What is mammoplasty?

breast augmentation with surgery

The most seductive, elegant and attractive thing about a female figure is its curves. And women themselves consider the ideal body, exactly as they see it, to be the source of their pride and value.

Perhaps for the first time in history, a modern woman can afford to get the body she wants. And also thanks to plastic surgery. A woman's bust is the part of the body that women would like to see ideal above all else. And mammoplasty or mammoplasty can help them in this.

Mammoplasty is a type of surgical intervention in the field of plastic surgery, whose purpose is to correct the shape and/or size of the mammary glands. Often, to achieve results, a special endoprosthesis (silicone implant) is placed under the gland or under the pectoral muscle, if desired by the patient.

Mammoplasty today is one of the most common operations among women in the field of aesthetic medicine. It is aimed at eliminating conditions such as micromastia (insufficient volume of the mammary gland) or excess volume (macromastia), tubular breasts, asymmetry or ptosis of the mammary glands, post-lactation conditions, mastectomy, massive weight loss and changes related to the age. . 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.

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

Breast augmentation is divided according to the type of access to the gland through an incision. There are three of them that are practiced today:

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

The surgeon selects the type of access individually for each patient, depending on the purpose, tissue condition, desired shape, bust size, etc.

Reduction mammoplasty is a reduction in breast size; The plastic surgeon removes excess skin, glandular and fatty tissue and performs a lift. This allows you to restore the elasticity and aesthetic appearance of the bust, adjust the shape of the nipples and the size of the areolas.

Mastopexy – breast lift. It is often performed in conjunction with augmentation or reduction mammoplasty. With isolated mastopexy, a skin tightening is performed, sometimes through maneuvers to move the glandular tissue and fix it in a higher position, as an alternative to the implant, thus correcting the shape and volume of the breast, but many times during the uprising repeats the same thing. Silicone implants are used as in augmentation mammoplasty.

Breast implants and their forms.

Modern breast implants or implants undergo many tests and studies before being certified and reaching the end user.

They are recognized as absolutely 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 the woman's pregnancy.

According to their shape, implants are divided into round and anatomical (drop-shaped). Its surface can be smooth or microtextured. They are created from certified hypoallergenic medical silicone. There are several leading manufacturers worldwide. In a modern clinic, surgeons work with high-quality implants from several well-known companies.

A plastic surgeon will help you select an implant that is suitable in shape and size during a mandatory consultation, which precedes the surgical intervention itself.

Indications for mammoplasty

The indications for mammoplasty will be:

  • ptosis as a result of age-related changes, breastfeeding, sudden weight loss
  • tubular breast
  • asymmetry of the mammary glands
  • Macromastia: very large breasts that cause physical discomfort. This can cause poor posture, back pain, interfere with exercise and sleep, excessive sweating in the inframammary fold area causes moral suffering and considerably reduces a woman's self-esteem.
  • micromastia – insufficient volume
  • Conditions, defects after mastectomy.
  • the patient's personal desire to enlarge or change the shape of the breast/areola/nipple in the absence of contraindications to such surgery

Contraindications for mammoplasty.

Contraindications include:

  • Oncology before cure and permission of the oncologist.
  • Neoplasms that grow dynamically before healing.
  • diabetes mellitus in the decompensation stage
  • serious blood diseases associated with blood clotting
  • epilepsy
  • Diseases for which general anesthesia is contraindicated.
  • HIV, hepatitis B and C
  • Serious mental disorders, in particular schizophrenia.
  • Chronic diseases in acute stage.
  • age up to 18 years
  • severe kidney dysfunction
  • lupus erythematosus
  • Pregnancy at all stages, breastfeeding. Once breastfeeding has ended, at least 6 months must pass for the processes in the mammary glands to stop naturally.

Additionally, the operation is not performed during menstruation due to the increased risk of bleeding.

Preparing for surgery

The first thing that happens when preparing for mammoplasty is a consultation with a plastic surgeon. Collect anamnesis, perform an examination and talk to the patient. If there are no previously identified contraindications to mammoplasty, medical tests are prescribed to the patient.

