How to keep your breasts beautiful and attractive in adulthood

Photos before and after Reviews Videos Rehabilitation Prices Analyzes Questions and Answers

We will not reveal any secret if we say that breasts are a unique symbol of female beauty. It's always been like this. But, unfortunately, nothing is permanent in the world; female beauty fades over the years. The breast can be compared to a flower bud that has just opened. It is beautiful and fresh, it captivates the eye, catches glances full of admiration, but time passes and the flower changes...

The same is true for women’s breasts: in youth they are firm and high, but with age they change . For some, after childbirth, it becomes smaller, for others, it droops, for others, it suffers from the fact that the breasts are too large, but, either under their own weight, or over time, they sag a lot and look ugly. Grieving about the past or trying to regain youth with the help of pills or creams is pointless. But this does not mean at all that a woman should give up on herself and her beauty.

Modern plastic surgery is ready to offer every woman a more than effective way to turn back time. This is mammoplasty . The first thing an experienced plastic surgeon should do before choosing the type of operation is to determine the condition of the patient’s mammary glands. What kind of skin does she have, glandular tissue, what degree of breast sagging (degree of ptosis).

Everything is determined individually. In no case should you approach breast surgery as something serial, because what is ideal for one patient may not be suitable and may even harm another. This applies even to the usual and uncomplicated breast augmentation. And if a woman wants to simultaneously reduce and tighten her breasts, she needs to carefully weigh everything, because it is quite possible that one breast lift will be enough.

Mastoptosis and its development

Sagging of the breast with the formation of a plane in the upper thoracic region with deformation of the position of the nipple is called mastoptosis. With mastoptosis, visualization of a skin fold also occurs. With mastoptosis, one can distinguish the main stages of its development, which characterize certain conditions of the breast.

1. At the beginning, it is expressed in the fact that the level of the skin fold located under the breast and the nipples begin to coincide.
2. Then the location of the nipples shifts within three centimeters (below the level of the fold), while simultaneously pointing forward.
3. Finally, at the final stage, the nipples, in their previous position, are already directed downwards.

Recovery and follow-up after breast surgery

Olga Fem: And if everything goes well, how often does a woman need to see a surgeon? When will correction be needed? After all, after plastic surgery, the breast requires “maintenance,” so to speak. And not just - do it and forget it.

Denishchuk P.A.: It is necessary to be observed. The first month after surgery we monitor patients very closely, there is a special rehabilitation period, we perform certain procedures.

The procedures are aimed at restoring the patient as quickly as possible, minimizing the load on the scar, so that the seam is minimally noticeable. At our clinic we have rehabilitation specialists and surgeons who deal with this process. On average it takes 2-3 weeks.

3 months after the operation, we perform the first ultrasound on the patient to examine the condition of the implant capsule. Then we do another ultrasound after 3 months. Then again after 3 months, then after six months. That is, for the first year we see patients very closely.

And then we call patients once a year. We have been doing this for more than 20 years and we already have a whole list of patients whom we call, send letters, call to the clinic, examine scars, ultrasound control and, in conclusion, give recommendations on what needs to be done. It's in good condition.

Sometimes patients come early because something doesn't suit them. What is the first thing they don’t like? As a rule, dynamics associated with age. Everything tends to droop, including the breasts. Even if the weight is stable. If the patient is no longer satisfied with this omission, we look at how to correct it.

This can be the use of the same fat under local anesthesia, external correction around the areola, and we restore the shape of the breast. But sometimes, if the prolapse is already serious, you need to raise the question of replacing implants.

How to maintain a spectacular breast shape

The question in the title is always relevant. Many women are interested in the possibilities of reducing the risk of their breasts losing their previous shape. After childbirth, special care is required, and the optimal time for prevention is during the feeding period. The following methods should be used:

• Regular contrast showers help strengthen tissues and increase their resistance to sagging. For just one minute, you need to alternately direct the shower stream to the right and left breasts, sequentially changing the water temperature (for each breast during the procedure there are 3 waterings of 10 seconds each). To achieve a noticeable effect, it is recommended to simultaneously massage the breasts with soft circular movements.
• The use of expressing using a breast pump, which eliminates stretching of the breast tissue. But stagnation of milk can also adversely affect the condition of the breast. Therefore, before going to bed, you should definitely empty your breasts.
• It is recommended to place the baby on both the left and right breasts, otherwise the problem of asymmetrical filling of the breast with milk arises. This method works to preserve the shape of the mammary glands.
• Personal hygiene.

