Increased breast with implants

The aesthetic result of the increase in plastic breast depends on many factors.Of great importance is the choice of deployment pockets and the implant installation method.Bust aesthetics after mammoplastics is affected by the patient's individual initial data, including chest shape and mammary glands, skin condition, thickness of the subcutaneous fat layer.These and other anatomical characteristics are taken into consideration when choosing a profile, base width, size and shape of the endoprosthesis.An important criterion for a successful operation is to achieve a stable result that will delight a woman for many years.

The publication discusses the main ways of increasing breast - types of surgical access, types of anatomical pockets to install implants, advantages and disadvantages of various mammoplasty methods.You will learn how to recover correctly after the operation, what is possible and what cannot be done during the rehab period.

Indications to increase breast with implants

The operation to increase the breast with implants is performed according to aesthetic indications.The main indication of increase mammoplasty is the patient's desire to improve breast aesthetics, increasing their size and shape shape.During the operation, deficiencies due to the deformation of the arelar of the nipples (areola stretching, change in shape) and omission of the glands after feeding the baby or due to age -related changes may also be eliminated.

The reason for the appeal to the plastic surgeon may be the following problems:

• Deterioration of the aesthetics of the thoracic glands after pregnancy and breastfeeding.
• Change the shape of the bust as a result of (aged) involvement processes.
• Congenital hypoplasia of the mammary glands or amastia.
• Asymmetry, innate and acquired nature.
• Tubular breasts.
• Mastoptosis with signs of mammary glands hypotrophy.
• Woman dissatisfaction with the shape or size of a bust.

Increased implant breast is also performed by patients undergoing radical operations in the mammary glands as part of the treatment of malignant neoplasms.Reconstruction increase mammoplasty allows you to recreate natural and aesthetically attractive breasts without increasing the risk of developing tumor processes.

What individual characteristics are taken into consideration before the operation?

Surgical correction tactics are determined by the individual characteristics of the patient.Yes, there is always the opportunity to put a large implant, but far from always this step will lead to the desired result - a natural and harmonious change in appearance.

The following factors are influenced by the choice of endoprhesis shape, profile and size, as well as by choosing the deployment pockets and the method of installing the implant

• The age of the woman.
• The shape and initial size of the mammary glands.
• The height and width of the chest.
• The severity of subcutaneous fat.
• The elasticity of the tissue tissues of the mammary glands.
• The width of the interrogate interval.
• The presence of bust -signs of ptosis (prolapse).

The tactics of increase mammoplasty also affect whether a woman plans to give birth to the future to give birth and breastfeed.When choosing access, the need in the plastic of the nipple complex is also taken into consideration, which may be necessary to achieve the ideal aesthetic result.

Methods to install implants

Taking into consideration the individual characteristics above anatomy and other factors, a plastic surgeon chooses one of the three ways (types of surgical access) of the increase in the breast:

• Areolar (increased breast "through the areola").
• Subpartic.
• Axillary.

Below are the resources, pros and cons of each method of mammoplasty in detail.

Areolar access

With an areolar or periareolar access, the plastic surgeon defines the implants through the incision, which passes through the periphery of the pigmented area of the areola.The main advantage of this surgical access is the invisibility of scars.The scar is located on the border of light and dark skin and therefore it is quite difficult to see.

In the periority method of increasing the thoracic glands, there are other advantages, in addition to the minimum severity of the post -operative scar:

1. During the operation, it is possible to perform plasticism of the nipple arelar complex.In some cases, it is difficult to achieve the ideal aesthetics of a bust without correcting the Sak size and shape, and this advantage of periarelar access can play a decisive role.
2. Periareyular access eliminates the risk of damage to afferent (sensitive) nerve fibers, which pass to SAK in the load fold area.Due to this advantage, the mammoplasty area allows you to completely maintain the sensitivity of the nipple and the areola.
3. Simultaneously with bust increase, you can correct the early stage of mastoptosis.

Despite the advantages of periarelar access listed above, the technique cannot be recommended for all women.In particular, this implant installation method is not recommended for girls who plan to give birth to children and breastfeed them.This is explained by the fact that during operation there is a risk of damage to milk ducts, which will affect the lactation function.

Periareyolar access does not allow a complete overview of all implant pockets, which imposes restrictions on implant size.This method is suitable for patients who want to place a small endoprosthesis and lightly increase the chest.In a situation where a woman wishes to add 2-3 sizes to the mammary glands, it is preferable to use submamal or axillary access.

