Breast augmentation surgery, or augmentation mammoplasty, along with liposuction, is the most popular procedure in plastic surgery . Girls with large breasts after it can lead a full life, go in for sports, have no contraindications for lactation.
To give greater volume, implants are placed in the mammary gland, which can be of various shapes and are most often made of silicone. Photos of implants, surgical access methods and results of the operation can be seen in this article. The average price for this procedure is $ 2040.
Advantages and disadvantages
Even 10-15 years ago, plastic surgery was available to a few – show business stars and very rich people. If a woman is unhappy with her breast size or shape, then the only effective way to change this is surgery.
The advantages of mammoplasty include:
- rapid breast enlargement by almost any size;
- the possibility of changing its shape at the request of the client, a large assortment of implants;
- a relatively small number of contraindications and side effects;
- lack of need for replacement of modern implants.
Girls with large breasts, the photos of which are shown below, have increased physical attractiveness, which also gives them inner confidence to achieve their goals in life. The main and obvious advantage of such an operation is the opportunity to feel feminine and sexual.
The disadvantages of breast augmentation surgery are the following factors:
- risk of complications (listed below);
- the need for a rehabilitation period;
- possible inconvenience in the supine position;
- the need to replace the wardrobe;
- increased load on the musculoskeletal system with a significant increase in the bust, which subsequently can cause back pain.
Types of operation
The optimal method for breast augmentation is selected by the doctor depending on the following main factors:
- features of the location of the glands and their shape;
- skin elasticity and glandular tissue condition;
- development of the pectoral muscles.
Implants are also selected depending on the individual characteristics of the patient’s anatomical physique.
In surgical practice, the following varieties are used:
1. By type of filler:
- Salt implants, which are filled after their installation with a liquid similar in composition to saline. The advantages of such implants are lower cost and a small incision on the skin.
- Silicone implants that feel very similar to natural breasts due to the high viscosity of the filler. They are unregulated, unlike salt ones, therefore, require a larger incision to install them. When the shell ruptures, the gel does not enter the body of a woman. Such implants, due to their merits, have become the most common.
2. According to the shape and type of surface:
- with a textured surface that is not perceived as a foreign body and reduces the risk of the formation of pathological fibrous formations around the implant.
The location of the surgical scar, the amount of injury and the convenience for the doctor during the manipulation depend on the choice of surgical access.
The incision and implantation of the implant can be performed in the following ways:
- On the crease, which is under the breast. The advantages of this option are the best access to the gland and its least trauma, as well as maintaining the sensitivity of the nipple. However, it is applicable in cases where the skin is still elastic, and the gland has initially a sufficiently large volume. The disadvantages include the postoperative scar, which becomes invisible only 6 months to a year after the operation. To eliminate it, you can use the laser resurfacing procedure.
- Along the edge of the areola of the nipple . This method is used in cases where the areola is large enough (diameter at least 2 inch), as well as for patients who are prone to the formation of keloid scars. The postoperative scar is practically not visible. However, there is a serious drawback – during the operation, the ducts of the mammary gland are injured, which can cause complications during breastfeeding.
- Under the arm when the implant is placed behind the pectoralis major muscle. The advantage of this method is the location of the suture in the “invisible” zone, the least likelihood of hematomas and fibrotization of breast tissue, since muscle tissue better perceives foreign bodies. Disadvantages – great trauma, inconvenient access to the chest, severe pain in the patient after surgery, the risk of implant displacement in the future, a long recovery period, the inability to install a large implant. Contraindications for this method include prolapse of the gland, a short distance from the areola to the submammary fold, and a “goat” breast shape. Most often in this case, round implants are installed, since the anatomical ones are more difficult to correctly orient.
- Combined methods , for example, when the upper part of the implant is located under the muscle, and the lower – under the gland itself.
The cost of such an operation consists of several factors (type and volume of the implant, individual physique, contraindications, pricing policy of the clinic) and is in the range of $ 544 – $ 5440.
Anatomical implants are more expensive, and the operation with access to the fold under the breast is cheaper. Simultaneously with the increase in the volume of the gland, other manipulations may be required – vertical or perioareal tightening, correction of the areoles, which also leads to a higher cost of the procedure.