Separately, let’s talk about the need to use a bra, which also works to preserve the shape of the breast. When choosing it, focus on the following details:

• Bust material. Cotton fabrics are the most preferred, while lace will have to be abandoned for a while.
• Cut. Wide straps; Choose the size of the cups so that they completely cover the chest.
• The presence of removable parts of the bra, which minimize discomfort when feeding the baby. Among the obvious advantages of this type of bras are comfort combined with practicality, because they help maintain the shape of the breast.
• Strict compliance with the bra size in order to eliminate the possibility of squeezing the mammary glands.

The sitting position is the most common position for feeding a baby, but it is worth considering that in this position the baby pulls on the mother's nipple, which in turn leads to stretching of the breast skin. This has a negative impact on the mother's health, and stagnation occurs due to uneven distribution of milk.

Large breasts after childbirth: what to do? Reduction mammoplasty.

Reduction mammoplasty is the most effective method for solving such a problem as gigantomastia. Due to the high load on the spine, the formation of diaper rash, skin stretching and ptosis, breast reduction surgery is performed not only for aesthetic reasons, but also for medical reasons. In the USA and some European countries, reduction mammoplasty is included in the compulsory health insurance program. The essence of the operation is the resection of excess fatty tissue, glandular tissue and skin. As a result, the patient may partially or completely lose the ability to breastfeed, since during this operation the intersection of the milk ducts is inevitable. The method of reduction mammoplasty is selected individually: it depends on the initial volume of the mammary glands and the preferred result. The plastic surgeon strives not to disrupt the innervation of the nipple, and during the process of reduction mammoplasty he can adjust the size of the areola - make it commensurate with the reduced breast.

Reduction mammoplasty performed by Oleg Leonidovich Nesteruk.

A few words about massage for breast lift - combining business with pleasure

The protein collagen is responsible for the strength and elasticity of the tissues of the human body. During the massage, active oxygen saturation occurs at the cellular level, due to which increased collagen synthesis begins. The skin is tightened, its appearance improves - it becomes more elastic and smooth. Moreover, through massage it is possible to achieve even moderate breast enlargement. You can carry out the massage procedure yourself or contact specialists in this field of services. At home, a first-class effect can be achieved by using good olive oil mixed with a small amount of essential oil (from grape seeds). Moreover, thanks to this addition, the skin will acquire a special light aroma.

When and why do you have to change implants?

Denishchuk P.A.: Implants are changed in several cases:

1. When a woman is no longer satisfied with the condition of her breasts, and we cannot correct them using other methods. Then we remove the old implant and install a new one. Typically this will be a larger implant. If a woman agrees with this, great.
2. If a woman says, “no, doctor, I don’t want big breasts,” then we need to add an incision either around the areola to reduce the stretched skin, or make a vertical scar—a mastopexy. That is, remove excess skin and correct the shape of the breast.
3. Another case when you need to change implants is non-survivability. In 5-8% of cases, such implants are inert, but they do not take root. Non-survival can occur both in the immediate postoperative period - 1-6-10 months after surgery, and after 5-10 years.

That is, the body reacts to the implant in such a way that it begins to form a denser capsule around the implant. At first, the patient may feel that the breasts have become tighter. Then pain may appear, so it is very important for the patient to know this nuance and immediately contact the surgeon.

This can be treated conservatively, it can be prevented, but if the situation is already advanced, then you need to operate again. Excise the old capsule, install a new implant and model a new breast shape.

But if the patient is satisfied with the shape of the breast and we see on ultrasound that everything is fine, there is no need to change the implants. My patients have been wearing implants for 15 years, and they are happy with it.

Additional breast support during breastfeeding - useful tips

During the daytime, it is recommended to wear a soft bra that fits snugly to the chest, but does not squeeze the mammary glands. When choosing underwear for sleep, bras with underwires or other additional inserts are excluded. The bra can be replaced with a comfortable top that also supports the breasts. During the day and at night, it is recommended to use special breast pads that will help keep your underwear clean. Otherwise, you need to change your night bra every day and then wash it.

