Breast without seam! 3 years of practice, more than 100 operations

Many women dream of breast augmentation. When considering various offers, pay attention to the unique “Breast without seam” method, patented by me. This innovative approach has a number of advantages over the classical one. Thus, plastic surgery for seamless breast augmentation is carried out in a mode that is as gentle as possible for the woman, with a minimum rehabilitation period.

In a seamless operation, I tried to combine the best aesthetic principles and surgical techniques borrowed from foreign and Russian colleagues. When working with patients, I take into account their wishes, but I give recommendations when choosing implants, taking into account the individual capabilities of the body. As a result of seamless breast augmentation, a woman gets breasts that look beautiful, harmonious and natural.

The cost of seamless breast augmentation depends on the implants chosen, the surgical technique and the length of hospital stay. Thus, the final cost of the operation is influenced by both your choice and medical indications.

The full cost of the operation consists of the following services:

  1. operation,
  2. anesthesia,
  3. implants,
  4. stay in the clinic with meals - 24 hours,
  5. postoperative linen set,
  6. Preliminary 3D breast modeling. (Carry out according to indications).

Anesthesia

NameCost in rub.
Local anesthesia:
Infiltration anesthesia15 000
Epidural anesthesia25 000
General anesthesia:
Intravenous sedation25 000
Endotracheal anesthesia35 000

Implants for prosthetics

Implants for prostheticsCost of 1 implant in rubles.
Motiva Ergonomix with microchip (round)32 600
Motiva Round without microchip push-up effect (round shape)22 900
Arion round (France)25 000
Arion anatomical (France)35 000
Arion anatomical with double gel (France)45 000
Bioimplants Arion (France)100 000
Mentor round/anatomical (USA)32 000/37 000
Sebbin round/anatomical (France)23 750/31 500
Polytech round/anatomical (Germany)31 000/37 000
Silimed round/anatomical (Brazil)26 000/44 000
Eurosilicone round/anatomical (France)28 000/30 000
Nagor round/anatomical28 000/30 000
Eurosilicone buttock implants40 000
Eurosilicone calf implants30 000
Chin implants35 000

Stay at the clinic

NameCost in rub.
Stay at the clinic with meals (24 hours)10 000 — 30 000

Postoperative linen set

NameCost in rub.
Postoperative linen set7 000

3D modeling Vectra-XT

NameCost in rub.
3D modeling for breast enlargement10 000
3D modeling for breast lift10 000

Breast lift techniques

Periareolar mastopexy

Correction of mild ptosis. Access to the tissue is achieved by making an incision along the perimeter of the nipple-arella complex. In this case, glandular tissue is usually not removed. The doctor excises excess skin and applies stitches.

Vertical mastopexy

Correction of severe manifestations of ptosis. An incision is made along the perimeter of the areola and then vertically downwards.

T-shaped mastopexy

Correction of severe manifestations of ptosis. The incision is made in the shape of an inverted T. The first part is like a vertical mastopexy, and then the incision is made horizontally below the breast, in the fold. You can take a look at the before and after photos of an anchor breast lift at the bottom of the page.

The doctor determines which type of breast lift to choose based on the degree of ptosis and other anatomical features of the patient.

Seamless breast augmentation

Mammoplasty consistently ranks high in the popularity ratings of plastic surgeries. However, despite many positive reviews, this procedure has one very unpleasant feature.

We are talking about scars that form at the site of a cosmetic suture after breast augmentation. These marks, often very noticeable, are, firstly, not very attractive aesthetically, and secondly, they immediately “give away” the operation performed.

Let's try to figure out where scars come from, whether they are really so inevitable and, most importantly, how to prevent their appearance.

