Breast enlargement

Beautiful, elastic, toned breasts with an attractive shape - isn't that what every woman dreams of?Plastic breast augmentation is often associated with a huge size and unnatural appearance.In practice, very few patients seek such radical changes.The most common is the desire to increase the breasts by several sizes - for example, from 1 to 3. Modern implants and surgical technologies allow to achieve the most natural appearance of the breasts, avoid complications and give women self-confidence.

Breast enlargement (enlargement) surgery is called augmentation mammoplasty.It is performed under general anesthesia with implants of different shapes and sizes.The advantage of breast augmentation in modern plastic surgery is the possibility of achieving symmetry and correcting all congenital defects.Including improving the appearance of the nipple-areolar complex.

Which implants are best to choose?

Implants differ in shape: anatomical and round.The former, thanks to the teardrop shape, create soft and natural breast contours.The mammary glands look very natural.Round implants give the breasts a visually larger size and make them appear lifted (push-up).With them, the contour of the upper part of the neckline becomes higher.

The types of breast implant profiles also vary: from low to extremely high.The surface of silicone implants can be smooth or textured.

Your doctor will help you choose implants.Having extensive experience in mammoplasty, the surgeon will recommend several manufacturers and explain which implant shape will look best in your case.

During the consultation, you will be able to try on implant models - sizers, to imagine what the shape of the future breast shape will be.

Ways to enlarge the mammary glands

A plastic surgeon performs breast augmentation in a variety of ways.They can be surgical or non-surgical.The first include:

• augmentation mammoplasty with round or anatomical implants: breast enlargement by several sizes;the result of the operation is saved forever;
• breast lipofilling: increase by 1-1.5 sizes by injecting purified autologous fat taken from the "problem" areas;The result of lipofilling remains forever if you avoid sudden weight loss.

A cosmetic method for breast enlargement is the injection of resorbable gels (fillers).This method is quite expensive: contour plastic with fillers costs almost the same as mammoplasty, and the effect lasts on average up to 2 years.

The shape of the glands can be adjusted using thread.The procedure will not increase the size of the breasts, but will give them a beautiful shape.

Advantages of mammoplasty:

• Beautiful chest proportions.During the consultation before breast augmentation surgery, the doctor will recommend the most suitable type of implant, the method of its placement (under the mammary gland or under the muscle), as well as the access options (axillary, submammary, periareolar).Implants are always selected individually - the lines of leading manufacturers include hundreds of models, different in volume, shape and size.
• Modeling the result.Modeling or trying on sizers (models of prostheses that are used to select implants) allows you to estimate in advance how much the effect of mammoplasty will meet your expectations.
• Warranty for implants.Clinics provide a guarantee for implants that are installed in the chest. The safety of endoprostheses for breast enlargement has been confirmed by clinical studies: they do not affect the general condition of the body, are not dangerous in case of damage to the membrane (silicone gel with a dense structure does not penetrate the surrounding tissues), do not interfere with the preventive examination of the mammary glands and do not limit the possibility of breastfeeding in the future.
• Breast enlargement by several sizes.If breast augmentation with the help of your own fat tissue (lipofilling) allows you to adjust the volume only within relatively small limits (1-1.5 sizes), then with the help of mammoplasty you can achieve an impressive effect in one operation.Once you have obtained the desired volume, you can be sure that it will not change over time.
• Security and confidence in the result.The result of augmentation (breast enlargement) depends on the professionalism of the surgeon, therefore breast augmentation should be performed in a specialized clinic by doctors with extensive experience. 

Methods of performing breast augmentation surgery

The implant can be placed:

• under the gland;
• under the muscle.

Installing implants under the gland shortens the rehabilitation period.Recovery is less painful.But this method is fraught with complications later.For example, sagging breasts may be more noticeable.Constrictive fibrosis, if present, may be more pronounced.In girls who have not given birth but plan to have children, the implants are placed just under the muscle.

Possible accesses:

• submammary (incision under the breast);
• periareolar (incision around the nipple-areolar complex);
• axillary (an incision on the side in the armpit area).

Submammary access– the most preferred method in terms of controlled recovery.It is used in breast surgery if the patient plans to subsequently give birth and breastfeed the baby.Even very large implants can easily be installed through this access.Post-operative scars will be hidden in the folds under the breasts.

Periareolar accessgood when lifting and breast augmentation are done at the same time.This type of access allows you to change the shape of the nipple-areolar complex.If the areola is small, it will not be possible to install a large implant.Scars with the periareolar approach follow the contour of the areola.Over time, they will become almost invisible to the naked eye.This type of access is not recommended for nulliparous girls, as the milk ducts may be damaged during the operation.

Axillary accesssuitable for installation of small implants.But it is impossible to install such anatomical implants, only round ones.The scars in this case will be located in the armpit area.

Pictures before and after breast augmentation with implants are at the bottom of the page.

Types of breast augmentation implants

Silicone implants of different volumes (1 size is equal to 120 ml) and shapes: round or drop-shaped (anatomical) are used for breast enlargement.

• Mammoplasty with the placement of round implants forms voluminous, lifted breasts with correct rounded contours.In nature, this shape of the mammary glands ("apple") is quite rare, so after breast augmentation the breasts may look less natural than when installing anatomical implants.But this type of implant is suitable for correcting mild ptosis of the mammary glands without additional lifting.
• Teardrop-shaped implants reproduce the most common shape of the mammary glands: they look like a cone.With them, the breasts acquire a fuller lower pole with a smooth descent towards it, characteristic of the natural bust.Sometimes only the use of implants of a different volume allows to correct the existing asymmetry.

