Vakula Svetlana Alexandrovna

Augmentation mammoplasty (breast augmentation) is one of the most popular cosmetic plastic surgeries. Many women around the world resort to it: some to correct congenital defects or the consequences of surgery, others to restore breasts to the aesthetic size and shape lost after childbirth or sudden weight loss. Finally, there are many who simply want to give their breasts a more “appetizing” shape.

The operation is performed by introducing a silicone implant of the required shape and volume. They have no expiration date and can last you a lifetime. The procedure itself, performed by a qualified plastic surgeon using high-quality material, is absolutely safe.

Are there any contraindications to mammoplasty?

Like any medical operation, mammoplasty has its limitations. So, it is contraindicated to undergo breast augmentation if you have:

  • autoimmune diseases;
  • breast oncology;
  • diabetes;
  • allergies to the materials from which implants are made, as well as to anesthetics;
  • poor blood clotting.

You should also refrain from breast augmentation surgery when you are sick, have a weakened immune system, have hormonal disorders or menstrual irregularities, as well as during pregnancy and lactation. This will reduce the risk of possible complications. In any case, having decided to “get your breasts done,” you need to consult a plastic surgeon.

Postoperative period

Many women who are thinking about breast augmentation or lifting are wondering if there is life after this operation. Beauty, as we know, requires sacrifice and breast augmentation is no exception. There are a number of restrictions on the recovery period. Almost all of them are related to the need to keep the pectoral muscles at rest so that the implant can take root safely. This means that for the first 5-7 days you cannot raise your hands and wash in the shower, but you will have to wash your hair

ask for help. For a month you will have to sleep only on your back, and also refrain from driving a car, carrying heavy objects, playing sports and having sex. You should completely forget about visiting a bathhouse and sunbathing on the beach for the next six months - high temperatures and sunlight interfere with the healing of stitches.

In addition, for about two months you need to wear special compression garments that fix the implants and shape your beautiful breasts.

Breast surgery

Anesthesiology and resuscitation

Service codeInternal codeNamePrice, rub
B01.003.004.00737.1.1Spinal anesthesia lasting up to 1 hour8 000
B01.003.004.00637.1.2Epidural anesthesia lasting up to 1 hour14 000
B01.003.004.00837.1.3Spinoepidural anesthesia lasting up to 1 hour20 000
B01.003.004.00937.1.4Total intravenous anesthesia up to 20 minutes6 000
B01.003.004.00937.1.5Total intravenous anesthesia from 20 minutes to 60 minutes12 000
B01.003.004.01037.1.6Endotracheal anesthesia from 1 hour to 2 hours20 000
B01.003.004.01037.1.7Endotracheal anesthesia from 2 hours to 3 hours26 000
B01.003.004.01037.1.8Endotracheal anesthesia from 3 hours to 4 hours34 000
B01.003.004.01037.1.9Endotracheal anesthesia from 5 to 6 hours58 000
B03.016.01137.1.10Express analysis of blood gases and electrolytes2 000
B03.016.01137.1.11Advanced express analysis of blood gases and electrolytes2 500
B03.016.01137.1.12Artificial ventilation for 12 hours7 200
B01.003.004.01037.1.13Endotracheal anesthesia up to 1 hour14 000
B01.003.004.01037.1.14Endotracheal anesthesia from 4 to 5 hours40 000
B01.003.004.00237.1.15Conduction anesthesia of the 1st category of complexity4 000
B01.003.004.00537.1.16Infiltration anesthesia (large volume or area) up to 30 minutes3 000
B01.003.004.00537.1.17Infiltration anesthesia up to 15 minutes1 400
B01.003.004.00437.1.18Application anesthesia1 000
B01.003.004.00937.1.19Drug sedation with hemodynamic monitoring3 000
B01.003.00437.1.20Prolonged regional anesthesia (days)8 000
A11.12.00137.1.21central vein catheterization10 000
A11.23.00237.1.22TAP TEST12 500
A11.23.00137.1.23Diagnostic spinal (lumbar) puncture3 500
B01.003.004.00737.1.1.2Spinal anesthesia from 1 hour to 2 hours14 000
B01.003.004.00737.1.1.3Spinal anesthesia from 2 hours to 3 hours17 000
B01.003.004.00737.1.1.4Spinal anesthesia from 3 hours to 4 hours20 000
A11.23.003.00137.1.2.1Placement of an epidural catheter8 000
B01.003.004.00637.1.2.2Epidural anesthesia from 1 hour to 2 hours17 000
B01.003.004.00637.1.2.3Epidural anesthesia from 2 hours to 3 hours21 000
B01.003.004.00637.1.2.4Epidural anesthesia from 3 hours to 4 hours24 000
B01.003.004.00637.1.2.5Epidural anesthesia from 4 hours to 5 hours28 000
B01.003.004.00837.1.3.1Spinoepidural anesthesia from 1 hour to 2 hours22 000
B01.003.004.00837.1.3.2Spinoepidural anesthesia from 2 hours to 3 hours26 000
B01.003.004.00837.1.3.3Spinoepidural anesthesia from 3 hours to 4 hours27 000
B01.003.004.00837.1.3.4Spinoepidural anesthesia from 4 hours to 5 hours30 000
B01.003.004.00937.1.5.1Total intravenous anesthesia from 1 hour to 2 hours20 000
B01.003.004.00937.1.5.2Total intravenous anesthesia from 2 hours to 3 hours24 000
B01.003.004.01037.1.9.1Endotracheal anesthesia from 6 to 7 hours65 000
B01.003.004.01037.1.9.2Endotracheal anesthesia from 7 to 8 hours70 000
B01.003.004.00237.1.15.1Conduction anesthesia of the 2nd category of complexity5 000
B01.003.004.00237.1.15.2Conduction anesthesia of the 3rd category of complexity6 000

