Round or anatomical shape. Which implant to choose: round or anatomical. Celebrity Choice. Photo “Before and after”

Anatomical implants are drop-shaped endoprostheses. They were first used for breast reconstruction after mastectomy. Thanks to the closest possible natural breasts form they have gained popularity in aesthetic surgery.

Description

The shape of the female breast resembles a drop. The flat slope of the upper zone smoothly transitions into a voluminous protruding lower zone. The point of maximum projection of the endoprosthesis is fixed in the lower part of the implant, below the middle of its height. Most of them also have uneven base widths and heights. With the same base width, implants differ in height and projection size. Therefore, anatomically shaped implants have a large number of options and combinations in height, projection, and width. Manufacturers offer a wide selection of models of endoprostheses of the same style. This is where their name “anatomical” comes from. The doctor has the opportunity to select the most suitable shape prosthesis for any type of breast.

Main characteristics of anatomical implants:

lack of symmetry;
full, projected lower pole, conical upper pole;
the difference in horizontal and vertical diameters makes it possible to choose between narrow and long, wide and short models.

Various options for diameter and projection make anatomical implants universal. They are prescribed to women with non-standard characteristics chest, minimal volume of mammary glands. Breasts with anatomical implants acquire volume, a beautiful, anatomically ideal shape. The teardrop-shaped elongation forms a smooth transition between the upper and lower poles.

There is one more characteristic of implants. The profile is the ratio of the size of the projection of the implant to the width of its base, expressed as a percentage. A high-profile endoprosthesis is characterized by a less wide base and a large projection. Endoprostheses are divided into high-profile (more than 38%), medium-profile (from 32 to 38%), low-profile (up to 32%). A medium-profile implant creates the most beautiful shape of the mammary glands. The concept of profile type differs somewhat among different manufacturers, as different materials are used.

The most common implant manufacturers: Mentor, Allergan/McGhan, Nagor, Polytech. The Mentor company is the most frequent supplier of endoprostheses to Russia. Anatomical prostheses from this company have three types of heights and projections, which contributes to the optimal choice. They are characterized by the most accurate curve parameters corresponding to the natural shape of the mammary glands.

Indications

Breast augmentation with anatomical implants is recommended in the following cases:

if you want to have a natural-looking bust;
after breastfeeding;
in the presence of asymmetry of the mammary glands;
with small breasts;
with hypersthenic and asthenic physique;
for the correction of severely sagging mammary glands;
if desired, do a breast lift and augmentation at the same time.

Mammoplasty with anatomical implants is performed in accordance with the body type, which directly affects the shape of the mammary glands. A hypersthenic physique implies a predominance of the width of the mammary glands over their height, while an asthenic physique has the opposite characteristics. Round implants, with their equal width and height, are not suitable. Among teardrop-shaped endoprostheses, you can choose both high and wide models.

The structure of the anatomical endoprosthesis is represented by a silicone shell, the volume of which is filled with a special filler:

Saline filler is a saline solution that is safe for surrounding tissue. Allows you to make the incision minimal, as it can be inserted directly during the procedure through a special hole. Some of them can be adjusted after the procedure. But they are vulnerable to mechanical damage. Too soft to the touch, making gurgling sounds when moving. Validity period is limited (about 18 years).
The gel filler is as natural as possible upon palpation. It is resistant to damage and almost does not seep into fabrics. Sterile, resistant to ptosis. The disadvantage is the need for a large incision, as well as a magnetic resonance imaging procedure. The service life is lifelong.

There are several types of gel filler:

hydrogel - soft, capable of leaking during injury, has the property of biodegradation;
highly cohesive - has the most high density, does not leak, feels solid;
“Softtouch” - natural elasticity, does not leak.

The volume of filler is used to determine the size of the implant and is measured in milliliters. One size equals 150 ml. The volume of the natural breast is also added to this figure. The implant volume of 300 ml corresponds to breast size 2. After adding the volume of the patient's natural breasts, the result is size 4.

The surface of endoprostheses is produced in two types:

The smooth surface is stable, soft, and costs less. Capable of displacement, can provoke fibrocapsular contracture.
The textured surface has micropores, is better fixed in the pockets of the mammary glands, and creates a reliable fixation of the endoprosthesis. Does not provoke fibrocapsular contracture. Characterized by a denser structure, high cost, and shorter service life.

The highest price is for an anatomical implant that has a textured surface with Softtouch filler. A highly cohesive gel that retains the shape of the endoprosthesis is also popular.

The difference between an anatomical implant and a round one

Anatomical and round implants - which is better?? The choice is determined by the anatomical characteristics of the structure of the breast and rib cage (volume and proportions of the breast, the area of its base, the distance to the submammary fold, the shape of the ribs). The structure of the skin, the presence of tissue volume around the mammary glands, and the degree of ptosis are also taken into account.

