Cosmetic surgery confirms the ancient thesis: “beauty requires sacrifice”. Of course, the result directly depends on the skill of the plastic surgeon. Especially when it comes to breast enlargement. Confidence Cosmetic Surgery Glasgow will tell you about this plastic surgery in more detail.
Indications for breast enlargement
In general, the indications for breast augmentation surgery with implants are reduced to the patient’s dissatisfaction with its size and shape because it is technically possible to live with a complete lack of mammary glands. But if it creates discomfort and undermines self-esteem – plastic surgery will help, which determines the following indications for breast augmentation:
- dissatisfaction with the shape and size of the mammary glands;
- congenital anomalies of breast development: the complete absence of the breast on one or both sides, asymmetry, small breasts (micromastia);
- breast repair after removal of the gland due to a tumor or after injury;
- changes after childbirth or associated with age: ptosis (sagging breasts), “empty” breasts, lost elasticity, etc.
- replacement of breast implants.
Breast enlargement surgery carries certain risks, so there are contraindications to it. They are divided into two large groups: absolute and relative. Absolute contraindications mean that the operation is dangerous to health and even life. They include:
- severe pathology of the cardiovascular system;
- exacerbation of chronic diseases;
- varicose veins;
- bleeding disorders;
- malignant neoplasms (cancer);
- less than half a year since the cessation of breastfeeding.
Relative contraindications to plastic breast augmentation suggest situations in which it is better to refrain from an operation, and if it is necessary, carefully weigh the possible risks. These contraindications include:
- compensated chronic diseases of the cardiovascular (hypertension, IHD) and endocrine (diabetes) systems, glaucoma. In this case, the patient’s physician must authorize the operation;
- autoimmune diseases: rheumatism, systemic lupus erythematosus, glomerulonephritis, etc. Under these conditions, the risk of complications increases;
- benign breast pathology (mastopathy, etc.);
- if a woman did not give birth. Implants do not interfere with pregnancy and breastfeeding, but these conditions change the shape of the mammary gland, so corrective surgery may be necessary;
- age up to 18 years. If an increase in breast size is urgently needed, the operation can be performed on a patient over the age of 16 with the consent of the parents.
The results of plastic surgery should bring joy. Therefore, contraindications should be taken very seriously. Moreover, you should not hide them from the doctor.
The doctor from Confidence Cosmetic Surgery Glasgow chooses an implant, taking into account the individual characteristics of the patient’s anatomy. In this case, several factors are taken into account:
- Material and content. The most popular option is silicone implants. Modern high-quality silicone implants do not differ from the natural breast to the touch. A dense shell is very difficult to damage, but if this happens, a highly cohesive (viscous and non-flowing) gel will retain its properties and will not leave the shell. Another popular filler option is saline. Such implants are released “deflated”, and filled after installation in place. Fillers such as soybean or polysaccharide hydrogels (polyglucin, carboxymethylcellulose) are also used but this is rather exotic;
- The form. Implants can be round or anatomical. Breast enlargement with anatomical implants mimics the tear-shaped form of the “real” breast. Breast augmentation with round implants creates a push-up effect. Being properly selected, they naturally look like those and others. Round implants are often preferred by athletes: if the active movement of the muscles changes their position, the shape of the breast will remain the same. Breast augmentation with round implants is preferred by those women who want to get more volume and fullness in the upper part of the breast. Those who find it unnatural choose the anatomical shape. But only give a doctor can give specific advice on what form to choose;
- The surface of the implant can be smooth or “rough”, textured. Modern implants with a textured surface are less often perceived by the body as a foreign body. This is one of the most unpleasant possible consequences of this plastic surgery;
- Size (volume) is measured in cubic milliliters. It is determined by the patient’s physique and the condition of her own breast tissue. Most often, implants are installed in sizes from 300 to 450 mm3, but options are possible in a wider range – from 200 to 600 cm3;
- Manufacturer. To date, there are about ten well-established manufacturers of silicone implants. Specific details related to the choice of the brand should be discussed directly with your doctor. Any of the modern manufacturers offers implants of various sizes and shapes, which allows each patient to choose the option that fully corresponds to her individual parameters.
