Mammoplasty (breast shape improvement)

Mammoplasty is plastic surgery on the mammary glands. If you believe the statistics, then every second woman has thought about improving the proportions of her mammary glands, and this elevates mammoplasty to the rank of the most popular plastic surgeries.

There are several types of mammoplasty in St. Petersburg:

• breast augmentation surgery (breast augmentation surgery)
• breast reduction (breast reduction)
• mastopexy (breast lift)
• correction of areolas and nipples
• reconstructive mammoplasty (reconstruction of the mammary gland after its removal)

PRICES FOR MAMMOPlasty:

The price of mammoplasty varies depending on the technique, experience and qualifications of the plastic surgeon. Take a look at the page with current promotions and special offers of our clinic. We regularly offer discounts on operations, including some mammoplasty operations. The price already includes: surgery, anesthesia, stay in the ward, postoperative patient care (examination by a surgeon, dressings and suture removal), restorative procedures at the cosmetology center.

BREAST ENLARGEMENT IN THE PIROGOV CLINIC IS AN OPERATION IN THE BEST PLASTIC SURGERY CLINIC IN ST. PETERSBURG.

*according to the ratings of the portals “Doctor Peter” and “Fontanka.ru” in 2021. Read more.

Postoperative period:

Plastic surgery on the mammary glands imposes some restrictions in the postoperative period. After the operation, the woman will need to wear special compression underwear (bra) for 15-30 days, which it is advisable to purchase in advance. It is not recommended to use bras with a wire frame. You must avoid physical activity for 15 days. 10-15 days after breast surgery, the swelling decreases and completely subsides, pain during movement disappears. Typically, absorbable sutures are placed during surgery and do not need to be removed. Sometimes they are supplemented with adapting sutures, which are removed 2-5 days after surgery. You will be able to evaluate the final result of mammoplasty in six months.

WHAT ARE THERE TYPES OF MAMMOPlasty?

BREAST ENLARGEMENT WITH IMPLANTS (ENDOPROSTHETICS) This is an operation aimed at increasing the size of the breast. Patients who are not satisfied with their natural size turn to this type of plastic surgery. Often those who decide to undergo breast enlargement surgery have already tried other ways to achieve their dreams, but were disappointed in their effectiveness (various breast enlargement creams, massage or pills). Endoprosthetics, unlike dubious creams and pills, allows you to get a real result: breast enlargement is achieved through the use of special implants.

TYPES OF BREAST IMPLANTS Implants can be round or anatomical in shape. When choosing implants, you should rely on personal preferences and the recommendations of the plastic surgeon. An experienced specialist knows that the breast shape that suits one patient may look disproportionate in another.

After breast plastic surgery

After surgery, you will be limited in many ways, and you will likely need help from your loved ones:

• Avoid heavy lifting and strenuous exercise for several weeks
• Do not put your hands behind your head (you will have difficulty washing your hair) after breast augmentation surgery with implants and mammary reduction
• You must stay active, do feasible work, and walk a lot
• Wear compression garments, no matter how uncomfortable they may be.
• Do not use (without consulting your doctor) lotions and creams in areas of post-operative wounds until they have healed.
• Do not wash in the bathtub, do not visit the pool or sauna until your doctor’s permission (at least 2 weeks)
• Check with your doctor for recommendations for scar correction (see HERE).

BREAST LIFT (MASTOPEXY)

Breast mastopexy (also known as mammopexy) is an operation aimed at improving its shape through lifting. This is one of the most popular plastic surgeries: its popularity is explained by the fact that most women at a certain age experience sagging breasts (ptosis). In particular, this is caused by the loss of the skin's former elasticity. This breast shape received the offensive name “spaniel ears.” Perform a breast lift and relieve the patient of complexes

This can only be done by an experienced plastic surgeon, because mastopexy is a complex operation that is often performed together with endoprosthetics. It is important to note that if the patient’s breasts have an asymmetrical shape, mammoplasty, including mastopexy, will help correct it.

