Breast augmentation. Mammoplasty and its complications: ways to eliminate them and reoperation Breast complications photo

Beautiful breasts of the correct shape are the pride of any woman. A couple of decades ago, the birth of the first child almost always meant an irreversible loss of this beauty. Fortunately, things have changed today. Mammoplasty is one of the most popular types of plastic surgery. Modern techniques make it possible not only to correct the shape and size of the bust, but also to carry out, if necessary, a complete reconstruction of the mammary gland. Therefore, even with oncological diseases, mastectomy (partial or complete removal of the mammary gland) has ceased to be too much of a tragedy for women.

What is mammoplasty

Mammoplasty is any operation to change the shape and / or size of the breast. Its reduction is carried out by cutting off the stretched skin and, if necessary, simultaneously removing excess adipose tissue. To increase it, silicone implants are used, which are implanted under the skin or pectoral muscle. In a complete reconstruction, a replacement breast implant is placed in place of the removed breast tissue and a new nipple is formed.

Any operation is a serious stress for the whole organism and can be performed only in the absence of medical contraindications. To identify them, after the initial consultation, the patient is sent for tests and only after receiving and evaluating their results, the date of the operation can be assigned. But even in the absence of objective risk factors, there is still no guarantee that the postoperative period will go absolutely smoothly.

The doctor immediately warns that the consequences of mammoplasty are not 100% predictable and that no one can guarantee that there will be no complications. Unfortunately, many patients completely ignore this point.

Indeed, with the development of new technologies, serious problems after mammoplasty appear extremely rarely. In many respects, everything depends on the patient's state of health and the quality of the operation. Therefore, the choice of clinic must be approached as responsibly as possible.

Possible complications

As a rule, the initial recovery after mammoplasty takes 1-2 weeks. During this period, acute pain usually passes, if necessary, the stitches are removed, you can already go to work and gradually return to a normal lifestyle. Swelling can persist for 2-3 weeks, during this time bruises almost completely disappear and the formed small hematomas resolve. After about a month, the breasts return to their normal appearance. If the recovery occurs in violation of these terms, we can talk about the appearance of complications. The most common problems are:

Some 10 years ago, there was a high risk of complications such as rupture of silicone or leakage of saline implants. Modern high-tech materials used for their manufacture reduce the likelihood of damage to almost zero. They have several high-strength elastic shells, and the gel structure resembles marmalade in consistency and does not flow.

Prevention of complications

In most cases, the occurrence of postoperative complications is caused either by insufficient qualifications of the surgeon, or are due to the fault of the patient herself, who does not strictly comply with all the doctor's prescriptions, especially at the initial stage of the rehabilitation period. The first days after surgery are the most important. It is they who determine how quickly and successfully rehabilitation will take place. Of course, I want to quickly return to my normal life. But it is better to put up with forced restrictions for a month than to eliminate the consequences of one's own negligence for a long time and often painfully.

To prevent possible complications after mammoplasty for at least a month after the operation, it is strictly prohibited:

  • active sports;
  • taking warm baths;
  • visit to the sauna and solarium;
  • sun exposure;
  • heavy loads on the upper body.

It is also necessary to wear compression underwear until the doctor allows you to replace it with a regular one. It is equally important to carefully follow the rules for processing the seams until they are completely healed.

Quite often there are patients who later were unhappy with the result. They ignore the topic of complications after surgery, so as not to get upset once again. Even experienced ones rarely list all possible complications to their patients.

Most of them focus on the fact that a positive attitude during the rehabilitation period will help to survive the operation.

What are the consequences after the operation should be prepared

Any operation in the chest area can cause various complications. You need to be especially careful when carrying out a surgical intervention. Conventionally, doctors divide all complications into 2 groups:

  • those that occur immediately after the procedure;
  • those that arise after 1 - 2 months.

What consequences after the operation you should be prepared for, the video below will tell:

Complications after mammoplasty

Women are usually worried about their upcoming surgery. They are concerned about the likelihood of complications, various postoperative problems. Sometimes a second surgery is required to eliminate the complications of previously performed mammoplasty. Various complications can occur after breast augmentation, which we will look at in more detail.

