Breast implant size chart. Augmentation mammoplasty: choosing breast size and implant volume

The aesthetic surgery industry has been actively developing over the past 20 years. Increasingly, it is the fair sex who resort to plastic surgery. Of course, breast augmentation operations occupy a leading position. During 2017 alone, more than 156 thousand data were collected surgical interventions.

Why is mammoplasty necessary?

Basic criteria for breast adjustment:

1. The desire to have a beautiful and toned bust shape.
2. Elimination of consequences of injuries.
3. Correction after operations.
4. Elimination of the consequences of incorrectly performed plastic surgery.
5. Correction of congenital Not correct form mammary glands.

All ladies who are planning to change the shape and size of their breasts are interested in the answer to the question of what Breast implants are better. The doctor will help with the choice and also provide the following information regarding implants:

• Their filling.
• Shell material.
• Form.
• Location in the area of ​​the mammary glands.
• Manufacturers.
• Implant size.
• Risks and complications.
• Rehabilitation.

Breast implants are prostheses made of biocompatible material, which are a shell filled with a specific composition.

Implant filling

There are several drugs that are used in mammoplasty to fill the shell of implants.

1. Saline solution.

Implants filled with this drug appeared in 1961. Composition: shell made of silicone material and sodium chloride solution inside. The shell of breast implants is filled saline solution before or after surgery.

The disadvantages of such products are:

• Possibility of rupture or damage.
• Change in breast shape some time after surgery.
• Softness.
• Unnaturalness.
• The sound of the solution moving.

If saline implants rupture or become out of shape, they need to be replaced.

Among their advantages are only a small incision and minimal scars after surgery, as well as good compatibility(if the solution enters the body after damage to the shell, harm internal organs will not be). Currently, such implants are practically not used.

2. Silicone.

Silicone breast implants have been in use since 1992. They are filled with Softtouch gel or cohesive silicone gel. Such materials have a dense consistency (comparable to jelly), so if they are damaged or ruptured, you should not be afraid of undesirable consequences. The gel maintains its position and does not spread. Silicone implants are safe and retain their shape, which is why they are so popular. They have other advantages:

• Naturalness appearance breasts
• Inability to determine the presence of an implant.
• No visible boundaries.

Of course, they also have disadvantages. Among the main ones are:

• It is mandatory to undergo an MRI every 2 years to determine the integrity of the breast implant shell.
• Large incision during surgery.

Breast prosthesis shell

Like the fillers, the shells of such products are also different.

1. Textured.

The surface has tiny pores, so there is no risk of the implant becoming overgrown with connective tissue. Such prostheses take root better, which reduces the possibility of complications. The implant with a textured surface fits perfectly into the breast and does not move.

2. Smooth surface.

Implants with a smooth surface are practically no longer used, since the likelihood of complications after their installation is high. It's about about the formation of a shell of fibrous tissue in the chest or its deformation.

Breast prosthesis shape

There are two types of breast implants:

1. Round.

This form of implants is used to correct the shape and eliminate asymmetry in case of loss of breast volume, its “sagging”, for example, after breastfeeding or losing weight. They lift the breasts and make them as voluminous as possible. The first impression is that with a round implant, the breast looks unnatural. But later the soft gel round implants takes on a teardrop shape under the influence of gravity, so it looks quite natural. They are easier to install than teardrop-shaped implants, and the cost is usually lower.

2. Anatomical.

Breast prostheses come in low and high profile. A teardrop-shaped implant differs from a round one in that its lower part is slightly larger in volume. It is believed that they are anatomically more suitable, as they are as close as possible to the natural shape of the breast.

• More high price.
• Tendency to round.
• Risk of displacement (if the lower and upper parts are swapped, it does not look entirely aesthetically pleasing)
• Difficult to install.
• Possibility of unevenness around the edges of the implant in thin girls.

This issue is decided only by the doctor who performs the operation. The prosthesis can be located in the following places:

1. Above the pectoral muscle, under the mammary gland.

Recommended for sufficient breast volume or noticeable sagging breasts. There is a risk of the breast implant drooping, as well as the appearance of noticeable folds. The swelling subsides within a short period of time short period time, the rehabilitation period passes easily and quickly. The least traumatic option. Loads on the pectoral muscle (for example, during intense sports) do not deform the implants, but they may become overgrown with a dense connective capsule, which makes mammographic examinations difficult. Also, with such installation of the prosthesis, its edges may be noticeable.

2. Under the fascia of the pectoral muscle.

This placement of the implant fixes it more reliably than in the case of installation under the mammary gland. This is observed for the reason that it fuses better with the fascia. The disadvantages are the likelihood of the prosthesis shifting and the appearance of folds.

3. Under the pectoral muscle.

A more complex and lengthy operation. After it is performed, time is required for rehabilitation, since partial dissection of the muscle occurs. It is considered the most favorable option in terms of possible consequences. Deformation is possible due to contractions of the pectoral muscle, but mammography is not difficult, and a dense capsule is not formed. The implant is less noticeable.

Manufacturers of breast prostheses

The most commonly used silicone implants are from the following companies:

1. Mentor.
2. Allergan.
3. Natrelle.
4. Eurosilicone.
5. Arion Polytech.
6. Ceroform.

As a rule, the website of each clinic indicates which manufacturers it works with. Prostheses from all manufacturing companies are quite reliable. Over the past 10 years, there has been a fairly small percentage of patients who came to the clinic due to the occurrence of any problems after mammoplasty.

