Breast augmentation surgery is a plastic surgery procedure that enlarges the breasts and corrects their shape.The procedure is performed using special implants that feel almost indistinguishable from natural breasts.
what is it
Breast augmentation with implants is a plastic surgery procedure that corrects the breasts.This technology is suitable for women who have breast sagging, changes in shape and volume due to reasons such as childbirth or breastfeeding.
Breast augmentation is one of the methods of surgical breast augmentation and correction of their shape.
Surgery is planned after a thorough examination and performed in the hospital.
In this case, implants of different shapes, contents and volumes are used, which can be installed under the fascia, glands or under the pectoralis major muscle.
The location of the incision may also vary.In order to avoid complications after the intervention, it is necessary to strictly adhere to the rules of care.
In order to make the breasts look more natural after surgery, experts will give advice on choosing the size of the implants.
Types of prosthetics
All materials are divided into several varieties.
by content
They are divided into several types.
Silicone
They consist of viscous gels of varying densities.The special feature of this implant is that it does not leak even if it is damaged.
Salt
Filler: Saline solution.These products are less popular than others, but they cost slightly less.Additionally, they have a short shelf life and can form lumps and bumps when worn under the skin.
Installation of the selected implants is a critical stage of breast augmentation surgery.
The healing process, as well as the level of pain, depends on their correct position and contact with tissue.
Most complications can be easily avoided through effective action by the surgeon.
hydrogel
This is a new generation of biological implants.It is completely compatible with the human body, almost completely eliminating the risk of rejection.Hydrogel has many positive properties and its quality is in no way inferior to silicone prostheses.Their advantages are elasticity, safety, and non-toxicity.
by shape
Experts distinguish between round and teardrop-shaped implants.The first one is used for minor changes in the breast.Round breast implants are suitable for women who want to achieve a natural breast shape.
By surface type and profile
The surface of dentures can be smooth or rough.
There are also high and low implants.
When selecting a product, doctors must consider the patient's age, weight, height, body shape, sternal structure, breast condition and size.
Access method
To insert the implant into the chest cavity, experts use three types of tissue dissection, thereby replacing the vacuum space.
around the areola
Dissect the breast tissue at the areola level.The main advantage of this technique is that the doctor has the opportunity not only to correct the shape of the nipple, but also to change its position.
Over time, post-surgery scars disappear almost completely.
Lower breast
An incision is made along the crease line under the breast.This method is considered the most convenient in terms of less visible scarring, since the seam is located where the breast glands cover the skin of the torso.
armpit
Involves an incision near the armpit area.The method is more hasty and complex; the scars will be in obvious places.Additionally, in this case, it is difficult to properly place the implant in the pocket between the breast and muscle.
Prosthetic limb position
They can be placed submuscularly, submammaryly, or under the pectoralis major muscle.Often a combination approach is used, where multiple positioning strategies are combined simultaneously.
Difficulty Category
To determine this indicator, the following values must be taken into account:
- pointaccess;
- volumesurgical intervention;
- anatomicalFeaturesand required prosthesis size;
- generallyconditionclient;
- Relatives presentlimitto operation.
Plastic surgery involves three categories of complexity.
First
Breast augmentation at the first level of complexity involves periareolar access and endoprosthesis.At the same time, this method is characterized by moderate trauma and minimal surgical intervention.
second
The patient's condition is satisfactory.Perform revision surgery with vertical scars; assume moderate intervention and injury.
third
There are relative limitations that may lead to complications.An anchor lift is performed, during which the implant is installed.
Indications
Breast augmentation surgery not only improves the appearance of the breasts but also eliminates deformities and other imperfections.
The main indications for plastic surgery include:
- Smallsizebreast;
- asymmetrical;
- droopBreast or areola prolapse, which may occur against the background of rapid weight loss;
- ChangeformDue to breastfeeding or childbirth;
- hyperpigmentationpacifier;
- Error executionplasticBefore that;
- deformationInnately round.
However, the main factor remains a shift in aesthetics.
Contraindications
The use of gel or silicone implants for breast correction has its absolute and relative limitations.
The first group includes:
- diseaseSerious disease of internal organs;
- ageUnder 18;
- infancyfeed;
- cancer;
- psychologicalAbnormalities and seizures;
- ViolationSolidificationBlood;
- Infect.