Seroma and edema after mammoplasty (photo)

Hematomas

The causes of bleeding are different:

  • bleeding from an injured vessel, which the surgeon did not notice and did not sew up. This happens in exceptional cases;
  • bleeding can begin from a damaged vessel in which the blood initially clotted, and then bleeding reopened (after the completion of the operation).

In any of the cases, it forms in the cavity surrounding the implant. In this case, the following symptoms are outwardly visible:

  • change in the shape, symmetry of the mammary glands;
  • enlargement of the part of the breast where the hematoma has occurred;
  • brownish clot under the skin.

Even after the bleeding stops on its own, the blood will not dissolve. The best option for eliminating a blood clot is presented by a new operation, which consists in performing a puncture, incision, cleaning the postoperative pocket for the prosthesis.

Edema

This complication appears in everyone who has undergone surgery in the chest area. due to tissue injury during mammoplasty. Swelling is considered a noteworthy problem when it does not decrease over two weeks.

Swelling persists for a very long time for the following reasons:

  • he refuses very early;
  • early physical activity;
  • exposure to heat during any thermal procedures (in a bath, in a bath).

If you behave correctly, follow all the instructions of the surgeon, the swelling should subside without any problems.

Asymmetry

Usually, this complication occurs against the background of the displacement of the prosthesis. A defect in the engraftment of the implant can also provoke such a complication. The reaction of body tissues to unpredictable, even with professionally performed surgical intervention. To eliminate this side effect, a second operation will be required.

Pain

Pain in the first days after surgery is considered normal. Pain relievers are used to stop them. Gradually, the pain in the wound area should subside, then completely disappear.

Constant pain syndrome, which can intensify, subside, indicates the development of complications. On average, the rehabilitation period lasts about 2 months.

Seroma

This formation is represented by the accumulation of serous fluid within the cavity surrounding the implant. It can arise from one side or from two. With the development of pathology, an increase in the mammary gland is observed. To eliminate this formation, the procedure is carried out under the control of ultrasound. The liquid is removed from the cavity by means of a special syringe.

This video will also tell about seroma after mammoplasty:

Fissures and ruptures of implants

Loss of elasticity in the dermis and mastoptosis

Most often, doctors diagnose when the prosthesis is placed under the mammary gland, and not under the muscle. It is difficult to say how quickly this complication will manifest itself after the operation. The pathology develops faster in those women whose breasts began to sag before the operation.

You can remove this unpleasant consequence of the operation in different ways:

  • replace the old prosthesis with a new, larger one;
  • perform a breast lift and then replace the old implant.

Loss of sensitivity in the dermis

This complication occurs due to the fact that during mammoplasty, nerves that go to the skin are injured. Most often, doctors record a similar complication after making an incision around the nipple. Also, loss of sensitivity can be during the introduction of implants from the axillary, chest access area.

There are rarely times when sensitivity is lost forever. She usually returns 2 to 6 months after mammoplasty.

Capsular contracture

Connective tissue forms around each foreign body. The same happens around the implant. A fibrous capsule is considered a problem when, under its pressure, the implant is compressed and deformed.

Experts believe that the possible causes of the proliferation of connective tissue are:

  • regular physical activity;
  • improper preparation of the implant for surgery;
  • a penchant for education.

Necrosis

The death of tissues does not allow the wound to heal, provokes. Such a complication often occurs due to the use of steroids, an infectious disease, -, -, radio-, thermotherapy. To solve the problem, a correction, removal of the prosthesis is needed.

Contouring the implant under the epidermis

This complication is observed more often in slender girls. After all, their dermis practically does not have subcutaneous fatty tissue, a layer of fat that could cover the prosthesis. Also, contouring can appear pleasures, who, after mammoplasty, decided to lose weight.

The solution to such a problem is represented by the following actions:

Spiral board effect (skin ripples)

This pathology is also known as rippling. Pathology occurs due to the tension of the dermis around the implant. Stripes appear on the dermis in the form of finger-width depressions. This pathology is not static. She periodically appears, then disappears. It all depends on the position of the body, the movements performed.

Most often, the problem is faced by thin girls whose breast volume is very small. You can remove this effect:

  • breasts;
  • replacing the saline implant with a gel one;
  • add volume using fillers;
  • replacing the old implant with a smaller one;
  • by transplanting the implant under the muscle.

