Breast augmentation surgery or breast enlargement surgery is a surgical procedure that aims to change the size and shape of the breasts.
Breast augmentation surgery or breast enlargement surgery is a surgical procedure that aims to change the size and shape of the breasts. It is considered the most frequently performed plastic surgery in the world. This surgery is performed using two primary methods: breast implants and fat transfer.
- Breast Augmentation With Implants
Breast implants or breast prostheses are artificial breasts usually filled with silicone or salty water. These implants are placed under the breast tissue or under the muscle. The size, shape and ingredients of the implants are determined as a result of the examination and consultation between the patient and the plastic surgeon.
- Breast Augmentation With Fat Transfer
Breast enlargement with fat transfer is performed by injecting fat taken from the patient’s own body into the breasts. However, this method may not be suitable for every patient. It is a method that should be preferred in the group of patients who have a certain breast tissue and request a small amount of change.
Size and Shape of Breast Implants
Breast implants come in different options in size and shape, allowing patients to achieve personalized results based on their needs and preferences. Here are basic information about the size and shape of breast implants:
- Size: The size of breast implants is related to the volume and filling amount of the implant. Dimensions are usually measured in “cc”. Implant size should be determined according to your breast size and body type. While small implants can offer a more natural look, larger implants can help you achieve a fuller appearance.
- Profile:The profile of the implants, that is, the filling volume and height, affects the shape of the breast implants. There are two basic types of profiles:
- Low Profile: Less filled implants with a wider base. They offer a more natural look.
- High Profile: The implants with a narrower base and more filling. They provide a full, round appearance.
- Shape:The shape of implants can be divided into two main categories:
Round Implants:These implants have equal fullness at the top and bottom, making the breast tissue fuller.
Anatomical (Drop) Implants: These implants offer a more natural breast shape. The upper part has a thinner structure and the lower part has a fuller structure.
How is Breast Enlargement Surgery Performed?
Breast augmentation surgery usually includes the following steps:
Anesthesia application: The patient is given anesthesia before the surgery. Usually general anesthesia is used.
Determining the incision: The surgeon and the patient plan in advance the location and size of the incision to be used. Incisions commonly used in breast augmentation surgeries are: under breast fold, around the nipple, or in the armpit.
Placement Of The Implant: After the incision is made, breast implants filled with silicone or salty water (saline implants) are placed under the breast or under the muscle. The location where the implant is placed may vary depending on the patient’s body structure, the patient’s desired appearance, and the plastic surgeon’s recommendations.
The Closure of Incisions: After the implants are inserted, the incisions are carefully closed. Aesthetic stitches that are not visible from the outside are used. There is no need to remove stitches afterwards.
What are the incisions used in breast augmentation surgery?
The location of the incisions used in breast augmentation surgeries may vary depending on the patient’s anatomy, the surgeon’s preferences and the patient’s wishes. Commonly used incisions are:
Under Breast Fold (Inframammary Incision:): This incision is made in the inframammary fold on the lower part of the breast. This area can be easily hidden by clothes and generally minimizes the visibility of the scars. The inframammary fold incision provides the plastic surgeon with a comfortable viewing angle during surgery. The risk of damaging the milk ducts is at the lowest level.
Around Nipple (Areolar Incision: This incision involves a circular incision made in the lower half of the nipple. Placing the implant through this incision may cause it to come into more contact with the breast tissue. Additionally, when an areolar incision is made, there is a risk of damage to the milk ducts and may affect the ability to breastfeed. There is a risk of loss of sensation in the nipple and the brown area we call the areola. However, since the incision scar is usually the color of the nipple, it may be less noticeable.
Armpit (Transaxillary Incision): This incision is made in the armpit area and is further away from the inframammary fold or around the nipple for implants placement Therefore, there is a risk of the implant shifting upward or outward. Since the armpit area may be visible through clothes worn in daily life, the incision scar may be more difficult to hide.
Who is Breast Augmentation Surgery Suitable for?
Breast augmentation surgery may be considered for the following situations:
- Women who want to increase the size or fullness of their breasts.
- Women whose breast tissue has decreased due to reasons such as natural aging, pregnancy, breastfeeding or weight loss.
- They may consider this procedure if one breast is smaller or a different shape than the other.
- Patients who underwent mastectomy for breast cancer treatment can reconstruct their breasts with breast reconstruction surgery.
Things to Do After Breast Augmentation Surgery:
- It is extremely important to follow your surgeon’s instructions completely. These instructions may include topics such as postoperative care, medication use, bra wearing, and activity regulation.
- Resting and giving the body time after surgery can speed up the healing process. Avoid strenuous physical activities and do not exercise without your doctor’s approval.
- If your doctor has prescribed medications such as painkillers or antibiotics, you should use these medications regularly.
- You should wear a suitable bra for as long as your doctor recommends. A bra can help with the healing process by supporting breast tissue.
- You should regularly undergo examinations and check-ups determined by your doctor. These follow-ups ensure that results are progressing properly and that any complications are detected early.
- Maintaining a healthy diet can speed up the healing process. It is important to get the nutrients the body needs for wound healing and tissue repair.
Things Not to Do After Breast Augmentation Surgery:
- Smoking and excessive alcohol consumption can negatively affect the healing process. These substances can impair circulation and slow down wound healing.
- Avoid lifting heavy objects and doing strenuous exercises in the postoperative period. This may cause implants to slip out of place or impair wound healing.
- Do not forget to use a bra for the period recommended by your doctor. The bra helps maintain the results by supporting your breasts.
- Scars will heal naturally, but avoid rubbing or irritating the scars during the post-operative period.
- Sudden weight loss or weight gain may negatively affect the results of surgery. It is important to maintain a healthy weight control.
Will There Any Scars Left After Breast Surgery?
Scars after breast surgery may vary depending on several different factors. First of all, the location of the incision used affects the visibility of the scars. The under breast fold incision is usually less obvious because this area can be easily hidden by clothes. While the incision around the nipple is less noticeable because it is the color of the breast, the incision under the armpit can sometimes be more visible. The surgeon’s skill may also affect the appearance of the scars. An experienced surgeon can work diligently to minimize scars. How scars heal depends on skin type, and some people may experience scars fading quickly, while others may take longer. Scars will heal over time, usually being most visible in the first few months, but they become less obvious after a year or more. Finally, paying attention to scar care can help scars heal. It is important to follow the scar care methods recommended by your surgeon.
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