The breast after mammoplasty is hard at the nipples. When the breast becomes soft after mammoplasty. One breast more after the mammoplasty procedure: correction methods

Mammoplasty in our time from an exotic and risky operation has turned into almost an ordinary cosmetic procedure. Despite this, breast plastic surgery raises no less questions, and perhaps even more than 10 or 20 years ago: medical technologies are changing rapidly, doctors offer more and more options for correcting aesthetic defects.

We shared the thoughts and doubts of our siblings with Olga KULIKOVA, a specialist in mammoplasty, a plastic surgeon of the Euromed Clinic multidisciplinary medical center, Candidate of Medical Sciences, and asked her to answer the most burning questions.

Anatomy of the chest: a small educational program

So, at the base of our chest lies the pectoral muscle. These are two peculiar muscle "fans" going from the sternum to the left and right - to the large tubercles of the humerus. Above the muscle is located ( and attached to it) mammary gland - it is there that milk is produced, which we feed babies. Its size is approximately the same in most women, and we owe the differences in the size and shape of the breast to the fatty layer that surrounds the gland.

Not all women are happy with their breasts; some she seems too small, "boyish", and their full-breasted girlfriends eventually begin to suffer from the effects of heartless gravity, uncompromisingly pulling the mammary glands to the ground. So there are probably no women who are not interested in mammoplasty in principle.

Fine silicone: another little educational program

When a potential owner of a luxurious silicone breast becomes interested in the prospects for her future happiness, she discovers that "everything is complicated." Silicone implants can have an anatomical shape of a drop or a perky hemisphere. They differ in filling - they can be “stuffed” with silicone gel to the eyeballs or only 85%. And also the width and height of the base ( width and projection), as well as the height above the level of the chest ( profile). An implant can be installed under your own mammary gland, under the pectoral muscle, under the fascia ( "inside" the pectoral muscle), as well as under part of the muscle. Finally, the surgeon must decide where to make the incision: under the breast (in the submammary fold), under the armpit, or along the contour of the nipple ( periareolar access).

There are so many options that my head is spinning - which is better? What will bring you closer to the desired result? What will you (and not the surgeon?) like?

Where to cut and where to put

Symbum's opinion:

A friend made breasts through the armpit, bent over from pain for a month, could not do anything and was so surprised that I (access under the breast) didn’t hurt anything, that’s what different access means.

Olga Vladimirovna, does the access point really play a fundamental role in the pain and duration of the rehabilitation period?

No, it's not. The main role is played by the place of implant installation - under the mammary gland or under the muscle. Placement under the pectoral muscle is always painful, and it does not matter whether we place the implant through the nipple, under the breast or under the arm. Just axillary access is designed specifically to "dive" under the head of the pectoral muscle, so it always causes discomfort.

- So is it worth it to suffer and put an implant under the muscle?

Indeed, when installing an implant under the mammary gland, everything heals quickly, often after a day there are no pain sensations - a very short rehabilitation period. The breast immediately becomes soft, looks very natural, but ... But the implant, especially the large size, has weight. And when installed under the gland, only your own skin will hold it. And no one has canceled the laws of gravity - is it artificial breasts, or natural ...

” - The larger the implant, the faster it descends. If we install it under the muscle, then it will go down 10 times slower.

Of course, a lot also depends on the tone of the muscles: for some, they will keep the implant until the age of 80, and for some, like a rag, there was no point in installing it under the muscle. In such cases, I always warn a woman that you can only go without underwear on major holidays.

Opinion sibmam

She put an implant-anatomist under the gland. Three years later, the chest is full, but sagged. It was necessary to choose access under the muscle!

The average profile is normal, high, they say, it is more likely that there will be sagging even with the installation under the muscle due to the fact that it bulges forward strongly, and the part will still hang.

- Is this the only reason for installing an implant under the muscle?

No, not the only one. The implant looks good when it is covered by the maximum amount of its own tissues. When a girl arrives, who, in fact, has nothing to cover it with, in fact, this is an absolute indication for installing an implant under the muscle - then it will not be contoured.

- That is, we put everyone under the muscle?

There is a group of women who, on the contrary, are better off installing an implant under the mammary gland. This applies primarily to athletes: body fitness, bodybuilding, powerlifting ... in a word, to girls who actively work with pectoral muscles. With heavy physical exertion, the muscle can contract and displace the implant.

” -On the other hand, in 18 years of practice, I have seen implant displacement only twice - this happens extremely rarely. I even had a patient - a world champion in bodybuilding. We put the implant under her muscle, because before the competition she “dries” so much that the muscle is drawn very clearly, the implant would be too noticeable. In preparation for the competition, she works with heavy weights, but, as she said, "the main thing is to do everything smoothly" and the implant stays in place!

