Breast surgery
Breast augmentation, reduction
Breast augmentation with a clear visual effect is possible only with the help of plastic surgery. Other ways do not give the desired result – you better understand it at once. The first breast surgery was carried out back in the 90s of the XIX century. As compared to what modern medicine offers, they resembled rather an execution. The desired effect in increasing the breast volume was achieved through injections of liquid paraffin, rubber and fatty tissue of animal origin. Today’s breast surgeries have nothing to do with the dubious experiments of those times, with the exception of the goal, that is, to achieve every woman’s desire to have ample, ideal curves.
Breast reduction
Breast stretching
Breast Augmentation
The goal of this procedure is to augment the breast size, modify the shape (without impeding the lactational capability), restore the breast volume following child labour, rapid weight loss or breast lump removal. Breast augmentation is also performed to correct congenital defects.
The procedure is performed by emplacing a special implant under the breast tissue or under the muscle. The patient should discuss her wishes with the doctor and heed his/her opinion during the consultation.
Procedure
Breast augmentation procedure lasts about two hours and is usually performed under general anesthesia. The methods of performing the surgery depend on the patient’s body type and the doctor’s advise.
Peculiarities of the surgery
The operation does not affect the breast cancer risk. As a rule, a slight scar remains in place of the cut.
Post-operative period
The patient is discharged from hospital in 2-3 days after the surgery. Hand movements should be restricted during the first three weeks, especially during the first 5 days. There may be an increase in body temperature for several days. Weekly medical examinations should be held during the first month. The patient should wear special tight underwear for one month. The final result is visible in 2-3 months.
Breast Reduction (Reduction Mamoplasty)
Very often this surgical procedure is performed for medical rather than for aesthetic purposes as oversized bust may cause spinal deformities, chronic mastopathy and other health problems.
The surgery is performed under general anesthesia. The duration of the operation is about 3 hours. Breast reduction is performed through partial removal of glandular tissue. The breast obtains a normal shape in about month and a half. The patient should wear special elastic underwear for 2-3 weeks.
Breast Lift
This procedure is performed only by removing the excess skin. The cuts are made around the areola and extend downwards to the inframammary fold. Areoloa reduction is done if necessary.
The surgery lasts 2-3 hours. The patient should wear compression underwear for one month.
Breast reconstruction
Breast stretching
Breast reduction
Breast enlargement
Breast lift in Armenia
A woman’s breast often lose its youthful outline and firmness with time. These changes, loss of skin elasticity can be consequence of such factors as pregnancy; breastfeeding; weight fluctuations; aging; heredity and so on.
Sometimes areola becomes broadened over time, and a breast lift can diminish it as well. A breast lift can rejuvenate a woman’s figure.
During breast lift operation the surgeon cuts away excess tissue and skin, after that he tighten remaining tissue and skin and lift them. In some cases, areola is diminished in size, making it more proportionate to reshaped breasts. Breast lift procedure which is often performed together with augmentation is not permanent; gravity, age, and additional pregnancies can affect results of the operation over time, however, a great majority of patients are still satisfied with result.
Implant Based Breast Reconstruction After Mastectomy
Breast reconstruction after mastectomy for cancer may be performed immediately at the time of mastectomy or as a delayed procedure several years after the mastectomy. Implant based breast reconstruction involves using silicone gel implants to reconstruct the breast. Other methods of reconstruction use the patient’s own tissue, usually obtained from abdomen, to rebuild the chest.
Immediate Implant Based Breast Reconstruction
The latest methods of mastectomy and implant based recovery in selected patients involves sparing the entire chest skin, including nipple areola, and reconstructing breast immediately in one or two stages depending on the size. In small breasts a permanent silicone implant may be used to reconstruct the breast at the time of mastectomy. For larger breasts the recovery is done in two stages, first inserting a tissue expander, followed several months later by replacing the expander with a permanent silicone gel implant. Patients who are to undergo postoperative chemotherapy or radiation therapy wait up to six months before having the expander exchanged for a permanent implant. Ideally the oncologic surgeon and the plastic surgeon work together to perform mastectomy and reconstruction.
Delayed Reconstruction With Skin Flap And Silicone Gel Implant
Patients who have undergone a modified radical mastectomy without reconstruction may have a delayed recovery using their own tissue and a silicone implant. Because of lack of skin in the front chest wall after a modified radical mastectomy, additional skin and muscle is moved from the back to the front to reshape the breast. A silicone gel implant is inserted at the time of flap transfer to add volume to the breast. This procedure is known as a latissimus flap reconstruction, the latissimus being the muscle that is moved from back to front.
Nipple Reconstruction
If the nipple-areola has been removed at the time of mastectomy, it may be reconstructed 6 months after the completion of the breast reconstruction. This is done by first reconstructing the nipple with the patient’s own tissue followed several months later by tattooing areola / nipple.
Before - After
Obtaining symmetry
