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Breast Augmentation

Breast is one of the basic elements that make up the contours of the female body. It is an important part of sexual identity and a symbol of motherhood. Therefore, breast augmentation surgery is required in case of its absence for any reason. While breast augmentation is mostly performed with silicone prostheses, recently fat injections can be used in appropriate cases.


Is breast augmentation a difficult surgery?

Breast augmentation is not a difficult operation for patients. There are some points to consider before breast augmentation surgery is performed. Factors such as the patient’s body structure, skin structure, the amount of breast tissue available, the structure and strength of the breast muscle, and sports habits should be evaluated and the appropriate technique for the patient should be determined.

What is the appropriate age for breast augmentation surgery?

One of the most frequently asked questions in breast augmentation surgery is the ideal age for the surgery. The recommended age for breast augmentation is the age of 18 or over when the breast tissue completes its developmental stage. In patients under the age of 18, if there is a case where one breast develops but the other one does not (asymmetrical breast) and if this affects the patient psychologically, a breast augmentation operation can be performed with the opinion of a psychologist.

Who is breast augmentation surgery performed to?

Women with small or medium-sized breasts, women with one breast noticeably smaller or larger than the other, women whose breasts have become smaller and hollowed out after pregnancy or due to age are suitable candidates for augmentation surgery.


What is the content of the prostheses used and what are their types?

There are mainly two types of prostheses. One of them contains silicone gel and the other one contains saline (salty water). The outer sheath of both is made of silicone. Today, silicone gel prostheses are highly preferred worldwide as well as in Turkey.

There are two forms of silicone gel prostheses, round and teardrop (anatomical). Drop-shaped ones are more compatible with the natural breast fold, while round-shaped ones provide a fuller appearance on the upper part of the breast.


How is the protheses selected?

Factors such as the patient’s rib cage width, rib cage structure, the amount of breast tissue, the degree of sagging of the breast and the quality of the breast skin (thick skin, thin skin, old skin, etc.) play a role in the selection of the size and shape of the protheses. In addition to these, the most appropriate protheses selection is made for the patient by considering the patient’s request as well.


Where and how are breast prostheses placed?

Breast prostheses can be placed at three different entry points. The prostheses can be placed with a 4-5 cm incision made at the sub-breast folds or with a semicircular incision following the lower border of the dark-colored area around the nipple or with an incision made under the armpit.

Silicone prostheses can be placed under the breast tissue (sub-glandular), under the pectoral membrane (sub facial), or under the breast muscle (sub muscular or sub pectoral). Nowadays, in the so-called dual plan, some can be placed under the muscle tissue, and some under the breast tissue.


How long does breast augmentation surgery take?

Breast augmentation is performed under operating room conditions and general anesthesia. It takes about 1.5-2 hours on average.


What should be considered before the operation?

Each patient is regularly asked to undergo mammography or breast ultrasound before breast surgeries. It is very important to have a radiological image before the breast procedures are performed for subsequent follow-up.

As in all surgeries, it is necessary to stop smoking an average of 3 weeks before the operation. Medicines and similar substances that can dilute the blood (pain relievers such as aspirin, apranax, voltaren, majesic; multivitamin pills containing substances such as ginseng, ginko biloba, co-enzyme Q, herbal products such as green tea, flaxseed, cherry stalk, and tomato seed) should be avoided in the last 1 week.


How is the post-operative process?

After the operation, the patient rests in the hospital for 1 night and is discharged the next day. As in all surgeries, the pain is more evident in the first 3 days, then the pain is replaced by a feeling of pressure. After an average of 1 week, she can start working.

She can walk in the first 1 month, and then jogging can be done. It is appropriate to start all sports activities including arm and chest movements after the 6th week. The use of sports bras for the first 2-3 months both keeps the edema under control and help the breast to take its shape better.

During the first year after the surgery, 1st month, 3rd month, 6th month, and 1st year checks are done. Then annual checks are recommended. Breast ultrasound/mammography is required every year.




Is breast augmentation surgery a risky surgery? What are the risks?

There are several complications with every surgery, including those due to anesthesia. All kinds of precautions are taken to minimize these possibilities in optional surgeries such as breast protheses. Despite this, although they are rare, early complications such as bleeding, wound infection, and healing problems may be encountered. In breast augmentation with protheses, some problems may likely occur in the long run.


What are the long-term risks of breast augmentation with protheses?

Long-term complications are capsule contracture, asymmetries, and aesthetic problems. With the use of new generation prostheses, problems such as bursting and leakage are no longer seen.

Capsule contracture develops with the thickening and hardening of the capsule around the protheses. It is seen at an average of 3-5%. There may be stiffness, pain, and asymmetries in the breasts due to the thickening. As the treatment, the capsule should be removed and the protheses should be changed.


Does the use of protheses affect the milk glands?

The use of breast protheses does not affect the milk glands and breastfeeding.


Is there any problem during pregnancy and breastfeeding?

The mother or her baby is not affected by the protheses in this process. However, breast sagging may develop after pregnancy and breastfeeding, in which case a build-up surgery may be required.


What is the surgery’s success rate? What criteria does it depend on?

The satisfaction rate is very high in breast augmentation with protheses. With this surgery, the person both gains a tissue that has been lacking for many years and the body takes a more proportional shape in terms of aesthetics. As in all matters, satisfaction increases primarily depending on the realism of the person’s expectation, then the selection of the right protheses, a meticulous operation, and of course the experience of the doctor


Why it is important which protheses is used? Is there any difference between protheses brands?

The choice of the protheses brand is quite important, both to ensure long-lasting shape and to minimize the complications that may occur. Protheses brands are different from each other in terms of the material and the techniques they use while producing the protheses. As with many products, the reason for preference of the protheses is not being the most expensive one but being the one that has been used for many years and is reliable.


When should working people have the surgery? How long should they take leave?

Breast protheses surgery can be performed in all seasons. The important thing is not to expose the scar to direct sunlight in the early period as with sunlight, the scar heals in a way that is more visible.

After the operation, the patient can usually start working in the first week.


Will there be any scars left on the skin after breast augmentation surgery?

Having scars after any kind of surgery is an expected situation. However, since breast augmentation surgeries are performed with very small incisions, the expected scar is much less. The scar formed in the sub-breast fold area, which is one of the frequently used entry places, fuses with the fold and becomes quite vague in the long run. In some patients, the incision is made around the nipple and as it is on the border of the colored and colorless area it heals leaving a scar that does not annoy the patient. It should not be forgotten that scarring problems may rarely occur in some patients due to skin characteristics.