Breast reconstruction after childbirth

During pregnancy, the mammary glands change shape: skin stretching, asymmetry and ptosis (sagging) are often observed - in this regard, breast restoration after childbirth and breastfeeding becomes a pressing issue for many women. Massage, creams, exercises, special diets, cosmetic procedures - various methods are offered to restore the bust to an attractive appearance, but they do not always achieve the desired result. If a woman is categorically not satisfied with the shape and size of her breasts after childbirth, then mammoplasty is used to correct certain deficiencies. In this article we will tell you what problems can be solved with plastic surgery.

Why did my breasts change so much after giving birth?

The female breast consists of lobules of glandular tissue, fatty tissue, ligaments and skin. It is these anatomical elements that determine its appearance. During pregnancy, the lobules of the mammary glands fill with milk and increase in size, so the breasts become larger. At the same time, the load on the ligaments increases, and the skin stretches - the breasts sag. The nipples may change size, and the skin becomes thinner: a network of veins and blood vessels can be seen through it. Special care contributes to successful breast recovery after breastfeeding. But it is almost impossible to return the mammary glands to their previous “girlish” shape after childbirth.

So, external changes in the mammary glands during pregnancy and lactation depend on:

original anatomy and breast size;
heredity;
breast care during this period;
hormonal background.

The most common problem that mothers face is breast sagging as a result of breastfeeding. Many women try to restore their breasts to a firm and attractive appearance through exercise, cosmetics and procedures. And if these methods do not help, they turn to plastic surgeons. Mammoplasty is possible 6-12 months after completion of lactation and feeding the child. Stretched and lost elasticity of the mammary glands should not overshadow the joy of motherhood, but, on the contrary, become a reason for new changes and a pleasant gift. Why not make your postpartum breasts even better than they ever were before? Mammoplasty is an operation to correct the shape and size of the mammary glands. With its help, women who have become mothers can solve several aesthetic problems.

Postoperative period: features of recovery

After mastopexy, the main complications are swelling of the mammary gland as a result of disruption of the lymph outflow process and hematoma, that is, hemorrhage into the soft tissue. In some cases, sensitivity around the nipple is temporarily reduced.

The first day after surgery, bed rest is required. The next day, the woman can get up and walk a little. To prevent the development of infection, antibiotic therapy is required.

If there are no serious complications, the patient is discharged after one or two days. During the rehabilitation period, it is necessary to strictly follow all the doctor’s recommendations. Namely:

Do not lift heavy things, refuse physical exercise.
Do not go to the bathhouse or take a hot bath.
Don't sunbathe.
Wear special compression garments.
Showering is allowed only after the doctor's permission.
Following a diet rich in vitamins and rich in protein. Salty foods and smoked foods are not allowed.

Sutures are removed approximately one to two weeks after plastic surgery if non-self-absorbable threads were used.

Mastopexy can be performed separately, as an independent operation, or simultaneously with endoprosthetics, that is, breast augmentation surgery. Carrying out the operation by an experienced doctor with extensive experience, if does not guarantee the absence of complications, then reduces them to a minimum. The result after mastopexy is usually desirable, and patients are usually satisfied.

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Sagging breasts: what to do? Breast lift after childbirth.

Sagging breasts are called “ptosis.” Causes of breast drooping include:

age;
hormonal changes that lead to a decrease in gland volume and fibrofatty involution;
the influence of the Earth's gravitational forces;
skin stretching and thinning;
sprain of the ligaments that support and secure the mammary glands.

Mastopexy (breast lift) is performed separately or in addition to endoprosthetics and correction of the nipple-areolar complex. The operation does not affect a woman's ability to breastfeed in the future.

There are 3 types of mastopexy:

Periareolar - the doctor makes an incision around the areola. The method allows you to raise the nipple-areolar complex by more than 2 cm. It is also used if excision of the skin is required.
Vertical - the plastic surgeon makes two incisions: the first runs along the contour of the areola, and the second - vertically to the line of the inframammary (submammary) fold. The method allows you to lift the breasts even higher and carry out more extensive resection of excess skin.
Anchor (or “T-shaped”) - the first incision runs along the line of the lower semicircle of the areola, the second one descends from its center to the middle of the inframammary fold, along the contour of which the third incision is made. The operation is suitable for patients with severe ptosis and allows additional asymmetry to be removed.