↑ Scars after breast augmentation

First of all, the location and size of the postoperative scar depends on the approach chosen by the surgeon. There are currently three main options in use:

  • Submammary – incisions are made in the natural (submammary) inframammary fold. The easiest method for the surgeon, after which, however, a fairly noticeable scar remains, although it is hidden in a fold.
  • Axillary - an incision in the armpit. The scars are also very noticeable, although they do not directly indicate what kind of surgery was performed. In addition, when using this type of access, the risk of implant displacement, especially of anatomical shape, increases significantly. Therefore, round implants are often installed through the armpits.
  • Periareolar - an incision along the lower edge of the nipple areola. Leaves the least noticeable scar, but is quite difficult to perform. This is the most aesthetic way to perform the operation.

In addition, the final appearance of the skin at the incision site will depend on the suturing technique used by the surgeon and, of course, on the “discipline” of the patient and her adherence to basic postoperative recommendations.

In addition to this, modern cosmetology offers many ways to smooth out and make the scars that form after breast augmentation minimally noticeable. But, unfortunately, even with the use of the entire available arsenal, it is almost impossible to completely get rid of them.

That is why the main factor influencing the final aesthetic result remains the surgical technique itself. Despite the fact that its basic principles remain unchanged, each surgeon, in the course of active practice, develops his own, somewhat unique approach, and particularly successful innovations become the basis for training the next generation of specialists.

↑ Breast augmentation without stitches and scars - the author’s technique of Dr. Sviridov

The most current breast augmentation technique at present allows us to eliminate the formation of visible scars at the access site, as well as reduce the overall invasiveness of the operation and the duration of the rehabilitation period. It was developed, patented and actively practiced by Russian plastic surgeon Sergei Vladimirovich Sviridov. This technique, called “Sutured Breast,” has the following key features:

The access required to install implants is formed not by dissection, but by “blunt separation” of tissue . Thanks to this, the edges of the skin, as well as blood vessels and milk ducts remain uninjured, which avoids painful post-operative swelling and, accordingly, the use of strong painkillers
Modern breast augmentation techniques involve fixing the incision at the end of the operation in one of two ways: either with a cosmetic suture or with a special gun using metal staples (like a stationery stapler). As part of Dr. Sviridov’s “Breast without Seam” technique, a special glue is used to connect the skin edges , due to which, firstly, no unaesthetic scars remain at the incision site (since the skin edges grow together naturally), and secondly, the operation time is significantly reduced. Read more about using fibrin glue for breast enlargement.
Implants using the “seamless mammoplasty” method are installed under the pectoral muscle and breast tissue, which are not cut by a coagulator, but are carefully separated along the border of the parenchymal tissue itself, practically without affecting it. This approach, despite all the complexity of its execution for the surgeon, provides several obvious advantages:
  • Minimal trauma (and, accordingly, rapid recovery) for the muscle
  • No bleeding
  • Reduced operation time
  • Preserving breast sensitivity
  • Maximum comfortable, short recovery period without pain and without reducing the patient’s social adaptation
Due to the fact that postoperative bleeding and swelling are kept to a minimum, Dr. Sviridov, as part of his technique, does not use drainage , which, in addition to the main incision, always leaves small marks on the skin.
A significant reduction in the duration of the operation, achieved thanks to the above-described complex of proprietary developments, allows the use of light, short anesthesia - much safer and better tolerated by patients.
The low invasiveness of the “Breast without seam” technique makes it accessible to a wide range of women who want to enlarge their breasts - regardless of age and a number of other specific characteristics of the body.

Thus, the method of seamless mammoplasty represents a whole complex of unique developments, which, complementing each other, provide an ideal aesthetic result and easy, minimal rehabilitation. During the recovery period, there is no need to even take painkillers, there is no significant decrease in social adaptation, which significantly increases the level of satisfaction of Sergei Vladimirovich’s patients after operations using the “Breast without suture” technique.

Before and after photos after breast augmentation without scars or stitches:

This is what the areola looks like 4 months after surgery (click to view full size):

It is important that this is not just a scientific concept, but an actually practiced technique, the effectiveness of which is confirmed by numerous reviews from patients. You can have breast enlargement without scars and postoperative stitches with Dr. Sviridov today - the only problem may be Sergei Vladimirovich’s schedule of operations planned long in advance.