REDUCTION MASTOPEXY (BREAST REDUCTION)

In some cases, a decrease in breast size is directly proportional to an improvement in its shape. Large breasts tend to droop downwards, causing their shape to deteriorate. Often an impressive bust is accompanied by so-called stretch marks. Very large breasts can put additional stress on the spine, which can also lead to back pain, migraines, and sleep disturbances. Breast reduction surgery is the only effective method to solve the problem and gain self-confidence in a short time. It makes sense to perform reduction mammoplasty after the birth of children, when the shape of the breast has been changed due to childbirth and breastfeeding.

CORRECTION OF BREAST ASYMMETRY

Breast asymmetry is a fairly common phenomenon in women. Sometimes small differences in the shape and size of the breasts do not cause discomfort to a woman. But when the difference is significant, a woman may develop complexes. Modern aesthetic medicine knows a number of safe methods. Which one is needed in a particular case is determined directly by the surgeon.

Plastic surgery on the mammary glands

Specialists of the University Breast Center regularly improve their professional level, attend domestic and foreign conferences to keep abreast of all modern trends in oncology and plastic surgery.

Author: Chizh Igor Aleksandrovich head, kmn, oncologist of the highest qualification category, surgeon of the highest qualification category, plastic surgeon

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• Breast augmentation
• Mastopexy (breast lift)
• Breast reduction
• Prophylactic mastectomy
• Additional breast lobes
• Operations on the nipple and areola
• Abdominal removal
• Shemales breasts
• Gel in the chest
• Breast asymmetry

GYNECOMASTIA

Gynecomastia surgery is intended to correct enlarged breasts in men. Gynecomastia can develop due to changes in hormonal levels or the presence of pathological changes in the patient's body. In addition, taking certain medications or steroids can cause enlarged breasts. In diagnosing the cause of gynecomastia in men, a hereditary factor cannot be ruled out. The possibilities of modern plastic surgery allow patients to forever get rid of worries and discomfort associated with the shape or size of the breast. One of our qualified and experienced plastic surgeons will help you achieve the desired result. Our specialists are supporters of an individual approach to each patient. With them it is easy to move from words to results and from dreams to reality.

HOW IS MAMMOPLASTY PERFORMED?

After an initial consultation with a plastic surgeon, you can decide which breast augmentation surgery is right for you. Typically, all operations on the mammary glands are performed under general anesthesia; the duration of the operations is about two to four hours, depending on the complexity.

After this, the patient is transferred to a comfortable ward, equipped with everything necessary, and remains in the clinic for 1-2 days under the supervision of specialists.

INDICATIONS FOR IMPROVING BREAST SHAPE: - ptosis of the mammary glands and decreased elasticity of the skin due to age restrictions;

— the condition of the breasts after childbirth and breastfeeding, when the shape of the breasts has changed significantly and not for the better;

- severe weight changes or hormonal imbalances;

- asymmetrical breasts or their low location due to physiological characteristics.

CONTRAINDICATIONS TO MAMMOPlasty:

- blood clotting disorder; - allergies to medications; - oncological diseases; - diabetes; - pregnancy and breastfeeding; — chronic diseases of internal organs; - infectious diseases.

Breast surgery

We perform all types of plastic surgery on the mammary gland:

• Breast augmentation (breast enlargement with implants)
• Breast augmentation using lipofilling
• Mastopexy (breast lift)
• Mammary reduction (reducing the size of the mammary glands)

• Prophylactic mastectomy
• Restoration of the mammary gland, nipple and areola (breast reconstruction after removal with implants, own tissue, liposuction/lipofilling)

• Correction of different sizes and asymmetry of mammary glands
• Correction of the nipple-areolar complex (reduction of areola size, correction of inverted nipples)
• Correction of breast deformity after gel plastic surgery

• Surgeries for gynecomastia (subcutaneous removal of the mammary gland in men)
• Operations for transgender people and transsexualism (removal of the mammary gland during gender reassignment)
• Removal of additional lobules of the mammary gland and accessory mammary glands
• Correction of the shape of the mammary glands using lipofilling (fat taken from “problem” areas during liposuction)
• Abdomenoplasty (removal of excess fat deposits on the abdomen: surgically and by liposuction)
• Consultation with a plastic surgeon-mammologist

What sets us apart from regular aesthetic and plastic surgery clinics is that all of our staff are trained in oncology. This allows us (if necessary) to combine breast plastic surgery with the removal of benign or malignant breast tumors.