Dimensions

To make breast implants look aesthetically pleasing, you need to choose the right volume. It is believed that approximately 150 ml of gel filler adds one size to that of a woman. If breast augmentation with implants needs to be done by 2 sizes, then larger prostheses are selected. They should contain 600 ml of filler.

By size, endoprostheses are divided into fixed (installation of an implant of a previously determined size) and adjustable (the volume of filler can change during surgery).

There are many types of breast implants. Their choice is influenced by the following factors:

• Body size and shape.
• Desired result (voluminous or more natural).
• Initial breast shape and size.
• Physical activity and the patient's lifestyle.
• Presence of sagging breast skin (after feeding).
• Integrity and volume of breast tissue (after pregnancy, natural aging or after past diseases such as breast cancer).

There are cases where filler is injected into the membrane during surgery. In this case, the surgeon makes an individual decision on the amount of gel administered.

Let's consider the option when the patient wants 4 With the second size available, this will not be a problem. The implant volume is selected to be about 300 ml. If your breasts are very small, not every plastic surgeon will be able to increase them to size 4.

Access for implantation

This medical term means where in the breast the incision will be made to place the prosthesis.

1. Inframammary (incision under the breast).

The most commonly used method for implantation. A 3-4 cm incision is made under the mammary gland. Thanks to this, an implant is installed. The main advantage of this approach is the simplicity of the operation, but it is possible to reveal the contours of the breast implant. But it is possible to use implants of any shape and size. This is the least traumatic method for breast tissue.

2. Periareolar (incision along the edge of the areola).

Almost invisible cut. It is produced along the border of the skin of the breast and areola. The implant is installed through the resulting incision. The main advantage of this access is that the scar is practically invisible, and both anatomical and round shaped implants can be installed. The disadvantage of this method is that if the areola is small, installation of an implant is impossible.

3. Axillary (incision in the armpit area).

The incision is made in armpit at right angles to the hand. Technically, this installation option is more complicated than the previous two, so the main advantage of the axillary approach is the absence of a visible scar on the chest. The main disadvantage is the complexity of the operation. Only round-shaped implants can be installed in this way, while anatomical ones are difficult to position correctly. There is a risk of the implant moving upward.

4. Transumbilical (through the navel).

This method is now practically not used due to the complexity of its implementation. It involves making an incision inside the navel. The method has many disadvantages, for example, the possibility of incorrect placement of prostheses, installation of only round-shaped implants filled with saline solution. The advantages are the absence of a scar on the chest.

The recommendations of plastic surgeons in choosing implants are approximately the same. They say that it is possible to choose an implant and installation option on your own, but it is better to consult with a specialist, as there are nuances future operation There are quite a lot that influence what shape, size, and company you should choose. The doctor and patient must come to a joint decision regarding all factors. On this moment Many clinics have 3D modeling that allows you to evaluate the expected result.

Choosing a clinic

Let's also consider the issue of choosing a clinic and specialist for mammoplasty in Moscow and in the regions of Russia. How larger city, the more clinics offer similar services. It is often easy to get confused in such diversity, because in Moscow alone mammoplasty is performed in 185 clinics. You need to make your choice responsibly, because there is a risk that instead of beautiful breasts you will get health problems and litigation. The fundamental point for making a decision should not be the cost of the service, because high-quality work cannot be paid poorly. average cost breast augmentation with implants - from 150 to 450 thousand rubles.

The main criteria for choosing a clinic:

1. This institution has the necessary permitting documents, specialized licenses, and specialists have completed the necessary training and have notarized copies of graduation from universities, as well as courses for advanced training.
2. The operation is performed by a surgeon, as well as a resuscitator and an operating nurse.
3. The cost of services includes post-operative care and observation.
4. The clinic is quite well known, has respect in medical circles and good feedback patients.
5. Availability necessary equipment, especially intensive care and resuscitation devices.
6. You are asked to undergo the necessary tests and examinations, and your health is thoroughly checked before scheduling surgery.
7. The doctor talks in detail about the operation and possible complications.
8. If several clinics refuse to perform mammoplasty for you medical indications, do not look for one where they will help you, as there is a risk of encountering unprofessionals.

Risks of mammoplasty

This operation belongs to the category of complex. After it, the following undesirable consequences may occur:

1. Deformation of round breast implants. It occurs due to an incorrectly installed implant, as well as due to the fact that the patient does not wear compression garments.
2. Silicone implant rupture. Rare cases occurring due to defects in the prosthesis or violation of recommendations during rehabilitation period.
3. Formation of a dense connective tissue capsular membrane.
4. Loss of sensation in the areola and nipple. Occurs due to a violation of the integrity of nerve endings.
5. Swelling due to impaired lymph outflow.
6. Formation of rough scars.
7. Accumulation of fluid or blood around the implant.

Rehabilitation

This process is one of important factors, affecting final result. During the first 24 hours after surgery, you must be under observation in the clinic. The further recovery period takes place at home. You will need to take painkillers and antibiotics for several days to prevent inflammation. You can't raise your hands. You are only allowed to sleep on your back. It is imperative to take antibiotics, as well as medications for possible blood clots. The stitches are removed after two weeks. Special scar care and wearing required compression garments. You can turn on your stomach only after six months. Prohibited physical exercise. It is not recommended to visit the sauna, gym, or swimming pool for three months.

