Breast reduction (reduction mammoplasty)

Some women become depressed after giving birth, which is partly caused by postpartum negative changes in the body. In the vast majority of cases, childbirth negatively affects the figure: multiple stretch marks appear, body weight increases, and the shape and size of the mammary glands changes. Often their involution (reverse development) occurs after childbirth and breastfeeding, and not a trace remains of the former bust. In such cases, a woman begins to look for various options for breast augmentation after childbirth.

What are the reasons for breast changes after childbirth?

The condition of the mammary gland is directly dependent on the hormonal status of the body. During pregnancy and lactation, significant changes occur in the soft tissues of the breast, especially in the glandular component responsible for breastfeeding. Firmness and elasticity depend on the severity of these changes. If the muscular frame and ligamentous apparatus of the chest are not able to support the mammary glands that have sharply increased in volume, then ptosis occurs - drooping of the breasts with loss of their usual shape and volume. In some cases, immediately after the end of the lactation period, involution appears - the replacement of glandular structures with connective tissue. In this case, the mammary gland loses its soft consistency and decreases in size.

It is impossible to give the mammary glands an ideal appearance that meets the desires and expectations of a woman using conservative methods. In addition, in addition to external characteristics, it is necessary to take into account the consistency of the breast to the touch. All of the above indicators are achieved only with the help of mammoplasty. Nowadays, the methods for performing it have been refined, and the operation is available to everyone.

It is almost impossible to restore the condition of the breasts after childbirth and breastfeeding without surgical intervention, but it is still possible to slightly improve the appearance and correct the shape. Visible results can be achieved using a comprehensive and long-term approach that requires consistency, patience and endurance.

How to restore previous forms

Of course, pregnancy, childbirth and breastfeeding have a detrimental effect on the beauty of a woman’s breasts. However, if you think about preventing this irreversible process, then even in the early stages of pregnancy you can reduce undesirable consequences to a minimum. In order to protect a beautiful bust, you need:

• Buy special bras for pregnant women. You can use regular underwear, but it is very important to take into account that the size should fit well, the cups should stretch, and the straps should be as wide as possible. There should be no discomfort when wearing such a bra.
• You should sleep in underwear designed to support your breasts.
• Daily use of special creams and gels for stretch marks will help keep the breast skin elastic and prevent ptosis.
• It is not recommended to sleep on your stomach.
• Daily physical activity on the chest muscles will help them stay in optimal shape and strengthen the muscle frame.
• While taking a shower, you should perform an aqua massage; to do this, direct a stream of warm water onto your chest and make circular movements clockwise.
• When feeding the baby, apply it alternately to both breasts.
• You should not suddenly stop breastfeeding. This is done gradually and can take several months if necessary.
• When you finish breastfeeding, you should not limit your diet until the body is completely restored. During this period, the replacement of glandular tissue with adipose tissue should occur naturally.

See also: Pain in the lower abdomen and lower back in a woman: causes, diagnosis, treatment

Do not forget about the need for self-examination of the mammary glands. At least once a month, examine yourself in the mirror to check for changes in your breasts. If you notice any lumps, rashes or abnormal discharge, you should immediately consult a doctor.

Tips to Maintain Breast Size and Shape

To avoid unpleasant postpartum breast changes and not look for ways to correct them later, follow these simple tips:

1. Follow the principles of proper nutrition. The basis of the diet should be healthy and natural products prepared by boiling or stewing. The second rule is completeness and diversity. The diet must include all the necessary vitamins, otherwise the skin will lose its firmness and elasticity, which will also affect the breasts.
2. Every evening, spend 15 minutes massaging your chest. It is extremely necessary during lactation. Massage prevents stagnation of milk, normalizes blood circulation and the outflow of venous blood and lymph, which again has a positive effect on the condition of the soft tissue of the mammary gland. In addition to the classic one, you can use water massage techniques. This does not require special preparation; just consulting with your doctor and purchasing special shower heads is enough.
3. Optimize your baby's feeding process. Find a comfortable position and a time period during which the child is completely satiated (usually 15-20 minutes). The feeding position should be comfortable for both mother and baby. A sign of a correctly chosen position is the absence of discomfort or pain when staying in it for more than 20-25 minutes.
4. Use cosmetics for skin care. In order to prevent the occurrence of stretch marks, it is recommended to alternate peeling creams and moisturizers. Scrubs should not be used more often than 1-2 times a week, otherwise there is a risk of microtrauma to the skin.

