Breast augmentation operations are usually performed to give women who have less developed breast tissue or whose breasts shrink as a result of weight loss, more fleshy, upright, alive and aesthetically beautiful. In addition, the small size of the breast tissue can cause great difficulties in the choice of clothing. The rate of enlargement is determined by considering the individual’s desire, the condition of the available breast and the dimensions of the rib cage.
Breast augmentation surgery, patient selection, surgical technique and prosthesis to be used in the appropriate selection of the appropriate procedure and a perfect result is a smooth intervention.
BREAST PROSTHESES
Silicone prostheses, which started to be used in 1960s, are still widely used today. Today, the prostheses used in breast augmentation surgery are silicone gel or saline filled in a pouch made of silicone. Silicone is not harmful to the body. Silicone is an inert substance, meaning that it does not react chemically with the organism after it is placed in the body, its molecular structure does not change. Breast prostheses have been used in the world for more than 40 years and studies have shown that it does not increase the risk of cancer or any other systemic disease. It is a scientific fact that there is no relationship between silicone and breast cancer.
Prostheses are divided into two groups according to the substance they contain:
1.Serum physiologic prostheses
2.Silicon prostheses
Prostheses are divided into 2 groups in terms of shapes
1. Round prostheses: They are hemispherical. After placement, they form a fuller appearance in the upper half of the breast.
2.Anatomic (drop-shaped) prostheses: Drop-shaped. Their shape is more compatible with the natural shape of the breast. After placement, they form a fuller appearance in the lower half of the breast.
LOCATIONS TO PLACE THE PROSTHESES
Prostheses can be inserted into the chest area from 3 different locations:
1- Around Nipple
The surgical incision is approximately 4 cm. in the form of a half-circle. When the incision is made around the nipple, the area where the prosthesis will be placed is reached by cutting the milk glands. Cutting the glands to reach the place where the prosthesis will be placed may adversely affect breastfeeding after a possible birth and the nerve that senses the nipple may be affected. In this case, temporary or permanent drowsiness in the nipple (40%) may occur. The surgical incision heals, leaving a faint scar around the nipple.
2- Under-breast fold line
From the bottom of the breast fold line, or 4 cm above the line that will form this fold. length incision is made. The surgical incision heals, leaving a faint scar on the sub-breast fold line. When the prosthesis is placed by entering the bottom of the breast under the fold line, the milk glands are not damaged. Therefore, numbness of the nipple is not common.
3- Armpit
Under the armchair, 1.5-2 cm. and a prosthesis is placed through the tunnel. In this way, prostheses are usually placed under the chest muscle. In this way, the prosthesis, especially when placed under the muscle, significantly reduces the risk of infection. Since the surgical incision is under the armpit, there is no scar on the breast area. The surgical scar under the arm is lost in time as it remains within the curvature lines. This procedure has no effect on the diapers. Breastfeeding problems do not occur after a possible birth
Reasons for the most breast augmentation operations:
– Small breasts
– Asymmetry of the breasts
– Emptying the breasts after giving birth
– Shrinking and sagging of breasts with weight loss
– Absence of breast after cancer surgery
There are several methods of breast augmentation surgery. These;
– Fat injection
– Magnification with silicone (prosthesis)
-Filling agent injection
Before breast augmentation surgery with silicone (prosthesis), I want to briefly talk about other methods. My patients especially ask a lot of questions about this issue. Because breast silicone is misguided as if it is a harmful material, as if surgery is dangerous, other methods are healthier. They ask me if “silicone is dangerous, isn’t it healthier if we get fat injections, use breast creams or pills. I would like to explain other methods before breast silicone.
FAT INJECTION IN BREAST AUGMENTATION
Breast augmentation by fat injection is performed by injecting fat tissue from a part of the patient under the breast tissue. Fat injection has several disadvantages. The injected fat dissolves within a short time and must be repeated. Asymmetric images occur when the fat is sometimes dissolved in one breast and less in the other. You will need to have your fat injected again, which means you will have to undergo surgery a few more times. In addition, most of the patients who have not developed breast tissue are usually weak and it is impossible to find sufficient adipose tissue in these patients. Finally, when fat is injected into the breast tissue, breast cysts, necrosis will develop, and it will be difficult to evaluate with mammography or USG in the future. And it is unclear how much augmentation can be done with fat injection. Fat injection is not a preferred method in breast augmentation because it has such disadvantage.
BREAST AUGMENTATION SURGERY WITH SILICONE
Types of silicone according to the shape:
– Anatomical (drops)
– Round
According to the surface of the silicone types:
– Smooth surface
– Texture surface
Areas where silicone (prosthesis) is placed:
– Under the breast tissue
– Under the muscle tissue
Inlets where silicone is placed:
-Nipple
– Under the breast.
