Which breast implant is better to choose - round or anatomical?

Indications

What helps to increase breast volume in girls besides plastic surgery?
For adult women, there is no proven and universal recipe; breast size is formed during puberty and changes only under the influence of hormones: during pregnancy and lactation, menopause, taking hormonal medications, etc. Weight gain also affects volumes, but only due to the growth of adipose tissue. Indications for any aesthetic surgery are very subjective, since all shapes and sizes of breasts are normal from a physiological point of view, but complaints have common features:

1. a small bust that does not harmonize with the figure;
2. asymmetry – not only of volume, but also of height;
3. tubular breasts (with a lack of tissue at the base, elongated in the shape of a tube);
4. age-related changes and loss of tone;
5. mastectomy.

A safe method of breast augmentation with implants is suitable for solving these problems. Breast augmentation before childbirth is no less important than after the birth of a child, but if motherhood is planned in the near future, it is worth postponing the transformation so that correction is not required. Of course, breasts may not change during pregnancy and lactation, but this rarely happens.

Lipofilling

Another type of mammoplasty aimed at breast enlargement is lipofilling. This is a plastic surgery that involves increasing volume using the patient’s own fat tissue.

Lipofilling is carried out simultaneously with liposuction and requires the presence of a sufficient amount of own tissue in fat depots. Fat is extracted from the most voluminous areas of the body, purified and injected into the mammary glands, where it is distributed.

One lipofilling procedure will allow you to enlarge the mammary glands by only 1-1.5 sizes. Sometimes several such procedures are required. Results are assessed 2-3 months after plastic surgery. And when you lose weight, the effect may disappear.

Contraindications

Contraindications for breast enlargement and mammary glands are mainly related to the fact that the operation is performed under general anesthesia, which puts stress on the body, and not with how the breast (mammary glands) enlargement operation is performed. You can take tests for breast enlargement in any laboratory near your place of residence, the main thing is to come to the clinic with valid results.

Contraindications:

• diabetes;
• HIV AIDS;
• bleeding disorders;
• diseases of the endocrine, cardiovascular and circulatory systems;
• oncology;
• pregnancy;
• inflammatory processes in the body, ARVI, etc.;
• age up to 18 years.

Before surgery, it is necessary to stop taking blood thinning medications, and it is also not recommended to perform it during menstruation.

Preparing for surgery

Before surgery, the patient must undergo an examination to identify contraindications and assess the condition of the body. Diagnostics includes examination by a surgeon and consultations with other specialists (cardiologist, mammologist, psychotherapist, endocrinologist and gynecologist).

A woman undergoes an ultrasound examination of the mammary glands, takes urine (general) and blood tests: for infections (syphilis, hepatitis, HIV), Rh factor and blood group, general and biochemical, for coagulation (coagulogram) and for pregnancy (hCG hormone) . Additionally, angiography, CT, ECG, MRI and other diagnostic procedures may be prescribed.

Preparation before surgery will include the following:

• If you are taking medications that affect blood clotting, they should be discontinued two weeks before breast surgery.
• A week before breast enlargement, the patient gives up bad habits and eats a balanced diet.
• A day before plastic surgery, take a shower or bath.
• 12 hours before the exact time of the scheduled operation, stop eating and drinking.

Breast enlargement methods

The best technique for breast enlargement by 2 sizes may differ from the technique chosen for a girl with significantly larger figures. The intervention plan for each specific woman can be told only after an examination and conversation - during the consultation, not only implants are selected, but also the correction technique. We'll tell you what the operation to enlarge the mammary glands through different approaches is called.

Types, methods and techniques of breast enlargement (mammary glands) in women:

Periareolar – breast enlargement through the areola. The incision for such intervention is made along the contour of the nipple, usually along the lower edge. Contrary to popular fears, traces of plastic surgery in this area will not be visible, since the color of the scar will eventually merge with the border of the areola. At the same time, the nipples do not lose their sensitivity after breast augmentation!