Implant placement techniques
After choosing the size and shape of the implants, the doctor and the patient decide how they will be located. There are several possible implant placement techniques for breast enlargement in Glasgow:
- Subglandular. The implant is placed directly under the mammary gland. This option is good in cases where the gland has a sufficiently large volume, its tissues have retained density, and the skin has elasticity. The technique is minimally traumatic and allows you to quickly recover, but the implant is often noticeable;
- Subfascial. A pocket for an implant is formed under the fascia – the connective tissue sheath of the pectoral muscle. Technically, this method can be considered a variant of a subglandular installation. Doctors using this technique confirm the best fixation of the implant;
- Submuscular. The implant is placed under the pectoral muscle, which is then separated from the ribs and partially incised. This option is more traumatic and requires a long recovery, but the implant is almost imperceptible and securely fixed. With this method, capsular contracture occurs less frequently, since muscle tissue is “more tolerant” to foreign bodies;
- Combined method. The upper part of the implant is placed under the pectoral muscle, the lower – under the gland.
Types of operative access and 3D modeling
Choosing the option of operative access is not only the location of the scar that the patient is most concerned about but also the volume of the operating injury and the convenience of the surgeon. There are three main types of operational access at Confidence Cosmetic Surgery:
- Submammary access. The incision passes along the crease under the breast. This is the most comfortable access for both the doctor and the patient since this way the tissues are subjected to the least trauma. The disadvantage is purely cosmetic – the scar can be visible. But it becomes not so bright six months or a year after the operation, it merges with the skin, and most of the patients calm down. Next, the scar can be subjected to laser resurfacing;
- Perialveolar access. An incision is made along the edge of the areola, the areola. It’s recommended when the areola is large enough or when its size is even excessive and its reduction is planned. It is desirable to avoid this access in nonpartum women since in this case, the ducts of the mammary gland intersect. If the patient begins to breastfeed later, mastitis is possible. The scar is almost invisible. Theoretically, after healing, it can be tattooed so that the suture is completely merged with the areola tissues, but according to the experience of medical practitioners, few people resort to these additional methods;
- Axillary access. The seam is located under the arm and therefore it is not visible – in fact, this is where the merits of the method end. This type of access is traumatic for the patient, since a large volume of tissue is affected, and it is inconvenient for a surgeon who does not receive enough space for manipulation. Axillary access is contraindicated in ptosis – “sagging” of the breast.
These three types of access are the most common. The specific option is chosen by a doctor.
Before getting into the operating room, another preparatory stage is needed – testing, the results of which should confirm whether breast enlargement is safe for health. The list of laboratory and hardware research is as follows:
- clinical blood analysis;
- general urine analysis;
- biochemical analysis of blood: glucose, bilirubin, aminotransferases (AsAt, AlAt), total protein, urea;
- coagulogram: clotting time, bleeding time, prothrombin index;
- HIV, syphilis,
- parenteral hepatitis tests;
- fluorography or chest x-ray.
The list of studies may vary depending on the specific clinic and the patient’s state of health.
According to My Canadian Pharmacy, any surgery can cause complications. All types of breast augmentation can lead to undesirable effects:
- seroma – accumulation of fluid in a pocket around the implant;
- hematoma – accumulation of blood;
- capsular contracture – the formation around the implant of the connective tissue capsule, deforming the chest;
- implant displacement;
- loss of nipple sensitivity – often disappears in 6–12 months;
- keloid (rough) scars.
Some complications, such as loss of sensitivity of the nipples or keloid scars, are caused, in fact, by mechanical damage to the tissues and the characteristics of the reaction of the body, it is impossible to predict and prevent them. Others, such as seroma or implant displacement, depend on adherence to the postoperative regimen. In any case, to minimize the likelihood of complications, you need to select an experienced doctor and follow his recommendations.
You can maintain a beautiful breast shape for many years, if you do not neglect care and wear a bra and avoid sudden drops in weight. Was it worth to undergo this cosmetic surgery? Most of the women would say YES. The pain and swelling will disappear, the scars will become imperceptible. Self-esteem and admiring glances of men will remain!