SUBMPART ACCESS

With submate access, the installation of endoprostheses is performed through horizontal incisions, which pass under the thoracic gland in a natural fold of the skin.Post -operative scars when using this implant installation method are significantly expressed, but are hidden in the skin fold.The scars are visible in the lying position and, in the standing position, are covered by the lower pole of the thoracic gland.

The main advantage of underparger access is a very good view of the operational field.For a plastic surgeon, this is the easiest type of mammoplasty, as there is complete access to all implant pockets and it is easy to get an absolutely symmetrical placement of implants.Thanks to this feature, large endoprostheses can be installed.

Another advantage of submammary methodology to increase bust is the lack of risk of damage to milk ducts.After operation, the lactation function is preserved, which allows you to recommend this method for patients who plan in future pregnancy and breastfeeding.

The implant installation submarket method is not devoid of deficiencies.For many patients from plastic surgeons, the main less of the methodology in a pronounced and sufficiently extended scar, which passes in a double fold.The disadvantage is the risk of damage to the afferent nerves that innervate the Sak.If during operation the nerve is dissected, the sensitivity of the nipple and the areola will be disturbed.

The use of submammary access does not simultaneously allow the increase mammoplasty to perform plastic surgery through an incision.In addition, women who have the initial signs of a bust (mastoptosis) usually turn to the help of a plastic surgeon.If periareyular access allows you to eliminate age -related manifestations by using submarm access, it is impossible to correct mastoptosis simultaneously with the chest increase.

Axillary access

With axillary access, the breast increase is performed through the cuts, which are in the axillary fossa.The main advantage of the methodology is that scars move away from the mammary glands and do not affect their aesthetic perception.On the other hand, scars are noticeable, and this can become a problem if a woman wears open clothes.For example, scars can be clearly visible during sports, especially in a body position with their hands raised.

However, it is the axillar access that is considered the "standard -round" in increased mammoplasty.The operation is carried out under the control of the fiber equipment (endoscope), which allows a plastic surgeon to access all implant pockets.There is no risk of damage to nerve trunks.There is no risk of milk duct dissection, allowing us to recommend this method of installing implants for girls who plan pregnancy.There are no restrictions in terms of endoprothesis - the type of axillary access allows implants of any volume, shape and profile.

The disadvantages of the axillary breast increased method are that the plastic surgeon cannot correct the consequences of the omission of the mammary glands or to perform the plastic of the animal of the nipples.For this reason, axillary access is mainly used to model bust size, when there are no concomitant aesthetic problems that require surgical correction.

Surgical Access Selection Criteria

In clinical practice, plastic surgeons use various criteria to choose surgical access to increase the thoracic glands.One of the main criteria is the age of women and their other plans for pregnancy.If the patient plans to give birth to children, it is advisable to refuse access to periarelar.Axillar access or submarmist access is preferable.

If a woman does not plan to give birth, you can use any of the types of surgical access previously considered.In situations where, to improve bust aesthetics, simultaneously with its increase, it is necessary to perform the plastic of the areola, the periareiaolar access is preferable.The same implant installation method is best suited for patients with initial mastoptosis signals.

Patients who want to increase bust in various sizes, a plastic surgeon may recommend a submamamor or axillary method.The ideal choice in this situation is an increase in thoracic glands through the axillary fossa, however, the aesthetic desires of women are also taken into consideration.If it expresses the desire to hide the scar on a natural fold under the chest, submammary access is selected.

Choosing a pocket to install the implant

The next aspect of the increase in mammoplasty is associated with the choice of the anatomical region in which the implants will be installed.

The implementation pocket can be located:

• under the mammary gland (subgandular placement);
• under the pectoral muscle (submissive location);
• Partially under the gland, partially under the muscle (combined version).

Subgandular positioning.The implant is installed in the anatomical space under the gland.The most superficial bag is separated from the body surface with mammary roof fabrics only and, due to this feature, it is not recommended to be used if it is necessary to increase the chest in various sizes.A large endoprosthesis can be visually determined.In addition, the risk of developing step deformation - aesthetic complication increases, in which a type of "step" is formed above the upper edge of the implant.

With the undergandular placement of the endoprosthesis, the risk of developing other complications of aesthetic nature, in particular, the appearance of deformation of integumentary tissues above the thoracic gland in the form of "waves" or "mountain ashes".With the development of capsular contracture, the deterioration of bust aesthetics is also more pronounced with the superficial placement of the implant.

Another feature of this type of placement is that endoprosthesis and mammary glands are supported only by cuper connections - the structures of connective tissue, whose elasticity decreases with age.For this reason, with a undergandular implant installation, the risk of developing mastoptosis increases, especially in women with initially large breasts.

