Breast enlargement with injections. We weigh all the pros and cons

Recommendations for lipofillingAdvantagesFeatures of lipofillingResults of lipofillingRehabilitation

Complications after the procedure Feedback from our clients Questions and answers Who to sign up for Prices

For breast modeling, not only artificial implants can be used, but also the patient’s own fat tissue. Breast lipofilling is a plastic correction technique that is considered one of the safest. Fat is used to eliminate almost all types of aesthetic defects: to enlarge the breasts, change their shape or eliminate asymmetry.

All photos of breast lipofilling

Recommendations for breast lipofilling

• The patient’s inability or unwillingness to install breast implants in order to change the shape and volume of the mammary glands.
• The need for additional correction after breast replacement in thin women to prevent displacement of the implants and build-up of the subcutaneous fat layer above them (as a preventive measure for contouring).
• A slight change in volume with modeling the shape, oval, eliminating slight asymmetry of the mammary glands.

Breast lipofilling can also be performed in combination with liposuction to create more proportional, seductive body contours.

Prices

The first option is an implant

Implantation of prostheses is the most common method of breast augmentation through surgery. They provide a beautiful shape for a long period (more than 2 years), require correction only after the expiration date of the implants themselves, do not require replacement of the filler and allow you to enlarge the breasts by 2-3 sizes.

There are two types of prostheses: with silicone filler and with saline solution. Both options have both similarities and differences.

An implant made from saline solution – a physiological sterile solution of sodium chloride (popularly known as table salt) – is considered more affordable. It is very popular in the United States of America. Its advantage is not only its relatively low cost, but also its safe effect on the body if the prosthesis suddenly ruptures. However, using saline solution is not without its drawbacks. In the implant, the sodium chloride solution flows absolutely freely, which often leads to the appearance of an unsightly groove on the chest.

Silicone filler wins in this case. Its consistency is thicker, thanks to which the shape of the mammary glands is held more confidently. Silicone-filled dentures are made in various shapes. Recent developments make it possible to create silicone implants with a roughness, due to which the prosthesis grows into the breast tissue. This technique allows you to secure the implant, protecting the patient from its rotation and movement. Accordingly, the price of a prosthesis with silicone filler is several times higher, and not everyone can afford it.

Benefits of Breast Augmentation with Fat

• There is no risk of rejection, since instead of artificial implants, the patient’s own tissues are introduced, which cannot be identified by the immune system as antigens.
• With lipofilling, patients receive not only beautiful breasts, but also correction of body contours in problem areas - the biomaterial is taken from the place of the greatest accumulation of fatty tissue.
• Subcutaneous injection of fat additionally provides intensive nutrition to tissues, stimulating their renewal.
• Our surgeons’ experience and proprietary innovative techniques allow us to enlarge the breasts by 1 size.
• A natural result is achieved thanks to the lipofilling technique and the absence of traces of surgical intervention - scars.
• The versatility of the procedure is due to its aesthetic effect - with the help of fat, not only breast augmentation is carried out, but also breast modeling, the upper edges of implants protruding under the skin are hidden when there is a lack of soft tissue.

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When is nipple correction performed?

A woman's breasts can be both a source of pride and a source of self-doubt. Today, fortunately, women have access to various methods of improving their appearance, which differ in the degree of invasiveness and effect. Plastic surgery and contouring help correct any imperfections.

Correction of the nipples is usually required when they are retracted - inverted. It can be one-sided or two-sided, constant or hidden (retraction disappears with excitement, for example).

Before applying for nipple correction, it is necessary to rule out breast cancer. To do this, you need to see a mammologist and undergo an appropriate examination. If the inversion is purely cosmetic in nature, then you can use modern methods of aesthetic medicine.

Tightly inverted nipples are held in place by connective tissue fibers that can be cut surgically. This method of solving the problem is not suitable for women who plan to give birth and breastfeed a child in the future, because the ducts of the mammary glands are damaged.

Therefore, many young girls prefer to carry out nipple correction using contouring methods, namely, using injections of drugs based on hyaluronic acid.

Features of breast lipofilling

Lipomodeling can be either an independent operation or an integral component of plastic correction of the breast, face or other parts of the body.

Lipofilling is performed under local or general anesthesia. The choice of anesthetic drug depends on the severity of aesthetic breast defects and, accordingly, the chosen tactics of surgical correction. The duration of the operation varies from 30 to 60 minutes. The maximum period of inpatient treatment after breast augmentation with fat does not exceed 1 day.

