Breast enlargement

Beautiful, elastic, attractive firm breasts - isn't this what every woman dreams of?Plastic breast augmentation is often associated with a large size and unnatural appearance.In practice, very few patients find such radical changes.The most common is the desire to enlarge the breast by several sizes - for example, from 1 to 3. Modern implants and surgical technology make it possible to achieve the most natural appearance of the breast, avoiding complications and giving women self-confidence.

Breast enlargement (enlargement) surgery is called augmentation mammoplasty.It is performed under general anesthesia using implants of different shapes and sizes.The advantage of breast augmentation in modern plastic surgery is the ability to achieve symmetry and correct all congenital defects.Including improving the appearance of the nipple complex.

Which implant is the best to choose?

Implants vary in shape: anatomical and round.The first, because of their teardrop shape, creates a soft and natural breast contour.The mammary glands look very natural.Round implants give the breast a larger visual size and make it appear raised (push-up).With them, the contour of the upper neckline becomes higher.

The type of breast implant profile also varies: from low to high.The surface of silicone implants can be smooth or textured.

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

During the consultation, you will be able to try on a model of the implant - supporter, to imagine the future shape of the breast.

How to enlarge mammary glands

Plastic surgeons perform breast augmentation in different ways.They can be surgical or non-surgical.The first includes:

• Augmentation mammoplasty with round or anatomical implants: breast augmentation by several sizes;The results of the operation are stored forever;
• Breast lipofilling: Increase in size by 1-1.5 using injections of purified autologous fat taken from the "problem" area;Lipofilling results last forever if you avoid severe weight loss.

A cosmetic method for breast augmentation is the injection of an absorbable gel (filler).This method is quite expensive: contour plastic surgery with fillers costs almost the same as mammoplasty surgery, and the effect lasts on average up to 2 years.

The shape of the gland can be corrected using a thread lift.This procedure will not increase the size of the breast, but will give a beautiful shape.

Advantages of Mammoplasty:

• Beautiful breast proportions.During the consultation before breast augmentation surgery, the doctor will recommend the most suitable type of implant, its installation method (under the mammary gland or under the muscle), as well as access options (axillary, submammary, periareolar).Implants are always selected individually - the line of leading manufacturers includes hundreds of models that differ in volume, shape and size.
• Modeling the results.Modeling or trying on a supporter (prosthesis model used to select an implant) allows you to evaluate in advance how the mammoplasty effect will meet your expectations.
• Implant warranty.The clinic provides a guarantee on the implants installed in the breast. The safety of endoprostheses for breast augmentation has been confirmed by clinical studies: they do not affect the general condition of the body, are harmless in case of damage to the membrane (silicone gel with a dense structure does not penetrate the surrounding tissues)
• Breast augmentation by several sizes.If breast augmentation using your own adipose 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.Having received the desired volume, you can be sure that it will not change over time.
• Safety and confidence in the results.The result of augmentation (breast augmentation) depends on the professionalism of the surgeon, so breast augmentation should be performed in a specialized clinic, by a doctor with extensive experience. 

Methods of performing breast augmentation surgery

Implants can be placed:

• under the gland;
• under the muscles.

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

Possible access:

• submamma (incision under the breast);
• Periareolar (incision around the nipple complex);
• axillary (an incision on the side in the armpit area).

Access submamma- The most preferred method from the point of view of controlled recovery.It is used for breast surgery if the patient later plans to give birth and breastfeed.Even very large implants can be easily installed through this access.The postoperative scar will be hidden in the folds under the breast.

Periareolar accessIt is good when breast lift and enlargement are done simultaneously.This type of access allows you to change the shape of the nipple complex.If the areola is small, it is not possible to install a large implant.The scar with a periareolar approach will 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, because the milk ducts may be damaged during the operation.

Axillary accessGood for installing small implants.But it is impossible to install anatomical implants like this, only round.The scar in this case will be located in the armpit area.

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

Types of breast augmentation implants

For breast augmentation, silicone implants of various volumes (1 size is equal to 120 ml) and shapes are used: round or teardrop (anatomical).

• Mammoplasty operation with the installation of round implants creates a large breast, which is raised with a normal round contour.In nature, the shape of the mammary gland ("apple") is quite rare, so after breast augmentation, the breast may look less natural than with the installation of anatomical implants.But this type of implant is suitable for correcting mild ptosis of the mammary gland without additional lifting.
• Tear-shaped implants reproduce the most common shape of the mammary gland: they resemble a cone in appearance.With them, the breast acquires a lower column with a smooth descent, characteristic of a natural statue.Sometimes only the use of a different amount of implants allows the existing asymmetry to be corrected.

