Breast lift without implants. Surgical breast lift (mastopexy)

Recently, breast lift has become a popular service. Previously, interventions on the mammary glands took place only in cases where it was necessary to remove cancerous growths, but at the beginning of the last century, the first plastic surgeries began to be carried out in order to give the female breast an aesthetic appearance after sagging.

Breast lift without implants deserves special attention (its price, before and after photos, its types are of interest to many). What do you need to know for those who have decided on breast correction? Is it worth leaning towards radical methods Or can I do without implants? We need to sort out these issues.

Prolapse of the mammary glands (mastoptosis)

Breast prolapse is called mastoptosis. It happens for the reason that the ligaments that hold the adipose tissue of the glands become sluggish, while the amount of this same adipose tissue often increases with age for many reasons.

In addition, the skin, due to the slowdown in the synthesis of collagen and elastin, gradually loses its elasticity and stretches excessively.

According to the results of a long-term study of physicians, it was revealed that after bearing a child, the shape of the breast becomes worse, and this is not affected by breastfeeding.

During pregnancy, changes in breast tissue provoke hormonal surges, a set of extra pounds and the amount of adipose tissue.

As for heredity, it is time for the fair sex to stop being sure that their breasts will suffer the same fate as the mammary glands of their mother or grandmother.

In fact, only in 5 women out of a hundred they practically do not change during their lives, while in the rest they undergo a noticeable individual transformation in each of the cases.

Only the following indicators depend on genetic factors:

• the percentage of adipose and glandular tissues;
• the level of collagen and elastin;
• the degree of age-related decrease in the weight and volume of glandular tissue.

The influence of underwear and sports on the chest

The refusal of underwear as a cause of mastoptosis has not been fully confirmed. Moreover, studies have already been conducted more than once (by American and then by Japanese scientists), during which the test volunteers did not wear a bra for a long time (even when playing sports).

The experiment showed the following:

• underwear only changes the shape of the mammary glands, but from an anatomical, medical or physiological point of view, it does not bring benefits;
• thanks to sports training without underwear, the breast becomes more elastic, its shape improves, and the distance between the nipple and collarbone is reduced;
• avoiding artificial breast shaping for more than 2 years reduces the risk of sagging because the ligaments retain their natural contractility and the skin condition improves.

On the contrary, reasons such as smoking or jumps in body weight should not be attributed to myths. Tobacco smoking is dangerous because it negatively affects the synthesis of elastin, along with collagen, which is responsible for the ability of the skin to contract after stretching.

Kit a large number kilograms and strong weight loss (only one is enough, but significant) is conducive to sagging.

When a woman is rapidly recovering, the breast skin is very stretched and cannot cope with the load, as with a sharp weight loss - stretched skin they simply do not have time to adapt to new circumstances and sag.

Nothing harms the shape of the mammary glands more than weight swings, that is, constant changes in body weight, which are characteristic of those who experiment with diets and either lose weight or get better.

Therefore, you should always try to stay in approximately the same weight category, and if you lose weight, then only under the supervision of a doctor. Otherwise, not only the beauty of the breast will suffer, but also the health of various organs.

Playing sports is very good for health, but bad for large breasts if they are not supported while running or jumping.

After all, chest without underwear describes crazy trajectories in three planes, which provokes a serious stretching of the skin. For this, special sports underwear has been developed that reduces the mobility of the mammary glands during intense training.

Degrees of mastoptosis

To determine how much the skin and ligaments that support the breast have stretched, the location of the nipple relative to the skin fold under the glands is used as a guide. This refers to the area of ​​​​touching the chest to the body.

There is a special scale that helps determine the degree of mastoptosis: the first is a slight sagging, when the nipple is on the same level with the breast fold, but above the entire volume of the gland.

There is also pseudoptosis, when the tissues sank down, and the nipple remained at the level or even above the breast fold, and parenchymal disproportion: the necessary fullness of the glands is absent and the nipple practically lies on the skin fold under the breast.

Breast lift methods

Currently, a facelift is a highly demanded procedure, so today there are many ways to meet demand.

In addition, plastic surgery and other manipulations are carried out so that the lactation function and the woman's ability to breastfeed the baby are not disturbed.

Very often it is necessary to combine a facelift with other interventions. For example, the introduction of implants can be carried out immediately to obtain the best result.

Plastic surgeon Daniel Barrett

Existing methods of breast correction and returning it to its previous form are divided into operational and. All of them have their own characteristics.

Today, it is not necessary to make radical changes, since you can do without implants, people's reviews indicate the effectiveness of methods without surgery.