Hello, dear readers who dream of perfect breasts. Today we will talk about radical method dreams come true. ABOUT important step to this incarnation - what sizes of breast implants are there? And which one will be ideal for you.

The size of the implant is not equal to the size of the future breast

Maybe the statement in the title of the article surprised or puzzled you. Well, how can it be that we inserted a three-piece implant and wear size 3, what’s wrong? But not so much.

Plastic surgeons, in the fight against the results of surfing the Internet, have to explain how to choose an endoprosthesis so that the visual perception of the “upgrade” mammary glands satisfied you and what actually makes up the number of the new bust.

And it consists of a combination of different, seemingly sometimes not directly related to your volume of “little things”.

Shape of the glands

IN plastic surgery It is customary to distinguish 4 forms of the gland:

• disk;
• cone;
• hemisphere;
• papilla (mastoid shape).

In the first case, the mammary gland is small, has a wide base and short height. In the second, the bust has a relatively small base and significant height (high bust). In the third, the width and height of the glands tend to be equal. The latter shape resembles a conical one, but the nipple “looks” down and the breast is slightly lowered.

The shape does not affect the dimensions of the bust, but significantly affects their visual perception and.

Volume and curvature of the chest

How many milliliters you need to add to your breasts to make them noticeable depends on the width of your chest. On average, one size is 150/200 ml. How much you need to add depends on your body proportions.

If you are asthenic and have a narrow chest, a 300 ml end insert will look inappropriately large. And it will seem that with every step you risk falling under the weight of your own bust. We are no longer talking about beauty.

Women with a wide chest should not even undergo surgery to have a 300 ml prosthesis implanted. It will “smear” and will be invisible. If you think that your broad-chested friend has a beautiful size 3, check, most likely she “wears” a four-piece bust.

But not only the girth of the chest, but also its configuration influences the recommendations of a plastic surgeon assessing the overall harmony of the body.

Preoperative bust volume

The amount of inherent bust tissue greatly influences how much needs to be added with a prosthesis. Consider a 300 ml running implant:

• for ladies with a one, he will give a bust of 3 sizes;
• for women with a pronounced two - will increase the bust of a four.

The dimensions of the future breast are made up of the preoperative amount of your bust tissue plus the volume of the endoinsert.

Height

Height is included in the parameters for determining bust proportions, tall body voluminous glands “look” seductively, while short women up to a four-piece are not recommended.

Elasticity of fabrics

If a woman has a congenital defect (aplasia of glandular tissue), little muscle and very elastic skin, no surgeon will recommend large implants. First, the lower edge of the implant will be palpable. Secondly, your fabrics simply will not stretch to the desired volume.

Bra and Bust Size

Can I choose by bra? Choosing a bra is a separate issue. Oddly enough, not all girls know how to choose the right underwear. Moreover, you should not focus on the volume of the cups during endoprosthetics. Number on the label underwear- not an end in itself. The main thing is that the bust sat beautifully.

Moreover, having received a new breast, you will change not only the volume of the cup, but also the volume of the bra strap. Are you surprised? But this is a fact. If you were a modest size 2 with a girth of 68 cm, after augmentation to size 3 you will need a bra with a strap of 72 cm with a C cup. This is the kind of underwear you will feel comfortable in. And the support will be as natural, correct and convenient as possible.

You can try to squeeze a new bust into your favorite 68 cm, but then you will have to buy a four-piece cup. And it will still be uncomfortable. This is the arithmetic for endoprosthetics.

The opposite situation also happens; after augmentation, the bra number remains the same. At the same time, the patient is satisfied with the shape and dimensions of her breasts, and her main complaint to the surgeon is the same number of underwear.

FAQ

Do installed implants need to be replaced? It depends:

• on the quality of the end insert you choose;
• careful “wearing” (damaged dentures must be mandatory deletion and replacement);
• volume satisfaction;
• a woman’s ability to maintain a stable body weight;
• absence of diseases requiring removal of the implant.

Manufacturers often provide a lifetime warranty on modern implants. If your weight does not fluctuate, there are no new growths, you may not have to go to repeat surgery. But usually, in practice, the period of use of prostheses is somewhat shorter than the patient’s life; implants are replaced every 10-25 years.

If silicone breast implants were installed before pregnancy, after changing your body shape, you may need to replace the prosthesis.

You will be surprised how many ladies, after augmentation, realize that their decision about the size and shape of their breasts is unsatisfactory and come for a second operation. To avoid this, try to evaluate the aesthetic aspect before the surgeon’s scalpel touches your tissues. Look at the photo and consult with your surgeon.

The maximum size of the implant itself depends on the manufacturer. Prostheses are produced in different sizes in increments of 10 ml, and generally the manufacturer stops at 525-550 ml. The maximum size is a completely different volume.

How much do modern implants cost? It depends on the manufacturer. The price of products with similar parameters may differ up to 2 times. The average cost for one product is 20-45 thousand rubles. This is the price of the implant alone.

With this we say goodbye to you. We are waiting for you again on our pages. And we hope you will invite your friends via social media to our resource.

Breast implants can make a woman confident and attractive. For the result to match your expectations, serious preparation and a qualified surgeon are required. He will help you choose the ideal shape and size of implants.

Breast implants for the mammary glands: what they look like, how often to change, service life, pros and cons. Price. Photos before and after. Reviews

Breast endoprostheses are silicone shells filled with gel or water-salt solution. They differ in a variety of materials and shapes. The service life of implants is 7-13 years. Manufacturers do not limit the service life to a time frame, however, replacing implants is common occurrence.