You can make an appointment with Dr. Sviridov: • by phone. • or through the online form • clinic address: Moscow, st. Novy Arbat, 36/9, bldg. 2

Indications for the procedure

  • Breast asymmetry;
  • Sagging of the mammary glands (ptosis);
  • Excess skin;
  • Violation of the aesthetics of the mammary glands and nipple-areolar complex after breastfeeding.

Contraindications

  • Diabetes;
  • Endocrine diseases;
  • Autoimmune diseases;
  • Oncology;
  • Tumors
  • Bleeding disorders;
  • Mental disorders;
  • Impaired liver and kidney function.

Breast lifts are not performed on patients under 18 years of age or on pregnant or breastfeeding women. Exacerbation of chronic diseases, infections and viruses are also contraindications for surgery. Maxtopexy is also not done on menstruation days.

Stages of breast lift without augmentation

Initial consultation

During the consultation, the surgeon examines you and listens to your wishes regarding the future shape of your breasts. If it is not possible to implement your ideas without breast enlargement, the doctor will warn you about this. You can slightly fill the missing volume or significantly enlarge the mammary glands using implants. Together with your doctor, you will try on a sizer, which will give you an idea of ​​exactly how the breast implant will look. During the consultation, the doctor also determines the method of mastopexy, advises you on preoperative preparations and confirms the date of the operation with you.

Laboratory research

If you decide to have breast surgery, no earlier than 14 days before the operation you need to do tests and send their results to us by email. To carry out any operation, including breast surgery, you must undergo the following studies:

Blood group and Rh factor

Blood for infections: hepatitis B, C, syphilis, HIV

CBC with leukocyte formula and ESR

Coagulogram: APTT, fibrinogen, INR, PTI

Blood test: glucose, ALT, AST, total protein, creatinine, urea, total and direct bilirubin

General urine analysis

ECG with interpretation

If there is a somatic pathology, you need to consult a therapist (cardiologist). If the operation lasts more than 1 hour, compression stockings are needed.

Breast without seam! 3 years of practice, more than 100 operations

Seamless mammoplasty - fairy tales? “This doesn’t happen,” you say. “But it happens,” plastic surgeon Sergey Vladimirovich Sviridov will answer you. Having performed the first operation using a patented technique 3 years ago, Sergei Vladimirovich has since performed hundreds of successful operations. However, this technique raises many controversial issues... To verify its effectiveness, we went straight to a plastic surgeon in order to hear answers to all our questions in the first person.

— Sergey Vladimirovich, as you know, you received a patent for a new technology invented by you...

- Yes. But I will officially receive it in September 2013. Medicine is a serious matter. Therefore, it takes time to introduce some kind of innovation into it. I knew it wouldn't be as fast as I would like. We submitted an application and have already received confirmation from the Federal Service for the Protection of Intellectual Property.

What is special about the technique?

— Its main difference from classical breast augmentation operations is the use of special glue, which is injected into the cavity before installing the implant. This allows all tissues to be reliably glued to the implant and completely eliminates displacement of the implant, especially its anatomical shape. The skin incision is also not stitched, but glued together at the bottom of the areola. The key word is no seam.

Most often, implants are installed under the pectoral muscle, while the muscle fibers are delicately separated and cut off in just a small area. In addition, the glue glues small vessels together, which prevents the risk of bleeding, so no drainage is required. And this is also a significant advantage. After all, drainage is terribly inconvenient for the patient. Without them, postoperative comfort and patient satisfaction after surgery are increased.

Another feature is additional conduction anesthesia, which eliminates pain after surgery during the first days. True, slight aching sensations may remain. And after 4-6 days there are practically no complaints of pain.

— That is, there are no stitches at all? What is the risk that the glue “will not withstand” the tension of the tissues or will dissolve earlier?