Breast fat grafting or implants

Denishchuk P.A.: It is possible to create at least half the size or size, and not at once, only with the help of your own fat cells - this method is called breast lipofilling.

But if a woman has the goal of restoring the shape of her breasts, enlarging her breasts by one and a half, two or three sizes, then these are only implants.

Unfortunately, no other method has been invented to date. And you need to understand that only using fat or implants can you restore the breast shape that was before or is in the patient’s vision. Other methods that are currently being discussed, unfortunately, have no basis in reality.

Recommendations for ending the breastfeeding period

When the lactation period is completed, compression of the ducts of the mammary glands occurs, which means it is possible to think about a breast lift. An important condition for this is the stabilization of one’s own weight, since a lift can only be done when the weight is constant and weight loss is not planned. Otherwise, you must first achieve the desired weight loss result in a time frame that is comfortable for you.

Often during pregnancy, women notice the appearance of stretch marks on their chests, as well as an increase in areolas. In this connection, they are concerned with the question: can a breast lift with a parallel procedure to reduce areolas make stretch marks less noticeable? First of all, you need to know that complete removal of stretch marks is impossible in principle, but some of them are successfully removed surgically, and the laser photothermolysis procedure allows you to qualitatively hide the remaining marks.

Effective breast lift in Moscow without implants - by the best plastic surgeons at the Celine clinic.

Age-related changes in the mammary glands

With the onset of menopause (after 40-45 years), involutional changes occur in the tissues of the mammary glands; glandular tissue begins to gradually be replaced by adipose tissue. It has been noted that in women who have given birth to 2 or more children, breast involution occurs more evenly, compared to women who have given birth infrequently and who have never given birth at all.

During menopause (50-60 years), fibrous tissue begins to form more intensively. After 60 years, the mammary glands in women are structurally infrequent milk ducts and lobules, localized in adipose tissue. If we consider the ratio of structures in the mammary glands, then by this age they consist predominantly of adipose tissue, and fibrous tissue occupies approximately 25%.

At this time, the skin becomes dry and wrinkles appear. By eliminating the effects of harmful factors and developing the right habits, you can slow down the aging process and prolong the youth and beauty of your breasts.

Description of breast lift techniques

Mastopexy: Despite popular belief, a breast lift is not necessarily performed in parallel with the installation of silicone implants. Two main techniques are used: 1) periareolar; 2) Lie-lift (aka SPAIR). The first operation involves a residual scar only around the areola, and the second also involves a residual scar on the lower slope of the mammary gland. Alternative techniques may leave an additional scar in the fold under the breast.

To choose the appropriate lifting method, a preliminary assessment of the current condition of the breast is necessary - this can be obtained during a personal consultation with a specialist; There you can also familiarize yourself with the cost of each type of operation.

Possible mastopexy techniques may include:

— the most popular method is a lift with a vertical scar. But a high-quality effect is achieved when combined with other plastic surgery procedures. The effectiveness of the method has been proven in cases of significant postpartum changes, expressed in significant breast sagging. Initially, the surgeon removes a fragment of skin that has undergone maximum stretching; then determines the new contours of the breast, after which the nipple is transferred. When suturing incisions, a cosmetic suture is used. after the operation, a vertical scar remains visible, and the second one (near the nipple) is only slightly noticeable. In parallel with this technique, the breast volume is adjusted upward.

— breast lift using the periareolar method is no less common, but it is prescribed for moderate ptosis. The sequence of the operation is as follows: 1) First, an incision is made along the perimeter of the nipple. 2) The surgeon redistributes part of the breast tissue. 3) The nipple is transferred to a new position. 4) The final stage is working on the areola - its size is adjusted. The advantage of this method is a minimally noticeable scar.

In addition, the lifting procedure with simultaneous breast augmentation is somewhat popular.

For all types of such operations, general anesthesia is used, the final type of which is selected in each case individually. The operation itself lasts no more than two and a half hours, and hospital stay is required only on the first day after it.

Risk factors for the development of breast pathology

• Artificial termination of pregnancy.
• A short period of breastfeeding (less than 5 months), or complete refusal of natural feeding.
• No children or the birth of one child.
• The onset of the first pregnancy after 30-35 years.
• Lack of regular sex life.
• Changed hormonal levels.
• Breast injuries.
• Stress and constant nervous tension.
• Smoking, poor nutrition and alcohol.