This happens by the following reasons:

• damage to the breast implant followed by leakage of gel or solution (very rare);
• the occurrence of inflammation that cannot be cured with medication (rare);
• desire to change breast size, its shape, replace old implants with modern and safe ones (often);
• physiological changes: sharp jumps body weight, pregnancy and childbirth, natural processes aging (often).

The advantages of installing endoprostheses are the ability to correct severe breast asymmetry, sagging, and the woman’s moral satisfaction.

The disadvantages include possible complications(implant rejection, infections, long rehabilitation process). Even after a successful operation and recovery period, diagnosing breast diseases becomes more difficult in the future.

The cost of implants depends on the manufacturer and quality, as well as pricing policy companies. The starting price of one endoprosthesis varies between $600-900. If you choose a model made to order or with specific content, the price rises to $1500-2500 per piece.

Complications occur due to low level professionalism of the surgeon, improper adherence to recommendations during the rehabilitation period.

Breast lift with implants

Mastopexy with endoprosthetics is a series of surgical interventions that help create the correct breast shape. Indicated if classic breast augmentation does not bring the desired result.

Reasons why a surgeon prescribes a combination surgery:

1. Breast-feeding. During lactation, the skin of the breast is subject to stretching. After breastfeeding ends, the size of the mammary gland decreases and the breasts sag.
2. Losing a lot of excess fat.
3. The need to change breast implants. If you want to reduce the size of the breast and maintain its shape, the surgeon selects smaller endoprostheses. Therefore, he needs an additional mastopexy.

In most cases, a breast lift with implants is performed in two stages. A mastopexy is performed and after healing, the breast is enlarged.

Much less commonly, augmentation and lifting are combined together. This requires a highly qualified surgeon. It is necessary to take into account that various kinds of complications are unlikely to be avoided.

The most common are:

1. Improper scarring. Thin, invisible seams are formed if no additional pressure is applied to them. The weight of the implant exerts this same pressure, as a result of which the scars “spread” and become excessively rough.
2. Breast asymmetry.
3. Ptosis. An incorrect calculation by the surgeon can cause displacement of the areola of one or both nipples, which looks extremely unattractive.
4. Infection followed by necrosis of gland tissue. Due to multiple injuries after surgery, blood and plasma accumulate in the chest, which are a favorable environment for the proliferation of pathogens.

Mammoplasty is performed under general anesthesia.The duration of the operation is 4-6 hours, and the cost is $5000-6000. However, high cost does not always guarantee high surgeon qualifications and quality.

Breast augmentation with implants

After passing necessary tests and consultation with the surgeon, the day of the operation is set.

Preparation for it should be carried out taking into account all the doctor’s recommendations:

1. Avoiding bad habits a few weeks before mammoplasty.
2. All medications taken must be reported to your doctor.
3. If you have allergies, try to completely eliminate exposure to allergens.

Before the operation begins, the doctor and the patient discuss all the nuances and possible complications.

To common negative consequences include:

• formation of hematomas;
• abnormal scarring;
• capsular contracture.

Contraindications: diseases infectious nature, neoplasms, allergies, breast diseases. They are also not given to girls under the age of majority. After surgery, strictly following the doctor’s recommendations will eliminate the occurrence of complications by 80%.

Types, sizes, shapes of breast implants. Photos with implants

Silicone implants

Silicone endoprostheses are medical breast implants for changing the size and shape of the breast.

Surgeons prefer silicone for a number of reasons:

1. Filling with cohesive gels of different densities makes the breasts tactilely indistinguishable from natural ones.
2. Consistency and special properties gels. If the shell is damaged, they do not flow out of the implant. There is no risk of damage to the mammary gland.
3. Due to the high density, it is possible to produce anatomical (drop-shaped) shapes. This is problematic when filled with a water-salt solution.
4. By modifying the properties of the gel filler, it is possible to achieve a variety of its characteristics.
5. Silicone implants are lighter, which reduces additional stretching of the skin.

Round implants

In the presence of flat chest round endoprostheses, in most cases, will look artificial and unaesthetic.

There are several types of implant filler:

• water-salt;
• silicone;
• combined – water and silicone gel;
• biogel.

Round implants can be high profile (highly convex) or low profile (flatter). Some models have a volume adjustment function. This is convenient, since the surgeon can adjust the size and shape of the breast during the operation.

A relative disadvantage is the possibility of its displacement inside the mammary gland. Outwardly, this is practically not noticeable, but it can cause some discomfort in a woman.

Anatomical (teardrop-shaped) implants

Anatomical breast implants are recommended for women with an asthenic build and small breast size. They are asymmetrical in shape - the upper edge is thinner, thicker towards the bottom. Their appearance is as close as possible to the natural shape of a woman’s breast and resembles a drop.

Thanks to asymmetry, manufacturers produce models with a wide variety of shapes, profiles, and sizes. Maybe custom production.

A relative disadvantage is their denser texture (necessary to maintain the anatomical shape of the implant), tactilely little similar to natural breasts. During installation, displacement of the endoprosthesis is also possible.

The advantage of the teardrop shape is a scientifically proven, low percentage of capsular contracture formation, and the appearance of the most natural and natural breasts.

The best lifelong breast implants – rating, companies. Where to buy, how much they cost

Implants "Mentor"

Breast implants from the Mentor company are considered the safest.