Mammoplasty

Service codeInternal codeNamePrice, rub
A16.20.08537.8.1Augmentation mammoplasty (1 category)80 000
A16.20.08537.8.2Augmentation mammoplasty (2 categories)160 000
A16.20.08537.8.3Augmentation mammoplasty (category 3)250 000
A16.20.08537.8.4Augmentation mammoplasty (4 categories)350 000
A16.20.085.00537.8.5Repeated augmentation mammoplasty (reendoprosthetics) (1 category)120 000
A16.20.085.00537.8.6Repeated augmentation mammoplasty (reendoprosthetics) (2nd category)250 000
A16.20.085.00537.8.7Repeated augmentation mammoplasty (reendoprosthetics) (category 3)350 000
A16.20.085.00537.8.8Repeated augmentation mammoplasty (reendoprosthetics) (4th category)450 000
A16.20.085.00537.8.9Augmentation mammoplasty 1 gland (1 cat)60 000
A16.20.085.00537.8.10Augmentation mammoplasty of 1 gland (2 categories)120 000
A16.20.085.00537.8.11Augmentation mammoplasty of 1 gland (3 categories)200 000
A16.20.085.00537.8.12Augmentation mammoplasty of 1 gland (4 categories)250 000
A16.20.085.00537.8.13Repeated augmentation mammoplasty (reendoprosthetics) 1 gland (1 cat)180 000
A16.20.085.00537.8.14Repeated augmentation mammoplasty (reendoprosthetics) 1 gland (2 cat)216 000
A16.20.085.00537.8.15Repeated augmentation mammoplasty (reendoprosthetics) 1 gland (3 cat)322 000
A16.20.085.00537.8.16Repeated augmentation mammoplasty (re-endoprosthetics) 1 gland (4 cat)430 000
A16.20.085.01037.8.17Mastopexy (1 cat)120 000
A16.20.085.01037.8.18Mastopexy (2 stages)180 000
A16.20.085.01037.8.19Mastopexy (3 categories)220 000
A16.20.085.01037.8.20Mastopexy (4 categories)300 000
A16.20.085.010, A16.20.08537.8.21Mastopexy with endoprosthetics (1 category)130 000
A16.20.085.010, A16.20.08537.8.22Mastopexy with endoprosthetics (2nd category)180 000
A16.20.085.010, A16.20.08537.8.23Mastopexy with endoprosthetics (category 3)250 000
A16.20.085.00737.8.24Reduction mammoplasty (1 category)130 000
A16.20.085.00737.8.25Reduction mammoplasty (2 categories)160 000
A16.20.085.00737.8.26Reduction mammoplasty (3 categories)210 000
A16.20.085.00737.8.27Reduction mammoplasty (4 categories)280 000
A16.20.08537.8.28Breast reconstruction using a tissue expander (1 cat)100 000
A16.20.08537.8.29Breast reconstruction using a tissue expander (2 cat)150 000
A16.20.08537.8.30Breast reconstruction using a tissue expander (including stage 2) (category 3)200 000
A16.20.08537.8.31Breast reconstruction using microsurgical tissue autotransplantation methods (cat. 1)150 000
A16.20.08537.8.32Breast reconstruction using microsurgical tissue autotransplantation methods (2 cat.)200 000
A16.20.08537.8.33Breast reconstruction using microsurgical tissue autotransplantation methods (category 3)300 000
A16.20.08637.8.34Plastic surgery of the nipple-areolar complex (1 category)30 000
A16.20.08637.8.35Plastic surgery of the nipple-areolar complex (2 categories)90 000
A16.20.08637.8.36Plastic surgery of the nipple-areolar complex (3 categories)125 000
A16.20.08637.8.37Plastic surgery of the nipple-areolar complex (4 categories)150 000
A16.20.085.00737.8.38Removing gel from mammary glands (1 cat)45 000
A16.20.085.00737.8.39Removing gel from mammary glands (2nd stage)100 000
A16.20.085.00737.8.40Removal of gel from the mammary glands that has migrated to other anatomical areas (Cat 3)150 000
A16.20.085.00737.8.41Removal of gel from the mammary glands, which has migrated to other anatomical areas, with inflammation (4th category)200 000
A16.20.085.00737.8.42Removal of gel from mammary glands with simultaneous endoprosthetics (1 cat)150 000
A16.20.085.00737.8.43Removal of gel from mammary glands with simultaneous endoprosthetics (2nd stage)250 000
A16.20.085.00737.8.44Removal of gel from mammary glands, with simultaneous endoprosthetics (3 stages)300 000
A16.20.03137.8.45Removal of breast fibroadenoma using extended biopsy (1 cat)30 000
A16.20.03137.8.46Removal of breast fibroadenoma using extended biopsy (2nd stage)45 000
A16.20.085.00737.8.79Removal of breast endoprosthesis 1st stage30 000
A16.20.085.00737.8.80Removal of breast endoprosthesis 2nd stage45 000
A16.20.085.00737.8.81Removal of breast endoprosthesis 3 cat.60 000
A16.20.085.01137.8.83Mastopexy of one breast, category 160 000
A16.20.085.011.0137.8.84Mastopexy of one breast, category 275 000
A16.20.085.011.0237.8.85Mastopexy of one breast, category 390 000
A16.20.085.010.01, A16.20.085.0137.8.23.1Mastopexy with endoprosthetics (4th category)350 000
A16.20.085.010.02, A16.20.085.0237.8.23.2Mastopexy with endoprosthesis (category 5)420 000