An important role is played by the qualifications of the specialist and his experience. To do right choice, all parameters of round and anatomical endoprostheses should be analyzed. To choose the ideal implant, you need to decide what effect should be achieved. To obtain the most natural result, anatomical implants should be preferred. If you need a large volume and elevation, then you will need round endoprostheses.

The disadvantage of a round implant is the unnaturalness of the breast when large implants are introduced. The slope at the top of the chest looks crowded. Round implants give good result only with a sufficient amount of glandular tissue. If there is a lack of it, it is advisable to install anatomical type implants.

A significant advantage of an anatomical endoprosthesis is the low probability of capsular contracture formation. This complication occurs when the body does not accept the foreign body and hard, painful scar tissue grows around it. Round implants are more likely to cause complications. Another important factor is cost. The price of an anatomical implant is higher than a round one.

The disadvantage of an anatomical endoprosthesis is its fixed shape. If a slight displacement occurs, the shape of the breast is deformed. To correct this defect, a repeat operation is required. Round implants remain invisible when moved or turned over. The rigidity of the shape of the anatomical prosthesis creates a slightly unnatural appearance if the woman is lying down. Round dentures in horizontal position the bodies take the shape of natural breasts, slightly flattening. Anatomical endoprostheses are the most acceptable option for breast asymmetry and small volume.

Anatomical and round types implants are characterized by approximately equal numbers of advantages and disadvantages. Unambiguous opinion about better type There is no implant among surgeons. For acceptance the right decision You can consult several surgeons.

IN modern operations Anatomical implants are used to change the shape, enlarge or reduce breasts - they help women have an attractive bust and look seductive.

But there are many options on the breast endoprosthesis market, which is why it is so important to know about choosing the preferred option. This will allow patients to get breasts of the desired size and avoid complications after surgery.

When is mammoplasty required?

The personal desire of the woman who turns to specialists for an operation takes precedence. Other reasons include:

INDICATIONS

exaggerated or underdeveloped breasts;
unwanted variability of the bust after pregnancy, childbirth and breastfeeding;
sagging or asymmetry of the mammary glands;
reconstruction of the mammary gland after its removal against the background of a low-quality tumor;
the will of a man.

Among the obvious contraindications to surgery are:

CONTRAINDICATIONS

infectious and blood diseases;
severe course of diseases of internal organs;
age up to 18 years.

The specialist chooses an implant based on the surgical goals and technique used, the anatomical properties of the patients and their personal preferences.

Which prostheses are better for mammoplasty?

Round or anatomical? Every woman who dares to get a new bust solves this dilemma. Because these endoprostheses are in great demand among patients of plastic surgeons.

In general, implants differ:

shape;
projection;
volume;
surface texture.

Implants also differ in the width and height of the base.

The difference between anatomical and round implants is in their shape. And this is clearly visible even in the photo. The first type resembles a swelling drop.

The second option means a round classic bust, obtained by implanting the appropriate type of implant into it.

Round endoprostheses provide the mammary gland with symmetry and preservation of its shape during natural movements made by a woman. They transform the bust into a fuller one and replenish the volume of the upper pole of the breast.

Teardrop implants do not guarantee this. At the same time, the anatomical shape of the grafts gives the new breast a natural appearance.

As recent studies show (conducted by Dr. Charles Rehnquist from Sweden and Professor Mario Ceravolo), visually identifying the breasts of women with round and anatomical implants is difficult even for specialists. This is also explained by the fact that during reprosthetics, the replaced implant often changes shape under the action of the muscle. As a result, a round endoprosthesis turns into an anatomical one and vice versa.

Division of endoprostheses according to the composition of the filling fluid

The outer wafer of any transplant is made of soft silicone and filled with a special gel or isotonic saline liquid, similar in composition to a sterile solution for injections.

Such a mixture, even if it leaks, is harmless to a woman. It will only be absorbed into the blood, just as a liquid comes from an IV into the body to flush the body.

It is also captivating that these implants cost less than other types of endoprostheses. In addition, they are softer to the touch.

But there is also flaw in the use of such transplants. With them, the chest is heavier and looks unnatural, and often makes gurgling sounds when moving.

Implants containing a biocompatible cohesin (non-flowing) gel are incomparably lighter. With these endoprostheses, the bust acquires improved elasticity and a natural appearance.

The specific composition of gelatin ensures, when pressing on the bust and when its owner moves, a return to the natural shape of the breast without issuing third-party “chords”.

The disadvantage of this gel is that if it leaks, surgical intervention will be required.

In addition, plastic surgeons have breast implants with a smooth silicone or textured outer surface.

And these endoprostheses for mammoplasty have their advantages and disadvantages. Thus, smooth ones are prone to shifting, and grafts with a textured shell, albeit sometimes, when in contact with the subcutaneous tissue, cause wrinkles.