The manufacturer uses developed and patented materials: Siltex shell and MemoryGel cohesive gel. Anatomical Mentor implants have an improved curve line. Even if you have breasts with minimal fat and glandular tissue they won't stand out.

Distributors in Russia are Clovermed and Implant Medical. More than half of women choose products from this company for mammoplasty.

You can purchase or order endoprostheses from official dealers via the Internet or by contacting them by phone. In most cases, implants are ordered directly from the clinic; one implant starts from $900.

Implants “Motiva Ergonomics” (“Motiva”)

The only company, producing ergonomic endoprostheses. They are able to look natural in any position of the body, harmonious even in initially small breasts.

Widest choice volumes from the smallest to the largest: 4 types of profile, several types of viscosity, seven-layer shell, smooth, textured or microtextured surface. The products are approved by the most significant commissions FDA, ISO, EN, CE.

You can purchase implants through the official website motivaimplants.ru or through an aesthetic medicine clinic where breast augmentation will be performed. The cost of a pair ranges around $2000.

Allergan implants

Allergan implants are characterized by a wide range of sizes. This makes selection easier even in the most difficult cases - not only with mammoplasty, but also with breast reconstruction.

In addition to the standard single-component filling, endoprostheses are produced with combined filling of different densities. This allows you to achieve the necessary parameters of shapes, profiles and sizes.

It is possible to purchase implants directly through the clinic where the plastic surgery will be performed or from a representative of Family Health CJSC. The cost of one implant is about $750.

Sebbin implants

For more than 30 years, Laboratoires SEBBIN has been producing high-quality, suitable for all international standards, premium implants for breast augmentation.

The endoprosthesis shell consists of 9 layers. The last layer is made in such a way that the risk of developing capsular contracture, statistically, does not go beyond 1%. The internal content is Naturgel gel, which comes in 3 types of density and is tactilely no different from natural female breasts. The company offers the service of creating implants based on individual measurements.

Each endoprosthesis is tested for possible defects. You can order implants on the official website of the company sebbin-lab.ru, or in the clinic where mammoplasty will be performed. The cost of a pair is $2000-2500.

Implants "Polytech"

The German company POLYTECH Health & Aesthetics, a leading supplier of breast implants in Europe, has been producing silicone implants for breast enlargement for 30 years.

Their products are characterized by an 8-layer shell that prevents rupture and penetration of silicone into the gland tissue. Upper layer There are 3 types. Microtextured is considered the most popular.

The filling is a non-flowing, high-viscosity gel. latest generation with shape memory. Not long ago, the company introduced the Sublime Line modular system, which helps in selecting an implant. It includes 4 categories, each with 4 profiles and 18 sizes.

You can purchase branded endoprostheses from the official distributor of Bonamed LLC or through the clinic where plastic surgery is planned. The cost of a pair starts from $2000.

Nagor implants

The Nagor company, a leader in the sale of implants in Ireland and the UK, has been developing and improving for 35 years the lineup endoprostheses, including more than 200 items. The gel that fills the prostheses is indistinguishable in density and tactility from natural breasts. The quality and environmental friendliness of materials is confirmed by European standards ISO 10993, BS EN ISO 14630, EN 12180.

The company guarantees, in case of damage or contracture, a free replacement of both implants. It is possible to select another model. You can order endoprostheses through the official website nagor.su, from the distributor - the Medical Test company. The cost of one implant starts at $850.

Implants "Natrelle"

Natrel breast implants are a new line from McGhan. Represented by 140 models of silicone implants and 100 models with water-salt filling. Includes round and anatomical shapes.

The textured BIOCELL shell is designed with such features that the flip of the teardrop implant or the development of contracture are reduced to zero. They are filled with cohesive gels of different densities (round) or Soft Touch gel (anatomical), which is able to remember the original shape.

You can buy endoprostheses at the representative office of the manufacturer ZAO Family Health. You can also purchase them through the clinic. The cost of a pair of implants is approximately $1500-1800.

Implants "Arion"

The French production of Arion implants is of high quality: a wide range of models, different types gel densities, smooth and textured shells characterize the brand. The shell consists of 6 layers that strongly protect against ruptures.

Hydrogel bioimplants of the Monobloc system are considered the safest and most reliable, and do not interfere with X-ray examination of the breast.

You can purchase implants through the clinic or contact company representatives through the official website lab-arion.ru. The estimated cost of a pair of implants is $1600-2000.

Installation and removal of breast implants – breast surgery. Implant installation methods

There are several options for installing breast implants:

• Between the gland and the pectoralis major muscle. The method is suitable for breasts with a sufficient content of glandular and adipose tissue. Then the implant will not be palpable and its edges will not be noticeable.

Advantages of the method:

1. Minimum painful sensations during the rehabilitation period. Fast recovery time.
2. No further deformation or displacement of the implant, especially when playing sports.
3. The most pronounced form.

Flaws:

1. High risk development of capsular contracture.
2. The likelihood of asymmetry, waves or stretch marks.
3. Reduction or complete disappearance of breast sensitivity, especially nipples.

• Partially between the gland and under the pectoralis major muscle. The most optimal and therefore popular method for mammoplasty. Suitable for most women.

Advantages of the method:

1. Natural curve of the breast, absence of waves along the edge of the implant, stretch marks. Since it is supported not only by the skin, but also partially by the muscle.
2. The risk of capsular contracture is minimized.
3. No sagging, asymmetry, deformation or displacement.

