Everything you wanted to know about breast correction: a guide from a plastic surgeon

For 26 years, he has performed more than 14,000 operations and in this guide he will share his experience and best practices.

Breast augmentation with implants

Perhaps the most popular request among patients is breast augmentation, often the operation is combined with a one-stage lift. What form of implants do you prefer? Round ones will provide a push-up effect without special underwear, and drop-shaped ones will provide a more natural result.

When installing the implant, the mammary glands are not affected, so the operation does not affect the ability to breastfeed the child in the future at all. Access when installing implants is possible under the breast, in the armpit or along the lower edge of the areola (I most often practice this). In any case, over time, the scar becomes light and almost invisible.

How much volume can be added with implants?

What are the risks if, for example, “one” is turned into a full fifth or sixth size? In my opinion, the best recommendation is to increase by two sizes maximum. Of course, you can stretch even more, but it will be traumatic for the tissues. Over time, an overly full bust inevitably droops and may need to be corrected. And the trend for hypertrophied volumes is already, rather, an anti-trend, a relic of the past.

If you still want a very large size, then it is usually achieved in several stages. First, one size of implants is installed, time passes for tissue adaptation, and then during the second operation it is changed to a larger size. But I almost never had such requests.

Is it possible to make breasts like a star or favorite blogger?

In this matter, it is very important to take into account your anatomical features of the figure, the width of the chest, the initial volume of the mammary gland – which can radically differ from the “reference”. Therefore, I do not advise you to focus on the fact that someone has “round implants 295 ml of such and such a manufacturer, it looks beautiful”, and therefore you need exactly the same ones. All parameters are selected individually.

Are implants running out in Russia?

Now they are still talking about the likelihood of a shortage of implants in the Russian market due to sanctions. In fact, this deficit already exists. Suppliers’ warehouses are empty, and new logistics chains for the delivery of goods are not debugged. But I think that within a few months everything will be fine and there will be new deliveries.

Lipofilling

During the operation, the patient’s own fat is transferred from “problem” areas (for example, from the abdomen, thighs, inner surface of the shoulders) to those that lack volume. Fat cells are processed and cleaned in a special way, and then introduced using cannulas into the area of ​​​​the mammary glands.

Who suits? What are the advantages and disadvantages?

This is a good technique with the most natural effect, but is only suitable for those who want a very small increase – no more than 1-1.5 sizes. For lipofilling, the patient must have a certain “fat depot”, which we will use. Unfortunately, lipofilling is not suitable for patients with a minimum percentage of body fat mass, as well as for large “sagging” breasts.

It should also be borne in mind that part of the fat inevitably resolves over time. But with the right technique for introducing adipose tissue, a result is obtained that will delight for several years.

Breast lift

You can consider the option of a facelift if you are worried about pronounced ptosis, prolapse of the mammary gland. Changes can be caused, for example, by sudden weight loss, age-related changes, breastfeeding (or a combination of these factors). The upper pole of the breast is “inflated” and the patient wants to return it to its original position.

A lift can be performed both on the patient’s own tissues (but keep in mind that the volume of the bust will become slightly smaller), and on the implant.

Reduction mammoplasty

Big breasts are not always a joy to its owner. Very curvaceous forms can bring discomfort in everyday life. For example, when choosing a wardrobe, playing sports, in a dream (you won’t be able to find a comfortable position on your stomach). This is a big load on the back and cervical region, which can lead to pain and even curvature of the spine.

Excessive volume of the mammary glands is called “gigantomastia” and can be manifested by breast enlargement up to 9-11 sizes. In the process of reduction mammoplasty, a large amount of glandular and adipose tissue is removed, while maintaining the sensitivity of the skin is an important task for the surgeon.

To perform the operation, the methods of “anchor lift” are most often used: the incision is made around the areola, further to the crease under the breast and along it. Within a year after the operation, they brighten and become more invisible.

Rehabilitation

There are different types of breast correction, but recovery is almost the same in all cases: a day after the operation, the patient is in the hospital under the strict supervision of resuscitators, and compression underwear must be worn for a month. Then you can gradually return the sport, swimming pool and sauna, solarium.

Procedures such as microcurrents, algoplast therapy (application of a mask of brown algae and alginates) and placental droppers will help speed up the recovery period by an average of 30%. In today’s world, there is no time for long-term rehabilitation – just as there is no need!