Mastopexy

Mastopexy belongs to the category of operational methods of getting rid of mastoptosis. It can be classic (dermal) and is an operation to remove excess skin from the mammary glands. Depending on where the incisions are made, the following types are distinguished:

1. Periareolar. The skin around the nipple is incised.
2. Vertical. A vertical incision is made from the nipple to the fold of the gland.
3. Anchor. The pattern of cuts resembles the outlines of an anchor.

In addition to the classical types of surgical lifting, new ones have appeared and are developing relatively recently: endoscopic, reduction and augmentation mastopexy, as well as combined operations.

Endoscopic mastopexy has the following features:

1. It is carried out without incisions, all manipulations are carried out through punctures of the skin. This technique is ideal for those who do not accept the presence of postoperative scars.
2. This type of operation, as a rule, is combined with a reduction in the mammary glands (both fatty and glandular tissues are partially removed) or by installing implants.

Remember that a breast lift corrects the shape of the breast, but does not increase it.

Plastic surgeon Curtis Perry

Reduction mastopexy involves the simultaneous removal of skin and soft tissues. An operation is performed only in cases where breastfeeding is not planned in the future, since the ducts of the gland are injured during the operation.

Augmentation mastopexy is a combination of a breast lift and breast augmentation. First, a mastopexy is performed, and then installed.

The method assumes that both stages are carried out simultaneously, but, nevertheless, quite often these operations are carried out with a time difference of 4-6 months.

Combined operations - execution of an extended list plastic surgery, including mastopexy, changing the size of the glands and correcting their shape.

Preparing for the operation

If a woman decides to surgical method breast lift, she must prepare for this, as the doctor will not be able to perform the operation immediately without additional preparation.

In addition, it is initially necessary to pass the prescribed tests so that the surgeon can assess the patient's health, the condition of the mammary glands, and exclude contraindications.

If there are no obstacles to breast lift, then you can begin to prepare for the operation. 2-3 weeks before it is necessary:

1. Forget about smoked meats, fried foods. Also, do not eat too fatty foods.
2. Give up nicotine and others bad habits. This is due to the fact that smokers are at risk of developing blood clots.
3. Inform the doctor at the first consultation about taking specific medications. Perhaps they are contraindicated.
4. Prepare the necessary things for the clinic. These can be documents, hygiene products, etc.
5. Do not overload your body. A week before the planned breast lift, you should stop altogether. physical exercise.
6. A day before the intervention, it is recommended to stop eating solid food.

rehabilitation period

When the doctor is convinced that there are no complications, then the patient is discharged. After a breast lift, the seam may open, necrosis of the skin, large bruises, etc. may appear. Do not be afraid of these terrible words, since basically the operation goes without complications.

But after the intervention, you need to set yourself up for a long recovery period, which lasts 1-6 months.

There are such features of recovery after a facelift:

1. To reduce postoperative scars, it is recommended to go to various physiotherapy procedures. They are shown immediately after the doctor removes the drainage tubes.
2. From 7 to 10 days, you may need to take painkillers to reduce pain after the intervention.
3. It is worth limiting yourself from physical activity for a month, as the skin must recover.

After a breast lift, scars remain. Over time, they brighten, and they are almost invisible. But scars can be removed with a laser.

It usually takes about 1-2 years for the scars to become almost invisible.

Plastic surgeon Frank Fechner

Non-surgical methods

Not all girls and women will dare to lie down under a scalpel. But what to do if you want to tighten your chest, improve it appearance?

In this case, you should pay attention to a breast lift without implants, before and after photos confirm the effectiveness of some non-surgical methods.

There is more than one such way. Breast lift without surgery and without implants is carried out in the following ways:

1. . It involves the restoration or increase in the volume of the mammary glands due to the injection of their own adipose tissue into them, extracted during liposuction. This method of breast lift is recommended for its small size and only emerging ptosis. However, lipofilling cannot guarantee a stable result, since part of the injected fat may gradually dissolve.
2. . It is possible to change the shape of the breast with the help of threads only in cases where sagging is at an early stage, and the mammary glands are small. Most often, threads are recommended as a means of preventing tissue omission and skin stretching.
3. Filler correction. Macroline is so far the only certified filler used for breast lift. The basis of the drug is hyaluronic acid, but, unlike, Macroline has a higher density and viscosity, and its molecules are much larger. Therefore, it perfectly creates volume and dissolves much more slowly. Another advantage of hyaluron is its ability to produce a rejuvenating effect, due to which, in addition to breast lift, the skin of the neck and décolleté is rejuvenated.
4. . During this procedure, the muscles are trained using an electric current. But to get positive result, you will have to spend more than one session. You need to understand that a colossal effect with the help of myostimulation cannot be achieved.
5. . This method resembles the previous non-surgical breast lift. The cosmetologist acts on the skin with microcurrents, using a variety of serums, as a result, the skin is improved, muscles are strengthened, so the chest is visually tightened.
6. Laser lift. This procedure is gaining more and more popularity. It passes without pain, and scars after it do not form. Laser pulses stimulate the glands, resulting in a slight lifting effect.