Disadvantages of this method:

1. Long lasting and painful period rehabilitation. Edema may persist for up to several months.
2. If you do not take care of the décolleté area, the implants may move over time. It is necessary to keep the skin toned.

• Between the pectoralis major and minor muscles. The method is characterized by installing an implant under the pectoralis major muscle. It was developed as an alternative to the subglandular method of installation.

Advantages:

1. There is virtually no risk of developing capsular contracture.
2. No hints of the presence of an implant - tactile or visual. It is completely hidden under muscle tissue.

Flaws:

1. Long recovery period with severe pain and swelling.
2. The presence of an implant does not provide the desired volume and lift of the breast, as it is partially “damped” by muscle density.
3. When playing sports or straining muscles, endoprostheses become deformed and can become dislodged.

Surgeons rarely use this method installations.

Removal of implants is carried out through the same hole as installation.

There are 3 options:

• through a cut in the nipple;
• through an incision in the crease under the breast;
• through an incision in the armpit.

Where exactly the seam will be depends on the size of the implant, the structural features of the chest and the wishes of the woman.

Consequences of inserting implants - what breasts look like after 10 years

With a high-quality operation and correctly selected implants, breast deformation over time will be minimal. The tissues are stretched due to the impact of the mass of the endoprosthesis.

The age of the woman plays an important role - the older she is, the faster mammoplasty will lose its original appearance. This is why, after 10 years, breasts can look either amazing or not so beautiful.

Is it possible to breastfeed a child with silicone implants?

Mammoplasty does not affect breastfeeding in any way. Even if the implant ruptures, silicone can in no way harm the quality of milk or its production.

Breast implants may partially interfere with feeding if the glandular ducts have been injured. Then the amount of milk will decrease, but its production will not stop.

Video about breast implants

Breast implants - what you need to know and think about:

Breast implants and the whole truth about them:

If you decide to set yourself breast implants, then soon enough the question will arise about choosing the implants themselves - their size, shape, filler and surface. In this case, experts recommend trusting your surgeon - he will select implants that will anatomically match your body, so that after the operation your breasts will look beautiful and natural.

How to choose breast implants

When choosing breast implants, the surgeon considers two main factors:

The wishes of the patient herself - what shape and size of the breast she wants to have, whether she needs to change the position of the nipple-alveolar complex, etc.;

Anatomical features of the patient. This is necessary so that the breasts look proportional, because sometimes a woman’s desires do not correspond to reality, and the patient may not like breasts made only at request.

In the second point, the doctor takes into account the following factors:

Body weight and height;

Initial density and volume of the mammary glands;

Skin condition;

Chest volume;

General proportions of the figure.

Measuring all this will allow you to select an implant. perfect shape and size, as a result of which the breasts will look natural.

IMPORTANT: Also, when choosing implants, it is important to pay attention to their company. Now preference is given to implants from the companies Mentor (USA), Eurosilicone (France) and Arion (France), although there are other quite reliable companies . Each company has its own disadvantages and advantages, as well as a line of implants of different shapes.

How to choose the shape of implants depending on the shape of the breast

There are two main forms of breast implants:

Round ones are cheaper and easier to install. They are indicated if it is necessary to correct or enlarge breasts with signs of mastoptosis;

Anatomical, or teardrop-shaped. They are identical in shape to natural mammary glands. They are usually used to enhance completely flat chests. Such implants are more expensive and much more difficult to install.

Both types of implants have four different profiles: low, medium, high and extra high. The profile is chosen based on body type and determines how much the breasts will be lifted up.

The choice of implant shape should also be made by the surgeon based on a number of factors:

IMPORTANT: It is worth understanding that the table provides only recommendations. For example, round implants are considered quite universal, so if for financial reasons a woman can only get them, then they will be installed, and the breasts will look good.

Fillers and coating of implants

Implants are classified not only by shape, but also by filler.

Saline implants

These implants are filled inside with an isotonic saline solution of sodium chloride, that is, salt. They come with and without valves - the first are placed empty in the chest and then filled through a special valve, and the second are implanted already filled.

Such implants are very inexpensive, and if they are filled after installation, the incision required is very small. But, unfortunately, they are very soft, so there is a risk of the shell breaking. In this case, the contents will get into the soft tissues, which will require urgent surgery. For this reason, saline implants are now practically not installed. In addition, they do not feel very natural to the touch.

Silicone implants

Silicone implants are more modern version. They have a multilayer elasomer shell, and inside they are filled with a viscous gel having different densities:

Cohesive standard gel. Perfectly imitates the natural texture and shape of the mammary glands. The consistency is similar to jelly. When the membrane ruptures, it dissolves;

Highly cohesive gel. It has a very hard structure and low degree deformations;

Gel Soft Touch. The consistency is similar to jellied meat. If the shell ruptures, it will not leak. After compression, it regains its shape very quickly.

Silicone implants are very elastic, retain their shape for a long time, and the risk of complications when using them is minimal. In addition, there are many models of such implants, and they feel almost identical to natural breasts. At the same time, during installation of the implant, a large incision is required, which is quite traumatic. And after the operation, you will need to regularly undergo magnetic resonance imaging to quickly detect a violation of the integrity of the membrane.

