Breast Augmentation

Breasts are one of the most important elements of beauty and self-confidence for women. This organ, which is the symbol of femininity and motherhood, helps in adolescence by providing a significant change in body image in completing sexual identity. However, with some genetic, hormonal and subsequent causes, the breasts cannot reach the desired size and can cause serious psychological problems. In this case, breast enlargement surgeries are extremely beneficial for people.

Breas Augmentation Surgeries ;

• Downward sagging due to decrease in breast volume and relaxation of connective tissues
• To correct the disproportion in the body lines, especially the hip-breast ratio in women who think their breasts are small
• Breast growth during breast growth due to pregnancy and breastfeeding
• To reproduce the breast in various situations (eg after breast cancer surgery, lack of congenital breast)
• Asymmetry between two breasts (one big one is small)
• Breast enlargement surgery can be performed if breast tissue does not grow to the desired extent and disturb the person.

Methods used in breast augmentation

It determines the magnification of the breasts according to the physician, the patient’s expectations, the condition of the current breast structure, and the condition of the body and chest measurements. The breast prosthesis will not be enough alone and it will need to be combined with a breast lift operation. In breast enlargement surgeries there are three methods used in general title;

• Silicone breast prostheses
• Oil injection
• Filling material injection.

Silicone Breast Prostheses

Silicone breast prostheses are the most common and most promising method used in breast augmentation surgery. People often resort to different methods of breast enlargement with the idea that silicone prostheses are harmful. Massages, gels, creams etc. While such methods are not effective, they are often even more harmful because of the chemicals they contain.    There is no conclusive evidence yet regarding the health hazards of silicone breast prostheses. However, since their production and use is not based on very old dates, researches are still going on today.

Silicone breast prostheses are divided into three in terms of shape, content and surface structure.

1. Shape

• Drop (Anatomical) Prosthesis
• Round Denture

The round prostheses are hemispherical and when placed in the chest they form fullness in the upper pole. If the breast tissue is not enough in the upper pole of the person, these prostheses are more preferred. Drop prostheses as the name suggests are in drop shape and shape is very suitable for the shape of the chest. When placed, they form fullness on the lower chest. However, if the upper pole is not enough, these prostheses are not preferred. Your physician will give you the right way after the necessary measurements.

2. Content

• Silicon Content
• Physiological Content of Saline

In terms of content, silicone prostheses are examined in two groups. Both are covered with a silicone sheath. However, they are divided into two groups as silicone-containing saline or saline.

3. Surface Structure

• Rough Surface
• Flat Surface

  When the surface structure is examined, the prostheses are divided into two groups as flat and rough prosthesis. Although the formation of capsules is said to be less than the formation of pebbled surfaces, this possibility has not yet been determined. In addition, the most important and the largest cause of capsule formation is the reaction of the body to foreign bodies taken from the outside.

Fat Injection

Breast augmentation technique, which is one of the methods of breast enlargement, has not yet become a standard technique. It is a short, incision-free simple process consisting of liposuction of the fat located on both sides of the abdomen, leg, and abdomen and taking it through sterile environments from special centrifuge devices.

This method is used for breasts that need very little volume.

In addition, hyaluronic acid materials used for the filling can be used. However, due to the risk of reaction, it should be used only in small amounts.

Before Breast Augmentation Surgery

• Initial examination is important at the time of application. The person should explain all the expectations of the physician and make common decisions with the physician. Therefore, the first physical examination is very important.
• The physician will choose the most appropriate technique for the skin structure, age, and body of the person and make common decisions with the patient.
• The surgery can be performed at the age of 18 years when the person completes his / her body development. If this surgery is planned over the age of 40, mammography breast USG should be taken and evaluated.
• You need to share your medication with your doctor before the operation, you may need to cut it before the operation.
• If you smoke a cigarette, 3 weeks or 3 months before, smoking cessation will improve the quality of your wound healing; It will make your waking period more comfortable after surgery.
• If you have just given birth, it is appropriate to have an operation after an average of 9 months of breastfeeding.
• Where the implant is placed on your breasts, there will be an incision in the part where it is placed. After this incision, there will be a trace called scar. Your track may become vague at the end of a year.