But even if it shifts, nothing terribly happens. It is quickly put in place, the pocket, which has stretched, is sutured.

Your chest is still fluffy!

Opinion sibmam

It makes no sense to put a high profile under the muscle - it will flatten the muscle.

390 will not be enough, I say right away. The muscle will press and the chest is not very lush, it can turn out, and if you really put it, then from 450 ...

To stand, you need a high or extra high profile, and that's the only way. With the average and average + 450 will lie.

Olga Vladimirovna, but the muscle is compressed, is it possible to get a high and lush chest when installing an implant under the muscle?

The muscle really flattens the implant first, this is normal. Indeed, in its natural state, the pectoral muscle lies on the ribs, and when we put something under it, it contracts and resists. But over time, the muscle stretches, there is also such an expression - "the chest has fluffed up." The muscle, as it were, “releases” the implant and the breast takes its final shape. But this is to wait from two months to a year - we will definitely warn all the girls about this.

- And the installation of the implant under the fascia ( connective tissue membrane, forming a kind of "case" for the muscle) - what are the advantages of this method? Perhaps the process of "fluffing" will go faster?

I see no reason to separate the fascia and injure the gland. There was such an experiment, because this is a rather young science - mammoplasty has been practiced only since the fifties of the last century. Today, it seems to me, everyone has already abandoned fascia.

Opinion sibmam

The implant is attached somehow cunningly, I remember in the picture, it is difficult to describe. In general, the implant can move if it is completely hidden from top to bottom under the muscle, and if it is half attached to the muscle and the part is under the gland, then everything is ok. The implant adheres to the muscle as usual and holds without any displacement. In addition, the doctor also attaches it in two places additionally under the muscle there, so that everything will surely grow quietly and take root as ideally as possible.

- What about the partial installation under the muscle, which is now being talked about a lot?

The pectoral muscle never completely closes the implant - this is anatomically impossible. But there is a very wide pectoral muscle, when most of the implant is under it. To make the breast softer and more natural, we partially remove the implant from below above the muscle. At the same time, the muscle itself does not need to be cut - we simply push the fibers apart, making literally two or three cuts. But, as I mentioned, even if most of the implant is covered by muscle, over time it still straightens out.

- Is it necessary to wait for surprises in a year - maybe the chest will “fluff up” in the most unpredictable way?

No, the result is always exactly predictable. I have 4-5 mammoplasties a day, and when a girl enters the office, I immediately remember patients with a similar anatomy, with the same costal hump, and show her photos: it was, it became - what do you like? This is such and such an implant, such and such a size. Sometimes, on the contrary, I ask the patient to bring a photo of the breast that she likes. And, looking at the photo, I can always say: this is an anatomical implant, installed under the muscle, high profile. This is a round implant placed under the gland... But I will never be able to do this to you, because you will not have enough skin or gland to cover the implant, it will look like a caricature. Such visualization gives a complete picture of the results of a future operation.

- Or maybe something goes wrong, for example, there will be a noticeable asymmetry of the nipples?

Because of the operation, asymmetry cannot arise - if a symmetrical person has come to us, where does it come from? But if there was asymmetry, then the installation of the implant emphasizes it. And this question must be discussed before the operation! After all, there are women who believe that they have lived with such nipples for many years, and will continue to live, they do not see anything wrong with this. And for others, it is important that the nipples are strictly symmetrical.

Doctor, put the balls in, don't be shy!

- Is there a fashion for the shape and size of the breast?

Now more often they ask for a natural form. Those who put “balls” in the 90s are now going and removing them, even doing a size reduction and tightening. Now they ask for the first size! There are very beautiful anatomically shaped implants that are carefully inserted through the areola under the muscle. The seam is then masked with a tattoo, and no one will ever guess that there is something “not their own”. The shape is just fantastic, well, it turns out very beautifully!

” - But, of course, there are still girls who say: “Doctor, forget about naturalness, I need balls! Do not be shy either in volumes or in sizes, as much as you like - in full! Everyone has their own idea of aesthetics.

- That is, you can "order" any size?

No. There are very precise markings, calculation formulas, and if the surgeon says that more than 400 ( milliliters - they measure the volume of implants) does not fit, then you should not beg him, beg and wait for a miracle to happen. There are surgeons who are weak-willed... It seems to me that it is difficult to refuse male surgeons especially, beautiful girls come! Some bend, but this is fraught with problems for both the surgeon and the patient. I refuse those who do not hear me, and then, when someone is “bent”, they come to me with problems ...

Speaking of problems...

Well, since we are talking about this, let's talk about the possible complications. Many women would like to reduce the distance between the mammary glands as much as possible for the effect of a “seductive cleavage”. Is it possible?