General hospital services

Service codeInternal codeNamePrice, rub
S01.001.00137.0.1Stay in a hospital ward (daily)6 000
S01.001.00237.0.2Stay in a hospital ward (daytime until 21:00)3 000
S01.001.00337.0.3Stay in the ward for accompanying persons (daily)6 000
S01.001.00437.0.4Stay in hospital room VIP 1 (daily)10 000
S01.001.00537.0.5Stay in hospital room VIP 2 (daily)16 000
S01.001.00637.0.6Stay in a hospital ward (daily, without meals)3 400
S01.001.00737.0.7Stay in the intensive care unit from 6-24 hours8 000
B01.047.00937.0.9Supervision by a therapeutic physician (1 visit)2 500
A11.12.00337.0.10Infusion therapy of expensive drugs4 000
A23.01.00137.0.11Extraction of surgical material using delivery means (calculated price)1 000
A18.05.01337.0.22Treatment using blood products (calculation, price)1 000
A11.12.00337.0.23Treatment using additional drug therapy (calculation, price)1 000
A23.01.00137.0.24Selection of implants (calculation, price)1 000
S01.002.00137.0.25Selection of compression garments (calculation, price)1 000
B01.057.00137.0.28Appointment with an operating specialist0
A11.01.01437.0.29Hemostasis using local hemostatic agent Zhelplastan 2.5 g6 600
A11.01.01437.0.30Hemostasis using local hemostatic agent Zhelplastan 5.0 g12 700
A11.12.003.00237.0.31IV drip infusion of Ferinject 500 mg (Ferinject, 50 mg/ml, 2 ml No. 5 in ampoules or 50 mg/ml, 10 ml in a bottle), duration up to 30 minutes8 000
А11.12.003.00337.0.32IV drip infusion of Ferinject 1000 mg (Ferinject, 50 mg/ml, 10 ml in bottle No. 2), duration up to 30 minutes15 000
S01.001.00837.0.1.1Stay in a hospital room (overnight)3 000
S01.001.00937.0.4.1Stay in hospital room VIP 1 (no more than 12 hours)5 000
S01.001.01037.0.5.1Stay in hospital room VIP 2 (no more than 12 hours)8 000

How much does it cost to enlarge breasts?