After the Surgery

• Your resting period is 3-4 days. One night is enough to stay in the hospital. It is safe to start after 4 days.
• The numbness between the 6th and 12th months after the operation is normal. This period needs to be filled in to make your feelings return to normal.
• You will have pain that can be managed with painkillers on the first day of surgery. Then, with the painkillers recommended by your doctor, you can get through the pain slightly.
• You will wear a corset without a post after the operation and you should use this corset for 3 weeks. Then it is recommended to use a bra without post in the first six weeks.
• During the first few weeks, heavy exercises should be avoided and short walks should be made.

Frequently Asked Questions About Breast Augmentation Surgery

• Upper-Lower Age Limits in Breast Augmentation Surgery ;

Breast augmentation surgery can be applied to anyone who has no health problems in the 18 years of age when breast tissue develops and grows. In this surgery, it would not be right to talk about an upper age limit. Every woman who gives her health can benefit from this operation. However, it is better to perform health screening tests such as mammography breast USG in women over 40 years of age.

• From where the prosthesis is placed?

There are 4 different entry points in breast augmentation operations. These can be 4-5 cm in length, the incision of the nipple around the nipple and the incision below the nipple and rarely the navel. Each of these may have separate advantages and disadvantages. The surgeon, in the preoperative examination of the patient’s body shape and structure; determines the location of the prosthesis according to the amount of breast tissue and the elastic properties of the breast skin.

• Life of silicone breast prosthesis

Under normal conditions, the prosthesis used during breast augmentation surgery is not expected to be punctured. However, silicas can be punctured and exploded by gunshot wounds, or by penetration of penetrating or penetrating objects, or by injury.   

Silicone breast prostheses have no definite life. There are several different elements that determine the life of these prostheses. The prosthesis can be removed one month later due to the problems that occur after the silicone prostheses are installed and can be used for life without any problems.

• Is Breast Sagging possible after breast enlargement?

The likelihood of sagging in small breasts is almost negligible, but breast tissue may hang over the prosthesis even though the location of the silicone prosthesis does not change over time, as the breast tissue already has a certain proportion of breast tissue in patients with breastfeeding. In such cases, the breasts are suspended by the breast lift operation and the desired image is achieved.

• Duration of Surgery and Anesthesia

The surgery takes approximately 1-2 hours and is performed under general anesthesia. After a certain period of the night before the operation, drinking is stopped. On the day of surgery or earlier, the anesthesiologist will need to see and evaluate the person. The anesthesia doctor will ask you for the surgery.

• Is silicone prosthesis an obstacle to breastfeeding?

In breast surgeries, implants, ie, silicone prostheses, are placed under the breast glands with milk channels. This way, mothers can breastfeed their babies without any difficulty.   

• How is the size of the prosthesis decided?

Although the person does not have the size of the breast, the contours are clear. The contour is the area where the nozzle is seated. By measuring these area diameters, it is decided which diameter of the prosthesis will be used. Then, the projection of the breast, the forward side of the projection of the patient and physician decide together to determine the size of the prosthesis. In addition, this size is decided by considering the person’s skin elasticity and body structure.

• Can Breast prosthesis trigger cancer?

This is a topic that has been debated for many years, but the most recent research that has been unexplained by a specialist for cancer has not revealed the relationship between silicone prosthesis and direct cancer. However, studies on this issue still continue.

• Can I choose my own shape of my silicone prosthesis?

Silicone prostheses are divided into two as drop and round. The shape of the prosthesis of the patient;
· Breast size,

• Breast structure,
• The degree of sagging of the nozzle,
• Breast shape,
• Structure of the rib cage,

depends on these above.

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