What is it ?

Augmentation mammaplasty (breast enlargement)is one of the most commonly performed aesthetic surgery.This surgery can provide to women with small or unattractive busts, better volume, proportions and appearance through placement of silicone implants. The reasons why women visit our clinic are many and varied, including better breast size and lift after weight loss, childbirth and breastfeeding, congenital diseases and asymmetries. And since every case is different and every woman has unique requirements for her body, the preoperative consultation must be very detailed.
Dr. Zayakova devotes a lot of time to these consultations in order to be able to understand the patient's wishes, to establish the individual anatomical features and together with the patient to select the most appropriate shape, size and volume of the implant, and also to decide where the incision and the position of the implant will be. In cases of large breast sagging, Dr. Zayakova recommends combining the operation with a breast lift. In addition to the mandatory blood tests for this operation, you must have a breast ultrasound if you are between 18 and 35 years old and a mammogram if you are over 35 years old.

A few words about the types of implants:
In our country there are implants of the following companies: MENTOR,EUROSILICONE- Matrix;ARION, NAGOR, SILIMED, MOTIVA. The choice is rich, but Dr. Zayakova prefers to work with MOTIVA and MENTOR implants. However, if you prefer implants from other companies, she will accommodate you.

The wide variety of prostheses is determined by the following characteristics:
shell - smooth and textured;

• content – liquid silicone, cohesive gel, physiological serum;
• shape - round and anatomical;
• height – short, medium, tall and very tall.

The implants we work with are of the highest class: the shell is rough (textured) and filled with cohesive gel regardless of the shape. This gel has the advantage that if the integrity of the shell is broken, it does not come out, but stays in place.

What is the operation?

The operation is performed under general anesthesia. Its duration is not less than two hours. The incision is made:

• under the breast
• around the areola
• axillary
• Placement of an implant through the umbilicus, TUBA method is possible only for prostheses filled with saline solution.

The implant can be placed:behind the gland, behind the fascia of the muscle, under the muscle, or in a dual plane.
The difference between submuscular implant placement and dual plane is the technique of muscle release. There are three subtypes of the double plan, and the second and third options allow us to avoid additional incisions in certain cases of sagging bust. Your incisions will be closed with absorbable sutures (the body dissolves them) and will not need to be removed. You wake up with the elastic underwear and tape required in the post-operative period. All the necessary medications-antibiotics and painkillers while you are with us will be given intravenously. The pains are slightly stronger when the implants are placed subcutaneously.

What to expect after the operation?

The first 24-72 hours you will have a feeling of discomfort, tension in the breast, which is due to the swelling. Upon leaving the clinic, you receive a passport for the implants, which is also your guarantee for them. At home, you will take the antibiotic and painkillers orally. You will need to visit the clinic again on the second day of the operation, when you will be examined and bandages will be applied to allow you to bathe. Any postoperative pain, swelling, tension will gradually subside. You will wear the elastic underwear for 30 days. A patient who has undergone such an operation can return to work after 7-15 days if he feels ready for it. Sports, heavy lifting should be postponed for a month. The scars fade gradually over a period of 3 to 12 months, depending on the individual characteristics of your body.

Are there any risks?

All surgical interventions carry risk, and plastic surgery is no exception. Serious complications are not common when the surgery is done by a qualified plastic surgeon. Possible complications include: infection, hematoma, seroma, capsular contracture, change in nipple sensitivity, synmastia, delayed healing, persistent pain, unsatisfactory aesthetic result, implant rupture (mainly with saline implants).

Revision surgery: It is performed after implants have been placed and a complication has occurred or an unsatisfactory aesthetic result. The development of an infection may require temporary removal of the implant and after a period of one or three months it must be reinserted. Seromas and hematomas are drained, it is possible to do this under general anesthesia.
Aesthetic correction may be necessary for the purpose of:

• changing the size of the implant
• improving breast symmetry
• replacement of a ruptured implant

Please contact us and ask the questions that concern you.