Practicing plastic surgeons, as a rule, do not favor smooth or water-filled implants. The former are prone to slipping and turning over. The latter decrease in volume over time as the liquid evaporates. Due to these reasons, the risk of reoperation increases significantly, and long-term results are not satisfactory.

Anatomical implants McGahn (USA)

What distinguishes Natrel McGan style 410 anatomical implants from other grafts?

Their interior is filled with silicone gel.
The implants have more perpendicular cross-links, which makes the gel stronger.
Reduced rate of gel diffusion through the wafer with a specialized inner layer.
The hardness of the filling and bringing the gel to drying is carried out using a special technology.
The ability to shape the breasts so that they will not subsequently become distorted.
Wider possibility of selecting this implant for a specific patient - style 410 is manufactured in 12 shapes for all possible volumes.

Natrel McGan in a teardrop shape gently blends into the surrounding tissue, giving the breast a natural appearance. This endoprosthesis is more suitable for recreating a lost breast, as well as for patients whose breasts have visible asymmetry or deformation. The hardness of the implants provides them with an elastic bust.

Among the main manufacturers of implants, including anatomical ones, there are also:

Nagor(Great Britain) specializes in the production of endoprostheses with a textured wafer and gel filler and offers patients a large selection of sizes and shapes of implants;
(USA) – the company has anatomical and round implants filled with cohesin gel, which reduces the risk of developing capsular contracture;
Polytech(Germany) – endoprostheses from this company are also filled with soft cohesin gel and have a “memory effect” that allows them to maintain their shape after manipulation;
Eurosilicone(France) is a company that supplies consistently high-quality and safe transplants to Europe and other countries of the world.

Before mammoplasty, each patient should inquire about the features of delicate products produced by these and other manufacturers, and the availability of transplant quality certificates.

Polyurethane anatomical two-gel implants

Polyurethane as a coating has endowed endoprostheses with excellent characteristics, which are ideally suited for mammoplasty, decisive problem capsular contracture.

This is due to the fact that the polyurethane coating in tandem with the main cohesin gel has high elasticity and the ability to remember the intended shape of the breast.

Therefore, after the use of such implants, the incidence of capsular contracture sometimes does not exceed 1% of cases 10 years after mammoplasty.

Another advantage is assigned to the polyurethane coating in the form of its “ability” to adhere (stick) to fabrics. And then the implant is not subject to displacement/rotation, which leads to patients obtaining breasts that are natural and soft to the touch.

The before and after photos clearly show how such an implant creates a natural, streamlined shape with a gradual narrowing in the upper part of the chest. But it is worth knowing that polyurethane endoprostheses can cause a longer (up to a year) rehabilitation period. During this time, their shape may change, and swelling persists for up to six months.

Who should choose which implants?

Anatomical implants are more suitable for those women who:

naturally thin physique;
narrow chest;
insignificant volume of natural breast tissue;
pronounced drooping of the breasts due to their natural miniature size, breastfeeding or weight loss.

In these cases, anatomical implants will transform the bust to a natural one. Anatomists will also help in correcting certain types of breast asymmetry.

Young patients with developed mammary glands can safely choose round implants if they need to increase their bust by 1 size.

Parameters of breast prostheses

The size of each implant, including anatomical ones, is calculated in milliliters. This means that at 1 chest size the filling volume is 150 ml.

The size of the endoprosthesis is added to the natural girth of the bust. Thus, a woman with size 2 acquires breasts with indicators of size 4.

In addition, there are adjustable and fixed implant sizes. The former are characterized by the introduction of filler into the membrane during surgery after implantation of grafts.

This allows the surgeon to make adjustments to breast size during the surgical period, increasing or decreasing the volume of the planned bust.

The peculiarity of the latter is that after implantation into the mammary gland, their size cannot be changed.

Endoprosthesis profiles

This indicator of implants, anatomical and round, is nothing more than the percentage ratio of the projection values of the graft to the size of its base.

Thus, a high-profile breast prosthesis has a larger projection and a smaller base.

In other words, the profile indicator reports the plumpness (high profile) or flatness (low profile) of a particular implant.

At the same time, manufacturers do not agree on which endoprostheses are considered high- or low-profile. This is explained by the fact that manufacturers also use different types of fillings and shells in the implants they produce.

Using the example of McGhan implants, it is proposed to take into account the following profile indicators:

within 32% - low profile;
32 - 38% - medium profile;
more than 38% are high-profile.

Experience shows that a more beautiful breast shape is obtained with medium-profile implants.

After implantation, endoprostheses last a lifetime if there are no complications. However, implants can be removed at any time if the woman so desires. Implants cannot be replaced every 10-20 years. It is also important that implants do not interfere with breastfeeding. The gland tissue is not damaged during placement and does not have a toxic effect on the quality of milk.

