Augmentation mammoplasty (breast enlargement)
Augmentation mammoplasty is a surgery that involves the placement of breast implants to enhance the size and shape of the breast. Sometimes this surgery is also called breast endoprosthesis. Such surgeries are performed to restore the breast shape or for aesthetic reasons.
Process of breast augmentation surgery:
During surgery the implants are inserted to the breast using an incision placed under the breast and a patient’s new breast is shaped. The incisions are usually made under the breast, in the armpit or around the nipple. Depending on the individual characteristics of a woman an implant can be positioned at different chest layers.
Preparation to breast augmentation surgery:
The preoperative preparation includes clinical examination of a patient. General and biochemical blood and urine tests, chest X-ray examination and electrocardiography are undertaken. Examinations by a breast cancer oncologist and gynecologist are obligatory. Additionally, a consultation with an anesthesiologist is appointed to reveal possible allergic reactions to anesthesia and other drugs.
If a patient is currently ill and takes any medicines she should inform her attending physician about it. During the preoperative preparation a consultation is held to determine the goals and desired results of surgery, the implants and fillers are selected.
Two weeks prior to surgery a patient must stop smoking and consuming alcohol. It is also prohibited to smoke for 2-3 weeks after the procedure. First of all, it is because smoking reduces oxygen supply to the damaged tissues and impedes healing. A low-calorie diet is prescribed a week before the mammoplasty to facilitate body detoxification.
8 hours prior to the procedure the intestines are purged using enema, a special catheter is used to empty the urinary bladder, eating and drinking are strictly prohibited.
Surgery/procedure duration: 3 hours
Anesthesia: general anesthesia
A patient is transferred to a ward immediately after surgery. A doctor observes a patient for 3 days. Postoperative sutures are removed in 2 weeks. Swelling and bruising can occur at sutures during the first weeks after surgery. They require no additional treatment and subside on their own soon. Immediately after surgery a compression bandage is applied around the breasts. Upon removal of sutures a patient has to wear a special bra maintaining the correct breast shape. Such underwear should be worn for 3 to 4 months.
It is important for a patient to be mentally prepared to the fact that after surgery small scars will remain but they will become barely visible if surgery has been performed proficiently enough. Also, it is impossible to achieve the perfect symmetry of nipples and areolae. The breasts size or shape can slightly differ as well. In most cases breast enlargement mammoplasty results in the significant reduction of the breastfeeding capability. Right after the procedure the breast sensitivity is very low but it will be restored over time.
The recovery period is not long and a patient can start doing simple household activities in a week after the plastic surgery. It is necessary to understand that the true result of surgery will be visible only in 4 months as by that time the implants will be accepted completely and the breasts will gain their shape.