The world is changing and the things that previously seemed to be impossible becomes possible today. For instance previously women had no chance to change their breast shape and size somehow. But it became quite possible through the recent decades. The breast enlargement surgery grows popular from day to day. However it cases new questions everyday as well. To make thing a bit clear, let’s read the article below and finally define is this procedure a good on or not.

Women are quite concerned about their breasts appearance due to not only the constant male interest but also by the increased female social status in the modern society. The problems concerned this matter may cause not only certain physical discomfort but the psychological one as well.

The full and beautifully shaped breasts – any world culture concerns this with the numerous direct and indirect meanings as it means the eroticism top, the essence of the maternity as well as feminity embodiment.

The shape and the form of the breasts may alter throughout the life period. It may happen throughout the pregnancy and breast-feeding periods, as well as due to certain experiments with diets, smoking, too often lying in the sun and even due to the terrestrial attraction.

Thus it often occurs that we need to correct what the nature has done or our own mistakes as small, lowered or skew breasts is the ground for the complexes and disappointments.

And despite the perfect effect promised us in the advertisements of various creams, capsules, tabs, electrical and vacuum stimulators the efficiency of these breast enlargement methods is quite doubtful. Moreover according to the up to date researches the silicon injections cause the irreversible alterations in the breasts and are quite dangerous for the health.

The only reliable and safe way to enlarge breasts or change their shape is the breast enlargement surgery with the implantation (endoprosthetics).

What results are possible to get due to endoprosthetics?

First of all we should consider the initial breasts shape, the height and the weight of the person, the thorax anatomy and other individual peculiarities.

The correct implant choice may provide:

- considerable change of the breasts appearance;
- more round or conical shape of the breasts;
- the change of the nipples direction angle;
- increased or decreased space between breasts;
- altered under breasts folds configuration;
- elimination of the sunk or hung down tissues.

What are the implant types?

The manufacturers of the breast implants are in the constant progress. New implant constructions appear. They differ in the form, consistence of the filling gel and the cover texture. Today the great assortment of the implants is able to satisfy even the most distinguished taste.

Many women are aware that there are two types of the implants – the round (semi-spherical) and anatomical (teardrop-shaped). However these are the two basic types that have numerous variations.

Implants differ in the projection, the height, the dispositions of the most standing out points, the correspondence of the basic width and height as well many other parameters.

What is the implant?

Implant is the small sac consisting of the cover and the filling. The cover is made of the silicon plastics and the filling may turn to be a silicon gel that is glutinous jelly-like substance or the salt solution (0,9% salt solution in the distilled water).

The debates about the best filling have a long history already and are not over even today. The salt solution has one and the main advantage – it is not alien to the human body as the two-thirds of the human body is the salted water. In case the hole will appear in the implant cover, the leakage will occur then the salt solution will leak out and be absorbed by the body. However in such case the breasts will become plain and the woman will have to get another surgery in order to change the implant.

These problems are totally excluded by the use of the silicon filled implants and especially with the cohesive implants that are filled with the substance resembling the firm jelly. In case the cover will be damaged the firm jelly will remain its shape and disposition.

Furthermore the silicon implants are more natural to the touch. They are soft and resemble glandular tissue in contrast to the salt solution implants that are the water filled sac in the essence. They may be only rounded and are quite often provide the “false” breast. The consistence of the silicon implants enables to make various forms. Few years ago a tear-drop implants that more resemble natural breast shape were invented fortunately for many women. The most part of their mass was lowered and the upper part of the breast turns to be not so rounded.

The implants’ covers are made of the plastic silicon where another polymerous material is included. They may be smooth or rough (the last one have almost no complications), rounded or tear-drop shaped (this it the matter of the taste though).

Which size is the best?

The implants size is in the milliliters. The smallest ones are equal to 90 ml, the biggest are – 740 ml. However the most popular are those of 240 ml (that enlarge the breast for the 1.5 size), 300 ml and 400 ml.

Contraindications

Those suffering such conditions as certain precancerous and cancerous disease of the breasts, hypertension, diabetes, and varicose veins should forget about the breasts surgery at all. In case the patient experiences the increased body temperature, menstruation then the surgery should be postponed for the next day. And one more issue. The patients who used to smoke are have to give it up in at least one month before the surgery.

How the surgery is being carried out?

The surgery is being carried out under the general anesthetic.

Where the incision should be made?

The choosing the place of the implant insertion implies not only the scar perceptibility but also the also the safety of the surgery.

1. In the armpit. Such kind of the incision implies quite complicated surgery: as there are 20 cm from the incision to the breasts and the surgeon’s fingers are at not longer than 10 cm. Thus there will be a need to apply certain tools (that are always worse than the fingers) and the incision will be considerable longer than in case it is done under the breasts.

2. Along the areola border. The scar made in this place is almost invisible. But the surgery is quite dangerous as there is a risk that the nipple will lost its sensitivity forever. And in case the breast duct will be damaged than the women may loose the ability to breast-feeding.

3. Under the breast. The incision made in the fold under the breast is the most optimal one. The 90% of the women experienced breast surgery have the incision straight in this place. This is the most convenient place for the surgeon and therefore the safest one. The length of the incision varies from 4 to 5 cm. The incision is almost invisible after the healing as it appears in the fold. The under breast incision is quite convenient for the surgeon to make the best place for the implant. Furthermore, the most important factor is that the gland tissue is not damaged in this case (the matter is such damages are quite often throughout the incision along the areola border that is quite popular these days).