RECOVERY AFTER MAMMOPlasty:

After mammoplasty, the patient is put on special restorative compression garments, which must be worn for a month or two. Even despite post-operative swelling, the effect will be visible immediately after the procedure. The final result of the transformation can be assessed in 3–6 months.

In the first few days, it is recommended to reduce physical activity as much as possible. And after another 3 days you can already go about your usual business.

You should come for your first examination one week after surgery. Here you will be able to see your new breasts for the first time, having temporarily removed the compression garments.

And a month after the operation, swimming, light running, and lower body exercises are allowed.

Within 6–12 months after mammoplasty, scars will almost completely disappear.

Breast reduction

Breast reduction is performed in women with macromastia (large size), and in men with gynecomastia. The operation is indicated in cases where large breasts cause physical or mental discomfort.

There are several known surgical techniques for breast reduction surgery. Today, preference is given to techniques that involve small incisions and short scars. One of these gentle techniques is the SPAIR technique by American surgeon Dennis Hammond. When using it, there is no need to make large incisions; after the operation, small scars remain around the areola and on the lower part of the breast.

The operation is performed under general anesthesia. It lasts 2–3.5 hours and ends with the application of absorbable sutures. The final result will be visible in about six months.

After performing reduction mammoplasty, a 24-hour hospital stay is required. The patient must limit physical activity for two months.

If the left and right mammary glands are different in size, this condition is called breast asymmetry. It can be eliminated in different ways: by reducing or enlarging one of the mammary glands or using implants of unequal sizes. The duration of the operation and its other features depend on the operating technique used.

Breast lift

Mastopexy is a plastic surgery performed for ptosis of the mammary glands. A sign of ptosis is the descent of the nipple below the inframammary fold. breast lift options, the surgeon chooses the optimal one, depending on the individual characteristics of the patient and her wishes. With the first degree of ptosis, this can be, for example, periareolar mastopexy, with the second degree of ptosis - vertical mastopexy. Mastopexy is performed under general or local anesthesia, depending on the nature and extent of the intervention. The operation lasts from 1 to 2.5 hours. The surgeon removes excess skin around the areola and, if necessary, in the lower part of the breast. Breast tissue is modeled with sutures. For small breasts, mastopexy is combined with the installation of implants. We can also use another option - lipofilling of the mammary glands a few months after mastopexy.

You can lead an active lifestyle already on the 4th–5th day after surgery. You will need to wear compression garments for 3–4 weeks, and physical activity will need to be limited for a period of 1.5 to 2 months. The aesthetic effect will fully appear approximately six months after mastopexy.

Nipple correction

Correction of areolas and nipples is carried out under local anesthesia. The goal of areola correction is to reduce them to normal size, give them a rounded shape and make them symmetrical. Indications for nipple correction are their retraction or too large size.

All of the above types of operations belong to aesthetic mammoplasty, they are performed in order to improve the appearance of the mammary glands.

Restoration and reconstruction of mammary glands

Reconstructive mammoplasty solves a different problem - restoration of the mammary gland in its absence. The need for such an operation often arises after removal of a malignant tumor.

It is possible to restore breasts in various ways - using the patient’s own tissue, using implants, or using a combination of these methods. The complexity of the operation lies in the fact that in the correction area there is usually a lack of skin and a lot of scar tissue. The professionalism and experience of a plastic surgeon is especially important here.

Beautiful female breasts are no longer a luxury, but a completely affordable standard of living. Mammoplasty is becoming increasingly popular. She can make a woman happy - today it’s real!