Causes, features of mastoptosis

Sometimes mastoptosis can occur after pregnancy and childbirth, after completion of breastfeeding, when its size gradually decreases.
This is accompanied by psychological discomfort associated with changes in the shape and size of the breast, and body contours. In this case, you need to contact a plastic surgeon; he will tell you what to do if your breasts are sagging, and how the defect can be corrected. In addition to childbirth, changes in breast tissue and breast sagging can be affected by:

• sharp hormonal fluctuations during certain periods of life, leading to weight gain or sudden loss;
• weakness of the pectoral muscles that support the mammary glands;
• large breast size, back problems leading to stooping, which causes the skin of the chest to stretch more;
• aging of the body, the onset of menopause, decreased levels of female hormones.

In some cases, doctors find it difficult to answer why breasts sag. The reason may be the genetic characteristics of the organism.

How to tighten your breasts after childbirth?

Of course, the optimal method for correcting the shape of the mammary glands is surgical plastic surgery. But you can achieve a certain result using the following methods:

• Regular training with dumbbells or body weight.
• Film wraps and compresses after the usual cosmetic skin care procedures (warm shower, peeling, tonic creams).
• Traditional or water massage, contrast shower.

You shouldn’t expect dramatic changes from such methods, but you shouldn’t neglect the tips listed above. Constant and complete body care will reduce the negative consequences for the breasts in the postpartum period to a minimum.

Have questions? Ask:

With a significant degree of ptosis

When the level of nipple sagging almost reaches the level of the navel (grade 3-4), not only a breast lift is required, but also excision of excess tissue (reduction). Moreover, in the first case (mastopexy), only excess skin stretched as a result of gravitational ptosis is removed. And during reduction, part of the mammary gland is also removed (for example, if after childbirth the breasts have become too large and difficult to wear).

Is mastopathy inherited?

The cause of mastopathy is a woman’s hormonal imbalance. Ovarian dysfunction, problems with the thyroid and pancreas, pituitary gland, adrenal glands, constant stress - all these abnormalities inevitably affect the hormonal background and lead to mastopathy.

To minimize possible breast problems, you may need to reconsider your lifestyle:

• stress must be avoided. Any stress is a certain chemical reaction in the body that occurs with the participation of hormones and inevitably leads to their imbalance. Don't forget about your personal life. By constantly refusing sex, you contribute to the development of psycho-emotional stress and provoke functional disorders of the nervous system
• eat right. Excess cholesterol and a lack of fruits and vegetables in the diet threatens not only extra centimeters at the waist and hips, but also problems with the breasts. Low-calorie diets are just as harmful. To never find out what mastopathy is, do not forget about the rules of a healthy diet and vitamins
• choose comfortable underwear. Of course, a bra cannot be blamed for having a bad effect on hormonal levels. However, tight underwear with metal underwires (although very seductive) tightens the breasts and leads to microtraumas, which undoubtedly cannot be beneficial. So choose bras with plastic underwire or whalebone underwire.

Mammary cancer

Breast cancer is one of the most common and dangerous malignant tumors in women. The risk of developing breast cancer increases with age, with the highest incidence occurring between ages 50 and 70.

Main risk factors for developing breast cancer:

• environmentally unfavorable city;
• early age of first menstruation (up to 12 years);
• late age of menopause (after 55 years);
• first birth after 30 years;
• obesity;
• mild changes in the chest;
• infertility;
• breast cancer in close relatives;
• irradiation.

Breastfeeding (even short-term) protects against the development of breast cancer.

The use of hormone replacement therapy increases the risk of developing breast cancer by approximately 6% and with use for more than 10 years the risk increases to 30%.

Breast examination after breast augmentation with implants

Every woman should take care of her health and know that after 35 years it is necessary to undergo breast ultrasound and fluorography once a year. And after breast augmentation, this is extremely necessary. But most girls after plastic surgery wonder whether the examination after the operation will be reliable, and whether all areas of the breast will be visible on the machines.

It is very important to take care of yourself and think about the future, so it is necessary to undergo all examinations on time. Will implants interfere with ultrasound, mammography, CT, MRI? This is the most popular question among women who have had breast enlargement. The answer is no! The presence of breast implants will not affect the examination in any way, and will not interfere with the eventual establishment of an accurate diagnosis, provided that the examination is carried out using modern technology.

