THE PRESIDENT OF ALL-UKRAINIAN ASSOCIATION OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGEONS

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Breast plastic surgery

Breast augmentation (augmentation mammoplasty)

by one of the best plastic surgeons in Kyiv - Andrei Kharkov

Augmentation mammoplasty is a surgical operation that is performed to increase the size of the mammary glands with the help of an implant, which is placed under the mammary gland or under the large pectoral muscle. Endoprosthetics of mammary glands (increasing mammoplasty) is carried out with the purpose of increasing the volume of the breast, to correct the asymmetry of the mammary glands, to give them a more aesthetic form, in order to eliminate ptosis (omission of the sagging of the breast) in the postpartum period. Plastic surgery on breast augmentation is carried out with the help of special implants, which differ in shape, size, shell (texture) and filler. The choice of this or that type of implant depends on the form of the breast to be given, on the methods of the incisions, and also on the physiological characteristics of the patient’s mammary glands. We also use innovative equipment, with which we perform 3D modeling of the results of plastic surgery. Quite often, breast augmentation is carried out simultaneously with breast lift surgery (mastopexy).
DURATION OF OPERATION:  about 40 minutes
REHABILITATION PERIOD:  3-4 weeks
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We insure against possible postoperative complications

(RU) Противопоказания к аугментационной маммопластике

(RU) Операция категорически противопоказана, когда у пациентки: присутствуют заболевания сердечно-сосудистой системы, обостряются заболевания внутренних органов и хронические болезни, протекающие инфекционные и / или онкологическими заболеваниями или наблюдаются нарушения свертывания крови.

Также запрещено хирургическое вмешательство в период кормления грудью.

Нельзя оперироваться использовав имплант, и девочкам, не достигшим совершеннолетия без письменного разрешения родителей. В этот период – молочная железа еще не сформировалась полностью, поэтому такая операция опасна для здоровья.

Опытный и профессиональный хирург не возьмется за операцию, если женщина с такими болезнями как сахарный диабет, глаукома, ревматизм, красная волчанка, ожирение, мастопатия или другими хроническими или аутоиммунными заболеваниями не пройдет комплексное обследование. При таких заболеваниях – есть существенный риск осложнений.

INDICATIONS TO AUGMENTATION MAMMOPLASTY

  • Insufficient volume of mammary glands.
  • Breast asymmetry.
  • Abnormal development of the mammary glands.
  • An omission (ptosis) of the mammary glands.
  • Loss of volume and loss of breast shape after breastfeeding.
  • Reconstruction of the mammary gland, following the removal of the breast (mastectomy), or trauma.
  • Replacement of implants for medical reasons.
  • Reduction of mammary glands in consequence of weight loss.

TYPES OF IMPLANTS

The form of implants. There are two main forms of implants on the market: round and drop-shaped (implants of anatomical shape). Round endoprostheses give a more filled appearance and form a globular shape of the breast. Breast implants of anatomical shape provide more natural lines of the mammary gland, but they are more expensive and more difficult to install.

The shell of the implants. The surface of the breast endoprostheses can be smooth and textured. The use of textured implants reduces the likelihood of their rotation after implantation. In addition, they have a thicker shell, which reduces the risk of rupture, but such endoprostheses require larger incisions compared to smooth ones. Smooth implants are easier to install, require smaller incisions, but have a thinner shell, which increases the risk of rupture.

Fillers of implants. Depending on the filler used, the implants are divided into saline and silicone. As a filler in saline implants, physiological saline is used. Saline endoprostheses have both advantages and disadvantages. Advantages include: harmlessness of the filler for the body (saline is absorbed by surrounding tissues), they are much cheaper than silicone, because the implants are filled with liquid after the installation, they need smaller sections. Minuses: shorter life due to the penetration of saline into the surrounding tissue through the implant shell. Silicone implants are filled with cohesive gel, which provides fairly high elasticity and keeps the shape, even in cases of damage of the shell of endoprosthesis.

PRELIMINARY CONSULTING

At the meeting, we will discuss your medical history, especially as regards previous injuries (damages), allergic reactions and previous plastic surgeries, if any.

We will consider in detail all the problems that you are experiencing because of the breast and its aesthetic characteristics, which, you think, are undesirable and must be corrected.

After examining external characteristics of mammary glands, we will discuss in detail your wishes and on how much, in our opinion, the operation will meet them.

Also you will be informed about all the details of the upcoming augmentation mammoplasty, its duration, rehabilitation period and possible complications.

PREPARATION FOR OPERATION

  • When preparing for breast plastics, medical examination is mandatory to determine possible contraindications to the operation. And preoperative photographs are also taken. Before the operation, we will thoroughly analyze these images, and we will use them together with the data obtained after the examination to compile an individual operation plan.
  • The patient undergoes preoperative 3D modeling, which allows to determine the required size and volume of implants, taking into account the anatomical and physiological features and structure of the chest (various asymmetries). 3D modeling allows to see the result, which coincides with 99.9%.
  • 14 days before the surgery, you should stop taking aspirin and aspirin-containing medications because they affect normal blood clotting. If you are in doubt about any preparation, carefully read the instructions on the label or consult our clinic. Tell us about all the drugs that you will take before surgery.
  • Also, two weeks before the surgery, it is necessary to give up cigarettes or minimize their number, since nicotine leads to the reduction of blood vessels and can worsen blood circulation in tissues during and after the surgery.
  • 7 days before the operation, it is necessary to exclude from the diet spicy and fatty dishes, as well as to stop drinking alcohol.
  • Do not eat or drink 8 hours before the surgery. For safe anesthesia, your stomach should be completely empty before surgery.
  • On the day of the surgery, wear comfortable, loose clothes that will not need to be removed through the head.

