Lipofilling of the mammary glands from the best plastic surgeon in Moscow

Consultation with plastic surgeons with over 20 years of experience is free! Make an appointment by phone. Waiting for you! An alternative method to augmentation mammoplasty with implants is injection methods, in particular lipofilling.

Lipotransfer or breast lipofilling is an increase in breast volume by introducing into the mammary gland area the patient’s own adipose tissue taken from other areas of the body

Technically, lipofilling (breast augmentation with fat) is similar to the introduction of any non-encapsulated gels and fillers, which are widely used in contouring. Fat injection is performed using a needle, usually under the fascia of the mammary gland above the muscle. After lipofilling of the breast (enlargement with fat), shrinkage naturally occurs, the breast loses a little in volume, but its shape is retained.

The method of choosing one or another breast augmentation technique depends on the specialist and the wishes of the patient. One of the surgeons, having extensive experience in injection mammary gland enlargement, may offer this method. Another doctor did a good job of breast augmentation with implants. The patient himself must set the priority, based on his preferences and desires.

Indications for breast lipofilling

Insufficient breast volume;
Asymmetry of the mammary glands;
Creation of a base for further installation of implants (if there is a lack of native gland tissue).

Benefits of lipofilling (breast augmentation with fat):

From a physiological point of view, the main advantage of breast lipofilling with fat is complete biological compatibility with the surrounding tissues in the transplant area. The body immediately recognizes fat cells as “its own”, which eliminates any allergic reactions;
From an aesthetic point of view, breast correction with lipofilling is attractive because... gives instant results. There is no long rehabilitation period, no scars remain on the skin;
The ability to instantly enlarge your breasts and remove excess fat from problem areas;
For those who do not yet want to install implants, but want to enlarge their breasts, lipofilling is a convenient way to fulfill their desires. If the woman is satisfied with the new forms, then after 1-2 years, when the implanted mass has resolved, the installation of implants can be planned.

The role of the donor zone is usually performed by “problem” areas: the stomach, sides, buttocks. Adipose tissue is extracted using liposuction, then it is specially prepared and injected into the mammary gland area.

Why breast lipofilling should be done at El. En."

We have installed special equipment for collecting fat cells, and experienced surgeons carefully follow the procedure protocol.
You will receive the expected result, which was discussed with the surgeon at the preliminary consultation.
You will be pleased with the attentive attitude towards your person. We value every patient and practice only an individual approach, which involves listening and hearing the patient.

Contraindications

Pregnancy and breastfeeding period
Decompensated diabetes mellitus
Poor blood clotting
Tendency to form hypertrophic or keloid scars
Severe somatic diseases
Any acute conditions
Unhealed lesions in the donor area or transplant area
Insufficient fat volume for transfer

From the history of lipofilling

Having made a short excursion into the history of the procedure, it is worth noting that implantation of one’s own fat did not immediately become such a harmless procedure. The first operations performed at the beginning of the 20th century by the founder of lipofilling, the French surgeon Julien Bourget, gave positive results. But the technique of liposuction developed rapidly, and with the invention of the vacuum method, doctors actively began to use it to remove fat. Unfortunately, after lipofilling with such material, patients experienced severe consequences and the entire transplanted volume was absorbed.

It turned out that the vacuum aspiration apparatus, when collecting material, destroyed a large number of fat cells (adipocytes). After they were transplanted to another area, a powerful reaction of macrophages - cells that digest the remains of dead cells and other particles foreign to the body - was activated. As a result, all transplanted material was excreted from the body without leading to an increase in volume.

After this, doctors came to the conclusion that liposuction for further lipofilling must be carried out in a certain way, excluding oxidation (contact of the removed fat with air) and maintaining equal pressure between the extracellular and intracellular environment to prevent rupture of cell membranes.

Often breast lipofilling is combined with liposuction, allowing you to improve several areas on a woman’s body at once

IDEAL BREAST technique

MAKING PERFECT BREASTS WITH SVETLANA PSHONKINA

IDEAL BREAST is a breast that is ideal in all aesthetic and physiological parameters.
Svetlana Pshonkina’s original technique allows you to achieve harmonious natural results without traces of surgery and long-term rehabilitation. Over more than 20 years of work as a surgeon, he has accumulated extensive experience, which formed the basis of a new concept that has no analogues in Russia. A wide range of plastic surgeries on the breast is combined under the term mammoplasty, which includes breast augmentation, breast lift, breast reduction, breast lipofilling and a number of other minor surgical interventions. All these operations are aimed at harmonizing the creation of a natural breast shape and changing its volume, increasing or decreasing.

