Breast augmentation surgery

The first association that occurs when the words "plastic surgeon" become "breast augmentation" for many. Now this is one of the most popular and sought after operations. There are about one billion such corrections in the world each year, and the number is growing steadily from year to year. It is difficult to answer unequivocally whether fashion influences these indicators or a man’s non-sexual selectivity.

The leader of the race, of course, will remain the United States. According to statistics, in 2017, 398, 765 such operations were performed there. Oddly enough, Italy is at the bottom of the rankings, where the number of such bust corrections barely reaches 30, 000 a year.

Breast augmentation is one of the main options for surgical intervention in plastic surgery. To date, a number of unique techniques have been developed to repair the mammary glands, including both the involvement of a wide surgical area and the application of minimally invasive technologies through multiple site endoscopic punctures. Each has its advantages and disadvantages.

surgical breast augmentation

Breast augmentation surgery - what is it?

In the official medical language, such surgeries are referred to as "augmentation mammoplasty. "Their main goal is to achieve the desired volume volume. The special clinics are properly equipped with the necessary modern equipment.

There are several types of surgery, each depending in some way on the implant selected, the location of its insertion, and the purpose of the procedure.

Who is surgical breast augmentation recommended for?

Before you learn more about this type of plastic invasion, you need to understand why breast implants are placed. Motives are divided into two groups: aesthetic necessity and corrective goals. The first option includes:

  • correction of congenital structural defects when a deficiency of one or both mammary glands is diagnosed, pronounced asymmetry or dimensional deviation of their location relative to each other;
  • reconstructive outer plastic after mammoectomy of one or both breasts due to trauma or cancer;
  • atrophy of the mammary glands due to internal hormonal disorders;
  • correction or correction of the unsuccessful outcome of a previous surgery.
breast augmentation with implants

Corrective goals include those that involve the development of existing forms and do not constitute a medical necessity for surgery:

  1. In order to achieve external sexual attraction to the opposite sex. Women are often placed under the surgeon’s scalpel at the urging of men.
  2. Because of the difficulties in choosing clothes. Sewing most clothes assumes certain dimensions in the chest area, and in the absence of these, the clothes will not look right.
  3. Decreased self-esteem when wearing open or tight clothing that shows a small bust, such as on the beach or in the gym.
  4. Restoration of its former shape after childbirth and lactation.
  5. Changes in the condition of the mammary glands due to sharp weight fluctuations related to diet or hormonal diseases.
  6. Correction of external age-related changes in the structure and appearance of the mammary glands (expressed ptosis).

Disadvantages of operations

Every title except the title has a different page. Mamoplasty is no exception. Surgery involves inserting implants into a woman’s chest.

breast augmentation implant

Dentures in the female body can cause the following problems:

  1. These adaptations are foreign agents to the body. The risk of implant rejection should be considered.
  2. Then remember the functional purpose of the mammary gland - breastfeeding the offspring. Suppose a woman will not feed, but the birth of a child automatically involves the process of milk production, and the built-in implant contributes to the further development of mastitis by preventing the outflow of milk.
  3. Many implants, despite inviting the ad, can damage the gland. If this happens, the consequences will not look too aesthetic from the outside and can also cause serious health problems.
  4. Displacement of implants in the breast is another likely drawback. It is often one-sided or multi-directional, which significantly degrades the overall aesthetic concept of the operation.
  5. Some women are worried about losing their sensation at the site of surgery. Usually, this complication rarely scares and even encourages some women (especially those who love nipple piercings). Nevertheless, it is a negative rather than a positive factor because a deprived breast cannot adequately signal the presence of inflammatory processes or tumors.
  6. It should be understood that in this case we are talking about breast prostheses, and all prostheses tend to wear out, lose their shape, and be replaced after an average of 10-15 years. Will the woman be ready for re-intervention after this time? In addition, implants require constant monitoring by a mammologist and plastic surgeon.
methods of implant placement for breast augmentation

Contraindications to mammoplasty

Often, if you obey your whims or the request of a man with whom you have sex, a woman will not realize that breast augmentation is first and foremost a serious surgical procedure, and only then will the "injustice" disappear from nature.

