Breast augmentation with implants (breast arthroplasty)


Mammoplasty is my main specialization. Breast surgery is exactly the area in which I managed to achieve the maximum. Breast lifting and enlargement operations are always very revealing. Their results are obvious! Beautiful breasts attract attention and give a lot of pleasure to their owner.

When you go to the “BEFORE and AFTER Photos” section, you will see that all my works are different. I strive for breasts to be flawless, but at the same time natural. And of course, no traces of my work should remain! Patients for whom I perform breast augmentation continue to communicate with me on social networks, send photos and often recommend me to friends and acquaintances as “their reliable and personally trusted specialist.” Some of them are quite famous actresses, bloggers, dancers, models and TV presenters. Of course, not every star is ready to talk about our cooperation. The main thing is that my operation helps them build a successful career and harmonious relationships.

Mammoplasty: price in Moscow, types, indications

Every modern woman cares about her attractiveness and does not want to put up with age-related changes.
Beautiful, sexy breasts are one of the most important points in this “program”. Throughout life, the proportions, shape and size of the mammary glands change. This is a natural process associated with fluctuations in female sex hormones, pregnancy, childbirth, breastfeeding and menopause. But not every representative of the fair sex is ready to put up with the lost beauty of her breasts, which is an important motivating factor for them to seek the help of plastic surgeons. Recreating the attractive shape and former elasticity of the mammary glands is the main goal of mammoplasty. Today, there are hundreds of clinics that perform breast surgery. In Moscow, prices for this operation may be slightly higher than in other regions of Russia and depend on the type of surgical correction and other nuances.

Hypertrophic scars

A hypertrophic scar is formed as a result of a strong proliferation of scar tissue. It looks like a large, red scar, very raised above the skin. The risk of their occurrence after breast augmentation, according to some data, is 5%.

What to do? There are different methods of dealing with hypertrophic scars: injections of glucocorticoids and hyaluronidase, laser resurfacing, special creams, oils and gels, cryotherapy, surgical excision. Visit a doctor, he will recommend the best method in your case.

Breast plastic surgery: types of operations

Breast mammoplasty includes a wide range of surgical interventions that improve the shape and size of the mammary glands.

Augmentation mammoplasty

Enlargement (otherwise known as augmentation) mammoplasty is one of the most popular operations in the field of plastic surgery. The essence of the surgical intervention is to install endoprostheses into the mammary glands, which can have different shapes (anatomical or round) and texture (smooth or rough). In addition, implants may contain different fillers - biogel, silicone or saline solution. Modern implants are of high quality and safety.

Preoperative computer modeling, which is performed before mammoplasty, allows the patient to “try on” the selected implants and finally make sure that she has made the right choice.

Mastopexy

There are several ways to “tighten” the breasts and achieve the return of the volume of the mammary glands in the upper pole, the loss of which is associated with pregnancy, lactation, sudden weight loss and involutional processes. The problem of mastoptosis can only be solved by surgical correction, during which the surgeon excises excess skin and fatty tissue in order to raise the nipple-areolar complex. In some cases, endoprosthetics is performed along with a lift. Surgical incisions can have different types and localizations; they can be periareolar, vertical and anchored, which is why mastopexy, in which one of them is used, has the corresponding name.

Reduction plastic surgery of the breast

Mammoplasty, aimed at reducing the size of the mammary glands, is performed for gigantomastia - a problem not only of an aesthetic, but also a medical nature. Women with excessively large breasts suffer from mastoptosis, chronic pain in the neck, back and chest. Reduction mammoplasty has many similarities with mastopexy. To reduce breast size, a plastic surgeon removes excess skin, fat and glandular tissue. However, this surgical correction is fraught with disruption of lactation function, since during its implementation there is a high probability of injury to the milk ducts. Often, simultaneously with reduction mammoplasty, correction of the nipple-areolar complex is performed, improving the aesthetic appearance of the breast.

