Breasts, this sacred and fascinating organ, does not belong to the reproductive organs and does not directly participate in the construction of sex, but it is the second sex characteristic that girls care most about. Goddesses bloom beautifully in their best years, and then age gracefully. The life of breasts is full of vicissitudes through development, maturity, breastfeeding, atrophy, and even the risk of being removed. The most obvious secondary sex characteristics of girls entering puberty is the development of breasts, the development of early and late and the size of the breasts are affected by a variety of factors, such as hormone levels, genetic factors, nutritional conditions. Generally by the age of 18 or so the development of breasts and adults have no significant difference. Flat-chested girls begin to wonder if their puberty has not begun? This is belongs to the too small breasts due to underdevelopment. I heard that breasts will develop twice during pregnancy and breastfeeding? The girl you think too much! During pregnancy, because of the large increase in the level of estrogen and progesterone in the body, the breast tissue and fat tissue increase, and the breasts naturally become larger. However, with the end of breastfeeding, milk emptying and postpartum weight loss, the enlarged breasts will not only retract, more terrible is also sagging, which belongs to the breast atrophy after breastfeeding caused by small breasts. The main breast augmentation programs for small breasts are: saline implants, silicone implants, fat grafting breast augmentation, as well as non-surgical breast augmentation Brava. girls are also hardworking enough for the sake of beauty. Breast augmentation with saline-filled implants was first reported in France in 1965. The biggest pitfall of saline-filled breast implants is that they are prone to leakage, which is what we commonly see in movies because the towering breasts deflate on impact. There is also another obvious disadvantage of the lack of tactile sensation, due to the low viscosity of the saline, which does not create the tactile sensation of breast tissue. Saline bag implants are now being phased out, but there are still cases of their use in the United States. In fact, silicone prostheses were available before saline bags, and the first generation of silicone prostheses, Cronin-Gerow, was introduced in 1962.2 The shell of the first generation of prostheses was made of thicker, smoother silicone rubber, and the contents were silicone gel with moderate viscosity. Unfortunately, these early silicone implants had a high incidence of pericontracture, meaning that the breasts were hard to the touch and misshapen. In 1970, in an effort to reduce the incidence of contracture, a second generation of thinner, seamless-shelled implants was developed with a silicone gel that was plowed for viscosity, but because of this, silicone molecules could diffuse or flow into the lumen around the implant. In 1980 a company developed a third-generation prosthesis with a shell made up of multiple layers of silicone rubber, which achieved an undetectable level of leakage prevention and a much lower incidence of prosthetic rupture. In 1992, the fourth generation prosthesis was further improved to meet FDA standards. At the same time, the fifth generation of implants also introduced the concept of anatomical implants, offering 12 types of implants of different lengths and protuberances in each volume, allowing for a more natural breast shape in breast augmentation and breast reconstruction. 12 Types of Implants The fifth-generation silicone gel implants are almost always chosen for breast augmentation, so is it all over once the implants are in place? It used to be thought that they could be retained in the body for life, but the latest guidelines suggest that there is an aging process and it is recommended that they be replaced in 10-15 years. Many unmarried girls also have the question, can I breastfeed after breast augmentation? Usually, we recommend that unmarried girls wait until they have finished breastfeeding before considering breast augmentation. But girls just want both the fish and the bear’s paw! Whether breast augmentation and breastfeeding can be both depends on how and where the breasts are augmented. Breast implant augmentation surgery has axillary, areola edge, lower breast crease, umbilicus these four approaches, the first two approaches are more commonly used in Asian people. The axillary approach avoids any scarring on the breast and is suitable for different types of implants and different levels of placement (behind the mammary gland, behind the pectoralis major muscle, or biplane). However, it is more difficult to accurately place the implant with this incision, and therefore is not suitable for implants with a high degree of stickiness, and additional areola incisions are required for secondary surgery. Schematic diagram of the areolar margin incision The areolar margin incision has an inconspicuous scar after healing, and this incision is easier to handle the breast tissue in case of periareolar contracture. However, there is a risk of ductal dissection and nipple sensory nerve damage, and it is not suitable for the placement of larger implants. If the ducts are damaged, then milk cannot be expressed and breastfeeding will have to be stopped. If the sensory nerves of the nipple areola are damaged, you cannot feel the stimulation of sucking, and it is difficult for the brain to know that your baby is going to eat milk, which makes breastfeeding difficult. During pregnancy and breastfeeding, the shape of the breasts will change significantly due to hormone levels, and the previously inserted implants will not (hen) fit (nan) (kan), and may need to be adjusted again surgically. Of course, you can also have breast augmentation without damaging the mammary glands, milk ducts and nipple sensory nerves, and then remove them before pregnancy, and then put them back in after breastfeeding, which is perfect (think too much)! Breast augmentation with breast implants involves risks such as aging of the implants for replacement, contracture of the peritoneum affecting the feel and appearance, transection of the mammary ducts, damage to the sensory nerves of the nipple, and scarring of the incision, and so on, and breast augmentation with fat grafting has brought new hope to girls again. It turns out that fat makes us ugly just because it’s not in the right place. The fat is extracted from the waist, abdomen or thighs and injected into the breasts after a series of treatments to increase the volume and shape the breasts. There is a certain absorption rate (40-60%) of the transplanted fat tissue, so a second surgery is required to achieve a more optimal result. There are many ways to improve the retention of the transplanted fat, such as the addition of autologous stem cells, growth factors, or the application of Brava before and after the surgery, which is the same as planting a field, in order to have a better harvest, you need good seeds (the addition of autologous stem cells), fertilizers (the addition of growth factors), and a good soil environment (the application of Brava). For girls with different conditions, of course, a two-pronged approach (fat grafting assisted by breast implants) can also be used to shape a more natural and plump one. A-cup girls want to jump to C-cup so how much fat is needed? First of all, you need to accurately measure the size of your own bust (see the chart below for specific measurements), and the average volume corresponding to each size of breasts is shown in the table below, so it is very clear how much fat is needed. Then skinny girls have to worry again, I don’t have enough fat! In fact, thin people can also have a plump spring. In an area of about 200cm2 (the area of a male surgeon’s hand) with a thickness of 0.25cm about 50cc of fat can be extracted. A petite girl can have about 200-300cc of fat extracted from one side of her thighs, which is enough to increase the size of one side of her breasts by 2-cups, so there is no need to gain weight before the surgery in order to get more fat. Instead, if all conditions permit, we recommend that the patient lose weight so that smaller fat cells can be obtained for grafting, and the patient’s breasts will increase in size to compensate for the reduction in breast volume due to fat absorption after the surgery when the patient’s weight returns to normal. Where is the best place to draw fat for breast augmentation? First of all, the patient’s wishes should be respected, that is, wherever the patient wants to be thin, wherever the patient wants to be thin, wherever the patient wants to have more meat. Secondly, the fat should be extracted from the part with stable fat volume, in other words, when you are thin, you will lose your stomach first, and when you are fat, you will lose your stomach first, so the fat volume of the stomach is unstable, and it is easy to change with the change of body weight. The volume of breasts will be more stable when such stable fat is used for breast augmentation. However, there are also girls who envy flat-chested girls who have to endure neck and shoulder pain, Bra straps indentation, inconvenience in dressing and exercise because of oversized breasts, too tired to put their breasts on the table and take a rest. Thankfully, enlarged breasts do not increase the incidence of breast cancer. Breast reduction plastic surgery can be used to relieve symptoms, improve quality of life, and achieve a beautiful, natural-looking breast.