Plastic surgery: what to talk about with a surgeon during a consultation?
“Measure twice, cut once” is a proverb that has become a kind of motto for plastic surgeons, since competent planning of the operation is the key to its successful implementation. Naturally, the main role in this matter is given to the specialist. However, in order for the patient to understand what changes can be expected, both parties must interact in preparation for the intervention.
So, you should ask the surgeon whose services you are going to use a number of questions. Which ones exactly depends on the operation.
Before mammoplasty
Those who intend to resort to endoprosthetics of the mammary glands need to clarify the following: is it advisable to perform the operation now or is it better to postpone it? If a woman wants to become the owner of large breasts, but is planning a pregnancy, she will need repeated intervention immediately after giving birth. It is better to know about this prospect in advance. In addition, the patient should be aware of which implants will be installed (manufacturer, volume, shape, profile, texture).
If a woman is not sure that her image will become more perfect with a new bust, it is reasonable to perform computer modeling, “trying on” several types of implants. It would be a good idea to find out what to expect during the rehabilitation period and clarify how soon you can return to your normal lifestyle.
Despite the fact that modern breast implants are high-quality products with a lifetime manufacturer’s warranty, you should not hope for a permanent effect, since over 10-20 years the skin can stretch and, most likely, a new correction will be required.
Before liposuction
Before resorting to liposuction, you should understand that this procedure is not a panacea for excess weight, and certainly not a cure for obesity. It is aimed at eliminating local fat deposits. Find out from your doctor whether it is possible to achieve the desired effect without surgery, through sports training and dietary restrictions. Let him confirm that the area you want to treat is indeed a classic fat trap.
The first thing that needs to be discussed before surgical correction of the abdomen is what the volume of intervention will be.
The doctor should also explain what kind of liposuction will be performed. Modern plastic surgeons use classical (vacuum), laser, ultrasound, vibration and water-jet liposuction in their practice. This or that technique is prescribed depending on the individual characteristics of the patient and the condition of the area of treatment.
I prefer BodyTite in most cases. To understand how your body will transform, ask how many kilograms will be lost. But remember that the purpose of liposuction is not to eliminate excess weight. During it, the contours of the figure are corrected.
Before abdominoplasty
The first thing that needs to be discussed before surgical correction of the abdomen is what the scope of the intervention will be: mini abdominoplasty or full abdominoplasty. However, making the final decision in this case is the prerogative of a specialist.
To understand how radically your figure will change, ask how much weight you will lose. But you should not hope that through the operation you will be able to get rid of the extra 10-15 kg. Abdominoplasty is essentially the removal of excess skin on the abdomen, rather than “cutting off” excess fat.
Finally, check how long the rehabilitation will take - you will need this information to plan your vacation.
Before facial plastic surgery
Before you lie down on the surgical table to correct age-related facial changes, figure out what specific operation will be performed and why. Ask if it is possible to achieve a rejuvenating effect through cosmetic procedures.
Another question that must be asked is what will happen to the face after the intervention in your case? After all, it has a complex structure and individual characteristics. It doesn't hurt to look at photos of former patients who faced similar problems before and after surgery. This way you will understand what result to expect.
To get in shape, you'll probably need a vacation. Find out how long you need to adhere to post-operative restrictions and when you can return to your normal rhythm of life.
What you need to know about mammoplasty surgery
“I really want to enlarge my breasts, but I don’t know how to choose the right plastic surgeon for this and what implants to look at? Anna"
Anna, when choosing a plastic surgeon, first of all, you need to pay attention to the surgeon’s work experience in this field. Unfortunately, in Russia the postgraduate training system allows you to become a plastic surgeon immediately after graduation. And this is not entirely correct.
If the surgeon has extensive work experience and positive reviews, then your choice should be made only after communicating with the surgeon.
There are many implant manufacturers in the world. I prefer the Mentor company, with which I have been working for more than 15 years and have not yet encountered any problems. Plus, they are the only manufacturer to offer a lifetime warranty worldwide.
