Complications are typical for any surgical procedure, but the risks of their occurrence can vary significantly. First of all, the surgeon assesses the woman’s health status and identifies contraindications, which include:
- Inflammatory and infectious processes in the mammary glands.
- Diabetes.
- Pregnancy and breastfeeding period.
- Blood clotting disorder.
- Oncological diseases.
- Severe diseases of the liver, kidneys, lungs, heart, etc.
If breast augmentation is carried out in the presence of contraindications, the risks to the woman’s health and even life will be very high. In this regard, no surgeon will undertake such operations.
Stages of rehabilitation
Carrying out mammoplasty is a fairly serious surgical intervention, performed under general anesthesia, accompanied by tissue incisions and trauma when placing implants, followed by suturing. Therefore, the rehabilitation process takes place in stages, with certain restrictions and prohibitions over several days or weeks. The patient needs to strictly monitor her general well-being, monitor the condition of the postoperative scar and follow all the recommendations of the plastic surgeon. This is necessary so that expectations regarding the desired shape and size of the breast are met, and the recovery process goes according to plan.
In general, the first (postoperative) rehabilitation period lasts up to two months, full recovery occurs within 6-12 months.
Breast complications: what are side effects
By the way, not everything that happens to the mammary glands in the postoperative period is complications. There are direct complications that do not necessarily have to happen, and standard side effects that go away over a different period of time.
Side or undesirable effects of surgical intervention are usually called symptoms that appear in the operated area always and in everyone. These undesirable effects arise from tissue trauma and will certainly subside as the wound heals. But the rehabilitation period can last different times for different people - this is determined by the individual characteristics of the body.
The inflammatory process is a natural and mandatory response of the body to any wound or injury necessary for tissue regeneration. This reaction occurs even if there is no infection - this is aseptic inflammation.
Breast complication photo
You can see many excellent results without complications after mammoplasty here.
Rehabilitation after mammoplasty by day
The patient spends the first day after the operation in the ward under the supervision of a doctor and nurses, recovering from anesthesia. An increase in temperature is possible as a reaction to incisions and tissue injury, pain. Antipyretics, painkillers, and antibiotics may be recommended to prevent wound infection. After the operation, a semi-lying or sitting position is required; by the end of the day you can stand up and walk. You can drink 3-4 hours after anesthesia, eat food after 5-6 hours.
On the second day, the doctor conducts an examination, removes drainages and makes dressings. In some clinics, the patient is allowed to go home by the end of the second or third day with positive dynamics of recovery.
The patient remains at home for the third or fourth day. Physical activity is prohibited; walking around the house is acceptable.
On the fifth day, a visit to the clinic is required for a follow-up examination by a surgeon and assessment of the recovery process, dressing, and suture treatment.
From 6 to 11 days after surgery, there is a smooth return to normal life with a number of restrictions. Physical activity, sports and heavy lifting are prohibited.
On the 12th day, the doctor conducts an examination again, monitoring the process of restoration of breast tissue and postoperative suture. The next visit during the normal rehabilitation process is planned for the 6th week from the date of surgery.
In the second or third week after the intervention, light housework is allowed; after the doctor’s permission, you can start training after about a month.
Preparing for surgery
Setting the operating parameters of anesthesiological equipment.
Preparing the patient for surgery. Marking.
Assembly of endoscopic equipment for endoscopic breast augmentation.
Dynamics of changes in the breast during the recovery period
In the first month after surgery, the breasts are quite painful, the tissues swell, and the breast size may be larger than expected. Bruising and small hematomas may appear in the area of the mammary glands. Women are concerned about how long breast swelling lasts after surgery. Maximum swelling will occur in the first week; within 2-3 weeks all these changes will subside. The pain will be maximum in the first days; painkillers are used to eliminate it. Gradually, the intensity of pain decreases by 2-3 weeks, and the need for medications disappears.
In the first two months, the breasts will be somewhat unnaturally raised; by the end of the second month, the implants will completely take root, take their proper place, tissue swelling will go away, and the shape of the breast will become natural. Breast tissue restoration takes place throughout the first year after the intervention. There may be problems with sensitivity of the halos and nipple, burning or itching of the skin. These problems are acceptable and disappear by the end of the first or beginning of the second year.
