When the breasts become soft after mammoplasty. Unsuccessful breast augmentation surgery. Common and rare complications after mammoplasty Physical exercises during the rehabilitation period

Mammoplasty in our time has turned from an exotic and risky operation into almost an ordinary cosmetic procedure. Despite this, breast plastic surgery raises no less questions, and perhaps even more, than 10 or 20 years ago: medical technologies are changing rapidly, doctors are offering more and more options for correcting aesthetic defects.

We shared our siblings’ thoughts and doubts with Olga KULIKOVA, a specialist in mammoplasty, plastic surgeon at the Euromed Clinic multidisciplinary medical center, Candidate of Medical Sciences, and asked her to answer the most pressing questions.

Breast anatomy: a small educational program

So, at the base of our chest lies the pectoral muscle. These are two peculiar muscle “fans” running from the sternum to the left and right - to the large tubercles of the humerus. Located above the muscle ( and it is attached to it) mammary gland - this is where the milk that we feed our babies is produced. Its size is approximately the same for most women, and we owe differences in breast size and shape to the fat layer that surrounds the gland.

Not all women are happy with their breasts; To some, she seems too small, “boyish”, and their full-breasted friends eventually begin to suffer from the effects of heartless gravity, uncompromisingly pulling the mammary glands to the ground. So there are probably no women who are not interested in mammoplasty in principle.

Excellent silicone: another little educational program

When the potential owner of luxurious silicone breasts begins to wonder about the prospects for her future happiness, she discovers that “everything is complicated.” Silicone implants can have the anatomical shape of a drop or a perky hemisphere. They differ in filling - they can be “filled” with silicone gel to the eyeballs or only 85%. And also the width and height of the base ( width and projection), as well as height above chest level ( profile). The implant can be installed under your own mammary gland, under the pectoral muscle, under the fascia ( “inside” the pectoral muscle), as well as under part of the muscle. Finally, the surgeon must decide where to make the incision: under the breast (in the inframammary fold), under the armpit, or along the contour of the nipple ( periareolar access).

There are so many options that your head is spinning - which is better? What will bring you closer to the desired result? What will you (and not the surgeon?) like? Let’s figure it out!

Where to cut and where to put

Siblings' opinion:

A friend had her breasts done through her armpit, she was bent over in pain for a month, she couldn’t do anything, and she was so surprised that I (under the breast access) didn’t have any pain, that’s what different access means.

Olga Vladimirovna, does the access site really play a fundamental role in the pain and duration of the rehabilitation period?

No, that's not true. The main role is played by the location of the implant - under the mammary gland or under the muscle. Installation under the pectoral muscle is always painful, and it does not matter whether we install the implant through the nipple, under the breast or from under the arm. It’s just that the axillary approach is designed specifically to “dive” under the head of the pectoral muscle, so it always causes discomfort.

- So is it worth the pain and putting an implant under the muscle?

Indeed, when an implant is installed under the mammary gland, everything heals quickly, often after a day there is no longer any pain - a very short rehabilitation period. The breasts immediately become soft and look very natural, but... But an implant, especially a large one, has weight. And when installed under the gland, only your own skin will hold it. But no one has canceled the laws of gravity - are these breasts artificial or natural...

” - The larger the implant, the faster it descends. If we install it under the muscle, then it will descend 10 times slower.

Of course, a lot depends on the tone of the muscles: for some they will hold the implant until they are 80 years old, but for others it’s like a rag; there was no point in installing it under the muscle. In such cases, I always warn the woman that she can only go without underwear on major holidays.

Opinion of siblings

An anatomist placed an implant under the gland. Three years later, the breasts are full, but saggy. It was necessary to choose access under the muscle!

A medium profile is normal, a high profile, they say, there is a greater chance that it will sag even with installation under the muscle due to the fact that it protrudes forward strongly, and the part will still sag.

- Is this the only reason for installing an implant under the muscle?

No, not the only one. The implant looks good when it is covered with as much of its own tissue as possible. When a girl comes in who, apart from skin, has nothing to cover it with, then this is an absolute indication for installing an implant under the muscle - then it will not be contoured.

- That is, we put everyone under the muscle?

There is a group of women for whom, on the contrary, it is better to have an implant placed under the mammary gland. This applies primarily to female athletes: body fitness, bodybuilding, powerlifting... in a word, to girls who actively work their pectoral muscles. With heavy physical activity, the muscle can contract and dislodge the implant.

” -On the other hand, in 18 years of practice, I have only seen implant displacement twice - this happens extremely rarely. I even had a patient who was a world bodybuilding champion. We placed the implant under her muscle, because before the competition it “dries out” so much that the muscle is drawn very clearly; the implant would be too noticeable. In preparation for competitions, she works out with heavy weights, but, as she said, “the main thing is to do everything smoothly,” and the implant stays in place!

