BREAST AUGMENTATION (AUGMENTATION MAMOPLASTY)
What is Breast Augmentation Surgery?
Breasts may be small due to different structural reasons. One of them may be smaller than the other and asymmetrical. One may be absent congenitally. Silicone prostheses (implants) are the most valid method today to make both breasts equal or increase their volume. The main ingredient in breast prostheses is the silicone on the outer surface of the prosthesis. The filler in it may be different. Each prosthesis has its own advantages and disadvantages. These should be discussed in detail before the operation and it should be decided together which one to use.
What is a silicone breast prosthesis (implant)?
Silicone-containing products are also used for other purposes in the cosmetic industry and medicine. Breast prostheses are balloon-like structures prepared in the form of breasts. There are round and drop-shaped ones called anatomical. One of them is chosen according to the situation in the woman’s breast. The balloon part is made of silicone; The surface of the prosthesis is produced as rough in order to adapt to the tissues in the body. Today, there are two different types of prostheses according to the materials in them.
1- Those containing liquid silicone
2- Those that are filled with physiological saline.
What you need to know before surgery
Before deciding on breast augmentation surgery, you should clearly tell your doctor about your defect and your expectation from the surgery, discuss the prosthesis to be selected, from which incision the prosthesis will be placed, the type of anesthesia, and the early and late results of the surgery.
The operation is performed under general anesthesia in the operating room under hospital conditions. It takes 1-2 hours. A 4-5 cm incision is made for the prosthesis to be placed. The placement of this incision can be either:
- Inframammary fold (Submammarian)
- Around the nipple (Circumareolar)
- From the armpit (axillary).
Wherever the entry is, a trace will remain. These are traces that are obvious at first, but become indistinct over time. Depending on the breast structure of the patient, the prosthesis can be placed behind the breast tissue, behind the pectoral muscle (pectoral), or in the partial muscle background called Dual Plan. Each application has advantages and disadvantages, and this detail should be evaluated before surgery.
Post-surgery is usually comfortable. There may be some pain, this pain relieved by painkillers is usually at a tolerable level. If the prosthesis is placed behind the chest muscle, there may be limitation in arm movements for a few days. A bra or wrap is applied to the breast after the surgery. 10-12 if there are non-dissolving stitches. day can be taken. There is no need for suture removal in dissolving stitches. There may be swelling in the early period, numbness in the nipple and purplish discoloration on the skin. These disappear on their own in a short time. The patient can return to work in 3-4 days. After 3 weeks, the prosthesis settles into place and the breast regains its normal function. The patient is advised to stay away from heavy sports (which require jumping-running) for 2 months.
Breast augmentation surgery; It is an operation that gives good and permanent results in general, improves the mental health and psychosocial structure of the person, and makes them more committed to life.
Today, the most commonly used are round or anatomical-drop-shaped prostheses filled with silicone gel and rough. Prosthesis selection and placement may vary according to the patient, the condition of the breast, and the preference of the surgeon and the patient.