Edema of the upper chest after mammoplasty

Beautiful, tall, well-delineated breasts have always been considered a sign of excellence, femininity and sexuality
At present, the only reliable anda safe way to increase the breast or change its shape is aesthetic mammoplasty with the installation of an implant. Today - this is one of the most demanded operations in plastic surgery. During the last decade, there has been an evolution of augmentation (increase) of the mammary glands from a simple change in size, to the creation of a proportional and harmonious breast. Injection methods of breast augmentation practically disappeared. Implants appeared, filled with cohesive gel and having a more stable form. The correction of mammary glands with ptosis, accompanied by involutional atrophy of tissues, tubular forms, etc., became possible.
The vast majority of implants used inmodern plastic surgery, filled with silicone (alternative - physiological solution in its pure form or with polysaccharides). New silicone implants are filled with silicone gel with shape memory and various degree of cohesiveness. After installation, some of the breasts will feel more dense, others - softer.
There are two basic forms of implants: Round and drop-shaped (anatomical). The surface of the implants can be textured or smooth. As a rule, round implants make the upper part of the chest more voluminous, and the chest - lush. Anatomical implants to a greater extent retain the natural outlines of mammary glands inherent in patients. In addition to the shape of the implant, it is necessary to choose its size and profile (height). Manufacturing companies produce implants of a variety of profiles and sizes so that they can fully meet any need. It should be remembered that the desired size of the implant should not be excessive, and the breast tissue should cover it without excessive tension. Otherwise, implants in the postoperative period will be noticeable, and this will spoil the desired result. In addition, such an operation may be associated with a greater risk of surgical complications.

• post-lactation involution of the mammary glands (as a result of feeding the baby);
• reconstruction of the breast. following mastectomy or trauma;
• congenital malformations of the mammary glands (diminution, asymmetry, ptosis, etc.);
• Implantation according to cosmetic indications.

• malignant tumors of the mammary gland
• acute inflammatory diseases (local and general)
• severe general somatic diseases (cardiovascular pathology, diabetes, blood diseases, etc.)
• Progressing benign breast tumors
• lack of skin and soft tissues to cover the implant;
• Irradiation, ulcers, insufficient blood flow to the wound after surgical treatment;

Preoperative preparation:
Mammoplasty can be performed only when patients reach 18 years of age, after the final formation of the mammary glands ..
Examination before surgery for breast plastic surgeryshould begin with a doctor's consultation mammologist. According to the indications, ultrasound examination of mammary glands or mammography is performed. After the positive conclusion of the mammologist, analyzes are given, together with a plastic surgeon, an implant, compression linen is selected, the course of the operation and the course of the postoperative period are discussed.
2 weeks before the plastic surgery is necessarystop taking hormonal contraceptives, as well as drugs that reduce blood clotting. It is desirable to refuse or reduce the number of cigarettes smoked.

Breast plastic surgery is performed under general anesthesia withartificial ventilation. The duration of the operation is from 1 to 2 hours. We use the products of McGhan, Mentor, Eurosilicon. Implants of these brands have a three-layer protective shell, and a gel of high cohesiveness ("non-flowing"). Firms provide a certificate for a lifetime warranty on the product.

There are several approaches for installing a breast implant: axillary cavity, areola area and submammary (foreleg) fold, navel.
When accessing the breast, the length of the incision is usuallyvaries from 3 to 5 centimeters. In the future, a subtle scar is formed, disguised as a trace from the bra. This is the safest and least traumatic method and we give it preference.
The incision along the lower edge of the areola is sufficientIt is invisible, but it is much more difficult to install the implant through it. When accessing the space in which the implant bed is formed, the breast tissue itself is damaged. What is undesirable for women planning pregnancy and lactation. Restriction to the use of this access is a small areola nipple. There is a high risk of reducing the sensitivity of the areola and nipple after surgery.
Breast augmentation through an incision in the axillarycavity is performed using endoscopic equipment. This access is used to install only round implants. Accordingly, the scar with this access remains almost invisible.
Breast augmentation with operative access in the upperparts of the navel - rarely used method. In this case, endoscopic technique is used. Implantation of prostheses is possible only with physiological solution. The disadvantage is the high risk of asymmetric implant placement.
In the course of the operation, a "bed" is formed in the space beneath the gland, into which the implant is placed, and the wound is sewn layer by layer. After the operation, a dressing is applied, compression clothing is put on.

Postoperative period:
• After the operation, the patient is in the hospital for 1 to 2 days.
• Compression laundry should be worn for 4 to 6 weeks.
• For 4 - 5 days you can take a shower.
• Sutures are removed on the 10th - 12th day after the operation.
• Puffiness and moderate breast density may persist for 2-3 weeks.
• After about 3 weeks, you can return to normal life.
• For 1 to 2 months, it is not recommended to visit the sauna, solarium, fitness, physical activities and sports are limited.
• The result of the operation can be assessed after 2 to 3 months, the final formation of the breast will end in about 8-12 months.
• Postoperative period in all patientsflows differently and depends on the threshold of pain sensitivity and the size of the implant. Painful sensations can appear with the movement of the hands, but not expressed at rest. Possible unpleasant sensations in the form of burning sensation, a feeling of heaviness in the area of ​​the mammary glands.
• The scar after the operation will be densified and blush for the first two months, and only six months later will turn into a white thread.
• Erogen sensitivity will return two to three weeks after surgery, however, rough physical contact should be avoided.
• Within 6 months after mammoplastyit is recommended to become pregnant. Breastfeeding is not contraindicated, but you need to take better care of your nipples. It is undesirable to do mammoplasty for 4 to 6 months after breast-feeding.
• Despite the fact that now every implanthas a certificate of a lifetime guarantee, it is impossible to foresee everything. Modern implants are virtually eternal, but this is by no means the only factor. The breast of any woman changes every 5-7 years, so that no surgeon can guarantee that a replacement will not be required. It is advisable to show to your doctor once a year, which may be limited to inspection or to conduct a number of additional studies.

• Capsular contracture (scar capsule) is formed around the implant and is characterized by its compaction. This complication happens rarely enough. Treatment - removal of the capsule and replacement of the implant.
• Like any operation, mammoplasty can lead to the formation of a hematoma, which is manifested by swelling, pain. In this case, urgent intervention is required to remove the hematoma.
• In rare cases, the implant may break from thewhat kind of injury. Gel from modern silicone prostheses usually does not extend beyond the implant shell. The rupture of any type of endoprosthesis requires replacement.
• The presence of an implant can not lead to developmentbreast cancer, which is proven by numerous studies. But, at the same time, the presence of an endoprosthesis commits to the implementation of a possible mammogram in specialists familiar with the technique of examining the breast with an implant.
• Attachment of infection - uncharacteristiccomplication for this operation. It occurs mostly in the early postoperative period. Treatment includes the use of antibiotics, anti-inflammatory drugs. With ineffective drug therapy - surgical intervention and removal of the implant.

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Date of publication: 9-July-2014, 12:56