Oleg BADAK, a plastic surgeon at the Frau Klinik, told AN about the methods of breast augmentation with implants.
“The first technique: augmentation of the breast along the edge of the areola. Our clinic uses this method for a certain type of breast structure, says Badak. - With this type of access, periareolar mastopexy can be performed. From this access, it is possible to install an implant under the pectoralis major muscle and under the gland. This allows simultaneous removal of breast neoplasms, such as fibroadenoma, without adding new scars on the breast. Through this type of access, it is possible to correct the tubular breast and correct the ptosis of the soft tissues of the gland. Allows to install implants of any size and shape. Access to the pectoralis major muscle is variable when the implant is installed, either directly, that is, through the breast tissue (which is not good, because all the way to the pectoralis major muscle, the breast tissue is injured, and therefore a scar field is formed. the gland (roughly speaking subcutaneously) to reach the muscle (we operate with this tactic and this is good)."
Cons of the procedure: possible loss of nipple sensitivity, impaired lactation. A keloid or hypertrophic scar is possible. The scar can be sanded, re-carved and sutured, tattooed in the color of the areola.
Restriction: 3-4 weeks of compression underwear, 3-4 weeks without sports, 3-4 weeks of sleeping on your back. We forget baths, saunas, solariums for 6 months. “The second technique: augmentation through the axillary approach (transaxelar),” the surgeon notes. - Breast tissue is not injured. Allows to install implants under the pectoralis major muscle or under the gland. A scar in the armpit by 6 months. Absolutely invisible, practically does not require correction, it is impossible to form a keloid scar due to the peculiarities of the skin in the armpit. Allows you to perform the author's technique of Sergei Nikolaevich - two-plane breast augmentation - perform this technique with a small ptosis of the mammary gland (avoids mastopexy). The bottom line is to install the implant under the pectoralis major muscle, then the 2nd plane is formed, when the gland is removed from the pectoralis major muscle becomes mobile and "spreads" on the implant, thereby eliminating ptosis."
Pros: there is no risk of impaired lactation, loss of nipple sensitivity. Scar 3-4 cm. Allows to install implants of any size and shape.
Restrictions: 3-4 weeks of compression underwear, 3-4 weeks without sports, 3-4 weeks of sleeping on your back. We forget baths, saunas, solariums for 6 months. “The third technique: enlargement through the submammary access is the most technically simple type of access,” noted Oleg Badak. - A 3-5 cm incision in the chest crease. The formation of a keloid scar is possible. The ability to place implants under the pectoralis major muscle and under the gland. Allows to install implants of any size and shape. There is no risk of damaging the milk ducts. There is one more type of access - transabdominal access. It is extremely rare and is performed simultaneously with abominoplasty (abdominal plasty)”.