Submammary . A female breast can be enlarged through an incision in the fold underneath it; this is traditionally considered the safest way, since the surgeon can clearly see the operated area. This technique is suitable for girls planning to achieve larger sizes so that the incision site is hidden, although the scar in any case lightens over time. Plus, using this technique you can install implants of any size.

Endoscopic enlargement of the mammary glands - through the armpit - is the most difficult access, requiring high professionalism of the surgeon. As the name suggests, an endoscope is used to perform the operation. Transaxillary access is suitable for installing the smallest implants for breast augmentation - no more than 350 ml. Endoscopic augmentation of sagging breasts is also impossible, since lifting is only possible with access directly to the intervention area. The main advantage of the access is that the incision is made in the armpit - this is optimal for those who want to reliably hide the fact of the operation and get the effect of seamless breast augmentation.

Breast augmentation without scars and stitches is also possible with other approaches: scar formation is a feature of the body, but if the operation is performed by an experienced surgeon, the risks are minimized. Modern clinics also offer completely seamless options and techniques for breast augmentation.

Types of silicone breast augmentation are also distinguished by the location of the implant: under the gland and under the muscle. The most effective breast augmentation is under the muscle, since this eliminates contouring of the implants and they are fixed more securely. Girls with a sufficient amount of glandular tissue can have an implant installed underneath it, but only in the absence of ptosis. Since the coincidence of these factors is rare among those wishing to install endoprostheses, installation under the muscle is the most popular.

The main features of breast implants that influence their choice

The choice of endoprostheses depends on the following characteristics:

• Shape – can be round or elongated, resembling a drop (anatomical). All Motiva implants offered in Russia are round. Sometimes these ergonomic implants are confused with anatomical ones due to their softness and natural shape after installation. They have other advantages: they are softer and even if the implant rotates, the breast will not lose its shape, because it itself is round and 100% full.
• Size - determined by the volume of the filler and measured in milliliters. At the same time, each manufacturer has its own size range. In particular, the Motiva size chart includes implants from 105cc to 1050cc. Some popular sizes are shown in the photos below.

• Surface type – textured and nano-textured. The type of surface does not depend on the shape of the prosthesis; an anatomical prosthesis and a round one can have the same surface. The advantages of nanotexture are that thanks to it, a fairly thin capsule is formed around the Motiv implant after installation, one of the thinnest of the currently existing implants, therefore in most cases it is preferable.
• Material – the shell of the endoprosthesis can be filled with silicone gel, silica gel beads and hydrogel.
• The profile is the percentage ratio of the height of the prosthesis to the width of its base. The higher this indicator, the more voluminous the breast visually looks after mammoplasty. Currently, they produce low-profile endoprostheses (Mini), medium-profile (Demi), high-profile (Full), and ultra-high (Corse).

The implant parameters are selected strictly individually, depending on the indications, clinical case, type of operation (primary mammoplasty, secondary mammoplasty, hybrid mammoplasty, reconstructive mammoplasty) and the desired result.

The anatomical features of the breast structure should be taken into account, such as its initial volume, proportions, interthoracic distance, distance to the inframammary fold, and base area. It is important to take into account the degree of ptosis (if any), the condition of the tissues and the elasticity of the breast skin.

The structure of the patient’s body is also important - asthenic, normosthenic or hypersthenic, the shape of the ribs, the size of the chest.

Selection of implants and size

All types of implants for breast enlargement are discussed at a doctor’s appointment, each specialist works with certain companies, and all certified materials are of high quality, regardless of what filling and coating they have. To select the size, shape and profile of the implant, a special fitting and computer modeling are arranged. This helps to assess the proportionality of the body from the outside. Sometimes the wishes of patients do not coincide with their capabilities - not everyone can undergo surgery to enlarge breasts of size 0, for example, to 4, so that it looks natural. This is determined by the structural features of the mammary gland and the ability of the tissue to stretch. In any case, in this matter you need to trust the surgeon so that the result exceeds expectations. Advice on breast augmentation, pros and cons – you can get answers to your questions during a consultation.