The only limitation during the rehabilitation period, which lasts up to 3 weeks, is the exclusion of physical activity.

Breast augmentation (details)

Your new breasts will be a source of pride for you!

Breast augmentation surgery is rightfully considered one of the most beautiful and revealing operations in plastic surgery, the most popular in many countries of the world and the most popular operation among women. In all centuries, beautiful breasts have been considered one of the main adornments of a woman.

Breast augmentation will help you:

• increase breast volume
• improve breast shape
• make breasts firmer
• correct breast asymmetry
• restore breast shape during breastfeeding and childbirth

Breast augmentation methods have been developed for decades and have now been perfected. In our clinic, breast augmentation surgeries are performed using modern technology, which reduces the size of scars to a minimum, and rehabilitation after breast augmentation surgery is faster and easier.

Breast augmentation methods are divided according to surgical approach, i.e., according to the place where the scars will be located after surgery:

• submammary (along the lower fold of the breast)
• paraareolar (more precisely, subareolar - along the lower contour of the pigmented part of the areola)
• axillary (in the armpit area)
• through the navel

Pros and cons of various surgical approaches for breast augmentation

1. Submammary access for breast augmentation

"pros"

• It does not affect the own breast tissue and does not form scars in the breast tissue, and therefore does not subsequently interfere with breastfeeding.
• The scar area is hidden from prying eyes in a natural fold of the skin.
• Even the most revealing swimsuit always hides this area.
• There are no large vessels and nerves in the access area, and therefore no risk of damage.
• With this access, the sensitivity of the nipple extremely rarely changes.
• Technical simplicity of implementation and control over the accuracy of implant placement during surgery
• The incision runs parallel to Langer's lines, which results in the formation of the most delicate and thin scar.

"minuses"

• The access is located close to the mammary gland itself and without underwear, even the thinnest one, and a small scar is noticeable in the lying position.
• If even a small breast lift is necessary, it is necessary to either select a double-cohesive implant (this increases the cost of the operation) or perform additional approaches.

2. Paraareolar approach for breast augmentation

"pros"

• The scar area is hidden from prying eyes
• It is possible to further disguise the scar by making it along the border of pigmented and non-pigmented skin
• You can immediately reduce the areola of the nipple
• You can simultaneously do a small tightening of the breast tissue and correction of the shape and size of the areolas
• Technical simplicity of implementation and control over the accuracy of implant placement during surgery
• There are no large vessels and nerves in the access area, and therefore no risk of damage.

"minuses"

• This method can lead to impaired sensitivity of the skin of the lower edge of the nipple
• If the areola is small, the size of the implants is limited or the incision needs to be extended beyond the areola.

3. Axillary access for breast augmentation

"pros"

• The scar area is removed from the mammary gland and an inexperienced eye will not understand that this is an incision after breast augmentation.

"minuses"

• A scar in the armpit area is always visible, especially in a swimsuit and sleeveless summer clothes.
• On the beach, the scar is not covered by a swimsuit and may become hyperpigmented.
• The presence of large vessels and nerves in the access area, and therefore the risk of their damage.
• The technical difficulty of monitoring the accuracy of the location of an anatomically shaped implant during surgery.
• Limited choice of implants. Not all implants can be placed through the axillary approach.
• If even a small breast lift is necessary, additional incisions must be made
• Impossibility of replacing the implant from this access. If it becomes necessary to replace the implant, additional access will be performed.

Navel access for breast enlargement

"pros"

• The incision area is remote from the mammary gland and an inexperienced eye will not understand that this is an incision for breast augmentation.

"minuses"

• Limited selection of implants. Possibility of installing only “empty” prostheses filled with saline solution.
• A very difficult, traumatic and non-physiological approach using video endoscopic technology. High risk of bleeding during and after the intervention, asymmetry due to displacement of implants.
• If even a small breast lift is necessary, additional incisions must be made
• The scar is larger than with other types of access.
• With this access, only submammary implant installation is technically possible, and therefore the implant is contoured and can migrate.
• Impossibility of replacing the implant from this access. If it becomes necessary to replace the implant, additional access will be performed.
• It is used extremely rarely.

Breast augmentation methods are also classified according to the location of the implant:

• under the gland
• under the muscle
• combined (Dual plane - partly under the muscle, partly under the gland)

Breast augmentation without the use of implants.

Breast lipofilling is breast augmentation using your own fat.