You should not hope for the possibility of carrying out a thread breast lift, which has a size larger than the 2nd, since under the weight of the glands the threads will stretch and cut through the soft tissues.

Pain relief before breast correction can be done in one of the following ways:

1. intravenously;
2. through inhalation;
3. combination of sedation and local anesthesia;
4. local anesthesia.

Side effects and complications

Deciding on a breast lift, a woman risks facing the following side effects:

• short-term lifting effect or its absence;
• eruption and migration of threads to the surface of the skin;
• sagging of soft tissues;
• infection and inflammation;
• swelling, allergic reaction;
• rejection of implants, injected drugs and threads;
• bleeding, suppuration, divergence of seams, scars and scars, asymmetry of the mammary glands;
• violation of the sensitivity of the nipple and skin.

To understand what result should be expected from a facelift, it is recommended to look at the before and after photos.

Studies show that breast lift is a safe operation, as the mortality rate is very low (about 2.37%). Unpleasant consequences or death mostly happen at the sight of a doctor, so choose a specialist carefully.

Plastic Surgeon Naveen Singh

Breast lift and augmentation is one of the most demanded movements in plastic surgery. With this operation, you can adjust the shape and size of the bust. Beautiful breasts are a guarantee of a woman's confidence in her own sexual attractiveness. Therefore, surgeons have no shortage of clients who want to perform breast surgery.

Indications for surgery

Beauty is a concept, of course, eternal. But at the same time it is very windy. At different times the standard beautiful bust the Venus de Milo served, then Marie Antoinette, whose breast shape can be judged by a champagne glass - it was cast from a cast from the mammary gland of a royal person. And for every lady, the concept of “beautiful” in relation to her own breasts is special.

There are also objective indications for mammoplasty, which experts include:

• micromastia - a breast of a very small size, which leads to the development of an inferiority complex in a woman, lipofilling can help here;
• gigantomastia - breasts of a very large size, when the spine and organs begin to suffer from its severity;
• a mastectomy performed - an operation to remove the mammary gland;
• different size of the mammary glands as a result of underdevelopment of one of them;
• changes in the shape and size of the breast breastfeeding child.

Since breast reduction operations (reduction mammoplasty) are less common, we will focus on breast augmentation. These operations can be carried out both separately and together.

How is a breast lift done?

The medical name for this procedure is mastopexy. The main goal of the operation is to tighten sagging breast tissue. Sagging chest, or as it is called "spaniel ears", occurs due to several reasons.

Lifting without augmentation is a simple operation and consists in removing excess skin. After that, special cosmetic sutures. These do not leave scars.

But it happens that just braces may not be enough to achieve a positive cosmetic effect. Then a tightening with an increase is carried out. Also, it will not be superfluous to pay attention to the neck.

Dual purpose breast lift and augmentation

Mastopexy is often combined with breast augmentation surgery. This dual-purpose manipulation is especially popular among young mothers who want to restore not only the prenatal shape of the bust, but also its size. Indeed, with the cessation of feeding, alas, the size is often lost.

When carrying out combined plasty, not only excision of the skin is performed, but also endoprosthesis replacement. In other words, implants are inserted. The size and shape of the implant is selected individually depending on the patient and on the recommendations of the plastic surgeon. In addition to the well-known silicone, it can be filled with cohesive gel, saline.

In clinics that value their reputation, they use prostheses only from well-known manufacturers. Confidence in their quality and safety for the health of the patient, allows you to give a lifetime guarantee for them.

Preparation for surgery

If doubts are cast aside, consultations with plastic surgeon carried out. What else needs to be done to take the preparatory steps for the operation?

Mandatory medical examination- they do ultrasound or mammography of the glands, taking blood tests (clinical and for clotting). It is worth talking with the anesthesiologist who will work on the operation beforehand. This is necessary so that the doctor finds out some details about the patient's state of health and can more accurately calculate the dose of anesthesia.

If a woman takes anticoagulants, such as aspirin, then two weeks before the operation, you need to stop drinking them.

