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About Treatment

Breast augmentation is by far one of the most common operations in the field of plastic surgery. Women and girls apply for mammoplasty, for some reason they are dissatisfied with the natural shape of their breasts. The most effective and reliable method to get the mammary glands of the desired size and shape is plastic.

Small breasts are the most common cause of women visiting a plastic surgeon. In such situations, mammoplasty, which is also called endoprosthetics, is performed. Such an operation involves the use of implants in order to change the shape of the breast, as well as its size.

Implants for breast augmentation surgery can be very different.  In shape, implants can also be different: teardrop-shaped or round. Most companies that manufacture implants give them a guarantee of up to 20 years, depending on the type.

The course of the operation will depend on the chosen type of implant, which can be placed directly under the mammary gland or under the pectoral muscle. To insert an implant, an incision is made in the armpit, around the areola, or under the breast. The entire operation is performed under general anesthesia.

At the end of the operation, patients may experience soreness, as well as high temperature. As after other surgical interventions, experts recommend wearing special underwear and excluding physical activity for at least 1 month.

Endoscopic replacement of implants is more modern and avoids the formation of visible scars and sutures on the body. Surgery takes place under general anesthesia, its duration is from 45 minutes to 1.5 hours. All actions are performed using a special apparatus, which is equipped with micro-video cameras, providing very accurate implantation.

Endoprostheses differ in several key ways: type of filler, type of surface, size and shape:

Silicone gel - its use makes it possible to give the breast anatomically natural forms, since such prostheses have natural softness. This material is not subject to the formation of wrinkles, which allows women with a small bust to install silicone implants over the pectoral muscle. Due to the fact that implants with silicone are much lighter than saline, they do not move down. The disadvantage of silicone is the postoperative scar is longer and more noticeable, especially if a large implant is installed. After breast augmentation, it will be necessary to undergo a magnetic resonance scan twice a year, because if a rupture of the membrane has occurred, then this problem does not manifest itself with external signs and is difficult to detect during a medical examination.

Sodium chloride solution - when installing saline implants, surgical incisions are less, because it is filled with sterile filler after the implant is put in place. But saline implants are noticeable under the skin, especially felt by touch.

Another important features for implants is the type of surface:

Smooth - due to the fact that the endoprosthesis is freely located in the chest, the risk of wrinkling is minimized, but for smooth implants the membrane is thinner, which can lead to rupture;
Textured - reduces the occurrence of tears, but a rough surface is prone to the formation of wrinkles and folds under the skin.

Procedure Technique 

Mammoplasty lasts, approximately, from one to two hours. The surgeon makes an incision on the targetted area, and then forms a "pocket", taking into account the location of all the smallest vessels, places an implant in the created cavity. In most modern prostheses, the outer shell has a relief structure, which helps prevent the growth of connective tissue around it. Then, seams of self-absorbable materials are applied to the incisions.

Quick Details
  • Required Tests

    Mammologist examination;
    ECG;
    Ultrasound of the mammary glands (or mammography);
    Blood tests
    Blood coagulogram (PTI, APTT, INR, thrombin time, fibrinogen);
    Blood type and Rh factor;
    Infectious diseases, HIV.

Indications

Small breast size

Asymmetry of the mammary glands

Age-related changes in shape

Postlactational atrophy 

Recovery after mastectomy (removal of the mammary glands)

Recovery Period

In the first days after surgery, patients feel pain, weakness, numbness. As a rule, these unpleasant sensations disappear within a week. If necessary, the doctor will prescribe painkillers. The day after the operation, the patient can already go home from clinic. Then for four weeks you will need to wear a compression bra all day.

Slight swelling of the mammary glands will be observed within three to five weeks. At this time, patients may feel discomfort, the chest is still sensitive to touch, but the discomfort will disappear with a decrease in edema. The sensitivity of the nipples may change (both weaken and strengthen) - this is a rather long-term effect, often everything returns to its original state only after six months or a year.

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