But even if it shifts, nothing terrible happens. It is promptly put in place, the pocket that has stretched is sutured.

Your breasts are still swelling!

Opinion of siblings

There is no point in putting a high profile under the muscle - it will be flattened by the muscle.

390 will not be enough, I’ll tell you right away. The muscle will be pressed and the chest may not be very lush, and if you really set it, then from 450...

To stand, you need a high or extra-high profile, and that’s the only way. With medium and medium + 450 they will lie.

Olga Vladimirovna, but the muscle contracts, is it possible to get high and voluminous breasts by installing an implant under the muscle?

The muscle actually flattens the implant first, this is normal. After all, in its natural state, the pectoral muscle lies on the ribs, and when we put something under it, it contracts and resists. But over time, the muscle stretches; there is also an expression - “the breasts have swollen.” The muscle will “release” the implant and the breast will take its final shape. But this will have to wait from two months to a year - we make sure to warn all girls about this.

- And installation of an implant under the fascia ( connective tissue membrane that forms a kind of “case” for the muscle) - what are the advantages of this method? Perhaps the “fluffing” process will go faster?

I don’t see any point in separating the fascia and injuring the gland. There was such an experiment, this is a fairly young science - mammoplasty has been practiced only since the fifties of the last century. Today, it seems to me, everyone has already abandoned fascia.

Opinion of siblings

The implant is attached somehow cunningly, I remember in the picture, it’s difficult to describe. In general, the implant can move if it is hidden completely under the muscle from top to bottom, but if it is half attached to the muscle and part of it is under the gland, then everything is ok. The implant grows into the muscle as usual and stays in place without any displacement. In addition, the doctor also attaches it in two places additionally under the muscle there, so that everything grows calmly and takes root as perfectly as possible.

- What about the partial installation under the muscle, which is being talked about a lot now?

The pectoral muscle never completely covers the implant - this is anatomically impossible. But there is a very wide pectoral muscle when most of the implant ends up under it. To make the breast softer and more natural, we partially remove the implant from below above the muscle. There is no need to cut the muscle itself - we simply move the fibers apart, making literally two or three cuts. But, as I mentioned, even if most of the implant is covered by muscle, it will still expand over time.

- Should we expect surprises in a year - maybe the breasts will “swell” in the most unpredictable way?

No, the result is always exactly predictable. I have 4-5 mammoplasties a day, and when a girl comes into the office, I immediately remember patients with a similar anatomy, with the same rib hump, and show her photographs: this was what happened, this happened - what do you like? This is such and such an implant, such and such a size. Sometimes, on the contrary, I ask the patient to bring a photo of the breast that she likes. And, looking at the photo, I can always say: this is an anatomical implant installed under the muscle, high profile. This is a round implant installed under the gland... But I will never be able to do this for you, because you will not have enough skin or gland to cover the implant, it will look like a caricature. Such visualization gives a complete picture of the results of the future operation.

- Could something go wrong, for example, noticeable asymmetry of the nipples?

Asymmetry cannot arise due to the operation - if a symmetrical person comes to us, where does it come from? But if there was asymmetry, then it is emphasized by installing the implant. And this issue must be discussed before the operation! After all, there are women who believe that they have lived with such nipples for many years, and will continue to live, they don’t see anything wrong with it. For others, it is important that the nipples are positioned strictly symmetrically.

Doctor, don't be shy, place the balls!

- Is there a fashion for the shape and size of breasts?

Nowadays they often ask for a natural shape. Those who installed “balls” in the 90s are now going and removing them, even downsizing and tightening them. Now they are asking for the first size! There are very beautiful anatomically shaped implants that are carefully inserted through the areola under the muscle. The seam is then masked with tattooing, and no one will ever guess that there is something “not our own” there. The shape is simply fantastic, it turns out very beautifully!

” - But, of course, there are still girls who say: “Doctor, forget about naturalness, I need balls!” Don’t be shy in terms of volume or size, as much as you like - to the fullest!” Everyone has their own ideas about aesthetics.

- That is, you can “order” any size?

No. There are very precise markings, calculation formulas, and if the surgeon says that more than 400 ( milliliters - they measure the volume of implants) won’t fit, then you shouldn’t beg him, beg him and wait for a miracle to happen. There are weak-willed surgeons... It seems to me that it is especially difficult to refuse male surgeons; beautiful girls come! Some bend, but this is fraught with problems for both the surgeon and the patient. I refuse those who don’t hear me, and then, when someone is “bent in”, they come to me with problems...

Speaking of problems...

Well, while we're on the subject, let's talk about possible complications. Many women would like to reduce the distance between the mammary glands as much as possible for the “seductive cleavage” effect. Is this possible?

