Generally, patients apply to plastic surgeons complaining about developmentally small breasts, sagging breasts after breastfeeding or weight loss, or asymmetry in their breasts.
The physician to whom every patient considering breast augmentation surgery will apply should definitely be a plastic surgeon. During the examination, the most suitable breast size for you will be determined by considering the size of your breasts, the structure of your skin, the width of your chest wall and shoulders, your height and most importantly your expectations. The size that will be offered to you will be the size that your body can handle, and measures outside these limits will not look natural.
Today, breast augmentation surgeries are performed with breast prostheses. Currently, a better alternative method to prosthesis has not been presented. Breast prostheses have been used in the world for more than 40 years, and as a result of studies, it has been determined that they do not increase the risk of cancer. You can get more detailed information about this from your surgeon.
There are two types of breast prostheses, the first one is filled with silicone gel and the second one is filled with salt water. The envelope structure outside of both is made in silicone and only the filler inside changes to gel or salt water. Those filled with gel have a consistency and appearance that is more suitable for breast tissue. There is no possibility that the prostheses will burst, and such misconceptions in the society arise from the opening of the stitches after a careless operation. The integrity of the prosthesis can only be broken by cutting and piercing tools, in this case it is possible to replace and put a new one. If saline water prostheses are to be used, it is more appropriate to place them behind the muscle tissue, and it should not be forgotten that the volume of such prostheses is likely to decrease by 10% within 6 months. The most important advantage of saline water prostheses is that they can be placed with a smaller surgical scar and they do not contain any harmful substances that can be harmful to the body when the integrity of the prosthesis is broken.
Prostheses are of two types in terms of shape. They are either completely round or in the form of teardrops. The most important difference between them is that the ones in the form of teardrops provide better fullness in the upper half of the breast.
There are 3 main access routes to place the breast prosthesis. The first is from under the breast, the second is from the nipple, the third is from the armpit, which is rarely used. If the nipple size of the person is suitable, putting it on the nipple is the most suitable place for the disappearance of the scars. If the person has not given birth and the nipple is small, it is more appropriate to put it under the breast, the scar of the operation here will not be obvious as it will remain inside the bra.
There are two options for where the prosthesis will be placed. It is placed behind the breast tissue or behind the muscle tissue. The choice of this is made according to the characteristics of the person; If there is very little breast tissue and saline prostheses are used, behind the muscle tissue is preferred. It is placed behind the breast tissue in those who do sports and if sagging surgery is required.
After all the planning, patients who have surgery can usually go home the same day unless otherwise. After the surgery, a special bandage is applied and this dressing is opened within the first 3 days and replaced with a sports bra. In the first days, the breasts will be more swollen and painful due to the traumatic effect of the surgery on the tissues; The swelling will go down within a week, the pain will go away after the third day. In the meantime, the painkillers given by your surgeon will completely relieve your pain. You can take a shower after the first dressing. You can return to work as soon as you feel good; can drive after a week; You can do your heavy sports activities such as tennis and swimming after a month. After the stitches are removed, you will be shown a massage. Massage should be done as carefully as recommended by your surgeon, and it should not be forgotten that excessive massage applications can also be harmful.
People with breast prosthesis can give birth and give milk to their baby. It is generally recommended to get pregnant at least 6 months after the prosthesis application. There may be a shape change in the breasts after pregnancy and it is impossible to predict to what extent this will happen. The decrease in sensation in the nipple in the post-operative period is temporary and rarely permanent.
The most undesirable complication of breast prosthesis is the hardening of the breasts, which can be seen at a rate of 5%. The reason for this is the body’s excessive reaction to the prosthesis. It usually occurs after the third month and can occur in one or both breasts. A thick capsule forms around the prosthesis, resulting in hardening in that breast. In this case, this capsule tissue is cleaned with a second operation and if necessary, the prosthesis is replaced with a new one.
Having a breast prosthesis does not prevent the examinations such as ultrasonography, computed tomography and mammography to be performed in the direction of the breast mass. A possible tumor formation cannot be overlooked.
Breast prosthesis is the most effective and best solution for enlarging small breasts. You and your plastic surgeon should decide on the size that suits you, where it will be placed and where it will be placed. Aesthetic surgery is a field where art and science intersect.