Subsuscular placement.Placing the implant under a large thoracic muscle avoids the characteristic problems of a subgandular location.Less the risk of capsular contracture and the appearance of skin deformation above the chest in the form of "Rowan" and "Waves".Endoprosthesis is securely fixed with muscles and does not increase the likelihood of developing mastoptosis.

But the placement of the implant under the muscle has the opposite side.

First, in girls who are actively involved in sport, the risk of rotation or implant displacement increases.If, to increase the thoracic glands, fashion implants have been used, rotation can lead to breast deformation, which can only be corrected during a repeated operation.

Secondly, with sub -scipular placement, the degree of tissue injury during surgery increases.For this reason, healing is slower and the rehab period is prolonged to the bottom and follows all restrictions longer.

Combined placement.The best option is combined placement, in which the upper endoprosthesis segment is under the muscle and the lower pole is under the gland.With this arrangement, the risk of step deformation is excluded.Below the risk of rotating and displacement of the implant, the development of capsular contracture and other aesthetic complications.The cure is faster, the rehab period is reduced.

Implant Types

Increased breast is performed by implants from the world's leading manufacturers.Medical silicone endoProstheses with high degree of cohesion and varying degrees of density were made.Silicon is covered with an elastomeric shell, which eliminates the probability of gel diffusion.The outer capsule is represented by a porous shell, whose special texture contributes to the integration of the implant into the living tissues and its reliable fixation.Due to the porous membrane, the risk of fibrous capsule contracture is reduced.

The line of each manufacturer has several hundred implant types that differ in the following characteristics:

1. Form: An implant can be anatomical (falling form) or round.
2. Base width: horizontal size of the lower pole of the endoprosthesis.
3. Profile: Endoprosthesis height.
4. Size: Volume.

The choice of implant is determined by desires as well as the initial data of the individual characteristics of the chest structure and mammary glands.For example, girls with a pronounced Inter -Thilet gap are best suited for low profile anatomical implants with a large base.Women who want to change the steaks to the neckline are best suited for full profile round implants, which visually increase the upper pole of the mammary gland.

Preparation for breast increase with implants

Preparation for plastic surgery for increased breast can be divided into two stages - diagnosis and aesthetic.The purpose of the aesthetic internship of preparation is to choose the perfect implant and decide on the tactics of surgical intervention.Based on the results of computer modeling and the patient's initial data analysis, the surgeon selects the endoprhesis installation method and an anatomical bag for its placement.

The purpose of the diagnostic internship is to minimize operational and anesthesiological risks, as well as eliminate against surgery -indications.Each woman, before increasing the mammary glands, goes through a comprehensive diagnosis, including an expanded list of instrumental and laboratory methods.Mammography with a consultation of a gynecologist and mamologist is certainly prescribed.

A few weeks before increasing mammoplasty, a woman should stop taking certain drugs, in particular, contraceptive and anticoagulant hormonal drugs.It is necessary to abandon the anti -inflammatory drugs and analgesics of the AINE group, as they reduce blood clotting.It is also necessary to stop alcohol and abandon smoke, as ethanol and nicotine decrease regenerative processes and negatively affect the pace of recovery after mammoplasty.

Rehabilitation after mammoplasty

The early post -operative period is accompanied by typical symptoms for any operation -swelling, pain and bruising in the area of operational wound, fever and overall evil.These symptoms are a normal body reaction in response to a violation of tissue integrity.Preparations prescribed by a plastic surgeon -Anti -Iflammatory, anti -explaational, painkillers will help deal with the difficulties of this period.For the prevention of infectious complications, the doctor prescribes a short course of antibiotics.

The specificities of the rehabilitation period after mammoplasty is that it is necessary to constantly use a compression bra.The elastic linen is sewn in an individual order even before surgery.You need to use it continuously, you can only remove it for a time of hygiene procedures.As for body hygiene, within the first 7 to 10 days after increasing the thoracic glands, it should be limited by wet scarves, you cannot take a bath.

You can sleep after the operation only on your back.From 10 to 14 days, it is allowed to sleep aside, but it is still impossible to turn on the stomach.You cannot practice dance or sports.The prohibition of physical activity, including the family, is valid for 4 weeks;Energy loads and some types of cardio training are against -Indicated for 3 months (or even the special resolution of a plastic surgeon).

During the restoration period, you cannot sunbathe under direct sunlight or solar.You can't go to a sauna or bath, take hot baths at home.Alcohol and smoking are against -indicated.Compression Linen can be removed from the second month, but during the year you need to wear a large strap bra and a wide belt that supports the chest well.