Beautiful female breast is a source of pride for every representative of the fair sex, regardless of her type of activity, age and social status in society. Besides, magnificent bust attracts the admiring glances of men, which cannot but please women’s pride.
That is why girls all over the world, whom nature has deprived large sizes mammary glands, trying to find a way to correct and enlarge them. Some prefer to achieve elasticity and beautiful shapes bust through sports training, others turn to plastic surgeons.
Surgical methods of breast enlargement
Breast augmentation surgery allows women to improve their body and give it the desired shape. Modern plastic surgery has a sufficient number of techniques that allow you to change the size and shape of the bust. Among the most effective and popular methods of breast enlargement today are:
- Lipofilling. Introduction to mammary glands own fat taken from the buttocks or sides of the abdomen. With the help of such an operation, it is possible to slightly correct the size of the bust, correct their cosmetic defect and reduce fat deposits in unwanted, “donor” places.
- Mastopexy. Breast lift, which can be performed with or without an implant. The method helps restore natural proportions, improve the shape and enhance the aesthetics of the mammary glands.
- Correction using endoprostheses. Silicone implants (or those made from hydrogel) are inserted into the patient’s mammary glands. saline solution etc.) It is about this technique, as the most popular type of plastic surgery mammary glands, And we'll talk in our article.
How breast implants are inserted: pros and cons of methods
The most common types of mammoplasty are methods using endoprostheses. They allow you to get breasts of the desired size and shape, depending on the type of implant chosen. Today there are several installation methods, the difference between which is the location of the cut and the method of implementation foreign element. Depending on the placement, breast implants can be installed entirely or partially under the muscle, as well as between the mammary gland and the muscle fascia.
Let's try to figure out which method is the safest and allows you to get breasts perfect shape. Which access to choose, and what is the difference between them?
Incision under the breast - submammary approach
This is one of the very first types of breast plastic surgery using implants. Using access under the chest, plastic surgeons and today endoprostheses are successfully installed, but already created using new technologies. During surgical intervention an incision is made along the line of the natural fold located under the mammary gland, a place for the implant is formed and it is placed in the already created pocket.
IN in this case It is possible to install an implant under a muscle or under a gland. The first option is the most preferable, since it allows you to achieve more natural look bust.
Among the main advantages of submammary access are:
- logic and perfection of technology;
- easy rehabilitation period;
- possibility of installing large implants;
- preservation of breast tissue function.
The disadvantages of this method of breast augmentation include:
- high risk the appearance of a wide postoperative scar in the lower part of the mammary gland, which is associated with displacement of the fold as a result of the installation of a large implant;
- technical limitations of the method in combination with other types of plastic surgery;
- the formation of a keloid scar that cannot be corrected.
Access through the areola - periareolar breast augmentation
This is the second most popular method of breast enlargement. Breast augmentation through the areola makes it possible to insert an implant through a small incision along the edge of the nipple. This method is the most acceptable from an aesthetic point of view.
Periareolar mammoplasty has a number of advantages:
- an excellent opportunity to hide the fact of the operation thanks to an inconspicuous scar along the edge of the areola;
- The technique is perfectly combined with other types of breast plastic surgery, in particular breast lifting, asymmetry correction, areola reduction, and the like.
Breast augmentation options that are implemented using access through the nipple have several significant disadvantages:
- with a tendency to hypertrophied scarring, the mark from the incision can be very noticeable, as it is located in the very center of the chest;
- if a breast implant is installed completely or partially under the muscle, then in the postoperative period the patient will feel significant discomfort;
- there is a high risk of loss of nipple sensitivity;
- Often, women after periareolar mammoplasty develop pericapsular contractures, which lead to deformation of the mammary glands.
Endoscopic breast augmentation through the armpits - transaxillary approach
This operation involves installing implants using a special endoscopic equipment. This surgical intervention involves the introduction of an endoprosthesis through an incision in armpit using medical optical instruments. In this case, mammoplasty is performed under the muscle, as the most effective and safe method of breast enlargement.
Breast augmentation through the armpit is the least traumatic method. It has several advantages:
- the duration of the recovery period is reduced to two weeks;
- the scar resolves completely within 4-5 months;
- there is the possibility of reliable fixation of the prosthesis, which eliminates the risk of its displacement in the postoperative period;
- During the operation, breast tissue is not damaged, which is especially important for women planning to breastfeed;
- surgical correction lasts no more than 40 minutes.
Among the disadvantages of endoscopic breast augmentation, the following should be noted:
- axillary access does not solve the problem of the formation of fibrous contractures;
- Seamless mammoplasty has a fairly high cost.
Where are breast implants placed?
