Everything you wanted to know about breast enlargement
Most frequent questions patients asked me before breast enlargement
1. What implants do I use in my work? – Mentor and Polytech, silicone implants with memory gel. Each implant has serial number and it goes with life-long guarantee. I use neither Chinese nor French PIP implants. Patient’s safety is no. 1 on my list.
2. What is “dual plane”? – This is new technique where implant bed is made using special technique, so that its upper two-thirds are placed beneath the muscle while lower one-third is covered only with gland.
3. Why is “dual plane” better than standard placement of implant? – Position under gland in the upper pole gives impression of a ball stuck on a thorax, while position under the muscles forms unnatural cone shape, that is especially visible in the lower pole. Dual plane gives perfect transition in the upper pole because muscle presses the implant and naturally rounded lower pole, thus combining the best of both methods.
4. Does “dual plane” surgery hurts more? – Yes, but pain is temporary, and is relieved with Brufen or similar medicines, and great appearance is permanent!
5. How long does recovery last? – Averagely within 3-4 days most of activities are performed without anyone’s help, women usually get back to work after 7-10 days, and women athletes will experience full intensity of the training at least after 4-6 weeks. In the beginning it is hardest to get up from the bed, but it is usual that already on the first post- surgery day patients sit in their car and go. Patients stay in the hospital for 12-16 hours, usually only one night.
6. Where is the scar located? – Incision is in the inframammary fold, under the breast and it is 4-6 cm long. It will become almost invisible in time.
7. What size of implants is ideal one? – There exists not one ideal size only. There are always several implants that look nice, but I make definite choice as per patient’s wishes. In Serbia I usually use round 300-450 ccm implants that increase bra size for one or two sizes. Best option is when patient tries on several implants and chooses the one she likes the most.
8. Are anatomic implants better than round ones? – The answer depends on patient’s wish regarding the appearance of the upper pole of the breast. Round implants that give significant fullness to the upper pole are far more popular in USA and Germany, while anatomic implants give more “natural” look. Here in Serbia, more popular is the round implant, and “dual plane” technique contributes to this popularity, because thanks to it, fullness in the upper pole does not look fake.
9. How long do implants last and when do they need to be replaced? – Mentor implants have life-long guarantee and they are changed when patient wishes for different shape or size of her breasts.
10. Is normal breastfeeding possible after breast enlargement? – Of course, implants do not influence milk production and breastfeeding in any way. Strange feeling in the nipples vanishes during the first month and everything becomes normal.
11. Can women who have implants travel by plane? – Implants are negatively influenced neither by height nor by depth. Women can even dive uninterruptedly.
12. Can implant burst? – High-quality implant cannot. Not even in the case of, God forbid, traffic accident. High quality implants do not burse, leak or get deformed or decrease. People from Mentor are that confident in the quality of their products that they give free of charge implants, pay replacement surgery and give significant sum of money to patients if implants burst. But, no complaints were registered so far.
13. How often does capsular contracture occur? – Very rarely. According to Hall Findlay study, Mentor implants have the lowest rate of capsular contracture and lowest percentage of re-interventions because of the capsule itself.
14. Does implant have any connection to sports? – Yes it does! I advise girls that practice sports to put smaller implants and professional athletes to wait until the end of their active professional career. Due to decreased percentage of fat tissue implant must be placed under the muscle (hmmm… again we come to “dual plane”).
15, 16..17…18… I know that there are plenty more questions, and therefore I invite you to ask the same and I will gladly answer each.
15 comments to “Everything you wanted to know about breast enlargement”
Milena - Tuesday February 2nd, 2016
Postovani doktre Maljkovicu,
Posle dve trudnoce i perioda dojenja, moje grudi su potpuno “isparile” :), vise ih nema.. Oduvek sam bila mrsavica i imala male grudi, ali nikada nisam imala kompleks zbog toga, sve do sada kada su moje grudi ne samo manje nego pre vec i meke i opustene.. Naravno, znam, nisam vise devojka i svesna sam da se to dogadja pojedinim, mozda cak i vecini zena nakon trudnoce i dojenja, ali zasto to ne bih promenila ako je vec moguce.. 🙂 Zato sam malo pocela da guglam i da se informisem o augmentaciji i pronasla po nekoj mojoj, laickoj proceni da bi mi najvise odgovarali Polytech anatomski implanti,Diagon gel 4two AO, ovalna baza implanta, dual plane metoda.. Naravno to sve u cilju sto prirodnijeg izgleda i u skladu sa mojim proporcijama.. Visoka sam 1,74 i imam 48kg, imam 28 god. Moja pitanja su: Da li Vi i bez konkretnog pregleda mozete da me posavetujete o vrsti implanta koji bi mi odgovarao na osnovu gore navedenih karakteristika? Da li Polytech impanti takodje imaju dozivotnu garanciju kao i Mentor? Da li Vi u vasoj klinici radite sa Polytech implantima koji su presvuceni mikropoliuretanskim slojem? Da li bi mi preporucili takvu operaciju pre zeljene trece trudnoce, ne zbog dojenja,to mi je vec poznato, vec zbog eventualne promene izgleda dojki? I naravno, cena takvog ili slicnog izbora u vasoj klinici?
