Breast aesthetics (breast reduction, breast enlargement, breast lift, correction of breast asymmetry) is one of the most sensitive issues of female beauty. Breast plastic surgeries are the most applied plastic surgeries. Thanks to the developing technology and breast implants, very successful results are obtained today. For years, one of the most important problems of being a woman and a mother has ceased to be a problem, and there are now solutions to the issues that upset women.
In breast augmentation operations, breast implants are placed in cases where the breast tissue is structurally smaller than its normal volume and sagged. The implants used have a special surface texture that reduces capsule formation . “Capsule” is the name given to the connective tissue that surrounds and limits the implant after it is placed. The implant is isolated by wrapping it around. Sometimes the formation of the capsule causes the formation of more connective tissue than necessary. This is an undesirable capsular reaction. It usually varies depending on the type of implant, the place where it is placed, surgical success, bleeding, and the massage that should be applied after the operation.
Implants are selected according to the type of breast and breast structure. Drop-shaped implants are preferred because they form the upper fullness of the breast better. Implants, which are extremely robust and durable, are available in drop, round, narrow and wide-based variants. They have different measurements in terms of height. Among the implants used in our clinic, there is a gel called “kogel”, which is closest to the consistency of breast tissue. The placement of this gel on the implant takes place in the production center.
A special rehearsal is done to determine the implant size. First, the volume of the breast tissue of the patient is measured with a special instrument. Then, the difference between the unsupported and supported bras is determined, and the new breast size is decided together by considering all these details. The trial implant of the decided size is placed in the right place on the bare breast tissue. A tight T-shirt is put on this implant. It is ensured that the patient sees the change that will occur in himself in three dimensions from different angles and shares his decision with the people he trusts. The planned bra is put on this prepared structure and it is shown how it will look with or without a bra.
These three-dimensional rehearsals, which are presented to the patient before breast surgery, provide a better perception of expectations. Computer animation presentations may not provide such a successful perception. Thanks to the three-dimensional rehearsal, being able to touch and see the size they desire makes our patient better perceive their ideals. During the operation, the planned volume is tested with trial implants. The final decision is left to the doctor. Where to place the implant usually depends on the doctor’s preference. If the patient does not have enough breast tissue, submuscular is preferred. If there is enough tissue to cover the implant and make it feel natural, it can be placed behind the mammary gland. This technique can also lift minimally sagging breasts, giving a more natural appearance.
The implant is placed at three different points: the nipple, the fold under the breast, or the armpit. Entering from the nipple leaves almost no trace. The under-breast heals extremely well, it becomes barely noticeable. If the implant is placed under the muscle, muscle pain may occur for three or four days during arm movements, but this gradually decreases in the following days. When placed under the mammary gland, a more comfortable recovery period is experienced. It is possible to leave the hospital the same day after the operation. It is preferable to stay in the hospital for one day. It is recommended to use the special bra worn during the operation for 4 to 6 weeks and to avoid sports that require arm activity during this period. Breast tissue gains a more natural appearance and consistency at an increasing rate. In the following years, our patients begin to forget that they even have breast implants.
BREAST REDUCTION AND BREAST LIFT
After puberty, pregnancy and menopause, complaints especially about breast tissue increase. The large chest causes weight gain in the spine and posture disorders. The traces of the bra straps caused by the weight of the breasts are seen. An area prone to scalding and irritation is formed under the breast. Stretching the breast with the effect of weight also causes cracks on the skin.
In addition, breathing becomes difficult during daily activity and sleep, and signs of fatigue are observed. Supportive treatment is inevitable for the woman to regain her sexual attractiveness and for her breast to reach the vitality and height of years ago. Today, operations performed for large and heavy breast tissue in some countries are even covered by health insurance.
First, the existing breast tissue is measured. The person’s chest, waist, hip, weight, height measurements are made. The ideal size and height suitable for the body is determined. At this point, personal requests are evaluated. Our referrals are beneficial in terms of aesthetic proportions. Our experience is the insurance of hard-to-return changes in the future.
The problem of the breast may not always be large. In some cases, there is ideal size breast tissue. However, because of skin laxity and sagging due to advanced loss of elasticity, the nipple may settle down from where it should be. In such cases, the existing breast tissue is shaped and brought to a tighter and higher position. The ideal result is achieved by removing the breast skin that causes looseness. The nipple is placed in its natural position. Thus, aesthetic results are achieved as in breasts enlarged and erected using breast implants.
Reshaping the breast is possible with surgical techniques. One of the basic principles of plastic surgery is to hide the scars by choosing the right places. The outer border of the area we define as the areola (nipple head) in the breast has a white transition line. We hide the mark around the breast here. Because the healing scar shows a change close to white. Special suture techniques and materials are used to prevent the scars from expanding during the healing period.
A technique that creates a short scar is used in most of the breast lift and breast reduction operations. Our women attach great importance to the issue of traces. Since we care about their sensitivity, we are able to minimize the trace with special techniques.
We care about the new ideal form of the breast as much as the scar. The beauty of the form , the quality of the trace gives us satisfactory results . If we categorize our surgical scars: Round breast contour (areola) scar can be described as a lollipop-like areola with a vertical line scar, a vertical line with areola and an inverted T line. Traces and techniques vary according to the structure of the breast. After about six months, the scars become very difficult to notice.
Breast lift surgery is mostly aimed at skin tightening, it is a treatment in which the areola is transferred to its natural place. In cases where the breast is small and drooping, the breast is both enlarged with an implant and a lifting surgery is performed. It requires meticulous and good planning.
With breast reduction surgery, the excess tissue of the breast is removed, the skin is tightened and the areola is transferred to its ideal place. We find the pathological examination of the removed breast tissue very valuable in terms of exemplifying the textural structure of the breast. Before the breast surgery, ultrasonography under the age of 35, mammography and breast USG after the age of 35 are absolutely required. We care about this so that the breast can be examined and radiological comparison can be made with these images after surgery. It may be necessary to stay in the hospital for one night after the operation. A special bra is worn. The hidden stitch technique is used, and the stitches are not removed later as they will dissolve and disappear. It is recommended to take a break from sports activities for four weeks after the operation. Return to work life is possible between three and seven days.