Before the examination, it is recommended to carefully select a clinic. As a rule, all modern clinics are equipped with the latest models of technology. It is recommended to first clarify whether it is possible to conduct an examination of breasts with implants, and also consult with a specialist who will select the most suitable examination method.

Types of examinations:

1. Ultrasound - ultrasound examination

. An ultrasound must be done before plastic surgery, and then repeated annually after it. Today this is the most common examination method. Ultrasound allows you to study the mammary glands before surgery, as well as exclude various kinds of complications, inflammation and adverse changes already during the rehabilitation period.

2. Mammography

. Despite the fact that mammography is the most accurate method of breast examination, it still has some difficulties. In cases where the implant was installed above the pectoral muscle, during the examination it may block some areas of the breast. If the implant is installed under the muscle, the blocked area is insignificant. The disadvantage of this method is that it will not help determine whether a breast implant is ruptured or leaking. When performing mammography, each gland is compressed first horizontally, then vertically, so the patient should warn the doctor in advance about the presence of breast implants in the mammary glands.

3. MRI - magnetic resonance imaging

. The peculiarity of the method is the use of a powerful magnetic field. MRI allows you to determine implant rupture or leakage, identify tumor foci and metastases.

4. CT - computed tomography

. This type of examination is considered the most accurate for diagnosing breast cancer. Computed tomography is classified as an X-ray method for examining the breast.

5. Fluorography

. Breast implants are visible in the fluorography image. The patient should notify the doctor in advance about their presence, but they will not interfere with the examination of the lungs, because implants easily transmit x-rays.

Thus, the presence of breast implants will not interfere with any of the listed types of examinations and obtaining accurate data on the condition of the patient’s mammary glands and lungs.

Nipple discharge

Nipple discharge that appears in a woman after a feeding period is not always a sign of illness, but requires consultation with a mammologist.

A small amount of discharge with the appearance of milk or whey often appears in women taking oral contraceptives or other medications, including sedatives. Most often, lactation is caused by hyperprolactinemia, which is a symptom of a problem with the pituitary gland.

Bloody discharge from the nipple is most often a symptom of papilloma or cancer. Brown or green discharge is associated with cystic fibrosis breast disease.

In case of discharge from the nipple, you must visit a gynecologist and determine the cause of the disease and the type of treatment.

Contraindications to reduction mammoplasty:

• The presence of infectious and inflammatory diseases;
• Chronic diseases of internal organs;
• Exacerbation of chronic diseases;
• Disruption of the cardiovascular system;
• Blood clotting disorder;
• Diabetes;
• Beginning of the menstrual cycle;
• Mental illnesses;
• Skin tendency to form keloid scars.

Breast reduction surgery is quite complex and lengthy, however, it is in demand among women and therefore deserves attention. The possibility of a breast reduction or lift (mastopexy) must be discussed with a plastic surgeon, since each specific case is unique, and in some cases, a lift can be supplemented with local liposuction.

Breast reduction cost

Name	Price
Primary appointment (examination, consultation) with a plastic surgeon	FOR FREE
Breast reduction (surgical reduction mammoplasty) on both sides, category 1	280,000 rub.
Breast reduction (surgical reduction mammoplasty) on both sides, category 2	300,000 rub.

Breast reduction - before or after childbirth?

Plastic breast reduction after childbirth is a fairly common surgical correction. Reduction mammoplasty should be done after childbirth, and not before. And there are several reasons for this.

Firstly, if you have undergone breast reduction and correction, nipple-areolar complex, and after some time (up to 1.5 years from the date of surgery) gave birth to a child, then he will have to be fed exclusively with artificial formula. That is, lactation is strictly prohibited.

Secondly, after breast reduction before childbirth, there will be a need to take special medications to suppress the lactation process.

And finally, thirdly, everyone knows the fact that during pregnancy changes in the mammary gland occur, regardless of whether surgery was performed or not. In addition to the aesthetic problem, physical discomfort also appears. Do you need repeated surgery, which puts stress on the body?

Therefore, before deciding to undergo breast reduction surgery, we advise you to think it over by consulting with a specialist.

The most favorable period for having a breast reduction is 6-8 months after birth or, if you are breastfeeding, then 6-8 months after cessation of lactation (feeding).