Just before day X, it is better to unload the body a little and not eat a lot. Moreover, do not drink alcohol. No food is allowed on the day of the operation.

Carrying out a preliminary inspection

Initially, the doctor determines the general shape before the operation - the width of the shoulders, chest and growth. Attention should also be focused on the presence of even a slight asymmetry of the nipples. Before surgery, a qualified doctor takes into account the size of the mammary glands, since this is more often remembered after surgical intervention. And such incompetence can result in an aggravation of nipple receptivity. A visit to the mammologist will be mandatory.

Choosing the right bust implants

Evaluate a specific implant, its type is a compromise between the wishes of the patient, the presence of objective indications, taking into account the recommendations of a professional who provides for possible contraindications. It is the doctor who will be able to weigh the advantages and disadvantages of products for implantation. It is worth understanding what criteria the doctor pays attention to when choosing the required product. When selecting a product, it is recommended to take into account the ratio of quality and safety of use:

• the density of the filler, the retention rate of the established form over a long period, as well as in a specific position;
• the reliability of the shell is characterized by the fact that at the slightest damage this filler will not leak out;
• the final result depends on the product - a rounded shape, a drop-shaped version, with distinctive protrusions;
• surface elaboration - the presence of texture for excellent fixation in materials, which as a result affects the ability of the product to remain intact even under loads.

The surgeon considers other peculiar qualities - convenience at the time of operation, the ability to use different ways to penetrate into matter, as well as the correct installation. Of great importance is the price category, which contains two sides - too high a price does not indicate excellent quality, very low and completely alarming.

Usually, when choosing implants, experienced surgeons are guided by the mass distribution of the brand, service life, use medical workers as well as published information. Thus, the already existing information and studies speak volumes. However, the patient himself in this case will not be able to independently determine which option is the best. Therefore, a mandatory consultation of a specialist will be required, and in most cases several.

Operation progress

The operation is carried out under general anesthesia. In time, it lasts about 2-4 hours. The surgeon removes excess skin and creates a "pocket" for the implant. When the bed is prepared, the endoprosthesis is inserted into the chest. After all this, a bandage and stitches are applied. After waking up from anesthesia, the patient needs to spend a couple of days in the hospital.

After operation

The aesthetic effect of a facelift depends not only on the skill of the surgeon, but also on how the patient spends the first days and weeks after the operation.

The first two after surgery should remain under the supervision of medical staff. At this time, the regime is as close as possible to the bed. Usually, on the third day, a follow-up examination is carried out, and if everything is fine, then the woman can go home. At home, the mode is also sedentary, without sudden movements and loads. The sutures are removed on the 7-10th day. If at work the patient does not experience physical exertion, you can return to work.

The first month you need to dress in compression underwear. And around the clock. Approximately the same amount of swelling can be observed near the seams, a feeling of heaviness in the glands. This is normal and will pass.

After about 2.5 months, sports and other physical activities can be resumed. But in the classroom, say tennis or martial arts, it is worth remembering the need to avoid hitting the chest. Finally, the new bust will take shape and the seams will become invisible about six months after the correction.

breast care

In the first 3-5 days, the doctor must prescribe antibiotics in order to reduce the threat of infections. It is necessary to take medicines strictly according to the recommendation. The doctor should also change the dosage and amount of intake, if necessary.

During the surgical operation, the specialist determines whether drainage into the suture is needed. This manipulation is performed specifically so that in the first days after the operation, excess fluid does not accumulate from the inside and there are no complications. Therapeutic method to remove the liquid, it takes up to 3 days, and according to the doctor's prescription, up to a week. The patient should be explained how to use the drainage correctly: you need to be extremely careful not to pry the tubes in the process of changing clothes or during sleep. It is not recommended to pull them, and besides, drain them yourself.

You should also know how to protect the stitches after the operation from getting wet: during the week it is forbidden to take water procedures and wet them. In some cases, the period lasts longer, so the doctor will definitely tell you when it is permissible to take a shower.

On the day after the operation, it is recommended to go to bed exclusively in the supine position. For several days you need to lie with your head elevated. You should also beware of strong overexertion or lifting weights. In addition, it is important to take frequent walks when the discomfort disappears. So, you can avoid the appearance of blood clots. Thrombosis is dangerous because such clots can freely enter the area of ​​\u200b\u200bthe lungs and heart. After 1.5 weeks, a woman can return to her usual work routine.