POST-OPERATIONAL PERIOD

  • After discharge from the clinic, you will receive recommendations on the use of painkillers and antibiotics. Strictly follow their instructions.
  • You will come to bandaging and to a surgeon examination with the frequency that will be prescribed by your attending physician, taking into account the specific course of the postoperative period.
  • In the first 2-3 weeks it is advisable to sleep in the position on the back.
  • Within 2 weeks you should give up cigarettes, nicotine worsens blood circulation in tissues and as a result increases the rehabilitation period.
  • Do not take aspirin and aspirin-containing medications for 14 days.
  • It is advisable to exclude sex for the first 2-3 weeks due to the high probability of developing acute hematoma or other complications.
  • During the first 2-3 weeks after the surgery, it is advisable to exclude fatty, spicy, salty and fried food from the diet, as well as spirits and exotic fruits.
  • Do not exercise for 3 weeks after the operation, which requires a lot of physical activity. To minimize the chance of a postoperative complication, avoid such actions as low bends of the body torso, or lifting weights.
  • Always wear postoperative compression underwear for as long as necessary for a normal healing process (usually about 4 weeks).
  • After augmentation mammoplasty, it is not recommended to fly on the airplanes for 2 weeks, and 4 weeks to go to a sauna or a swimming pool.
  • Without consulting us, do not start physical exercises and sports.
  • Be sure to let us know if after the discharge from hospital discomfort or bleeding increases, also if you shiver and have the temperature above 38 degrees Celsius.
  • The presence of swelling and the decrease in sensitivity in the area of operation is normal and these changes usually are over in the period from 1 to 4 months, in rare cases the sensitivity of the nipple and areola can be restored up to 1 year or more.
  • During the rehabilitation period, food rich in vitamins and microelements should be included into the diet.
RISKS AND POSSIBLE COMPLICATIONS AFTER AUGMENTATION MAMMOPLASTY
  • In the postoperative period, the development of general surgical complications and corresponding complications of this operation is possible. The risk of the onset of the first (suppuration, bleeding, thrombophlebitis, thromboembolism) is reduced by the appropriate examination prior to surgery, and, if necessary, by drug preparation.
  • Complications typical for mammoplasty include: partial or complete necrosis (death) of a part of skin flaps or a nipple-areolar complex (associated with insufficient blood supply).
  • Persistent decrease or lack of sensitivity of the nipple and very rarely persistent soreness in this zone.
  • Asymmetry, fluid accumulation in the cavities (seromas) or hematomas (in the early postoperative period).

All of the above-mentioned complications after augmentation mammoplasty are exceptions that arise periodically despite the leading standards in surgical practice. We have outlined them for the purpose of informing you properly and in no way intimidating.

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BREAST 3D MODELING

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The unique 3D modeling of the future operation result using the Vectra 3D XT machine, allows you, together with the doctor, to select the most natural, and organic result of breast surgery (changing the shapes or sizes according to the individual proportions).

Modeling procedure takes place during the personal consultation, where you have the opportunity to discuss with the doctor all the details of the future result. At the end of the procedure, the full presentation will be prepared by the doctor for you , with the view “before and after the changes”.

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Reviews

(RU) Елена (Увеличение груди)

(RU) 03.02.2017

Sorry, this entry is only available in Russian and Ukrainian.

(RU) Златослава (Увеличение груди)

(RU) 12.12.2012

Sorry, this entry is only available in Russian and Ukrainian.

(RU) Лида (Увеличение груди)

(RU) 20.08.2014

Sorry, this entry is only available in Russian and Ukrainian.

(RU) Марго (Увеличение груди)

(RU) 12.01.2019

Sorry, this entry is only available in Russian and Ukrainian.

(RU) Нина (Увеличение груди)

(RU) 05.01.2019

Sorry, this entry is only available in Russian and Ukrainian.

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A personalized approach to the patient allows us to organize an online consultation and determine the exact volume of surgical treatment based on the provided diagnostics and studies, shows the results “before and after” on similar operations, identify the individual needs and wishes

ONLINE CONSULTATION

If you can’nt go/fly to Kiev or you have a tight work schedule that does not allow you to spend so much time: Make an appointment on online consultation

PRICE OF BREAST PLASTIC

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Plastic surgeries of breast correction the shape or volume -are the most popular in modern surgery, and the choice of the patient should be in favor of doctor’s experience, continuous education of the doctor and improvement of skills and techniques.

Considering the fact, that more than a half of patients in Ukraine are determined by the need for a second operation, the so-called "secondary procedure", the patient must to be extremely selective, informed, choosing a doctor.

Making such an important decision, change forms or correction of appearance - carefully weigh the cost of the operation in the way of possible complications from other’s unprofessional surgeries.