How to make your breasts firm and firm after breastfeeding: ways

Water will moisturize the skin, which will quickly begin to tighten. The method is not the most pleasant and comfortable, but it has been used for many generations.

Common products in the civilized world are special-purpose creams. Without surgery, they can enlarge small breasts.

Give elasticity and shape to a large bust. The products have a powerful skin cell regenerating effect.

Breast tightening creams:

• ✅ DUO GUAM. Specialized product for breast lift. Has the ability to reduce stretch marks on the skin. Collagen and vitamins in its composition tighten the skin of the breast.
• ✅ Organic Kitchen anti-gravity. The tightening effect can significantly raise the bust. Moisturizes, nourishes and protects the skin.

The creams also contain hormonal supplements. It must be remembered that a woman’s breasts are mainly glandular tissue.

You can tighten your bust by replacing glandular tissue with muscle. This is why professional athletes have almost no breasts.

Important! For the best effect, an integrated approach is required: playing sports and doing physical exercises, normalizing nutrition, care with cosmetics.

Breasts can take on the best shapes if they are properly treated, cared for and cared for. You need to wear it proudly, and not drag it from work to home and back.

Exercises

In order for sagging breasts to acquire a beautiful shape, you will have to choose a set of exercises aimed at tightening and forming a muscular frame to support it.

Fitness trainers say the best exercises for this are push-ups and planks, so they should be performed daily as part of your morning exercises, and additionally three times a week when workouts are scheduled.

Push ups

Not every woman knows how to do push-ups. If this is difficult, first practice push-ups from a wall, then from a bench or chair, and only then move on to the classics. In the morning, 10 times will be enough, and during training, do 3 sets of 10 times with an interval of 1 minute.

Bench press

The bench press is a great option for toning your muscles and increasing chest muscle mass. A simple exercise will help your bust look fuller.

Procedure: Lie with your back on the bench. You will need dumbbells. Your arms should be bent at an angle of 90 degrees at the elbows (parallel to the floor). Raise the dumbbells up and hold your hands in this position for several seconds. Next, return to the starting position. Do 3-5 sets of 15 reps.

Dumbbells can be replaced with water bottles.

Plank

This exercise will be effective only if 2 conditions are met. Firstly, it must be performed correctly. Watch training videos; at the initial stage, ask someone to check whether you are stretching your body evenly and whether there are any arches or sagging. Secondly, it needs to be done incrementally. There is a certain scheme when on the first day you stand in the plank for only 20 seconds, and by the end of the month they turn into 5 minutes. Follow it.

Lock

Bend your elbows and press your palms tightly together at chest level. Start pressing them with force (20 seconds), then relax (10 seconds). Do 10 approaches.

"Breast butterfly"

The “pectoral butterfly” exercise stretches the pectoral muscles well, strengthening them and improving posture.

Procedure: Lie down on a bench and keep your feet on the floor. Raise your arms with dumbbells and bend your elbows, holding them above your chest. This is the starting position. Take a deep breath and slowly extend your arms out to the sides until they are parallel to the ground. During the exercise, you will certainly feel a stretch in the chest area. Exhale and return to the starting position. Do 5 sets of 15 repetitions. Please note that you should not feel pain during the exercise.

If you feel discomfort, it means something is being done wrong.

Cobra

Lie on your stomach, straighten your legs. Position your hands as if you were doing push-ups. Raise the upper part of the body at an angle of 90° without lifting the lower part from the floor. Hold for 20 seconds. Return to starting position. Repeat 10 times.

Tree

Stand up straight. Raise your arms up, clasp your palms above your head. Raise one leg and place its foot on the inner thigh. Hold in this position for 30 seconds. Return to starting position. Change leg. The number of repetitions for each leg is 5. If you cannot maintain balance, perform the exercise next to a wall, which will serve as a support for the first time.

Also perform arm swings with weights, dumbbell presses (no more than 1 kg each), and a bridge (read how to stand on it here). Many yoga asanas work the pectoral muscles. In addition to exercise, some sports contribute to tightening: swimming and water aerobics. But it’s better not to get carried away with team issues.

And 2 more recommendations from fitness trainers for those who want to achieve good results. Don’t get carried away with cardio exercises: the emphasis should be on strength training. Jumping and running make the chest flat and expressionless. And don’t forget to wear a sports bra to workouts and classes.