Unapred zahvalna..
dr maljkovic - Wednesday February 3rd, 2016
Poštovana, možemo na osnosvu fotografija i Vaših antropometrijskih mera (visina, težina, obim grudi) sa velikom preciznošću definisati potrebnu veličinu implanta. Polytech implanti imaju iste garancije kao i Mentor, a redovno koristimo poliuretanske implante. U mojoj praksi su poliuretanski anatomski implanti korišćeni u preko 90% slučajeva. Ukupne cene su 3000-3300e, u zavisnosti od vrste poliuretanskih implanta i uključuju sve troškove.
Iva - Sunday October 18th, 2015
Postovani,
planiram da uvecam grudi i dr mi je preporucio okrugle implante 425-450cc. Zanima me kojeg proizvodjaca su bolji, Mentor ili Polytech?
dr maljkovic - Wednesday October 21st, 2015
Mislim da oba proizvodjača imaju vrhunske implante, koji dobro izgledaju i dugo traju. Ipak, uvek savetujem koriscenje anatomskih implanta jer znatno prirodnije izgledaju.
Maja - Saturday September 21st, 2013
Pozdrav! Interesuje me, da li je moguce,kod veoma malih grudi, ugraditi bilo koju velicinu implanta tj. da li koza moze da se istegne koliko je potrebno za odredjenu velicinu?
drmaljkovic - Sunday September 22nd, 2013
Maksimalna veličina implanta je definisana konstitucijom, odnosno obimom samom grudnog koša. Koža se, pre ili kasnije, rastegne, što se vidi iz primera gde su žene radile po 700, 900, 1500ccm
Iva - Wednesday October 3rd, 2012
Kada sam otisla da se sa doktorkom koja je mene operisala dogovorim, prvo mi je pomenula moguce komplikacije…
Meni najstrasnija, bila je moguci gubitak osecaja u grudima…Rekla mi je da je nerv koji utice na to jako tanak, poput dlake i da se moze povrediti….Na srecu, to mi se nije dogodilo…
Pomenula mi je jos dve moguce komplikacije, ali mogu samo laicki da ih objasnim…postoji mogucnost da se stvori neka membrana (tako ja to zamislja) neka tecnost oko implatanta, koja onda odbacuje implatant…potrebno je samo opet otvoriti dojku, ocistiti i sve je ok….a u 3% slucajeva na svetu ta tecnost se pretvara u cvrstu masu, gura silikon napolje i tada je potrebno ocistiti podrucje, izvaditi implatante na par meseci, pa ukoliko osoba zeli ponovo vratiti…
Na srecu nista od navedenog nije mi se dogodilo….Osecam se fenomenalno sa svojim grudima..i imam osecaj kao da su takve celog zivota
drmaljkovic - Wednesday October 3rd, 2012
Ta priča sa gubitkom osećaja dodira u grudima baš i ne drži vodu, osim ako se ne radi o pristupu kroz areolu. Moderne tehnike povećavanja grudi nikada ne dovode do gubitka osećaja. Hvala na komentaru, uvek je dragoceno čuti mišljenje pacijenta.
Iva - Wednesday October 17th, 2012
Uh, dobro je….Sve moje drugarice je uplasila mogucnost ove komplikacije…
Ana - Sunday January 8th, 2017
Da li mogu da koristim imlantate od sestre? Ona je stavila nove i vece da ki bi mogli ds se stari denzifikuju i stave meni?
dr maljkovic - Sunday January 8th, 2017
NIKAKO!!!
Zaista se nadam da malo više cenite svoje zdravlje i svoje telo!
Nemojte to raditi, ma bilo i besplatno!
Čak i ako nadjete nekog ko bi takav zahvat uradio nemate nikakvu garanciju da će implant “preživeti” sterilizaciju, da nećete uneti bakterije ili viruse u svoj organizam ili da neće implant procuriti ili nešto gore uraditi. Postoji dobar razlog zašto implante bacamo posle vađenja …
violeta - Saturday August 25th, 2012
mene zanima,kako ziveti sa vestackim grudima,sa stranim telom u sebi,kakav je osecaj,da li on moze da uraste u meso,da se pomeri,kako ,,zivi,,silikon unutar tela, koje su moguce konplikacije,nemoguce da se samo stavi i to je to,da li moze i kako da narusi zdravlje,zelim da znam sve moguce konplikacije,ne zelim,da zazalim sto sam ih stavila,ako razumete sta hocu da kazem,lako je staviti ih,ali kako ziveti sa njima,volela bi da mi na ovo odgovori sem lekara i zene koje imaju silikone,2-5-10godina,kakav je osecaj,i sta se gubi a sta dobija novim grudima,jer nemoguce da je sve tako savrseno i sigurno kao sto se kaze,molim za odgovor, i hvala
drmaljkovic - Saturday August 25th, 2012
ovo ipak moraju da napišu devojke/žene koje su to već uradile.
Ja ću samo reći da žena koja je prva, 1962 godine uradila povećanje grudi i dan-danas ima silikone, sa svojih 78 godina živa je i zdrava i rado pozira, nakon svih tih godina.
KsenijaKeka75 - Wednesday June 20th, 2012
Tekst je odlican, ali htela bih da znam ako bih ugradila implante od 300 ml da li bi to bila trojka, a opet ako bih ugradila implante od 400 ml da li bi to bila cetvorka.
Unapred hvala na odgovoru
drmaljkovic - Wednesday June 20th, 2012
400 ml povećava grudi za dva konfekcijska broja, dok 300 ml daje povećanje za oko jedan i po broj. U obimu je to od 8-12 cm, dok je najveći dobitak u projekciji grudi koja se povećava za 4,5 do 6cm. Hvala na pitanju, propustio sam da ovo objasnim.