Features of the preoperative and postoperative period of mammoplasty

Every woman faces a number of questions before undergoing breast augmentation surgery: choosing a doctor, clinic and implants, weighing all the “for” and “against”, responsible attitude to the rehabilitation period.

Find out on estet-portal.com all the answers to the most pressing questions before mammoplasty from Doctor of Medical Sciences, Professor, Surgeon of the Highest Category, Head of the Department of Microsurgery, Plastic and Reconstructive Surgery of the Institute of Surgery and Transplantation of the National Academy of Medical Sciences of Ukraine named after I. acad. A. A. Shalimova −  Galich Sergei Petrovich.

• How to choose the right clinic and specialist before mammoplasty
• Pregnancy and lactation after mammoplasty
• Rehabilitation period after mammoplasty
• Complications after mammoplastyand

How to choose the right clinic and specialist before mammoplasty

G.S.: Previously, there were not many clinics, as well as specialists in mammoplasty, and the patient had the opportunity to communicate with specialists, as well as see their work and make an informed decision.

Now, it's no secret that many institutions absolutely do not meet the standards: novice unskilled specialists, commercial medicine, quantity at the expense of quality.

And I think this is a very serious problem because this market cannot be regulated.

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In the West, as well as in the USA, advertising of clinics, implants, doctors, including plastic surgeons is prohibited.

Main − security and quality.

Therefore, the FDA strictly monitors the products that are supplied to the aesthetic medicine market.

In turn, the doctor, working with these implants, can guarantee the safest possible result of the operation.

Today, officially, only 2 companies have permission to FDA for the manufacture of implants, and only company Mentor in its entire history I have never recalled my product yet.   Mentor − it's not just about high-quality implants, it's trust, safety, a confident investment in the future without risks and fears.

Therefore, before undergoing mammoplasty, a woman should at least go to the website of the Association of Plastic Surgeons and see the list of certified members of the Association.

Recall that

the official distributor of Mentor

implants is Magiya Beauty. Then, look for clinics that have been operating long enough,

with quality certified products like the company

Mentor, which has all the permissions to use implants for life, and they are heard. Minimum 10-15 years of work experience − no less.

What else matters −

age of surgeon

. I wouldn't recommend going to a doctor under 30. Experience plays an important role. I advise you to look for doctors with experience of 10 years or more. 

You still need to look at where the doctor studied, trained, whether he has a scientific degree, scientific papers, whether he speaks at conferences, whether he is engaged in teaching – all this matters, as it directly affects the quality of his work

you.

Honest talk about mammoplasty: reviews and impressions after breast augmentation Pregnancy and lactation after mammoplasty

G.S.:

It is worth looking at the question from several angles. First:

feeding question

. Many women are afraid that they will not be able to feed their baby after mammoplasty. I immediately explain that there will be no problems.

What is an implant?

This is an inert material that does not interfere with feeding.

What is silicone?

It is a derivative of silicon. Therefore, the implant itself is not a factor that provokes any problems, if it is of high quality and retains its integrity, such as

anatomical drop-shaped implants of the company

Mentor.

what kind of breast support apparatus (muscles, ligaments)

:

weak, normal or severe;

• how elastic the chest is;
• how long and how actively a woman breastfeeds with one breast, two breasts;
• too little or too much milk.
All this determines the hormonal background, shape, volume of the gland and its consistency.

For some, the breasts change, for others − even after two births, the ideal condition of the mammary glands.

Everything is very individual here, so we always warn you: the breasts may change,

correction may be needed

- this is not excluded.

Perfect breast implants: what is the secret In fact, when implants first appeared, everyone was afraid of silicone, its effects on the body.

There have even been numerous studies, and sometimes they were quite contradictory.

So the FDA – US Food and Drug Administration –

prohibited the production of silicone-filled implants

in America. Instead, there was a sheath

filled with saline

. The solution itself is safe, but the shell was very unreliable, for 5-7 years microcracks made their way in it, the solution came out into the tissues, absorbed, and the breast often lost its shape.

This is the main source of the myth that implants need to be replaced.

Now

gel and shell of Mentor

implants (the official distributor of Mentor implants is Magiya Beauty") are so reliable, that a car could drive over them without the implant rupturing. Modern implants have a lifetime guarantee

y

.

Rehabilitation period after mammoplasty

G.S.:

For the first 1-1.5 months the patient puts on a special

compression underwear

− shaping bodice, which makes it possible to isolate the chest from free movement and hold it in a certain position. During these 1-1.5 months, she should avoid physical activity, and if something needs to be lifted, then do it very carefully, smoothly, without sudden movements and fixing her shoulders.

Why? The swelling may last longer. Any load affects the muscle tissue, which can lead to the formation of hematoma, and there will be conditions for the formation of

capsular contracture

. In 1-1.5 months, a capsule around the implant is finally formed, after which it tightly fixes the implant.

It is also not recommended to go to sauna or baths often: it must be remembered that the implant does not heat up and does not cool down like a body - it does it like silicone.

It is important to have regular ultrasounds or

MRI

to monitor the position of the implant. Come to a consultation once every six months to monitor how the shape of the breast changes, whether or not capsular contracture is formed

a. How effective is the use of compression stockings?

Complications after mammoplasty

G.S.:

Firstly, the most formidable complication of the early postoperative period – it is

implant infection

. Pain, swelling, redness appear in some places, discharge along the suture line may occur, temperature rises. After the operation, the upper pole of the chest is always overfilled, edema is added – over time, the implant "sits down" and fills the lower pole.

Some drastic changes: the implant "went" up, down or turned around, the waviness of the contour went, the sensitivity was broken & ndash; it will be noticeable immediately.

In this case, you should immediately contact your surgeon.

In 90% of mammoplasty cases, under the breast approach

.

Firstly, everything is barely noticeable there – the lower pole of the chest covers a small incision (4-5 cm). Secondly, during the operation, the cavity is clearly visible.

There are doctors who do

axillary access

or

periareolar

, I rarely use them, although, in each case there may be special indications.

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