Abstract :
The article is devoted to new possibilities of treatment pain syndrome after aesthetic surgery of the mammary glands due to the use of botulinum toxin type A. The literature on the occurrence of pain after breast surgery is reviewed. The data of our own studies are presented and the results of the effectiveness of the use of botulinum toxin type A for the relief of pain after endoprosthesis of the mammary glands are indicated. The intensity of the pain was assessed at 1-2 days after surgery using a special questionnaire. . According to the ENMG, when using botulinum toxin type A, with the help of injections into the pectoralis major muscle, denervation indices reached 55% in comparison with the initial ones; when using physiological saline, the ENMG indices did not change. Thus, the obtained data suggest that the use of botulinum toxin type A in clinical practice by injection into the pectoralis major muscle will improve the results of treatment of pain after endoprosthetics of the mammary glands with implants in aesthetic surgery.