IDEAL BREATH METHOD

Svetlana Pshonkina has been performing breast augmentation surgeries for over 20 years. Over the years of work in this direction, enormous experience has been accumulated, which has allowed us to develop our own breast enlargement program, now known as IDEAL BREAST. This included the best techniques and operating principles. IDEAL BREAST allows you to achieve harmony of shapes and at the same time maintain the health of the mammary glands. Another important aspect of the author’s program is the aesthetics of scars. Svetlana Pshonkina pays special attention to this. After breast augmentation, 3-4 months after surgery, there is practically no trace left in the incision area.

The main principle of the IDEAL BREAST program is to create natural breasts without traces of surgery and preserve the health of the mammary glands so that women can breastfeed their children in the future.

Lipofilling and liposuction

Donor adipose tissue for lipofilling is usually taken using liposuction. You can use lipofilling as a concomitant operation if you are planning liposuction. This combination of procedures has its advantages. Liposuction is a fairly traumatic procedure. After removing some fat from the abdomen and thighs, a long rehabilitation period is required - 1 month. The swelling lasts for several days, physical activity, sauna, bathhouse, etc. are excluded for several weeks.

Compared to liposuction, lipofilling is a much easier procedure. It does not require surgery and is performed using injections. Therefore, for those who have decided to undergo liposuction and are thinking about breast augmentation, it is worth considering the option of breast augmentation using their own fat.

If the patient does not need liposuction for aesthetic reasons, then adipose tissue is collected from the areas richest in fat cells, but invisible to the contours of the body: from the subumbilical area and the inner thigh.

If there is no need for liposuction, adipose tissue is collected from the subumbilical area and the inner thigh

Preparation for the procedure

Preparation includes taking a number of tests and undergoing a number of examinations. If a surgeon or anesthesiologist has doubts about the possibility of using general anesthesia, specialized specialists are invited for consultation.

As before any intervention, it is recommended to quit smoking and drinking alcohol one to two weeks after surgery. During this period, it is advisable to adhere to a healthy diet, eliminating spicy, salty, and fatty foods.

If you plan to transplant a significant amount of fat (from 100 ml), the surgeon may recommend wearing a special tissue expander. The patient wears an expander for several weeks before surgery to stretch the skin and create a cavity underneath for fat to fill.

Another important point is weight control. You should bring your weight to the desired level before the lipofilling procedure. Otherwise, the result may be unsatisfactory, especially if the patient loses more than 10% of her total body weight.

Disadvantages of lipofilling

Like all absorbable materials, implanted fatty tissue loses its volume over time. A sustainable result lasts only for the first 1.5 – 2 years. To maintain the volume, it is recommended to repeat the procedure. However, there are no alternative methods without loss of volume in injection plastic surgery. All non-absorbable, non-encapsulated gels and fillers are prohibited for use in Europe and Russia, because the consequences of such injections were very severe - the gels migrated and caused inflammation.
You can enlarge your breasts using fat by no more than 1-1.5 sizes. Since this is a non-encapsulated material, introducing it in large quantities will not allow it to be fixed in strictly regulated areas.

For small volumes, the operation can be performed under local anesthesia. If fat tissue is harvested as a result of extensive liposuction, general anesthesia is usually used. Accordingly, before the operation, the patient must undergo a general examination and undergo tests that are standard for any surgical intervention.

How is breast lipofilling performed at the Doctor Grishkyan clinic?

Breast lipofilling is considered a fairly simple operation, however, depending on the amount of work, its duration can be up to 3 hours.

Thanks to the original lipofilling technique of David Rubenovich Grishkyan, it is possible to preserve up to 85% of the transplanted fat. While usually from 20 to 60% take root. Important elements of the technique are: preparation of the breast area for surgery, formation of an individual aesthetic shape during the procedure and special careful care during the recovery period. The result of breast augmentation with lipofilling looks as natural as possible; the breasts will not differ from natural ones to the touch.

