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Breast
Augmentation

mammoplasty

Breast augmentation is the most popular type of mammoplasty, and Dr. Grigoriak is an expert in the field. He will help you achieve the perfect balance, enhancing your natural harmony and making your dreams of an ideal bust come true.

Procedure
Highlights

Types of Breast Implants

Implant surfaces can be either smooth or textured. Smooth implants feel softer to the touch. Textured implants, on the other hand, attach more firmly to the surrounding tissue and are less likely to displace over time.

Implant shapes can be round or teardrop. Round implants create more enhanced cleavage, while teardrop implants are closer to natural shape and create a more sensual lower curve. The doctor selects the implant shape based on patients’ individual anatomy. Teardrop implants, for instance, often appear more natural on women with a slender physique or when the nipples are positioned quite low.

Implant size is selected using special gel inserts, which are called sizers. They allow you to see what your breasts will look like after the procedure. If you need to correct asymmetry, implants of different sizes can be used for the left and right breasts.

Dr. Grigoriak uses high-quality implants by leading global brands: Mentor, Motiva, Silimed, Polytech.

Implant Pocket

The pocket refers to the space where the implant is positioned, and its location determines how the implant is supported and held in place.

The surgeon will evaluate your anatomy and goals carefully to recommend the best placement method. Although you may prefer a less invasive option, the doctor may prioritise techniques that ensure long-lasting results. You will discuss this during a consultation and reach an appropriate decision together.

Under the Mammary Gland

In this approach, the breast tissue and skin support the implant. This method is ideal for patients with sufficient natural breast tissue who plan to use smaller implants. Although it is the least invasive procedure and allows for faster recovery, the implant may gradually shift downward over time.

Under the Muscle

In this method, the implant is completely covered by the chest muscle, which makes it especially suitable for slim patients with a thin fat layer. Only round implants are used and an incision is made in the armpit, so the surgery leaves no noticeable marks. Patients may feel mild discomfort during the first few weeks.

Dual Plane (Partly Under the Muscle, Partly Under the Gland)

This technique combines muscle and gland support. The implant is held in place by breast tissue at the bottom and secured by the chest muscle at the top. This makes it less likely to shift over time. Dr. Grigoriak usually prefers this method because of its durability.

Incisions and Sutures

There are three incision options for breast augmentation with implants:

Under the Breast (Inframammary Incision)

This is the safest and most commonly used method internationally. A small incision (about 2-3 cm) is hidden discreetly in the fold under the breast. However, it may not be suitable for patients with a poorly defined fold.

Along the areolar edge (Periareolar Incission)

The incision is made along the border between the areola and the surrounding skin. This enables the surgeon to gently separate the tissues without affecting the mammary duct. The scar becomes almost invisible within a month. However, this method is not suitable for patients with small and narrow areolas.

In the armpit (Transaxillary Incision)

The incision is placed in the natural fold under the arm, so it remains invisible even when arms are raised. However, this approach is more invasive and can lead to increased discomfort during recovery. It doesn't suit patients with significant breast sagging (prolapse).

The surgeon will help you to choose the option that best suits your anatomy and goals. All three approaches are safe for the milk ducts, so the procedure won’t affect your ability to breastfeed in the future. If fat transfer is used instead of implants, only a tiny puncture is made under the arm — it heals quickly and leaves no visible trace.

Anaesthesia Anaesthesia

More details

A team of experienced anesthesiologists will gently put you into a safe medical sleep. This is a traditional and reliable method of pain relief. Throughout the entire procedure, the anesthesiologists closely monitor the patient’s condition using advanced sensors and state-of-the-art equipment. Anesthesia never ends too early or too late: anesthesiologists precisely control its depth and only begin to awaken the patient when the surgeon signals them to do so. You can find more details about anesthesia in the Questions & Answers section.

Before/After

Beautiful and Reasonable

Two Procedures in One

Breast augmentation takes just 40–50 minutes, so it can be safely combined with other surgeries — such as rhinoplasty, liposculpture, or abdominoplasty. It can also be paired with the removal of cysts or benign breast formations (after proper examination).

By combining two or three procedures, you save time and costs on every stage — consultation, tests, anesthesia, stay, and recovery.

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