Breast Augmentation Surgery

Women want to have breasts that look aesthetically beautiful. The conditions that cause the most discomfort to women are the distorted appearance and sagging due to the reduction of the breasts with the weight lost after childbirth, or the regression of the breasts in unilateral or bilateral development. In the face of such situations, larger and fuller breasts that look aesthetically more pleasing can be obtained with breast augmentation surgery. Different and personalized prostheses are used for breast augmentation surgeries, and they can be combined with breast lift surgeries for a better result. Women, who want to have breast augmentation surgery, usually present with the size in mind, and they often try to describe it by saying the bra size (such as 85, 90). It should be remembered that there may be different sizes according to the variety of brands. In addition, measurements such as 85 and 90 refer to the circumference of the rib cage. Breast size is expressed with the letters A, B, C and D, which are called "cup size". Cup size A represents the smallest breast size, and D represents the largest size. Considering these issues, the expectation of the patient should be determined well before breast augmentation surgery.

Which prosthesis size should be used in breast augmentation surgery?

Women usually go to see their surgeons with the measure in their mind. Regardless of this, the suitability of this request is determined by the surgeon, taking into account the dimensions of the rib cage according to the flexibility of the skin on the existing breast. However, the exact size is determined during the procedure.

Should breast augmentation surgery be combined with breast lift surgery?

Prosthesis procedure may not be sufficient alone for breasts that have lost their fullness, loosened and sagging. In order to achieve the desired erection, it is combined with breast lift surgery, the nipples are elevated to a higher level, and the excess skin is removed.

What are the prostheses used for breast augmentation surgery?

Breast prostheses can be selected according to the physical condition, breast structure and desire of the patient. Prostheses are silicone cases filled with a solution of salt and water, known as silicone gel or saline.

At what age can breast augmentation surgery be performed?

Adolescent and still developing girls are not recommended to have breast augmentation surgery. First, the natural development process of the body is expected to be completed, and then it is recommended to make a decision together with the surgeon.

 

How much fullness is achieved in breast augmentation surgery?

Generally, the desired breast size can be achieved with a single procedure; however, a single procedure may not be sufficient to enlarge the breasts of women with very small breasts from a young age. The skin has the ability to stretch to a certain extent, and it is recommended not to force this tolerance. Overexertion of the skin may eventually lead to different complications (such as suturing, capsular contracture).

How is breast augmentation surgery performed?

Together with the patient, the surgeon decides on the incisions for placing the prosthesis from the most suitable area. The surgeon can place the prosthesis from three different areas: It can be placed under the armpit, from the area where the breast meets the rib cage, so that it remains in the bikini area, or at the level of the dark skin on the nipple. The aim here is to reduce noticeability of the minimal scar (scar) that will occur. After the breast tissue and skin are removed from the incision, the prosthesis is placed under the breast tissue or under the chest wall muscle, according to the recommendation of the surgeon. Symmetry is obtained between the two breasts. The incisions, which are made for placing the prosthesis, are closed with stitches and bandages.

What is the difference between placing the breast prosthesis under or over the muscle?

surgeons have different views on this matter. To reduce the risk of capsule contracture, it is preferred to place the prosthesis under the muscle. On the other hand, when the prosthesis is placed under the muscle, it may cause more pain.

What should be done before breast augmentation surgery?

If the patient is using blood thinners, the surgeon may ask the patient to stop using 10 days before, and care should be taken to avoid any infection in any part of the body before the procedure. Before the surgical procedure, mammography is recommended for women over the age of 40, especially for women with a family history of breast cancer.

Is anesthesia administered for breast augmentation surgery?

Unless the patient has a different preference, the procedure is performed under local anesthesia with mild sedation. The patient does not remember the procedure and does not feel pain in all types of anesthesia.

How long does the surgery last?

Breast augmentation surgery is completed within 1-1.5 hours unless there are different complications.

Is it necessary to stay in hospital after breast augmentation surgery?

After the surgery, the patient can stay in the hospital for one night if he/she prefers; however, this is usually not necessary.

When can one return to normal life after breast augmentation surgery?

If possible, patients are advised to take a leave for 4-5 days. A few days after the procedure, certain tasks can be performed by sitting/standing upright.

Will there be any scars after breast augmentation surgery?

After the surgery, there are hard and pink scars at the beginning in areas where tiny incisions are made. After a few weeks, the pinkness gradually begins to fade, and the skin begins to soften. When the healing is complete, it becomes very pale.

Is there any loss of sensation in the breasts after breast augmentation surgery?

There may be numbness in the breasts after the surgery. There may be extreme sensitivity in the nipples, as well as a feeling of numbness. Limited loss of sensation may also be seen in the areas where the incisions are made; however, these symptoms improve over time.

Is it necessary to remove or replace the used prosthesis?

In the past, prostheses used to be replaced or removed after a certain period of time. The prostheses used today are provided to the patient with the warranty certificate of the manufacturer. It can be used for life as long as there are no complications.