Breast augmentation

Augmentation mammoplasty is an operation performed in order to enlarge the size, change the shape or correct the loosening and asymmetry of woman’s breast using silicone implants.

You can also watch the video of breast augmentation in “ESTA Kuzanov Clinic”.

Through the history of plastic surgery in order to enlarge woman’s breast was used three methods: using auto-tissues of patient, injections of synthetic materials and implants.

The first breast enlargement in our clinic was held in 1980, using the method of spinal flap rotation. We should notice here that by that time patients were very frightened of silicon implants, so we had nothing left but perform surgeries using auto tissues.


Breast augmentation using the method of spinal flap auto-transplantation – left side up- The patient before and down – 7 days after the surgery, right – schematic image of operation.

In our clinic we worked out some methods of breast enlargement using auto-tissues, though these methods are mostly used in case of Poland syndrome (absence of one chest muscle) and Breast Reconstruction surgery.

In our clinic we use modern implants of world’s leader companies like Mentor and Silimed. We prefer to place implants intramuscularly, because using this method makes it possible to get natural visual outcome and reduces the risk of capsular contractures development.

In every single case we individually choose shape and size of prosthesis foreseeing the patient’s wish, though we should foresee the anatomic showings of mammary to get the most natural and beautiful outcome.

History

The earliest known breast augmentation using implants was attempted by Vincenz Czerny in 1895. He used a woman's own tissue from a lipoma which he placed in breast zone to correct assimetry.

Afterwards surgers tried to use pure fatty auto-tissues from abdomen and buttocks and complex tissues. These methods were effectless, because implanted tissues were becoming resorptioned and breast was going asymetric. It is needed to mention that auto-tissues are still widely used in breast reconstruction due to oncologic intervention.

In order to enlarge the size of woman’s breast synthetic injections started to be used in the end of  18th century.

Gersuny was the first to try paraffin injections in 1889. Afterwards they started to use wax and vegetable oils, which were injected under the skin. These kinds of injections were recognized as dangerous for patient’s health and were strictly prohibited since 1960.

The most warrant method of these three ones is using implants. The very first implant was made from ivory and glass. Next was Ivalon sponges, which were declined because of such problems like: pressing, disfiguration, etc.

The evolution of silicone implants was started by Cronin and Gerow in 1962, after they used implants filled with silicone gel. After the time silicone implants finally and fully altered all other methods and materials.

Nowadays for breast augmentation different shapes and sizes of silicone implants are used: round, drop-like and anatomic shapes.

Implants may also be high-profiled and low-profiled, which makes it possible to place nipple on desired heigh.

Indications

The indications for breast augmentations might be – micromasty, post-lactation involution, the lost elastic of skin and assymetry of mammary. Sometimes augmentations might be combined with breast lifting.

Nowadays, after prolonged analysis we can convinsingly say that using implants does not increase the risk of mammary cancer development.

Operation

Operation is performed under the general anesthesia during 1-2 hours.

Implants may be placed intramamally (under the gland) or intramuscularly (under the breast muscle). The incision can be made below the breast, along the areolar border or in the armpit. The length of incision is 4-6cm.

While the operation sometimes we place drainages, that are moved off in 2-4 days.

Post-Operation Period

The patient is discharged to ambulatory treatment on the 2nd day and gets back to work in 1 week after the surgery.

Sutures are removed in 10-12 days, sometimes the sensibility of areol might be lost for a while.

Driving car is possible in 1-2 months.

The heavy activity is prohibited for 2-3 months.

The scar is finally formed in 12 months after the surgery.

 

Photogallery


Up -  The patient with post-lactational involution. Down – The patient 1 month after breast augmentation using anatomic shaped implants.

 


Up – The patient with amastia. Down – The patient 4 years after breast augmentation using drop-like shaped implants.

 


Up – The patient with post-lactational involution. Down – The patient 5 years after breast augmentation using anatomic shaped implants.

 


Up – The patient with hipomastia. Down – The patient 6 months after breast augmentation using round implants.

 


The patient before and after breast augmentation using anatomic implants.

 


The patient before and after periaoral augmentation using anatomic implants.

 


The patient before and 1 month after augmentation and abdominoplasty.

 


Up – The patient with micromastia. Down – The patient 3 months after augmentation with anatomic implants.

 


Up – The patient with micromastia. Down – The patient 3 months after augmentation using anatomic implants.

 

  Next “Augmentation process”