Well, nothing is impossible if you have a sharp instrument in your hands, but it is not physiological. The distance between the breasts is due to the fact that the muscle is fixed at the edges of the sternum bone. Sometimes patients are greedy and ask for more implants than the body can accept. And then, instead of a seductive cleavage, this platform rises, the pockets into which the implants are inserted are connected into one. This complication is called synmastia. My patients didn’t have synmastia, but they came from another clinic and asked for correction... I don’t like to correct after other surgeons, and sometimes it’s impossible to correct everything.

- So, no cleavage?

You just need to be patient. At first after surgery, it is impossible to close the breasts even with your hands, but then the muscle relaxes, stretches and “releases” the implant, and the distance between the breasts decreases. In a year you will achieve the desired shape.

- What about the “double bubble” effect, when the implant stands out, as if a woman has double breasts?

It occurs in two cases: the first option is when the implant “slides” below the inframammary fold, and the second option when the surgeon deliberately lowers the inframammary fold. There is a so-called restrictive type of breast structure, when the distance from the nipple to the inframammary fold is small. If you insert an implant, the nipple will be completely under the breast. Then (after discussing all the risks with the patient), a periareolar breast lift is performed, the nipple is raised as high as possible, and the implant is placed as low as possible. There is a danger that the border between the implant and the own gland will stand out as a second inframammary fold, but there is nothing more to be done here.

Opinion of siblings

My gland is slipping off the implant, the border is clearly visible. It had to be placed under the muscle.

- The anatomist suggested a high profile and... how to put it correctly... in general, wide implants, that is, the base, the back part - a diameter of 13 cm, was calculated on me. In order to “flatten” the chest in all directions and remove all the sagging as much as possible, I have some of my own material, the size is not zero.

- What if it’s not the implant that “slips,” but the mammary gland?

And this is the “waterfall effect”. Those who initially have ptosis are at risk ( breast prolapse), for example, after breastfeeding. In this case, the surgeon explains that without a lift ( incision around the areola and vertically down, from the nipple to the inframammary fold) not enough. But... “I’m not like that, I’ll be fine, I don’t need a lift.” The surgeon places the implant under the muscle, hoping that the mammary gland, contrary to the law of gravity, will happily climb onto this muscle. Sometimes, when a large implant is installed, this is possible. But, as a rule, with a pronounced degree of ptosis, we cannot set the volume to 600, but set, for example, an acceptable 300. They stretch the muscle, and the mammary gland sadly hangs down from it. Don't be afraid of a lift!

Opinion of siblings

You cannot insert a small implant under the breast, for example 300, especially if the breast is not damaged by feeding several children. The breast will not cover the mammary fold and the seam will be clearly visible.

It is best to insert through the armpit, where the skin is different, the seam heals most easily and becomes invisible.

- Can stretch marks appear on the breasts during mammoplasty?

Never! Stretch marks are always caused by hormonal levels. They appear during puberty, not only in girls, but also in boys, and not only on the chest, but also on the stomach, on the thighs, under the arms... And the second period is pregnancy. And not because the breasts are growing, but because the body is undergoing hormonal changes!

” - There are women who have more elastic fibers than collagen, and they will inevitably develop stretch marks, no matter what creams they use and no matter what cosmetic procedures they resort to. Alas, an entire industry is working to deceive them!

But nature never takes away without giving something in return. Such a patient always develops very invisible sutures: you can cut her either lengthwise or crosswise, and after a year you will no longer find any traces of the suture.

- And what is pain and swelling during the rehabilitation period - what is the norm, and what is already a complication?

Swelling is a normal post-traumatic reaction. What is pain syndrome? The swollen tissues compress the nerve endings, so this is also normal and physiological. Not only the chest swells: due to gravity, the edema descends through the cellular space down to the front wall of the abdomen - this is also normal. It lasts for at least 10 days, but usually up to two months. Some people have pastiness ( slight swelling) lasts for a year!

” - Moreover, patients after surgery are prone to swelling at the site of surgery. That is, if you drank alcohol the day before, the first thing that will swell in your morning is your breasts if you had breast surgery, your eyelids if you had eyelid surgery, and your stomach if you had an abdominoplasty.

And so on for a year, until blood circulation is restored! You need to be careful - less salty, spicy and alcohol at this time.

Another complication that is often mentioned is contracture, the formation of a layer of dense connective tissue around the implant, which causes the breast to become rock-hard...

I haven't encountered this for a very long time! Contractures often occurred in the past when implants had a smooth surface. Since we started working with textured implants ( "velvet") surface, this problem simply disappeared - fibroblast cells “cling” to such a surface, and the body does not perceive the implant as a foreign body and does not try to isolate it with a dense capsule of connective tissue ( and it can be as hard as cartilage, you can’t even cut it with scissors). It happens that patients come in who had an implant placed somewhere at the dawn of the era of mammoplasty, 20 years ago, but in this case nothing terrible happens. We remove the implant, remove the contracture, install a new implant, but of a larger size, since the contracture “eats” part of its own tissues.