Specialized bras are designed to care for new breasts. Consider the key prerequisites for which it is imperative to wear such a bra after surgery:

1. Shaping the bust. A poorly chosen product can cause abnormal breast formation. Therefore, it is so important to purchase a special bra.
2. Precautions to avoid sagging bust. An incorrectly chosen product leads to the fact that the breast tissue is a significant part below the level of the nipple. Over time, the result of the operation may disappear.
3. Prevention of breast discrepancy. The filler can cause both piles to move apart.
4. breast lift product the best option to maintain the "new weight", since it is artificial fillers that have a specific mass. If a woman used to have small breasts, then she will have to get used to a certain load. The average volume of implants placed is about 300-400 ml (200 ml is approximately the size).

Contraindications

Everyone wants to be beautiful. But there are a number of contraindications to mammoplasty:

• age - up to 18 years, while the girl's body is being formed, breast plastic surgery cannot be performed,
• chronic diseases of the heart, kidneys, liver,
• disorders in the hematopoietic system,
• the presence of a diagnosed oncological disease,
• pregnancy and lactation,
• diabetes,
• viral infections.

It is also worth postponing the operation if the woman plans to become a mother in the near future - pregnancy and feeding the baby will negate all the results of the facelift. And if the breast has increased, then there may be problems with lactation or contracture may be required.

About the author: Larisa Vladimirovna Lukina

Breast lift (mastopexy) is an operation that belongs to the category of restorative (aesthetic). It ranks second in popularity among the patients of our plastic surgery center after breast augmentation.

With age or after the completion of the lactation period, the female breast becomes smaller in size, and the skin, on the contrary, stretches due to its high elasticity. In addition, over time, elasticity is lost and the tone of the pectoral muscles decreases. Such an aesthetic side of the issue, of course, pushes a woman to restore her own attractiveness, and psychological discomfort affects the quality of a woman's life.

Also indications for this operation may be the asymmetry of the mammary glands or dermatitis in the region of the inframammary fold, which occur as a result of insufficient ventilation of the skin.

The nipple-areolar complex is normally located at the mid-length level. humerus. From the degree of sagging, ptosis can be divided into 3 stages:

• minimal ptosis. With this degree of sagging, the nipple is located in the area of ​​\u200b\u200bthe submammary fold, which is located under the mammary gland;

• moderate ptosis. The nipple is in a position 1-3 cm below the submammary fold, but does not reach the lower pole of the breast;

• pronounced ptosis. The position of the nipple below the crease is more than 3 cm, and it is also at the level of the lower pole.

Mastopexy is performed with an average or severe degree of ptosis.

Types of mastopexy

Lifting surgery can be both classical and endoscopic, due to which the number of scars is reduced. In addition, a breast lift can be combined with augmentation mammoplasty with implant placement.

The classical operation is divided, in turn, into periareolar, vertical and anchor. The main difference between these methods is the location of the incision and the location of the scars. The initial size and shape of the breast must be taken into account.

The main goal of a periareolar mastopexy is to remove the excess skin around the nipple, followed by suturing. This method not only allows you to tighten the breast, but also to move the nipple higher with a minimum amount of scarring, which is more pronounced on smooth skin than on pigmented areolas.

During vertical mastopexy, the skin incision is made around the nipple along the areola line from above, and from below it is lowered parallel to the crease under the breast. Using this method, you can lift the chest well and model its shape.

Anchor mastopexy is performed with severe ptosis or pseudoptosis. This method is the most traumatic, with a large number of scars.

Endoscopic surgery is performed for both breast augmentation and reduction. With the help of endoscopic equipment, skin punctures are performed, through which excess soft tissues of the mammary glands are removed.

Among the contraindications it is worth noting:

• any neoplasms, including benign mastopathy;

• sharp and chronic infections, purulent processes;

• diabetes mellitus, cardiovascular diseases.

Preparing for the operation

The preparatory stage provides for compliance with the following rules:

• 2 weeks before the operation, you must stop taking any medicines with acetylsalicylic acid, as it affects the degree of blood clotting, increasing the risk of bleeding.

• 3-4 weeks before surgery, you need to quit smoking, as nicotine negatively affects the state of blood vessels and inhibits the healing process of tissues.

• When planning weight loss at the time of the operation, the body weight should not exceed the desired one by more than 2-4 kg, otherwise, with significant weight loss, mastoptosis may reappear.

• In 1-2 months, you need to start eating a balanced diet with the intake of a vitamin-mineral complex. This will not only help speed up the recovery period, but also minimize the likelihood of complications.

