On the third or fourth calculate!
In the first place on the popularity of women - breast augmentation operations. Medical practice has shown that attempts to enlarge the mammary glands with the help of various injections do not bring desired fruits. A poorly predicted, unstable result and a large number of complications caused a significant part of plastic surgeons to abandon them. Nevertheless, attempts to increase breast by injection are being made today. One option is the so-called lipofilling of the mammary glands, which is an injection of the patient's own fat. The main disadvantage of this technique is that it does not always allow you to give your breasts a beautiful shape. The fact is that after the operation, the migration of added fat is possible, because of what the contour of mammary glands changes. In addition, the introduction of a large amount of fat is accompanied by a poor blood supply - it is likely necrosis of tissue, the appearance of seals and suppuration. And your own fat will eventually dissolve (from 15 to 75% of its amount). And this can happen unevenly: the right and left breasts may become different in shape and size, regular additional injections will be required. Currently, lipofilling is used not very widely and mainly as an additional technique in mammary endoprosthetics. It is worth it in Moscow from 80 000-90 000 rubles. for one procedure. And it can take up to 3-6 procedures. The volume of the breast will increase, but the shape will not change much. Another way of injecting breast augmentation is the introduction of a gel based on hyaluronic acid. This method is also far from ideal. Its features are not very long-lasting effect and the need for additional injections every 6-8 months to preserve shape and volume. In addition, the process of complete recovery after "injections" takes approximately one month. At the same time, the price of the procedure (as a rule, more than 120,000 rubles) exceeds the cost of mammary gland endoprosthetics, and the probability of moving the gel is even higher than in lipofilling. Often the introduction of a large amount of gel leads to the formation around him of fibrosis (tissue compaction) - the breast becomes bumpy to the touch. It is easy to guess that this technique also did not find wide application.
- To date, the most safe and predictable method of breast augmentation is the installation of implants, say surgeons. Both the introduction and removal of prostheses occurs without negative consequences. It is important that the gel (or saline solution) is in a dense silicone shell, which prevents it from spreading. In addition, the implant allows you to create the desired shape of the breast. There are four methods of installing implants, which differ in the location of the incisions.
- In some cases, an incision during surgery is done under the mammary gland, in the pectoral fold. This option is considered optimal. In this case, the tissue of the gland is not affected in any way. The surgeon has the opportunity to create a good pocket for the implant and adjust its position. After surgery, the sensitivity of the breast does not change, and the incision is hidden in the pectoral fold, and his chest as it covers. Now from the pluses, let's move on to the minuses. Sometimes it is difficult for a doctor to calculate the line of a new pectoral fold (the degree of tissue extensibility is individual) and the incision may slightly shift up or down. In addition, when you raise your hands, the scar is likely to be visible. Alternative to the breast - an incision along the margin of the areola. Pros of this notch: almost always imperceptible scar, and also the possibility of modeling the shape of the breast, the combination in one procedure of its increase and braces. Among the minuses: the probability of injury to a part of the glandular tissue (this is not reflected in the possibility of feeding), in most cases - a temporary decrease in the sensitivity of the areola, sometimes - the formation of slight retraction in the lower part of the areola during scar formation.
- If all of the above does not suit you, pay attention to breast augmentation operations with an incision in the axillary region. An obvious plus: the scar will be hidden under the arm fold. By the way, this type of surgical intervention is indicated in the absence of a pectoral fold. Cons: the presence of restrictions on the size and shape of the implants to be installed, the risk of damage to the axillary lymph nodes, the relatively high probability of displacement of the prosthesis and longer rehabilitation (compressions should be worn 2-3 times longer than after other types of surgery). This method is suitable for no more than 10% of women.
- Another option, perhaps the most exotic of all, is the incision in the navel. Interestingly, the implants in this case are filled with saline solution only when they are already under the mammary glands. The valve in the implant shell, through which the special solution is initially poured, eventually passes it back, and replacement of the prosthesis is required. And immediately after the operation, if it is necessary to correct the position of the implant, you will need to wade to it through the areola or using a podgotny access.
