If the breast is lost or has no volume, this problem can be fixed with implants. If you really stretched the skin and the breast has fallen down, raise it will help surgical lifting or mastopexy. In the case when there are both of these problems the operation in progress 2-in-1 — breast lift with implants. Combined operation involves removal of excess skin and simultaneous installation of silicone implants.
The main indications for a facelift along with the increase is the presence mastoptosis (sagging Breasts) and a small amount of the breast. Combined operation of the individual, and to say with precision how it will suit the patient, only the doctor.
Lift with the increase often choose women 1-2 years after birth and lactation, where the mammary gland have lost their tone, become flabby and decreased in size, and the skin due to the amount of milk stretched and caused the breast to SAG.
Allocates a total of three degrees or ptosis of the breast:
Ptosis of the breast any extent, eliminated through mastopexies operation for breast lift. Solution ptosis for each woman individually. The following methods handle style:
During the initial exam, the doctor will determine which of the possible methods of tightening applied to the patient, and will I need additional breast augmentation implants?
Surgery simultaneously lift and breast augmentation is suitable in the following cases:
It is important to emphasize that the combined method is strictly individual. For example, two patients with ptosis, the implant 250 ml can give very different results. One breast will look full and voluminous, but with a slight sagging down, and the other — no sagging will not be noticeable. The reason is many factors the original shape of the breast, the weight of the patient, the volume of the chest, the quality and elasticity of the skin.
Often women begin noticing sagging Breasts, decide that everything can be corrected only by insertion of implants that, in General, true, but does not work in all cases. If the doctor recommends you to do a combined operation, it should be trusted. The arguments of the surgeon can be based on the fact that the slack can only get worse because of the additional weight of the implants, or the result of the installation of dentures will not be one that expects the patient.
To conduct a breast lift with implants there are a few surgical contraindications, including:
After the initial consultation, the surgeon, the patient begins preparing for surgery. On average, the preparation takes no more than a month, and includes:
Analysis:
Pass consultations of experts:
It is advisable to do all the tests, and to consult them with doctors them a few days before surgery so the doctors could see the full picture of the health status of the patient.
A few weeks before surgery, as well as the duration of the recovery period the patient needs to stop Smoking the joints heal better. At least two weeks before surgery, the patient should not use blood thinners — Aspirin, Thrombo ASS, Cardiomagnyl and others, a detailed list of which will be provided by the surgeon.
Combined operation usually takes 2 hours, so for this operation, use only General anesthesia.
Before the procedure, the doctor makes markings on a body of the patient, and holds the first cuts, selected depending on the operation technique. Note that when the combined operations may not be used in all methods, but only some of them. So, with dental implants and a simultaneous lift is most often used a vertical incision with an offset region of the nipple, or without. Depends on how lowered areola patient.
Advantages of vertical incision in combined operation is that it enables the physician to conveniently remove the amount of skin that you want. This method allows to preserve the ability of the patient to breastfeeding. A vertical incision is the most convenient for installation of the implants.
Another possible type of notch cut in the lifting and simultaneous increase of the breast — periareolar. Its great advantage is that it allows you to remove a sufficient amount of skin tissue without creating visible scars. Seam "hide" around the areola and will eventually become not visible. But, this operation has limitations, as the ptosis needs to be expressed not much. Usually this technique is suitable for patients with pseudoptosis, i.e. when the total sagging Breasts, the nipple is at the level of inframammary folds.
When lifting and simultaneous increase not used the anchor technique section, as it presupposes in addition to the excision of a large amount of skin removal and part of the breast. Combined operation does not remove the mammary gland, but rather "complements" her implant installation. Not applicable also endoscopic breast lift, which does not imply removal of excess skin. The endoscope is removed a portion of the breast.
During surgery, the surgeon first installs the implant. Bed for it is formed either under the pectoral muscle or under the mammary gland. After the implant is placed, the surgeon sees the exact amount of excess skin to be removed. The final stage of operation occurs after the removal of excess skin, sutures and dressings. With the vertical incision suture passes around the nipple and down to the inframammary crease. Moving away from the anesthesia, the patient will find themselves in the special underwear that he will need to wear about a month since the operation.
After the operation, within two weeks you will need to observe a strict mode: do not lift the hands up, sleep on back, keep the chest exercise. This period is considered the most difficult, because patients experience discomfort can also be a weak and moderate pain. The first couple of days under the skin will be installed drain tube to accumulated lymphatic fluid. Swelling can be quite strong. The first few days after surgery it can grow, but after 1-2 weeks begins to subside.
The first two weeks are usually not allowed to take a shower. Even after the doctor gives the green light for water treatment, they should be done very carefully, without rubbing the skin of the breast, and not pressing down on her.
Two weeks later the patient can return to work, but need to continue to adhere to the rules, sleep is still on the back, not to make any sudden movements with your hands, not to burden the body. To return to business as usual can be after a month after surgery. You can even start to do light exercise.
The final result can be assessed after 3 months after surgery. By this time the swelling has finally subsided, the position of the implant is finally formed in my chest and the seams become less noticeable. The seams after a breast lift remain, but gradually disappear after six months, after surgery they usually leave no trace.