Well, nothing is impossible if you have a sharp tool in your hands, but it's not physiological. The distance between the breasts is due to the fact that the muscle is fixed along the edges of the sternum. Sometimes patients are greedy, asking for an implant more than the body is able to accept. And then, instead of a seductive hollow, this platform rises, the pockets into which the implants are inserted merge into one. This complication is called synmastia. My patients didn’t have synmastia, but they came from another clinic and asked for a correction... I don’t like to correct other surgeons, and sometimes it’s impossible to fix everything.

- That is, no hollow?

You just need to be patient. The first time after the operation, it is impossible even to bring the breasts together with your hands, but then the muscle relaxes, stretches and “releases” the implant, the distance between the breasts is reduced. In a year you will reach the desired forms.

- And what about the “double-bubble” effect, when the implant stands out, as if a woman has a doubling of her breasts?

It occurs in two cases: the first option - the implant "slips" below the submammary fold, and the second option, when the surgeon deliberately underestimates the submammary fold. There is a so-called restrictive type of structure of the mammary gland, when the distance from the nipple to the submammary fold is small. If you insert the implant, then the nipple will be completely under the breast. Then (having discussed all the risks with the patient), a periareolar breast lift is performed, the nipple is raised as high as possible, the implant is placed as low as possible. There is a danger that the border between the implant and the own gland will stand out as a second submammary fold, but there is nothing more to be done here.

Opinion sibmam

My gland is slipping from the implant, the border is clearly visible. It was necessary to put under the muscle.

- The anatomist suggested a high profile and ... how to say it correctly ... in general, wide implants, that is, the base of the back - a diameter of 13 cm, counted on me. In order to “flatten” the chest in all directions and remove all sagging as much as possible, I have a part of my own material, the size is not zero.

- And if it is not the implant that “slips”, but the mammary gland?

And this is the “waterfall effect”. At risk are those who initially have ptosis ( prolapse of the mammary gland), such as after breastfeeding. In this case, the surgeon explains that without a facelift ( an incision around the areola and vertically down, from the nipple to the submammary fold) not enough. But ... "I'm not like that, I'll be fine, I don't need a lift." The surgeon puts the implant under the muscle, hoping that the mammary gland, contrary to the law of gravity, will happily climb onto this muscle. Sometimes, when a large implant is placed, this is possible. But, as a rule, with a pronounced degree of ptosis, we cannot set the volume to 600, but set, for example, an acceptable 300. They stretch the muscle, and the mammary gland sadly hangs down from it. Don't be afraid of braces!

Opinion sibmam

You can not insert a small implant under the breast, for example 300, especially if the breast is not spoiled by feeding several children. The chest will not close the mammary fold and the seam will be clearly visible.

It is best to insert through the armpit, where the skin is different, the seam heals the easiest and becomes invisible.

- Can stretch marks appear on the breast during mammoplasty?

Never! Stretch marks are always hormonal. They arise in the pubertal period, not only in girls, but also in boys, and not only on the chest, but also on the stomach, on the hips, under the arms ... And the second period is pregnancy. And not because the breasts are growing, but because the hormonal changes in the body are taking place!

” - There are women who have more elastic fibers than collagen, and stretch marks will inevitably appear, no matter what creams they use and no matter what cosmetic procedures they resort to. Alas, an entire industry is working to fool them!

But nature never takes without giving something in return. In such a patient, very inconspicuous sutures are always formed: it can be cut even along, even across, after a year you will no longer find any traces of the seam.

- And what about pain and swelling during the rehabilitation period - what is the norm, and what is already a complication?

Edema is a normal post-traumatic reaction. What is pain syndrome? Swollen tissues tighten the nerve endings, so this is also normal and physiological. Not only the chest swells: due to gravity, the edema descends through the cellular space down to the front wall of the abdomen - this is also normal. It lasts at least 10 days, but usually up to two months. Some have pastosity ( slight swelling) is stored for a year!

” - Moreover, patients after the operation are prone to swelling at the site of the operation. That is, if you drank alcohol the day before, the first thing that will swell in you in the morning is your chest, if you have operated on the chest, eyelids, if you have operated on the eyelids, and the stomach, if you have had abdominoplasty.

And so for a year, while blood circulation is restored! You need to be careful - less salty, spicy and alcohol at this time.

Another complication that is often mentioned is contracture, the formation of a layer of dense connective tissue around the implant, due to which the breast becomes hard as a stone ...

Haven't come across this in a very long time! Contractures often happened earlier when the implants had a smooth surface. Since we started working with implants with textured ( "velvet") surface, this problem simply disappeared - fibroblast cells “cling” to such a surface, and the body does not perceive the implant as a foreign body, does not try to isolate it with a dense capsule of connective tissue ( and it can be as hard as cartilage, you can’t even cut it with scissors). It happens that patients come who put the implant somewhere at the dawn of the era of mammoplasty, 20 years ago, but in this case, nothing terrible happens. We remove the implant, remove the contracture, put a new implant, but of a larger size, since the contracture "eats" part of its own tissues.