Mammoplasty in St. Petersburg: price

FOR OUTSIDE PATIENTS

We make sure that patients’ stay in St. Petersburg and in our clinic is as comfortable as possible, and that the cycle of examination, treatment and surgery is clear and organized. Therefore, we place patients who come to us from other cities into the sensitive hands of a personal coordinator who provides full support at all stages of examination and treatment.

Even if a patient from another city is just thinking about an upcoming visit to our clinic, the consultant will help with advice on many issues. Read more here...

Why go to the N.I. Pirogov Clinic for the best results?

• The Pirogov Clinic was recognized as the best plastic surgery clinic
  according to the national rating of private clinics in St. Petersburg by the medical portal “Doctor Peter” and the city portal “Fontanka.ru” in 2022;
• qualified plastic surgeons with extensive experience in aesthetic surgeries;
• our doctors constantly exchange experience with foreign specialists, attract colleagues from Israel, which allows us to perform plastic surgeries using progressive world techniques;
• the opportunity to undergo all preoperative examinations in the clinic within one day;
• own laboratory: test results - quickly and with a guarantee of reliability;
• equipping operating rooms with the most advanced medical equipment from leading Western companies;
• attentive and responsible medical staff: a team of anesthesiologists, resuscitators, assistants and nurses coordinately and quickly resolves any issues around the clock;
• the highest standards of equipment sterility and patient safety, meeting the requirements of regulatory authorities;
• use of the latest generation of anesthesia that does not cause any discomfort after the intervention;
• modern comfortable hospital: you feel like you are in a European hotel room;
• quick return to normal life: as a rule, patients are discharged the very next day after the intervention;
• the ability to perform several operations simultaneously, which means you get the best result in one intervention;
• the departments of medical cosmetology and laser dermatology carry out procedures for the fastest possible tissue regeneration, allowing you to start enjoying the results as soon as possible;
• interest-free installment payment for any transactions.

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Breast augmentation in St. Petersburg

Last year was , to put it mildly, not easy . The vast majority of clinics were forced to raise prices due to rising costs of component operations. Accordingly, prices in promotional offers have also increased. But we decided to take a different path...

We decided to act honestly and simply do not raise prices . Therefore, we will not be able to offer you the usual promotions, as is usually the case in such sections.

In essence, this is our action. Promotion - for all transactions.

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More photos with the results can be seen here

Breast endoprosthetics - breast augmentation surgery using implants filled with silicone gel - is a reliable and safe method of correcting the size and shape of the mammary glands, as well as giving them elasticity.

Reasons for undergoing plastic surgery for breast augmentation may include dissatisfaction with the size of the mammary glands, loss of shape after childbirth and breastfeeding, visible breast asymmetry, structural features of the breast (tubular form), as well as the desire to restore the breast after mastectomy surgery (removal of the mammary gland for breast cancer). glands).

The history of breast augmentation began in 1889, when the first attempt was made to enlarge using paraffin injection. In 1895, surgeon Vincenz Czerny performed the first transplant of autologous fat, taken from a lipoma in the thigh, to a woman who had had her breasts removed. Then began a period when rubber and paraffin, ox cartilage and gutta-percha, ivory and glass implants, synthetic materials - foam, polyurethane, polyethylene and polyvinyl sponge - were used to enlarge the breasts, but the use of these fillers only led to complications and the need to remove these materials.

In the 40-60s of the last century, liquid silicone was used for breast enlargement, which was injected. This technique was subsequently banned, since the introduction of liquid silicone led to a large number of problems - the formation of fibrosis, infection, tissue necrosis, fistula formation, and gel migration. But perhaps the use of this particular substance prompted Houston plastic surgeons Thomas Cronin and Frank Gerow to invent the first breast enlargement implant in 1961, almost in the form in which we see it and now.

The history of the development of this method has gone through many tragic and curious moments, but the basic concept has not changed. The material must be encased!

The shell of the implants, which was initially single-layer and smooth, also improved, and in the 1980s implants with a textured multi-layer shell appeared. The textured shell does not allow the formation of a rough capsule, which is the prevention of capsular contracture, and the presence of several layers does not allow the gel to leak through - “sweat” through this shell.