Depending on the degree of ptosis and the anatomical features of the patient’s mammary glands, the plastic surgeon will select the optimal surgical option at the initial consultation.

As a result of mastopexy, the breasts become toned and firm, and their beautiful shape is restored. If the patient wishes to increase her bust size, this operation can be combined with endoprosthetics.

Vertical breast lift with 385 ml implants. Result after 4 months. The work of the head of the plastic surgery department of the clinic named after. N.I. Pirogov Oleg Leonidovich Nesteruk.

How to restore breasts: contraindications

After breast surgery, whether it is changing the shape of the breast or correcting the location of the nipples, it is not possible to evaluate the result instantly. It is necessary to wait until the breast recovers and the traces of surgical intervention disappear or become almost invisible. The length of time required for this depends on the type of mammoplasty.

Gradually, the breasts will become soft and natural, taking on their final shape - attractive and seductive.

Before deciding how to surgically restore your breasts, you need to make sure that there are no following contraindications to surgery:

decompensated diabetes;
oncological diseases;
bleeding disorders;
period of pregnancy or lactation;
age up to 18 years.

The famous TV presenter Masha Malinovskaya said after surgery to restore the mammary glands that her breasts had become so magnificent that she could tour separately. Her enthusiastic review of her breast mammoplasty is quite natural. After all, plastic surgery is a real chance for every woman to become the owner of a toned bust of the desired size. Virtuoso surgeons, like magicians, help their patients say goodbye to complexes forever and gain self-confidence.

Small breasts after childbirth: what to do? Breast endoprosthetics.

It is believed that breast size naturally increases during pregnancy, but these expectations are not always met. When lactation, that is, milk production in the glands, ends, the breasts noticeably decrease in volume. At the same time, the birth of a child leads to a restructuring of the entire organism. After pregnancy and breastfeeding, fibrofatty involution of the mammary glands occurs, which reaches a peak during menopause. This means that under the influence of hormonal changes the amount of glandular tissue decreases and its deficiency is compensated by fatty tissue.

Breast replacement with specially selected implants allows not only to enlarge small breasts, but also to give them a beautiful and expressive shape, and to correct asymmetry and ptosis. To solve these problems, the plastic surgeon will select implants of a suitable volume and profile, based on the anatomical features of the breast and the wishes of the patient. They are installed under the muscle, fascia or under the mammary gland. The method of installing implants is no less important:

perialar (through the areola);
submammary (under the breast);
axillary (through an incision in the armpit).

If a woman expects to have another child in the future, doctors prefer submammary access due to the minimal risk of damage to the milk ducts.

Breast augmentation with implants 310 milliliters, submammary access, 3 months later.

Prevention of ptosis during pregnancy and breastfeeding

To maintain the original shape of the breasts and prevent stretch marks, preventive measures should be taken from the first weeks of pregnancy. There are a few simple rules:

The bra should not put pressure on the mammary glands. I recommend choosing nursing models with wide straps and no wires. As your breasts increase, the size of your underwear should be increased. Throughout the second half of pregnancy, as well as the entire lactation period, try to wear a bra around the clock.
A nourishing cream will help maintain the tone of the skin of the mammary glands. A cream with lanolin, which moisturizes the skin and maintains its elasticity, gives a good result.
I do not recommend doing chest strengthening exercises during pregnancy. They will lead to stretching of the fascial skin sheath of the gland.
During pregnancy and breastfeeding, maintain a normal weight, as excess adipose tissue leads to stretching of the skin and fascia.
Prevent milk stagnation, try to maintain the same volume on each side, to do this, alternately place the baby on both mammary glands when feeding.
Do not take long breaks between feedings; express excess milk on time. If your child does not eat at night, empty both glands before bed.
Use a breast pump to express. If you perform this procedure manually, try not to stretch the skin.

Large breasts after childbirth: what to do? Reduction mammoplasty.