And one more “horror story” is the rupture of the implant, when the silicone “scatters” throughout the body. Is it true that this happens with incompletely filled implants - wrinkles can form on their surface, which are easily “wiped”? Maybe a better filled implant?

We mainly use 85% filled implants. They are softer and look more natural. But it happens that a girl has so few integumentary tissues that even installation under a muscle does not save the situation. In this case, slight folds on the implant can contour - become visible even through the skin. In this case, it is better to opt for a fully filled implant.

” - As for the rupture of the implant, this is a very rare complication that I see once or twice a year. And the reason for it is not the folds, but the bending of the implant, when too small a pocket was formed under it, in which it could not completely unfold. It is this bent edge that can cause a rupture.

But even in this case, nothing terrible happens, since modern implants do not spread: the molecules are cross-linked by chemical bonds, and the filler resembles jelly. We just take out the old implant and insert the new one. By the way, for the patient it is free, because the guarantee for each implant is a lifetime!

Interviewed by Irina Ilyina

Every woman has thought about mammoplasty at least once in her life. With the help of breast correction, you can acquire the missing self-confidence and get rid of the complexes. This is one of the easiest ways to return femininity and attractiveness.

After plastic surgery, women begin to ask questions:

when will the breasts become soft after mammoplasty?
How soon can you play sports?
what underwear should i wear?

All these questions are easily resolved! Do not forget that after any surgical intervention, the body needs time to recover. During this period, a number of specific changes in the tissues occur, which provide excellent results!

The recovery period after lasts quite a long time. For the first three months, you may feel some hardening of the mammary glands. They seem too hard, and it seems that it will always be so.

But don't worry. On average, after 90 days, everything returns to normal. This is exactly the period when the breast becomes soft again. Despite the seeming simplicity of the procedure, breast augmentation is a traumatic surgical intervention. Edema, changes in the shape and density of the mammary gland are the result of the process of tissue adaptation to new conditions.

During the entire rehabilitation period, it is necessary to regularly visit a doctor for a preventive examination. If the former elasticity has not returned within the time allotted for this, then a number of additional studies are carried out and the reason is revealed.

Other breast changes

In addition to the dilemma about the softness of the breasts, many women come to the clinic with another question: when will it come down? With this, too, will have to wait from three months to six months. Such changes are explained by the formation and healing of tissues.

Many women also talk about a change in breast sensitivity, especially in the first time after surgery. This phenomenon is also temporary. After the completion of the rehabilitation period, everything will return to normal and the former sensitivity will return!

So in the first three months after plastic surgery, you should not torment your friends and a plastic surgeon. Everything will return to normal after the necessary period of time for this.

04/13/2016 (operation day)

My story began very comically, at the age of 5 I was already sure that I needed big breasts)))) But ironically, it was with me that it didn’t grow big, I would even say that it didn’t grow at all. When I entered the institute, I jokingly promised my classmates that I would come to defend my diploma with big breasts! Now I'm already finishing the 6th year, well, I decided to keep my promise)

In ordinary life, small breasts, of course, caused me inconvenience, bras with a huge push-up, sweaters and dresses without a cutout, a swimsuit and underwear in general have always been difficult to pick up. Although my man never said that he was not satisfied with my breasts, but on the contrary, he liked it - I decided to do plastic surgery anyway, because I wanted to.

Here are the photos taken in the hospital BEFORE the operation:

The surgeon chose for a long time, read the reviews, looked at the work. At first I wanted to make an appointment with a doctor from St. Petersburg, but I myself am from Yekaterinburg, so after weighing all the pros and cons, I still chose a surgeon in my city.

My peculiarity is that I actively go in for sports in the gym with really big weights and I want to continue these activities in the future and possibly work in this area. The doctor took into account all my wishes and together we thought over my recovery plan.

Before the operation, I underwent a complete examination: tests, ultrasound of the breasts, thyroid gland, veins, examination by a gynecologist, mammologist, therapist, cardiogram, fluorography, they measured my lung volume, maybe there was something else, I don’t remember) All this cost me 13 "000 rubles. I passed the examination in 1 day at the hospital where the operation was planned.

The operation itself + 2 days in a single room + underwear - cost me 135,000 rubles.

On the day before the operation, it was possible to eat for the last time no later than 8 pm, and then before 9 pm it was necessary to drive to the hospital for an injection.