And another “horror story” is the rupture of the implant, when the silicone “scatters” throughout the body. Is it true that this happens with implants that are not completely filled - folds can form on their surface that are easily “worn”? Maybe a filled implant is better?

We mainly use implants filled to 85%. They are softer and look more natural. But it happens that a girl has so little covering tissue that even installation under the muscle does not save the situation. In this case, minor folds on the implant can contour and become noticeable even through the skin. In this case, it is better to opt for a fully filled implant.

” - As for implant rupture, this is a very rare complication that I see once or twice a year. And the reason for it is not folds, but the bending of the implant, when a too small pocket was formed under it, in which it could not straighten out completely. It is this bent edge that can cause a rupture.

But even in this case, nothing terrible happens, since modern implants do not spread: the molecules are stitched together with chemical bonds, and the filler resembles jelly. We simply take out the old implant and insert a new one. By the way, this is free for the patient, because each implant has a lifetime guarantee!

Interviewed by Irina Ilyina

For some people, their small or large breasts are enough to be happy. For others, to be ideal, they need a larger size in the form of a pair of implants—we’ll talk about this category.

A period of rehabilitation is required. The postoperative period is divided into a part of prohibitions for a relatively short time and a final stage of up to six months.

Before the operation begins, you must purchase a pair of compression bras/tops that will be replaced during washing. You can get by with just one set, but it’s not convenient.

For the postoperative period, a vacation of one to two weeks is taken, this time is somewhat individual and depends on the patient’s health.

Recovery begins from the moment you emerge from anesthesia.

1. The time spent in the hospital’s hospital is a day, sometimes two.
2. The first three days after surgery are given to bed rest.
3. Then, over the next couple of weeks, you can take short walks.

After breast augmentation, the patient is sent home with a list of personally prescribed medications and ointments, the use of which is strictly required.

The drugs are taken as prescribed by the doctor who performed the operation without self-prescription. Any adjustment of medications must be discussed.

Also, upon discharge, the timing of follow-up appointments to remove stitches and dressings, as well as preventive examinations, will be specified.

Rehabilitation after breast augmentation

During the entire recovery period, a number of rules must be strictly followed to avoid displacement of the implants and complications.

1. Washing, or rather taking a shower, is allowed on the second or third day, or after removal of the drains. The water should be close to body temperature; do not wash with hot or cold water. Stitches and breasts should not be rubbed with hands or a washcloth; soap or shower gel must be with neutral Ph. Afterwards, it is important to lubricate the breast skin and stitches with a moisturizing cream with hydrolyzed proteins, while simultaneously performing a soft stroking massage without pressure.
2. Car driving It is advisable to avoid the first two weeks so as not to strain the arms and chest areas.
3. Important point - When can you raise your arms after mammoplasty?. The first four days of movement should be soft, without harshness or stress on the upper body. This recommendation is very important to avoid displacement of the implants. Then the body gets used to it, but try to avoid sudden lifting of the body/arms and bending over for about a month.
4. Sex after breast augmentation will have to be postponed for at least three weeks.
5. About alcoholic drinks we forget for a couple of weeks so that there are no unforeseen complications and excessive swelling. The same rule applies to smoking; you must at least minimize the number of cigarettes per day.
6. Wearing compression garments after breast augmentation- not removable for the first month (except for visiting the shower). In the second month we wear it only during the daytime, that is, except for sleep. During this entire period, it is undesirable to try on, let alone wear, new bras.
7. Bath, sauna, hammam, taking hot baths is prohibited for a period of one to six months, depending on the condition of the sutures and the opinion of the surgeon. After a month, you can go in for a short while to warm up in the hammam; a full visit is allowed after three months.
8. Swimming in the pool and the sea is possible after completely removing the compression garments.
9. Return to sports after mammoplasty should be gradual. Starting from the third week, you can walk. After a month, you can begin gradually increasing loads on the lower body, without straining the upper body. After two months, you can engage in many physical activities. During this period, jogging and aerobics are included, but only after consultation with a doctor. Neglecting the recommendations for sports is fraught with suture dehiscence and bleeding, can harm the healing of scars and dislodge the implants.
10. Lifting weights in the first month is limited to 3 kilograms of weight, it is better to start with one and a half kilograms, from the second month you can gradually increase the load to ten kilos. If there is a small child in the family and his weight is within the permitted weight, try to be careful when lifting him.
11. Tanning in a solarium and under the sun exclude for three months. This recommendation has some differences in the opinions of different surgeons. At a minimum, it is necessary to wait until the sutures have completely healed and the swelling has subsided. Sunbathing only with SPF applied and wearing a swimsuit that covers the seams. Until the seams lighten, it is forbidden to expose them to the sun to avoid pigmentation.
12. Sleeping on your back is an unbearable ordeal for many, and the main thing that interests women is: when can you sleep on your side after mammoplasty. Try to avoid this pleasure for about three weeks after surgery. Some people still want to sleep on their stomach, but this is prohibited for a month. Subsequently, it is also better to sleep on your back, but turning over in your sleep will not be dangerous for the implants.
13. Airplane travel possible two weeks after mammoplasty.
14. The initial results of the increase can begin to be assessed two months after installation of the implants, however, the condition is fully assessed after 9-12 months.

