The advantages and disadvantages of mammoplasty
Many girls and women are unhappy with the shape of their breasts and are very complex about this. But, fortunately, today you can make your breasts beautiful, elastic and sexy with the help of mammoplasty. And what is this operation, how is it performed?
What it is?
Mammoplasty is the common name for a number of surgeries performed on the mammary glands and implying a change in the size or shape of the breast. All these operations differ from each other not only in terms of their objectives, but also in the technique of execution. The procedure will depend on the desired results and characteristics of the mammary glands.
Any intervention, of course, is performed using anesthesia, but nevertheless mammoplasty is considered to be a rather complicated operation, which can lead to serious complications. And that is why it is important to consult with an experienced doctor and weigh the pros and cons.
As noted above, there are several types of mammoplasty, tell in detail about each of them.
Augmentation breast breast augmentation is performed to increase it. It is clear that the main objectives of the intervention in this case is to increase the size of the mammary glands and give them an attractive shape. The operation is often called endoprosthetics, as surgeons use special prostheses.
Almost all endoprostheses have a hypoallergenic silicone sheath. The cavity can be filled with silicone gel or saline. The first option is preferable, since the gel mimics the natural tissues of the gland and allows you to achieve the effect of naturalness. Some implants are placed in the chest already filled, while others are filled by the surgeon after being placed in the gland (for example, if a significant increase is required).
Endoprostheses differ in the following parameters:
- Volumes. Typically, the volume ranges from 120 to 850 milliliters.
- Forms. It can be anatomical implants, round (they are used for a slight increase), drop-shaped (used with a significant increase in breast volume), and asymmetric (if the mammary glands have different sizes and shapes).
- Profile type: low or high.
- Surface. It can be textured (this allows you to better fix the implant and avoid moving it) and smooth.
The endoprosthesis is placed in the mammary gland in one of the following ways:
- The sub-fascial method involves placing the implant between the muscle and the muscle fascia.
- In the subglandular method, the endoprosthesis is placed under the breast tissue.
- The submuscular method involves placing the implant under the pectoralis major muscle. In this case, after some time after the operation, the woman will be able to breastfeed.
- In the combined method, the endoprosthesis is placed partly under the muscle, and partly under the mammary gland.
Access to the placement of the prosthesis in the breast can also be different:
- Submammary is the most common option. An incision is made under the breast, i.e. along the thoracic fold. This access is, firstly, the most secure, and secondly, it allows you to immediately place the endoprosthesis where it is needed. But, unfortunately, after surgery, the scar may shift and become visible.
- Axillary access involves an incision in the armpit.This method is used when placing the implant under the pectoral muscle. This option is suitable for thin girls, as well as women with a poorly pronounced subchestal fold and not giving birth. But during such an operation, nerves can be damaged. Asymmetry of the mammary glands is also possible due to difficult access to the place where the prosthesis is located. In addition, the introduction of large prostheses (over 375 ml) is impossible.
- Periareolar. In this case, the incision is made in a semicircle at the border of the areola of the nipple and skin. The scar will be not so noticeable, but the risk of complications (damage of nerves, cysts, suppuration) is increased. Most often this method is used to omit mammary glands.
- With transabdominal access, an incision is made in the lower abdomen. This method is used when simultaneously holding the tummy tuck.
The choice of prosthesis, implant location and access should be determined by the doctor, taking into account the peculiarities of the patient's body.
Breast reduction surgery
Breast reduction is a less common operation, but still quite popular. Its essence is to remove excess fat and glandular tissues, as well as skin.
The operation is performed using incisions through which excess tissue is removed. As a rule, incisions are made around the nipple halos, as well as vertically from the areola to the submammary (under chest) fold and along the fold itself. After removal of excess tissue, excess skin is excised. After modeling and shaping the mammary glands.
Mastepexia is a procedure of breast lift with its omission (ptosis). Also, the correction of the height of the nipples and the shape of the mammary glands. Most often, mastopexy is combined with endoprosthetics, as it is often possible to tighten the chest and give it an attractive shape only with the use of prostheses.
Here are the main stages of the operation:
- Excision of excess skin using incisions (often they are made the same way as with breast reduction).
- Move the nipple and areola.
- Place the implant through the areola.
In what cases is mammoplasty indicated?
Here are the main indications for mammoplasty:
- small breast size;
- large size of the mammary glands;
- ptosis (omission) of the mammary glands;
- low position of the nipples and areola or their asymmetry;
- breast shape change after unsuccessful operations;
- post-lactation involution (reduction of breast size after the end of breastfeeding).
In which cases is contraindicated?
Now list the contraindications:
- lactation period (after completion you need to wait six months) and pregnancy;
- age up to 18 years;
- oncological diseases;
- acute infections;
- diseases associated with impaired blood clotting;
- chronic diseases in the acute stage;
- HIV, syphilis, hepatitis;
- fibrous formations in the mammary glands;
- varicose veins;
- diseases of autoimmune nature;
Preparation for surgery
Preparation for surgery has several important points:
- Examination: blood tests for infection and clotting, mammography or ultrasound of the mammary glands, ECG, fluorography, urinalysis.
- Refusal to smoke 1-2 weeks before the day of the operation.
- Refusal to take some medications: affecting the clotting, hormonal and other.
Rehabilitation after mammoplasty is quite complicated. Firstly, in the first 1.5-2 months you will have to wear a special supporting corset.Secondly, the first three weeks will not be able to raise their hands. Thirdly, within 2-3 weeks after the operation, edema will be observed. Fourthly, during 2-3 months it will be necessary to limit physical activities.
Pain can be observed in the first 1-3 months, then discomfort may occur. The inflammation will take place in about two months, but it will be possible to evaluate the results in only six months, it is after such a period of time that the recovery will complete.
- displacement, deformation or rupture of the implant;
- seam divergence;
- hematomas and bleeding;
- suppuration, fibrosis;
- rough seams and scars;
- loss of sensitivity of nipples or other areas of the breast.
Prices for surgery depend on the specific type and clinic. On average, the cost varies from 50-70 thousand rubles to 300-600 thousand.
Now you know everything about mammoplasty.
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