With the help of breast lipofilling, you can correct the consequences of operations (for example, indentations after opening mastitis), or injuries, improve the appearance of the mammary glands after breast augmentation in cases where the tissue of the mammary gland and subcutaneous fatty tissue are not sufficiently developed and cannot hide the edges of the implant, and At the patient's request, a larger implant is installed than the plastic surgeon recommends.

The lipofilling procedure is performed in several stages:

• Removal of adipose tissue using mini-liposuction from areas where it is “excess”.
• Purification of adipose tissue cells using a special technique.
• Implantation of adipose tissue cells (actually lipofilling) in the desired location.

Lipofilling is performed under local anesthesia, sometimes under intravenous anesthesia. Hospitalization for 1 day. Before the lipofilling procedure, an examination is required.

Postoperative period: Swelling and bruising are minimal and disappear within 5-7 days. Puncture marks heal without suturing or forming a visible scar. About 50% of the transplanted fat cells survive and remain forever. To achieve the desired result, it usually requires 2-4 procedures with an interval of 6-12 months and the presence of a sufficient number of fat cells in the donor area.

With the help of lipofilling, you can also correct the volume of the lips, wrinkles on the face, furrows on the body, and slightly enlarge the buttocks.

Breast augmentation with hyaluronic acid

Breast augmentation with hyaluronic acid is currently prohibited in Russia due to a large number of complications.

Polyacrylamide gel for breast enlargement is currently not used due to a large number of complications.

The choice of breast augmentation method, i.e. access, location of implants, brand of implants, their shape, size and volume is carried out jointly by the plastic surgeon and the patient during a consultation.

Breast implants

At the Best Clinic Rostov-on-Don, certified implants from Allergan Natrelle (formerly McGhan, USA), Mentor (USA), Arion (France), which have proven themselves well in Russia and abroad, are used for breast augmentation.

The modern implant consists of a textured multilayer shell and a cohesive gel inside. If the implant is cut, it retains its shape, but when you try to crush it, it flattens out like a pancake - the shell of the prosthesis is much stronger than the body’s own tissues, it can withstand pressure of up to 300 kg per 1 sq. cm.

A modern implant is not recognized by the human immune system, therefore, the body does not perceive it as a “foreign body” and does not reject it. All implants we use have a lifetime guarantee. The choice of a breast implant depends on what breast shape you consider ideal and desirable for yourself, on the volume and shape of the existing breast tissue. The ideal breast is different for each person and each person imagines it differently. For some, these are just normal, medium-sized breasts, while others want the largest possible breast size. If you want to maintain your natural breast shape, you should give preference to anatomical breast implants. If you want to achieve the effect of fullness and increased volume in the upper part of the breast, choose round breast implants.

To achieve the best aesthetic effect, computer simulation of the results of the operation is carried out. This cutting-edge technology allows you to most accurately select implants and predict the result before surgery! Already at the consultation you will be able to see several options for your breasts after surgery and choose the one you like best. You can also “try on” your new breasts using try-on implants. During the consultation, you will be able to personally see samples of implants of different shapes and from different companies and choose the best for yourself. Each pair of implants comes with a certificate and a lifetime warranty!

Breast augmentation surgery (augmentation mammoplasty)

Before breast augmentation surgery:

VLDC Best Clinic Rostov-on-Don must undergo a standard pre-hospital examination, a list of necessary tests. During a consultation with a plastic surgeon, the type of access, size, location and manufacturer of the implant are discussed. Implants and underwear are ordered individually.

Breast augmentation surgery is performed under general anesthesia. After sleeping in the operating room for about two hours, you will wake up with a new breast! Thanks to the use of modern technology, with any access the incision length does not exceed 5 cm

Breast augmentation surgery technique:

Through the access chosen by the patient, the surgeon creates a “pocket” directly under the pectoralis major muscle or combined (partly under the muscle, partly under the gland). To prevent bleeding, the vessels inside the cavity are carefully coagulated (cauterized). The implant is placed in the created “pocket”. If necessary, drainage can be installed to remove residual wound exudate. The incision is closed with an “invisible” cosmetic suture. A sterile bandage is applied and a special “bodice” is put on. After general anesthesia, you need to recover a little and rest, so after breast augmentation surgery it is recommended to spend a day in the hospital.

After breast augmentation surgery:

At the Best Clinic Rostov-on-Don, patients wake up in a separate room under the supervision of an anesthesiologist. The pain is of moderate intensity and persists for 1-3 days. After breast augmentation surgery, patients are discharged from the hospital after 1-2 days at the request of the patient and if she has the opportunity to come for an examination. You can begin non-physical work one week after breast augmentation surgery. The stickers are removed on days 7-14, the special “bodice” is worn for 6 weeks. During the first 5 days, intense movements of the arms and raising them above the head are prohibited. Physical activity and sports are not recommended for up to 4 weeks. The final result is assessed 3-6 months after surgery.