Currently, 5th generation implants are used, which are absolutely safe.

The filler for implants has also changed somewhat. Nowadays, implants typically use a “cohesive gel” that has the consistency of jelly (standard) or marmalade (highly cohesive).

Taking into account the fact that safety requirements are high, and the quality of implants allows a lifetime guarantee (they do not require replacement), today these operations can guarantee the most natural result, without complications.

Contraindications for surgery:

• ARVI
• Blood coagulation disorders
• Exacerbation of chronic somatic diseases
• Oncological and mental diseases

Initial consultation and decision making:

First of all, the question is resolved: is breast augmentation surgery possible? If surgery is indicated, we discuss which implants are best for you, when the surgery can be performed, and what tests you need to undergo before surgery.

In my practice, I use implants only from well-known companies, certified in Russia, with a lifetime quality guarantee.

Implants can be round or anatomical, have a textured or smooth surface or a micropolyurethane coating. In each individual case, implants are selected specifically for you, taking into account your wishes and the ability to realize these desires.

The choice of the type of implants is made during a consultation after an examination and taking the necessary measurements. It is important to remember that correctly selected implants will give you the opportunity to get beautiful breasts.

The shape of implants can be anatomical (drop-shaped) or round. Although I install anatomically shaped implants more often, I can say that round-shaped implants also allow you to get a beautiful breast shape - it all depends on the wishes and individual anatomical characteristics of the patient. During the consultation, compression garments are selected and a surgery date is set.

There are three access options:

• Submammary (in the fold under the breast)
• Periareolar (along the lower edge of the areola)
• Transaxillary (axillary)

Implants can be installed directly under the gland, under the fascia of the pectoralis major muscle, under the muscle and under the gland (two-plane installation) and completely under the muscle.

The last option is used extremely rarely.

Regardless of the chosen access and installation method, the mammary gland remains intact, and neither sensitivity nor the ability to lactation is affected.

The choice of installation plane does not affect the ability to play sports.

Before the operation, it is necessary to undergo a preoperative examination . Typically, laboratory tests are carried out 5-7 days before surgery directly in the clinic or at your place of residence. The list of mandatory studies includes an ultrasound of the mammary glands and an examination by a mammologist.

On the day of surgery, the choice of technique and volume of implants is discussed again, photographs are taken, and preoperative markings are performed.

The operation “Breast endoprosthetics” is performed only under general anesthesia. The duration of the operation is 1-2 hours.

I prefer to perform access along the lower edge of the areola - the seam is very cosmetic, and over time, the traces of the operation become completely invisible. Implants are placed under the gland or under the muscle; the second option (two-plane installation of implants) is more often practiced. In this case, more than half of the implant in the upper section is covered by the massive pectoralis major muscle, which allows for a smooth transition from the chest to the gland itself, and, accordingly, to avoid the formation of a “step” above the chest in the future. During the operation, the mammary gland is not damaged, so the operation itself does not lead to disruption of breast sensitivity and the ability to lactation. During the operation, a cavity is formed into which the implant is then placed. Sutures are placed on the internal tissues and absorbable sutures on the skin.

After the operation, compression garments are put on and must be worn for 3-4 weeks. Hospitalization after such surgery is 1 day. The next day after the dressing you can go home. After discharge, you need to come back for dressings several times. During the first 3-5 days, you may experience pain. There is no need to remove sutures after breast replacement; the bandages allow you to take a shower after 5-7 days. To avoid complications such as bleeding, implant displacement, capsular contracture, etc., you must strictly follow the doctor’s recommendations: for the first one and a half to two weeks, avoid any physical activity, including driving. Over time, there will be fewer and fewer restrictions, and within a couple of months you will be able to return to your normal lifestyle.

You will see beautiful breasts in the mirror 2-3 weeks after surgery, but the final result of breast replacement can be assessed only after 6 months.

Cost of operations

Photo gallery of breast augmentation results