Breast augmentation

Natural volume and confident femininity

Breast augmentation (Augmentation mammoplasty)

Augmentation mammoplasty is one of the most preferred aesthetic surgical procedures when the goal is harmonious volume, balanced proportions and a natural-looking bust. By placing high-quality silicone implants, a long-lasting aesthetic result is achieved, tailored to the individual characteristics of the body.

The procedure is suitable for women with congenitally smaller breasts, loss of volume after weight loss, pregnancy and breastfeeding, as well as in the presence of asymmetries or congenital features. The motivation for the operation is different for each patient, but the goal is always the same – a better balance between the chest and the body and higher self-esteem.

Since every woman is unique, preoperative consultation is a key stage of the process. During it, Dr. Petrov takes the necessary time to understand the patient’s wishes, evaluate her anatomical features and together choose the most suitable implant in terms of shape, size and volume. The position of the implant and the location of the incision are also discussed, so that the final result is as natural as possible and consistent with the proportions of the body.

In cases with pronounced sagging of the breast, the plastic surgeon may recommend combining breast augmentation with lifting (mastopexy) to achieve an optimal aesthetic result.

To ensure safety and a high standard of medical care, in addition to standard preoperative examinations, it is necessary to perform breast ultrasound in women between 18 and 35 years of age, and mammography in patients over 35 years old.

Who is this procedure suitable for?

Breast augmentation is suitable for:

IMPORTANT!

It is important that you are at least 18 years old, have a stable weight, good general health, personal motivation for the operation and realistic expectations for the result.

Before the procedure, the plastic surgeon will talk to you about all your questions and expectations. The choice of a breast lift method is carried out individually, together with the specialist. Women who are planning pregnancy and breastfeeding are usually advised to postpone surgery.

Informed consent is a mandatory document that contains a detailed description of the procedure, possible risks and complications, anesthesia and financial conditions. It is signed after careful familiarization and the opportunity to ask questions to the plastic surgeon or anesthesiologist.

What is surgery?

An assessment of the physique, elasticity of the skin and the wishes of the patient is carried out. The shape, volume and position of the areoles are discussed.

The operation is performed under general anesthesia. Its duration is not less than two hours. The incision is made:
– under the breast,
– around the areola
– axillary
– Placement of an implant through the navel, TUBA method is possible only for prostheses filled with saline.

1

Consultation and selection of implants

Your anatomical proportions, aesthetic goals and lifestyle are evaluated. The shape, volume, projection and position of the implants (under or above the muscle) are selected.

2

Operation

The operation lasts about 1.5–2 hours and is performed under awake sedation in combination with local anesthesia. This is a very gentle type of general anesthesia in which the patient breathes on his own. The incisions are made discreetly – under the breast, around the areola or in the armpit.

Types of breast implants

Breast implants from established international manufacturers with proven quality and many years of clinical practice are offered on the Bulgarian market.

The variety of implants allows for precise individual choice, tailored to the patient’s anatomy and the desired aesthetic result. The main characteristics by which implants differ are:

  • Shell – smooth or textured
  • Filling – liquid silicone, cohesive silicone gel or saline serum
  • Shape – round or anatomical
  • Profile (height) – low, medium, high and very high

In our practice, we use implants of the highest class, with a nano-textured, smooth or textured shell and a filling of cohesive silicone gel, regardless of the shape. The advantage of cohesive gel is that in case of a possible violation of the shell, it retains its shape and remains in place, which increases the level of safety.

The choice of implant is made individually during the consultation, according to the anatomical features, the desired volume and the desired natural result.

Implant positioning and postoperative period

The breast implant can be placed in different anatomical positions, depending on the individual characteristics and the desired result – behind the mammary gland, behind the fascia of the muscle, under the pectoral muscle or in the so-called breast implant. Dual plane. Each plan has indications and an individual approach to each patient is essential for their choice.

The type of general anesthesia applied in our clinic allows very light and the patient wakes up with compression postoperative underwear and a stabilizing band, necessary for the correct positioning of the implants in the postoperative period. During the hospital stay, all necessary medications – antibiotics and painkillers, are administered intravenously.

The pain is usually moderate, and can be more pronounced with submuscular placement of the implants.

A 24-hour hospital stay is required for monitoring and control.

Recovery - what to expect after surgery?

Each patient recovers for a different period of time. Upon leaving the clinic, you receive a passport of the implants, which is your guarantee for them.

Risks and possible complications

All surgical interventions carry risks, and plastic surgery is no exception. Serious complications are not common when surgery is done by a qualified plastic surgeon.

Revision surgery: It is performed after implants have been placed and a complication or unsatisfactory aesthetic result has occurred. The development of an infection may require temporary removal of the implant and, after a period of one or three months, it can be placed again. Seromas and hematomas are drained, it is possible to do this under general anesthesia. Aesthetic correction may be necessary in order to: · Changing the size of the implant · improving breast symmetry · Replacement of a ruptured implant

Preoperative preparation

It is forbidden:

  1. Take Aspirin and its derivatives at least two weeks before surgery.
  2. We recommend that you stop smoking two weeks before surgery.
  3. If you are taking any medications, you should notify your treatment team!
  4. If you have any evidence of a drug allergy, please inform your treatment team, which will require testing and taking medications 3-5 days before the operation!

on the Day before the operation

Hair

If there is body hair in the area of surgical intervention, it should be shaved immediately before surgery.

19:00 - 20:00

Reception of a light dinner

on the day of the operation

For ladies

A prerequisite is not to be on your period on the day of the operation and not to be pregnant!

Until 9:00 a.m.

Medication intake – only with water

After 9:00 a.m.

You can drink a small cup of coffee, tea, water or juice
(if the operation is after 14:00)

No food

It is prohibited

  • Smoking
  • No makeup, varnish, jewelry, contact lenses, dentures, nail polish (especially gel polish).
  • Remove all head and body piercings before entering the operating room.

No nightgown, slippers or towel are needed – only personal toiletries.

Necessary research

Laboratory tests

Contraindications and warnings

Consult our specialists

Make an appointment for a consultation with Dr. Petrov, dr. Lafcis et al. Lozanov. Our specialists will evaluate your case and prepare an individual treatment plan.

Contact us for questions and more information.

plastic surgeons Sofia

Dr. Stoyan Anastasov

Specialization

Graduate

Scientific congresses and international trainings

Aesthetic Medicine and Injection Techniques

Surgical and Medical International Courses

Specialized medical courses in Bulgaria

Differences

Membership

plastic surgeon Sofia Dr. Lafchis

Dr. Alexandros Lafcis

Seniority

17 years

Specialization

Graduate

Work experience

Additional qualifications

Membership

Professional interests

plastic surgeon Sofia Dr. Petrov

Dr. Violin Petrov

Seniority

30 years

Specialization

Graduate

Work experience

Membership