Re-endoprosthetics of mammary glands
If you are considering the possibility of breast replacement, we invite you to schedule a consultation with our specialist at the K+31 clinic. Leading plastic surgeons in Moscow and more than a thousand operations. At K+31, doctors and candidates of medical sciences with extensive experience, including abroad, will work with you.
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Indications for revision mammoplasty
Aesthetic indications
The main aesthetic indication is a change in the shape or volume of the breast. The patient may find it necessary to adjust the size of the implants or change their shape, for example, moving from round to anatomical.
Repeated intervention is also carried out against the background of:
- Breast asymmetry. The reason for its development is the displacement of implants during wear
- Changes after lactation. Breastfeeding leads to stretching of tissues and changes in the shape of prostheses
- Age-related changes. With age, natural tissues lose their elasticity. This affects the appearance of the breasts
In addition, sharp fluctuations in weight can deform the area around the implant.
Medical indications
The answer to the question “do I need to change breast implants” depends on their quality, service life and individual characteristics of the body. The main medical indications for repeated breast replacement include:
- Capsular contracture. A capsule of connective tissue is formed around the implant, which compresses the prosthesis, causing discomfort or pain
- Damage to the shell. Against the background of injuries that damage the implant shell, there is a need for immediate replacement of breast implants
- Displacement or palpation of the implant. Replacement is carried out if the implant becomes visible or felt under the skin
Unusual changes in the mammary glands also require correction. Doctors include synmastia and skin ripples among them.
Restrictions and contraindications
- Chronic diseases. Diseases of the cardiovascular system and diabetes mellitus pose a threat
- Blood clotting problems. Patients taking drugs that affect coagulation often face an increased risk of hematomas
- Pregnancy and lactation. This period of a woman’s life is characterized by significant hormonal changes that can affect the outcome of the operation and the recovery process. Moreover, the presence of an implant creates problems during breastfeeding
Preparing for surgery
Proper preparation for surgery is the key to a successful and safe procedure and quick recovery after it. After a preliminary consultation, the specialist refers the woman to diagnostic procedures.
On the eve of the operation, you should take a warm bath - this will help you relax. A light dinner is allowed the evening before the intervention. It is better to carry out the operation itself on an empty stomach - this will minimize the risks of complications.
Diagnostic procedures:
- Ultrasound examination of the mammary glands Ultrasound allows you to assess the condition of tissues and exclude possible pathologies
- Ultrasound of blood vessels of the lower extremities This is necessary to predict risks associated with blood circulation
- Electrocardiogram (ECG) Carried out to assess the state of the cardiovascular system
- X-ray examination The study is prescribed depending on individual indications
- Clinical blood and urine tests They allow you to assess the general condition of the body and kidney function
With aesthetic intervention, recovery most often occurs quickly and without any complications. This is because the underlying structures of the breast remain intact. However, if the goal was to correct medical deficiencies, rehabilitation takes longer and requires increased attention.
In the first days after surgery, slight tingling occurs, and sometimes temporary numbness in the décolleté area is observed. If large implants were chosen, the skin stretches slightly and its color changes. There is no need to worry: this is a temporary phenomenon.
To speed up the healing process and prevent possible complications, you should listen to your doctor’s recommendations. In particular, in the first days after surgery, it is recommended to limit water procedures and wear special compression garments. You should also avoid heating the operated area and take prescribed medications.
It is recommended to return to normal life and work duties no earlier than two weeks later. But even after this, you should regularly visit the clinic for follow-up examinations.
Although modern plastic surgery methods are quite safe, there is still a risk of certain complications. Here are some of them:
- Scar tissue. After any surgical intervention, scars form on the body. The tissue in this place loses its elasticity, which in turn leads to a long healing process.
- Departure of postoperative sutures. This occurs due to non-compliance with the doctor’s recommendations (in particular, early removal of a post-operative bandage or bra).
- Hematoma and seroma. They occur due to the accumulation of blood or lymph in the surgical area and require additional treatment (usually drainage).
- Capsular contracture. This is a condition in which a dense capsule of connective tissue forms around the implant. In this case, general discomfort occurs, and the breasts become somewhat deformed.
In case of any unpleasant symptoms or suspicion of the development of complications, you should immediately consult a specialist.
How the intervention is carried out
Like any other operation, breast replacement includes several stages. They are as follows:
Exclusion of the old implant. Most often, surgeons use an existing scar from a previous operation as an access point. It may be located in the inframammary fold, areola, or armpit
Working with the capsule. Each implant is eventually surrounded by a fibrous membrane (capsule). If this “natural case” has not changed its properties, it serves as an ideal place for a new implant. However, if the capsule tissue has become too dense, correction becomes necessary. In radical cases, complete removal of breast implants is performed.
Selection and installation of a new implant. Modern technologies make it possible to select prostheses of various shapes and sizes that correspond to the anatomy and wishes of the patient. After installing the new implant, the surgical area is carefully sutured and secured with compression garments. This helps prevent unwanted consequences
The operation lasts approximately 2-3 hours. After surgery, the patient spends some time in the hospital.
How often are breast implants replaced? On average, it is recommended to have implants inspected every 10-15 years, although some modern models may last longer.
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About the service
One of the problems that patients who have undergone primary mammoplasty often encounter is breast ptosis. Against this background, the question arises: “should breast implants be changed?” This largely depends on the condition of the prostheses and the recommendations of the surgeon.
One thing is clear: even with the use of modern techniques and materials, there is no complete confidence in the long-term result. Doctor errors and natural changes in a woman’s body usually lead to the need for repeated surgical intervention.
With the development of mammoplasty technologies, new generation implants made of cohesive gel began to be used. They are characterized by high quality and a lifetime warranty, which makes them durable.
However, situations requiring repeated intervention are not limited only to material aging. There are other indications for revision mammoplasty. Conventionally, they can be divided into aesthetic and medical.