Girls with large breasts, whose photos clearly demonstrate the effectiveness of plastic surgery, can do a magnifying mammoplasty.
Augmentation mammoplasty is performed in the following cases:
- at the request of the patient for aesthetic reasons;
- to restore the shape of the mammary gland after its resection (usually after removal of the malignant tumor);
- to improve the appearance of the breast after pregnancy and breastfeeding;
- with different volumes of the right and left glands;
- with abnormalities in the development of mammary glands;
- for breast recovery after sudden weight loss.
Augmentation mammoplasty can not be performed in the presence of diseases such as:
- severe pathologies of the cardiovascular system;
- immunodeficiency states;
- acute infectious and inflammatory diseases;
- malignant tumors;
- exacerbation of chronic pathologies;
- poor blood coagulability;
- mental disorders.
The operation is also contraindicated in the following cases
- during pregnancy;
- when breastfeeding and earlier than 6 months after its termination;
- girls under the age of 18, as their breasts have not yet formed completely.
What examinations you need to pass
Since breast augmentation is an extensive surgical intervention, before the operation, the patient must undergo a thorough examination, which will avoid negative consequences.
The survey includes (the average cost of the examinations is indicated in brackets):
1. Laboratory research:
- clinical and biochemical blood analysis – assessment of glucose, bilirubin, ALT and AST enzymes, coagulability indicators – coagulation, prothrombin time, index and others ( $ 5 – $ 11, respectively);
- determination of the Rhesus factor and blood group ( $ 6,12);
- general analysis of urine ( $ 2,72)
- analysis of blood serum for infections – hepatitis, HIV, syphilis ( $ 34).
2. Instrumental types of examinations:
- ECG ( $ 7,48);
- mammography, or radiography of the mammary gland ( $ 10,88);
- fluorography ( $ 5,44);
- Ultrasound ( $ 10,88).
It is also necessary to consult a physician, gynecologist, mammologist and resuscitation anesthetist in the clinic where the operation will be performed (to select the best option for pain management). In the presence of somatic diseases, the patient may need to consult other specialized specialists.
Preparation for surgery is as follows:
- for 2 weeks, you must stop taking alcohol and smoking;
- for a month it is recommended to establish a sleep and rest regimen, drink a course of vitamins, switch to light food (this will allow faster rehabilitation);
- in agreement with the attending physician, the following drugs are canceled: Aspirin and others, which affect blood coagulation, hormones;
- the last meal is made 8 hours before surgery, stop drinking is necessary for 6 hours.
Procedure step by step
Before the surgery, the girls undergo preoperative planning, which consists in marking the middle and midclavicular line, the position of the new submammary fold, which will already be with large breasts, and also the location of the implants. A photo of the layout example is presented below.
Subsequently, the operation is performed in the following order:
- The patient is placed on the operating table. Part of the body below the clavicles is fenced off with a screen.
- Perform aseptic processing of the surgical field.
- A soporific medicine is injected intravenously, then an endotracheal tube is inserted into the trachea to deliver an inhaled anesthesia. In most cases, the operation is performed under general anesthesia, but if the woman’s condition does not allow this, local or epidural anesthesia is used.
- The surgeon makes an incision in accordance with the plan of operation, prepares a “pocket” for inserting the implant.
- Then the so-called “fitting” is made – a sizer is installed in the pocket, which accurately copies the size and shape of the implant.
- After the “fitting”, the sizer is removed, and the original implant is placed in its place.
- The edges of the wound are sutured.
- In the area of the operation, a puncture is made and a drainage tube is installed for the outflow of blood. This prevents the development of complications.
- Compressed underwear is put on the operated patient, which allows the breast to be fixed accurately, then it is taken away to the ward.
The total duration of the operation is from 30 minutes to 2 hours. The patient remains in the clinic under constant supervision for at least 1 day.
An discharge from the hospital is made on the second or third day after the operation (in the absence of complications). Immediately after surgery, the patient may feel pain, nausea, and weakness. Within a month after mammoplasty, you can only sleep on your back, which makes the muscles sag and get tired. Therefore, before surgery, it is also recommended to strengthen the spinal muscles.