The breast lipofilling procedure takes place in three stages:

Adipose tissue sampling . Before breast augmentation begins, fat is collected under local anesthetic. Fat for transplantation is most often taken from those areas where it accumulates in excess. For example, in the abdomen, thighs or gluteal area. Anesthesia is then applied to the mammary glands; if the complexity and duration of the operation is minimal, local anesthesia is sufficient. If a long operation is expected or the patient insists on it, general anesthesia is performed.

Preparation of fat cells for transplantation. Using special equipment, adipose tissue undergoes special processing for further use. The resulting fat is subjected to laboratory processing, at this stage the adipose tissue is cleared of unnecessary impurities, blood particles, damaged fat cells, and then they are made sterile.

Injection of prepared adipose tissue into the breast. Special thin cannulas are used to introduce fat cells into the required areas. The puncture marks will disappear some time after the operation. With the help of such miniature cannulas, already prepared fatty material is implanted into the mammary gland area. This is done pointwise, in small portions, to achieve ideal shape and volume. Finally, a tight fixing bandage is applied to the chest, and the patient is given instructions regarding compliance with the rehabilitation period.

Breast lipofilling is the only effective method of breast enlargement without the use of implants or other artificial fillers. It is important to note that the transferred fat cells remain in the breast forever and do not move around, unlike gels.

Lipofilling of the mammary glands allows you to solve two problems at once - correcting excess fat in the hips, abdomen and buttocks and enlarging the mammary glands in the most environmentally friendly way.

Rehabilitation after breast lipofilling

Strict adherence to all the surgeon’s instructions for the rehabilitation period will help to avoid complications after breast lipofilling. Lipofilling is not a procedure, an operation after which two areas are slightly injured: the breast and the donor area. During rehabilitation after breast fat grafting, you must wear a compression bra. Compression underwear reduces the risk of complications and helps fat cells take root faster. During the first days, the patient must avoid contact with water. The puncture sites are treated with antiseptic agents. For the first few weeks, it is important to avoid physical activity and driving. Drugs containing ibuprofen are prohibited. After the operation, the surgeon will recommend that you exclude from your diet some foods that affect the rate of fat resorption. The restrictions must be adhered to for the first month.

Possible complications

Like any other operation, breast lipofilling is accompanied by temporary adverse reactions, including:

swelling of soft tissues;
hematomas;
decreased sensitivity;
slight soreness.

It is impossible to avoid these complications, but they do not cause serious harm to health and go away on their own within 7–10 days after surgery. More serious conditions rarely develop due to the low traumatic nature of the method.

Endoscopic breast augmentation

Beautiful large breasts are an integral part of female beauty. At all times, people have appreciated the owners of a magnificent bust, considering them the standard. Nothing has changed today. Large breasts still cause admiration among men and envy among women.

But nature has not endowed everyone with luxurious forms. What should those who have nothing to boast about do? Living with complexes and buying bras that visually enlarge your breasts? No, everything is much simpler. Today's plastic surgery offers such patients mammoplasty.

Doctors have long and successfully practiced breast augmentation in various ways. One of the modern methods today is the endoscopic method of mammary gland augmentation. We will try to find out what this is in this article.

ENDOSCOPIC SURGERY

Surgeons have always strived to accomplish two important tasks: reducing the traumatism of surgery and getting rid of postoperative scars.
This is extremely important for aesthetic medicine. Unlike life-saving surgeries, plastic surgery is aimed at improving the patient's appearance. Even when it comes to reconstructive plastic surgery, it is important for a specialist to achieve a beautiful result. Women enlarge their breasts not to hide them from others, but, on the contrary, they want to show off their beauty. In your personal life, a new bust is far from the last place, so no one wants the scars after plastic surgery to be visible. Recovery after plastic surgery should also be smooth and painless.

All these problems can be solved using endoscopic techniques, the use of which can reduce the traumatism of surgical intervention and perform the operation through small incisions in invisible places.

Unique author's breast correction program IDEAL BREAST

ENDOSCOPY IN MAMMOPlasty

As we have already found out, in breast correction it is extremely important to avoid visible post-operative marks.
Endoscopic breast augmentation involves the presence of a small incision in the armpit, where at first, while it heals, no one will be able to detect it. In the future, the scar will disappear almost completely, leaving a barely noticeable mark. Another important achievement of the endoscopic method in mammoplasty is safety. During the operation, the surgeon does not touch the tissue of the breast itself. All manipulations are carried out at a distance. This is very important for young patients who are about to start lactation.