Scarring after breast augmentation surgery is minimal and almost invisible. In the late postoperative period, they appear as thin white lines, the length of which is about 4 cm and the width is about 1 mm.

Complications after breast augmentation surgery:

Hematoma (collection of blood around the implant). Examination before surgery, the use of modern equipment, careful surgical technique, drainage, the use of high-quality postoperative linen and following the surgeon’s recommendations will help avoid this complication.

Infection. Examination before surgery, adherence to asepsis and antisepsis during and after surgery, and the use of modern medications will help avoid this complication.

Capsular contracture (compression of the scar around the implant). As a rule, this complication is associated with the use of smooth implants (they are not used in our clinic), violation of the regime (unauthorized removal of drains, refusal to wear compression garments, early physical activity after surgery), and injuries in the long-term postoperative period.

Hypertrophic and keloid scars. The occurrence of this complication is a feature of the patient’s skin and does not depend on the surgeon and the surgical technique. Regular examination of scars after surgery by a surgeon and drug treatment if the development of this rare complication is suspected can reduce its severity.

Myths (fears that have no real reason)

• Spontaneous rupture of the implant. The implant shell is much stronger than the body’s own tissues; it can withstand pressure of up to 300 kg per 1 square meter. cm, but it can be cut with a sharp object
• Penetration of silicone into breast milk. The filler of a high-quality implant does not penetrate the shell and therefore does not pass into breast milk
• Allergic reactions. A modern implant is not recognized by the human immune system, therefore, the body does not perceive it as a “foreign body”, does not produce antibodies to it and cannot reject it.
• The filler goes beyond the implant. High-quality implants have a multilayer shell and undergo several levels of testing before reaching the surgeon. Even if the implant is injured by a sharp object, the filler retains its shape. But in such cases, the implant must be replaced; the manufacturer provides an exact copy of your implant free of charge.

Breast augmentation cost (price)

The cost of breast augmentation surgery at the Best Clinic Rostov-on-Don consists of several components:

• Consultation with a plastic surgeon 1000 rubles
• Pre-hospital examination 10,300 rubles (examination can be expanded if there is a concomitant pathology)
• The cost of breast augmentation surgery, including the cost of anesthesia implants, 1 set of underwear, a day of stay in the ward from 165,000 to 205,000 rubles
• Breast augmentation with simultaneous breast lift from 305,000 rubles.

Join the owners of perfect breasts!

Sincerely, your plastic surgeon, Head. Department of Plastic Surgery MC Best Clinic Rostov-on-Don, Natalya Vyacheslavovna Zelenkova

FAQ

• What are the health consequences of breast enlargement?

In the vast majority of cases, no consequences are observed. With the use of high-quality textured highly cohesive implants, capsular contractures are gradually becoming a thing of the past, taking with them implant ruptures due to trauma. The shell of modern implants can withstand up to 300 kg per sq. cm, and even if the shell ruptures, the implant retains its shape and does not spread. The absence of an increase in the risk of cancer with breast enlargement was proven decades ago.

• Perfect breasts. Normal breasts.

There are some universal beauty criteria for the breast. Example of an ideal breast with a height of 165 cm : Volume of an ideal breast - 350-400 ml Diameter of the areola of an ideal breast - 4 - 4.5 cm Distance from the jugular notch to the nipple of an ideal breast - 21 cm Distance from the middle of the collarbone to the nipple of an ideal breast - 20 cm Distance from the submammary folds to the nipple of an ideal breast - 6.5 cm Depth of the submammary fold - up to 2 cm

Normal breasts differ from this ideal; they must first of all be proportional. The size of a breast that is normal for you depends on your height, chest volume, shoulder width, hip volume, face shape and simply your desire.

Breast lipofilling procedure

After a set of diagnostic measures, in the absence of contraindications, surgery is performed.

1. At the first stage, donor fat tissue is collected using lipograft syringes (usually from the patient’s abdomen or thighs).
2. Then the biomaterial is purified from foreign impurities under conditions of strict sterility. To speed up the process of fraction separation, laboratory centrifuges are used.
3. Breast lipofilling is performed by injection. Fatty tissue is injected under the muscles (to prevent its migration) and a rigotomy is performed to ensure correct distribution of the graft.