Day X came, I arrived at the hospital, handed over my clothes and shoes to the wardrobe, the nurse met me and took me to the hospital, they registered me there, I asked for a separate single room, which was very important for me, I don’t like strangers with me people, especially in such delicate moments as after surgery. After that, the anesthesiologist came first, then my surgeon. The surgeon measured everything, marked it out and informed me that, as we had originally planned, the third size could not be delivered. I have too little distance from the edge of the halo to the crease under the breast, and if the implant is too large, the nipple will look down. Of course, I was upset, but we agreed that if I still want a larger size, then I will come to him again after giving birth and breastfeeding, then it will be real.

The implants were chosen anatomical Natrel (McGan) Style 410, volume 255 ml, access under the breast, placement under the muscle.

The time was about 10 o'clock. A nurse came to me, they gave me compression stockings, a gown and disposable swimming trunks. I got changed, put on a gurney and taken to the operating room. There I lay down on the operating table, put some compressors on my legs, which alternately inflated and deflated, put a device for measuring pressure on one hand and a clothespin for measuring the pulse on my finger, and a catheter was installed in the other hand and a dropper was connected. They covered me with a blanket and put a heat gun under it. After 5 minutes, the anesthesiologist came, put an injection into my catheter, and I fell asleep very quickly.

I woke up already in the intensive care unit, or rather the nurse woke me up. I was very sick, I asked to get up and a basin, but they put a diaper on me and said that if I vomit, then right on it))) But you can’t get up yet. Somehow I was embarrassed, I just said that it was very cold, they put a heat gun under my blanket, and I fell asleep further. Periodically, I woke up, the nausea slowly subsided, a nurse approached me, asked how I felt, put some injections into the catheter. I finally came to my senses at about 3 o'clock in the afternoon. I was taken to the room and told to lie down)))

What about sensations? Many write that it was as if they put a stone slab on their chest, I didn’t have that. The sensations were similar to the pain that occurs after a very, well, very, very good chest workout, as if you had shrugged 100 kg from your chest)))) Athletes will understand me. If you lie still for a long time, it’s hard to get up, and when you warm up a little, it’s already easier, well, like with muscle pain after training.

As soon as I came to the ward, they immediately began to feed me: tea with cookies, kefir, fruit, dinner, late dinner. The food was very tasty and varied.

The staff was very attentive, always knocking before entering. On the chest it was necessary to put a cold compress alternating for 15 minutes on the top and bottom. I also had drains put in to drain the ichor.

I had a separate ward, in the hospital it is called a suite, maybe that's why there was such an attentive attitude? They even brought me food, and the girls from other wards ate in the common dining room. But I really didn’t want to go anywhere and see no one else, so for me it was a huge plus. The ward had everything you need: a bed that adjusts in height and position, a bedside table, a table with two chairs, a cafe, a TV, a toilet, a shower, trouble, towels, emergency call buttons for a nurse (one near the bed, the second in the toilet), air conditioning . The room was cleaned once a day.

On the very first evening, I could almost completely serve myself: I got up, walked, ate, washed my face, combed my hair (only I could not put my hair in a ponytail). But most of all, of course, I wanted to see the chest, and it was well hidden.

Before going to bed, they gave me another injection and left a sleeping pill and an anesthetic, but they were not useful. The night slept absolutely calmly, did not spin, but slept half-sitting (fortunately, the headboard is adjustable), it was more convenient.

04/14/2016 (first day after surgery)

Today is the first morning after the operation. It was painful the first time after waking up, then the muscles came to their senses a little and it became quite normal, so I asked them not to put painkillers on me, so that I could better feel exactly how I shouldn’t move my hands so as not to injure, but I was given it anyway. The dressing was about 11 o'clock, the drains were removed, they said that everything was very good! Without drains, there really is no pain at all. It hurts only if you press or raise your hands. For the first time I looked at the chest and could not believe that it was mine)))))

04/15/2016 (second day after surgery)

Almost the entire second night after the operation I felt sick, so I slept very badly. The next morning I complained to my doctor - he said that it was from the painkiller that was put before bedtime, it was very strong. I didn’t understand why they put it on me, when I asked not to anesthetize at all .. A little later, I was examined, bandaged and discharged home. By the way, they have already allowed to wash, but only under the shower, do not lie in the bathroom.

This is how the chest looked in the evening on the second day after the operation. There are no bruises on it, these are marks from markings. Why they didn’t wash them off for me right away - I don’t know, but the doctor specifically said not to snort, it will be erased by itself over time.

Restrictions after plastic surgery of the mammary glands

Do not sunbathe with an open chest until the scars are fully mature (5-6 months)
Do not visit the sauna, bath, swimming pool, gym for 1.5-2 months (exercises for the pectoral muscles are excluded for 6 months)
Avoid prolonged lifting of arms above the shoulder for 1.5-2 months
Do not lift weights more than 3-5 kg for 1.5-2 months
Wear a special bodice for 2 months after the operation all the time (you can only take it off to go to the shower), and then on the recommendation of the surgeon.
Protect your chest from all possible blows

Care after surgery at home:

Until the stitches are removed and 10 days after, treat the scars twice a day with vodka and apply curiosin gel on them, and traksivazin gel on the chest itself and make a vodka compress under the clothes.
10 days after removal of sutures: patch mepiform or silicone gel on the scars.
After 4-6 months after complete healing of scars, laser peeling can be done on them.