Breast massage

Knowing the basic massage techniques, the question of how to restore breasts after losing weight will no longer bother you. Use light stroking movements over the entire décolleté and chest area. This way you can warm up the skin and ensure blood flow (2-3 minutes); Next, lightly tap the chest with your fingertips, starting from the juices (3-4 minutes); Using pinching movements, go over the entire décolleté and chest area. Manipulations should not cause discomfort or leave redness on the skin; A vibrating massage helps tighten your breasts. You need to place your palm just above the nipple and lightly vibrate it for 30 seconds. In the same way, you need to go over the entire chest, including the décolleté area. The total time to perform vibration is 5-8 minutes; We finish the massage with light stroking.

Cosmetology procedures

All kinds of masks, applications, creams, lotions, wraps and other additional cosmetic delights will not be able to return your breasts, which are losing weight along with you, to their former heights. But they are able to retouch such consequences as stretch marks, small wrinkles, loss of tone.

In general, when using them, you are provided with a cosmetic effect without major changes.

• ✅ Tightening masks and scrubs. The market is replete with specially designed lifting products, but natural cosmetics can also be effective. For example, a tightening mask of bananas and honey (one mashed banana - a tablespoon of honey, applied to the décolleté for half an hour).
• ✅ Cocoa butter wonderfully tightens the skin and removes stretch marks. At the same time, it is not very expensive.
• ✅ Cream. For breast care, regular body cream is suitable. You can also add a little castor oil to any moisturizer. It's cheap and very effective. The skin on your décolleté will noticeably improve and tighten.

Water treatments

• ✅ Contrast shower. Alternating cold and hot water is a wonderful remedy for breast tone. Even if you are just taking a bath, finish your water procedures with a douche of cold water. You can also wipe the décolleté area, including the neck, with an ice cube.
• ✅ Hydromassage. For 8-10 minutes, massage yourself with a stream of warm water of medium pressure in the décolleté, shoulders, chest, and intercostal area. This stimulates blood circulation, has a beneficial effect on the skin and increases the tone of the chest muscles, which means it promotes its elasticity.

Attention! All cosmetic, water treatments and massages to maintain and lift the breasts should cover the entire breast, excluding the nipples and dark areola circles around them.

Because these are the most sensitive places and are rich in blood vessels, as well as the endings of the milk ducts.

Breast self-examination

Palpation should always include the nipples and lymph nodes on both sides of the body. Particular attention should be paid to the upper and lateral quadrants of the breast, since it is there that about 50% of malignant breast tumors are localized. It is best (for menstruating women) to examine the breasts in the first week after the end of menstruation.

When examining your breasts, special attention should be paid to the following facts:

• venous vessels have become more visible through the skin;
• changes in skin color or texture;
• changes in the size or shape of one of the breasts;
• dimples, wrinkles, or sores on the nipple or breast skin;
• changes in the shape or contour of the breast, nipple;
• changes in appearance: redness, scabs, peeling of the epidermis;
• bleeding or leakage of nipple discharge;
• swelling of the hand;
• “orange peel” skin;
• the presence of a new nodule that does not disappear after menstruation and does not respond to hormonal changes in the menstrual cycle.

How does a breast augmentation consultation work?

Goals:

1. acquaintance and establishment of a trusting understanding between the patient and the doctor;
2. collection of necessary anamnestic data;
3. determining the expected outcome of the operation and the patient’s motivations;
4. discussion of the features of the operation and the postoperative period, possible complications, for example, analysis of some clinical cases from the surgeon’s practice;
5. determining future breast volume using external sizers;
6. measuring the main dimensions of the chest and chest, taking into account anatomical features;
7. selection of implants based on the analysis;
8. photo demonstration of the results of operations performed and their analysis;
9. written documentation of the consultation, handed over with the examination plan;
10. 3D modeling.

“And why do they ask me about everything in such detail...?”

During the consultation, the doctor asks questions that are directly related to the planned operation or its preparation. For example, typical questions include:

• Have you ever been satisfied with your breasts?
• How do your loved ones feel about your intentions?
• How long have you been thinking about breast surgery?
• Are you planning a pregnancy in the near future?
• Do you have any children ?
• Have you breastfed and if yes, for how long?
• What was the maximum breast size and which breast had the most milk?
• What changes have happened to your breasts?
• Are there any difficulties when choosing underwear?
• Is your weight stable?
• How do breasts change during menstruation?
• Have you had any plastic surgery and if yes, how do you like the result or what surgeries might you still be planning?
• Maybe someone you know has already had breast surgery?