- No, you don’t understand quite right. In any case, deep sutures are applied, there are just much fewer of them, because the swelling of the breast after the operation is very moderate. Therefore, there is no such strong bloating in the chest as usually happened before. However, this has nothing to do with the resorption of the glue. Its consistency is very sticky. Once is enough for complete adhesion of the tissues. In general, the whole point is that the concept of “suture” is different for an ordinary person and a surgeon. In medicine, a suture is usually understood as all types of joints: this includes stitching with a thread, joining with a staple, gluing with glue, and joining with a plaster or strip. Therefore, for the surgeon, the definition of a suture is much broader. In this regard, I gave this name to my technique: “Breast without a seam,” although this is only one of all the features of this operation.

— Tell us more about the miracle glue!

— The glue is based on fibrin, which is a high molecular weight protein. And it is part of our blood. It can even be obtained from the patient's own blood. During the operation, 40 ml is withdrawn. venous blood and using a special apparatus, fibrin autoglue is prepared, which is used during the operation. The glue does not cause any reactions or allergies. The glue dissolves within 5 days. During this time, the tissue surrounding the implant is quite firmly fixed to it. It also does not affect the formation of the capsule around the implant, which is also very important. It is worth noting that fibrin glue has been used in medicine for quite a long time. It is actively used in endoscopic surgery, for example, for forehead lifting.

— Your technique involves an incision along the areola of the nipple, but what should those who want an incision under the breast or armpit do?

— The location of the incision can be anywhere. If the patient wants to do it under the armpit or under the breast, we will do it. The installation steps do not change. The gluing principle remains the same. But the most aesthetically pleasing is the incision along the areola, since there the scar will be less noticeable and all stages of the operation will be more convenient to carry out. True, in some cases it is necessary to use a submammary or axillary incision, for example, if the areolas are small or the implant is large.

— Can this technique be used for any desired volume of endoprosthesis?

- Certainly. Naturally, as with a classical operation, it is necessary to take into account the peculiarities of the structure of the patient’s body, chest, and tissue. There is also an advantage in fixation of the implant. It is known that an anatomical implant tends to rotate, and the use of glue prevents this.

— Does the rehabilitation of sutureless mammoplasty differ from classical one?

- Undoubtedly. We in the department stopped using any painkillers at all. There is, of course, a certain group of people who have increased sensitivity. However, patients still do not experience severe pain, only aching sensations. In addition, after the operation the woman does not need to come for a dressing change. Already on the 4th day, my patients calmly drive a car, give lectures at the university or take care of their children. Another benefit is less bruising and swelling. Thus, the rehabilitation period is short, easy and painless. But at the same time, it is imperative to follow the general recommendations regarding this type of operation.

— How many such operations have you already carried out?

— Enough to verify the effectiveness of this technique. This week, for example, I performed about 6 successful operations. By the way, another advantage of seamless mammoplasty is the possibility of combining it with other operations. You can do liposuction, rhinoplasty, and breast surgery at the same time. At the same time, the patients’ breasts do not bother them. This complex of features transforms a rather complex breast augmentation operation into an easily tolerated and effective one.

— Do you apply this technique, the gluing technique, to other types of operations?

- Yes, now I exclusively use this technique in breast augmentation surgeries, and also do seamless lower blepharoplasty - eyelid surgery.

- And really no one had such an idea before?

— All new products in plastic surgery and medicine in general are perceived with extreme caution. Medicine is very conservative. In addition, you first have to try something new on yourself and, as you know, in most cases, doctors do just that. Anticipating your next question, I answer: no, I did not insert implants (smiles)

. The first patient was a girl from the medical staff of our clinic. She just had confidence in me and understood that using glue was not the main thing and in no way would it worsen the result of the operation. And the result exceeded all expectations. In fact, there is still a lot that has not been revealed in medicine. But it does not stand still, but is rapidly developing, offering us something new on the path to perfection.

Sergey Vladimirovich, thank you for such an interesting conversation and detailed explanations!

Preoperative preparation for breast lift

Before the operation, you need to stop taking a number of medications, and some medications, on the contrary, you need to start taking. Your doctor will tell you about this in detail. Since the operation is performed under general anesthesia, you must come to the clinic on an empty stomach. The last meal should not be late the evening before the operation.