Reduction mammoplasty is the most effective method for solving such a problem as gigantomastia. Due to the high load on the spine, the formation of diaper rash, skin stretching and ptosis, breast reduction surgery is performed not only for aesthetic reasons, but also for medical reasons. In the USA and some European countries, reduction mammoplasty is included in the compulsory health insurance program. The essence of the operation is the resection of excess fatty tissue, glandular tissue and skin. As a result, the patient may partially or completely lose the ability to breastfeed, since during this operation the intersection of the milk ducts is inevitable. The method of reduction mammoplasty is selected individually: it depends on the initial volume of the mammary glands and the preferred result. The plastic surgeon strives not to disrupt the innervation of the nipple, and during the process of reduction mammoplasty he can adjust the size of the areola - make it commensurate with the reduced breast.

Reduction mammoplasty performed by Oleg Leonidovich Nesteruk.

How to prevent loss of shape?

To protect your breasts as much as possible from possible changes, you can follow some rules when feeding your baby. It is better to place the baby alternately on different breasts to prevent asymmetry. If you need to express milk, it is recommended to use breast pumps. It is undesirable to allow serious fluctuations in weight, otherwise the formation of “voids” and ptosis cannot be avoided.

A contrast shower and a light massage will not be amiss. For one minute, a shower stream is directed to each breast in turn. Each approach the temperature should change slightly. The massage is carried out with soft circular movements, without strong pressure.

If the measures taken turned out to be powerless, there is no need to be upset. Mammoplasty after breastfeeding will help eliminate any defects and make the bust aesthetically perfect. The main thing is to impeccably follow all the recommendations of your doctor, and the result will not be long in coming.

I don't like how my nipples and areolas turned out after giving birth. What to do?

Plastic surgeons at our clinic can also perform correction of the nipple-areolar complex in combination with a lift, endoprosthetics, reduction mammoplasty, or separately. As a result of this operation, it is possible to reduce the size of the areola by excision of excess pigmented tissue, and also to correct an inverted or elongated nipple.

Recovery after correction of the shape and size of the areolas occurs quickly - the patient can return to normal life on the day of surgery. The operation is performed upon completion of breastfeeding.

How to restore breasts: rehabilitation period

In most cases, a woman is discharged from the hospital one day after breast mammoplasty. The doctor agrees with the patient on a schedule of rehabilitation procedures, dressings and postoperative examinations. In the first few days after surgery, you will experience swelling, bruising, and mild pain that can be easily controlled with medications.

For a certain period of time (depending on the type of surgery), the woman will need to wear compression garments. It will provide comfort when moving and allow the skin to gradually “get used” to new shapes.

How to restore breasts reviews

“In September I had breast augmentation surgery with the wonderful plastic surgeon I.S. Kochneva. It’s very easy and pleasant to communicate with her. I immediately felt confident that everything would be good and beautiful, exactly as I dreamed! The anesthesia went well and she tolerated it easily. The nurses are very attentive and caring - just like mothers! The Abrielle clinic is very cozy and beautiful, and the food is delicious. The attitude is wonderful!” Olesya, 30 years old and other reviews about how to restore breasts.

Traces of punctures necessary for lipofilling will disappear almost without a trace. Red and dense scars after lifting and endoprosthetics will become thin and unnoticeable over time.

For about 4-6 weeks you will have to stop playing volleyball, swimming and other sports that involve stress on the muscles of the shoulder girdle. You should protect your chest from injury, blows, and rough touches.

Breast reconstruction after childbirth and breastfeeding at the clinic named after. N.I. Pirogov (St. Petersburg)

The plastic surgery department of the Pirogov Clinic in St. Petersburg has been operating since 1999 and is recognized as the leading one in the city. We are proud of our doctors, whose many years of experience and professionalism have been awarded. Our specialists are fluent in modern plastic surgery techniques, perform complex reconstructive surgeries and reduce the risks associated with surgery to a minimum. In addition, we offer our patients:

regular discounts and promotions for all types of mammoplasty;
a comfortable hospital for 1-2 people, the stay in which can be extended if desired;
operating rooms and intensive care units equipped with modern equipment from reliable foreign manufacturers;
personal support of patients from Russian cities at all stages of the operation;
interest-free installment plan for all operations in the plastic surgery department.

The price of operations aimed at breast reconstruction after childbirth and breastfeeding consists of several parts. If you do not find the information you need on the website, call +7 (812) 320-70-00 - contact center specialists will answer your questions, provide advice and help you make an appointment with a plastic surgeon.