“Now I remember, when was the last time I saw a doctor...?”

Information about previous or existing diseases may indicate the presence of contraindications to surgery. Observation by specialized specialists or ongoing treatment may also require additional examination.

It is advisable to carry out an examination of the mammary glands once a year, for example, the simplest is an ultrasound of the mammary glands.

“Here, doctor, look what I want... but I don’t like it this way...!”

Also during the consultation, it is important to carefully study the patient’s wishes and the expected result. You can tell us about the breast shape and size you dream about. Patients often bring photographs of their breasts that they like, for example, photographs of models, which also helps to more clearly determine the size and shape of the breast. This also helps to understand what result of the operation you would not like to receive.

Remember that with a responsible attitude to planning the operation, you will always be satisfied with the result. Being informed before surgery helps you make the right decisions.

“And on Monday I have to go to work... but can I go to the gym...?”

Of great importance is information about the features of the postoperative period, which usually proceeds smoothly and quickly. After just two to three weeks, patients “forget” about the operation. In fact, the healing processes in tissues continue much longer, for example, fixation of an implant in tissues and ingrowth of connective tissue into its shell occurs within 3-5 months. Wearing compression garments prevents sagging and displacement of the implant and helps to refine the shape of the breast after surgery or reduce asymmetry. Limited loads on the shoulder girdle, for example, swimming a month after surgery, help to form a more delicate capsule around the implant, while more intense loads are recommended from the 2-3rd month. After the operation, it is necessary to conduct an ultrasound examination after 2, 6 and 12 months, then every year. Of great importance is the concept that the breast is a dynamic organ and can change over time. All this knowledge gained during the consultation helps you get not only a beautiful, but also a stable result that you will be happy with for the rest of your life. You will also be able to see real implants from various manufacturers, hold them in your hands, and test them for strength (usually each surgeon has many implants, which he will definitely tell you about).

“This is what I like best... what about you, doctor?”

How can you see future breasts? A set of external sizers of different sizes, which are inserted into a specially selected elastic T-shirt, is effectively suitable for this. Thanks to this simple technique, the patient can see in the mirror how proportionally the selected breast volume suits her. Sizers accurately convey the volume and weight of implants and significantly help visualize the result of the operation. Using sizers, you can also determine the size of your future bra cup using a special table.

External sizers

Trying on external sizers before surgery

Result after surgery

“... really a little lower on the left... I didn’t even notice this before?!”

The next stage of the consultation is to measure the size of the breast and rib cage, taking into account anatomical features. You will have to strip to the waist! Of great importance to achieve a stable result of the operation is the selection of an implant in accordance with the size of the original breast. An implant extending beyond the surface tissue can be palpated and visually noticeable. Recently, most patients strive for naturalness when planning surgery. As a rule, every patient has asymmetry, this is also taken into account during the consultation. It can be caused by different heights of the areolas or the inframammary fold located at different levels, or different volumes of the gland's own tissues. Noticeable asymmetry in some cases can be corrected, for example, by selecting different-sized implants or internal tissue transposition, or a slight displacement of one of the inframammary folds. And a small unaccounted for asymmetry, which could have been prevented, may become noticeable after surgery, due to a change in the position of the breast tissue on the implant after surgery. Asymmetry can also be a result of scoliosis.

It is important to assess the volume of covering tissue above the implant; for example, with thin skin and a small amount of fatty tissue in the lateral sections, the implant can be palpated. This sensation can be easily demonstrated by placing 3-4 layers of thick material equal in thickness to your tissues on the edge of the implant.

Therefore, in such cases, it is rational to carry out the lipofilling procedure (injection of one’s own fat) 8-12 months after the operation.

The most important dimensions: girth under the breast, distance from the nipple to the inframammary fold and to the base of the neck, width of the chest area, measurement of the thickness of the integumentary tissue, height. Usually, all measurements taken are drawn on the skin of the chest with a thin marker (you will see everything in the mirror) and washed off after the consultation.

Breast measurement before surgery

Breast measurement after surgery

“Now I can choose the implant myself...!”