Implant displacement

Until complete fixation in the tissues, any implant will migrate. To reduce the degree of displacement, doctors recommend wearing compression underwear and limiting physical activity. Also, you cannot sleep on your side, back.

The displacement of implants can occur symmetrically, asymmetrically. In the first case, the loss of the ideal breast shape is explained by the failure of a part of the breast over the nipple. At the same time, under the nipple, the area of ​​\ u200b \ u200bthe breast becomes disproportionately large. In the second case, the patient is worried about a pronounced cosmetic defect, which can only be eliminated by a second operation.

Damage to ducts and breast tissue

This complication does not appear in all women. You need to prepare for such a consequence when there is an incision around the nipple, the installation of an implant under the glandular part of the mammary gland. This complication is not harmful to those who do not plan to breastfeed their children in the future.

If pregnancy is planned, the child will need to be fed with artificial formula.

Scars and scars

The appearance of scars after surgery is common. There are no people whose surgical intervention would not leave a trace of themselves. The brightness of the manifestation, the size of the postoperative scar depends on the characteristics of the organism, the care of the incision area.

Correct care is considered when the patient minimizes tissue tension on both sides of the scar. You can use the following tools:

  • paper strips (adhesive strip preventing divergence);
  • compression underwear;
  • silicone stickers on the seams.
  • massage the scars;
  • rub in cream, ointment;
  • use .

The use of absorbable drugs is allowed from the moment the connective tissues of the scar mature. Scars can be made less noticeable (etc.). If the scar is convex, it cannot be removed.

Suppuration

The reasons why suppuration occurs:

  • rejection of the implant by the body;
  • penetration into the wound of pathogenic bacteria that provoked.

With suppuration, usually pain syndrome worries. Pain relievers only slightly mask the onset of pain. At the site of inflammation, with fever. Redness, pain can spread throughout the breast.

Suppuration is treated in this way:

  • installation of a drainage tube at the site of inflammation. Then washing is carried out, intensive antibiotic therapy;
  • removal of the implant (this method is used when drainage is ineffective).

Unnatural looking breasts

Few women who want to increase their breast size think about the naturalness of the new shape. Therefore, after mammoplasty, the artificial breast is easy to recognize visually, by touch.

Women often do not know the measure, they choose large implants. This results in a very high setting of the breasts, which often does not correspond to their age.

Although implants have already been developed that resemble natural ones ("Soft touch"), women choose harder implants. The silicone implant is very rigid, which distinguishes it from a natural breast.

When is a second mammoplasty possible?

After the first operation on the chest, almost every fifth patient needs to prepare for repeated operations. The need for a second operation lies in the following nuances:

  1. Service life of implants... Manufacturers recommend replacing the implant every 10 years.
  2. Incorrect assessment of breast size... Sometimes, fearing complications from the introduction of a large implant, women choose a small implant. When the swelling goes away, they realize that they made a mistake with the size.
  3. Breast lift... Breasts still sag with age, even with an implant. To lift their breasts, women have to go for a second operation.
  4. Capsular contracture... Reoperation is necessary due to the growth of scar tissue around the installed implant.

Reoperation is sometimes more difficult due to the likelihood of complications and a long rehabilitation period. Very often, women combine a second mammoplasty with a breast lift.

Usually, a second operation is performed 6 to 7 months after the first one. As an exception, surgery may be performed earlier if there is an urgent medical condition.

For even more useful information on this topic, see the video below:

Anna Mironova


Reading time: 15 minutes

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There is probably no woman in the whole world who would not dream of a beautiful and high breast. And this dream is quite realizable. The only question is money and motivation.

Without any doubt, your mistress should like breasts ... An inferiority complex has not yet brought joy to anyone.

But is it worth deciding on such a serious operation? Are there really serious reasons and indications for her? What are the consequences? And what is mammoplasty in general?

What is mammoplasty and why is it needed?

Over the past centuries, many ways have been invented to change the shape (and, of course, volume) of the breast. Not without special cosmetic procedures and means, homeopathy, clothing, folk remedies and hydromassage (which, by the way, is very effective by increasing blood microcirculation). Nowadays mammoplasty is considered the most effective method of breast correction , surgical method. She implies correction of the volume, shape, contours, nipple or areola of the breast .

Many new-fashioned clinics and plastic surgeons, like mushrooms appearing on screens, radio and in advertisements after rain, promise "any whim for your money." In this particular case, luxurious breasts. And quickly, with holiday discounts and safely.