One of the most popular plastic surgeries today is endoprosthetics. mammary glands or mammoplasty, which brought the real dawn of cosmetic medicine.

Statistics show that plastic surgeons perform more than 100,000 operations per year related to changing and correcting the size of the mammary glands.

What are implants?

These are endoprostheses made of biocompatible material High Quality giving breasts larger size or changing its shape.

Advantages and disadvantages of breast prostheses

Advantages

The advantages of using any endoprostheses include:

It is important to know that there are cases when, due to mechanical impact the implant still breaks, then it can be replaced at the expense of the manufacturer of this prosthesis. As a rule, this item is specified in the product document in the warranty section.

Flaws

Disadvantages mainly occur when unforeseen cases occur, for example:

Implant classifications

Of course, the advantages and disadvantages can form a large list if we consider them by filler, installation options, shape or technical specifications. The information above refers to generally accepted factors.

By filler

Silicone

The world met them in 1991. They look like a silicone bag with a multilayer elastomer shell and gel inside. The filler can be:

Why are silicone implants better than others?

The most natural and best breast implants are silicone. They perfectly imitate a woman's breasts and have a wide the lineup, look natural. Installation over the pectoral muscle is possible, as there is no wrinkling effect.

If the prosthesis is damaged, the internal filling will not enter the mammary gland, but will remain in its place. It is this factor that makes silicone implants completely safe. Therefore, they have gained the greatest popularity in cosmetology medicine.

The disadvantages include a large incision when installing the prosthesis and regular (once every 2 years) magnetic resonance imaging to exclude the presence of an implant defect, since it is impossible to identify the problem by touch.

Salt

Anatomical

Working with anatomical shapes is more labor-intensive and they are more expensive than round shapes. This implant can move and distort the contours of the breast. But this can be avoided by giving preference to the textured surface of the prosthesis. It should also be noted that anatomical implants are quite dense in structure and even in a supine position the breasts retain their shape, which looks unnatural.

Yes, and you will have to forget about corrective and breast-lifting bras. Even the best teardrop shaped breast implants often deform into a round shape!

Both shapes are available with different profiles: low, medium, high and extra high. The height is selected by the plastic surgeon after analyzing the client’s physique.

By size of endoprostheses

In addition, the anatomical features of the patient should be taken into account:

natural breast size;
skin condition and tissue elasticity;
chest size (asthenic, normosthenic or hypersthenic);
body proportions;
breast density.

After analyzing all the data, the plastic surgeon advises the patient on the shape and volume of the implant, which will look as natural and beautiful as possible.

Even if the patient flat chest, increasing will help you acquire beautiful shapes. Special measurements are carried out to determine exact size and volume of the prosthesis. To do this, not only the volume of the chest is determined, but also the thickness of the breast, the location of the nipples, and the distance between the mammary glands.

The nuances associated with the incision for the implant are also discussed. In modern clinics, you can simulate the result on a computer. Of course, the patient’s wishes are always taken into account, but the doctor has the final say.

Breast implant lifespan

Theoretically, the implant does not require replacement, except in unforeseen cases. Repeated surgery may only be required if the breasts become deformed after pregnancy and breastfeeding, after a significant change in weight and when a defect in the prosthesis is detected.

The manufacturer of endoprostheses gives a lifetime guarantee without harm to human health, and if the implant needs to be replaced, it will be done at the expense of the manufacturer!

Implant manufacturing companies

Arion is a French company that produces anatomical and round implants with hydrogel and silicone filling.

Allergan— the American manufacturer offers implants with a special pore size of a textured surface. This allows connective tissue dissolve deep within the prosthesis. They fit in the chest like a glove. They are filled with soft gel, which allows your breasts to look natural. The company also offers saline-filled implants.

According to reviews from plastic surgeons, implants from this company have a very small percentage of cases with complications, only 1-4%.

Nagor— British implants with a huge selection of shapes and sizes. Producing prosthetics since the 1970s. Over the course of 5 years, the percentage of gaps was 0%! The products are textured and filled with gel content. The product is distinguished by a special casing.

Polytech— implants with memory effect from Germany. A product with a highly cohesive gel practically does not change shape, and the shell consists of many layers. May be smooth or textured.

Mentor- an American manufacturer produces some of the elastic prostheses of both anatomical and round shape since 1992. The shell is durable and textured, and is filled with a highly cohesive material. This company also offers saline implants, which can be adjusted during surgery.

A professional plastic surgeon in a good modern clinic will always help you choose the right implant and tell you which breast implants are the best today.

Since the middle of the twentieth century in the world plastic surgery Breast implants have become widely used. Currently, mammoplasty is the most common of all plastic surgeries.

Breast augmentation with drop-shaped implants makes it possible to get good results with minimal risks complications after mammoplasty.