When we have drawn the markings and determined the size of the breasts, we can move on to determining the implants themselves. Implants from different manufacturers have different properties and are selected individually. Modern implants from leading manufacturers have a lifetime warranty and do not need to be replaced over time. These are high-tech products that are intact to body tissues and do not cause any diseases. Implants have width, height, projection and lower pole length indicated in centimeters and weight indicated in milliliters. Implant volume from 90 ml. up to 730 ml. in increments of 15-35 ml.

The size of the implants should not exceed the boundaries of the mammary gland; this is especially important in patients with an insufficient amount of integumentary tissue. The main dimensions of the skin “cover” of the breast should not be smaller than the selected implant. As a rule, several implants of similar sizes are suitable for the operation.

The final choice of implant from similar pairs is determined during surgery, based on the parameters of the skin “cover” of the breast. Different sized implants can be selected to correct breast asymmetry. Using a simple test, you can check the volume of your future breasts in accordance with the selected implants at home yourself in front of a mirror.

“I didn’t think that I would learn so many new things, it was interesting...!” or “A whole hour of theory, and at the end there’s also a practical lesson!”

As a result of photographic demonstration of the results of other patients, you can see similar elements or mechanisms of the operation, but remember that only you have such a breast and each patient is unique, and the dynamic changes in the breast over time are unique. For each patient you examined, you will be able to ask questions and evaluate the results in detail at different times after surgery.

“Tomorrow I’ll read everything again and remember”

After the consultation is completed, you will receive a written summary of the consultation with a breast correction plan and examination regimen. You will also have contact information for the surgeon and his assistant, so that you can always call and ask questions that may arise in a few days. Sometimes there is a need for a second consultation.

“Even before plastic surgery, I will be able to see its results”

This became possible thanks to the latest 3D volumetric modeling system of 2014, Vectra-XT. Already at the first consultation you will be able to see a 3D model of your own body with the result of future plastic surgery. Agree, by looking at the shape and size of the future breast it will be much easier to decide on the size of the implant. Thanks to 3D modeling technology, the risk of dissatisfaction with the result of plastic surgery is reduced to a minimum.

Endoscopic breast augmentation using the “Breast without seam” method from consultation to perfection. Comparative characteristics of results after surgery for 4 years.

Postoperative period

The rehabilitation period after reduction mammoplasty is approximately the same as with breast augmentation. However, due to the larger volume of intervention, the recovery period becomes longer.

In the first days after breast reduction (reduction mammoplasty), there is a slight increase in body temperature and tolerable pain in the chest area. It is natural for swelling to form in the operated area. It takes time for the mammary gland tissue to recover (the swelling subsides completely after 2-3 months).

A hospital stay is necessary for 3-5 days under the supervision of a surgeon. Sutures after breast reduction surgery are removed after 2-3 weeks if non-absorbable suture material was used. The use of absorbable sutures during breast reduction surgery eliminates the need to remove stitches.

For a month to a month and a half after reduction mammoplasty, the breasts need rigid fixation and support: it is necessary to wear compression garments.

You also need to limit lifting weights (do not lift more than 1.5 kg), do not visit the bathhouse, sauna, or public swimming pool.

Due to the fact that breast reduction is a fairly invasive operation, patients during the rehabilitation period require increased attention to hygiene and dressings in the chest area, as well as taking prescribed antibacterial drugs.

Also, after breast surgery (reduction), some complications are possible, which the patient should be aware of in advance. After breast reduction, skin necrosis may occur, which most often affects the area of ​​the areola and nipple. In most cases, this complication is explained by a poorly performed operation. Another complication is inflammatory processes, which are prevented by taking special medications and the utmost care of the surgeon. In older patients, blockage of blood vessels by fatty tissues and hematomas after breast reduction are possible.

In order to avoid complications after breast reduction, the patient should discuss in advance the possibility and likelihood of their occurrence, and also carefully follow all recommendations in the postoperative period, take care of herself and, if any pain or unknown tissue changes occur, immediately contact her surgeon.

Breast reduction surgery is quite complex and should only be performed by an experienced surgeon who specializes in mammoplasty. The price of the operation, of course, is not small, but it is fully justified by the volume of surgical intervention, medical responsibility and the peculiarities of the recovery period during which it is necessary to visit a doctor. The cost of breast reduction in a clinic (in Moscow) is from 150,000 rubles.