Frequently Asked Questions

It is certainly not necessary to change a completely healthy implant. Some manufacturers even provide lifetime guarantees, but sometimes it happens that for one reason or another, implants are allowed to “sweat” or they form a solid connective tissue shell (capsule counter-current), they should consult with the plastic surgeon individually decide on the need to change implants. In my practice, it is much more common to change the implants because the patient asks for implants of another size or shape.

Usually, the next day after breast implants, the patient can go home. However, as with many things in medicine, this can’t be strictly approved. It turns out that the patient is left in the hospital for a day less than two. This is determined by the general condition of the patient and feeling well after surgery.

Therefore, scars after breast enhancement remain on all occasions. The only question is whether they will be easily noticeable or not. If the surgery is technically done well, the body normally responds to surgical cuts and prevents complications, the scars are absorbed fairly well and can easily be disguised. Different surgeons will give priority to different breast enhancement methods, and this is natural because the best one is the one you know best. Dr. Tautrimas Aštrauskas prefer breast enhancement implants through the armpit, because the scar remains in the natural fold of the skin and is completely invisible without lifting your hands.

Yes. Women with breast implants from the age of 50, like all the others, are advised to participate in the global breast test. For women of this age, the ideal test for early diagnosis of cancer is mammography. If a woman knows that her close relatives are breast cancer cases, the test is recommended earlier. In this case, ultrasound breast test may also be recommended, for which the implants are not contraindicated either.

There is no direct link between breast augmentation with implants and breast cancer. A massive scandal on PIP implants in the press greatly discredits other implant makers because, according to publicly available information, these implants used technical silicone. This is a very flagrant violation of the product safety, but fortunately the implants mentioned in Lithuania have not been distributed.

The main thing is the patient's health, not age. Therefore, breast augmentation can be carried out at any age, and it is most important to take into account those risk factors that a particular patient has. Of course, with age, the risk factors are most often rising, but the opposite is true.

Burning in a solarium or in the sun does not affect the implants, but can highlight scars in the incisions. You should avoid tanning after a surgery at least one year, as the effects of radiation on the skin become darker (“tan”). If, after 1 month of surgery, you decide to go to the solarium, then, in order to avoid scarring, we recommend cover them. The temperature of the implant, as well as the human body, rises slightly during tanning. The implant may cool slightly longer than the body.

Whether you succeed in breast-feeding after breast reduction depends a lot on the chosen breast reduction method. If the milk tanks are saved, the ability to feed is maintained, but there is always a risk that the flow of milk will malfunction. It is also important to note that pregnancy, childbirth and breast-feeding can change the shape and size of the breast, and therefore I recommend that breast reduction be postponed after breast-feeding whenever possible. It should also be remembered that if breast reduction has already been done before breast-feeding and you would like to breast-feed, do not give up. For dairy production and for successful nutrition, very important (often decisive) is a feeling and emotion.

Breast reduction surgery can only be done for aesthetic reasons, i.e. a woman does not feel any physical symptoms but is disturbed by disproportionately large breasts, which may prevent her from wearing certain clothes, limiting her physical activity, refusing to use public beaches, etc. It is still more likely that a woman with very large breasts (size of a bra> D) feel not only emotional but also physical symptoms: shoulders, neck, back pain, skin wrinkles, braces imprinted, etc. In my complaints, breast reduction in many countries (breast reduction) is even offset by compulsory health insurance.

Of course, breast lifting and augmentation are often done together. This often helps to achieve remarkably good results. Breast lifting and augmentation is one of the most common procedures that are recommend for my patients after breast-feeding (especially multiple breast-feeding), since then the mammary glands are atrophic (dry), the tissues lose their stiffness and the breasts are not only reduced but also matured.

Yes. Both breast and fat transplants are also used to smoothen facial wrinkles, rejuvenating the skin of the face, neck or hands. Fat for transplant is subcutaneously injected from the patient's own skin with a special fiber, similar to fat suction. After that, they are prepared and put into the right place.

I would say that breast augmentation is one of the most natural and effective breast enhancement methods currently used in plastic surgery, is transplanting its own fat. No implants are used in this procedure; therefore, no body reactions to the rejection of foreign tissue can be made. Fat in the breast is injected with a special fiber, so no cutting is required. In order to increase the effect of fat transplantation, I offer my patients an external soft tissue expansion agent (BRAVA) for my patients. A special device that maintains a constant gentle mild negative pressure is placed on the breast. Negative pressure draws tissues and stimulates their natural growth.

Fat grafting is a rapidly growing area of plastic surgery. This is a procedure in which the patient's body shape is adjusted using his own fats. The adipose tissue is a source of stem cells and bioactive factors, so fat transplantation can not only correct body lines, but also rejuvenate the face, hands and neck skin.