Complications that are very rare
The rupture of the implant is accompanied by a violation of the integrity of its shell. Typically, this complication develops as a result of careless actions of the surgeon, as a result of destruction of the implant wall, manufacturing defects, or chest injuries. Modern implants are filled with silicone gel, which does not spread or react with tissues, so there are no serious consequences for a woman’s health in this case.
The rupture can be intracapsular or extracapsular. In the first case, the filler remains within the implant pocket, and in the second, it extends beyond the fibrous capsule. Both of these conditions are usually manifested by aesthetic changes - deformation, asymmetry, change in breast size.
Capsular contracture developed very often (in 40-60% of cases) when using old first and second generation implants. This complication is a normal reaction of the body to a foreign body. He tries to limit the implant to a fibrous capsule from other tissues. The problem is that this capsule is not elastic and compresses the endoprosthesis, resulting in a pronounced compaction in the chest. Modern implants are distinguished by a special type of surface that prevents the formation of capsular contracture. Therefore, currently the risk of developing this complication is less than 10%. It can increase under the influence of other factors, including:
- Subclinical hematoma.
- The pocket is not large enough for the implant.
- Infectious complications after surgery.
However, no connection was found between the likelihood of capsular contracture formation and the type of filler.
The latest models of endoprostheses can reduce the risk of developing this complication to 3%, while in some women it may be higher. Accurate data that would allow us to understand the reasons for the development of capsular contracture have not yet been obtained. Therefore, conscientious manufacturers include a warning insert in each package of implants, which states the possible development of capsular contracture, in which the appearance of the breast may change, which will require repeated surgery.
What to pay attention to during the rehabilitation period
There are a number of warning signs, the appearance of which is a reason for immediate consultation with a doctor. The first thing that needs to be monitored is the condition of the postoperative wound and the process of scar formation. It is important to notify your doctor immediately if:
- increased pain in the area of the stitches or inside the chest;
- discharge appeared from the nipple area - green, yellowish, bloody, with an odor;
- the breast is swollen, hard to the touch, painful, sharply increased in size;
- parts of the implant are felt, they move, causing discomfort;
- the sutures become wet and fluid or blood oozes out;
- nipples itch and itch, have lost sensitivity;
- breasts are visually different sizes, asymmetrical.
It is important to monitor your general condition if you feel unwell, have a fever, headache, or nausea. Any signs of malaise, discomfort and other complaints are a reason for an immediate visit to the doctor.
Breast augmentation before and after Saratov review
I mentally prepared for plastic surgery for probably 10 years.
Year after year I read about mammoplasty, doctors, and clinics in Saratov. Then everything was like a dream - I saw a raffle on Instagram for an operation with Mentor implants... (By this time I already knew that they were considered one of the best. These operations are expensive and, of course, they were postponed every time for this very reason). Unfortunately, I’m not one of the lucky ones) and I didn’t manage to win. Why be discouraged - I decided! I began to study the work of the plastic surgeon who was conducting the prank, and yes, I didn’t find anything to indulge in. And so, again... Fate seemed to hint, this is a chance - yours, Katya, a chance! The doctor announces a summer promotion and the dream has finally become achievable for me!
What not to do after mammoplasty
After the operation, there are a number of restrictions that are gradually weakened as tissues are restored and postoperative scars heal.
You should not drink liquids for the first 3 hours after surgery (vomiting may occur), and you should not eat food for the first 5-6 hours.
For 4-5 days you should not shower your entire body (you can wash your lower part, wipe your hands, neck, and face with a damp towel).
In the first week, you should not lie down, sleep on your stomach at night, raise your arms above shoulder level, lift more than 1 kg of weight, make sudden movements with your arms, or bend forward and down.
Until the end of 2 weeks after the operation, you cannot drive a car or have sex. Until the end of the first year of rehabilitation after mammoplasty, pregnancy is undesirable - you should take care of contraception.
For a month after the operation, physical activity, sports and training are prohibited. Exercises with push-ups and stretching of the pectoral muscles are carried out no earlier than 24-25 weeks after surgery.
