What is mammoplasty?

surgical breast augmentation

The most charming, elegant, attractive aspect of a woman's figure is her curves. And women themselves consider the ideal body, as they see it, a source of pride and value.

Perhaps for the first time in history, a modern woman can have the body she wants. And thanks to plastic surgery. The female bust is the part of the body that women want 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, the purpose of which is to correct the shape and/or size of the mammary glands. Often, to achieve the result, a special endoprosthesis (silicone implant) is placed under the gland or under the pectoral muscle, if this is the patient's wish.

Mammoplasty is one of the most common operations among women in the field of aesthetic medicine today. It is aimed at addressing conditions such as micromastia (insufficient breast volume) or excess volume (macromastia), tubular breasts, asymmetry or ptosis of the mammary glands, post-lactation conditions, mastectomy, massive weight loss and age-related changes. . Breast augmentation with silicone implants is one of the most popular requests of patients to plastic surgeons.

Types of mammoplasty

Depending on the purpose, mammoplasty is divided into three types.

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

Augmentation mammoplasty is divided according to the type of access to the gland through an incision. Today, three of them are applied:

  • Axillary access - under the armpit
  • Areola - along the lower or upper edge of the areola
  • Inframammary - in the area of the inframammary fold.

The type of access is determined by the surgeon based on the goal, tissue condition, desired shape, bust size, etc. is selected individually for each patient depending on

Reduction mammoplasty - the plastic surgeon removes excess skin, gland and fat 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. Often, augmentation or reduction is performed together with mammoplasty. With an isolated mastopexy, a skin tightening operation is performed, sometimes using 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 often during the lift, the same silicone implants as in augmentation mammoplastyis used.

Breast implants and their forms

Modern breast implants or implants go through a lot of testing and research before they are certified and reach the end user.

They are completely 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 lactation or the course of the woman's pregnancy;

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

The plastic surgeon will help you choose the right implant shape and size during the mandatory consultation that precedes the surgical intervention itself.

Indications for mammoplasty

Indications for mammoplasty are as follows:

  • ptosis due to age-related changes, breastfeeding, sudden weight loss
  • tube chest
  • asymmetry of the mammary glands
  • macromastia - very large breasts that cause physical discomfort. It can cause poor posture, back pain, interfere with exercise and sleep, excessive sweating in the area of the inframammary layer causes emotional distress and significantly lowers a woman's self-esteem.
  • micromastia - insufficient volume
  • conditions, defects after mastectomy
  • A desire to enlarge or change the shape of the breast/areola/nipple unless the patient has a contraindication to such surgery

Contraindications to mammoplasty

Contraindications include:

  • oncology and oncologist's permission before treatment
  • dynamically growing neoplasms before treatment
  • 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, especially schizophrenia
  • Chronic diseases in the acute stage
  • age up to 18 years
  • severe renal dysfunction
  • lupus erythematosus
  • pregnancy, lactation at all stages. After the end of breastfeeding, at least 6 months should pass for the processes in the mammary glands to stop naturally.

Also, surgery is not performed due to the increased risk of bleeding during menstruation.

Preparation for surgery

The first thing that happens when preparing for mammoplasty is a consultation with a plastic surgeon. Collects anamnesis, conducts an examination, talks with the patient. If there are no previously identified contraindications for mammoplasty, the patient is prescribed medical examinations.

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

You should give up alcohol and nicotine a month before the operation - these substances slow down tissue regeneration processes, healing is worse, numerous international studies confirm this. 2 weeks before the date, it is recommended to stop taking hormonal drugs, NSAIDs, aspirin, vitamins and drugs that affect blood clotting.

Operational stages

The process of breast surgery looks like this:

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

Recommendations after the procedure

Perhaps the most important tip is to follow your doctor's advice.

In general, the following should be emphasized:

  • Expect to spend at least one night in the hospital. On the first day, it is better to entrust yourself to medical professionals who will be nearby
  • wear compression garments. This is a mandatory condition - without it, the risk of complications increases significantly
  • During the first 7-10 days, you will need to visit the clinic regularly for examinations. Your doctor will provide you with a schedule of visits. Subsequent visits to clinics depend on the characteristics of rehabilitation

During the 1-month rehabilitation period, it is not recommended to do sports, but you can sleep on your back; It is undesirable to drive a car because the seat belts create a compressive load. You should also avoid visiting solariums, saunas, baths and swimming pools immediately after the operation. Alcohol and smoking are not recommended.

A few myths about mammoplasty

  1. Implants affect breastfeeding. There may be little or no milk.
    It's not true. Modern implants have no effect on lactation and are safe for both mother and baby. They are installed under the muscle or under the mammary gland without disturbing its physiology, including ducts.
  2. There are safe folk or pharmaceutical remedies for breast growth and they are effective.
    no. To date, there are no such non-invasive/folk methods that have been proven at least to some extent to be effective. And there may be health risks, but they are usually not warned about.
  3. Over time, the breasts will recede again and require another operation.
    Breasts without implants are equally affected by gravity and age-related changes. Manufacturers offer a lifetime warranty on the implants themselves, which means that nothing can happen to them while they are in place. But does this mean that there will be no need for a second operation? - no, it doesn't mean that. Breasts will not look the same as they did after surgery forever and may require minor correction after 15-20 years. There are many reasons for this: weight gain, pregnancy, lactation, capsular contracture, ptosis.
  4. After the operation, insoluble scars will remain.
    Not really. No scar can completely resolve, it exists and remains after any operation, the question is how noticeable it is. Many factors affect the quality of scars, such as genetics, immunity, the course of the postoperative period, whether the surgeon sutures the wound correctly. Scars can be corrected by cosmetic methods (laser, collagen therapy, etc. ) as on any surface with thin dermis - face, neck, abdomen. If you follow all the doctor's recommendations in the postoperative period, the tissue will be properly injured without occupying a significant area. As a last resort, an unsatisfactory scar can always be corrected surgically.
  5. After the operation, the breasts will lose sensitivity.
    Breast sensitivity really decreases after manipulation - this is due to multiple processes, trauma of sensitive branches and postoperative swelling. At the end of the rehabilitation period, sensitivity returns in most cases.

Mammoplasty prices 

Mammoplasty prices vary depending on the rating of the clinic, 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, bandages with consumables.

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

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

On average, a breast lift operation with implants and postoperative support costs a patient 270, 000 rubles - 350, 000 rubles.

The result

Today, plastic surgery is successfully becoming widespread and accessible in our country. An increasing number of women whose breasts undergo age-related hormonal changes, suffer from mastectomies, or initially do not fit the ideal of a housewife are deciding and achieving the breasts they desire through plastic surgery.

Mammoplasty is a plastic surgery that corrects the shape and size of the breast. Breast augmentation, areola augmentation, and breast lift are often performed during any of the three types of mammoplasty to achieve exactly the patient's desired result. Modern implants are safe and contain hypoallergenic silicone, plus they are FDA (Health and Human Services Agency) approved. Mammoplasty performed by an experienced, high-quality surgeon is a way to have the bust of your dreams, the subject of compliments and joy for many years.