Increase in a breast is one of the most demanded plastic surgeries in the direction of a mammoplastika. The increasing mammoplastika is full-fledged surgical intervention. Operation on increase in a breast is performed under the general anesthesia and demands thorough training of the patient, and also his stay in clinic (the term varies depending on complexity of surgical intervention and a condition of the patient). Now are developed and successfully various methods of increase in a breast using different implants practice. Indications to carrying out operation are primary aplasia (lack of mammary glands), primary hypoplasia (underdevelopment of chest glands), involution of chest glands, a mastectomy (surgical removal of glands, both full, and partial).
Need of carrying out operations on increase in a breast was dictated by diseases which demanded excision of tissues of mammary glands, or led to deformation, asymmetry of chest glands at women. The first attempt of increase in a breast was made in 1889. As a filler (implant) liquid paraffin which was entered into chest gland by means of an injection was used. In 1895 the first operation on increase using own tissues of the patient was performed (in this case the lipoma excised from the site of a hip of the patient). Unsatisfactory results of the performed operations induced to further search of alternative materials for implantation in mammary glands. So, throughout history doctors applied glass spheres, oxen cartilages, polyfoam, polyvinyl sponges, polyurethane, ivory and many other materials. Administration of such materials led to development of inflammatory processes in fabrics of chest glands, infections, to a necrosis of fabrics, rejection of the implanted materials.
Only in 60e years of the 20th century for the first time in medical practice on increase in a breast were used the silicone implants which are prototypes of those chest implants which are applied in modern plastic surgery. The cover of the first implants passed the filler molecules (filling substances) that led to development of aseptic inflammations in patients, and the smooth surface of an implant led to development of a kapsulyarny contracture.
In 80e years scientists made a hypothesis that the applied silicone chest implants provoke development of oncological diseases of mammary glands. The management of quality control of products and medicines (Food and Drug Association) conducted numerous researches, without having found confirmations and denials to this hypothesis. Modern chest implants are completely safe for health of patients, and innovative technologies allow to recreate a natural relief, a form and tactile feelings at a contact to the increased breast.
There are two main methods of increase in a breast: surgical intervention and non-invasive practicians.
Surgical methods of increase in a breast differ as access to chest gland:
On a way of placement of implants distinguish installation of implants directly under chest gland and under a pectoral muscle. Recently plastic surgeons speak about one more technique of placement of a chest implant under a fascia of a pectoral muscle that actually is placement under chest gland.
Non-invasive methods of increase in a breast assume complexes of physical exercises, dietary supplements, hormonal drugs (insignificant increase in a breast is one of side effects of some groups of drugs). It should be noted that physical trainings are ineffective as they involve pectoral muscles. The mammary gland does not contain muscular tissue. Dietary supplements and hormonal drugs give only temporary insignificant increase in a breast.
Modern implants are distinguished in a form (round, tear-shaped), texture of a surface (smooth and ridge textured), and also on filling (normal saline solution, gel, hydrogel). The form and the size of implants are selected individually, proceeding from a natural relief of a breast of the patient.
The rehabilitation period after operation on increase in a breast is characterized by puffiness, painful feelings, bruises. The first 14 days after operation absolute rest is shown to patients. Within the first month it is necessary to wear specially picked up compression linen. In the first three months after increase in a breast of the patient visits of pools, saunas have to avoid exercise stresses. The final result after operation on increase in a breast can be estimated only 9-12 months later.
Before deciding on operation on increase in a breast, reviews of which are very contradictory, the patient has to understand that a mammoplastika – full operation, but not the cosmetic procedure which involves certain risks for health. In order to avoid negative effects of operation to patients it is strongly recommended to study the existing techniques of carrying out operation on increase in a breast, available types of implants, and also to visit consultations of several plastic surgeons. Increase in a breast, reviews of which are available in global network, demands considerable experience of the plastic surgeon in this direction. The mistake of the surgeon can lead to undesirable effects in the form of asymmetry, the different size, visible hems, and also to development of a kapsulyarny contracture, inflammatory process, rejection of an implant, its damage to the operation course.
Many plastic surgeons suggest patients to study a portfolio where works of the surgeon on increase in a breast are collected before and after. Such evident demonstration of results allows patients to estimate real opportunities of operation. In a portfolio photos of patients and results of operation on increase in a breast before and after in different foreshortenings are shown. Computer modeling allows to apply desirable proportions to a real physical image of the patient.
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