Another disadvantage of the "umbilical" operation: when filling the implant with a solution, it is possible to get into the air. This will lead to the appearance of sensations of "gurgling" and "squelching". And the breast feels less natural to the touch. The operation for breast augmentation is performed under general anesthesia and lasts from 30 to 90 minutes. After it, the patients are in the clinic on average one day. In the first 3-5 days after surgery, pain is possible. Slight puffiness of the mammary glands lasts 7-11 days. For the comfort of patients they are instructed to wear a special compression bra for one month. Breast augmentation with the help of implants costs in Moscow an average of 150,000 rubles. (together with the cost of the material). Despite the fact that most implant manufacturers give a lifetime warranty for their products, surgeons can not do the same for the operation. More precisely, they can, if you do not begin to give birth and breast-feed, you will have a stable weight (no more than 4-5 walking kilograms) and, most importantly, you will not grow old. But in real life, a correction of the position of the implants is required every 10-15 years. Thus it is possible to change both implants, and their size. The size of the desired breast is selected for consultation. Upon examination, the surgeon determines the characteristics of your breast and matches your possibilities with desires. Can I go beyond the recommended size? Yes, but also to serve such a breast will be less and worse. By the way, stories about bursting silicone breasts on the plane are a myth!
Berries are different
While some young women dream of a large and elastic breasts, others sleep and see bulky buttocks. Now lipofilling is practically not used to increase this area of the body. Plastic surgeons recommend it only to improve the contours with significant irregularities. The buttocks are enlarged mainly by the method of endoprosthetics. Gluteal implants have a denser shell than the breast. They are installed through the incision in the coccyx. This allows you to make the scar invisible: after surgery it is possible, for example, to wear thong panties on the beach. The operations differ in the depth of implant placement: subcutaneously (under the fascia), under the large gluteus muscle or inside this muscle. In the first case, you will be virtually free of pain, but the contours of the prosthesis can become noticeable - it will need to be rearranged into deeper layers of tissues. If the prosthesis is immediately placed under the large gluteus muscle, it will not be probed for sure, since it is hidden deep enough. On the other hand, this method can damage large vessels and nerves during surgery, and then - implant displacement and squeezing of the sciatic nerve.
When the implant is placed in the thick of the gluteus maximus, all of the above deficiencies are absent, so this method is considered the most advanced and favorite client. The buttocks are enlarged under general anesthesia and last about two hours. After that, the clinic should stay 2-3 days. In the first 10 days after the prosthesis of the buttocks is not recommended to sit! Painful sensations when walking stay up to 10 days. In a month you will be able to forget about the operation. Within 5 weeks after it, doctors recommend wearing special compression pants. The only restriction will be a lifetime ban on injections in the buttocks. Relax: they can be done in the thigh. On average, endoprosthetics of the buttocks cost in Moscow clinics from 150,000 rubles. Guarantee for the operation is almost lifelong, since the volume of the buttocks does not change as easily as the volume and shape of the breast. In addition, the gluteal implant is more durable than the breast implant. Years through 25, it may be necessary to tighten the sagging skin (the implant can not be touched).
Rocky terrain
The operation to increase the volume of the legs or internal surfaces of the thighs (kruroplasty) is most often performed to correct the curvature of the legs. Injections of gel and fat in these areas did not justify themselves. And again the most progressive method was the installation of implants, which fall to the destination through a cut in the popliteal fossa. Sometimes they are placed subcutaneously, in this case the patient is guaranteed a minimum of pain after surgery. But the prosthesis in this case is poorly fixed: it can dangle when walking and unnaturally shift when changing the position of the legs. Another option: the installation of an implant under the fascia of the gastrocnemius muscle. In this case, a good contour of the legs is provided, for which, however, one has to pay a strong pain in the first days after the operation. By the way, it is also conducted under general anesthesia and lasts an average of 30 to 60 minutes. It is necessary to stay in the clinic after 2-3 days. During the first week of walking, calves are ill. To reduce the inconvenience to a minimum, shoes with a low heel will help. About a month after surgery, you will need to wear elastic bandages or compression stockings. Sports can be done after three months (with little restrictions on muscle groups in the area of the implant location).
Pygmalion and Galatea
When it is necessary to change the contours of several zones at once, the doctor can recommend lipomodeling. The essence of this technique is in the combination of liposuction and lipofilling. Where it is necessary to remove excess, liposuction is carried out: through separate punctures, fat is sucked off. Then it is cleaned and injected into those parts of the body that require additional volume. The disadvantage of the operation is that it can not be used with a significant sagging of the skin. This operation will cost you in the amount of 50 000 rubles.