Complications after breast augmentation

Complications during any medical intervention are divided into predictable ones, considered normal, and those that are not normal and require a visit to the clinic and the surgeon who performed the operation.

• Pain is present during the first five days and is well relieved by taking analgesics.
• Swelling after breast augmentation- the norm, as with any medical intervention. Swelling subsides gradually over 1-1.5 months, but everything is individual.
• Decreased nipple sensitivity It occurs quite often and goes away on its own after some time. There is also an increase in breast sensitivity.
• Bruises are caused by damage to blood vessels; doctor-recommended ointments can be used for healing. Self-resorption occurs in approximately two weeks.
• After the installation of implants, the breast initially becomes very dense, gradually over the course of 9 - 12 months it becomes soft and natural to the touch.

Sutures after mammoplasty are practically a separate issue.

A lot of questions:

1. Treatment with Chlorhexidine or Miramistin 2-3 times a day. If a gel patch or glue is applied to the seams, no treatment is required.
2. When the sutures are removed after mammoplasty, the average healing time is about 7-14 days, it all depends on the individual patient. By the way, after removing the stitches, you need to apply special stickers for fixation for a couple of weeks.
3. If there is a seam divergence, you must immediately contact the clinic for stitching.
4. Scars heal according to the standard procedure, when the scabs come off you can start using scar creams.

Unforeseen complications:

• Breast asymmetry after augmentation a rare phenomenon, has various factors of formation: sleeping on the stomach, early exercise and sports, removal of compression garments during the prohibited period, primary slight asymmetry, leakage of the gel, incorrect placement of implants.
  Repeat surgery to correct the differences is scheduled after at least six months. If there are grounds (inflammation, gel getting into the tissue), immediate intervention is prescribed.
• The appearance of redness around the seam, purulent discharge, fever - are an inflammatory phenomenon and require an immediate visit to the attending physician.
• Hematomas around the implant caused by the characteristics of the body or certain diseases, in the first couple of days they are removed independently through drains. The subsequent occurrence is caused by the patients themselves, who neglect the rules of the postoperative period, such as sports and wearing special underwear. Removal is carried out by puncture selection or by revision of the wound.
• Accumulation of serous fluid- requires removal by puncture.
• Fibrous contracture is the body’s reaction to a foreign body in the tissues. As a rule, the resulting capsule around the implant is soft and does not affect the breast. In some cases, the capsule becomes tight, painful, the breast becomes firm and there is delineation or deformation of the shape. To eliminate the unpleasant formation, an implant replacement is required.
• Allergic reaction to the implant.

Some other complications are extremely rare. Any changes in the breasts are noticeable during examination by a surgeon, so you should not neglect the health and beauty of your form and skip appointments.

04/13/2016 (day of surgery)

My story began very comically, at the age of 5 I was already sure that I needed big breasts)))) But, ironically, it wasn’t my breasts that grew large, I would even say that they didn’t grow practically at all. When I entered college, I jokingly promised my classmates that I would come to my thesis defense with big breasts! Now I’m finishing my 6th year, and I decided to keep my promise)

In ordinary life, small breasts, of course, caused me inconvenience; bras with a huge push-up, sweaters and dresses without a neckline, a swimsuit and underwear in general were always difficult to choose. Although my man never said that he was not satisfied with my breasts, but on the contrary, he liked them - I still decided to have plastic surgery because I wanted it so much.

Here are the photos that were taken in the hospital BEFORE the operation:

I spent a long time choosing a surgeon, reading reviews, looking at work. At first I wanted to make an appointment with a doctor from St. Petersburg, but I myself am from Yekaterinburg, so after weighing all the pros and cons, I still chose a surgeon in my city.

My specialty is that I actively exercise in the gym with really heavy weights and I want to continue these activities in the future and possibly work in this area. The doctor took into account all my wishes and together we thought through my recovery plan.

Before the operation, I underwent a full examination: tests, ultrasound of the chest, thyroid gland, veins, examination by a gynecologist, mammologist, therapist, cardiogram, fluorography, they measured my lung volume, there may have been something else, I don’t remember) All this cost me 13 “000 rubles. I completed the examination in 1 day at the hospital where the operation was planned.

The operation itself + 2 days in a single room + linen - cost me 135,000 rubles.