Bioimplants

Such implants are made of carboxymethylcellulose - natural polymer. If the implant is damaged and the hydrogel gets into the tissue, it will disintegrate into water, carbon dioxide and glucose, which is completely safe for the body. In addition, such implants are completely transparent to X-rays. However, their cost is significantly higher, and over time, such implants decrease in volume due to the fact that liquid seeps through the shell.

Today, people most often install silicone implants.

Also, breast prostheses differ from each other in the type of surface:

Smooth implants. After installation, they are overgrown with connective tissue, which in theory increases the likelihood of compaction and deformation of the mammary gland, but at the same time they have a much stronger and thinner shell. In general, such implants, as practice shows, are quite safe;

Textured implants. Their shell is finely porous, due to which the product reliably adheres to tissues. This is usually how anatomical prostheses are made so that they do not move or deform the breast.

This issue is actually not that important, since both surfaces of the implants show good results.

Measurements when selecting an implant

To understand how a surgeon selects breast implants, you need to know what measurements he takes. The following parameters are usually measured:

Thickness of the mammary glands;

Volume of soft tissues;

Chest width;

Nipple position.

The last parameter is worth considering in more detail. The specialist needs to measure the distance from the nipple to the anterior midline of the chest. The patient should raise her arms up 45 degrees.

A pinch test is also performed to determine the thickness of the glandular tissue and determine the location of the inframarital fold after surgery.

Operation prognosis

Today at good clinics In plastic surgery, 3D computer modeling technology is used to assess whether the implant is correctly selected. With its help, both the surgeon and the patient can approximately see how the shape and size of the mammary glands will change and how the new breast will look on the patient’s body. Of course, a complete match cannot be guaranteed, but if the patient is not satisfied with the result on the monitor, then another option for implants can be selected, again creating an image on the computer to evaluate the result. This allows you to avoid unpleasant situations when the patient does not like her breasts after surgery.

Vectra XT 3D 3D modeling device

Since the dawn of cosmetic medicine, breast replacement has been considered the most popular to this day. plastic surgery. Breast implants are prostheses made from biocompatible, high-quality material that are placed under the muscle or skin to increase breast size or shape it.

Pros and cons of thoracic endoprostheses

The advantages and disadvantages of breast implants are usually distinguished according to their filler, technical classifications, installation options and shape. But there are also generally accepted factors that are relevant for any type of endoprosthesis. Breast implants have the following advantages:

• Imitation of natural breasts. They imitate natural female breasts as accurately as possible, both visually and tactilely;
• Biocompatibility and sterility. Today, implant fillers do not form inside the breast inflammatory processes and guarantee a minimum risk of prosthesis rejection;
• Filler safety. Salt fillers are completely harmless to the body, and the highly cohesive gel does not shift even when the prosthesis is damaged;
• Low frequency of ruptures. Breast implant ruptures occur mechanically, due to severe trauma or impact. When making prostheses, factories carefully test the tension before releasing the prostheses onto the market, this reduces the risk of damage to the implants. In the event of a rupture, the manufacturing company undertakes to replace the prosthesis free of charge, as indicated in the product warranty document.

Disadvantages of endoprostheses These include more unforeseen cases, but they still happen:

• Tactile sensations. Breast implants can be sensitive to the touch, especially when installed under the gland;
• Implant contouring. Most often, the contours are visible in a supine position and with the condition that the endoprosthesis is located under the gland. Placement under the muscle almost never creates a contouring effect;
• Risk of fibrocapsular contracture - applies to prostheses with a smooth shell;
• Wrong size choice. The size of the implants must clearly correspond to the woman’s natural breast size.

Characteristics of breast implants, their types and photos

Classification of implants by filler

Silicone filler. Dentures first appeared in 1991. This is a silicone bag (elastomer) filled with cohesive silicone gel (a dense gel, similar to the consistency of marmalade with a distinctive feature that remembers the shape of the implant), hydrogel filler or gel "SOFT TOUCH".

The elastomer itself can be completely smooth and have a rough, textured surface. If the integrity of the prosthesis is compromised, the filling composition remains in place and does not penetrate the breast tissue. Therefore, silicone implants are absolutely safe. In modern cosmetic medicine, as a rule, they are used.

Saline implants. The oldest type of implant, which was invented back in 1960. Dentures are round bags made of silicone material that are filled with saline solution. Endoprostheses can pre-fill with a substance, or filled using a hole directly during surgery. When installing the second option, the doctor makes a much smaller incision. There are saline implants that allow manual correction after mammoplasty.

The main disadvantage is the tendency to damage the implant, its softness, the ability to tactilely determine the presence of fluid in the mammary gland; if the prosthesis ruptures, the shape of the breast is lost, and there is also a need for re-correction. Some women complain of a distinctive "gurgling" sound of fluid in their breasts. The main advantages of saline implants include the complete biological compatibility of the saline solution in the event that the prosthesis ruptures and the filler passes into the tissue. The physical solution is identical to plasma in the human body.

Minimum possible age To install saline dentures, you must be 18 years old. Today, saline implants are used less frequently than silicone ones.

Highly cohesive aggregate is the densest material that feels like marmalade. Anatomical prostheses are made from highly cohesive gel. Due to increased density implants are almost not deformed during wear and do not leak if damaged. The disadvantage of this filler is that it is not natural look breasts due to the rather pronounced property of the filler to remember its shape and the unnatural hardness of its consistency.

“SOFT TOUCH” filler is similar in characteristics to the filler described above. The difference is less negative properties and less density.