A conscious decision to go for mammoplasty is a serious step, in which mistakes can be fraught with loss of health ... It is worth remembering that for the female body, any intervention by a surgeon is stress. Therefore, the grounds for such a decision should be not just iron, but reinforced concrete.

Have you decided on mammoplasty? What you need to know before the procedure!

What do you need to know about implants? Types of implants for mammoplasty.

Implant cost - is not the first criterion for his choice. The selection is carried out strictly individually. The shape of modern implants is close to the natural shape of the breast - anatomical (“frozen drop on the wall”), which will hide the contours of the implant. The only thing that all implants have in common is the silicone sheath and purpose. Everything else depends on personal wishes and medical indications.

Pre-simulation enables visually familiarize yourself with the future results of mammoplasty and choose the best option.

Types of mammoplasty:

  1. Breast augmentation. The shape, in this case, is brought closer to the classic, or retained, and the volume of the breast is given according to desires.
  2. Breast reshaping (lifting). The contours are changed by correcting the skin frame and removing excess skin.
  3. Full breast lift and its reduction. The most traumatic option, with many stitches and the impossibility of feeding the baby.

What is mammoplasty done for? When is it really needed?

As a rule, a woman goes for such an operation for herself, her beloved, dreaming of admiring men's looks and swimming seasons without hesitation and discomfort. But there are other reasons that encourage women to take this step.

When can and when can not mammoplasty be done? Contraindications to mammoplasty.

Indications for breast correction:

  • The desire of the patient;
  • Macromastia (excessive breast enlargement);
  • Micromastia (underdevelopment of the mammary glands);
  • Breast involution (after pregnancy, childbirth and breastfeeding);
  • Ptosis (drooping).

Contraindications for mammoplasty:

  • Oncology, blood diseases, infectious diseases and serious diseases of internal organs;
  • Less than eighteen years of age;
  • During pregnancy and breastfeeding.

Preparing for mammoplasty: what happens before and after the operation.

The nuances of mammoplasty: how is the operation performed?

Time plastic operations - from an hour to four hours. The operation is followed by a recovery period, invariably characterized by a number of restrictions. Checkout the patient takes place one day after mammoplasty.

In the early days there is postoperative edema , subsiding after two weeks, and pain. In rare cases, bruising. Wearing compression underwear is indicated for a month after the operation. Restrictions in work and physical activity - within a week after the operation.

What are the complications after mammoplasty?

Any operation is accompanied by the risk of complications. Mammoplasty is no exception.

  1. Around the installed prosthesis, after a certain time after the operation, the body forms a capsule-shell. She is able to move the implant, which can result in hardening and asymmetry of the mammary glands ... This problem is solved by the method of capsule contracture. When deciding to remove the capsule, the prosthesis is removed and replaced with a new implant.
  2. Complications of mammoplasty can be infection, bleeding and slow wound healing ... In case of bleeding, a second operation is performed to remove the blood that collects inside. To stop the spread of the resulting focus of infection, the implant is removed and replaced with a new one. As a rule, the formation of infection is characteristic of the first week after surgery.
  3. Aggravation (or loss) of breast sensitivity - one of the complications. In most cases, such complications are short-lived. There are exceptions, though.
  4. Breast implants are subject to mandatory strength testing. But, unfortunately, they are not immune to collisions with sharp objects. As a result of such a collision, there is a risk of opening a hole in the shell of the prosthesis and penetration of the solution or silicone into the tissues of the body. Usually this problem is solved by replacing the prosthesis. As for the penetration of saline into tissues, it is absorbed by the body. Danger of damage in the risk of penetration of the silicone tissue (the woman may not feel the damage).
  5. In the presence of an implant, a woman is shown mammography only from doctors specially trained and familiar with the method of examining the breast with a prosthesis.

Stages of the operation - how is mammoplasty performed?

Operation planning:

  • Study of individual characteristics with the subsequent conclusion and decision-making on the method of surgery, based on the characteristics of the breast and skin.
  • Discussion of possible options for solving the required problem, risks and limitations. (The doctor must know about taking medications, vitamins and bad habits).
  • Providing information about anesthesia, the cost of the operation and the technique of its implementation (the insurance policy does not cover the cost of mammoplasty).

