A proportional and voluminous bust, according to most women and men, is the standard of beauty and femininity.

Augmentation and breast lift – one of the most popular plastic surgeries in modern aesthetic medicine.

Like any surgical intervention, breast augmentation and lift have the risk of complications. An important role is played by the doctor's ability to get out of difficult situations and ensure the expected result.

Slovenian plastic surgeon Andrej Testen (Andrej Testen ).

What are the most common complications after mammoplasty

А.Т.: The most common complications after mammoplasty – it is the dissatisfaction of the patient. There may be asymmetry and deformity due to implant displacement or capsular contracture, as well as accumulation of serous fluid between the tissues and the implant. However, such consequences rarely occur if the operation was performed correctly using a high quality implant.

That's why it's so important to work with good, proven implants. These should be products in which I am really sure of the quality and duration of the effect.

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What difficult situations happened in your practice

А.Т.: The most difficult situation in the practice of a plastic surgeon – when the patient has high expectations.

He or she finds a photoshopped photo and comes with it to the office. The client says they want to look exactly like the picture.

In that case, you should explain: there are things that you cannot do, even as a plastic surgeon.
And if patients understand – you won't have a problem, but if they don't want to listen or you don't hear their wishes – then you will be in trouble. You can have a flawless operation, but if the clients are not happy with the – you didn't do anything.

What are the types of breast lift

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А.Т.: Mastopexy – this is a type of plastic surgery that corrects the volume and shape of the breast 

Types of breast lift:

circular mastopexy intended for underdeveloped mammary glands and is done at the initial stages of breast deformity;

vertical mastopexy is used for more advanced types of ptosis, as a result, a piece of glandular tissue is removed and the nipples may lose their sensitivity;

endoscopic method is performed by means of punctures, after which the doctor inserts an instrument and removes excess glandular tissue;

anchor mastopexy (T-shaped incision) is provided in the most advanced cases.

The choice of breast correction depends on the stage of ptosis, tissue elasticity and the general condition of the body.

Women's troubles: breast asymmetry and the possibilities of its correction

How to combine a breast lift and augmentation

A.T.: It all depends on your preference. I always do everything in one procedure, because there is only one rehabilitation period. Often people want to get things done as quickly as possible and get back to work.

But if you do two – you will have two rehabilitation periods, which in some cases is not a problem for people. However, this can be problematic for most customers.

If the mammary glands are large enough, only a breast lift can be enough.
In case of sagging and small mammary glands, it is better to combine mastopexy with breast augmentation. When you tighten your chest, you make it even smaller because you bring it closer. And the closer the mammary glands are to each other, the smaller they appear on the body. So if you have an A-cup or a very small B-cup, they will look good after the procedure, but are slightly smaller.

If the chest is large enough with a C- or D-cup – just pick it up.

How long does the effect of a breast lift last

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A.T.: Nothing lasts forever except implants. Almost everything depends on what properties the woman's skin has, as well as at what age and what type of facelift was performed. For some women, a single lift can last 10 years or more before the breasts return to pre-surgery levels.

The duration of the effect is affected by weight fluctuations, hormonal imbalances, lactation, and the client's lifestyle.
Mastopexy is not recommended before a planned pregnancy, as a good result may be lost after feeding the baby.

A revision should be done every 10 years, especially if the size of the breasts has changed and the skin has been stretched.

Beautiful breasts without surgery: features of breast lift with mesothreads

What complications are most common after mammoplasty

The most common complications after mamomoplasty are the patient’s discontent. Asymmetry and deformation due to implant displacement or capsular contracture, as well as the accumulation of serous fluid between the tissues and the implant, can occur. However, such consequences rarely happen if the operation was carried out competently with the use of an implant of high quality.

That is why it is so important to work with good proven implants. These should be products, the quality and duration of the effect of which I am really sure.

What difficult situations happened in your practice?

The most difficult situation in the practice of a plastic surgeon is when the patient has high expectations.

He or she finds a photo taken in Photoshop and comes with her to the office. The client says he wants to look exactly the same as in the picture.

In this case, you should explain: there are things that you cannot do, even as a plastic surgeon.

And if patients understand, you will have no problems, but if they do not want to listen or you don’t hear their wishes, then you will have problems. You can perform an impeccable operation, but if customers are not happy with the result, you have not done anything.

What are the types of breast lift

Mastopexy is a type of plastic surgery that corrects the volume and shape of the breast.

Types of breast lift:

    circular mastopexy is provided for undeveloped mammary glands and is done in the initial stages of breast deformation;
  • vertical mastopexy is used for more advanced types of ptosis, as a result, a fragment of glandular tissue is removed and the nipples may lose their sensitivity;
  • the endoscopic method is performed by means of punctures, after which the doctor inserts the instrument and removes excess glandular tissue;
  • anchor mastopexy (T-shaped incision) is provided in the most neglected cases.
The choice of breast correction depends on the stage of ptosis, the elasticity of the tissues and the general condition of the body.

How to combine breast augmentation and mastopexy

It all depends on your preferences. I always do everything in one procedure, because there is only one rehabilitation period. Often people want to do everything as quickly as possible and get back to work.

But if you do two surgeries, you will have two rehabilitation periods, which in some cases are not a problem for people. However, for most customers this can be problematic.

If the mammary glands are big enough, you can get by with just a lift.

In the case of sagging and small mammary glands, it is better to combine the mastopexy with breast augmentation. When you tighten your chest, you make it even less, because you bring it closer. And the closer the mammary glands are to each other, the smaller they appear on the body. Therefore, if you have an A-cup or a very small B-cup, they will look good after the procedure, but slightly smaller in size.

If the chest is large enough with a C or D cup, simply lift it up.

How long does the breast lifting effect last?

Nothing lasts forever, except the implants. Almost everything depends on the properties of the skin of the woman, as well as at what age and what type of braces was performed. For some women, one brace is enough for 10 or more years before the breasts return to the preoperative level.

The duration of the effect is influenced by weight fluctuations, hormonal imbalances, lactation, and also the client's lifestyle.

It is not recommended to carry out a mastopexy before a planned pregnancy, as a good result may come to naught after feeding the child.

Every 10 years it is necessary to do a revision, especially if the size of the breast changed and the skin stretched.

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