Operation process

Breast lift is performed under local or general anesthesia. After consultation and complete examination in our clinic, the tactics of intervention are determined. The surgeon remodels the mammary glands, removes the ptosis and returns the nipple to its correct position. At the same time, the skin stretched at the same volume is excised. The duration of the procedure is 2-3 hours, depending on the degree of prolapse and the method of surgical intervention.

The recovery period is 1-2 weeks. The patient stays in the hospital for 1-3 days, and the stitches are removed on the 5-10th day. During the rehabilitation period, it is necessary to limit the movements of the hands even after the removal of the stitches. The cosmetic scar disappears completely after 6-12 months.

results

Good results of mastopexy in our clinic are confirmed by multiple positive feedback female patients. Keeping the same size, the breast becomes more toned, firmer and with a natural beautiful shape.

For the subsequent maintenance of the natural shape of the breast, it is necessary to try to maintain a stable weight, eat right, and exercise regularly. Please note that pregnancy may adversely affect the results of a facelift.

Complications

One of the most common complications is infection due to non-compliance with the rules of hygiene and treatment of postoperative sutures. Serious physical activity, taking drugs containing aspirin, and not using compression underwear can cause subcutaneous hemorrhage and hematoma formation, as well as improper tissue scarring.

To avoid complications, you should strictly adhere to the doctor's recommendations.

Interested in a breast lift in Moscow? Trust the professionals in this field - the team of the Butko Plastic clinic. The procedure is performed by Igor Butko, a well-known Russian surgeon, on account of which more than 5000 successful operations for the transformation of the body and face. The clinic also employs experienced anesthesiologists who will select the right anesthesia for the patient, and most importantly, safe anesthesia. The effect of a dream for a real budget!

The price of a breast lift in the clinic is about 225,000 rubles. For this budget, you get comprehensive medical care with full support - from the moment you contact the clinic to the immediate discharge.

Sagging breasts in women are medically known as ptosis. Most often this happens after the lactation period, when a lot of changes occur with the mammary glands. Almost immediately after conception, the breast begins to grow rapidly under the influence of hormones. As soon as the feeding of the crumbs with mother's milk is completed, the mammary glands return to their original size. A breast lift without implants is an operation that will eliminate all visual defects and restore a young and beautiful appearance to the mammary glands.

Causes of sagging breasts

Over the years, almost every woman is faced with the fact that her breasts are changing, and not for the better. This happens due to several reasons:

1. Pregnancy. The degree of breast sagging does not depend on the duration and frequency of feeding, only on hormonal changes occurring in the body of the expectant mother. In addition, such a factor as a change in weight may be added, when a woman abruptly gains a few extra pounds during the period of gestation.
2. Age. It is believed that genetics somehow affects the fact whether the breasts sag in adulthood or not. In fact, the hereditary factor practically does not play a role, only the elasticity of the skin depends on it. With age, in 95% of women, the mammary glands still sag.
3. Sport. With the help of strength exercises, you can tighten a small chest - everyone knows this. But the fact that running provokes sagging is silent. During running (especially without a special bra), the tissues of this part of the body move, which adversely affects their elasticity.
4. Change in body weight. Weight fluctuations, especially about 20 kg in the set and the loss of extra pounds, greatly affect the appearance of the mammary glands. The skin practically loses its elasticity.
5. Bad habits. Smoking in particular has a bad effect on tissue elasticity.
6. Linen. The bra changes the shape of the breast only under clothing, but in fact it does not affect the elasticity of the skin. Women often wear uncomfortable but beautiful underwear, which is harmful to the health of the body.

Degrees of ptosis

Not all stages of ptosis are operable. How to understand what degree is now?

1. Light form. The papilla is located at the same level as the fold.
2. Medium form. The nipple is below the fold, but above the lower border of the gland.
3. developed form. Areola at the level of the lower border.
4. Strong form. The nipple looks down.

Pseudoptosis is also isolated. This is the degree when the papilla is above the lower border, but the gland itself sags in the shape of a "U".

Surgical lifting methods

Of course, a woman cannot independently decide on the method of surgical intervention. This is determined only by the specialist to whom the initial consultation is required. He needs to tell what result he would like to get.

There are three types of stretching in total. Of these, it is difficult to single out some of the most popular, cheap or, conversely, expensive.

vertical

This is an operation during which two neat incisions are made: from the areola to the lower crease. They resort to this method in the case when the girl has ptosis at the initial stage.

We can highlight the following positive aspects of this method:

• high efficiency;
• long-term result;
• the seams are almost invisible.

The main disadvantage is that in the third and fourth degree this method is not recommended and is not carried out.