It has been observed that after liposuction procedure in the places where it was pumped, fat is absorbed more slowly, but the total body weight changes according to general laws. This means that the main determinants of body weight are nutrition and physical activity. Of course, genetics is not the last place. It should be noted that liposuction is not essentially a weight loss surgery, and therefore its weight is usually not significantly reduced. Of course, it happens that several kilograms of fatty tissue are removed during one surgery, but the main purpose of the procedure is to get rid of those fats that are difficult to burn during exercise or diet, and those who prevent the body from highlighting or returning youth lines.

The quantity depends on the patient‘s body type and decision from which part of the body is chosen to pump. In addition, different surgeons have quite different pumping tactics, so the limits are very wide. In dr. Tautrimas Astrauskas practice, he usually carry out liposuction from a couple hundred millilitres to 2-3 litres, but he have been pumped for 6 and more liters in one surgery.

Liposuction is not the best weight-regulator, but it's quite effective in getting rid of fat from those areas where neither diet nor physical exercises dissolve them. Due to the positive effect of liposuction, the whole body has been actively debated so far and there is no unanimous opinion. Several larger studies have confirmed the positive effects of cholesterol and triglyceride metabolism and inflammatory decline, but there is a lack of comprehensive and independent studies that will provide an undisputed conclusion and recommendations. In short, if you decided to get rid of unwanted kilograms, plastic surgeon would suggest starting with a diet and physical activity adjustment. If after adjusting the weight you will not be able to satisfy your appearance, visit a plastic surgeon.

Endoscopic face lift (firming) is performed by special equipment, the main instrument of which is the video camera. The built-in video camera is sterile for surgeries in the operating area, allowing you to access even-shared structures. The view that the surgeon sees on the screen is enlarged, that helps to distribute tissues more carefully, to stop bleeding, and also the camera is inserted through a relatively small cut of the skin, and therefore the scars after surgery remain much smaller than in the usual way.

In such cases, when the abdominal wall remains free even after active physical exercise and diet, it is recommended to perform abdominal plastic. During the operation, the abdominal straight muscles are brought together, which are caused by pregnancy and childbirth. It also eliminates excess of skin and dander.

Brazilian body correction surgery, where patients' fat is drained from “problem areas”, are specially prepared and injected into the buttocks. In this way, the buttocks are adjusted according to the wishes of the patient. For this purpose, only natural remedies - own fat are used. During the surgery, the buttocks are not only enlarged, they are also adjusted to fat liposuction, which is why the result is usually noticeable.

It is recommended that the ear plastic (correction of the protruded ears) be performed before the child starts attending the school, thus 5-6 years. This can prevent potential irritation and related stress, although the surgery is carried out at any age.

The cost of a plastic surgery, even the same surgery which is based on the same methodology, can vary considerably between the patients. This mainly depends on the number of risk factors a particular patient has and what materials he decides to use together with the plastic surgeon (implants, fillings, etc.). It is always more difficult to treat patients with high overweight, patients who have already been operated before, the risk of complications is markedly increased by smoking. Sometimes the individual patient's anatomical properties complicate the surgery and increase the risk, which, of course, increases the cost of surgery and postoperative care, but in such cases I try to share costs with the patient as much as possible.

Plastic, aesthetic or cosmetic and reconstructive surgeries are basically very closely related disciplines that overlap in many aspects, making it very difficult, and sometimes pointless to distinguish them. The word “plastic” comes from the Greek word, which refers to the art of modelling or sculpturing. It means that plastic surgery techniques are essentially designed to model the appearance of a person, to change, restore or improve the appearance. Tissue plastics is needed when it comes to restoring tissue integrity by removing scars, tumors, burns, chronic wounds, and surgeries on aesthetic indications.

The essence of reconstructive or restorative surgery consists in restoring the function, in this case the appearance remains in the second plan. Reconstruction operations may be aimed at restoring various functions of the body, for example fingers movements, due to injuries, burns, oncological diseases or other causes. Still, one of the most important functions of the human body is aesthetic, therefore, surgical surgeries include operations in which the function of the disease before or after trauma has not been restored, but efforts are made to return the organ's appearance (restoring the breast is not intended to restore milk production, as well as restoring the ear canal, hear loss does not improve).

Surgeries risk is very individual and depends on the overall health status of the patient and the extent of the surgery. Most often, if the patient has no more serious co-morbidities and one body area (for example, only the nose) is operated, the likelihood of complications is very small. In such cases, minor complications are experienced by <5%, more severe in about 1% of the operated patients.