Correction of the nipple-areolar complex

This relatively simple plastic surgery - mammoplasty of the nipple-areolar complex can be either a separate intervention or complement other types of correction. The purpose of the operation is to change the shape and size of the areola, correcting an excessively long or inverted nipple.

Elimination of gynecomastia

Gynecomastia is an exclusively “male” disease in which the mammary glands become enlarged. The development of gynecomastia is associated with hypertrophy of glandular tissue (true gynecomastia) or adipose tissue (false gynecomastia). Conservative therapy is effective in rare cases. The main method of eliminating this defect is surgical resection or liposuction. If nodular tumors and indurations are detected during surgery, the biomaterial is sent for histological examination to determine the nature of these tumors - benign, borderline or malignant.

Repeated mammoplasty

Fibrous capsular contracture, unsuccessful mammoplasty, damage to the endoprosthesis, expired implants installed earlier - these conditions are indications for repeat mammoplasty. Re-endoprosthetics is also performed for women who have undergone augmentation mammoplasty, but the result was much worse than expected.

Reconstructive plastic surgery of the breast

Breast reconstruction is necessary for women who have been successfully treated for breast cancer through a complete or sectoral mastectomy.

Administration technique

There are several methods of breast augmentation, differing in the technique of implantation. Plastic surgeon Maxim Osin uses several basic techniques for installing an endoprosthesis:

  • Submammary access.
    One of the most proven and safest methods of installing implants during mammoplasty. The plastic surgeon inserts the endoprosthesis through a small incision that runs along the inframammary fold under the bust. The main advantage of a submammary incision is that the plastic surgeon has complete control over the surgical process, which reduces the risk of postoperative complications.
  • Transareolar access.
    During the operation, the plastic surgeon makes an incision across the areola, going around the nipple from the lower edge. Doctors use this method very rarely, since it is considered the most traumatic and dangerous from the point of view of the development of complications. Thanks to this access, the surgeon can install both round and teardrop-shaped implants.
  • Periareolar mammoplasty.
    Plastic surgery for breast augmentation takes place through an incision made along the contour of the lower edge of the areola. Thanks to this technique, it is possible to make the scar on the skin invisible. A plastic surgeon can use the periareolar approach to install any type of endoprosthesis, regardless of the location of their insertion: under the pectoral muscle or under the mammary gland. Breast augmentation in this case can be combined with mastopexy (breast lift).
  • Axillary section.
    During the operation, the plastic surgeon installs the endoprosthesis through an incision located in the armpit. The advantage of this method of breast enlargement is that the breast tissue is not injured, so the patient remains able to breastfeed after surgical breast correction. The operation is performed exclusively using endoscopic equipment.

There are also 2 unpopular methods of breast mammoplasty among Russian surgeons: transabdominal access (breast augmentation is combined with abdominal surgery - abdominoplasty) and umbilical access (through the navel).

Indications for mammoplasty

Thanks to constantly improving minimally invasive methods of mammoplasty, the desired result is achieved, which fully meets the wishes of the patients. Through the most complex surgical corrections, qualified surgeons at the Sharm Gold plastic surgery clinic help women solve the problem of aesthetic appeal by performing breast surgery for various indications:

  • insufficient volume of mammary glands;
  • tubular breast;
  • asymmetry of the mammary glands;
  • too large size of the mammary glands;
  • mastoptosis;
  • defects of the nipple-areolar complex;
  • gynecomastia;
  • undergone mastectomy.

Contraindications to mammoplasty

Despite the fact that female breast plastic surgery seems accessible to absolutely all patients, a rational approach to the operation cannot be ruled out; it must be taken into account that in the presence of certain pathologies and conditions, its implementation is contraindicated:

  • severe diseases for which general anesthesia is contraindicated;
  • malignant neoplasms of any location;
  • acute and chronic infections;
  • hemocoagulation disorders;
  • diabetes mellitus;
  • mental disorders;
  • during pregnancy and breastfeeding.
  • at a minor age.