In different cases, your surgeon may recommend implants with a smooth or textured surface.

• Smooth round models are suitable for installation via axillary (transaxillary) access.
• Anatomically shaped models with a textured surface are often chosen for breast augmentation through access under the mammary gland (submammary), allowing you to achieve a beautiful natural result.

Indications for breast augmentation

• unsatisfactory breast size;
• breast asymmetry;
• ptosis caused by breastfeeding/sudden weight loss;
• excess adipose tissue;
• excess of glandular tissue;
• unsatisfactory grain shape.

Plastic surgery with implants is indicated for reconstructive correction of the breast - after removal of tumors or complete mastectomy.Thus, the operation is not only aesthetic in nature.It can also be done for medical reasons.

Contraindications for mammoplasty of the mammary glands

• young age (up to 18 years);
• period of pregnancy and breastfeeding;
• blood clotting problems;
• liver diseases;
• cardiovascular and endocrine diseases;
• diabetes mellitus;
• oncology;
• diseases of the respiratory system;
• infectious and viral diseases;
• mental disorders.

If the results of the preoperative examinations are unsatisfactory, the operation is postponed to a later time or canceled.

Two weeks before the operation, you should stop taking blood thinners and hormonal drugs.

How is the breast augmentation procedure performed?

1. The patient talks to the surgeon.Preoperative markings are applied.A conversation with the anesthesiologist follows.
2. The operation itself is performed under general anesthesia and lasts from 1.5 to 3 hours.The doctor makes small incisions under the breast / in the armpits / in the area around the nipple.Through an incision, the implant is placed under the gland or muscle.The position of the implant is discussed in advance during the consultation.
3. Drains are then placed and sutures applied.
4. After recovery from anesthesia, the patient remains in the hospital for 24 hours after surgery, as patients require round-the-clock monitoring.

What examinations must be passed before the test procedure?

If your doctor is planning a cosmetic correction under local anesthesia, you will need to undergo several basic tests before the procedure:

• General clinical blood test (complete + platelets)
• Coagulogram (clotting time, bleeding time, INR, prothrombin index, fibrinogen, APTT)
• Biochemical blood test: ALT, AST, bilirubin, cholesterol, urea, creatinine
• Blood sugar (glucose) test.
• Tests for hepatitis B, hepatitis C, HIV, syphilis

Blood type test (with Rh)

• EKG (electrocardiogram)
• Fluorography
• General urine test
• Examination by a mammologist, including breast ultrasound or mammography
• Conclusion of the therapist on the possibility of surgery (for patients over 30 years old)

*Your doctor may order additional tests to more accurately predict the outcome and minimize the risk of complications during breast augmentation.

Rehabilitation period

After the operation, you stay in the hospital under the supervision of medical staff until the next morning.Sometimes you have to stay in the clinic for two days.Then you go home.In the first days, swelling, soreness, a slight increase in body temperature and a feeling of "tension" are the norm.Swelling and pain usually subside within 10-14 days after surgery.After 2 weeks, the surgeon removes the stitches.Until then, you should take medicines prescribed by your doctor.In the first days after plastic surgery, you must take antibiotics, which means that alcoholic beverages are prohibited.Pain medication recommended by your surgeon will reduce pain after surgery.

After plastic surgery, it is necessary to eliminate the risk of allergic reactions.Therefore, it is not recommended to consume foods that cause allergies.The doctor will provide a list of them during the consultation.Allergies are dangerous due to increased swelling and, as a result, pain.

What should you not do during the recovery period?

• overwork yourself physically and emotionally;
• go to the sauna, pool, gym;
• sunbathing;
• sleep on your side;
• raise your hands up;
• touch and rub the bust.

You must wear a compression garment for one month.In the next two months, it is better to wear sports bras without wires.3 months after mammoplasty, you can update your lingerie wardrobe.

The doctor will prescribe an examination plan.It is important to follow it to avoid side effects.

Possible complications

If the doctor's recommendations are not followed, the implant may be displaced and inflammatory processes may develop.For a controlled result, we leave a drain in place.This reduces the risk of postoperative complications.

In a later period, there is a risk of formation of constrictive fibrosis - formation of a dense capsule around the implant.Implant manufacturers indicate the possible percentage risk of capsular contracture.We work with implants with the least risk of connective tissue growth around them.

Sometimes the mammary glands do not completely cover the contours of the implant due to their small size.In this case, lipofilling can be performed to conceal the implant and give the breast a natural appearance.

Due to injury, the implant may rupture.If there is a tear, an operation is performed to remove it and replace it with a new one.

When should you contact a surgeon?

• the breast becomes hard to the touch;
• the color of the skin in the area of the implant changes;
• a vascular network appears;
• the breast is deformed;
• pain occurs.

Patients often come to us after operations in other clinics with complaints of capsular contracture.A repeat mammoplasty is then performed with replacement of the implant and removal of fibrous tissue.

Constrictive fibrosis occurs more often when the implant is positioned below the gland.If it is under the muscle, small signs of fibrosis may not be noticeable and harmless.

If you want to find a place that does breast augmentation cheaply, think carefully that we are talking about your health - physical and mental.Take your time and make an informed decision.

Breast augmentation cost

The cost of breast augmentation varies from clinic to clinic.It is formed by a number of factors:

1. competence of the surgeon
2. plastic method
3. cost of implants
4. volume of consumables
5. duration of anesthesia
6. length of hospital stay