Breast augmentation with drop-shaped implants is recommended for patients with a long chest Moreover, the anatomical shape looks more natural, although the cost of such an implant is higher.

The teardrop shape of breast implants improves the contours of the breasts, eliminating indentations and the effect of sagging.

The advantage of teardrop implants is:

teardrop-shaped implants have a natural shape: The widest possible bottom part allows you to create a beautiful roundness, while top part after correction, it rises only slightly, which allows you to correct breasts that sag after breastfeeding;
teardrop-shaped implants hold their shape better when the position of the body changes, it also depends on the density of the shell and filler;
no problems leading to the inability to breastfeed, since the implants are inserted deeply and do not interfere with the lactation process;
breast augmentation with teardrop implants allows you to hide the fact of breast correction due to the exact correspondence to the natural shape of the mammary gland.

Which teardrop implants to choose

For breast augmentation, implants of two shapes are used: round or teardrop-shaped, they are also called anatomical.

Interesting fact! The first implants were round in shape and the filler was saline solution.

The filler of modern implants is not only saline solution; often preference is given to silicone gel, which is a transparent viscous substance, or hydrogel filler. There are implants with mixed fillers, but they are rare.

The surfaces of the implant also differ: smooth or textured. The second is preferable for the body, as it is better perceived internal tissues and reduces the likelihood of developing fibrosis.

Important to remember! The choice of modern implants is quite diverse. However, when determining the most suitable implant model, a qualified doctor first of all takes into account the patient’s body shape and chest size in order to achieve maximum naturalness during breast correction.

Modern technologies make it possible to produce high-quality breast implants that are resistant to damage due to natural wear and tear.

The final result of plastic surgery largely depends on the chosen implant. Due to the high demand, there are many companies involved in the production of breast implants. Some have already proven themselves well in this area as the most reliable manufacturers.

The leading manufacturers of breast implants include the following:

Polytech Health & Aesthetics GmbH - a German company that provides free insurance throughout its entire service life. Implants from Polytech minimize the risk of colloid tissue in the area of the endoprosthesis. Prices for Polytech implants range from $1,400 to $1,600.
Nagor- a company that produces implants with a special multilayer shell that can be well implanted into human tissue and minimize the risk of displacement of the endoprosthesis.
Arion- a French company that has been producing implants for more than 40 years provides a lifetime guarantee. Average cost 100 thousand rubles
Mentor- a company that produces drop-shaped implants with the most precise curves, which distinguishes them from all other endoprostheses of this type and the breasts look most natural.
McGhan Company produces implants that have a unique textured surface, which minimizes the risk of fibrosis.
Eurosillicon- a company that uses the latest technologies in the production of implants, provides an endless shelf life of its products at reasonable prices - 120 thousand rubles.

Indications and contraindications

Breast surgery is first and foremost surgery , which has a number of indications for use, as well as contraindications that must be taken into account before making a final decision.

Before breast augmentation, you should make an informed decision, since in some cases the doctor may refuse surgery.

Indications for plastic surgery are:

the ability to correct physical defects (for example, if symmetry is violated or after breast removal);
minimizing spinal problems caused by large breast volume;
correction of saggy breasts due to breastfeeding;
to increase self-esteem in case a woman is dissatisfied with her appearance and eliminate the complexes associated with this.

There are many more contraindications to breast surgery, and you should carefully weigh the pros and cons before making a final decision.

The main contraindications include the following:

It is not recommended to do mammoplasty for girls under 18 years of age, due to the fact that the formation of the mammary glands has not yet been completed;
The operation is contraindicated for persons with severe chronic diseases;
you should not resort to plastic surgery during infectious diseases;
Surgery cannot be performed during pregnancy and lactation;
strictly contraindicated for patients suffering from bleeding disorders;
in the presence of oncological diseases;
at diabetes mellitus;
when hormonal disorders;
for psychological disorders.

List of necessary tests

Carrying out any operation requires the patient to undergo a number of tests, the purpose of which is to detect contraindications and risks of complications during or after surgery.

Be careful! Each analysis has its own specific validity period during which it is valid, so the analysis should be carried out at a time strictly prescribed by the surgeon.

Tests required for breast augmentation surgery with teardrop-shaped or round implants:	Expiration date of tests required for surgery
Clinical blood test
General urine analysis
Blood clotting test
Determination of Rh factor
Blood group determination
Biochemical analysis
HIV test
Test for sexually transmitted diseases
Testing for hepatitis C, B
Mammography
Fluorography
Electrocardiogram
Consultation with a therapist

Preoperative and surgical periods

Before surgery you should follow a number of recommendations to prepare the body for surgery and simplify the rehabilitation period.

in several days before upcoming operation you need to have a good rest, avoid physical and emotional stress;
need to give up alcohol because alcohol is not compatible with anesthesia medications;
it is recommended to refrain from smoking two weeks before surgery, as nicotine impairs healing;
you should not lose weight after surgery, since weight loss adversely affects the appearance of the breasts and increases the risk of the need for corrective surgery. It is better to adjust your weight before mammoplasty.