On the day before the operation, the last time you could eat was no later than 8 pm, and then you had to go to the hospital for an injection before 9 pm.

Then day X came, I arrived at the hospital, handed over my clothes and shoes to the cloakroom, a nurse met me and took me to the hospital, they checked me in, I asked for a separate single room, which was very important for me, I don’t like it when strangers are with me people, especially in such delicate moments as after surgery. After that, first the anesthesiologist came, then my surgeon. The surgeon measured everything, marked it out and informed me that, as we had originally planned, it would not be possible to fit the third size. My distance from the edge of the areola to the fold under the breast is too small, and if I place an implant that is too large, the nipple will point down. Of course, I was upset, but we agreed that if I still wanted a larger size, I would come to him again after giving birth and breastfeeding, then it would be possible to do it.

The implants chosen were anatomical Natrel (McGan) Style 410, volume 255 ml, access under the breast, installation under the muscle.

The time was about 10 o'clock. A nurse came to me and gave me compression stockings, a robe and disposable swimming trunks. I changed clothes, they put me on a gurney and took me to the operating room. There I lay down on the operating table, some compressors were put on my legs, which alternately inflated and deflated, a pressure measuring device was put on one arm and a clothespin was put on my finger to measure the pulse, and a catheter was installed in the other arm and an IV was connected. They covered me with a blanket and placed a heat gun under it. About 5 minutes later the anesthesiologist came, gave me an injection into the catheter and I fell asleep very quickly.

I woke up in the intensive care ward, or rather the nurse woke me up. I was very nauseous, I asked to stand up and use the basin, but they put a diaper on me and said that if I vomit, it would be right on top of it))) But I can’t stand up yet. Somehow I was shy, I just said that it was very cold, they put a heat gun under my blanket, and I went on to sleep. Periodically, I woke up, the nausea gradually subsided, a nurse came up to me, asked how I was feeling, and gave some injections into the catheter. I finally came to my senses around 3 pm. I was taken to the room and told to lie down)))

What about the sensations? Many people write that it’s as if they had a stone slab placed on their chest, but I didn’t experience that. The sensations were similar to the pain that occurs after a very, well, very, very good chest workout, as if you had bench pressed 100 kg)))) Athletes will understand me. If you lie motionless for a long time, it’s hard to get up, but when you warm up a little, it’s easier, just like with muscle pain after training.

As soon as I arrived in the ward, they immediately started feeding me: tea with cookies, kefir, fruit, dinner, late dinner. The food was generally very tasty and varied.

The staff was very attentive and always knocked before entering. A cold compress had to be placed on the chest, alternating 15 minutes on top and bottom. They also installed drains for me to drain the ichor.

I had a separate room, in the hospital it’s called a suite, maybe that’s why there was such an attentive attitude? They even brought me food, and the girls from other wards ate in the common dining room. But I really didn’t want to go anywhere or see anyone again, so this was a huge plus for me. The room had everything you needed: a bed adjustable in height and position, a bedside table, a table with two chairs, a cafe, a TV, a toilet, a shower, a toilet, towels, emergency call buttons for a nurse (one near the bed, the other in the toilet), air conditioning . The room was cleaned once a day.

On the very first evening, I could almost completely take care of myself: I got up, walked, ate, washed, combed my hair (I just couldn’t put my hair in a ponytail). But most of all, of course, I wanted to see the breasts, and they were well hidden.

Before going to bed, they gave me another injection and left me a sleeping pill and a painkiller, but they were of no use. I slept absolutely peacefully at night, didn’t toss around, but slept half-sitting (fortunately the headboard is adjustable), it was more comfortable.

04/14/2016 (first day after surgery)

Today is the first morning after surgery. It was painful for the first time after waking up, then the muscles came to their senses a little and became quite normal, so I asked not to give me painkillers so that I could better feel how exactly not to move my arms so as not to injure myself, but they gave me one anyway. The dressing was done at about 11 o'clock, the drains were removed, and they said that everything was very good! Without drainage, there really is no pain at all. It only hurts if you press or raise your hands. I looked at my chest for the first time and couldn’t believe it was mine)))))

04/15/2016 (second day after surgery)

I was nauseous almost the entire second night after the operation, so I slept very poorly. The next morning I complained to my doctor - he said that it was because of the painkiller that was given before bed, it was very strong. I still don’t understand why they put it on me when I asked not to give any pain relief at all.. A little later I was examined, bandaged and discharged home. By the way, they were already allowed to wash, but only in the shower, not to lie in the bathtub.

This is what the breasts looked like in the evening on the second day after surgery. There are no bruises on her, these are marks from markings. I don’t know why they didn’t wash them off for me right away, but the doctor specifically told me not to shuffle, they’ll wear off on their own over time.