PRICE

Endoscopic breast augmentation

280 000*

WHAT IS THE PROGRESS OF THE OPERATION DIFFERENT?

The essence of endoscopic techniques, both in mammoplasty and in other operations, is the use of special endoscopic equipment.
The optical device is equipped with a microcamera, is inserted into the surgical area through small punctures and transmits an image of the surgical field to the monitor. Thanks to multiple magnification, the surgeon can clearly see all the smallest vessels and tissues in the operation area, which allows them not to be damaged and thereby reduce the traumatism of the operation. Therefore, the tissues are minimally injured during the operation, and the recovery period takes little time. The incisions can be hidden in the armpit, that is, at a distance from the directly operated area, thanks to the use of special long surgical instruments. This is only feasible with an endoscopic approach, which gives the method another advantage. According to experts, endoscopy will replace all traditional surgical techniques in the future.

IS THE ENDOSCOPIC METHOD OF BREAST ENLARGEMENT ALWAYS USED?

Today, this method cannot be used in all cases of mammary gland enlargement.
Endoscopic breast augmentation is indicated for patients with small breasts without pronounced ptosis or asymmetry. Women whose mammary glands have lost their shape as a result of any injury or lactation can also count on it. However, it will not be possible to install implants endoscopically if there is obvious asymmetry or ptosis, low tissue elasticity or tubular breasts. It should also be understood that it is impossible to install implants that are too large through the axillary approach. The incisions that can be made in this area without health consequences do not exceed a few centimeters. It is simply impossible to install large prostheses through such access. But enlarging small breasts by a size and a half is quite possible.

RECOVERY PERIOD

The recovery period, compared to other methods of breast augmentation, is noticeably faster and smoother.
Small incisions heal very quickly. After a couple of weeks, mild swelling and hematomas disappear, and the breasts gradually acquire the desired shape. However, the final result will be visible several months after the operation. The scars will almost completely disappear in six months. But don't worry, their location and short length will make them invisible. Otherwise, there are no significant restrictions during the rehabilitation period. Thus, endoscopic breast augmentation is the most modern method today. If there are no contraindications, you can achieve brilliant results quickly, painlessly and without traces of surgical intervention.

Dear patients!

I am ready to answer all your questions related to aesthetic correction of the face and body.
You can send them by email or use the questions and answers section. An extended consultation can only be obtained during a personal examination, since it is this meeting format that allows you to accurately assess the nature of the problems and select the most optimal options for solving the problem. Write, call, come! I will be glad to meet you! To the questions section

WhatsApp online

BREAST LIFT

Throughout life, a woman's breasts change their size and shape, and can also droop, i.e. undergo ptosis.
Ptosis can form as a result of a number of factors, such as pregnancy, breastfeeding, age-related breast sagging, hormonal changes, sudden weight loss, etc. This problem can be solved with mastopexy breast lift surgery. There are three degrees of breast drooping depending on the length of the nipple drooping relative to the inframammary fold and the distance from the sternal notch to the nipple.

DEGREES OF PTOSIS OF THE BREAST

Grade 1
Nipple on the line of the inframammary fold or 1 cm below it

2nd degree

The nipple is 1-3 cm away from the inframammary fold line

3rd degree

The nipple is 3 cm or more away from the line of the inframammary fold

The method and type of surgery is determined by the plastic surgeon before surgery, based on the degree of ptosis. For example, if a patient has grade I ptosis or pseudoptosis (the nipple is located above the submammary fold, but the gland itself is lower), then the problem can be solved with the help of a circular lift. In this case, the incision will be made around the circumference of the areola. If, with grade I ptosis, the patient also wants to increase breast size, then it is possible to eliminate the ptosis by installing anatomically shaped breast implants, without resorting to mastopexy. If the patient has II or III degree of ptosis, then there is a need for vertical mastopexy, that is, the suture during such an operation is located around the areola and vertically to the inframammary fold. Elimination of pronounced ptosis is performed using an anchor lift, an incision in the form of an inverted letter T. In case of pronounced ptosis of the breast, ptosis of the II-III degree and small breast volume, it is possible to perform a vertical or T-shaped breast lift with the simultaneous installation of implants, this operation is called endoprosthetics of the mammary glands with mastopexy. Recently, breast lifts are carried out using threads, the mammary glands are caught and suspended on the collarbone. The indications for such an operation are narrow; the appropriateness of using thread techniques is decided by the operating surgeon after an in-person examination of the patient.

