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Breast Augmentation

Mammaplasty

Breast Augmentation or Mammaplasty is a surgery aimed at increasing the shape and size of the female mammary glands by inserting breast implants or fat transfer (Breast lipofilling).

Video about the service mammaplasty
Breast Endoprosthetics at Certus Clinic [2019]
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Breast Endoprosthetics at Certus Clinic [2019]
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Breast Endoprosthetics at Certus Clinic [2019]
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Review of breast augmentation at the Certus Clinic [2020]
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Breast implants VS Breast lipofilling. Certus Plastic Surgeon's Advice [2020]
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Mammaplasty before and after

Mammaplasty before and after

*The effect, result, risks, and recovery period depend on the individual peculiarities of the human body.

Indications for Mammoplasty

  • Small, underdeveloped breasts.
  • Post-lactation mammary glands involution.
  • Birth defects of the breast (reconstructive or cosmetic mammaplasty).
  • Mammary glands asymmetry (Breast asymmetry).

General contraindications: mastopathy, cancer, cardiovascular and acute infectious diseases, chronic hypertensive disease, thyroid disorders, diabetes mellitus, blood-clotting disorder, under-age patients, high hyperadiposis (obesity), pre-arranged pregnancy, recent lactation.

Types and characteristics of breast implants.

Surgical breast augmentation is performed using breast implants or mammary glands endoprosthesis. Implants differ by shape, volume, projection, filler and surface texture.

There are round shaped and antomical (drop shaped) implants available. A round implant makes the breast’s upper pole more filled. The anatomical implant has the shape of a drop and gives the breasts more natural look.

Types of breast implants according to their filler.

  • Silicone breast implants are filled with higly cohesive silicone gel. It has the shape memory, it doesn’t leak if the implant shell breaks. Such implants are inserted with a lifetime warranty, as they do not deform over time.
  • Saline breast implants are filled with sterile salt water, thereby the surgery is performed through a smaller incision. Such implants are subjected to replacement as they lose shape over time.
  • Biocompatible gel implants are filled with natural polymer, obtained from cellulose which when collapsed will be absorbed and naturally expelled by the body.

There are breast endoprostheses with a smooth and textured shell surface. The latter reduce the risk of capsular contracture formation – this happens when a tissue capsule, which occurs naturally around the implant, becomes too tight and begins to squeeze it, which can cause deformation of the breast contour. With a textured implant, the capsule grows into the texture of its shell.

Implants placement

Here are some most common places where breast implants are inserted when breasts are augmented.

  1. Retromammary space (behind the breast tissue). This position of the endoprosthesis does not violate the integrity of the breast, which eliminates the possibility of emerging pathologies.
  2. The area under the pectoral muscle. This is the most acceptable area for very skinny patients, because if they are given implants directly behind the breast tissue, the implants will be strongly felt through the skin.

Accessions (incisions through wich endoprostheses are inserted):

  1. Peri-areolar access (along the nipple-areolar complex) – the incision is made along the lower contour of the areola to minimize visible scarring after the surgery. The disadvantage of this access is that the integrity of the breast tissue is violated. This can lead to breastfeeding complications. This technique is used for women who have already given birth.
  2. The armpit access (axillary incision) is performed under the pectoral muscle, mainly for those patients who have the mild subcutaneous fatty tissue.
  3. In the inframammary fold – the fold under the breast. It is the most convenient way to carry out visual inspection and ensure maximum reliability and results predictability.
  4. A belly-button approach – used during abdominoplasty (plastics, tummy tuck).

How is the surgery performed in “Certus” clinic?

Pre-surgery examination: 1-3 days.
Duration of the surgery: 1-2 hours (depending on the complexity of the operation). The patient stays in a clinical setting for 1-3 days.
Anaesthesis: general anesthesia.
Incision options: along the areolar edge (peri-areolar incision), the fold under the breast (inframammary fold) and in the armpit (axillary incision). A breast implant is inserted into a pocket either under the pectoral muscle (a submuscular placement) or directly behind the breast tissue, over the pectoral muscle (inframammary/ subglandular placement). The process of scars healing takes 6-12 months, after which they are hardly notable.
*Recovery period. After the surgery the patient wears special compression garments for 4-6 weeks. The sutures are removed in 7-14 days. The swells and bruises disappear in a few weeks. The final formation of the mammary glands occurs in 3-4 months after the surgery.
*Side effects: temporary bruises, swelling, reduced chest sensation, slight soreness.
*Risks: infectious complications, hematomas, sustainable healing process, poor (asymmetric) scarring, reduced nipple, areoles or breast sensation; asymmetry of breast’s shape and size, deformation of the breast contours, the capsular contracture formation, loss of breastfeeding possibility.
*Result is long-term.

Pregnancy, aging, weight fluctuations can lead to changes in the shape and size of the breast.

*The effect, result, risks, and recovery period depend on the individual peculiarities of the human body.

Consultation holds
Vasyl Pinchuk

Vasyl Pinchuk

The founder of the clinic. Plastic surgeon

Ihor Zolotarenko

Ihor Zolotarenko

Medical director, Plastic surgeon

Oleg Feyta

Oleg Feyta

Plastic surgeon

Price

The cost of the transaction includes:
1) Operation
2) Anesthesia
3) Implants (if used)
4) Compression underwear (if used)
5) Stay in the clinic with meals, round-the-clock medical support
6) Dressings, examinations
7) Medicines
*The cost of several operations in the complex will be lower due to savings on the duration of anesthesia and stay in the clinic.
*Payments are made in hryvnias at the commercial rate of sale of PrivatBank

Рrice

UAH EUR USD
Название процедуры Цена (грн)
Breast Augmentation

3320-5320 €

Breast Augmentation with mastopexy

4120-5820 €

Breast Augmentation with elimination of tubular deformation

3920-5420 €

Replacement of breast implants

3820-5620 €

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What examination and analyzes are necessary?

(Українська) Які можуть бути наслідки мамопластики?

(Українська) Негативними наслідками мамопластики можуть бути біль, гематоми, набряк і підвищення температури тіла. Якщо пластичну операцію грудей проведено неправильно, імплант може зміститися, однак таке буває рідко.

(Українська) Коли груди стануть природними після мамопластики?

(Українська) Після правильно проведеної операції зі збільшення грудей, як правило, набряклість спадає, імплант займає належне місце й груди стають природними протягом 1-3 місяців.

(Українська) Як довго загоюються груди після збільшення?

(Українська) Неприємні відчуття, як правило, зникають через 5-6 днів після збільшення грудей. Протягом місяця необхідно носити компресійну білизну, а набряклість спадає через 1-2 місяці. Для повного загоєння й оцінки результату знадобиться 6-12 місяців.

(Українська) Чи можна збільшити груди природним шляхом?

(Українська) Повністю природним шляхом можна збільшити груди лише під час набору ваги, також груди збільшуються у період вагітності чи грудного вигодовування. Відносно природним способом вважається ліпофілінг, в ході якого використовується власний жир пацієнтки, а не штучні протези.

(Українська) Скільки коштує збільшення грудей?

(Українська) Операція зі збільшення грудей відбувається у декілька етапів. Її ціна залежить від складності, типу хірургічних процедур, вибраного методу. Вартість всієї процедури 3 320 – 5 320 €.

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Дуже вдячна Замковому В.В. за проведення якісної операції зі збільшення грудей. Мої груди тепер виглядають так, як я мріяла протягом довгих років. Безмежно вдячна пластичному хірургу та всьому персоналу клініки Цертус за якісну роботу та дбайливе ставлення.

Катерина, 21.03.2024

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