During the entire rehabilitation period, you should avoid sudden weight fluctuations, serious stress and nervous strain, and anxiety.
In the first three months, you should stop drinking alcohol and smoking, limit spicy, salty, spiced, fatty and fried foods. It is important to control fluid intake to avoid swelling.
For at least 6 months, you should avoid visiting saunas, steam baths, solariums, prolonged exposure to the sun, and taking hot baths.
Operation
Local anesthesia is administered.
An incision is made in the armpit.
Inserting the endoscope into the chest pocket.
Separation of tissues, including the pectoralis major muscle.
Coagulation of the chest pocket using an endoscopic roller, it allows you to seal even the smallest capillaries and intercostal vessels.
Selection and installation of implants taking into account the anatomical characteristics of the patient.
Result after endoprosthetics of one breast.
Important points during the rehabilitation period
In the first days after mammoplasty and subsequent months, proper breast care in the area of postoperative scars is important. This is important for their fastest healing without severe deformations. In the first days, the doctor treats the area of the sutures and changes the bandages; they are prohibited from being removed or wet. If absorbable threads were used, they are not removed; the resulting crust over the seam cannot be torn off until it completely falls off. To stimulate scar healing, your doctor may prescribe special creams. They make the seams less noticeable.
During the first 2-3 months (or longer), you need to wear a compression bra after mammoplasty. For a month they wear it without taking it off, even at night; from the second month it is permissible to take off the underwear at night. This is important so that the implants take their place and take root well, there are no problems with the skin and ligaments, muscles, and blood flow and lymph drainage are normalized.
On the recommendation of a doctor, therapeutic breast massage may be prescribed. Initially, it is carried out by a massage therapist, teaching the woman, then she performs it independently, in the morning. In the first three weeks, movements should be as light as possible, then lymphatic drainage massage techniques are used.
With such a gorgeous bust, I want to start my life again and become happy!
Z.S.L., February 8, 2016
I am immensely grateful to the real specialist Vardan Aramaisovich! It’s already been 3 weeks since I had breast augmentation surgery in Novosibirsk and I’m ready to write a review. I can’t get enough of my new gorgeous breasts. Thank you very much for the impeccable work. Vardan Aramaisovich, you are a magician in the full sense of the word! They calculated everything so accurately and convinced me that being oversized would only harm me. But I came to you with very high demands - I need breasts no worse than natural ones. I’m delighted with the result - now I have chic curves!
True, I had to radically change my wardrobe. Such beauty cannot be hidden. I threw away the gray and closed clothes and bought more revealing blouses and dresses. As soon as I take off my compression bra, I will immediately buy fishnet underwear.
Dear Vardan Aramaisovich, from the bottom of my heart I wish you success in all your endeavors, health and achieving new heights in your difficult task! I will definitely give a positive review about you to those who still doubt the choice of a breast augmentation clinic in Novosibirsk.
I didn’t have the slightest doubt about my choice! The stunning effect and beauty of my forms made me incredibly happy! Thank you Doctor!
Breast augmentation clinic
Day X.. July 1, 2022. Morning... arrived at the clinic... signed everything and came to the room. I met the doctor, the doctor's assistant, the anesthesiologist - less than an hour and I was already in the operating room. And it was so cool there that I couldn’t believe my eyes: the radio was playing, there were no scary iron instruments, there was nothing that could scare me. I lay down on the table, they put a heated mattress on me, gave me an injection and I fell asleep. I had dreams for what seemed like 5 minutes, and they woke me up to go to the ward. As expected, I opened my eyes and went back to sleep. I woke up in the ward. What? Anesthesia? Oh well... The first time this happened - I just slept and that’s it! No chills, no nausea, nothing. There was never even a fever. When choosing a clinic, doctor, etc., be sure to take care of what kind of anesthesia you will have. I had Sevoran.
The clinic is a sanatorium! The staff takes care of you, not leaving you for a second, day or night. The food is delicious, there is no heat, air conditioning works, it’s not boring, because there is a TV in the room.
The next day, dressing, examination and that’s it - I went home!