After the operation, the patient spends a day under the supervision of medical staff in the hospital.

During consultations with a doctor, you should describe your well-being in detail and not hide anything, so that the specialist can objectively assess the result of the operation.

During postoperative period the following nuances need to be taken into account:

pain arising in the area of the operated area - normal phenomenon, therefore, painkillers are necessarily prescribed;
immediately upon completion of the operation compression garments are put on, which are necessary to prevent displacement of the implants, as well as to reduce postoperative edema;
postoperative sutures should be wiped with an antiseptic to reduce the risk of wound suppuration;
in case of occurrence inflammatory processes or if you feel discomfort caused by the implant, it should be removed immediately. Repeated operation if desired, possible no earlier than in 2-3 months;
if the inflammation is superficial, then it is regarded as a side effect and is treated locally;
after operation the patient often experiences an increase in temperature, a feeling of nausea, weakness - all this normal reaction to a foreign body.

Features and stages of breast augmentation surgery

Breast augmentation with both teardrop-shaped and round implants allows you to get a “new” breast, while the size and shape depend on the chosen endoprosthesis.

Methods of implantation differ in the incision line and its location:

axillary or axillary method - an incision is made in the armpit, which avoids visible scars in the chest area, and the implant is inserted under the pectoralis major muscle;
periareolar method- an incision passes along the lower part of the areola and endoprostheses are inserted under the mammary gland or into the pectoral muscle. The scars after such an operation are almost invisible, but it is not recommended for women who plan to have a child and breastfeed in the future, since with such an incision it is impossible to avoid even minor injuries to the mammary gland;
submammary method- the incision is made directly under the breast. After this operation, scars remain, which can be hidden by the fold under the mammary gland. Not recommended for young patients.

Before breast augmentation surgery using implants, the surgeon examines the condition of the breast, takes the necessary measurements, and then decides on the shape of the incision. This requires agreement with the patient.

General anesthesia is always used during surgery. An incision is made in the intended location, creating a pocket for inserting endoprostheses. Once the bleeding has stopped, the surgeon inserts the implants.

The skin is sutured with special absorbable threads. The operation lasts a maximum of 3 hours. A bandage is applied to the site where it is performed and a special bandage is put on, which is necessary to reduce swelling and maintain the resulting shape.

Rehabilitation period after surgery

To reduce the rehabilitation period, you need to take into account some expert advice so that the body recovers faster and the effect of the achieved result can last for a longer period of time.

After surgery, hand movements should be limited and do not raise them above shoulder level, as there is a risk of tissue injury and blood accumulation;
in two weeks you should sleep on your back;
within 21 days after the lift or breast augmentation with teardrop implants, you should not do any household chores, try to avoid stressful situations;
you should reduce the amount of fluid consumed to reduce the development of edema;
compression garments should be worn at all times Not less than a month after operation. Then - only in daytime or during exercise;
necessary completely eliminate alcohol consumption and smoking;
refrain from using spicy food;
warm shower allowed to be taken on the fifth day after surgery;
necessary after shower disinfect seams a cotton swab soaked in alcohol;
exercise resolved after 2 months.

Compression garments securely hold the breast in place, preventing the implant from moving until it is completely implanted into the tissue.
The patient must follow the prescribed schedule for visiting the doctor for a routine examination.

Rare complications. Implant rupture

According to statistics, only in 1-2% of cases after mammoplasty can a number of negative consequences, which include the following:

development of fibrosis;
suppuration - the body’s reaction to a foreign body;
loss of sensation caused by damage to nerve endings during surgery;
the likelihood of displacement or rupture of implants.

This is mainly due to doctor errors, non-compliance with postoperative recommendations or injuries.

Before the implant is implanted into the tissue, it is subject to displacement, which is controlled by wearing compression garments, as well as limiting stress on the body and correct posture during sleep.

If the endoprosthesis is displaced, there is a threat of loss of the desired shape and, if the displacement occurs asymmetrically, there is a need for a repeat operation.

The cause of implant rupture is wear and tear on the walls due to respiratory movements in the chest. Therefore, previously it was necessary to replace implants every 5 years. Modern high-quality endoprostheses practically eliminate self-rupture of the implant.

After breast augmentation, if the implant (drop-shaped or round) ruptures due to mechanical impact or trauma to the breast, it should be replaced or removed.

What is important to know before breast augmentation surgery

Before making a final decision in favor of mammoplasty, you should know and take into account a number of conditions and factors.

If the desire is just a passing whim or a tribute to fashion and is not associated with a real problem, there is a possibility that the operation will be refused.

If the problem is minor, it can be easily solved physical exercise and appropriate clothing.