Directly operation:

The incision, depending on the structure of the breast, can be made under the armpit, along the border of the areola, or under the breast. After the incision, the surgeon separates the skin and chest tissue to create a pocket behind the chest wall muscle or behind the chest tissue. The next step is to place the selected implant into it.

Cons of mammoplasty:

Breastfeeding after mammoplasty surgery

Can I breastfeed my baby after mammoplasty? What exactly will happen during pregnancy and childbirth, given the operation, no one can predict. All organisms are individual. Of course, a woman, in whose biography there is a fact of mammoplasty, should carefully approach both pregnancy planning and examinations, pregnancy itself, the appearance of a child and its feeding. Here you cannot do without the recommendations of experts.

During pregnancy, the following changes occur in the mammary glands:

  • Darkening of the skin around the nipples (and the nipples themselves);
  • Darkening of blood vessels (occurs due to increased blood flow to the chest);
  • Breast augmentation;
  • Discharge of yellow color (or colostrum);
  • Aggravation of breast tenderness;
  • Raising the glands on the surface of the areola;
  • Penetration of veins.

Expectant mothers whose pregnancy occurs after mammoplasty, you should take care of your breasts with great diligence ... It will be useful to attend classes for pregnant women special for this situation, do exercises, organize the diet correctly and do not forget about massage and a contrast shower.

According to plastic surgeons, implants do not harm the health of the child. But still, do not forget about the risks associated with the presence of these prostheses in the breast (unexpected injury to the implants can harm the health of both). Therefore, breastfeeding mothers should conduct breast examinations more often to exclude this kind of situations.

Seroma is a buildup of fluid or lymph after breast reconstruction surgery.

The accumulation of fluid is mainly formed after breast augmentation and when using large implants. This accumulation of the substance leads to stretching of the skin and leads to its sagging.

The accumulation of serous matter after mammoplasty has a straw-yellow color. Depending on the composition of the cluster, it can change its color and go from yellow to red.

Causes

The causes of this complication can be:

  • The body's response to the endoprosthesis. A prosthesis for a woman's body is a foreign body that can be rejected. Implants are made of biological material, so the probability of rejection is very low and passes quickly. But there is always a percentage of women who show sensitivity to biological material, which can increase the risk of fluid accumulation after surgery. But modern surgery is still unable to figure out the body's response to the implant before the operation;
  • Damage to the lymphatic vessels. This reason for the accumulation of fluid in the chest is formed when blood vessels are damaged during the operation. The vessels are restored within the first days after the operation, but sometimes this process slows down, which leads to the release of lymph;
  • Bleeding tissue. During surgery, small capillaries tend to seep into the soft tissues of the breast and form a serous substance at the site of the implant installation;
  • Presence of a hematoma... When the resorption of the hematoma begins, accumulations of blood substances form and the formation of seroma. Therefore, the need to monitor the patient for several days after the operation;
  • Lack of normal drainage... Any operation, like mammoplasty, is accompanied by the release of lymph and if it is not removed in time, this provokes the appearance of complications;
  • The body's response to suture material... There are tons of quality surgical materials in modern surgery, but none of them is perfect. Also, with a large use of absorbable threads, they lead to an accumulation of matter.
Photo: Seroma

Factors

The accumulation of serous material after mammoplasty appears within 5-7 days after surgery.

One of the significant signs affecting the accumulation of fluid in the breast is a mastectomy (removal of the breast), in which the appearance of lymph nodes increases.

Another factor contributing to the appearance of serum may be inflammatory processes in places of skin injury.

There may also be factors such as:

  1. diabetes;
  2. excess weight. Large thickness of subcutaneous fat, increases the risk of fluid formation;
  3. high blood pressure;
  4. age.

Symptoms of the manifestation of seroma after mammoplasty

Do not forget that seroma appears in many women after breast correction, so you should go to consult a specialist and monitor the healing process and, of course, pay attention to the symptoms of fluid manifestation for its timely prevention and treatment.