04/16/2016 (third day after surgery)

Yesterday was the first night at home. In the evening, my husband bandaged me according to the doctor's instructions, at first he was afraid not only to touch, but even to look at my chest, but then he saw that there was nothing wrong and began to slowly grow bolder)))

The most difficult thing was to choose a position for sleeping: if the pillow was too low, the chest would numb, if you put 2 pillows, the back would numb. I really wanted to turn on my side, but I, of course, overcame myself. It was also scary that in a dream my husband could accidentally press or hit, because he likes to wave his hands when he sleeps, but everything worked out))) He settled down next to me, and I put my hand on him, it was even convenient. take a Nise pill, because my nightly toss and turns made themselves felt - my chest ached.

In the morning we did the dressing again, already much bolder and faster. I don’t feel the bottom of the chest at all, only the seams. There are no severe swelling, no bruising either. Sometimes it seems as if the temperature has risen - but I measure and everything is in order. It just got warmer here while I was in the hospital from +5 to +20, and the batteries are working, apparently because of this it seems to me.

04/23/2016 (10 days after surgery)

After 10 days, I began to clearly feel the pectoral muscles! Nothing hurts, I already sleep a little on my side, 5 days ago I went to work and completely returned to normal life (except for sports). The chest gradually becomes softer and sensitivity returns to it, otherwise there used to be a feeling such as when the leg is numb, you touch it - the fingers feel, but the chest does not feel anything.

The stitches will be removed soon, but for now the chest looks like this (one small bruise appeared on the bottom)

05/29/2016 (one and a half months after operation)

So it's been a month and a half after the operation - time flies quite imperceptibly) The chest now looks like this

There is no pain for a long time, there is practically no discomfort either, only if you purposefully strain the pectoral muscles. I only wear compression garments at night. The seams are no longer a concern.

I returned to the gym 3 weeks ago, I load my legs to the fullest, I don’t train the top yet, from cardio - everything except running.

Sensitivity was almost completely restored, the bottom of the chest departed the longest. The chest is already quite soft to the touch, but I think it will become even softer.

In a couple of weeks we will take control pictures.

Unfortunately, I was not very satisfied with the size, although I understand that from an aesthetic point of view, everything was done correctly)) I plan to do more after the birth, but that's another story.

10/19/2016 (6 months after surgery)

It's been six months since the operation. I didn’t have any complications (although I once hit my chest hard enough in a cross-fit workout).

But I would like to tell you something that will not immediately seem obvious:

You will feel the implants, one way or another, but you will. They don’t hurt me, they don’t pull, they don’t bother, but I clearly feel that they are there. And I'm not always comfortable doing something. For example, swimming - well, it's just a very strange feeling when you row with your hands - and you feel how the implant moves. I don't know if I'll ever get used to it.
The chest will take its final shape for a long time. Doctors say 2-3 months, but I have 2-3 months and now the shape and softness are different (for others it may not be noticeable, but you yourself will definitely notice)
The thinner you are (the lower the percentage of fat in the body) - the more the contour of the implant will be visible. For clarity, look at the girls performing in a fitness bikini. All of them (well, 99.99%) who have large breasts have implants, and the contours are clearly visible.
Not very critical, but the chest will not always be the same temperature as your body. In the summer it was always cold for me by some miracle))
Lying on your chest and wearing a push-up? It is possible - but, to be honest, it is extremely inconvenient for me.

If you are interested in how I radically get rid of unwanted hair - you can read

Today, surgery to correct the shape and volume of the breast is by no means unique.

At the same time, the patients of plastic doctors are not only young women who want to highlight their own natural attractiveness, but also adult ladies who want to return to their former shape.

A positive result after breast plastic surgery can be if the operation went well, and during the rehabilitation the client adhered to the rules of conduct set by the doctor.

After the end of the operation, the patient is put on compression underwear, which must not be removed for more than a month. After such as the patient has moved away from anesthesia, she usually feels a slight pain in the chest.

To relieve these sensations, the doctor advises the use of anesthetics. For some time it is forbidden to get out of bed. The patient is supposed to stay in the hospital.

In the first few weeks, the breast after mammoplasty, as a rule, is disturbed by mild pain in the chest area, but this is considered normal. If the pain is not weak, then painkillers can be used. It is allowed to take only those remedies that are prescribed by a doctor. The patient is obliged to follow the advice of the doctor.

