What is mammoplasty

breast augmentation with surgery

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

Perhaps for the first time in history, a modern woman can afford to have the body she desires. 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.

Mammoplasty is a type of surgical intervention in the field of plastic surgery whose aim is to correct the shape and/or size of the mammary glands. Often, to achieve results, a special stent (silicone implant) is placed under the gland or under the pectoral muscle, if this is the patient's wish.

Mammoplasty is today one of the most common operations for women in the field of aesthetic medicine. It aims to eliminate conditions such as micromastia (insufficient volume of the mammary gland) or excess volume (macromastia), tubular breasts, asymmetry or ptosis of the mammary glands, post-breastfeeding conditions, mastectomy, massive weight loss and age-related changes. . Breast augmentation with silicone implants is one of the most common patient requests to plastic surgeons.

Types of mammoplasty

Mammoplasty is divided into three types depending on the desired goal.

Augmentation (enlargement) mammoplasty 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 their lactation function (the ability to produce milk).

Augmentation mammoplasty is divided according to the type of access to the gland through an incision. There are three 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 type of access is chosen by the surgeon individually for each patient, depending on the desired goal, the condition of the tissues, the 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 facelift. This helps 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 an augmentation or reduction mammoplasty. With isolated mastopexy, skin tightening is performed, sometimes using maneuvers to move the glandular tissue and fix it in a higher position, as an alternative to an implant, thereby correcting the shape and volume of the breast, but oftenduring facelift the same silicone implants are used as for augmentation mammoplasty.

Breast implants and their shapes

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

They are recognized as absolutely hypoallergenic, biologically compatible with human tissues and safe to use. The risk of rejection is reduced to zero; they do not affect the quality of lactation or the course of a woman's pregnancy.

Depending on 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 major global manufacturers. In a modern clinic, surgeons work with high-quality implants from various renowned companies.

A plastic surgeon will help you select an implant 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 following 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, disrupt exercise and sleep, excessive sweating in the inframammary fold causes moral suffering and significantly 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 surgical intervention

Contraindications to mammoplasty

Contraindications include:

  • oncology before recovery and authorization from the oncologist
  • dynamically growing neoplasms 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, especially schizophrenia
  • Chronic diseases in the acute stage
  • age up to 18 years
  • severe kidney dysfunction
  • lupus erythematosus
  • pregnancy at all stages, breastfeeding. After the end of breastfeeding, at least 6 months should pass so that the processes in the mammary glands stop naturally

In addition, 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. He takes the history, carries out an examination and talks with the patient. If there are no previously identified contraindications to mammoplasty, then medical tests are prescribed to the patient.

A general and biochemical blood test, an ultrasound of the mammary glands and the veins of the lower limbs will be mandatory for everyone. Additionally, 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 breast augmentation is being considered.

A month before the operation, you should give up alcohol and nicotine - these substances slow down the processes of tissue regeneration, healing is much 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.

Operation steps

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 begins the actual surgical intervention, with or without implant placement.
  3. If it is a mastopexy or reduction mammoplasty, excess tissue is excised during the operation. 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 recommendation is to follow your doctor's recommendations.

In general, the following should be highlighted:

  • Expect to spend at least one night in the hospital. On the first day, it is better to confide in 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 check-ups during the first 7-10 days. Your attending physician will provide you with a schedule of visits. Further visits to clinics depend on the specifics of rehabilitation

During the one-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 the seat belts exert a compressive load. You should also avoid visiting solariums, saunas, baths and swimming pools in the immediate postoperative period. Alcohol and tobacco are not recommended.

Several myths about mammoplasty

  1. Implants affect breastfeeding. There may be little or no milk.
    Not true. Modern implants have absolutely no effect on lactation and are safe for mother and baby. They are installed under the muscle or under the mammary gland without disturbing its physiology, including the ducts.
  2. There are safe folk or pharmaceutical remedies for breast enlargement, and they are effective.
    No. To date, such non-invasive/popular methods that have proven at least some effectiveness do not exist. And there may be health risks, but they are usually not prevented.
  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 implants. Manufacturers offer a lifetime warranty on the implants themselves, meaning that as long as they are installed, nothing can happen to them. But does this mean a second operation won't be necessary? – no, that doesn’t mean. Breasts will not look the same as they did after surgery forever, and after 15 to 20 years, minor correction may be necessary. The reasons for this are multiple: weight gain, pregnancy, breastfeeding, capsular contracture, ptosis.
  4. After the operation, there will be scars that will not disappear.
    Not really. No scar can resolve completely, it exists and remains after any operation, the question is to what extent it is visible. The quality of the scar is affected by many factors, such as genetics, immunity, the course of the postoperative period and whether the surgeon has sutured the wound correctly. Scars can be corrected by 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 in the postoperative period, the tissue will heal properly, without occupying a significant area. As a last resort, an unsatisfactory scar can always be surgically corrected.
  5. The breasts will lose sensitivity after surgery.
    After the manipulation, the sensitivity of the breasts is in fact reduced, due to numerous processes, trauma to the sensitive branches and postoperative swelling. At the end of the rehabilitation period, in most cases, sensitivity returns.

Mammoplasty prices 

Prices for a mammoplasty 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, postoperative support, dressings with consumables.

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

If a 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 accompanied by an implant and postoperative support costs the patient between 270, 000 and 350, 000 rubles.

Conclusion

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

Mammoplasty is a plastic surgery that corrects the shape and size of the breast. Most often, an increase in breast size, areola size and a breast lift are performed during one of three types of mammoplasty, thereby achieving exactly the result desired by the patient. Modern implants are safe and made of hypoallergenic silicone. Additionally, they are approved by the FDA (Agency of the Department of Health and Human Services). Carried out by an experienced and quality surgeon, mammoplasty is a way to obtain the bust of your dreams, the object of compliments and joy for many years.