To reduce the risk of complications at the Sharm Gold plastic surgery clinic, before undergoing mammoplasty, patients are prescribed the following studies:

  • ultrasound examination of the mammary glands;
  • blood coagulograms;
  • general blood and urine tests;
  • biochemical blood test;
  • analysis for hepatitis, HIV infection, syphilis;
  • electrocardiograms.

Rehabilitation after mammoplasty

The rehabilitation period after mammoplasty lasts differently. Its duration is influenced by both the type of surgical correction and the individual characteristics of the patient’s body. However, there are a number of general recommendations that, if followed, can significantly speed up the recovery process after surgery and minimize the risk of complications:

  • regularly treat sutures with products prescribed by your doctor;
  • constantly wear compression garments;
  • refuse physical activity; Avoid visiting baths and saunas, solariums.

How is the procedure done?

For lipofilling, the patient’s own fat cells are used; in rare cases, donor material can be collected. The first stage of the operation is pumping out tissue for transplantation. Most often, areas with a high content of fat cells are used for sampling, for example, the thighs or abdomen.

After removal, the tissues are placed in a special centrifuge, where they are purified from various impurities such as blood cells. The fat is then filtered and prepared for injection. Some techniques also involve adding growth factors or erythropoietin to the fat emulsion. At the last stage of the operation, fatty tissue is injected into the corrected areas. This method can be used to correct not only the breasts, but also other areas - for example, the face or buttocks.

After the operation, no stitches are required, since both cell collection and injections are carried out not through large incisions, as when installing implants, but through small punctures. For collection and insertion, a special cannula with a rounded end is used, which ensures minimal trauma to tissues and blood vessels.

Breast mammoplasty: prices at the Sharm Gold plastic surgery clinic

Type of serviceService cost
Consultation with a plastic surgeonFor free
New generation 3D modeling5000 rub.
Surgical correction of mammary gland hypoplasia using retromammary endoprosthetics from a subglandular approach without the cost of a prosthesis300,000 rub.
Surgical correction of breast hypoplasia by submuscular endoprosthetics from the subglandular approach without the cost of an implant300,000 rub.
Surgical correction of breast hypoplasia by submuscular transareolar endoprosthetics without the cost of an implant300,000 rub.
Surgical correction of breast hypoplasia from the anterior axillary approach without the cost of an implant280,000 rub.
Surgical correction of breast hypertrophy with resection of glandular tissue300,000 rub.
Surgical correction of mammary gland hypertrophy with resection of glandular tissue and nipple relocation400,000 rub.
Surgical correction of mammary gland hypertrophy with resection of glandular tissue and nipple relocation80,000 rub.
Surgical correction of nipples70,000 rub.
Surgical correction of breast ptosis200,000 rub.
Surgical correction of breast ptosis with one-stage endoprosthetics without the cost of an implant400,000 rub.
Surgical correction of gynecomastia120,000 rub.
Breast implant removal50,000-100,000 rub.
Gynecomastia (with lift)100,000 rub.
Gynecomastia (without lift)70,000 rub.

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FAQ

Breast correction surgery (mammoplasty) at Moscow plastic surgery clinics is considered one of the most popular. At the Sharm Gold clinic, mammoplasty is a leading area.

The cost of the operation depends on the type of surgery used to perform breast reconstruction. Prices are indicated on the clinics' website.

Any modern plastic surgery clinic offers breast reduction correction. Moscow is no exception. Among the capital's clinics, one can highlight the Sharm Gold clinic, where experienced and highly qualified surgeons operate.

Methods for collecting and processing fat

Fat is collected using a multi-channel cannula connected to a standard linear aspirator. Typically a cannula with multiple holes is used.

The fat is then transferred into 60 ml syringes, which are loaded into a sterile centrifuge with a low speed bucket handle. The centrifuge rotates for 2-3 minutes, resulting in approximately 20-40 fat.

About 15-20% of the additional crystalloid fluid is removed. The result is a less concentrated fat that is not very thick and is ready for injection.

Low force centrifugation results in low concentrated fat that can be easily injected into the pre-expanded breast.

The goal of fat injection should be to accurately distribute fat throughout all layers of the breast.

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