“How much does breast augmentation surgery cost now? Olga"
Olga, the price range for breast augmentation surgery is very large. I think it is necessary to focus on the average price level. For example, in our clinic, mammoplasty using the best implants with a lifetime guarantee costs 220 thousand rubles. You can make your choice after consultation.
“Good afternoon, plastic surgeon! I have almost no breasts at all, all bras with foam are too big for me (they don’t fill the cup), even the smallest ones. I want to get implants, but it will probably be immediately noticeable that my breasts are not real? Irina"
Irina, of course, if a girl with small dimensions wants breasts of size 4-5, then not a single professional will perform breast surgery so that the breasts look like real ones. Roughly speaking, the more tissue the implant covers and the more accurately it is selected, the more natural the result looks. And of course, you need to follow the correct installation technology, and only an experienced plastic surgeon can do this.
“I would like to know what new technologies have appeared in breast plastic surgery. Olya"
Olga, plastic surgery does not stand still. New methods of surgical interventions are being developed, technologies in the production of implants are being improved. Plastic surgery is rapidly developing for the better.
Breast plastic surgery in questions and answers with plastic surgeon Maxim Leonidovich Nesterenko
No, there cannot be implant rejection, since numerous studies have shown that silicone implants are immunologically resistant and hypoallergenic, and the risk of rejection is zero. They do not cause cancer, this has been proven by numerous studies and the duration of their use in practice. You need to understand this and not worry about it! (Smiles) SR
Is it true that anatomical implants tend to rotate (flip) unlike round implants? And what form of implants do you recommend to your patients?
M.L.
Any implant can turn or roll over, regardless of its shape. Another thing is that this happens in 2% of cases, that is, extremely rarely, and most often from an incorrectly formed “pocket” for the implant. I most often recommend anatomical implants to my patients. They look more natural, both in underwear and without underwear.
SR
Another common question is whether breastfeeding is possible after breast augmentation surgery. Does breast replacement affect breastfeeding function?
M.L.
No, it doesn't! With any of the methods of placing an implant, be it an inframammary approach, access through the areola or armpits, the implant is placed under the muscle, which in no way affects the functions of the mammary glands.
In my practice, I prefer the transareolar approach (access through the areola), since it leaves no visible scars. Also, if the patient has asymmetry of the inframammary fold, it is easier and more effective to eliminate it when placing an implant through the areola.
Access through the armpits is good because when placing round implants, if they are indicated for the patient according to the shape of the breast, it is more favorable to install them this way, since the incisions are minimal and subsequently almost invisible.
SR
After breast augmentation surgery, patients are prescribed to wear compression garments for 6-8 weeks, what is the reason for this? What is the function of a bandage or compression garment during the postoperative period?
M.L.
Wearing compression garments is a mandatory procedure, which helps the process of maturation of the normal capsule around the implant and its fixation in the postoperative period. We use underwear to fix the implants in the desired position.
SR
Maxim Leonidovich, what factor do you consider the most important in the work of a surgeon to obtain a successful result after breast augmentation surgery?
M.L.
It would be incorrect to single out any one point. Since the successful outcome of breast augmentation surgery depends on many factors, which in turn subsequently give good results.
I can highlight several important points - these are preoperative calculations and markings, the correct selection of the size and shape of the implant, as well as a well-formed pocket for the implant. This is not all, but the key points that determine the outcome of the operation.
SR
Patients, before making a choice in favor of one or another plastic surgeon, first of all study the album of works on the operation of interest, the pricing policy, which forms the final cost of the operation, and often the availability of certain promotions play an important role. Where can I get acquainted with the archive of your works, price list and possibly promotional offers in more detail?
M.L.
I propose to evaluate some of the works in the photo series for this interview, and patients can familiarize themselves with a larger volume on my personal website www.dr-nesterenko.ru.
As for promotional offers, there is currently a promotion for breast augmentation 160t and rhinoplasty 140t. All inclusive.
The editors of the encyclopedia Cosmoplastica.ru thanks Maxim Leonidovich for an interesting, informative conversation and expert opinion in answering key questions of interest to our readers! The specialist's resume can be found here.
