Memorial Health Group Aesthetic, Plastic and Reconstructive Surgery Department experts provided information about "Breast Aesthetics"
Why do women want to have breast augmentation surgery?
In this operation, breast sizes are increased with the help of silicone implants. Women need this operation for various reasons;
- In the treatment of a decrease in breast volume after pregnancy,
- In the treatment of a volumetric difference between breasts,
- In breast reconstruction after cancer surgery.
How is the Operation Performed?
The operation is performed under general anesthesia in hospital conditions. Liquid silicone-filled prostheses are used in breast augmentation operations. The prosthesis is most often performed through 4 cm incisions made around the nipple and under the breast. The silicone prosthesis is placed under the breast tissue or behind the chest muscle. There are prosthesis types such as round, drop-shaped, smooth surface, or rough surface. The operation takes 1-2 hours and then it is enough to stay in the hospital for one day.
What is the most preferred prosthesis?
The result of breast augmentation with silicone depends on the type of prosthesis used. Prosthetic technologies have also developed over time. Recently, the demand of our patients is the "Drop" shaped prosthesis.
There is a fact that the chest is not round. It rises towards the nipple with a slight inclination from above and turns towards the bottom of the breast by making a sharper arc after the nipple. Due to this need, the production of anatomical prostheses has started. The use of anatomically shaped cohesive gel-containing prostheses, which give a more natural feel, has increased a lot.
Where is the prosthesis placed?
Submuscular placement hides the prosthesis better but is more painful. It can cause the breast to move with arm movements. The upper muscle placement is more natural, but it may not cover the prosthesis well. A third option is under the muscle membrane. The operation time is a little longer, it requires more careful surgery, but it has the advantages of both the submuscular and superior regions.
Apart from breast augmentation, what are other aesthetic operations that can be applied to the breast?
Breast reduction and breast lift are also aesthetic operations that are highly preferred by women.
Who are the most suitable candidates for breast reduction surgery?
This operation is performed to increase the comfort of people rather than for aesthetic purposes. Many women experience serious difficulties in their physical activities because of their large breasts. Breast reduction surgery is generally not performed before the breasts have developed. However, this operation can also be applied to young girls with serious problems.
How Is Breast Reduction Surgery Planned?
At the first examination of each patient, the breast size that will be in proportion with the body size is determined. The patient's chest measurement is taken and photographs are taken. The position of the nipple is evaluated and if it is down, how much it will be moved up is determined. The patient is provided with detailed information about the operation and the complications.
In patients over 30 years of age, mammography is requested to keep in the patient's file before undergoing this operation. According to this mammography, it is decided whether the material to be removed in the operation will be sent to pathology. It is preferred that the patient is close to the ideal weight for the operation. Thus, the amount of fat in the breast tissue is reduced. Being at an ideal weight facilitates the operation and reduces the possibility of complications. Precautions are taken regarding certain drugs, alcohol consumption, smoking, and drugs used by the patient that will cause complications for this operation. The operation is performed under general anesthesia.
What Happens After the Operation?
After surgery, the breasts are dressed with elastic bandages and gauze. Small silicone tubes that prevent fluid accumulation under the skin are removed on the 1st or 2nd day. The first 2 days after the operation may be painful, but with strong painkillers, this pain is minimized. Bandages are removed on the 2nd or 3rd day and the surgical bra is worn for several weeks. Thanks to the new suture materials, the amount of stitches that need to be removed has decreased. Antibiotic creams are used for post-surgical skin dryness, but suture lines should be kept dry. Pain and swelling may occur in the breasts during the first menstruation after surgery. Temporary loss of sensation may occur for the first six weeks. The patient can stand up the next day of the operation, but heavy work should be avoided for 2-3 weeks. Most patients can return to their social activities and work after 2 weeks. Tight bras should be preferred for activities such as sports for the first month. The breasts should be treated gently for 6 weeks. It is normal to have slight crusting around the wound edges or to have pink colored fluid. In case of sudden pain, swelling, bruising, the doctor should be informed.
What is a breast lift operation?
Breast sagging occurs over the years due to pregnancy, breastfeeding, and the effects of gravity. The skin loses its elasticity, loses its shape and its distance to the forward decreases. However, the dark skin around the nipple expands.
Breast lift operation is a smaller surgery than breast reduction operation. During the lifting process, the dark skin around the nipple is reduced in size. If the volume of the breast tissue is sufficient, it is possible to shape and lift it.
If there is both sagging and volume loss in the breast, it is necessary to increase the volume with a silicone prosthesis. Women can decide on this difference by looking at the volume of their breasts in the bra.
This operation does not stop the sagging of the breasts, it only restores them to their pre-sagging state. If the patient is considering becoming a mother at a later date, we recommend postponing the operation.
It is an operation that takes 2-3 hours. It is enough to stay in the hospital for 1 day.
Prepared by the Medical Editorial Board. Our health library contents have been prepared for informational purposes only and with the scientific content on the registration date. For all your questions, concerns, diagnosis or treatment about your health, please consult your doctor or health institution.