4. Around the belly-button. The American surgeons cause the real public alarm as they stating that are able to enlarge the breast via the incision made around the belly-button. However there are not so much patients that agree to get the implants filled with salt solution and that are being inserted via this way.

The implant placement

The implant is placed under the breast gland tissue in case the space is sufficient. Otherwise it is placed under the big pectoral muscle that the gland based upon. This type is applied in case the glandular tissue is quite thin. The most important moment implies the sufficient isolation of the implant from the skin.

Postoperative period

You will have to get bandaging every two days in the postoperative period until the sutures will be removed. Commonly they are removed on the 10 day after the surgery. Woman feels something heavy in her breast throughout the first days after the surgery. Then the skin stretches step by step and the discomfort ceases. The postoperative edema and individual body features of the breast may seem to be larger than it was considered to throughout the first days after the surgery. However this is quite normal. The edema cease gradually. For this special underwear and drugs are being applied. The soreness throughout the process of the implant insertion under the glands is quite low. However the pain syndrome is quite obvious in case the implant bed appears in the armpit and this is also quite normal situation.

Furthermore in case the implant is being placed in the armpit area there exists a certain period of time when the implant appears quite high in the breast. It commonly requires up to 2-3 weeks and special underwear to put it into the proper place. Furthermore you shouldn’t also be surprised of the fact that the scar will appear red and consolidate through the first two months after the surgery. This is the normal situation.

When the final result will be visible?

The final result will be quite visible in approximately 2 months after the surgery when not only the edema will cease but also the scars will be healed.

In order to evaluate the effect of the surgery the photography “before” and “after” the surgery is commonly being made. The esthetical results commonly provide such effect when the women got its self-appraisal and general tonus increased.

What you will have to offer up to?

- You will have to wear special cotton pushing up bra with the wide straps (in order to avoid stretching) and apply the certain means against the edemas and scars.
- You will have to forget about you favorite sport exercises like tennis, volleyball, swimming and other types of the loads for the pectoral girdle for approximately 4-6 weeks after the surgery.
- It is also forbidden to visit sauna throughout the first 2 months after the 2 month after the operation. After this term will cease the prohibition is being cancelled however it is advised to visit only those steam rooms the temperature in which is below the 100 degrees C.
- The doctors advise not to become pregnant in the first 6 months after the surgery. The breast-feeding is not something forbidden however the nipples require quite thorough approach.
- One month after the surgery and then once in a year the patients are invited to the check.

The surgery will be quite successful in case you will follow these advises:

- Don’t use hormonal contraceptive at least in 2 weeks before the surgery.
- Don’t take any medications containing salicylates (like aspirin and etc) in 10 days before the surgery.
- Give up smoking at lest in a week before the surgery. As the nicotine worsens the blood inflow to the scars and they are being healed for a quite long period of the time.
- After the enlarging surgery wear the special bra. It is advised to purchase this bra before the surgery.
- It is not advised to experience the surgery in one year after the surgery.

Possible complications

• The bleeding. Bleeding into the implant bed may take place throughout the first day after the surgery. In this case you need to keep calm and stop the bleeding. Thus there will be no complications. The implants will remain on its previous place.
• Infection. It may be quite difficult to find it out among the number of order problems. However in case it is quite obvious that the implant should be removed. And it is prohibited to put it into the breast until the wound will be healed. As this may take up to 1-2 months, fortunately these complications are quite seldom.
• Constrictive fibrosis. The matter is that any foreign body in the human organism a certain capsule being formed. This is normal. However sometimes this capsule becomes too aggressive, it thickens thus compacting the implant and causing pain as well as the change of the breast shape. According to the data provided by the various authors this may occur in 1-7% of all cases considering the modern implants. So what should the patient do in case such situation occurs? There should be no attempts to crush the capsule. The implant should be extracted and its size, the place it bases in as well as the volume of the space intended for the implant should be considered once again. Usually the elimination one of the above mentioned factors leads to quite positive result.

Is it allowed to give a birth to child and feed it with breast having the implants in the breast?

It is allowed to birth a child with the implants in. Breast-feeding is also allowed however only in the case the implant is placed deep under the pectoral muscle and straight under the breast gland.

May the implants cause the cancer?

According to the data available today we can say that the silicon implants are not the cause of the breast cancer. Furthermore the implantation decreases the risk of the developing of the various oncological diseases. Americans have carried out the experiment when they have put an implant into the rabbit near the cancerous tumor. And, it is surprisingly but the tumor stopped its growth from this side at all.

Furthermore silicon implants are not the cause of the autoimmune diseases as well as the connecting tissue diseases.

Are the implants inserted for the lifetime?

Despite the fact that each implant is certified for the use throughout the lifetime it is not possible to foresee every possible situation. The modern implants are almost eternal ones however it is not the solely one factor. The breast of any women changes every five years thus no surgeon can guarantee that no change will be required. It is advised to visit a doctor once a year. He may only observe the breast as well as carry out the number of the additional tests. The medical literature says about such cases when there were no negative changes in the breasts within 15-20 years after the operation. These data is quite attractive, especially considering the fact that the implants were quite awesome in 1970-s.

Psi factor

Beautiful breast is not a warranty of the happiness and the solution of all life troubles. The breast enlargement may improve your appearance considerably and increase your self-appraisal. However the further success is totally up to you.