In this operation, breast sizes are increased with the help of silicone implants. Breast augmentation is applied to women who find their breasts too small. The operation is performed under general anesthesia in hospital conditions. In breast augmentation, prostheses filled with gel silicone are used. The silicone prosthesis is placed under the breast tissue or under the fascia (muscle sheath) of the chest muscle or muscle. There are prosthesis types such as round, drop-shaped, smooth or rough surface. The operation takes 1-2 hours. It is sufficient to stay in the hospital for a day after the operation. The purposes of breast enhancement with prosthesis (silicone):Shortest track The most natural look Minimal pain The most natural breast consistencyLeast loss of sensation (especially nipple) Milk giving is not affectedFailure to move breasts with arm movements
Many surgeons related to breast augmentation place prostheses under the muscle or sheath or under the breast tissue with the appropriate method. Each method has its own advantages and disadvantages. But Plastic Surgery is in a continuous development and during this process, surgeon’s preferences also change with advancing experience and knowledge. However, the most important factor is the findings of the examination of the patient’s breast, as a result, both the surgical plan and the shape of the prosthesis may change. However, when I combine my own experiences and the information I have obtained from scientific meetings, I think that breast augmentation, which will be obtained by placing anatomical (drop) cohesive gel prostheses under the muscle, as we call the dual plan, with the findings of many patients’ examinations, gives good results. However, although it is not very frequent, breast augmentation operations can also be performed by placing silicone prosthesis under the breast tissue according to the patient. I place the prosthesis with the incision I made under the lower breast fold, which is very comfortable for me. However, if the patient has requests such as placing it around the nipple, I also prefer this method by explaining the advantages and disadvantages of this technique.
Growth of the breast due to developmental, pregnancy or excessive weight gain is a common problem. This situation not only creates an aesthetic problem, but also causes pain in the shoulders, posture disorders, itching and redness under the breast. After a detailed breast examination and if there is no serious underlying problem, the surgery is planned. The technique to be used is decided according to the size of the breasts, skin and mammary gland characteristics. The surgery plan is drawn according to the predetermined technique. The surgery is performed under general anesthesia. The duration of the operation varies between 2-4 hours, depending on the technique used. After the procedure, the hospital stay is 1-2 days. You are allowed to stand up and eat at the 4th hour postoperatively. In the first few days, a vacuum bag called a drain is used to collect blood and serum leaks that may occur in the operation area. This drain is removed after 1-2 days, depending on the amount received. It is beneficial to limit the arm movements in the first days. There is a band that covers the breast in the first week, this is removed on the 7th day and only thin tapes covering the suture lines are used. They stay for 1 week.
Breast size is usually associated with sagging. If the shape of the breast is good but large and it is thought that this is due to lubrication, the breasts can be reduced to some extent by only vacuum fat absorption. However, if a form should be given at the same time with the shrinking process, the following method is generally followed:
* The nipple is raised where it should be.
* The upper pole of the breast is usually emptied in sagging breasts, this area is filled in while re-forming
* The chest spread under the armpit is confined to a narrower area, thus providing a better form.
* During these procedures, breast tissue and skin are removed to be reduced to the desired size.
What is desired as a result of these surgeries is to obtain a breast aesthetics in the appropriate size according to the patient’s body proportions, all the components of the breast are aesthetically corrected in accordance with all desired measurements and preserving the form obtained for many years.