JUSTIFICATION OF THE OPERATIVE INCREASE OF MAMMARY GLANDS

Abstract

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It is hardly possible to find a woman who would never have thought about correcting the shape of her breasts. Someone would like to just pull it up, someone - to do less, but most of the ladies, dissatisfied with their forms, would like to still increase it. Moreover, breast augmentation, or augmentation of the mammary glands, is one of the most popular plastic surgery in the world. The operation to increase the mammary glands is shown mainly to women who have a small breast size, which often leads to discomfort, dissatisfaction with themselves, psychological problems. Also, many women after pregnancy, breastfeeding or strong weight loss note that the breast has significantly changed shape, has become smaller or sagged. This problem also leads to psychological problems, a woman begins to feel shy of her body, intimate problems may begin, and cases of severe depression develop. In this case, the woman also comes to the rescue of mammoplasty. Based on the knowledge of topographic anatomy, the blood supply of the mammary gland is carried out through the branches of the internal thoracic artery, lateral thoracic artery and 3-7 posterior intercostal arteries from the thoracic aorta. And the perforating branches of the intercostal arteries take an insignificant part. The venous network consists of a surface and a deep system. Deep veins accompany the arteries and flow into the axillary, internal thoracic, lateral thoracic and intercostal veins, partly into the external jugular vein. From the superficial veins of the mammary gland, blood flows into the dermal veins of the neck, shoulder, side wall of the chest and veins of the epigastric region. Surface and deep veins form plexuses in the thickness of the gland, skin, subcutaneous tissue and widely anastomosed with each other, with the veins of neighboring regions and the opposite breast. Therefore, the enlargement of the mammary glands with the help of implants can be performed through the incisions in three places: in the crease under the breast; on the margin of the areola; in the armpit area. Modern breast implants are a hard shell made of medical silicone with a smooth or textured surface. This shell is filled with gel or saline solution. The shape of the breast implants can be round or drop-shaped - the first create a pleasant roundness in the upper chest, while the second repeat the natural forms. Breast augmentation can be combined with their lifting-the need and possibility of combining these two operations is discussed during a consultation with the doctor.