The first few weeks after the operation, there is a high sensitivity of the breast and loss of sensitivity in the nipple area. After a while everything comes back to normal. After breast plastic surgery, the volume of the breast is much more than intended, due to the occurrence of edema, which disappears after a while.

A couple of months after the operation, sports and physical activity are not recommended (especially in the shoulder area. During rehabilitation, doctors recommend walking more often and avoiding lifting weights. It is better to completely forget about alcohol and tobacco. These tips will help maintain the result.

Firm breasts after mammoplasty and its causes

The main problem with implants is the development of solid mammary glands after mammoplasty.

The implants themselves do not become rigid after the operation, because the body perceives the implant as a foreign body.

When a foreign body is implanted in the breast, the body reacts by creating a protective layer around it, a sheath made of connective tissue called a capsule.

As soon as the capsule begins to shrink around the foreign body, it takes the form of a ball and causes a feeling of a hard object. This fact is called capsular contracture.

The denser the capsule becomes, the firmer the breast becomes after mammoplasty. Why many patients develop such a complication after breast augmentation is still unknown. After breast augmentation, capsular contracture often develops in only one of the 2 mammary glands.

When does the breast become soft after mammoplasty?

Regarding the question of the time that must pass before the complete removal of breast hardness, it is worth considering the type of breast plastic surgery performed.

If the operation was to reduce the mammary glands, then the hardness will disappear as soon as the postoperative edema passes.

If the operation was to increase the size with the help of an implant, then you should pay attention to 2 characterizing factors.

When does the breast become soft after mammoplasty? In cases where:

swelling subsides;
the implant itself was soft.

Swelling during breast plastic surgery subsides within 2-3 months.

The softness of the implant is determined by its composition. They differ in the density of the gel content.

Therefore, before mammoplasty, girls are given the opportunity to familiarize themselves and feel the proposed implants, so that after the operation they know how the mammary glands will feel as a result.

It is worth noting that the softness of the mammary glands after surgery depends on the timing of the formation of the capsule in which the implant is located.

After some time, the capsule becomes smaller and denser, reaching the desired volume.

This process begins approximately in the second month after mammoplasty, and lasts approximately 5 months.

However, do not forget that the terms of rehabilitation are individual for everyone, the same can be said about the terms for restoring the softness of the mammary glands.

When will the breast move after mammoplasty?

The recovery period is different for each person.

With regard to approximate terms, it should be noted that after breast plastic surgery, on average, a difficult rehabilitation period passes in about a month.

The breast after mammoplasty is usually dense due to swelling. After 1.5-2 months, the swelling subsides, the breast becomes soft and mobile. Also, by this point in time, the central nervous system is adapting to the presence of a foreign body in the body.

For someone, their small or large breasts are enough for happiness. Others, for the ideal, need a larger size in the form of a pair of implants - we'll talk about this category.

Requires a period of rehabilitation. The postoperative time is divided into part of the prohibitions for a relatively short time and the final stage up to six months.

Prior to the operation, a pair of compression bras/tops must be purchased, which will change each other during washing. You can get by with one set, but it's not convenient.

For the postoperative period, a leave of one to two weeks is taken, this time is somewhat individual and envy of the patient's health.

Recovery begins from the moment you come out of anesthesia.

The time spent in the hospital of the clinic is a day, sometimes two.
The first three days after surgery are given under bed rest.
Then in the next couple of weeks you can take short walks.

After breast augmentation, the patient is sent home with a list of personally prescribed medicines and ointments, the intake of which is strictly mandatory.

The drugs are taken as prescribed by the doctor who performed the operation without self-appointment. Any adjustment of medicines must be negotiated.

Also, at discharge, the terms of repeated appointments for the removal of sutures and dressings, as well as preventive examinations, will be agreed.

Rehabilitation after breast augmentation

During the entire recovery period, a number of rules must be strictly observed in order to avoid displacement of implants and complications.