The issue of price is perhaps the most pressing for those wishing to undergo breast augmentation. The operation is expensive, its final price depends on specific wishes. However, we can safely say that due to the quality and durability of the implants, breast augmentation surgery will be a profitable investment for you. Current prices for breast augmentation are presented in the price list.

An additional advantage is that you do not need to travel to another city to have the operation. You can have your breasts done in Saratov, in our center. The operation is performed by an experienced plastic surgeon E.A. Dobreikin.

To get more detailed information or sign up for a consultation, you can use the form on the website or call in Saratov 8-800-222-24-14 or +7-937-818-18-49.

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Photo gallery “Enlargement mammoplasty”

Vakula Svetlana Alexandrovna

In my daily practice, I encounter many women who are dissatisfied with their breasts. Some people are not satisfied with the size of their breasts, others with the shape, and others with asymmetry. Breast augmentation surgery - augmentation mammoplasty with the use of implants - is one of the most popular plastic surgeries in the world. Women of different ages (in my practice from 17 to 63 years), social status and for various reasons resort to it. To perform this operation, the breasts must be formed, that is, the minimum age of the patient must be 17-18 years. The maximum age is not limited if there are no contraindications to operations in general and this operation in particular. Indications for augmentation mammoplasty (breast replacement) are:

  • the patient’s desire to increase the size of her breasts;
  • the need to replenish breast volume after breastfeeding or weight loss;
  • asymmetry of the mammary glands;
  • -breast reconstruction after mastectomy.

I offer my patients only proven methods of surgical breast correction and implants from the world's best manufacturers.

Currently, only gel-filled shell implants are used for breast augmentation. The shell of modern implants is made of silicone elastomer, which is inert in relation to the woman’s body. In addition, the special multi-layer design of the implant shell makes them durable and resistant to damage, but at the same time they have the softness inherent in natural mammary glands. The gel that fills the implant cavity has shape memory, i.e., even if the shell is damaged, it does not flow beyond its boundaries and does not have a harmful effect on the body.

There are several manufacturers of implants in the world, the products of some of them are sold in Russia. The patient can choose implants from any manufacturer at her discretion, or follow my recommendations. In any case, my patients can be sure that all the materials I use for breast augmentation surgery have been certified and are of a high degree of safety and quality. Implants do not require replacement, since all manufacturers provide them with a lifetime warranty.

Implants come in 2 shapes - round and anatomical, and different profiles - from low to ultra-high. They are installed through an incision under the breast, along the areola or in the armpit, into a pocket that can be formed behind the muscle, behind the fascia, or in two planes. The selection of implants, the choice of access (incision site) and pocket (a cavity formed in the tissues into which the implant will be installed) is carried out only during a face-to-face consultation and depends on the structural features of the chest, the width of the chest, the condition of the breast tissue and the wishes of the patient. The result of the operation largely depends on the correct choice of implant and implant pocket, so only the doctor who will perform the operation should select implants! Breast augmentation surgery is usually performed under general anesthesia and takes 30-50 minutes. Sometimes, at the request of the patient or due to her health condition and provided that the implants are installed in a subfascial pocket, the operation can be performed under local anesthesia.

In the postoperative period, it is necessary to wear a special compression bra for a month to provide rest for the breasts, and to comply with certain restrictions of the regime, which depend on several factors and are prescribed by me individually. After installation of implants for breast enlargement, women fully retain the ability to breastfeed, since the breast tissue is not damaged. In addition, since the implants do not in any way come into contact with the mammary glands, the patient can be confident that their presence cannot provoke the onset or progression of any disease of the mammary glands. Provided you follow all the recommendations, the postoperative period will pass as comfortably and quickly as possible, and you will only have to please yourself and your loved ones with new forms.

View photos of breast augmentation results

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