When you arrive at the clinic, you sign a contract and talk with the anesthesiologist and surgeon. Your operating doctor applies preoperative markings to your breasts and you await surgery in the room.

Recovery period

First days. The breasts may look swollen, there is severe sensitivity, and pain is possible. This is normal for the first stage. Pain can be relieved with medications prescribed by the surgeon. You can only sleep on your back. The seams must not be touched. You can't shower. In the first days, antibiotics are required.

10-14 days. Removing stitches. By this point, the chest stops hurting.

Days 14-30. During this time, it is necessary to wear compression garments. You should avoid the pool, sauna, gym, and exposure to the sun.

You will be able to evaluate the first results of a breast lift 2 months after the operation. The results of a breast lift will be finalized after a year. If you follow your doctor's recommendations, your breast shape will be exactly what you dreamed of!

Breast lift without scars: report from the operating room. Olya's story

How to lift sagging breasts? Surgeon Vardan Arshakyan shows a technique that allows you to do this with a minimum number of incisions and almost no rehabilitation. Report from the operating room and the story of patient Olga.

Vardan Arshakyan – plastic surgeon, candidate of medical sciences, oncologist-mammologist. He was one of the first in Russia to start working with the BodyTite device. The Israeli BodyTite device was originally developed for minimally invasive liposuction, and has proven itself excellent in this capacity. But it turned out that this is not all he is capable of. (The website of the company that represents it is www.invasix.ru and on Instagram - @inmodemd)

According to Dr. Arshakyan, this is the best technique for lifting small breasts and correcting asymmetry.

The doctor undertook to demonstrate how it works and chose two volunteers from among our readers.

The first contender was Olya, a beauty journalist. (To forestall possible questions: we did not lobby Olya, the doctor made the decision on his own, but it’s nice to know that our colleagues trust us and participate in our projects.)

In the application Olya wrote:

“I used to have beautiful breasts of almost size three. She stood like Madonna in her early years. The coolest compliment of my life: “If you put a pencil under your chest, it will immediately fall.” Unfortunately, after two births, the entire arsenal of the artist would fit there. I wear a bra even at home, otherwise it’s sad to look in the mirror.”

On the day of the operation, Olya was a little worried. “Before that, I lived like in a castle: no surgical interventions, no fractures, no chronic diseases. Apart from chickenpox, there is nothing to talk about with me :) But Vardan Aramaisovich is an incredibly attentive doctor. He explained in detail how the operation is performed. I drew how the muscles and glands are located. At the very first consultation I realized that I could trust him.”

Vardan Aramaisovich: “Previously, in order to reduce the area of ​​skin, it certainly had to be excised. Now it is possible to do this using radiofrequency exposure.

The BodyTite device solves two problems: it breaks down the subcutaneous fat layer and reduces the skin flap. Therefore, the technique is used in liposculpture of the body (abdomen, hips, back, arms), for lifting the lower third of the face and combating a double chin, as well as for correcting ptosis of the mammary glands.

Thanks to this technique, I can avoid vertical scars and gland detachment, the so-called periareolar mastopexy, and make do with a minimum number of incisions. In the future, the patient will not have problems with lactation, and after the operation she will not need to wear compression garments to “shrink” the skin and undergo procedures aimed at improving turgor.

This is the least traumatic technique. But you need to understand: because of this, its capabilities are limited. The Body Tite device is capable of correcting 1-2 degree ptosis, provided that the breast volume is within the normomastia range (2.5-3 sizes). Olya is an ideal candidate for such a procedure.”

Photo before surgery:

Usually patients are sent home on the same day the operation is performed, but to make Olya feel calmer, she will be left in the hospital for a day. Tomorrow she can lead a normal life. Vardan Aramaisovich says: “The only limitation: until we remove the stitches, you will need to shower carefully. So as not to wet your breasts.”

This doesn’t scare Olya: “I have a lot of dry shampoo :)”

The doctor begins marking.

