Breast Augmentation

Breasts have an important place in the female body to create feminine perception (feminine image), and the absence of breasts in the size of the rib cage can pose a problem for the feminine image. Breast augmentation surgery aims to eliminate deficiencies in this issue.

In what cases is it done?

• During development, the breasts may not gain enough volume.
• During development, there may be significant volume differences between both breasts, i.e. asymmetries
• Excessive weight loss or breast volume loss after pregnancy may be
• Some or all of the breasts can be taken, especially for cancer treatment

Methods that can be applied for breast augmentation:

• Breast augmentation with a Slikon prosthesis
• Breast augmentation with fat injection
• Breast augmentation with fillers

BREAST AUGMENTATION WITH SILICONE PROSTHESIS

These are operations performed in the form of placing a prosthesis in it, creating a space under the breast tissue.

Prostheses are divided into slikon-filled prostheses and serum-filled prostheses according to their content. Each prosthesis has a slikon sheath around it, and the serum must be filled, and the silicone must be filled, and the silicone is placed in it. Based on my clinical experience, I prefer silicone-filled prostheses. Silicone filled prostheses can also be safely applied for aesthetic purposes after receiving FDA approval in 2006.

Prostheses can be textered or flat surface according to their surface. In studies, the formation of thin-thick capsules formed by the body around the breast prosthesis is minimal in those with a rough surface. For this reason, I also prefer textered ones in my clinical applications.

Prostheses are also divided into cohesive and non-cohesive according to the structure of the slicon they contain. Cohesive ones can maintain their form(form-stable) due to the structure of Silicon. Non-cohesive ones, on the other hand, cannot maintain their form(form-nonstabil). They’re more fluid. Although non-cohesive ones can flow out of the sheath if they are punctured, cohesive ones do not come out of the sheath even if they are punctured. It is easier to shape the breast with cohesive gel prostheses. I prefer cohesive slikon prostheses that are stable in form in my clinical applications.

Prostheses are also divided into round and anatomical (drop-shaped) according to their shape. I also use each according to the structure of the patient’s breast, the skin structure, The Shape of the breast they desire. Although I prefer anatomical ones more, I can sometimes use round ones because of the characteristics of the patient I mentioned.I discussed the details of these in my blog posts, you can easily find them there.

Preoperative planning

A detailed planning rehearsal is performed with your doctor before the operation. I’m trying to understand my patient’s expectations in volume by dressing my patients in a special corset and using apparatus that simulates the state in which the prosthesis we call sizer is in the body.

Then we move on to detailed measurements. According to the breast’s own width, height, position of the nipple, we determine the appropriate and appropriate volume of the prosthesis.

SURGERY

Breast prosthesis surgery is an operation performed under general anesthesia in about an hour.

Gateway : A few entrance places can be applied to put the prosthesis in the breast. These are; under the breast, the nipple. Entrance places such as the armpit and belly button can also be difficult, but they are not the preferred entrance places in terms of complications and the reliability of the operation. The most common place of entry is the nipple and under the breast. These two places of entry can also vary depending on the experience of Cerah, the patient’s wishes, the size of the nipple. If the nipple is small, it may become impossible to use this place. Although I prefer the incision under the breast, I can also choose the entrance to the nipple according to the characteristics of the patient. I’ve shared the details of this in my blog posts. An incision of about 4 cm is used at the entrance sites.

Space Where The Prosthesis Will Be Placed

The Implant is placed directly under the breast tissue or between the chest muscles

The shaded area is removed for implant insertion

As shown in the picture, the prosthesis can be placed either under the breast tissue or under the novelization. The preference for this varies according to the case. As a classic information, if there is sagging breast, it may be preferable to put it under breast tissue, but based on my experience, I don’t really prefer to put it under breast tissue. The slight sag of your breasts and if there is I can choose the skin thickness is greater. So it’s decided by his patient. For the most part, I prefer to put the prosthesis under the novelization. Nov dual when put under-the plan called for a portion of the prosthesis, especially the Upper more of the technique I prefer to keep under Nov made. I also discussed this topic in detail on the blog.

After all bleeding controls are performed and the prosthesis is placed in the cavity, the entrance place is closed aesthetically so that there are minimal scars.

Postoperative

After surgery, we wake my patients with strong narcotic analgesics so that they feel minimal pain. Although there may be tension pain, especially in patients with strained skin, it becomes bearable with the drugs we apply.

At the end of the operation, an athlete’s bra that wraps around the breast is worn. It is required to be worn continuously for about 2-3 weeks. Depending on the patient’s condition, it is decided to continue or switch to other bras. After surgery, he remains in the hospital overnight. Patients who want to, if their condition is appropriate, can be sent home after 5-6 hours in the hospital. At the exit of the operation, there is a dressing on the entrance place. After the dressings are determined at the exit.

Frequently Asked Questions

Does breast prosthesis surgery affect my milk delivery?

Breast prosthesis surgery does not prevent you from giving milk.

Will I suffer a lot after breast prosthesis surgery?

After breast prosthesis surgery, you are provided with the least pain. Strong narcotic analgesics are awakened and strong painkillers are made. What my patient should know is that there may be tension pain, especially in those with tense skin.

How do we decide how big my boob is?

The understanding of breast size actually varies according to people’s perception of beauty. Some prefer a bigger and prettier breast, while others prefer smaller and natural-looking breasts. To understand this, I understand your expectations by conducting a detailed interview with my patient. In order to determine your expectations more realistically, we determine the understanding of beautiful breasts in front of the mirror by using apparatus called ‘external sizer’.

Then, with detailed measurements, we try to choose the most ideal prosthesis that will fit your body and breast.

Do the prostheses used have a life span?

Prostheses used do not normally have a life span. Lifetime available. If there is a problem caused by the prosthesis, we can change the prosthesis under warranty without paying the prosthesis fee.

If there's a tear in the prosthesis, can we figure it out?

Yeah, that’s understandable. There are significant changes in the volume and shape of the breast. Pain, redness and swelling may occur. In this case, the diagnosis is finalized by methods such as breast ultrasound or MRI. In this case, the prosthesis needs to be replaced.

If I have breast prosthesis surgery, can I have my routine breast cancer tests?

Yes, patients who have had breast implants can perform routine follow-up with ultrasound, MRI and mammography methods.

When Will my breast fit completely after surgery?

After breast surgery, edema develops. Breast shape also does not sit immediately. A significant part of the payments that occur go in the first 2 months, but it takes 6 months for the details to sit. Permanent loss of sensation of the nipple is not expected, but can occur temporarily.

Is it necessary to massage after breast prosthesis surgery?

I do not recommend post-operative massage in routine. During the checks, we decide whether to massage.

BREAST AUGMENTATION WITH FAT INJECTION

The use of fat injection in breast augmentation was not very Preferred until some time. Small calcifications in the breast fat and cause breast tumor tracking in the future if it creates a drawback in terms of reservations has consisted, but given that it has been shown in studies and in routine monitoring of the breast fat does not create any negativity. Although my first choice in breast augmentation is prosthetic application in my applications, I can only use fat injection if it is a haifif growth. In addition to breast prosthesis surgery, I can also use fat injections to fill some areas of the breast and make it better in shape. Breast fat injection is now between my preferred methods.