Breast augmentation procedure using Macrolane

It is the easiest procedure, which can hardly even be called an operation. After agreeing on the desired shape and volume of the breast, the plastic surgeon makes 2 small incisions of 2 millimeters under each mammary gland, where an injection is injected into the subcutaneous layer using a thin cannula or spinal needle. After a specialist works using this method, there are no scars left. The patient can go home about an hour after the end of the “operation”. The result is visible immediately after the procedure.

Although hyaluronic acid easily gets along in the body, experts in the field of plastic surgery do not recommend enlarging the mammary gland with its help:

• during pregnancy and lactation;
• during the period of exacerbation of chronic diseases;
• during the menstrual cycle (may cause an allergic reaction);
• at a severe stage of connective tissue diseases;
• for problems with blood clotting;
• in the presence of inflammatory processes in the mammary glands.

According to American sources, the famous movie star Jennifer Aniston tried on herself the method of breast enlargement with injections. The reviews and results of women who followed her example inspire confidence. Their before and after photos can be found on the Internet.

Procedures using hyaluronic acid

Hyaluronic acid is currently widely used in modern cosmetology to eliminate age-related changes.

Wrinkle correction:

• horizontal wrinkles;
• “lion” (smooth) wrinkles;
• wrinkles around the eyes - crow's feet;
• nasolabial grooves;
• vertical wrinkles around the mouth - smoker's wrinkles;
• marionette lines between the mouth and chin.

…

Face modeling:

• correction of dimples in the temple area;
• adding volume to the cheekbone area;
• increasing lip volume, adding expressiveness to contours;
• raising the drooping corners of the mouth;
• weight loss, sharpening of jaw lines;
• correction and restoration of the natural contours of the chin;
• improvement of facial contours, lifting effect;
• nose correction

Recommendations after the procedure and proper care

• When receiving injections in the lip area, stop smoking and kissing for 2-3 days.
• When introducing fillers or hyaluronic acid into the nasolabial area for 7-10 days, avoid visiting the dentist - opening your mouth wide can cause the formation of folds.
• For 5-7 days, avoid salty, spicy and hot foods.
• Avoid microtrauma to the area.
• For 7 days, avoid physical and thermal stress, including not visiting the fitness room, bathhouse, solarium, or sunbathing.
• Skin care with professional alcohol-free products.
• Do not wash your face with hot water.
• Follow all recommendations of the cosmetologist..

Contraindications to the use of hyaluronic acid

Depending on the type of procedure and area of ​​injection, contraindications may vary.

• pregnancy and breastfeeding;
• benign and malignant formations;
• general poor health;
• autoimmune diseases;
• bacterial, viral, fungal infections;
• purulent skin lesions, herpes;
• active treatment with retinoid derivatives;
• taking medications to treat complications of psoriasis;
• taking immunosuppressants;
• mental disorders;
• past or planned use of polylactic acid;
• tendency to excessive scarring;
• taking medications that reduce blood clotting;
• increased sensitivity to hyaluronic acid.

Method of administration and first result

The procedure is performed under local anesthesia - anesthetic cream is applied at least 20 minutes before the first injection. Additionally, the doctor may decide to enhance the effect of the drug with lidocaine. When using hyaluronic acid to fill lips, dental anesthesia can also be used.

Stages:

1. Hyaluronic acid injection. It is inserted with a cannula - a long, blunt needle that bypasses blood vessels and nerves and thus does not leave bruises. Thanks to this, the procedure is quick and almost painless. After the injection of acid, you may feel a slight subcutaneous thickening and distension. Hyaluronic acid has strong hygroscopic properties - up to 1000 molecules of water can be attached to one of its molecules, so the gel “swells”, thereby tightening the skin. By injecting acid under the skin, the doctor massages the area, literally eliminating the cosmetic defect, modeling the area.
2. Thread lifting. Optional step may not be carried out. The introduction of special threads made of polydioxanone, a synthetic substance that dissolves in tissues, into the lower line of the face. The threads create a “framework” for the skin, making it denser. The threads stimulate the skin's production of its own collagen and hyaluronic acid. The skin becomes more elastic and tightened, which reduces wrinkles. Depending on the location and depth of wrinkles, different types of threads are used - short ones for small furrows and long threads double twisted towards the lower jaw to lift the oval of the face.

Regardless of the area of ​​injection, the first effect of treatment is visible immediately, but we can fully observe it after a week, when the swelling disappears and the drug is distributed throughout the area.

Follow your doctors instructions. Most often, the course of treatment lasts from 5 to 12 months, and the volume of injections and frequency are individual.