Washing, or rather, taking a shower is allowed on the second or third day, or after the removal of the drains. Water should be close to body temperature, do not wash with hot or cold water. The seams and chest should not be rubbed with hands or a washcloth, soap or shower gel should be with a neutral Ph. After that, it is important to lubricate the breast skin and seams with a moisturizing cream with hydrolyzed proteins, while simultaneously conducting a soft stroking massage without pressure.
Car driving it is advisable to avoid the first two weeks, so as not to strain the arms and chest.
An important point - When can you raise your arms after mammoplasty?. The first four days of movement should be soft, without sharpness and stress on the upper body. This recommendation is very important to avoid displacement of the implants. Further, the body is mastered, but try to avoid sharp rises of the body / arms and inclinations for about a month.
Sex after breast augmentation will have to be postponed for at least three weeks.
Pro alcoholic drinks we forget for a couple of weeks so that there are no unforeseen complications and excessive swelling. The same rule applies to smoking, you should at least minimize the number of cigarettes per day.
Wearing compression stockings after breast augmentation- non-removable for the first month (with the exception of a visit to the shower). For the second month, we wear only in the daytime, that is, except for sleep. All this period it is undesirable to try on and even more so to wear new bras.
Bath, sauna, hammam, hot baths are prohibited for a period of one to six months, depending on the condition of the sutures and the opinion of the surgeon. A month later, you can go in for a little while to warm up in the hammam, a full visit is allowed after three months.
Swimming in the pool and the sea is possible after the complete removal of compression underwear.
Return to sports after mammoplasty should be gradual. Starting from the third week, you can start walking. A month later, you can start gradually increasing the load on the lower body, without tension on the upper body. After two months, you can do many physical activities. During this period, jogging and aerobics are included, but only after consulting a doctor. Neglecting the recommendations for sports is fraught with divergence of sutures and bleeding, can harm the healing of scars and displace implants.
Lifting weights in the first month is limited to 3 kilograms of weight, it is better to start from one and a half, from the second month you can gradually increase the load to ten kilos. If the family has a small child and his weight is included in the permitted, try to be careful during his climbs.
Tanning in the solarium and under the sun excluded for three months. This recommendation has some divergence in the opinions of different surgeons. At a minimum, it is necessary to wait for the complete healing of the sutures and the subsidence of edema. Attend sunbathing only with applied SPF and in a swimsuit covering the seams. Until the seams brighten, it is forbidden to expose them to the sun to avoid pigmentation.
Sleeping on your back is an unbearable test for many, and the main thing that interests women is when you can sleep on your side after mammoplasty. Try to avoid this pleasure for about three weeks after the operation. Some still want to sleep on their stomach, but this is prohibited for a month. Later, it is also better to sleep on your back, but turning over in a dream will not be dangerous for implants.
Airplane flights possible two weeks after mammoplasty.
The initial results of augmentation can begin to be assessed two months after implant placement, however, the full condition is assessed after 9-12 months.

Complications after breast augmentation

Complications in any medical intervention are divided into predictable, considered normal and those that are not normal and require a visit to the clinic and the surgeon who performed the operation.

Pain is present during the first five days and is well stopped by taking analgesics.
swelling after breast augmentation- the norm, as with any medical intervention. Edema subsides gradually over 1-1.5 months, but everything is individual.
Reduced nipple sensitivity occurs quite often and disappears after a while on its own. There is also an increase in the sensitivity of the breast.
Bruises - caused by damage to blood vessels, ointments recommended by the doctor can be used for healing. Self-resorption occurs in about two weeks.
After the installation of implants, the breast initially becomes very dense, gradually, over 9-12 months, it becomes soft and natural when palpated.

Stitches after mammoplasty are almost a separate issue.

Lots of questions:

Treatment with Chlorhexidine or Miramistin 2-3 times a day. If a gel patch or glue is applied to the seams, no treatment is required.
When stitches are removed after mammoplasty, the average healing time is about 7-14 days, it all depends on the individual patient. By the way, after removing the stitches, it is necessary to stick special stickers for fixing for a couple of weeks.
If there is a discrepancy in the seam, you must immediately contact the clinic for suturing.
Scars heal according to the standard scheme, when the crusts come off, you can start using scar creams.

Unforeseen complications:

Breast asymmetry after augmentation a rare phenomenon, it has different formation factors: sleeping on the stomach, early exercise and sports, removal of compression underwear during the forbidden period, primary slight asymmetry, gel leakage, incorrect placement of implants.
Reoperation to correct differences is scheduled after at least six months. If there are grounds (inflammation, penetration of the gel into the tissues), immediate intervention is prescribed.
Appearance of redness around the seam, purulent discharge, fever - are an inflammatory phenomenon and require an immediate visit to the attending doctor.
Hematomas around the implant caused by the characteristics of the body or some diseases, in the first couple of days they are removed independently through the drainage. In the further occurrence, the patients themselves are to blame for neglecting the rules of the postoperative period, such as sports and wearing special underwear. Removal is carried out by puncture selection or by wound revision.
accumulation of serous fluid- requires removal by puncture.
Fibrous contracture is the reaction of the body to a foreign body in the tissues. As a rule, the resulting capsule around the implant is soft and does not affect the breast. In some cases, the capsule becomes dense, painful, the chest becomes dense and there is a delineation or deformation of the shape. To eliminate an unpleasant formation, an implant replacement is required.
Allergic reaction to the implant.

Some other complications are extremely rare. Any changes in the breast are noticeable during the examination by the surgeon, so do not neglect the health and beauty of the form and skip appointments.