Longline

Breast lift without implants for advanced and strong ptosis. The feature is that Special attention is given to the lower part of the mammary gland. Adipose tissue from the lower section is transferred to the upper, thereby increasing the volume and original appearance.

• high efficiency when the chest sagged very much;
• long-term effect;
• the possibility of correction of any breast, even in advanced cases.

1. increased trauma;
2. scars remain;
3. long rehabilitation period.

Periareolar

When a surgeon deals with pseudoptosis, he prescribes periareolar surgery, so he will only work with the areola. Excess skin around the areolas is removed, and scars in this area are almost invisible.

If there is a desire not only to tighten the breast, but also to increase it with implants, the specialist will resort to this method of operation.

On the positive side:

• aesthetics;
• you can not only tighten the mammary glands, but also increase them;
• practically not traumatic;
• the scar remains only around the peripapillary zone.

Flaws:

• with ptosis, even in a mild degree, it is not prescribed;
• the areola is flattened;
• the scar can stretch over time;
• excess tissue remains in the lower part, so there is a high probability that after some time the breast will sag again.

How is the operation

This operation is performed in most cases under general anesthesia. The whole process lasts up to three hours, the minimum operation time is 1.5 hours. Before the process, the area where changes are required is marked with a marker, examinations are carried out that exclude contraindications.

During the operation, the specialist returns the nipple to its original position, then removes excess skin and fatty tissue from below. After that, the tissue is pulled up and attached to the pectoral muscle. Once the process has come to an end, the surgeon will suture.

After the operation, the woman must wear special underwear, which is selected in advance according to individual parameters. The rehabilitation period during which a special bra is worn is about 90 days.

Recovery period

The most difficult recovery period is the first 14 days. During them, all hematomas and edema should disappear. After the operation, the doctor gives the necessary recommendations, which must be observed by the patient so that the shape of the breast is the one she wants.

• The stitches are removed after two weeks. They must be taken care of so that they do not disperse and do not fester. To do this, doctors do not advise raising your hands up, changing bandages as often as possible, treating wounds with special means.
• You should know that you cannot sleep on your stomach until complete recovery, surgeons do not advise you to watch dreams even on your side - only on your back. Sexual contact is also limited or completely excluded in the first weeks. So the recovery will be faster.
• As soon as the stitches are removed, you can’t go to the sauna for a certain time, swim in the pool, sea, river, lake, take a steam bath, sunbathe. If you do not protect yourself from the sun, scars may not disappear, but turn into age spots.

Possible Complications

Not all women are in a hurry to carry out the operation, this is not always associated with its cost, but often with the possible risks of complications. What they can be:

1. Infection of the wound if there is no suture care in the first weeks after surgery.
2. The tendency of the skin to form scars that do not disappear over time.
3. Ptosis can also develop after a subsequent pregnancy, in adulthood.

Non-surgical methods of lifting

You can also tighten your breasts at home. This is done in two ways, you can read more about each below.

Threads

The former volume of the mammary gland is corrected with special threads, they fix it to the collarbone. This is available only to ladies with small breasts and a mild degree of ptosis. The same method can be used to prevent sagging.

Threads are made on the basis of metal wire. These are gold or platinum threads. In addition, they are made from polylactic acid. Its advantage lies in the fact that the substance is gradually absorbed and at the chemical level accelerates metabolism, collagen synthesis, which makes the skin more elastic.

This method has many complications that arise in the process of tissue repair. This, for example, is the lack of lifting and a short-term effect.

Filler can add the missing volume. It is recognized as completely safe, consists of hyaluronic acid, which does not cause allergic reaction. The same substance has a positive effect on the appearance of the bust as a whole, restores skin elasticity, and rejuvenates it.

A slight, light anesthetic is required to inject the gel. If you enter it more, you can increase the breast size or more. It will be necessary to repeat the procedure in 1-1.5 years.

And this method has complications. Basically, this is a difficulty in examination, because the lumps of gel resemble cysts.

Other Methods

There are several methods by which a woman can independently correct the shape of her breasts:

• At home, you can use gels, creams, masks. They can be purchased at a pharmacy, supermarket, on the Internet. It is very important to read the composition and instructions, age restrictions.
• Used for breast lift folk ways. The advantage of this method is that all masks are prepared from permitted and natural ingredients, that is, a low-quality product cannot be obtained.
• If you need a small lift for a small chest, you should sign up for a fitness center and do strength exercises for the pectoral muscles with a trainer. If you combine this method with self-massage, you can quickly achieve the desired results.

