BREAST AUGMENTATION

The only and real method for breast augmentation is the surgery with prosthesis, which is called silicone surgery among the public. All other breast enhancement pills, massages, creams, gels are completely scams and do nothing but waste money.

It has been in widespread use since the 1960s and 70s. It has developed rapidly until today, both technically and in terms of the quality of the prostheses used. Although many substances other than silicone have been tried for this application, they have not been very successful and silicone prostheses have become preferred.

Breast Implants

Breast implants are materials in the form of a hemisphere or a drop consisting of a silicone sheath and silicone gel or solid gel or serum physiological filling the inside. Round prostheses contain differences according to their height and volume.

Those in the form of a drop are half a drop or pear-shaped, and their sizes and shapes show differences. The plastic surgeon makes a choice by talking to the patient, according to his own preference and at the same time the patient’s needs and body type.

They have types according to their shape and the substance filling them. In addition, they are divided into having a smooth surface on the outer sheath and having a textured surface. It can contain liquid silicone or solid silicone, which is more dense. Those with liquid silicone are the oldest models. When it bursts, the probability of spreading is high. In recent years, less fluid solid silicones are placed inside the sheath. Their chances of spreading in case of rupture or bursting are lower than others. Another type of prosthesis is prostheses in which serum physiological, that is, water containing nine per thousand salt, is placed. There are types of these that are filled during surgery, as well as types that are full and closed.

These types of prostheses do not create a side effect when they burst or tear, and are absorbed by the body and excreted as water.

These prostheses come ready in special sterile boxes and are opened and used during surgery. Silicone prostheses are quite durable and robust, and they do not tear or burst easily.

Who can have breast implant surgery?

First of all, the patient must be healthy and not have any discomfort that would prevent the surgery. Completing adolescence, that is, being at least 18 years old, is a prerequisite. It can be done in cases where the breasts are not sufficiently developed or absent, are asymmetrical, or when the patient is not happy with the existing breast structure and wants a fuller and larger breast. The age of the patient who will have breast augmentation surgery, previous illnesses, whether there is a family history of breast cancer, whether they are married or not, whether they have children, and whether there has been any previous biopsy, etc. surgical intervention to the breast are examined.

Prosthesis Selection

After the patient’s examination, an approximate prosthesis size is determined according to the patient’s wishes, body structure, measurements made, the surgeon’s experience and recommendations. The size of the prosthesis to be used in the surgery is approximately determined. It is discussed with the patient whether an anatomical, ie drop-shaped, or round prosthesis will be used. Round prostheses are preferred in patients who want more fullness in the upper part of the breast. Drop-shaped prostheses do not fill the upper part much. The fullness is mostly in the lower part of the breast.

Serum physiological prostheses are softer and mimic breast tissue better. As the gel fluidity inside the prostheses decreases, that is, as it solidifies, the hardness increases. When drop-shaped, ie anatomical prostheses are placed, a pocket is opened as large as the size of the prosthesis and the prosthesis does not move too much to the right or left. Since it stays more stable on the rib cage, it does not change shape when the patient lies down. This can lead to an unnatural breast structure. But since the pockets of round prostheses are opened larger, the prosthesis and breast move naturally like a normal breast when the patient lies down and gets up.

Incision Selection and Surgical Process

Breast implants can be placed under or over the chest muscle by entering through the nipple, under the breast, the hairy area under the armpit, or the navel. It is entered between the brown ring and the normal skin at the nipple. The breast tissue and muscle are cut and the muscle is reached under the muscle and the prosthesis is placed here. When entered with an incision under the breast, the muscle is again lifted and the prosthesis is placed here. A faint, indistinct scar remains in these incision sites. Another incision site is made in the hairy area under the armpit. Here, only the skin is advanced under the skin and the back of the muscle is reached. The muscle is not cut, it is separated. The prosthesis is placed from here.

Since the breast tissue is not cut, healing is faster. Entering through the navel is not very correct. It is far from the breast and the risk of complications is high. The surgery is performed under general anesthesia in the operating room. The surgical procedure is performed according to the selected incision site. The skin is closed with internal stitches and external tapes. Depending on the surgeon’s preference, a drain (to remove fluids that may accumulate inside) is placed or not. The surgery takes about 30-120 minutes depending on the technique applied. It does not require staying in the hospital. The patient can be discharged on the same day. After the surgery, the patient uses painkillers and a protective antibiotic. A special bra can be used. The patient is called for a check-up a week later.

Possible Complications

Early complications of breast augmentation surgeries are quite rare. These can mainly be conditions such as bleeding, infection, wound opening. In the following days, fluid accumulation inside, blistering of the wounds, that is, becoming hypertrophic, can be counted. In the late period, the prosthesis being in the wrong place, the breast shape being deformed, and most importantly, the formation of a sheath membrane around the prosthesis due to the rejection of the prosthesis by the body, which is called capsule contracture. Capsule contracture can also be called a foreign body reaction. The reason is not fully known. Here, the most important factor is to prevent the pocket opened during the surgery from closing by regularly doing the massages given after the surgery. If the pocket is wide enough, the risk of capsule formation is seriously reduced.

Things to Do After Surgery

You should strictly follow your doctor’s advice after breast augmentation surgery. If possible, smoking should be avoided. It is necessary to rest absolutely for the first few days. Dressing is done after 5-7 days. If there are stitches, they are removed. Afterwards, the prescribed massages should be applied. Weekly and monthly check-ups should be done at certain intervals.

Studies show that breast silicones do not cause cancer. You can get pregnant and then give milk. In order for the breasts not to be deformed after pregnancy, it should be tried not to exceed 7-10 kg above the ideal weight during pregnancy.