Breast Augmentation

In breast augmentation surgery, the goal is usually to provide the patient breasts having aesthetic appearance. It may be difficult for the patient to decide which aesthetic surgery should be performed to her breasts on his own, at which point I will guide you with the information I have about the examination of the patient and her body structure. Sometimes the patient comes for breast augmentation surgery, but only breast augmentation surgery will give the patient the desired result. I give the final decision together with my patient under the light of such information.

Patients who are aiming to achieve perfection in their physical appearance are candidates for breast augmentation surgery and may be a good candidate for breast augmentation if the person is physically healthy and her expectations are realistic, aiming for a proportional and feminine appearance. Under these conditions, it would be more satisfactory to form aesthetically pleasing breasts with the processes for breast augmentation and enlargement.

Breast-related complaint = recommended surgery

Small and pitotic breasts = breast augmentation (silicone implants) and / or breast lifting

Small breast = breast augmentation

Pitotic + Normal volume breast = breast lifting

Big + pitotic breasts = breast reduction

Asymmetric breasts = breast augmentation, reduction or lifting

Breast Augmentation Surgeries (mammoplasty);
• To increase the size of the breasts in people who think their breasts are small
• Equalize the sizes of the breasts in women with asymmetric breast problems
• Breast augmentation surgery is also made to reconstruct the breast after breast cancer surgery, in order to change the shape and size of the breasts.

Silicone implants are used for breast augmentation. The silicone used in breast augmentation surgery does not enter the chemical reaction with the organism after its placement into the body, its molecular structure does not change, the rate of breast enlargement is determined by taking into account the wishes of the person, the current situation and the measurements of the rib cage.

Planning
Your doctor will evaluate your general health condition and will decide with you to which surgical technique is right for you according to your breasts and breast skin condition if you apply for breast augmentation surgery. If your breasts have ptosis (sagging), your doctor may recommend surgery for breast lifting (mastopexy) in the same session. Your doctor will explain the treatment options, the risks and limitations of each, the type of anesthesia to be used, the hospitals to be operated on, and the cost of the operation. If you are using cigarettes or any medication, or if you are using food supplements, be sure to tell your doctor.
Before the operation phase, the patient and his / her physician should come together to evaluate the implant type, the entrance place of the operation, the location of the implants, and the volume (size) of the implant. You should have a brief knowledge so that you can evaluate these topics in a healthy way.

Breast Implants
Implants are divided into two groups according to the material they contain:

1 – Implants containing serum physiological: It contains a physiological saline (salt-water mixture) in a capsule made from a solid silicon, there are two types:

a) Ready-to-use Models: They are manufactured as the physiological saline solution is filled.
b) Inflatable models: They are produced as an empty silicone.
It is inflated with physiological saline after it is placed during the operation via a valve located on its wall. These implants are placed through the armpit and under the muscles from the nipple. These are applied to the patients whose breast tissue is relatively lesser, rib cage is natural, and who doesn’t want very large breasts.

2- Silicone-containing implants: There are two types according to the consistency of silicon:

a) Containing Gel silicone: Gel silicone is soft and fluid. Gel implants are inserted through the nipple and inframammary folds. They can be placed over the muscle and under the muscle. They are mostly preferred since gel silicone has a tissue-like consistency.
b) Containing cohesive silicone: This is the implant type that is produced with the latest technology. Since they have a more viscous consistency than gel silicone, it has no fluid property. Shape of the cohesive silicone is prepared according to the anatomical shape (drop breast) of the patient’s measurements and needs. When placed they give a natural breast image. Their greatest advantages are their ability to be placed in the desired shape (under or over the muscle and dual plan), to maintain their shape (form stability) and not to fold their contours.

Implant Shapes

1- Anatomic implants: They are in the shape of drops. Their shape is more harmonious with the natural shape of the breasts. They create a fuller appearance in the lower half of the breasts. The most suitable way to place such implants is the inframammary fold line.
2- Round implants: They are hemispherical. They create a fuller look in the upper half of the breasts. They are suitable for insertions from the areola and inframammary fold line.

Placement Locations of Implants

a) Under-Muscle Placement
b) Over-Muscle Placement
c) Dual plan
d) Subfacial plan

Surgeries bare risks.

Around the implant, a layer formed by the body may develop over time. This layer, known as a capsule, can compress the implant causing the asymmetric appearances of the breasts and causing them to harden and displaced. This risk is even lower in implants placed under the muscles.
This condition, known as contracture, can be treated in various ways and sometimes requires the removal of the capsule. Sometimes the implant’s itself needs to be removed and replaced.

As with any surgery, infection, bleeding, delay in wound healing may also be seen in, breast augmentation surgery although it is unlikely. Occasionally may be a temporary over-sensitivity or hyperthesia can be seen in the nipples.

There is no scientific evidence that breast augmentation surgery negatively affects fertility, pregnancy or breastfeeding ability. There is also no scientific evidence for that it causes breast cancer. Breast cancer screening with mammography is a little more specialized in the breasts with implants. Ultrasonography may provide additional benefits in the detection of masses and in the evaluation of the implants for some women with implants.

Operation and Post-Surgical Period

The surgery is performed in a fully-functioned hospital and under general anesthesia and takes one or two hours depending on the applied technique. The patient may leave the hospital the next day and return to daily life after one night in the hospital. The chest area remains bandaged for about a week. There are no stitches to be removed on skin surface as hidden stitches are applied. Heavy lifting and heavy exercises in which the arms are used should be avoided for two to three weeks. This period should be supported by a sports bra. Even though pregnancy and aging can adversely affect the life of result, but the outcome is usually long-lasting. In addition, each implant has a duration of use within the body. This time varies from 10 years to 25 years.

Is there an age limit for Breast Augmentation?

Breast augmentation surgery is recommended when the development of breast tissue is completed, ie after 18 years of age.

Will there be a scar after breast augmentation?

After every cosmetic surgery, there is always a scar. However, breast augmentation surgery is one of operation that leaves minimum number of scars.

Will I have pain after the operation?

When the implants are put over the muscle, the pain will not be felt. Pain is felt more when they are placed under the muscle. However, this pain felt can be controlled by painkillers.

How is the size of the implants used for breast enlargement decided?

It is decided by considering the patient’s request, the patient’s height-weight ratio, width of the rib cage, the structure of the existing breast tissue, and the rate of breast sagging, if any.

Can I breastfeed after breast enlargement surgery?

Breast Augmentation surgery doesn’t affect breastfeeding.

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