The objective of cosmetic mammoplasty is to achieve the natural shape and size of the mammary glands while maintaining their function: the possibility of breastfeeding after mammoplasty, normal blood supply and tissue innervation.
Surgical operative correction of the shape of the mammary glands is indicated for ptosis of the soft tissues of the breast of varying severity.
It is possible to restore the shape or tighten the breasts (mastopexy) at the same time as increasing their volume − prosthetics.
For more information about the approaches to choosing implants for mammoplasty, read in an exclusive interview on estet-portal.com from surgeon of the first category, associate member of ISAPS, full member of ASPS, plastic surgeon, Ph.D.
- Peculiarities of indications for mammoplasty
- Approaches to the choice of implants for mammoplasty
- Surgical approaches during mammoplasty
- and Peculiarities of indications for mammoplasty
P.A.:
Breast Aesthetic Surgery has four parts: enlargement mammoplasty;
- reduction mammoplasty;
- operations for prolapse of the mammary glands (mastopexy);
- correction in case of deformity of the nipple-areolar complex.
- It can be said that aesthetic (cosmetic) deformities of the mammary gland − these are problems of the fascial frame of the organ, while medical – these are diseases of the glandular tissue (inflammation, tumors, cysts, etc.) − pathology of the parenchyma included in this framework.
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Instagram! If we are talking about aesthetic correction, most often in young patients, then mammoplasty is due solely to the patient's desire to enlarge her breasts or the presence of pronounced asymmetry
, since young girls with congenital or hereditary pathology often come to us.In the case of ptosis (omission), age-related changes in the breast, then this process is most often caused by such factors
:loss of elasticity by the connective tissue framework and skin of the breast due to age or feeding;
- Loss of volume of glandular tissue due to wasting, age, or weight loss (weight loss).
It is quite common to request breast reconstruction
aftersurgical interventions that could be caused by oncological processes or trauma. In this case, contraindications to mammoplasty are studied quite diligently, but the use of high-quality implants has long leveled many myths in this area and determined
lo them.Approaches to the choice of implants for mammoplasty
P.A
.: In plastic surgery, it is generally accepted that the breast is able to resist gravity, provided that itsprojection (projection forward) does not exceed a third of the diameter of its base (breast width). Therefore, a small breast with a wide base is a more stable geometric shape than a tall cone with a narrow base (the breast type of African/black women).
This postulate is not the only one for successful mammoplasty.
degree of development of subcutaneous fat (its thickness plays a leading role in creating a natural result);
breast form; chest shape;possibility of making certain surgical access, etc.
But due to the growth of breast cancer, the first characteristic of implants that a doctor should address – this is
product security
.How effective is the use of compression stockings? takes the leading place.
This company carefully selects its products, each implant has its own number, the authenticity of which can be traced anywhere in the world.
This is due to the fact that in the event of complications, or other direct or indirect indications for implant replacement,company
Mentor (the official distributor is company « ;Beauty Magic») protects its client by guaranteeing a complete re-mammoplasty. But these are isolated cases, mammoplasty surgery may be final.
The need for reoperations and replacements – this is a marketing ploy of companies to raise additional funds.Therefore, working with Mentor, I can say for sure that the patient can walk for 10, 20, 30 years or more with implants, while lactation is preserved, and apart from age-related changes in the ligamentous apparatus after this time, nothing is observed.
Most often, these age-related changes or changes associated with weight gain / loss are the reason for patients to seek re-intervention, where, most often, a plastic surgeon performs a breast lift operation.
It is also possible that the patient's own desire to remove the implantyou.
Operative approaches during mammoplasty
P.A.:
Mentormammoplasty implants come in a variety of shapes and sizes and are used for more than just the common and popular breast augmentation procedure.
The implant can completely replace the woman's removed mammary gland.
This is ensured by the fact that implants
Implants are round and teardrop-shaped in shape.
Teardrop
Anatomic
Anatomically shaped implants are used for significant breast augmentation, while achieving maximum results. Round implants with significant breast augmentation do not mimic the shape of the breast well. Round implants
are usually used when the breast needs to be enlarged to a lesser extent.Due to clinical studies on the safety of textural implants,
Mentor does not manufacture this type of product.
The shape and volume of the implant is selected individually.Peculiarities of the preoperative and postoperative period of mammoplasty
Breast arthroplasty technique is determined by three interrelated factors:
type of prosthesis; surgical access; the location of the prosthesis relative to the pectoralis major.
- There are three access options in total
- :
- submammary;
periareolar; axillary.
-
1. The submammary
- method
- is the safest and easiest way.
The implant is carefully placed under the muscle.
Recall that the official distributor of
In this case, the tissues of the gland are not affected at all, and the submammary fold hides the suture. Even if a small scar is present, it can be easily removed with laser resurfacing. 2. Periareolar incision
involves making an incision along the lower contour, centered at the areola of the nipple.This method allows you to get rid of the asymmetry of the shape of the areola.
In this version, the suture is located in the pigmented area.
3. The axillary method involves an incision along the back of the pectoralis major muscles, in the armpits.
This does not injure the breast tissue at all.In most cases, this method leaves scars, but they can also be removed with cosmetic procedures.
The most aesthetically pleasing and attractive is the location of the implant between the muscle and the tissue of the gland.
Surgeries to correct or enlarge the female breast can improve natural data, eliminate acquired defects (consequences of injuries and past diseases), restore lost shape and volume of the breast and, at the same time, restore a woman's sense of youth and self-confidence.
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