Any surgical procedure has the indications and contraindications mentioned earlier. The latter can be divided into two groups: permanent and temporary restrictions. The first:

  • severe internal diseases (decompensated diabetes; chronic kidney, liver, cardiovascular disease, lung disease, and others with a stage of dysfunction);
  • inoperable oncological tumor of any type, localization, and metastasis;
  • blood diseases of any etiology (increased thrombus formation and decreased blood clotting);
  • diseases of the hormonal sphere, especially the thyroid gland (hypo- or hyperthyroidism), mammary glands (mastopathy), genital area (categorical contraindication - endometriosis);
  • nervous and mental diseases;
  • advanced syphilis, gonorrhea, hepatitis B and C, HIV infection.
doctor examination before breast augmentation surgery

Temporary contraindications:

  • Female age under 18 varies to 21 years in case of incomplete puberty;
  • pregnancy, lactation and year after completion;
  • menstruation: one week before the onset of menstruation itself and one week after the end;
  • herpetic diseases in the acute stage;
  • presence of an acute allergic reaction (laryngeal edema or Quincke, a history of anaphylactic shock - an aggravating factor);
  • cold;
  • sexually transmitted diseases in the acute stage;
  • exacerbation of internal chronic diseases.

Methods of breast augmentation

From ancient times, women of all nationalities, ages, and religions, without exception, considered the mammary glands as their main weapon in attracting people of the opposite sex, and a competitive moment when they compared beauty to rivals. Small breasts have always been considered a serious disadvantage.

Our ancestors resorted to everything to achieve the desired effect. Legumes, cabbage, freshly kneaded pasta were consumed in large quantities. Then, when intoxicating drinks became popular, the ladies discovered a way to enlarge their breasts with them.

In addition to harmless special diets, there were also ruthless methods of self-torture. So an English woman allowed herself to be pinched by a whole swarm of wasps, but it didn’t just increase her chest. It was believed that cat saliva was involved in the growth of the mammary glands, and entire hordes of tailed servants lived for this purpose in the court of Assyrian and Egyptian lovers. The mistress’s necessary places were thoroughly coated with dairy products, and the cat’s trunk licked everything to the last drop, often seriously biting women.

wasp stings for breast augmentation

And now there are non-surgical techniques for breast augmentation with massage or various creams that include both hormonal preparations and placental extracts of marine mammals. But the effectiveness of these drugs is still controversial. Many ladies don’t like to wait, especially when it’s ahead of summer and there is an urgent need to kill another gentleman on the spot. Plastic surgery is a relatively quick and effective method.

Types of implants

Any mammoplasty involves the introduction of implants - small rounded formations of different shapes, sizes and structures.

The shape can be distinguished:

  • rounded, superficially following the contours of the chest;
  • oval or drop-shaped, slightly copying natural contours;
  • anatomically correct implants, taking into account the unique shape of the woman’s breast.

Breast endoprostheses are divided into the following as fillers:

  • contains saline;
  • filled with biological gel;
  • inflated with silicone.

The latter mimic the natural shape of female breasts more than others. In addition, implants differ in the density of filling with the material. It happens:

  • soft filling, where the prostheses naturally repeat the anatomical structure of the breast but hold their shape poorly;
  • dense filling, while the implants retain their shape perfectly but are outwardly artificial;
  • medium charge, which is realized in the latest generation, mainly in the Softtouch class.
types of implants for breast augmentation

Types of implant surgery

Today, plastic surgeons use a number of invasive methods to insert implants into the anterior chest region:

  1. Submammary. An incision is made in the chest wrinkle. This method is used more often than others because the surgeon has the best opportunity to shape and fit the implant pocket more accurately. The disadvantage is the visibility of the postoperative sutures, especially if the folds under the breast are poorly formed.
  2. Periareolar. An incision is made in the adjacent tissue from the nipple to the nipple. This method is aesthetically more perfect because the incision is almost invisible, but if the nipple areola is small, which is often the case in young girls, it will be almost impossible to implant an implant in this way.
  3. Armpit. The incision is made in the lower part of the armpit. Currently, this option is gradually becoming obsolete as it entails a number of limitations. Not all types of implants can be implanted, the method is not suitable for women with pronounced asymmetry and ptosis of the mammary glands.
  4. Transareolar method. The incision is made along the areola of the nipple, bending around from below. It is not suitable for nulliparous women as there is a risk of damage to the milk ducts and nerve endings. Using this technology, breast tenderness is most often disturbed.

Previously, when the technology of breast augmentation only gained momentum, two other methods were used, which have now lost their practical significance:

  • Transdomdominal method. The incision was made along the anterior abdominal wall, along the bikini line. This method is also used now when planning abdominal augmentation with breast augmentation - cutting out the oily layer and excess skin on the abdomen.
  • Transumbillary method. An incision was made in the upper navel and a dry deflated implant was placed over it, which was later filled with fluid. This possibility is very traumatic, dangerous and involves many significant complications, so it is currently completely ruled out.
breast implants for breast augmentation

The implantation method also has 2 options.