Breast lift without implants, according to reviews, helps women at any age to make their breasts attractive. A variety of methods helps to correct the mammary glands at any degree of ptosis, and the result will please the patient for a very long time.

Video

You can see how the breast lift surgery works and the results after the operation in our video.

Today, breast lift without implants is very popular. After all, elastic attractive breasts are the main decoration of the female body.

But due to genetic predisposition, sudden jumps in weight, pregnancy and feeding the baby, the bust can change and sag.

To get a tightened shape, clear contours, elasticity and beauty, it is not even necessary to go under a scalpel, because there is more than one method of breast lift without implants.

#5 causes of ptosis (sagging) of the mammary glands

Let's first understand why the chest sags. There are many reasons that adversely affect the elasticity of the bust. Great importance has heredity, which is determined.

In medicine, the sagging of the bust is called ptosis, and it is divided into certain stages:

Other factors can also influence the manifestation of deficiencies:

1. Lactation . The most pronounced deformations are observed if the bust is small and milk production is high.
2. Sharp jumps in body weight. Fat cells accumulate quickly, stretching the skin. Sagging occurs when a woman loses weight in a short time.
3. Hormonal imbalance. It leads to a change in the size of the mammary glands, worsens the quality of the skin.
4. Signs of aging. With age, the concentration of elastin decreases, provoking sagging breasts.
5. Sport. Sports training without the use of supportive underwear.

Often people leave reviews about breast lift without implants. And many talk about the high efficiency of certain methods.

Indications

When should you consider a breast lift? The procedure is intended for women who suffer from the following problems.

INDICATIONS

• ugly sagging mammary glands;
• loss of elasticity, sagging;
• stretching of the skin;
• loss of volume after birth and feeding the baby;
• sagging due to rapid weight loss.

You must first consult with a specialist, as well as pass all the necessary tests.

Procedure methods

Modern medicine offers the fair sex various options for breast lift without implants (in the before and after photos, according to the reviews below, you can evaluate the final result).

All methods are divided into 2 types:

1. Operational. They are serious operations that are performed under and require a long rehabilitation. After the procedure, scars remain on the skin.
2. Non-surgical. They are carried out under, tolerated by patients more easily. They are used only at the initial or middle stage of omission. At the same time, the final result can be maintained for several years.

The selection of suitable methods is carried out only by a doctor who takes into account the state of health of patients, individual characteristics problems, personal wishes.

It is worth noting that there are still special ones. But they are ineffective. The thing is that the mammary glands themselves cannot be tightened through training.

The muscles that are behind them are pumped up. This can visually tighten the bust a little, but in advanced cases, the result is practically not visible.

Surgical intervention

Surgical correction of breast prolapse is considered a cardinal method that allows you to achieve the most pronounced result even in the presence of serious aesthetic problems.

Mastopexy (lift)

Plastic surgery aimed at correcting and lifting the breasts is called mastopexy. It involves excision of excess skin, fat deposits, tightening and suturing.

As a result, excess skin is eliminated, the size of the areola decreases, the mammary glands are tightened, and the nipple occupies an anatomically correct position.

The tasks that mastopexy solves include:

• giving an attractive shape to the areola and nipple;
• moving the nipples to their normal position;
• elimination of stretched skin;
• bust uplift.

Manipulations are completed by suturing the incisions. Depending on the stage of prolapse and the condition of the skin, the technology of the procedure may vary:

Lift	essence	A photo
vertical	Effective at initial and mid-stage ptosis. Results achieved persist throughout long time, and after rehabilitation remain small scars. By cons is that the procedure will not help women strong omission.
Anchor	This is a major intervention. which involves excision large areas of skin the presence of severe ptosis mammary glands. Operation is to transfer excess skin and fat cells from the lower parts of the chest to the upper ones. Anchor variety shown at the 4th stage of omission, positive result stored for a long time. Among cons - injury is quite large area of ​​the body, long recovery after surgery noticeable scars.
Periareolar	Valid for minimum sagging or with a slight bust volume. Procedure less traumatic, scars practically not noticeable. The disadvantages include thickening the upper zone of the bust, which comes from tension skin around the areola.

Mammoplasty

Aisha Baron

plastic surgeon

If you have stage 2-3 ptosis, then it is better to think about plastic surgery right away, since non-surgical methods will be powerless. There is only one way out: mastopexy. It can be carried out after the completion of the development of the mammary glands themselves.

A lift without implants returns the bust to its lost elasticity, original shape, and aesthetically attractive appearance. To the touch, the breast will be natural, which cannot be achieved using even the most expensive endoprostheses.