In many cases, your surgeon may recommend an implant with a smooth or textured surface.

• The smooth round model is suitable for installation through an axillary (transaxillary) approach.
• Anatomically shaped models with textured surfaces are often chosen for breast augmentation through submammary access, which allows you to achieve beautiful natural results.

Indications for breast augmentation

• unsatisfactory breast size;
• breast asymmetry;
• ptosis caused by weight gain/sudden weight loss;
• excess adipose tissue;
• excessive glandular tissue;
• Unsatisfactory nipple shape.

Plastic surgery using implants is indicated for reconstructive breast correction - after tumor removal or complete mastectomy.Therefore, the operation is not only aesthetic.It can also be done for medical reasons.

Contraindications for breast mammoplasty

• early age (up to 18);
• period of pregnancy and breastfeeding;
• problems with blood clotting;
• liver disease;
• cardiovascular and endocrine diseases;
• Diabetes mellitus;
• oncology;
• diseases of the respiratory system;
• infectious and viral diseases;
• mental disorder.

If the preoperative test results are not satisfactory, the operation is postponed to a later time or canceled.

Two weeks before surgery, you need to stop taking blood thinners and hormonal drugs.

How is the breast augmentation procedure performed?

1. The patient talks to the surgeon.Pre-operative signs are used.This is followed by a conversation with the anesthetist.
2. The operation itself takes place under general anesthesia and lasts from 1.5 to 3 hours.The doctor makes a small incision under the breast / in the armpit / 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 first during the consultation.
3. Then drains are installed and sutures are applied.
4. After recovery from anesthesia, the patient remains in the hospital for 24 hours after the operation, as the patient needs round-the-clock monitoring.

What exams need to be completed before the test procedure?

If your doctor plans cosmetic correction under local anesthesia, you will need to undergo some basic tests before the procedure:

• General Clinical Blood Test (complete + platelets)
• Coagulogram (blood 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 Group Test (with RH)

• ECG (electrocardiogram)
• Fluorography
• General Urine Test
• Examination by a mammologist, including breast ultrasound or mammography
• The therapist's conclusion about the possibility of surgery (for patients over 30 years old)

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

Recovery period

After the operation, you stay in the hospital under the supervision of the medical staff until the next day.Sometimes you have to stay in the clinic for two days.Then you go home.In the first days, swelling, pain, a slight increase in body temperature, and a feeling of "tension" are the norm.Swelling and pain usually go away within 10-14 days after surgery.After 2 weeks, the surgeon removes the stitches.Until this time, you must take the medicine prescribed by your doctor.In the first days after plastic surgery, you need to 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 eat foods that cause allergies.The doctor will provide their list during the consultation.Allergies are dangerous due to increased swelling and, as a result, pain.

What should you not do during the recovery period?

• overcome oneself physically and emotionally;
• go to the sauna, swimming pool, gym;
• sunbathing;
• Sleep on your side;
• raise your hand;
• Touch and rub the breast.

You will need to wear a compression garment for a month.For the next two months, it's best to wear a non-wired sports bra.3 months after mammoplasty, you can update your linen wardrobe.

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

Possible complications

If the doctor's recommendations are not followed, the implant can shift and the inflammatory process can develop.For controlled results, we leave the drainage in place.This reduces the risk of postoperative complications.

In the coming period, there is a risk of the formation of tight fibrosis - the 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 surrounding connective tissue growth.

Sometimes the mammary gland does not completely cover the contour of the implant due to its small size.In this case, lipofilling can be done to disguise the implant and give the breast a natural appearance.

Because of injury, the implant can break.If there is a rupture, an operation is performed to remove it and replace it with a new one.

When should you call a surgeon?

• Breasts become hard to the touch;
• skin color in the implant area changes;
• A vascular network appears;
• Deformed breasts;
• Pain occurs.

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

Constructive fibrosis occurs more often when the implant is placed under the gland.If it is under the muscle, small signs of fibrosis may not be visible and are not dangerous.

If you want to find a place that does cheap breast augmentation, think twice about the fact that we are talking about your health - physical and mental.Take your time and make the right decision.

Breast augmentation price

Breast augmentation prices vary from clinic to clinic.It is formed from several factors:

1. competence of the surgeon
2. Plastic method
3. implant cost
4. Amount of material used up
5. Duration of anesthesia
6. Length of hospital stay