Breast Augmentation

Breast Augmentation

You can access general information about breast augmentation aesthetics, which is one of the most frequently applied aesthetic operations.

Breast enlargement today; It is a widely applied aesthetic operation. Mostly due to pregnancy, breastfeeding and aging reasons or in cases where the breasts cannot complete their development, the breasts cannot reach a sufficient size. With the breast augmentation operation, small breasts become larger and fuller, and have a more aesthetically pleasing and beautiful appearance. Breast volume is increased by placing natural materials made of silicone, which we call prostheses or implants, under the breast tissue. Breast surgeries; It is in great demand in the world. The chest, which is one of the main indicators of femininity, can disturb people greatly due to the shapeless appearance. Especially in the summer months, it also affects the social life of women at a high rate. Breast prosthesis operations performed by plastic surgeons also have successful results. The patient's whole life changes and his self-confidence is restored.

Reasons for Performing Breast Augmentation Surgery

First of all, you should be examined by a reliable physician to determine whether you are suitable for the operation, whether there is no problem to enter the operation, what kind of image you want, and which prosthesis will be used. You can decide the breast size together with your doctor. Prosthesis types vary in the range of 200-450 CC. After the doctor's consultation, your operation will be planned and your process will begin.

This procedure is typically done to enlarge small, immature, or postpartum shrunken breasts.

Small breasts cause problems in body image and self-confidence

Disproportion between hip and chest size

Postpartum breast reduction, sagging or loosening

Breast reduction and deformities after weight gain and loss

Having asymmetry between the two breasts (like one big and one small)

At What Ages Is Breast Augmentation Surgery Performed?
It is recommended after the age of 18 when the breast tissue has completed its development. It can be done over the age of 50 as long as the person is in good health. However, if asymmetrical and problematic breasts in which one breast develops excessively in adolescence and the other breast does not develop serious psychological problems for the person, it is possible to perform breast augmentation surgery at an earlier age with parental approval.

Shapes of Silicones Used in Breast Augmentation Prosthesis
The prostheses used for breast augmentation are placed in the breast volume with four different techniques. The prosthesis placement process is applied by entering through the nipple, inframammary fold, 3-4 cm incisions made under the armpit or through the navel. The pocket prepared under the breast for the prosthesis can be prepared under the breast tissue (subglandular-above the muscle) or under the chest muscle under the breast tissue. It is divided into two main groups as round breast prosthesis and drop model breast prosthesis. Drop model prostheses take the shape of a normal breast better, the nipple and the part under it are fuller. It is especially preferred in cases where there is very little breast tissue. These prostheses are produced in different width, length and height combinations. When determining the size of the prosthesis to be used to enlarge a breast, the structure, height, weight and body dimensions of the person's breast and rib cage are taken into account. Provided that these physiological limits are not enforced, the patient and the doctor decide on the size and shape of the prosthesis to be used together. During the operation, the plastic surgeon evaluates the appearance for the last time by putting the test prosthesis before putting the prosthesis he thinks. Sometimes a larger or smaller size of the planned prosthesis is also tried and the prosthesis that gives the best results is used.

The points to be considered before the operation are as follows;

Smoking and alcohol use should be stopped.

Anticoagulant group drugs should be discontinued 24 hours before. (like aspirin)

Patients under the age of 40 are strongly recommended to have ultrasound, and patients over the age of 40 to have mammography.

Liquid and solid food intake should be stopped 8 hours before the operation.

In addition, if the patient is using blood pressure medication, the medication can be taken with 1-2 sips of water before the operation.

Anesthesia Method and Duration Used in Breast Augmentation Surgery
The surgeries are performed in a hospital environment, under general anesthesia. The duration of the operation is between 1-3 hours, depending on the technique and scope of the operation. At the end of the operation, a dressing is applied to the breasts and a bra is used. Special non-wired bras are useful in controlling edema and pain. The person can stand up a few hours after the operation, and is discharged a day later. Spending the night in the hospital helps with bed position, pain control, and close monitoring for potential complications.

Recovery Process After Breast Augmentation Surgery
Post-surgery, the pain can be easily controlled with medication and disappears on the first or second day. A 

Surgical scars will fade over time and become vague after 6 months - 1 year. Mild swelling and color changes in the breasts will also disappear in a few days. In the first week after the operation, the chest is larger and tighter than it is. In time, it returns to its real size and softens. After 3-5 days, you can take a shower and start working. After the operation, the doctor should go for control at the periods determined by the doctor (such as 1, 3, 6 months). Tapes or ointments can be used to help the incision scar heal smoothly. The incision scar will take its final form in an average of one year and will turn into skin color.

Points to Consider After Breast Augmentation Surgery
Breast augmentation surgery takes about an hour. You can stay in the hospital for one day. If breast augmentation is performed on a submuscular plan, patients may feel pressure in the chest area for a day or two. However, the tension and pain are at a level that can be stopped with medications. If an over-muscle breast prosthesis is applied, there is almost no pain. Breast prostheses can be placed under the breast or from the nipple, depending on the suitability of the patient's breast and nipple. In both methods, almost no visible scars remain. You can take a bath on the third day after the surgery and return to daily life in about a week. A sports bra is worn for about a month and heavy lifting and heavy exercises should be avoided during this period.

Walking can be done, but sports that require intense effort and force the chest muscles (such as tennis, swimming) should be postponed for 6-8 weeks.

Although patients can usually return to work in a few days, it is recommended not to drive for 1 week, not to lift heavy things for 3 weeks and not to move their arms up.

Sweating should be avoided in the first 15 days when wound healing is intense.

During exercise, the bra recommended by your doctor should be used.

It is recommended to protect the chest from direct sun for 4-6 weeks. In particular, the incision scar should be protected from the sun with a factor 50 sunscreen or tape, otherwise the scar will take on a darker color.

Breast prosthesis does not prevent pregnancy. Breastfeeding can be done without any adverse situation.

Before the mammography controls, the shooting technician must be informed. Shooting should be done accordingly. It is not affected by thoracic prosthesis, MR and computerized tomography, and the films can be easily interpreted by the radiologist.

Silicone breast prostheses do not have an expiration date. However, due to the cycles and changes in women's life, size and displacement may be requested. If the size is to be changed, the prostheses must be replaced with new ones.

Bras with wire support (underwire) underneath should not be used for at least 3 months.

Temporary changes such as loss of sensation in the nipple may be felt; but it is temporary.

Op. Dr. Orhan AYDIN

Plastic and Aesthetic Surgery Specialist

Who is Orhan AYDIN?

Kiss. Dr. Orhan Aydın was born in 1984 in Kırcaali. He completed his primary and secondary education in İzmir. He graduated from Manisa Celal Bayar University Faculty of Medicine in 2008. He completed his specialization training in Pamukkale University Plastic, Reconstructive and Aesthetic Surgery Department between 2009-2014. Between 2014-2015, he completed his compulsory service at Şanlıurfa Mehmet Akif İnan Training and Research Hospital.

Health Sciences University, where he started working in 2015, Dr. Abduraahman Yurtaslan left his duty at Ankara Oncology Training and Research Hospital in November 2018...