Relative contraindications include:
- fibrous nodulesInside the breast;
- bigweight;
- syphilisand HIV;
- chronic formhepatitis;
- diseaseautoimmunitysystems such as rheumatism, nephritis, scleroderma;
- Varicose veinsvenous dilation
In addition, surgery is not recommended during the compensatory stage of diabetes.Surgery may need to be postponed during menstruation or if the body temperature rises unreasonably.
Preparation
Breast augmentation surgery involves preparation.
An important point is to visit some experts.The surgeon examines the breasts, the condition of the skin in the area, and determines the size and volume of the breasts.Additionally, the doctor will tell you about the actions, consequences, and results of the procedure.
Consultation with a gynecologist, breast surgeon, and therapist will help determine the limitations of surgery.The anesthesiologist will help determine if there are personal intolerances and predispositions to allergic reactions to the drugs and materials used.
Thereafter, the patient will be referred for laboratory testing, which may include the following:
- blood and urine;
- biochemistry;
- for HIV, syphilis, and hepatitis;
- sugar test;
- per group and Rh factor;
- Coagulation diagram.
Instrumental examination included performing fluoroscopy, radiography, electrocardiography, and ultrasonography.
If there is a chronic form of the pathological process, it is necessary to obtain a report from the attending physician, which will indicate the duration of the remission.
If no contraindications to surgical intervention are found, women need to follow some recommendations during the preparation phase.
You need to stop smoking and drinking no later than a week and a half before your due date.Don't expose your body to stressful situations and overtaxed nerves.You must also stop taking medications that reduce blood clotting.
execution skills
You can arrive at the clinic the day before or the same day as your surgery.Until then, your doctor may recommend that you take a sedative at night, which will help relieve nervous tension and ensure a good night's sleep.In the morning at the hospital, the woman's blood pressure and temperature were measured.
After this, a specialist will administer general anesthesia.The skin surface of the breast area is treated with antiseptic solution, catheters are installed and the body is connected to special equipment that allows you to monitor the condition of the body during the procedure.
After the anesthesia takes effect, the doctor proceeds directly to the operation.Make cuts of desired length in pre-selected areas.The tissue is carefully separated to create a pocket into which the implant is then placed.To stop bleeding, the blood vessels are cauterized.
Next, the surgeon removes the endoprosthesis and installs it in the desired location through the incision.After all operations are completed, the wound is sutured and bandaged.The breast glands are supported by the shapewear, which will prevent the implant from moving to one side.
recovery period
First, proper care of the wound surface is necessary, not only to avoid the formation of pustules but also to speed up the healing process.
Typically, self-absorbing sutures are applied to the incision and do not need to be removed.After about 7 days, patients only need to remove the nodules that protrude from the skin surface.
To prevent scarring, you will need to apply a plaster to the seams and wear a corset.
Since women will experience significant pain in the first few days after surgery, experts will recommend taking painkillers to eliminate the pain.Antibiotics are prescribed to reduce the chance of infection.
To relieve swelling, you should not take hot baths or baths or subject your body to any physical activity for two weeks.To prevent capsular contracture, the breasts need to be massaged, but not earlier than two weeks after implant placement.
You need to avoid saunas, baths and solariums for 5 days.Tanning in direct sunlight is also prohibited.
Special attention should be paid to the diet during the recovery period.Food should be light and easy to digest.You need to include more iron-containing fruits and vegetables and fortified cocktails in your diet.
complication
All possible side effects are divided into two groups.
Early days
This category includes the formation of bruising, microhematoma, swelling and pain.This phenomenon does not pose a risk to human health and will disappear on its own within a few days.
be late
This group includes:
- openingBleeding– Vascular damage leads to complications;
- seroma– Usually appears a few hours after the intervention, so the patient must stay in the hospital for 1-3 days;
- lossSensitivityNipple-areola complex - usually occurs due to damage to the tactile nerve;
- hematoma;
- suppurationAt the site of suturing - the main cause of complications is non-compliance with septic and antiseptic rules;
- educatekeloid scarscarring and enlarged tissue;
- ruptured ordeflationprosthesis (expired);
- dystopiaimplants;
- membraneFibrous contracture.
Each of these consequences requires immediate medical intervention.
Breast augmentation surgery is a complex surgical procedure that requires a highly qualified surgeon.Therefore, before deciding whether to have breast augmentation with implants, you need to weigh the pros and cons and carefully choose the clinic where you will perform the surgery.