“This is one of the most important parts of the operation. It is at this stage that asymmetry is corrected. The marking is done while standing: when the patient is lying down, it is problematic to understand which mammary gland is higher and which areola is lower.

It is considered physiologically correct when the nipple is located at the level of the middle of the shoulder. Plus or minus two centimeters. We must lift the breast so that the nipple is at this level.”

Vardan Aramaisovich takes measurements with the precision of a meticulous couturier.

“You can do the markings by eye, but I’m used to trusting the numbers. The eye does not notice the slight asymmetry.”

Olya has minor asymmetry. The upper edges of the areola are located at an equal distance from the jugular notch of the sternum, but one nipple is located lower. “I will correct this by increasing the heating of the upper pole.”

Olya: “After the first lactation, one breast sank more. Therefore, I fed the second child differently. The difference has evened out a little.”

“During feeding, not only the skin, but also the areola stretches. I suggested to Olya that she adjust her size so that her breasts would look more harmonious. This is a simple manipulation that does not affect the ductal system.”

Vardan Aramaisovich applies stencils to the nipple to select the appropriate diameter. Olya seems to have forgotten about her excitement and jokes: “Which one suits me, M or L? And, Doctor, it looks like you loved geometry at school.” - “I adored it.” I took an advanced math class, and it still helps me in my work.”

Radiofrequency correction of mammary gland ptosis: report from the operating room

The operation does not last long, one and a half to two hours, so Olya is given local anesthesia and so-called sedation - put into a state similar to dozing. The doctor believes that such anesthesia is tolerated more easily by the body than standard endotracheal anesthesia.

The operation is carried out in three stages.

The first is the treatment of the subcutaneous fat layer with the BodyTite device.

Vardan Aramaisovich makes an incision with a scalpel along the border of the areola.

The surgeon will now operate the BodyTite device. It has different attachments for different parts of the body. When correcting the shape of the breast, this is used:

It consists of two electrodes. One (thin) electrode is inserted into the subcutaneous fat layer through an incision along the border of the areola and delivers radiofrequency energy. The second remains outside, on the surface of the skin, and receives the signal.

Vardan Arshakyan: “In the first post, when we were looking for volunteers, there were many questions about the safety of the technique. I will answer them here.

So why is this technology completely safe? First, the RF beam has a controlled and predictable direction. It occurs strictly between two electrodes and does not affect adjacent (so-called underlying) tissues. This is the difference between the BodyTite bipolar technique and, for example, the monopolar Thermage procedure. The mechanism of physical influence in both cases is the same - radio wave. However, Thermage has one electrode, so the doctor can only control the dissipation of Rf energy very loosely.

Secondly, the operation affects exclusively the subcutaneous fat layer of the mammary gland. We do not interfere with the glandular component, the ductal system and the nipple-areolar complex.”

As a result of heating, part of the adipose tissue is destroyed, and the mechanism for the formation of new collagen fibers is launched.

Vardan Aramaisovich: “I prefer to warm up the tissues gradually and not aggressively. I keep the temperature at 38°. I warm up the areas that need to be tightened more (to correct asymmetry) more actively.”

The surgeon moves the nozzle. The external electrode slides over the surface of the skin, and this allows you to control where the effect is currently occurring.

The control system resembles the parking sensors system in a car. The device makes beeping sounds. As the temperature rises, the beeping becomes more frequent. In addition, the surgeon is assisted by an assistant: she reads out loud the temperature of the subcutaneous fat and epidermis, which is read by sensors.

Already on the operating table you can see how the skin contracts. Stretch marks disappear before our eyes. But the process of collagenesis will continue for another six months: month after month, turgor will improve.

Those standing next to the operating table can hear the subcutaneous fat “breaking”. Popcorn makes a similar sound.

The second stage of the operation: reduction of the area of ​​the areola.

It is performed using the usual surgical method. The doctor outlines the boundaries of the new areola with a scalpel and sutures the boundaries.

Pink spots appear on the surface of the chest (if you look closely at the photo above, you can see them). Vardan Aramaisovich is pleased: “Hyperemia. This means that we have warmed up the fabrics well. The result will be great."