The duration of the operation is 2-3 hours, after the operation the patient is left in the clinic for a day. The sutures are removed at 10-14 days. The rehabilitation period involves wearing compression garments and excluding any physical activity, as well as thermal procedures (bath, sauna, solarium). The final result of the operation can be assessed after 3-4 months.

PHOTO BEFORE AND AFTER BREAST LIFT

Breast lift (mastopexy)

OUR SPECIALISTS

Pshonkina Svetlana Yurievna
Ryabtsev Dmitry Andreevich

PRICE

Breast lift (circular)	139 000*
Breast lift (vertical)	260 000*
Breast lift (T-shaped)	290 000*

HOW THE OPERATION IS PERFORMED

The operation is performed under general anesthesia and lasts from 2 to 4 hours.
At this time, the plastic surgeon removes excess skin that has formed as a result of stretching, the fat layer, if any, and then lifts the breast tissue, fixing it in the desired position. At the same time, the nipple-areolar complex rises. Today, there are several types of breast lift: areolar, vertical and T-shaped. The correction method is determined based on the patient’s specific problem and the degree of ptosis. After all, some cases require serious surgical intervention, and therefore large incisions. For some, it is enough to slightly adjust the breasts through a small incision around the areola.

TYPES OF MASTOPEXY

Thus, the areolar approach is used in case of minor correction.
This type of lift involves two types of incisions around the areola in the shape of a crescent and a periareolar one along the outer edge of the nipple. This operation is less traumatic for the patient, since the tissue is damaged to a minimal extent. But, experts remind, this method is only available to women with mild ptosis. Vertical mastopexy is suitable for patients with moderate ptosis. It involves making incisions around the nipple, turning into an incision perpendicular to the inframammary fold. This allows you to lift the breast tissue as efficiently as possible. After such correction, a noticeable vertical scar remains. T-shaped mastopexy is applicable in cases of severe ptosis.

During the operation, the surgeon makes anchor-shaped incisions around the areola, vertically down and under the breast. This type of lift is considered the most difficult in plastic surgery. it requires high skill and experience from the surgeon. This type of lift allows you to eliminate the most severe ptosis. After a T-shape lift, long seams remain, which become almost invisible within a year.

CONTRAINDICATIONS

Like any plastic surgery, breast lift is contraindicated for patients who suffer from cancer, cardiovascular and infectious diseases, injuries to internal organs, pregnant and lactating women, and diabetes mellitus.
It is also important to mention that some types of mastopeky are not recommended for patients who are planning a pregnancy in the next year. This is due to the need to give the body the opportunity to strengthen and recover.

WHAT COMPLICATIONS ARE POSSIBLE AFTER A BREAST LIFT?

As a rule, there are no serious complications.
The only possible symptoms are pain in the first days after surgery, bruising and swelling that disappear within a few weeks, redness and temporary loss of sensitivity. All these problems disappear on their own. Long-term unpleasant consequences include the formation of unsightly scars, long-term loss of sensitivity, asymmetry of the mammary glands and recurrent ptosis. But these, according to experts, are isolated cases. Such problems can be solved during re-correction. In other cases, the rehabilitation period is quite gentle and takes no more than two weeks. Of course, the final results are visible after the swelling disappears, after a few months, but in general, patients return to their usual lifestyle within 10-14 days.

PRICE

Breast lift

292 100*

* Prices indicated for the first category of complexity of operations, the cost of the second category of complexity increases by 15%, the third category of complexity - by 30%. The final category of complexity is determined by the doctor during consultation.

Buttock augmentation using lipofilling

When filled with your own fat, the buttocks are given a natural, beautiful, rounded shape. Unlike implants installed in this area, fat does not contour or show through the skin. With the help of lipofilling of the buttocks, many problems are solved, such as:

improvement, rounding of their shape
hourglass figure modeling
elimination of asymmetry, ptosis or recession of the buttocks
improvement or correction of gluteoplasty results
elimination of atrophic scars

The result is beautiful buttocks, and they are also filled with fat from problem areas, which are usually difficult to correct with nutrition or exercise. Thus, several problems are solved at once and the patient gets ideal proportions and a dream figure in one day.