The use of different approaches for breast augmentation allows you to choose the location of endoprostheses. Depending on the location of the implant, surgeons distinguish:
Subglandular location (under the gland)
Placing the implant under the gland is suitable for active, muscular patients and allows for the most natural appearance of the breasts. appearance. This option of mammoplasty has many advantages:
- after enlargement, the natural contours of the gland are preserved;
- short recovery period due to low tissue trauma;
- the ability to eliminate soft tissue ptosis during surgery;
- reducing the risk of bleeding in the postoperative period;
- There is virtually no pain during scar healing;
- When performing physical activity, deformation of the implant is eliminated.
Unfortunately, this method has its drawbacks, including: the likelihood of possible tissue infection during surgery, rejection of the prosthesis, and the formation of capsular contractures.
Subfascial location (under the fascia)
This placement of the endoprosthesis is performed infrequently. Breast implants are placed under the breast tissue, between the fascia and the muscle it covers. The effectiveness of this method remains controversial. Despite this, some plastic surgeons consider this method to be the most acceptable for reliable implant fixation.
Subpectoral location (partially under the muscle)
The implants are placed under the pectoralis major muscle after cutting its lower part. The endoprosthesis is half covered muscle tissue, and half - the mammary gland. Placing an implant into the pectoral muscles is widely used in clinics plastic surgery and is most in demand in Central America and the USA.
Axillary location (entirely under the muscle)
When installing breast implant under the muscle Bottom part muscle fibers are not dissected, unlike the subpectoral type of location. This operation has many disadvantages, including a long postoperative period, limited hand movements throughout the entire rehabilitation, and a high risk of implant deformation.
Breast augmentation through the areola is one of three options for mammoplasty that surgeons can offer you today.
The name says it all: this procedure involves access through a small semicircular incision at the border of the areola. A “pocket” will be formed through it, into which the implant is placed.
The halo route is the oldest and most popular method of access, although it would seem that the axillary one should have bypassed it long ago, because with it the scar remains in a place where no one can see it. Here, an incision is made along the edge of the pigmented area of the nipple, and although in most cases it can be hidden with tattooing or it will naturally discolor on its own, it will still not go anywhere and upon very careful examination it will still be somewhat noticeable. And if the surgeon makes a mistake and goes beyond the boundaries, the postoperative scar will stand out very much.
The disadvantages of this approach also include the risk of loss of sensitivity in the nipple, although in most cases sensitivity returns over time. With the risk of lactation disturbances, everything is much more complicated - for a young girl who has decided to enlarge in the prime of her life, losing the opportunity to breastfeed is a serious risk.
But if the method is so traumatic, are there really advantages that will make you turn a blind eye to it? There definitely is. No one will use a method that is obviously losing in every sense.
And so, if we talk about the advantages, then first of all this is the invisibility of the scar. If the operation is performed correctly, and if the patient’s body is not prone to excessive scarring, then the mark will be invisible until a very careful examination of the incision area, while the axillary and submammary approaches involve larger incisions that are easier to detect.
Well, the variability of implant installation - under the gland or under the muscle - this method gives you the right to choose.
These are not all the advantages and disadvantages - only the most striking ones. About the rest, as well as about indications for surgery and rehabilitation after it.
Periareolar breast augmentation
And so, continuing the procession on the topic of what advantages and disadvantages breast enlargement entails in the periareolar (another variant of the name of this procedure) method, we will systematize them into laconic lists.
Advantages:
- no bleeding;
- invisible scar;
- minimal incision;
- variability of the location of the endoprosthesis.
This method also allows you to include “additional options” in the operation, such as:
- lift;
- elimination of asymmetry;
- breast areola correction.
Flaws:
- risk of mammary gland dissection;
- risk of loss of nipple sensitivity;
- a poorly executed incision will result in a pronounced scar;
- installing an implant under the muscle will create additional discomfort after surgery;
- increased risk of capsular contracture.
Another advantage that comes from enlarging the mammary glands along the areola is that it is seamless. The time for stitches has passed, they are almost no longer seen in patients of advanced plastic clinics - they have been replaced by best analogue- high quality glue.
But how can an implant with a volume of at least 100 ml be inserted through such a miniature incision? By simply moving the tissue apart, a channel is created through which the surgeon will insert it, then secure it with a subcutaneous suture, and the skin, according to the tradition of sutureless plastic surgery, will be glued together with special glue. Additionally, adhesive strips can be installed.
Postoperative period
Breast augmentation using axillary, submammary or transareolar methods entail approximately the same rehabilitation scenario:
The first couple of weeks will require regular follow-up with the surgeon who performed the operation. Inspections are necessary to identify possible Negative consequences from surgery: gray, hematoma, suppuration, shift, displacement or rotation of the implant.