Third stage: tightening the surface layer of the skin with Fractora

BodyTite is a multifunctional device. In addition to surgical purposes, it can operate in Fractora fractional radiofrequency mode. That is, to compact, tighten and even out the skin texture. In the case of ptosis correction, Fractora is included in the price and comes as a bonus. If necessary, of course.

According to the doctor, there is such a need: the skin is thin and flabby. It will be useful to stimulate the epidermis.

The applicator has a large number of needle electrodes that heat the dermis using radiofrequency energy.

This completes the operation. The stitches are secured with plasters, and Olya is taken to the ward.

An hour later she sends a text message: “Anesthesia is a plague! I fell asleep in two seconds. Now I’m editing the video, I feel great. I’m waiting for the second volunteer girl to be brought to the ward, there will be something to discuss!)”

First sensations and results

The next day, the doctor changes the bandage and sends Olya home.

Olya: “Immediately after the operation, my roommate Sveta (that’s the name of the second volunteer of the project - Ed.) and I had similar sensations. It was as if I had fallen off a bicycle, only I tore up not my knee, but my chest :) In general, I can’t boast of a high pain threshold. Even elos hair removal was ummm... sensitive for me. And here, although it is unpleasant, it is tolerable.

A couple of hours later, a magical woman came and put on a drip with painkillers. It was absolutely wonderful :)"

Vardan Aramaisovich: “Before the operation, I warn patients that the breasts will rise by an average of 3-4 centimeters. Perhaps stronger. It is impossible to say the exact number in advance: the skin reaction is individual. The next day is still very early to evaluate the result, but I can already see that Olya’s skin has turned out well.

The swelling will increase and reach its peak by the fifth day after surgery. Then it will gradually go away. On the 14th day we will remove the stitches. Before this, Olya should not wet her chest and sleep on her side. The skin should be treated with Bepanten cream. It is not necessary to wear compression garments - a sports or tight-fitting top is enough.

Red dots are normal after the Fractora procedure. In a few days they will disappear.

Olya’s feelings after a week:

“The most difficult thing was getting home after the operation. I called a taxi, and every bump, bump, and rail felt pain in my chest. At home it felt much better: there was just a nagging, aching sensation here and there. The next two days were weekends, so I watched a movie and didn’t go out.

On Monday, I cheerfully went to get the bandage changed, and Sveta actually went to work. I probably wouldn’t really want to go to the office, but there were no unpleasant sensations that would seriously interfere with this. This is not childbirth, after which you recover for a week :)

My friends who had breast implantation said that they practically just lay there for a month. I expected something similar to await me, but everything turned out to be much simpler. I live almost the same as before the operation. I take the children in my arms (the doctor asked me to be more careful with weights, but I have already violated these recommendations a hundred times). Among the inconveniences, there is a slight stiffness and it is uncomfortable to sleep on your back. I put a pillow on it and try to lie down on my side.

The first five days there was such great swelling - and volume!) Now it has gone down, but the result is still obvious. And it's even better than my expectations.

Frankly speaking, I didn’t fully imagine what I would get in the end. With implants it’s easy to predict: there will be balls like this. And here’s a lift. While maintaining the natural shape of the breast. “Well, ok, let’s check,” I thought.

In addition to lifting my breasts, stretch marks and sagging have gone away. The skin is incredible! Previously, before this procedure, I somehow caught myself when buying clothes, choosing the one that covered the neckline. Although before giving birth I loved cutouts and sexy dresses. But there was nothing to be proud of... Now the skin is so tightened and smoothed out - fantastic! In general, I am surprised, captivated and want to quickly choose new beautiful underwear.”

First results: removal of stitches

Two weeks later, Olya came to have her stitches removed. The procedure takes literally 5-7 minutes, but is not very pleasant. It was felt that Olya was worried, so Vardan Aramaisovich distracted her with a conversation: “I heard that you had a social event today, the opening of a Sephora store?”