During the recovery period, the patient is prescribed painkillers and antibiotics, which serve to prevent infectious and inflammatory complications and are used after any extensive surgical intervention.
The most commonly used antibacterial agents are listed in the table:
|Drug group||Title||Dosage, mg / day||Average price, usd.|
|Fluoroquinolones||Ofloxacin||200-800, 2 times a day||190|
|Ciprofloxacin||500, 2 times a day||90|
|Pefloxacin||400, 2 times a day||30|
|Cephalosporins||Pantsef (Cefixim)||400, 1 time per day||600|
|Zedex (Ceftibuten)||200-400, 2 times a day||500|
|Cephalexin||500, 2 times a day||80|
You can start work no earlier than after 1 week (according to general health). Girls with large breasts, photos of which before and after are given above, must also adhere to a number of restrictions in the recovery period.
- in the first 5 days it is necessary to try to limit movements with hands;
- within 1 week it is impossible to lift weights
(the load should not be heavier than 2 pounds);
- a compression bra must be worn for 1-3 months, the surgeon may also recommend the use of compression stockings (to reduce the risk of thromboembolism complications);
- water procedures can be taken no earlier than 3 days;
- daily work is allowed after a week, and moderate physical activity is allowed after a month, however, excessive load should be avoided for the next 2 months;
- It is recommended to start driving a car no earlier than in 1-2 months;
- You can sleep on your stomach in 6 months;
- the pool and sauna are allowed to be visited no earlier than after 2-3 months;
- it is recommended to avoid wearing tight clothes, injuring the chest and factors that can lead to infectious diseases, as this contributes to the development of fibrotic process in the tissues of the gland;
- it is also necessary to monitor the weight – its fluctuations in the recovery period should not exceed 11 pounds (both downward and upward).
Seams are removed after 5-7 days, the drainage system – after 4-7 days. The final result of mammoplasty will become visible only after 3 months. Scars form within 12 months.
As side effects may include:
- increase in body temperature;
- temporary violation of the sensitivity of the nipple-areolar complex.
For 6 months, you will also have to wear seedless bras, and best of all – soft sports tops.
How long will the result last
Modern implants do not require a “preventive” replacement. However, reoperation may be required in the following cases:
- if with age the mammary gland “sags” a lot;
- with an unsatisfactory result of the previous plastic surgery (unsuccessful mammoplasty);
- in case of damage to the shell of the salt or silicone implant, which is confirmed by x-ray or MRI;
- if the patient wishes to change the size of the breast;
- with the appearance of capsular contracture – fibrous compaction around the implant;
- when breast tissue changes as a result of severe weight loss or weight gain.
Girls with large breasts, the photos of which are given above, are at the following types of risk of complications during and after surgery:
- the formation of cysts;
- the development of inflammation as a result of rupture of small blood vessels and leakage of blood plasma (manifests itself in the form of a tumor-like formation);
- adverse reactions to anesthesia (headache, hallucinations, impaired vision and hearing, dizziness);
- infection of the surgical wound;
- extensive hematomas resulting from injuries of blood vessels and requiring surgical removal;
- damage to internal tissues;
- the formation of capsular contracture, which deforms the chest;
- loss of nipple sensitivity, temporary or prolonged;
- implant displacement and unwanted changes in the shape of the gland;
- the formation of keloid scars;
- lymphostasis (impaired lymphatic outflow and its accumulation), lymphorrhea (outflow of lymph into the wound cavity) as a result of trauma to the lymphatic vessels.
Most often, these complications arise due to non-compliance by the patient with the rules in the recovery period or as a result of incorrect actions of the surgeon. The development of complications is also facilitated by individual sensitivity in the form of an excessive reaction to the material from which the implant is made, which cannot be predicted in advance.
Big-breasted show business stars have become a model for girls who strive to achieve the perfect figure. Modern augmentation mammoplasty is available for many comers and is safe when all requirements are followed.
Photos of the results before and after in this article clearly show that you can not only significantly increase the size of the mammary glands, but also improve their shape.
However, like any surgical intervention, such an operation has contraindications and possible side effects.
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How is breast augmentation surgery: