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Breast Augmentation - Mammary Augmentation

When you speak of mammary augmentation operation or breast augmentation operation, breast augmentation operation with a silicone prosthesis as well as the formation of a less sagged and more young-looking breast come to mind.

Mammary Augmentation Operation
Tightening of the skin of the breast tissue by the removal of the skin and breast tissue, which is wider and looser than normal, is the basis of this procedure.

A woman’s sense of beauty is expressed in her confidence, harmony, and grace. But it is not easy to make sure of your beauty if you are not satisfied with the appearance of your breasts. Women, who are not happy with the size, design, appearance or symmetry of their breasts, prefer breast augmentation, which will help change their appearance.

While there is a soft, sagged, and, old-looking breast in cases of tissue break down such as breast augmentation, pregnancy, breastfeeding or weight gain-loss; an attractive, full, sexy, and young-looking appearance is obtained in just a few hours, when breast augmentation procedures are combined.

what is breast augmentation?

Although breast augmentation operation has very strong positive effects, if not applied well, a few negative effects may also occur. The biggest plus is that, with only a few hours of operation, the breast can be restored to its original state and even to a state, which is better than before.
Regardless of your personal reasons, a breast augmentation operation, performed by an experienced and specialist plastic surgeon, is a safe and effective procedure, that allows women in need of body-related improvements to attain the appearance they have dreamed of.
Breast augmentation, also known as augmentation mammoplasty, is a surgical method used to correct the breast size, volume, proportion, and overall appearance.

Reasons to have breast augmentation operation for women:

  1. Small breast size
  2. Decreasing breast volume as a result of weight loss, pregnancy or aging
  3. Asymmetry

how is the breast augmented?

Along with the recent advancement of technology, breast augmentations performed with silicone prostheses lead the breast augmentation methods with the most reliable and best results. We come across two basic breast silicones following recent developments in breast silicone technology.
One of them is the round silicone, while the other is the shaped silicone. We can enlarge the breast very successfully and permanently by utilizing these silicones. Especially with the use of high-quality silicones nowadays, it is possible for these silicones to remain in the patient for life and the breast augmentation can last a lifetime. The difference of the new technology silicones from the silicones produced before comes from the addition of a special technology called cohesive gel, which prevents the silicone from flowing out when any wear or tear occurs.
Breast augmentation methods are decided based on the patient’s height, weight, the width of the rib cage, body length, shoulder width, and hip width. With the combination of these with what the patient desires, a common path is determined to obtain the desired result for the patient. Thanks to especially the emergence of three-dimensional imaging methods today, through which the patient is photographed from multiple angles, the silicone implanted state can be shown to the patient in the three-dimensional image.

meme-buyutmeSpecial programs, which combine brands, models, and different types of silicones, enable the exhibition of the breast shape in the patient’s mind, making it possible for the doctor and the patient to find a common ground. Another advantage of three-dimensional imaging methods is that the patients are able to see their breast structures themselves and envisage the shape that their breasts will take. Because our patients bring us photos, saying that “I want breasts like this”.

With three-dimensional imaging methods, it also becomes possible for the patients to see that various breast structures of various people may not be suitable for every patient. I think that in breast augmentation operations, it is very important to use these methods especially in order to attain the shape desired by the patient and to ease the patient’s mind.

what are the 2018 methods of breast augmentation?

Breast augmentation methods are basically divided into 2 as surgical and non-surgical methods.
The surgical methods are breast augmentation methods by silicone prosthesis, the methods often utilized by plastic surgeons nowadays.
Among the non-surgical methods, procedures such as breast augmentation through external fillings of various substances, breast augmentation aesthetics through external applications of vacuum-like devices can be taken into account.
However, this type of procedures yield very temporary results and the breast returns to its original size in a very short time. In particular, the filling methods are not highly recommended methods, because the injection of a material into the breast is not regarded as safe, due to the sensitive structure of the breast.
Breast augmentation by silicone prosthesis has become much safer, especially together with the use of advanced technology in the production of silicone prostheses. Silicone prostheses can be divided into two as shaped silicones and round silicones. In profile view of these two types of silicones, we can see that one of these is in the shaped form and the other is in the round form. When these silicones are compared, they have no superiority to each other based on body structure.

We prefer silicones with the shaped structure in a lady, who has no breast and desires a natural look. The shaped structure has flatter, outward bulging, lower volume, and wider base versions. Here we can get good results depending on the mastery of the doctor and the good establishment of the connection of this silicone with the patient.
Round silicones can also yield natural results in patients, where shaped silicones cannot be used, in particular in patients with some breast tissues. Every round silicone does not yield an abnormal or artificial appearance. As you can see, round silicones also have versions bulging significantly outward as well as slightly lower volume ones.

By reducing the outward bulging based on the patient’s request, breasts with lower volume in upper parts yielding more natural appearance can also be obtained through round silicones. This means that patients can decide whether to prefer shaped or round silicones by particularly consulting their doctors and precisely envisaging the result in the three-dimensional simulation devices. Whether to use shaped silicones or round silicones can be decided especially at the last stage, taking into account the doctor’s experience.

how is breast augmentation performed?

Breast augmentation methods can be classified under two main headings. Breast augmentation can be performed with silicone prostheses and it is possible to provide breast augmentation by fat tissues to be obtained from the person’s own tissues. However, among these methods, augmentation by the selection of silicones that are suitable for the body structure is more popular, easier and yields quicker results.
Breast silicones are basically divided into two categories. The silicone structure that we call shaped silicone, is a silicon structure similar to the anatomical structure of the body, while the other is the one that we call round silicone. When we divide these silicones in half, the silicones, where the upper and lower parts are symmetrical, are round silicones, while the silicones, which have fuller lower parts and flatter upper parts or are closer to natural breast appearance, are shaped silicones. Through the placement of these in accordance with the structure of the person, the natural look is obtained.
If the person’s own breast structure is too small and her own tissue is very thin, then we prefer shaped silicones i.e. anatomical silicones, because her own breast tissue does not camouflage these silicones and we target a natural look. However, in people having their own tissues, round silicones can also result in a natural look.
Therefore, it is of high importance for the patient and the doctor to find a common ground and decide on the silicone to be applied accordingly.

where are breast prostheses (silicone implants) placed through?

  1. Periareolar incision or incision around the areola
  2. Submammary or under-breast crease incision
  3. Transaxillary or axillary incision

The incision locations may vary depending on various factors. Depending on your personal needs and the recommendations of your surgeon, you may request the incision to be made around the areola, along with the submammary crease or in the axillary area.

In general terms, an incision on or near the submammary crease is the safest and most effective approach. In scientific studies published in this area, the lowest revision (re-operation necessity) and capsular contracture (hard capsule formation around the prosthesis) rate was detected in the operations performed through the submammary incision.

You can be a candidate for transaxillary breast augmentation, where the incision is made in the axillary area. The transaxillary incision is suitable for women with a narrow chest structure, with small areola circumference and insufficient submammary creases. This method is commonly used in Asian women with small breasts and areola, or people who are worried about dark coloured scarring on or near their breasts. The approach of placing through the axillary incision, usually associated with water-filled prosthesis applications, can also be applied in silicone prostheses.
The incision applied along the edge of the areola is a suitable option for women, who have a wider areola circumference and a reasonable amount of a breast tissue. In many cases, this application hides scars to form around the areola but also possesses the risk of leaving visible marks on the breast. The disadvantage of this application is the risk of partial or total loss of nipple sensation. In some scientific studies, the risks of revision (re-operation necessity) and capsular contracture were found to be higher than other methods.

Breast prostheses can be placed under the breast muscle, under the membrane of the breast muscle (under the membrane) or over the breast muscle.
The results of breast augmentation operations are visible immediately. Over time, the postoperative swelling will be eliminated, and the marks of the incision, which is closed by the adhesive application technique, will close day by day.

Some factors determine the natural development of breasts. These factors include genetics, aging and hormone levels, including oestrogen and testosterone levels in your body. The appearance of your breasts may change, if you are pregnant, have recently given birth, or are breastfeeding. Long-term aging effects and previous pregnancies may also cause this change.
Having larger and symmetrical breasts will help to increase self-confidence and change your body perception. This procedure will also make your body look more proportional and more aesthetic and hence will please you.

where is breast prosthesis placed?

Breast prosthesis can be placed under the breast muscle, under the membrane of the breast muscle (under the membrane) or over the breast muscle.
A breast prosthesis can be placed in the following ways depending on the relationship of the breast muscle, which is called the pectoral muscle and is located just under the breast:

  1. OVER THE MUSCLE: Under the breast tissue and over the breast muscle (pectoralis major)
  2. UNDER THE FASCIA (MEMBRANE): Under the breast tissue and just below the membrane, which is just below the muscle (pectoral fascia). In this case, it will again be over the breast muscle.
  3. UNDER THE MUSCLE: Behind all tissues, i.e. the breast tissue, the membrane (pectoralis major fascia) and the pectoralis major muscle. (is also known as “sub-pectoral” or “dual plane”.)

The pros and cons of each may be confusing.

Recently, the technique of “sub-pectoral (under the muscle)” or “Dual-plane” is recommended widely, because of its advantages of lower capsular contracture rates and more natural contours in general.

When the pectoralis major muscle contracted voluntarily, the risk of unnatural breast movements (the deformity, also known as movement deformation) is the only disadvantage of this technique.

Breast prostheses are produced with smooth or rough surfaces. Anatomical, i.e. tear-drop prostheses are produced only with rough surfaces to prevent displacement. Prostheses with an anatomically rough shape can be used in unusual rib cage structures. For example; they can be a good option for people with various structures, such as long, narrow or very short, wide breasts and rib cages. They may be an option in major asymmetries, i.e. in congenital deformities such as the funnel chest, backbone curves such as scoliosis, and unilateral chest development retardation.

Some surgeons prefer only anatomical shapes, because the highlighted upper part fullness is ½ lower in comparison with round silicones, or because it forms the natural conical structure of the breast and creates a more natural appearance.
The textured “anatomical” tear-drop shaped breast prostheses fit better in women with fewer breast tissues and softer texture when compared to an ordinary patient. The prices of these prostheses are higher and they are felt a little harder, and additionally, they are associated with an estimated displacement risk of 4-5%. These prostheses are commonly used in breast reconstruction (reconstruction of the non-existing breast).

the most suitable candidates for breast augmentation

  • If your age is 18 or above
  • If your breasts do not match your ideal body perception and aesthetic goals
  • In case of insufficient volume, fullness and firmness, insufficient overall appearance
  • If you have an obvious symmetric disorder

you can be a good candidate for aesthetic breast augmentation.
Being physically and mentally healthy and being realistic in expectations are also important prerequisites for breast augmentation.
The patient’s optional aesthetic breast augmentation operation relies on whether the age condition is met. For silicone prostheses, you must be at least 18 years old. Younger women with unusual breast problems or an abnormal breast appearance may still be eligible for breast prostheses.
The procedure to be applied to those, who are in this situation, will by definition be reconstructive, in other words, will serve a repairing purpose, rather than being completely aesthetic.
A successful breast enlargement process always increases the size and volume of your breasts. This improves your appearance and self-confidence. It is important to have realistic expectations and to discuss the issue with your surgeon before having this procedure.

round prosthesis or tear-drop (anatomical) prosthesis?

As part of the breast augmentation procedure, you have to choose between a tear-drop shaped and round shaped silicone breast prosthesis. Both types have a number of pros and cons.
Breast silicones are available in different shapes and sizes, but their common feature is that the outer parts are formed of a silicone wall. A few millimetre thick silicone sachet contains gel silicone or saline, in other words, saltwater.
Anatomical prostheses are harder than round prostheses. These prostheses, which are also called “Form stable ”, are filled with hard silicone to keep their tear-drop forms.
On the other hand, round silicone prostheses are known to give a more natural feel due to their soft gel structure.
First of all, it should be noted that silicones produced with the new technology do not have to be removed at a certain time. A woman, who has undergone a prosthesis application, is able to use her prosthesis for 30 years or more, for almost a lifetime.
Another feature of silicones produced by the new technology is that the outer surfaces are rough. These textured prostheses, which prevent the formation of the undesirable condition called capsule formation that I will mention later, and which lessen the friction by holding onto the tissue above, also reduce the unwanted postoperative side effects.

Prosthesis size is expressed in cc., which corresponds to 1 millimetre. Silicone prostheses are now usually available in sizes 100 cc to 800 cc. The most preferred ones are those with sizes of 175 to 375 cc. The size of the breast is generally not related to the commonly used measurements such as 75, 80, 90, which in fact indicate the chest circumference length. In the bras, the chest size is determined by the measurement of the chest circumference just below the breasts. The size of the bra, in which the breast is located, is usually indicated as “cup” A, B, C, and D. For example, a size of 80/C indicates that the length measurement done below the chest yields 80 cm, and that the size of the breast is cup C. In non-symmetrical breasts, prostheses of different sizes can be placed to equalize the size, such as 250 cc to the left and 275 cc to the right.
Following the breast augmentation operation, only the part, where the breasts are placed, augments. The size of the chest circumference does not change. In other words, the size of an individual can change from 75 A to 75 C by augmentation.
It is recommended that individuals undergoing breast augmentation with silicone prostheses should examine themselves at regular intervals. When the swelling, mass, stiffness or breast changes are observed in the breast, it is recommended to visit the surgeons, who are experts in their fields, for examination.

how are the silicone breast prosthesis types determined?

