Breast parameters are strictly personal. In average, a number of glandular lobes in a breast is the same and equals to 15-20. That’s why the breast size mostly depends on a number of subcutaneous tissue and how thick its layer is. Flexibility of the connective-tissue capsule surrounding the breast also plays a certain role. A breast shape can be hemispheric or conical. A breast size is a value that matters when you choose your lingerie. A perfect breast is different for every woman depending on her height, weight and shape.

Indications

  1. Breast defect (primary aplasia).
  2. Breast underdevelopment (primary hypoplasia).
  3. Mammary involution after the end of lactation period.
  4. Mild breast ptosis.
  5. Breast reconstruction after full or partial removal of its tissue.
  6. Esthetic dissatisfaction with breast shape and size.

Contra-indications

  1. ARVI, ARD;
  2. Acute exacerbation of a chronic respiratory or cardiovascular disease;
  3. Critical performance status (critical cardiac, respiratory, hepatic, kidney failure);
  4. coagulation failure.

Anyway, a decision on the surgery is taken on an individual basis by your surgeon. An additional examination and consult of specialized doctors are prescribed if needed.

Breast augmentation procedure

There are different types of implants. A breast implant consists of a membrane and a filling in it. Breast augmentation is performed using implants with silicone gel. Using implants with saline fluid is less popular as they have clear shortages. A prosthesis can be filled and sealed by a manufacturer in advance, or empty implants can be filled with saline fluid right during the surgery.

Types of technique for placing implants:

  1. This technique involves a short incision made in the crease underneath the breast, called the inframammary fold. It allows placing an endoprosthesis of a rather big size and of any shape. This type of mammoplasty is recommended for patients with a clearly defined inframammary fold to hide a scar.
  2. Peri-areolar. A surgeon makes an incision around the outer edge of the areola. This technique of breast augmentation is complicated, as it’s difficult to make a cavity for implants with this incision. Whereas, there are certain limits on the implants size.
  3. Cavities are made through an incision within the armpit. The main advantage of the armpit incision – it leaves no scars on breasts.

There are also umbilical (through the belly button) and transabdominal (through the anterior abdominal wall) techniques, however, regular surgeries are performed using the first three methods, as the latter techniques are performed with empty implants only, which are filled with saline fluid afterwards.

Plastic surgeons use 3 ways of implant placing – submuscular, subglandular and combined way (one part of the implant is placed under the gland, the other – under the muscle).

Technically subglandular method is the easiest, and a patient recovers faster after this surgery as a trauma is minor. However, this method of breast augmentation has significant disadvantages – breast might get sagging with aging as the weight of the implant full lies on the gland tissue, implant edges might be palpated, natural look of breasts is not always achieved. This method should be selected with corresponding prescriptions.

The endoprosthesis can also be placed under the greater pectoral muscle for breast augmentation. A surgeon makes an incision in the lower part and creates an implantation pocket there. The advantages of this method is that a tissue layer lies in front of the implant, so that even skinny patients don’t have implant visibility. Besides, the pectoral muscle itself fixes it and prevents it from moving down. The pain syndrome is greater in the post-op period as the operative treatment is harder in this case.

A combined way of breast augmentation includes both these methods. An upper part of the implant is fixed to the greater pectoral muscle to prevent sagging, while a lower part is placed under the lacteal gland. This way of placement is one of the most popular among surgeons.

Post-op rehabilitation

The patient remains in the clinic to be monitored by professional medical personnel for one day. Pains might bother from 3 to 7 days, especially in case of subglandular implant placement, so pain relievers are prescribed. If there are bruises, they will go away on day 10. Swelling will start to reduce from the second week, it will mostly disappear at the end of the second month after the surgery, and finally – in one year. Temporary numbness of gland tissue is possible which generally recovers later on.

Non-absorbable stitches are removed in 7-10 days. A retentive bandage is removed earlier – in 1-6 days. A patient must wear special compression garments for 1 month – a constricting effect of such garments reduces swelling and gives a natural shape to breasts. Strenuous exercises must be limited for 1-2 months; harsh arm movements are not recommended.

Possible complications

Breast augmentation complications group includes capsular contracture. In this case, a capsule forms around the implant compressing and deforming it. This complication might sometimes occur if an implantation pocket doesn’t fit an implant size, however, in most cases the reason for it is rather hard to define.

MEDICAL TESTS required for the surgery:

  1. Complete blood count + blood platelets + coagulability (valid for 10 days)
  2. Blood type, Rh factor
  3. Coagulogram (valid for 10 days)
  4. Urine test (valid for 10 days)
  5. RWblood test (valid for 1 month) 
  6. Fluorography (valid for 12 months)
  7. Blood tests for hepatitis B, C (valid for 1 month)
  8. Biochemical blood test (total protein, sodium, potassium, calcium, chlorine, cholesterol, BUN, creatinin, glucose, TB, DB, AST, ALT, chlorides) (valid for 10 days)
  9. ECG with a breakdown (statement of a cardiologist if needed) (valid for 1 month)
  10. Statements of narrow specialists (endocrinologist, cardiologist, therapist, etc. upon readings)(valid for 14 days)
  11. Statement of a therapist for patients older than 50 years (valid for 14 days)
  12. Breast ultrasound + examination of an onco mammologist (valid for 1 month)
  13. In case of chronical diseases – an abstract of outpatient medical record with a statement of a therapist (valid for 14 days)

An approximate price for breast augmentation is from 2300.00 BYN to 3600 BYN + implants and compression garments (from 1900 BYN to 2700 BYN more). A doctor will tell you the exact price at your consult after evaluating the workscope.

A price for a plastic surgeon consult is 15.00 BYN.

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