Breast augmentation with anatomical implants . Drop-shaped implants are almost universal; they follow the contours of a natural female breast and are used to work with both large and small volumes. One of the features is that when lying down, the bust retains its shape.

Breast augmentation with round implants . Despite the fact that at first glance the appearance of such products does not seem natural, the results look very natural. This form of implants will emphasize the upper pole of the breast, and in the lying position it will “flow” into a natural position, which is a current request.

It is believed that one breast size is equal to approximately 150-200 ml of endoprosthesis. For example, breast augmentation with implants of 330-375 ml gives an average of 2.5-3 sizes. Breast augmentation of size zero always requires special precision in the selection of materials so that the result looks natural. Slender and short people are often recommended to have breast augmentation up to size 2-3. Breast enlargement to size 4, 5 or more is suitable for tall women with a wide chest and hips. To better understand the dimensions, you can look at photographs of the work, select the results you like and show them at the consultation.

There are several ways to install implants

The most common option is installation under the breast tissue. The operation does not entail an increased risk of complications. The likelihood of muscle injury is minimal. Another advantage is that the operation itself is speeded up, so the recovery period takes less time. Such benefits are suitable for ladies who have sufficient thickness of the skin and the mammary gland itself. This is necessary so that the upper part of the implant is not noticeable after the completion of the surgical intervention. The second option involves installation under the pectoralis major muscle. In this case, according to surgeons, the most natural result in all respects is achieved.

The positive aspects of this method include the fact that it is possible to achieve uniform coverage of the upper part of the slope. At the same time, the risk of contracture formation is reduced. Even if it is necessary to do a mammogram in the future, the patient will not have any problems. Each of the described methods has positive and negative sides. These should be discussed with your doctor. Before visiting the office of a man in a white coat, you need to do a little preparatory work. The patient finds several detailed photographs showing the desired breast shape. This will allow the doctor to quickly understand what is going on.

results

The final results that the operation gives may not be immediately assessed, since during the first month there is severe swelling, and in subsequent months tissue healing occurs, the body gets used to the foreign body and a capsule is formed around the implant.

Only six months later (sometimes more) the final effect is visible. In photos and videos with patient reviews, it is noticeable that the breasts look more voluminous and attractive, lifted (with a lift) and feminine.

Advantages of round implants:

1. a round implant allows you to fill the upper slope of the mammary gland, creating a push-up effect (both when wearing a bra and without it);
2. breasts with round implants look quite natural in different body positions - both standing and lying down;
3. in case of rotation or rotation of the implant, breast asymmetry does not occur, since the implant has the shape of a hemisphere;
4. there are no restrictions on access when installing an implant and are more economical in cost compared to anatomical implants.

Rehabilitation: recovery period

After breast surgery, the patient remains in the hospital for some time (from one to three days, as a rule) under the supervision of specialists, and then, if there are no complications, prepares for discharge. The patient is usually given antibiotics and painkillers to relieve and eliminate pain. The seams are being processed.

The postoperative rehabilitation period lasts, on average, from 2 to 4 months, depending on the complexity of the breast surgery performed. A woman must follow and implement the following recommendations of the surgeon:

• For the first 1.5-3 months, wear specially selected compression garments on an ongoing basis. Next, during the year, such a bra must be used when performing physical activity.
• For the first three to four weeks, the patient does not raise her arms. She should also not sleep on her stomach or side.
• In the first three to four months, you need to limit physical activity. The return to pre-operative training levels should be gradual.
• During a two-month period, you cannot visit baths, solariums, ponds, or saunas.
• During the rehabilitation period, the woman regularly visits the surgeon to monitor the dynamics of the recovery process.

The surgeon will provide clearer recommendations for a specific case during your consultation.