The main symptoms of fluid buildup include:

  • breast reshaping... The breast increases in volume, a lump may appear in the place where fluid is collected, the contour changes and the nipple shifts.
  • swelling of soft tissues. Since the liquid does not remain outside the capsule, it has the ability to penetrate into soft tissues and when palpating, you can feel some elasticity and tension of the skin;
  • pain in the area of ​​fluid accumulation... Usually the pain is normal and moderate, but with pressure, the pain sensations increase. Pain can also be felt during exercise and walking;
  • redness of the skin in the area of ​​the seroma... This symptom is explained by the fact that the liquid exerts pressure and destroys small vessels, and therefore the color in the area of ​​accumulation can change;
  • discharge of serous substance through the edges of the wound. Such a symptom happens extremely rarely, but if such a complication persists for a long time, then an exit may form - a "fistula", through which the substance wakes up to come out. This complication is characteristic of patients with thin skin.

After breast augmentation, the patient notices that the breast is enlarging, swelling appears, which increases every day, redness appears in the area of ​​accumulation of the substance, and pain sensations become more frequent.

Video: What this complication looks like

Diagnostic methods

Methods for diagnosing complications include:

  1. ultrasound procedure;
  2. X-ray mammography;
  3. Magnetic resonance imaging.

With the help of an ultrasound examination, it is possible to determine the internal changes occurring in the breast area after mammoplasty, to determine the degree of development of a seroma and to diagnose it in the early stages of formation.

X-ray mammography is indicated for all women who have ever had an operation aimed at breast plastic surgery, as well as for women over 40 years of age.

This research method helps to assess the nature of the condition of the mammary glands and helps to determine the nature of the formation of nodes, seals and the formation of fluids in the breast area.

Unlike X-ray radiation, magnetic resonance imaging implies the absence of radiation exposure and diagnosis is carried out for each case separately.

Magnetic resonance imaging will help monitor the condition of implants after mammoplasty, and also helps prevent the development of complications such as seroma and contracture.

Treatment methods

It is possible to treat such a formation in the chest as gray in two ways, such as surgical and medication. With large formations, you can treat it simultaneously in two ways.

The surgical method is accompanied by the presence of adequate drainage.

The drainage is installed to remove serous fluid and can be kept from two to three days. By the amount of the separated volume of the substance, the specialist can judge whether the drainage should be removed or not.

Drainage is a fairly popular treatment method, in which the process of removing the secreted substance from the accumulation sites takes place.

Special devices can be removed from the wound, but in general, specialists remove fluid through special punctures located around the wounds.

The skin that is located next to the installation site of the drainage system must be wiped with a solution of brilliant green.

Before starting the drainage procedure, all devices must be sterile and treated with sodium chloride in the proportion of 0.9%.

A medical professional must monitor the operation of the drainage system, if the tube falls out, it must be replaced with a new one. Only a professional should be able to remove the drainage system.

Vacuum aspiration is another treatment for seroma. When carrying out this method, the serous substance is sucked out from the place of accumulation of serous substance or postoperative wounds.

This method of treatment is used most often in the early postoperative period and ensures rapid healing of postoperative wounds.

The medical method of treatment involves the intake of anti-inflammatory drugs and broad-spectrum antibiotics.

If the formation of fluid is small, then you should only do with taking medications.

Dangers

A very big mistake is the statement that the seroma will resolve itself without additional treatment and prevention.

In most cases, this may be true, but there is always a risk of an increase in the volume of fluid, which by itself disappear and cannot be absorbed.

This leads to subsequent complications such as:

  1. Serous fistula formation... In this case, the serous substance seeps through the soft tissues on its own. Most often these are the edges of the wound. This expiration can last up to several weeks, which contributes to the infection of the endoprosthesis, which entails a second operation;
  2. Development of capsular contracture. The accumulation of fluid accompanies the inflamed processes, which ultimately leads to an increase in excess tissue. In turn, such tissue contributes to the development and formation of the capsule;
  3. Suppuration of the place where the implant is located. The serous substance is an ideal place for the accumulation and development of bacteria, which can lead to suppuration of the implantation pocket.

Prevention

The best solution to the problem of fluid accumulation is a timely visit to a doctor and prevention.

Conditionally, the prevention of fluid prevention can be divided into at the level:

  1. Preoperative;
  2. Interoperative;
  3. Postoperative.

Preoperative prophylaxis is:

  • delivery of analyzes;
  • consultation and selection of a plastic surgeon;
  • Ultrasound of the mammary glands;
  • electrocardiogram;
  • consultation with a gynecologist.