  1. Below the pectoral muscle - between the tissues of the chest and the muscle. This option does not interfere with subsequent breastfeeding, but there are often layers of tissue between each other that distort the external shape of the breast.
  2. Above the pectoral muscle - between the mammary gland and. Breasts take on a more natural shape, but breastfeeding can be difficult.

Preparing for surgery

In order for the operation to be successful and bring the expected results, it is important that we prepare well for it. The process will consist of several stages:

  1. Decide what results you want to achieve.
  2. Decide what costs you should consider for the operation. You must not skimp on the quality of the implant and the experience of the surgeon. In addition, you should not operate in an unknown clinic. If there is no other choice in this case, it is important to study in detail the permissions required to perform such operations.
  3. Arm yourself with information about surgical techniques and the implants used for them. It is advisable to write down all the questions on paper so that we can discuss them with the operator later.
  4. If all options are selected, make an appointment for a prior consultation with your surgical plastic surgeon. It is important that you build a relationship of trust with a professional, listen to your recommendations, and make a final decision.

Following the consultation, the surgeon prescribes a number of medical examinations to identify indications or contraindications for surgery: blood and urine tests, ECG, chest x-ray, or fluorography. If necessary, if there are chronic diseases, consultation with narrow specialists is performed.

blood and urine tests before breast augmentation surgery

Before the operation:

  • Stop smoking at least a week earlier. This is important for the full extent of the blood vessels during surgery.
  • If your chosen surgical technique requires you to wear a special dressing, it is important that you do not violate these guidelines.
  • Drink as much water as possible. Good tissue fluid saturation is required.
  • Do not use blood thinners such as aspirin.

Often, breast augmentation is performed in an outpatient clinic and does not provide for further hospitalization. It is important that the patient was not alone after the surgery, as loss of consciousness, fatigue, and feeling of lack are not ruled out.

The postoperative period: what to remember

At the end of the surgery, the patient is placed in a rehabilitation ward where their general condition is monitored. They look at how the operated woman came out of the anesthesia and, if necessary, give her a painkiller. It is possible to stay there for up to 1 day. In case of complications, the woman is transported to hospital surgical wards.

Prior to discharge, the patient receives a detailed report from the operating surgeon on how the surgery was performed, what anesthetics were used, and what was the reason for this choice if it was contrary to a previously planned plan. In addition to the recommendations, they provide a number of rules that prevent complications that must be strictly adhered to. The doctor will tell you the following points:

  1. Presence, location, nursing characteristics of the canals (you can rinse yourself or go to the clinic).
  2. Which sleeping sites to choose so that the implant does not move and the drainage devices are not pulled out.
  3. About why it is not recommended to raise your hands and objects that allow your weight first.
  4. On the process of recovery at the site of surgery: skin color, edema, presence of hematomas.
  5. Possible pain after anesthesia. It is important that your doctor advises which medications are allowed to relieve pain and which should not be used.
compression bra after surgical breast augmentation

In addition, general rules may apply to clothing. So at first only special bras are allowed, later except for hard inserts as they can deform the implant.

Possible postoperative complications

In the case of any surgical procedure, regardless of the complexity of the procedure, complications are not excluded. In this case, the following are possible:

  1. Introduction of infection into the surgical field during manipulation.
  2. Improper or asymmetrical placement of the implant.
  3. Capsule contracture is an allergic reaction to the implant, resulting in a broader-than-usual inflammatory focus. During healing, when once-inflamed cavities are replaced by connective tissue, the latter accumulate excessively around the implant, distorting the contour of the bust.
  4. Contour contouring due to incorrect fitting.
  5. Double chest fold with improper suture fusion.
  6. Improper placement of implants, resulting in them being placed too low or too high, and in some cases asymmetrically relative to each other.
  7. Implant rejection.
  8. At first, extensive hematomas are possible that need to be checked.
breast augmentation after surgery

Operating price

Mamoplasty is a rather expensive pleasure, if you can call it that. The total cost includes:

  • consultation with a practicing plastic surgeon;
  • perform the necessary tests and consult with other professionals;
  • the cost of implants;
  • the cost of the procedure;
  • postoperative care.

Costs are also affected by:

  1. The surgeon's experience. The cost of services will be high for professionals with extensive experience as well as long experience in working abroad.
  2. Quality of selected implants.
  3. Image of the clinic and distance from big cities.

Breast augmentation is a personal matter for everyone. It is difficult to objectively assess all the advantages and disadvantages of this surgical procedure. On the scales are aesthetic beauty, a full personal life and a slippery breast, serious health problems, and an inability to feed the baby with milk in the future.

In this delicate matter, it is up to each woman to decide. But before you go under the knife, it’s important to reconcile the pros and cons. Only in this way will the result be many years of joy and not disturb your whole life.