Limitations after breast surgery

• Do not sunbathe with your chest exposed until the scars are fully mature (5-6 months)
• Do not visit the sauna, bathhouse, swimming pool, gym for 1.5-2 months (exercises on the pectoral muscles are excluded for 6 months)
• Avoid prolonged raising of arms above the shoulder for 1.5-2 months
• Do not lift weights more than 3-5 kg ​​for 1.5-2 months
• Wear a special bra constantly for 2 months after surgery (you can only take it off to go to the shower), and then as recommended by the surgeon.
• Protect your chest from all possible blows

Care after surgery at home:

1. Until the stitches are removed and 10 days after, treat the scars with vodka every day, 2 times a day, and apply curiosin gel to them, and traksivazin gel to the breast itself and make a vodka compress under the underwear.
2. 10 days after removal of the stitches: mepiform patch or silicone gel on scars.
3. 4-6 months after the scars have completely healed, laser peeling can be done on them.

04/16/2016 (third day after surgery)

Yesterday was my first night at home. In the evening, my husband bandaged me according to the doctor’s instructions, at first he was afraid not only to touch, but even to look at my chest, but then he saw that there was nothing wrong and began to slowly become bolder)))

The most difficult thing was to choose a sleeping position: if the pillow was too low, the chest would become numb, if you put 2 pillows, the back would become numb. I desperately wanted to turn on my side, but, of course, I overcame myself. It was also scary that my husband might accidentally press or hit me in a dream, because he likes to wave his arms when he sleeps, but everything worked out))) He sat down next to him, and I put my hand on him, it was even convenient. In the morning it came take a Nise tablet, because my night tossing and turning was making itself felt - my chest was hurting.

In the morning we did the dressing again, much bolder and faster. I can't feel the bottom of my chest at all, only the seams. There is no severe swelling, no bruising. Sometimes it seems as if the temperature has risen - but I measure it and everything is fine. It just suddenly got warmer here while I was in the hospital from +5 to +20, and the batteries are working, apparently that’s why it seems to me.

04/23/2016 (10th day after surgery)

After 10 days, I began to clearly feel my pectoral muscles! Nothing hurts, I already sleep a little on my side, 5 days ago I went back to work and have completely returned to normal life (except for sports). The chest gradually becomes softer and sensitivity returns to it, otherwise before there were sensations such as when your leg goes numb, you touch it - your fingers feel it, but your chest doesn’t feel anything.

The stitches will be removed soon, but for now the chest looks like this (one small bruise has appeared on the bottom)

05/29/2016 (one and a half months after operations)

Now a month and a half has passed since the operation - time flies quite unnoticed) The breasts now look like this

There has been no pain for a long time, there is practically no discomfort either, only if you purposefully strain the pectoral muscles. I only wear compression garments at night now. The stitches don't bother me anymore either.

I returned to the gym 3 weeks ago, I load my legs to the fullest, I don’t train my upper body yet, I do everything from cardio except running.

Sensitivity was almost completely restored, the lower part of the chest took the longest to go away. The breasts are already quite soft to the touch, but I think they will become even softer.

In a couple of weeks we will take control photographs.

Unfortunately, I was not very pleased with the size, although I understand that from an aesthetic point of view everything was done correctly)) I plan to make it bigger after giving birth, but that’s another story.

10/19/2016 (6 months after surgery)

Six months have already passed since the operation. I did not experience any complications (although I hit my chest quite hard once during a cross-fit training session).

But I would like to tell you something that may not immediately seem obvious:

• You will feel the implants, one way or another, but you will. They don’t hurt, they don’t bother me, they don’t bother me, but I clearly feel that they are there. And it’s not always convenient for me to do something. For example, swimming - well, it’s just a very strange feeling when you row with your hands and you feel the implant moving. I don't know if I'll ever get used to it.
• The breasts will take a long time to take their final shape. Doctors say 2-3 months, but for me at 2-3 months and now the shape and softness are different (for others it may not be noticeable, but you yourself will definitely notice)
• The thinner you are (the lower the percentage of body fat), the more visible the contour of the implant will be. For clarity, look at the girls performing in fitness bikinis. All of them (okay, 99.99%) who have large breasts have implants, and the contours are clearly visible.
• Not very critical, but your breasts will not always be the same temperature as your body. In the summer it was always cold for me by some miracle))
• Lying on your chest and wearing a push-up? It’s possible - but, to be honest, it’s extremely inconvenient for me.

If you are interested in how I radically get rid of unnecessary hair, you can read

Today, surgery to correct the shape and volume of the breast is by no means unique.

At the same time, the patients of plastic doctors are not only young women who want to highlight their own natural attractiveness, but also adult ladies who want to return to their former shape.

A positive outcome after breast surgery can occur if the operation went well and during rehabilitation the client adhered to the rules of behavior set by the doctor.