Interoperative prevention is directly related to the actions of a plastic surgeon and methods of plastic surgery, which include:

  • the correct choice of area for the location of the implant;
  • adequate incision;
  • timely drainage of the wound;
  • high-quality suturing.

Postoperative prophylaxis is directly related to the patient's behavior during the rehabilitation period.

In the postoperative period, the patient must observe the following rules:

  • wearing compression underwear;
  • attending all consultations and following all the recommendations of the attending physician;
  • limitation of physical activity and movement.

Photo: Compression underwear

Compliance with all preventive measures and respect for your health will give you a good aesthetic result after the operation and reduce the risk of complications after mammoplasty.

The following actions are also related to the prevention of the appearance of serous matter:

  1. suturing the wound without leaving pockets;
  2. pressure bandage on the wound area for several hours;
  3. constant use of antiseptics and antibiotics at all stages of treatment.

Experts advise taking complications such as lymphorrhea very seriously and approaching the choice of a plastic surgeon with all responsibility.

Large-sized accumulations of liquid require vacuum suction, and in complicated cases, the installation of a drainage system.

Infections can get into the gray, and therefore you need to take anti-inflammatory drugs and in some cases surgery is required. Therefore, it is better to prevent the formation of a liquid substance at an early stage of its development.

  1. antibiotics;
  2. antibacterial agents. "Nise" and "ketorol" are very popular;
  3. laser therapy;
  4. the wound after surgery must be carefully treated and infection must be prevented;
  5. during treatment, you can use ointments such as Veshnevsky ointment or "Levomikol". You can use such ointments up to three times a day, gently pressing on the inflamed skin.

This can be done using a bag, in which you need to put heated salt or sand, but do not heat the mixture too much, as you can burn the skin.

If the listed methods do not help, doctors perform surgery. The seam is slightly loosened and with the help of a metal probe, the liquid substance is brought out.

After that, the wound is washed, a drainage is installed in it for a short time, and after a few days the wound heals.

Video Contacts

Possible complications after breast augmentation

Seroma of the breast. The accumulation of serous fluid can occur early in the postoperative period. It is observed in no more than 1% of patients. The essence of this complication lies in the fact that small amounts of blood and liquid are collected in the cavity of the implant. An effective solution is the suction of the contents through a special syringe, but an obligatory condition is ultrasound control.

Inflammation of the breast.

Inflammatory processes after surgery are observed relatively infrequently, but the appointment of certain antibacterial drugs will make it possible to hedge and carry out high-quality prevention. Inflammation can occur because the scars heal slowly and the skin outside the implant becomes as thin as possible. The main solution to the problem is to remove the prosthesis and reinstall it only after the wound has completely healed.

Hypersensitivity.
Installation of implants does not entail loss of sensitivity - partial or complete, but there are exceptions to the rule. The lack of sensitivity can occur due to a violation of the innervation of the skin in the places where a special pocket for the prosthesis is formed. Potentially dangerous areas are the areola and the entire area of ​​the breast. Partial return of sensitivity occurs after 30-60 days, complete - after 180 days.

Fibrous capsular contracture.
We are talking about a complication at a late stage, and such reactions of the body to a foreign body are observed in 1-2% of women. The essence of the deviation is as follows: asymmetry and partial deformation of the mammary glands occurs due to the development of the capsule around the prosthesis. The way to solve the problem is to remove the previously installed implant and replace it with a new prosthesis.

Keloid scar formation.
The main reason for the formation of keloid scars is the individual characteristics of the regeneration of the connective tissue and a kind of reaction of the body to the injury. It is easy to get rid of such negative consequences: it is necessary to carry out intra-cicatricial administration of steroids and attend several sessions of cryotherapy. High safety and efficacy rates are guaranteed - the scars will disappear.

Implant displacement.
This complication often occurs in the late postoperative period, when the axillary approach was used during the installation of the prosthesis. Muscular movements can provoke a displacement of the "new breast", position it at different heights, and make it asymmetrical. The solution to the issue is a second operation, but such a complication occurs only in 0.5-2% of cases, therefore the risks are minimal.

There are a number of complications that are even less common than the above, but you also need to be aware of them:


The information on the site has been personally verified by the plastic surgeon Maxim Alexandrovich Osin, if you have any additional questions, please call the phone number indicated on the site.

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