“Oh, yes,” Olya replies, “the queue at the entrance is almost from the metro. A lot of people, champagne, everything as usual.”

“Champagne in the morning? “I guess I chose the wrong job,” the doctor jokes, and meanwhile the stitches have already been removed.

Vardan Aramaisovich: “I am pleased with the result. Before the operation, the left mammary gland had the second degree of ptosis. Right - first. Now he is completely gone. The nipple is located above the inframammary fold.

By the way, a short educational program for those who do not fully understand the difference between types of ptosis:

  • 1st degree – the nipple is at the level of the lateral projection of the inframammary fold.
  • 2nd degree – located below the fold and “looks” forward.
  • 3rd degree – below the fold and directed downwards.”

Olya seems to have only one emotion: “Yuppiiii! I'm happy!"

Finally, let’s compare the “before” and “after”:

Important: the patient has one shoulder higher than the other, so in the frontal collage it seems that the “after” photo is located slightly lower. Actually no: notice that the navel is at the same level.

Stay tuned, the next article will tell the story of our reader Svetlana. And a little later we will show the final result of both heroines.

Other works of Vardan Arshakyan can be viewed on his website.

Institute of Plastic Surgery and Cosmetology: Olkhovskaya, 27, tel.: +7 (495) 775 01 02

The price of radiofrequency correction of breast shape is 200,000 rubles. or 25,000 rub. for 1 quadrant. The quadrant is the “quarter” of the mammary gland. This unit of measurement is used when the surgeon corrects not ptosis, but asymmetry, and works only with certain areas of the breast.

Cost of the procedure

If corrective breast surgery is performed without augmentation, its cost at the Medial clinic will be 160,000 rubles. If the operation involves tightening and augmentation with implants, then the price will be 200,000 rubles. + cost of implants. Reduction mammoplasty (breast reduction) also costs 200,000 rubles.

Mammoplasty is a popular area of ​​aesthetic surgery in our clinic. Mastopexy, breast augmentation and reduction, lipofilling of the mammary glands - we have extensive experience in all modern methods of breast correction. This allows us to provide patients with guaranteed and lasting aesthetic results.

The operations are performed by our specialists Anzhelika Vladimirovna Nikolaeva-Fedorova (chief physician, candidate of medical sciences, doctor of the highest category) and Levan Leonidovich Valiev (plastic surgeon). Make an appointment for a consultation – via chat on the website or by calling the clinic: + +7 (499) 137-00-00

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What scars may appear after breast augmentation?

In what place and what size a postoperative scar is formed directly depends on the approach chosen by the plastic surgeon. Today, three types of access are most common, each of which differs in execution method:

  • Submammary is the simplest known method for surgeons, when the incision is made in the natural area of ​​the inframammary (submammary) fold and can form a visually noticeable scar hidden in its area;
  • Axillary - when the incision involves the armpit area. It also provides for the formation of clearly visible scars that do not indicate the nature of the operation. At the same time, this type of access significantly increases the risk of displacement of the anatomical implant, which explains the testimony of surgeons who recommend installing exclusively round implants through the armpits;
  • Periareolar is the most aesthetic type of access, when the incision passes through the lower region of the edge of the nipple areola. After the operation, a barely noticeable scar remains, which requires high skill of the surgeon, because it is more complex.

At the same time, the final result of the appearance of the skin area surrounding the incision will be greatly influenced by the suturing technique used by the surgeon, as well as the patient’s unquestioning compliance with all the doctor’s instructions regarding the postoperative period.

In addition to the recommendations, a number of methods from modern cosmetology can provide significant assistance, which will facilitate smoothing, shaping and reduce the visibility of scars that form after breast augmentation. However, all the means taken together from the currently known arsenal cannot give the maximum effect, and it is unlikely that it will be possible to completely hide the scars.

That is why the main factor determining the final aesthetic result still remains with the surgical technique . At the same time, each actively practicing surgeon, in addition to the basic principles, develops a unique approach over the years, which is then taken as the basis for training new specialists.

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