upper edge of the implant.
With the lower size of the inner chapter, especially the risk of developing other complications, especially deformation of the outer skin tissue above the thymus appears in the form of "waves" or "mountain ash".With the development of capsule closure, the deterioration of bust aesthetics is more obvious with the superficial placement of the implant.
Another feature of this placement is that the endometrial prosthesis and breast gland are supported only by Cuper bonds – the structure of connective tissue, whose elasticity decreases with age.Therefore, with the sub-process installation of implants, the risk of breast phagocytosis increases, especially in women with large breasts at the beginning.
Muscle placement.The placement of the implant under larger chest muscles avoids the problem of subfacial position.In the form of “Rowan” and “Wave”, there is less risk of capsular staining and skin deformation above the chest.The endometrial prosthesis is firmly fixed with muscles and does not increase the possibility of hypertrophy.
However, the placement of the implant under the muscle has the opposite side.
First, among girls actively involved in exercise, the risk of implant rotation or displacement is increased.If a stylish implant is used to increase the chest glands, rotation (turning) will cause breast deformation and can only be corrected during repeated operations.
Secondly, with the placement of the profile, the degree of tissue damage during the surgery increases.Therefore, the healing rate is slower and the recovery period is extended to wearing compressed underwear and followed for longer.
Combined position.The best option is to place the combination, where the inner body segment is below the muscle and the lower pole is below the gland.With this arrangement, the risk of step deformation is ruled out.Lower risk of turning and displacement of implants, development of capsule closure and other aesthetic complications.The recovery speed is faster and the recovery period is reduced.
Types of implants
Breast enlargement is performed by implants from leading world manufacturers.Medical silicone endoplant with high cohesion and varying degrees of density.The silicon is covered with an elastic shell, thus eliminating the possibility of gel diffusion.The outer capsule is represented by a porous shell, and its special texture helps integrate the implant into the living fabric and its reliable fixation.Due to porous membranes, the risk of fiber pack dyeing is reduced.
Each manufacturer’s production line presents hundreds of types of implants that differ in the following characteristics:
- Form: The implant can be anatomical (titer) or round.
- Basic width: horizontal dimension of the lower pole of the inner spirochete.
- Curve: The height of the inner prop insect.
- Size: Volume.
The choice of implant depends on the desire and the initial data of the patient - individual characteristics of the chest and breast structure.For example, girls with significant intersulfide gaps are more suitable for low-key anatomical implants with broad bases.Women who want to transfer the stress to the neckline are more suitable for round full-scale implants that visually add the upper pole of the breast.
Preparation for breast augmentation with implants
Preparation for plastic surgery for breast enlargement can be divided into two stages - diagnosis and aesthetics.The purpose of aesthetic preparation is to choose the perfect implant and to decide on the strategies for surgical intervention.Based on the results of computer modeling and the results of the analysis of the initial data of the patient, the surgeon chose the method of installing the inner chapter and the method of placing the anatomical pocket.
The purpose of the diagnostic phase is to minimize the risk of surgery and anesthesia and to eliminate contraindications to surgery.Before adding breasts, each woman underwent a comprehensive diagnosis, including an expanded list of tools and laboratory methods.Mammograms will definitely be prescribed by gynecologists and breast mammologists.
Women should stop taking certain medications, especially contraceptives and anticoagulants, in the first few weeks of increasing maleoplasty.Because they slow down blood clotting, it is necessary to abandon anti-inflammatory and analgesics from the NSAID group.Since ethanol and nicotine reduce the regeneration process and negatively affect the recovery rate after mastoplasty, it is also necessary to stop taking alcohol and give up smoking.
Rehabilitation after breast swelling
Early postoperative periods are accompanied by typical symptoms of any surgery - swelling, pain and hematoma, fever, general discomfort.These symptoms are normal responses to responses that violate tissue integrity.Preparations prescribed by plastic surgeons (anti-inflammatory, anti-exploratory, painkillers) will help deal with difficulties during this period.To prevent infection complications, doctors prescribed short-term antibiotics.
The details of the recovery period after mammoplasty are necessary to constantly wear a compressed bra.The elastic flax is sewn on a separate order before the surgery.You need to wear it continuously and only remove it for a period of time of hygiene procedures.As for physical hygiene, within the first 7-10 days after the increase of the thymus, you should be subject to wet wipes and you cannot take a shower.
You can only sleep after surgery.From 10-14 days, it can sleep on the side, but it still cannot open the stomach.You cannot play dance or exercise.The ban on physical exercise, including the family, is valid for 4 weeks; power loads and certain types of aerobic exercise training are taboo for 3 months (or until the special resolution of the plastic surgeon).
You cannot sunbathe in direct sunlight or sunbathing throughout the recovery period.You can't go to a sauna or take a bath, take a hot shower at home.Alcohol and smoking are taboos.The removal of compressed linen is allowed from the second month, but during the year you need to wear a bra with broadband and a wide belt that supports your chest well.