-Armpit
-Belly button
Before explaining these issues in a healthy way, we need to examine a few questions asked during breast augmentation surgery…
* Can I give milk (with silicone) after breast augmentation?
* Do I have any health problems after silicone surgery?
* Does silicone explode?
* Is it understood that I have silicone after surgery?
* When do I start after surgery?
These are the three most frequently asked questions by patients who have come to undergo breast augmentation surgery during my practice.
The solid silicone material has no harm to the body. It doesn’t cause cancer. It is not possible for your silicone to explode with any movement, sport or activity in your daily life. It may only be injured by a cutting or drilling tool.
If you are a suitable patient for silicone surgery and no postoperative complication occurs, no one will know that you have silicone surgery.
You can easily start working 2-3 days after the operation day.
Your doctor will decide whether your breast size, the shape of the silicone (drop-round), sub-muscular or super-muscular, and whether to put it under the breast or under the breast.
WHAT YOU WILL EXPERIENCE AFTER BREAST AUGMENTATION OPERATION:
1- You will have a pre-interview with your doctor. The desired breast size and the appropriate breast size for your body will be the subject of the interview. It will be decided whether the silicone is from the nipple, under the breast or under the armpit.
2- The size of the test silicone that we call “Sizer” silicon will be decided more or less. Your waist and hips also play an important role in this. You will also be informed about how the drop or round silicone can stand on your body.
3- And your surgery day will be determined. You should be particularly advised not to take aspirin for 1 week before surgery.
4-You will be informed that you will come to the hospital on an empty stomach in the morning of the day you will have surgery. Your blood tests, breast USG or mammography tests will be performed and the anesthesiologist will see you.
5- After your analysis, your doctor will come and make your drawings and take your photo. Our aim in taking your photo; to compare and show your pre- and postoperative images. In no way will it be shown to any patient and published on the website without your permission. After drawing and photographing, you will be taken into operation for approximately 1.5 – 2 hours.
6- You will stay in the hospital for one night after the operation and your doctor will come to see you and discharge you in the morning. There will be an unexplained dressing on your breast. Your antibiotics and painkillers will be prescribed.
7- Will the most frequently asked question after surgery be a lot of pain? Postoperative pain relief medications are enough to eliminate your pain. Because of the developing technology, silicone surgery is no longer painful. It is not an operation that requires you to lie down for days. Although the pain threshold is completely a problem for the person, your pain will decrease within two to three days.
8- You will use the sports bras for 1 month after the operation.
9- The second question we face after the operation will my breasts be so stiff, tense and edematous? Undoubtedly, If he was always tense like that, nobody would have had silicone surgery. Within a month, your edema will gradually decrease and in two months your breast will take its true shape and become natural soft.
10- We will call you to dress once in 3-4 days after the operation. Your stitches will melt automatically. Bathing will be decided during the first dressing.
11- Your doctor will allow you to start sports within 1-2 months of follow-up.
12- About 10 days after the surgery you will start to offer massages.
13- You can follow the condition of both your breast and silicone by having USG or breast MRI every 5 years after the operation.
14- Loss of sensation in your nipple will improve within 3-6 days.
Complications of breast silicon operation:
In breast silicone (prosthesis) operations, the risks that apply to each surgery are valid. There may be risks such as bleeding and infection. However, these complications are very rare in patients who do not have a preoperative disease and do not have any problem in their examination. And antibiotics are used during and after surgery.
Capsule formation is a very rare complication. It has been reported that this complication does not occur with surface rough breast prostheses used with the development of technology in recent years. The treatment is to remove the prosthesis and clean the capsule. It does not prevent the placement of a new prosthesis.
Loss of sensation in the nipple is a temporary problem after surgery. It improves in about 6 months.
Before breast augmentation (breast augmentation), you should decide on the type of operation, the type of anesthesia and the type of prosthesis to be attached in accordance with your consultation with your specialist.
Before the operation, your doctor should inform you in detail about the operation. This information determines your ideal prosthesis size. In determining the ideal prosthesis size, information such as your age, height, weight, and chest width are important.
Breast augmentation (breast augmentation) operations include two types of prosthesis consisting of external silicone and internal silicone or saline. Prosthesis containing serum physiological tissue loss over time and aging due to volume loss is seen. However, there is no such problem in prostheses containing gel silicone. Recently, cohesive prostheses have been developed to prevent leakage into the silicon tissue.
Breast augmentation (breast augmentation) has no harmful effects to the health of the silicone material used in prostheses. If you want to remove it for any reason, it is possible to remove it with local anesthesia.
Silicone models are divided into drop and round. According to the brand of round prosthesis, there are various subtypes as moderate, high and ultrahigh. Again, according to the brand of anatomical prostheses that we call drops, there are subtypes in the form of dual prosthesis and moderate plus. The most accurate model should be decided by talking with the doctor and taking measurements.