After the operation is completed, the patient is put on compression garments, which must not be removed for more than a month. After the patient has recovered from anesthesia, she usually feels mild pain in the chest.

To relieve these sensations, the doctor advises the use of anesthetics. It is forbidden to get out of bed for some time. The patient is required to stay in hospital.

In the first few weeks after mammoplasty, you will usually experience mild pain in the breast area, but this is considered normal. If the pain is not weak, then you can use painkillers. It is allowed to take only those medications that are prescribed by a doctor. The patient must follow the doctor's advice.

The first few weeks after surgery there is high breast sensitivity and loss of sensation in the nipple area. After some time, everything returns to normal. After breast surgery, the volume of the breast is much more than expected, due to the occurrence of swelling, which goes away after some time.

A couple of months after the operation, sports and physical activity are not recommended (especially in the shoulder area. During rehabilitation, doctors recommend walking more often and avoiding heavy lifting. It is better to completely forget about alcoholic drinks and tobacco. These tips will help maintain the results.

Hard breasts after mammoplasty and the reasons for their appearance

The main problem with implants is the development of hard mammary glands after mammoplasty.

The implants themselves do not become rigid after surgery, because the body perceives the implant as a foreign body.

When a foreign body is implanted in the chest, the body reacts by creating a protective layer around it - a shell made of connective tissue called the capsule.

As soon as the capsule begins to shrink around the foreign body, it takes on the shape of a ball and causes the sensation of a hard object. This fact is called capsular contracture.

The denser the capsule becomes, the firmer the breast becomes after mammoplasty. Why such a complication develops in many patients after breast surgery is still unknown. After breast surgery, capsular contracture often develops in only one of the two mammary glands.

When do breasts become soft after mammoplasty?

Regarding the question of the time that must pass before the complete removal of breast hardness, it is worth considering the type of breast plastic surgery performed.

If the operation was to reduce the mammary glands, then the hardness will disappear as soon as the postoperative swelling goes away.

If the operation was to increase the size using an implant, then you should pay attention to 2 characterizing factors.

When do breasts become soft after mammoplasty? In cases where:

1. swelling will subside;
2. the implant itself was soft.

Swelling during breast surgery subsides within 2-3 months.

The softness of an implant is determined by its composition. They differ in the density of the gel content.

Therefore, before mammoplasty, girls are given the opportunity to familiarize themselves with and feel the proposed implants, so that after the operation they know what the mammary glands will feel like as a result.

It is worth noting that the softness of the mammary glands after surgery depends on the timing of the formation of the capsule in which the implant is located.

After some time, the capsule becomes smaller and denser, reaching the desired volume.

This process begins approximately in the second month after mammoplasty and lasts approximately 5 months.

However, we should not forget that the time frame for rehabilitation is individual for everyone, and the same can be said about the time period for restoring the softness of the mammary glands.

When will breasts become mobile after mammoplasty?

The recovery period is individual for each person.

Regarding the approximate time frame, it should be noted that after breast surgery, on average, the difficult rehabilitation period passes in about a month.

Breasts after mammoplasty are usually dense due to swelling. After 1.5-2 months, the swelling subsides, the breasts become soft and mobile. Also, at this point in time, the central nervous system adapts to the presence of a foreign body in the body.

Every woman has thought about mammoplasty at least once in her life. With the help of breast correction, you can gain the missing self-confidence and get rid of complexes. This is one of the easiest ways to restore femininity and attractiveness.

After plastic surgery, women begin to ask questions:

• and when will breasts become soft after mammoplasty?
• How soon can you play sports?
• what kind of underwear should you wear?

All these questions are easily resolved! Do not forget that after any surgical intervention the body needs time to recover. During this period, a number of certain changes occur in the tissues, which provide excellent results!

The recovery period after lasts quite a long time. For the first three months, you may feel some hardening of the mammary glands. They seem too hard and it feels like they will always be that way.

But there's no need to worry. On average, after 90 days everything returns to normal. This is exactly the period when the breasts become soft again. Despite the apparent simplicity of the procedure, breast surgery is a traumatic surgical procedure. Swelling, changes in the shape and density of the mammary gland are a consequence of the process of tissue adaptation to new conditions.

During the entire rehabilitation period, it is necessary to regularly visit a doctor for a preventive examination. If the former elasticity has not returned within the allotted time, then a number of additional studies are carried out and the reason is identified.

Other breast changes

In addition to the dilemma about breast softness, many women come to the clinic with another question: when will they go down? This will also have to wait from three months to six months. Such changes are explained by the formation and healing of tissues.

Many women also talk about changes in breast sensitivity, especially in the first time after surgery. This phenomenon is also temporary. After the completion of the rehabilitation period, everything will return to normal and the previous sensitivity will return!

So in the first three months after plastic surgery, you should not torment your friends and the plastic surgeon. Everything will return to normal after the necessary period of time.