Breast plastic surgery through the areola nipple is notable for the fact that after it, already on days 5-6, you can lead an almost pre-operative lifestyle, with the exception of stress - with other ways of enlargement, this period increases by 3-5 days.
After the operation, noticeable pain will accompany you for about a week - some take painkillers during this period, while others have a pain threshold that allows them to transfer this to a “sober” nervous system.
It will take approximately six months for the implant to take root and for the breast to begin to take on its final shape. This process will last almost as long, and only 10-12 months from the date of surgery will you see the true result of the surgeon’s work and compliance with all his recommendations for the postoperative period.
Breast augmentation surgery video
The method of breast augmentation with implants with access through the nipple is preferable to other operations if additional correction is planned during the operation. It is the second most popular breast enlargement technique.
Methodology
Access to the breast tissue is provided through a semicircular incision along the lower edge of the areola. The postoperative scar quickly restores pigmentation and is therefore practically invisible. The technique allows you to place the implant both under and above the mammary gland.
To insert the endoprosthesis under the muscle under the mammary gland through the lower border pectoral muscle The surgeon forms a pocket into which the implant is inserted. The method eliminates the formation of characteristic scars, as with access through the inframammary fold. It also allows you to perform breast correction simultaneously with enlargement:
- lift;
- elimination of asymmetry of the breast or nipple with areola;
- reduction of an overly large areola.
Rehabilitation
Discomfort in recovery period caused by a change in anatomy in the area of pocket formation and tension in the mammary gland tissue due to the insertion of an implant. The patient is discharged from the hospital the next day after surgery.
Wearing a compression garments. In addition, it helps the implant to take an optimal position.
Within 5-7 days, a return to your normal lifestyle is possible, provided that physical activity is limited. Return to preoperative level motor activity possible 6-8 weeks after surgery.
Breast augmentation through the areola is not recommended for women planning breast-feeding, as there is some risk of damage to the milk ducts. At the same time, this technique is best choice for older patients age group if there are indications for a lift. This is confirmed by numerous positive reviews.
Breast enlargement surgery through the nipples can be performed in the Moscow and St. Petersburg clinics of the SPIC Beauty Institute. It can be carried out free of charge if you register on our website and become a winner of the promotion. Don't miss the chance!
Breast augmentation can be done by making a semicircular incision under the areola (the dark, pigmented area around the nipple). This method is called areolar or periareolar breast augmentation. The incision made here usually quickly darkens and is therefore harmoniously masked by the edge of the areola - the border between dark and light skin. But if you look directly at the chest, the scar still remains noticeable. With the perialeolar approach, the implant can be placed both above and below the mammary gland.
If the position of the implant under the muscle is chosen, then using this small semicircular incision under the areola, bypassing the mammary gland from below, the surgeon will form a pocket for the implant through the lower border of the pectoral (pectoral) muscle. After that, the implant will be inserted through the same incision. Areolar implant placement is the second most popular method of breast augmentation today.
Advantages
One of the most important and obvious advantages is the absence of scars in the fold under the breast (as with submammary access), which “give away” the fact of the operation. A small incision at the bottom of the areola (as well as an incision in the armpit) is not usually associated with breast implants (at least among lay people).
Another advantage of this approach is the ability to combine some additional breast adjustments with breast augmentation:
- Breast lift (for mild ptosis)
- Correction of breast asymmetry or position of the areolar complex
- Reducing the areola if it is large in diameter
periareolar breast enlargement - hypertrophied scar
Flaws
- If you are prone to irregular scarring, the scar will be clearly visible, as it is located right in the center of the chest
- When placing the implant partially or completely under the pectoral muscle, connective tissues and the muscles must be separated, which leads to more discomfort in the postoperative period.
- Risk of loss of nipple sensitivity. But in general, with the periareolar approach, this risk is slightly higher than with breast augmentation through other incisions (under the breast or in the armpit).
- Increased risk of capsular contracture. This is most likely due to the fact that the areola and breast tissue contain bacteria that can be transferred to the implant during insertion through the areola.
Recovery period
The recovery period is generally the same for breast augmentation by any method. The discomfort is not caused by the incision site, but by the tension of the tissues after insertion of the implant and surgical procedures, such as tissue detachment to form a pocket. In most cases, the operation does not require the placement of drainage tubes.
The patient must wear special compression garments, which not only helps the implant quickly take its position, but also helps reduce swelling and make its passage more comfortable. postoperative period for the patient. The patient can return home the next day after surgery. On this day, you can already take a cool shower, use shampoo and a soft washcloth.
On average, after 5-7 days, most patients return to their usual routine, only limiting significant physical activity. Full physical activity can be resumed 6-8 weeks after surgery.