8 main life questions related to breast augmentation that interest women who have decided to take this step

Is it possible to have surgery before giving birth?

It is up to the woman herself to decide whether to have surgery before or after childbirth. However, one should take into account the fact that after childbirth and breastfeeding, its shape may change and an implant replacement or corrective surgery will be required.

Is it possible to breastfeed after surgery?

If the mammary gland was not affected during the operation, plastic surgery will not affect the possibility of breastfeeding.

How long should you wait after pregnancy, childbirth and lactation?

It is necessary to wait until the breasts are fully restored after finishing feeding the baby. This takes from 8 months to a year, depending on individual characteristics body.

Can this be done if the patient has mastopathy?

Mastopathy is not an obstacle to breast augmentation surgery using implants.

Are breast functions impaired or the risk of breast disease?

Correctly performed surgery and use of implants good quality have no effect on breast disease.

Be careful! Breast augmentation with drop-shaped implants that are too large can lead to the formation of necrosis due to pressure on the mammary glands.

Time spent in the clinic

If there are no complications and the condition after the operation has returned to normal without the risk of complications, the patient spends a day or two in the clinic.

Breast implant lifespan

Many companies producing modern implants claim a lifetime guarantee for their products, but no one can guarantee that over time the breasts will not lose their desired shape, and the woman will again have a need to change the size or shape of her breasts.

Implant replacement

Modern implants are characterized by durability and are not subject to age-related changes, unlike body tissues. However, there is a possibility of wear of the implant due to wrinkles on its surface.

Besides With age, breast tissue can stretch under the weight of endoprostheses, which will also do necessary surgery for replacement or correction.

Note! If there is no rupture or change in the shape of the breast, when the patient no longer likes the breast, there are no indications for replacing implants.

Cost of implants and surgery in Russia, near and far abroad countries

Prices for implants depend on the brand of the manufacturer; the differences in characteristics and quality between endoprostheses are insignificant. The minimum cost is from 20,000 rubles per piece, but the quality of the products will be low. On average, the price ranges from 40,000 rubles. and higher.

The cost of breast implants directly affects plastic surgery and amounts to 10-50% of the total amount.

The cost of mammoplasty depends on the region, clinic, surgeon services and is formed taking into account the following factors:

cost of consultation plastic surgeon;
cost of examination before surgery;
cost of implants;
anesthesia;
the work of doctors performing surgery;
hospital payment.

Countries	Average cost of surgery
Russia	from 80,000 to 500,000 rub.
Ukraine	from 1600 to 4000 $
Switzerland	not less than $10,000
Spain	about 5000 $
Germany	8000 $
Czech Republic, Hungary, Slovakia	2000 - 3000 $
Cuba	1200 $
Brazil	from 1200 to 5000 $

The results obtained do not last forever: the skin ages and this is reflected in the effect obtained from the operation.

Corrective surgeries will be required over time, which are held on problem areas. Operations associated with correction do not pose a health hazard and do not require much time.

Useful videos about breast augmentation with drop-shaped implants and the features of mammoplasty

Breast augmentation with drop-shaped implants is an effective and relatively safe operation.Features of the operation and recommendations for choosing the type of implant are given in this video:

How to behave after mammoplasty surgery - expert recommendations in this video:

Women who decide to enlarge their breasts with round or anatomical silicone implants must first resolve a number of very difficult issues. Their list includes not only the size of the desired breast, but also the type of implant itself. The choice determines the final result, the duration of maintaining the shape of the breast, convenience and many other indicators.

On this moment The market offers several types of implants, which differ in the following characteristics:

Shape (round or anatomical). In most cases, preference is given here round implants, since they are cheaper and additionally allow you to achieve the push-up effect.
Texture (smooth or porous). The porous texture is more convenient, since such implants are practically not subject to displacement.
Filler (silicone or saline solution). Doctors recommend giving preference to silicone implants. They are more elastic and at the same time there is a choice among varying degrees rigidity.

What should you choose and how do these characteristics affect the final result? In this difficult task, doctors come to the rescue, who can easily simulate the final result, taking into account anatomical features patients. In this case, all the wishes of the patient are taken into account.

Round or anatomical implants?

Among all the questions when choosing a breast implant, women spend the longest time thinking about its shape. So, at the moment there are two options available: round and anatomical shapes. What's the difference?

First of all, it is worth saying that round implants differ from anatomical ones in price. The latter have a higher cost. Also, anatomical implants are drop-shaped and perfectly replicate the natural shape of the breast. Round ones, on the contrary, change it appearance. But these are not the main reasons why the latest type of breast implants has become the most common in the world. Here the matter lies elsewhere.

And the first reason for the prevalence of round breast implants is to provide the largest projection. They make the breasts more rounded and allow you to easily achieve a push-up effect. Anatomical implants do not change the shape of the breast, but are only aimed at increasing its size.

