Breast augmentation — implants
For those dissatisfied with the small size and/or shape of their own breasts.
Indications for augmentation
- small volume and “empty” breasts
- deformity after breastfeeding or childbirth
- tubular breasts
- rapid weight loss with reduced breast volume
- congenital or acquired defects (surgery, trauma, burns, etc.)
- breast asymmetry
Methods of augmentation
There are two main paths — silicone implants or the patient’s own fat. Around 10 registered implant brands are currently on the CIS market, most of them widely used worldwide.
Implants can have different coatings:
- smooth
- nano-textured (Motiva, Sebbin, Polytech)
- micro-textured (Mentor, Sebbin, Silimed, Polytech, etc.)
- macro-textured (McGhan/Allergan)
- polyurethane (Polytech, Silimed)
And different shapes: round, anatomical, conical and “ergonomic”. Each coating and shape has its own features.
Breast lipofilling is ideal for those who do not accept implants. However, this type of augmentation has its specifics and usually requires more than one procedure.
What it can be combined with
Breast augmentation can be performed with almost any aesthetic procedure — for example liposuction, blepharoplasty, abdominoplasty, intimate surgery and others.
Anaesthesia: performed in a hospital under combined anaesthesia and lasts 40–90 minutes.
Breast lift — mastopexy
Surgery that corrects ptosis (sagging) of the breasts.
- sagging due to weight fluctuations
- sagging after pregnancy and breastfeeding
- low position of the breasts
- loss of skin firmness and elasticity
- “deflated” breasts
- tubularity
The technique is chosen based on breast structure and the degree of ptosis:
- Periareolar — incision around the areola; for minimal ptosis, often with simultaneous implants
- Vertical (areolar-vertical) — access around the nipple and vertically down to the inframammary fold; for grade 1–2 (rarely 3) ptosis
- Inverted-T (anchor) — incision around the areola, vertically down and a horizontal scar in the fold; for any degree of ptosis
Breast reduction — reduction mammoplasty
The operation removes excess breast tissue, fat and skin, reduces the areola diameter, moves the nipple-areola complex higher and forms a new breast volume and contour.
The nipples’ connection to vessels and nerves is preserved, so in 90% of cases sensitivity is retained. The possibility of breastfeeding is discussed in advance — it is individual and depends on the volume of tissue removed.
Implant replacement
Can be done at the same time as removing the old implants, or later (4–6 months or more). The most common reason is dissatisfaction with volume or shape. Manufacturers recommend replacing implants 10–15 years after placement.