Exercises to get back in shape

According to almost all doctors, restoration of the previous shape and size of the breast is impossible without sports and physical activity. If a woman does not have a lot of free time to visit the gym, light gymnastics, which can be done at home for half an hour, will help her transform her breasts. Experts recommend doing it in the morning, an hour after the first meal.

So, gymnastics will consist of the following exercises:

• tilting your head to the side;
• tilting the body to the sides together with the head;
• raising and lowering the shoulders;
• swing your arms;
• rotation with arms spread to the sides;
• pulling back the arms extended in front of you;
• sharp straightening of the arms, which are bent at the elbows and pressed with the hands to the shoulders;
• straightening the hands clasped behind the waist line;
• movement of the mill by hand;
• shoulder rotation;
• squeezing the palms of the hands at chest level in the pose of a praying person;
• lateral bending of the body;
• the same body bends, but with hands clasped behind the head.

Daily exercises of such simple gymnastics will show the first positive results within a month. It is imperative that a woman wear a special sports bra during such exercises.

Massage

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According to experts, high efficiency can be observed from massage, as it helps to influence blood flow in this area.

If special lifting creams or oils are also used during the procedure, the effect will be double.

Experts distinguish several types of massage.

Hydromassage

This is a simple but effective method that can be done every morning or evening.

It is enough to simply direct the stream of water to three zones - the area under the breast, directly around the areola and in a circle around each breast. The water should be at different temperatures.

It is important to change the water temperature every 10 seconds. Due to the temperature contrast, the blood vessels will be more elastic and the skin will become elastic.

The muscle fibers will contract, which will help lift the chest. You can perform this massage for up to 10 minutes every day.

Oil

This is one of the most popular types of massages, as the effect occurs quite quickly. After just a month of such procedures, you can see a noticeable improvement in the situation. The skin quickly tightens and becomes firmer to the touch.

To do this, you need to choose a natural essential oil. This can be orange, almond or apricot kernel oil, which perfectly tone and moisturize.

Movements for performing a massage should be soft and careful. Stages of implementation:

• apply a small amount of oil to your hands, rub a little on your palms;
• carry out light strokes in different directions;
• With three fingers (index, middle and ring) make circular rotations around the areola in one direction and the other;
• at first the pressure should be barely noticeable, and then slightly increase the pressure;
• gradually increase the massage circles to the outer edge of the chest;
• end the massage with light stroking of the entire area.

Remove any remaining oil with a napkin. The duration can vary from 5 to 10 minutes. Repeat the procedure 2 times a week.

Lymphatic

Manipulation can be called not only a cosmetic, but also a health procedure that helps get rid of congestion in the chest, preventing the appearance of mastopathy.

The palms must be folded crosswise. Apply pressure on the chest area only with the upper part of the palm.

To perform this you only need to make three movements:

• lower your palms from the neck to the outside of the chest, repeat for 2 minutes;
• massage the lower part under the breasts towards the armpits, repeat for 2 minutes,
• massage the side of the chest from bottom to top, repeat for 2 minutes.

If you have free time, you can repeat all three movements in the second circle. Finish the massage with light strokes.

Folk recipes

Sometimes it’s enough just to use the right trainer and already +1.5 sizes. I recommend this one!

Since ancient times, Slavic women were famous for their extraordinary beauty and voluptuous forms; since then, folk recipes for caring for the breasts and maintaining the elegance and voluptuousness of their forms have been passed down from generation to generation.

Some of them, which have already proven their effectiveness in the experience of many women, will be given below.