A general and biochemical blood test, an ultrasound of the mammary glands and veins of the lower extremities will be mandatory for everyone. In addition, the doctor may prescribe other studies or consultations with specialists. During the consultation, the doctor and the patient choose the type and size of the implant if a breast augmentation is planned.

A month before the operation, you should give up alcohol and nicotine; These substances slow down tissue regeneration processes and healing is much worse, as confirmed by numerous international studies. 2 weeks before the date, it is recommended to stop taking hormonal drugs, NSAIDs, aspirin, vitamins and drugs that affect blood clotting.

Operation stages

The breast surgery process looks like this:

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

Recommendations after the procedure.

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

The following should be noted in general:

  • Expect to spend at least one night in the hospital. The first day it is better to entrust yourself to the specialist doctors who will be nearby.
  • wear compression garments. This is a mandatory condition; Without it, the risk of complications increases significantly.
  • You will need to visit the clinic regularly for tests during the first 7 to 10 days. Your treating doctor will provide you with a visit schedule. Additional visits to clinics depend on the specifics of the rehabilitation.

During the 1-month rehabilitation period, it is not recommended to play sports, you can only sleep on your back. It is undesirable to drive a car, as seat belts exert a compressive load. You should also avoid visiting solariums, saunas, baths and swimming pools in the immediate postoperative period. Alcohol and smoking are not recommended.

Several myths about mammoplasty

  1. Implants affect breastfeeding. There may be little or no milk.
    It isn't true. Modern implants have no effect on breastfeeding and are safe for both mother and baby. They are installed under the muscle or under the mammary gland without altering its physiology, including the ducts.
  2. There are safe home or pharmaceutical remedies for breast enlargement and they are effective.
    No. To date there are no popular or non-invasive methods with at least some proven effectiveness. And there may be health risks, but they are not usually warned about.
  3. Over time, the breasts will shrink again and another operation will be necessary.
    Gravity and age-related changes affect breasts with implants the same as those without. Manufacturers offer a lifetime warranty on implants, meaning that as long as they are installed, nothing can happen to them. But does this mean that a second operation will not be necessary? – no, it doesn't mean. The breasts will not look the same as after surgery forever, and after 15 to 20 years, minor correction may be required. There are many reasons for this: weight gain, pregnancy, breastfeeding, capsular contracture, ptosis.
  4. After the operation there will be scars that do not resolve.
    Not precisely. No scar can disappear completely, it exists and remains after any operation, the question is how noticeable it is. Scar quality is affected by many factors, such as genetics, immunity, postoperative course, 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, abdomen. And if you follow all the doctor's recommendations during the postoperative period, the tissue will heal correctly, without occupying a significant surface area. As a last resort, an unsatisfactory scar can always be corrected surgically.
  5. The breasts will lose sensation after surgery.
    After the manipulation, the sensitivity of the breasts effectively decreases; This is due to numerous processes, trauma to sensitive branches, and postoperative swelling. At the end of the rehabilitation period, in most cases, sensitivity returns.

Mammoplasty prices 

Mammoplasty prices vary depending on the clinic's rating, the doctor's qualifications and experience, and the type of implants. The price is also affected by the options included in the package: hospital stay, compression garments, post-operative support, dressings with consumables.

For example, if only a breast lift is performed without installing implants, the price of a mastopexy starts at 250, 000 rubles.

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

On average, a breast lift surgery along with an implant and postoperative support costs the patient between 270, 000 and 350, 000 rubles.

Conclusion

Nowadays, plastic surgery is successfully gaining momentum in our country and becoming accessible. More and more women, whose breasts have undergone age-related hormonal changes, have undergone a mastectomy or initially did not correspond to the housewife ideal, decide and get the breasts of their dreams thanks to plastic surgery.

Mammoplasty is a plastic surgery during which the shape and size of the breast is corrected. Most often, an increase in breast size, areola size, and a breast lift are performed during any of the three types of mammoplasty, thus achieving exactly the result the patient desires. Modern implants are safe and made of hypoallergenic silicone; In addition, they are approved by the FDA (Agency of the Department of Health and Human Services). Performed by an experienced and high-quality surgeon, mammoplasty is a way to have the bust of your dreams, the object of praise and joy for many years.