It is also worth noting that when using round implants, the risk of capsular contracture is reduced. If the implant turns over, it will be absolutely invisible from the outside. When using anatomical implants the situation is slightly different. Breast asymmetry becomes noticeable even with slight displacement, which brings a number of inconveniences. To align the implant, you need to contact a surgeon, who will prescribe the technique.

What do you need to know before surgery?

To achieve the desired effect after augmentation surgery, the patient must undergo thorough preparation.

Add to list mandatory items includes:

Choosing a clinic and plastic surgeon. Here, it is mandatory to have certificates and licenses to conduct this type of operation, positive reviews and experienced doctors who have already earned a good reputation.
Selecting the manufacturer and type of implant. This procedure performed together with the doctor who will perform breast augmentation.
Providing the doctor with the opportunity to examine the breast and determine the implantation site, taking into account its shape, size and motor activity of the patient.
Familiarize yourself with the methods of pain relief used, the features of the operation and rehabilitation in the postoperative period.
Before making a final decision, be sure to take into account possible changes in the breasts under the influence of changes in body weight, pregnancy, lactation, gravity, etc.
Pass all the required tests and do an ultrasound of the mammary glands.

A full consultation with a specialist is mandatory. Together with him, you need to choose the prosthesis itself, decide on its size, type and location of implementation.

How is breast augmentation surgery performed?

As a rule, breast augmentation with round and anatomical implants takes from 40 minutes to 2 hours and is performed under general anesthesia.

During this time, the surgeon makes an incision in one of four places:

Under the chest. This approach allows you to minimize the likelihood of damage to the mammary gland and is one of the most popular.
From the armpit. This place is not used very often, since there is a high probability of damage to muscle tissue, the seam itself is noticeable after healing, and it is difficult to form a pocket for the implant. But, in the case of implantation through the armpit, it holds very well and is almost completely invisible in any position of the body.
Along the lower edge of the nipple areola. Used when introducing small implants. But, using this method is fraught with the possibility of damage to the ducts and a slightly noticeable seam remains around the areola. Additionally, this method is fraught with visual identification of the implant itself in a horizontal position of the body.
An incision in the navel area. This method is used less often than all others, since after the procedure there remains noticeable scar on the stomach.

After the implant has been installed, the incision is sutured. In this case, the doctor can perform a breast lift procedure if this is required to achieve the maximum aesthetic shape.

Complications in the postoperative period

Since breast augmentation with implants is accompanied by damage to soft tissues, breast swelling is observed in the first week after surgery. It almost doubles. In this case, the implant can long time be above its intended location until the body adapts to foreign body in organism.

In addition to the above defects, patients may experience the following complications:

Contouring of the prosthesis. Its contours are especially visible when lying down. This drawback is noticeable only if the prosthesis is installed under the gland. When implanted in the armpit, such consequences are not observed. Also, when installing a prosthesis under the gland, the implant can be easily palpated.
Fibrous-capsular contracture. This consequence is observed when using implants with a smooth shell. The main reason The development of fibrocapsular contracture is caused by an incorrectly created pocket for the prosthesis. Often, inexperienced surgeons create a small pocket. This in turn leads to tissue necrosis, suture divergence and disruption of the healing process.
Displacement of the endoprosthesis. This happens in cases where the surgeon has formed a large pocket. To control the size during surgery, the doctor must have special sizers on hand.

Advantages and disadvantages of implants

To make a final decision, you must weigh all the pros and cons.

So, among the advantages of breast augmentation with implants, in particular round shapes, we can highlight:

The ability to increase breast volume and achieve a “push-up” effect.
Harmonious breast appearance in any body position.
Preservation of breast symmetry even with deployed implant.
No access restrictions.
Affordable price for both the prosthesis itself and the operation.

Unfortunately, breast augmentation surgery using silicone implants also has a number of disadvantages.

In particular, these are:

If selected incorrectly, there is a high probability of achieving an excessive effect and causing a number of complications.
In some cases, breast asymmetry persists.
Complications that develop as a result of rejection of the implant by the body.
High probability of gland damage.

There are also a number of contraindications for which surgery cannot be performed at all.

These are:

cancer;
diabetes;
disorders of the thyroid gland;
problems with blood clotting;
breast-feeding.

How long do implants last?

Well-known implant manufacturers usually provide a lifetime warranty on their products. Moreover, if it ruptures, it is replaced free of charge. Accordingly, it can be argued that breast augmentation does not require repeated surgery. But that's not true. There are a number of factors that may lead to repeat surgery.

These are:

sharp fluctuations in body weight within wide limits;
increase in size and change in breast shape after pregnancy and breastfeeding;
presence of implant defects.

Fortunately, most patients who undergo breast augmentation do not experience any side effects and do not require repeat surgery.