• Milk mask . For it, a woman needs to mix 20 grams of fresh cow milk and a teaspoon of cottage cheese. Having thoroughly kneaded the cottage cheese to a homogeneous consistency, the resulting mask is applied to the area of ​​the mammary glands and left for about half an hour. Using a cotton sponge and warm water, remove the remaining mask.
• Cabbage based mask . This recipe involves using a couple of drops of castor oil and 2 small leaves of regular white cabbage. The cabbage is chopped on a fine grater and kneaded with oil, the resulting mixture is applied to the area of ​​the mammary glands and left until the mask is completely absorbed. After this, the mask is washed off under cool water in the shower.
• Cream of oatmeal . After brewing 2 tablespoons of oatmeal in boiling water, you need to let it brew for 1-15 minutes. In such a porridge, white liquid milk forms on top of the flakes, which will serve as a moisturizer for the breasts. It is applied to the décolleté area and allowed to dry completely. After this, the woman will need to take a shower.
• Cucumber lotion. To prepare homemade lotion, you need to collect the following ingredients: a medium-sized fresh cucumber, half a liter of water, a quarter liter of vodka or pure alcohol. The cucumber needs to be thoroughly washed and grated, filled completely with vodka into a glass container and left to steep in the refrigerator for about 5 days. After this, the vodka infused with cucumber is filtered from the sediment and diluted with the required amount of water (necessarily boiled in advance). The lotion is ready, they wipe the area of ​​the mammary glands, except for the areola and nipples. After the product is absorbed into the skin, the woman needs to take a slightly cool shower.
• Peppermint lotion . In a glass of water you need to boil 2 tablespoons of pharmaceutical or freshly cut peppermint, boil the herb for about 5 minutes. Next, add a tablespoon of apple cider vinegar to the mixture, remove the product from the heat and cool. After a while, about 20 grams of rose water is also poured into it, stirred and allowed to brew a little. The mint lotion is ready at home; you need to wipe the décolleté area with it twice a day.

In addition to the above recipes, to give the desired breast shape, you need to adjust your diet so that it contains as many protein foods as possible, as well as those that are rich in digestible fats and nutritional components.

A friend recommended this cool chest exerciser to me. +1.5 to size and no problems! Girls - this is WOW!

Bad bras and sports tops

The only thing I still recommend to my patients is to use our bra, especially at first. This is a special bra, a special top that holds and forms the correct shape of the breast.

Because women often wear sports tops that compress their breasts and make them flat. In general, whether there is an implant or not, it is undesirable to squeeze the breast and make it flat.

The breasts should have their own shape and the bra should fit the shape of the breast accordingly. And support from the lower pole, and not create a plane.

Olga Fem: Is this a recommendation only for those who have had plastic surgery or for those who have not?

Denishchuk P.A.: It doesn’t matter! This is a recommendation for all women. Sometimes in the gym I see this picture - many women work out in beautiful sports tops that squeeze their chests. You can't do this.

Olga Fem: So you need to choose a top that has a cup?

Denishchuk P.A.: A top that has a cup that fits the chest according to its shape. It doesn’t matter if you have an implant or not, you need to wear the right underwear.

Olga Fem: Is it true that after breast surgery you need to wear a bra almost constantly, with the exception of sleep? And is it worth spending the whole day in a bra for women who do not have implants?

There is an opinion that although wearing a bra is useful for maintaining the shape of the breasts, it is still not very good for health, because it partially compresses the tissues, blood circulation is impaired, and therefore you should not wear a bra for more than 8-12 hours a day. What is your opinion?

Denishchuk P.A.: After the operation, there is a first period when our special bra is removed only for the time when you need to take a shower. After this, you need to put on a bra and walk only in it.

Restrictions for women with breast surgery

Olga Fem: Are there any restrictions for women who have undergone breast surgery? I mean both for the recovery period and long-term, maybe even lifelong restrictions in terms of fitness classes, weight lifting, etc.

Denishchuk P.A.: The first period—2-3 weeks—be sure to limit the load on the shoulder girdle. A woman can move her neck, she can run, she can pump her abs, but she cannot move her arms and shoulder girdle. That is, she can take care of herself, but she cannot lift any bags or lift any heavy objects.

We can allow minor physical activity after a month. That is, a woman can already pick up 1-2 kg and walk.

After 3 months in our bra, we allow you to do some exercises in the fitness room without putting any weight on your shoulder girdle. And for life, we do not recommend doing dumbbells, working hard with the shoulder girdle, and lifting and throwing the bar onto your chest. It's simply prohibited.

By the way, it doesn’t matter whether there are implants or not – women do not want to injure this area with a barbell. And if there is an implant, then even more so! Because this can just provoke what I was talking about - a situation when the body begins to react to the implant and form a denser capsule.