Hydrogel filler (bioimplants) are manufactured as an alternative to silicone implants. The natural polymer carboxymethylcellulose is used as a filler. This filler is harmless; if it ruptures and enters the breast tissue, it biodegrades.

Silicone prostheses They imitate breasts as accurately as possible, are sterile, do not change the original shape and almost never contour. In addition, they are almost the same to the touch.

Flaws:

• the traumatic nature of the operation, which is explained by the presence of a larger incision for installing the prosthesis;
• need for an MRI every few years to detect damage.

Surface

Textured. This surface has small pores. Once in, the connective tissue does not grow around the implant and does not lead to complications. It is for this reason that many surgeons prefer prostheses with a porous textured surface. Another advantage - textured denture securely adheres to surrounding tissues, thereby reducing the risk of displacement.

Smooth. Today, cosmetic surgery considers smooth implants to be a relic of the past, but some doctors still offer this option to patients. After installation of prostheses, the body from connective tissue creates a capsule around them. Since the smooth surface does not have pores, intensive tissue growth in the mammary gland leads to thickening of the breast near the implant, and the prosthesis itself leads to deformation. This process is called fibrocapsular contracture. A disadvantage of smooth endoprostheses is also the risk of their displacement after installation, which creates breast deformation.

The advantages include thin shell of the prosthesis, which makes them softer, unlike textured ones, reduces cost and extends service life.

Forms of endoprostheses

Teardrop-shaped or anatomical. Widely used to enlarge flat chests, and in cases where the patient wants to maintain maximum naturalness and smoothness of contours mammary gland. Anatomical prostheses are a little more expensive than round ones, and it is also more difficult for a doctor to work with them. Many surgeons are of the opinion that due to the enlargement of the capsule, teardrop-shaped prostheses become round shape. In addition, the anatomical implant can move, from which the breast receives deformed contours. To avoid these nuances, when choosing anatomical prostheses, it is necessary to give preference to their textured surface.

Due to their high density, anatomical implants maintain the shape of the breast even in a supine position, which is quite unnatural. Difficulties also arise when you decide to adjust or lift your breasts with a bra.

Round. Most often used for correction and enlargement of breasts with severe asymmetry or ptosis. Round endoprostheses are suitable for girls who decide to make their breasts as raised and voluminous as possible. Several types of round implants are manufactured: high-profile and low-profile. They tend to turn over and do not create visual naturalness. But these prostheses are very easy to install, which is why many surgeons choose them. At the same time, round dentures have quite low cost.

Volume

The size of breast implants is determined by the physical volume of their filler, namely milliliters. There is a theory according to which 150 milliliters of solution or gel is proportional to one natural breast size. During mammoplasty, the original size is also taken into account. That is, by setting dentures with a volume of 400 milliliters, the owner of the first size will have a fourth as a result of the operation. There are also such concepts as:

• Adjustable size - correction and filling occurs directly during surgery using a special hole in the elastomer;
• Fixed size - dentures of a certain volume.

Choosing the right volume

The choice of the shape and volume of breast implants takes place at the first consultation with a plastic surgeon, usually for this purpose photos of operations “before and after” are viewed and, as a rule, the patient and the surgeon come to a general consensus, but still it is best to leave the final word to the doctor. He takes into account all the anatomical features and chooses the size and shape that will give the girl the most natural and beautiful breasts. The access (incision for the implant) is also agreed upon with the surgeon, taking into account the characteristics of the implant and the characteristics of the patient’s body.

Main factors for choosing endoprostheses:

• Chest volume;
• Figure proportions and height;
• Initial breast size;
• Breast density;
• Skin condition.

Breast implant service life and replacement

Today, companies that manufacture endoprostheses provide a lifetime guarantee of products without any risk to a woman’s health. Therefore, purely theoretically, the implant does not require replacement, except in extraordinary cases that are related to their integrity (in this case, the manufacturer undertakes to make a replacement at his own expense). In addition, augmentation mammoplasty does not interfere with breastfeeding. But there are other factors that can force a woman to undergo repeated surgery:

• Defects that have appeared in the shell of the prosthesis;
• Breast deformation due to breastfeeding or pregnancy;
• Significant weight changes.

Leading implant manufacturing companies

Nagor (England). Breast implants come in a variety of sizes and shapes. Clinical trial results have proven 0% rupture of dentures over five years. Most implants have a textured surface and a gel filler.

Mentor (America). Manufactures anatomical and round dentures with a textured shell. Used as a filler highly cohesive gel. Saline implants are also manufactured with the possibility of adjustment during surgery or after completion. Mentor dentures are among the most resilient.

Arion (France). Anatomical and round endoprostheses, filler - silicone gel and hydrogel. They are characterized by a monoblock connection between the valve and the prosthetic shell and a six-layer shell. Products have a lifetime warranty.

Allergan/McGhan (America). They are distinguished by the special pore size of the textured surface, which allows the connective tissue to be absorbed deep into the prosthesis. Firmly fixed in the chest. Filled with soft gel, good imitate natural breasts. The product also includes saline-filled dentures.

Polytech (Germany). The breast implant is filled with a soft, highly cohesive gel, has a “memory effect” (it does not deform during any manipulation), the plastic shell has several layers. Shell - coated with MPC, textured or smooth.

If you have found the most modern clinic and professional plastic surgeon, then you can be sure that the problem of choosing the right implant will be in good hands, and soon you will be able to enjoy your beautiful and new body shapes by comparing photos before and after surgery.