The last two years in plastic surgery, there has been a boom in re-mammoplasty: implants are removed, and the breast is brought into shape with a lift - a difficult operation that is also interesting for those who have never dreamed of silicone.
In early February, the scientific publication Body Image published the results of a survey of almost 20 thousand women from 40 countries. The researchers wanted to understand how different ideas about ideal breasts are among young girls and women. So it turned out that more than 70% of women who participated in the survey are dissatisfied with the shape and size of their breasts. The study separately notes that feelings about this become less and less significant as the woman's age increases.
Sergey Sviridov, plastic surgeon:
“Surgical breast lift is one of the most difficult operations in mammoplasty. Its task is to bring into its normal position the skin cover, which for some reason has stretched out and is now located low on the chest. In this case, the surface layer of dry skin is removed, and the living part is screwed under the breast and sutured to the pectoralis major muscle - a kind of internal "bra" is created. And already above it, the side sections of the skin cover are stitched.
Breast lift is really more difficult than breast augmentation with implants.
Modeling the skin and lifting the breast is a complex process, during which the surgeon must take into account a huge number of nuances. Take, for example, the fact that the skin tends to stretch and the ability of the skin to stretch is different for everyone. In some cases, it will also be necessary to remove the fatty tissue from the sides. In addition, the breast can be wide or narrow, the volume of the glands can be concentrated at the bottom, the nipple-areola complex can be directed upward or downward - and these are just some of the factors that should be taken into account when lifting a breast. In fact, the surgeon creates a new shape for the breast.
There are three options for breast lift: circular (the incision is made around the areola), circumferential (an incision around the areola and vertical along the lower slope of the breast) and T-shaped (an incision around the areola, along the lower slope and under the breast).
You need to prepare for a lift, like for any other plastic surgery: take blood tests, urine tests, do fluorography, ECG, ultrasound of the mammary glands, be sure to consult a mammologist. A standard but very important examination.
Can the breasts grow back after reduction?
Since in the mammary gland, in addition to the mammary glands proper, there is also adipose tissue, due to the growth of the latter, the breast can really increase. This also happens if a woman is recovering.
Pregnancy and lactation?
After pregnancy and breastfeeding, breasts that have gone through the lifting procedure can either shrink or enlarge. During the operation, the gland is not directly affected, so everything will depend on the structural features of the mammary glands of a particular woman. That is, after pregnancy, the breast after a lift will change in the same way as if there were no correction. And yes, such operations do not in any way affect the ability to breastfeed, since they do not affect the glandular tissue itself.
Do scars remain after surgery?
Yes. It must be understood that there are no options in which there will be no scars on the chest after a lift. I always discuss this point with patients during consultations. However, scars can be different.
The appearance of the scars is mainly influenced by the initial quality of the sutures. They, in turn, are influenced by the technique of performing the operation, the correct tension and nutrition of the tissues in the operation area, and the weight of the breast. If the surgeon takes into account all the factors, if everything is balanced, the sutures will heal well.
Another important factor is postoperative suture rehabilitation, the responsibility for which lies with the patient. This is primarily a local treatment with ointments that improve the healing process. Physiotherapy works well - the blood supply to the tissues improves and the process of "whitening" of scars is accelerated. In the end, these are usually cosmetic procedures. Laser resurfacing helps to level the scar over the surface and reduce the area of the scar. The result is a smooth, narrow scar. Phototherapy will help remove blood vessels that often form in scars and give them a reddish tint.
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