In our patients, the selection of breast prostheses or breast silicones that we use for breast augmentation is the most delicate and critical point.

  • Body measurements, the shape of the rib cage
  • Existing breast size
  • Existence of any difference between the two breasts and the distance between them
  • Expectations of our patient

what are the breast prosthesis types?

  1. BASED ON THE CONTENT:
    • Containing silicone:
      Nowadays, silicone breast prostheses, which are also approved by the FDA, are preferred as they are proven to have no harm to the body and they give a more natural feel.
    • Containing saline (saltwater):
      They are saline-filled silicone prostheses, which were more commonly used in the past and are rarely used nowadays due to their disadvantages.
  2. BASED ON THE SHAPE:
    • Tear-drop (Anatomical) Prosthesis:
      Tear-drop silicones, which are called as tear-drop breasts due to the similarity of their shapes to water drops and are called anatomical silicone prostheses in the medical literature due to their similarity to the breast’s anatomical structure, are filled with a harder gel silicone when compared to the round silicone. Tear-drop silicone is primarily preferred in individuals with a thin structure and an underdeveloped breast tissue.
    • Round Prosthesis:
      The decision whether to use tear-drop or round silicone should be made with both the doctor and the patient and this is the basic rule for a successful outcome. Preferring round silicones, especially for people with loose tissue, eliminates the problems that may arise. The gel inside the round silicone has a softer structure than that of the tear-drop silicone.
  3. BASED ON THE SURFACE STRUCTURE:
    • With textured surface:
      The surface of all tear-drop silicones has a textured structure. This enables better adhesion of the tissue onto the silicone while preventing the tear-drop silicone from replacement. Studies on silicones coated with a textured structure have shown that the risk of a later capsule formation, that can cause problems around the silicone, is lower.

what are the differences between 2018 silicone prices?

Especially when we look at large producers, there are 5 or 6 large producers in the world. One of the most developed countries in R&D is the USA and there are 2 big manufacturers in this field. Their prices are more or less very similar and close to each other.
In particular, manufacturers such as Brazil, China can produce more affordable silicones. The differences between these are due to the fact that the methods of research and development are less and the silicones produced by these companies are not guaranteed for a lifetime. The prices of silicones used by well-known and widely used brands, which provide lifetime guarantees, are quite close to each other and represent the highest level silicone prices in the market.
While selecting the silicone, the important points to be careful about are that the producer should be a reliable company, it should be preferred by a large number of people, and the firm should be providing a guarantee to the patient.
One of the reasons why silicon prices are so various is that the big producers, which have attained shares in the market, are selling their products at a certain price standard, and the companies that aim to enter the market launch their products at more reasonable price levels.

does harmful capsule formation occur after every silicone prosthesis application?

Silicone prostheses are perceived as foreign substances by the body and a reaction is formed against them. After the placement procedure, a protective membrane is created around the prosthesis which is called a capsule or an internal lining. Formed capsule thickens in some people representing 3-5% of the individuals due to unknown reasons and causes deformation in the shape of the silicone and may need to be treated. In this case, which is called a capsule contracture, the patient may need to be re-operated. In case of capsule formation, which is evaluated in 4 stages, only patients in stages 3 and 4 are required to be re-operated.
This capsule also acts as a barrier to the surrounding tissues by retaining the silicone gel in the prosthesis which has deteriorated due to any reason. This protective procedure usually works with two exceptions. In very rare cases of trauma (for example, falling from a high staircase, steering traumas following traffic accidents), the prostheses may deteriorate as a result of the gel’s tearing in the capsule and settling into other tissues and creating masses.
In the majority of these conditions, called “intra-capsular deformity”, despite the fact that the capsule keeps the visible part of the silicone gel, very small microscopic amount of gel may be found in the surrounding tissues. These small amounts are not considered to be important and are believed to be harmless.
Silicone prostheses are clearly more advantageous in terms of full performance. Silicone prostheses are available in any style, size, and shape. Silicone gel-filled prostheses usually feel softer and natural.

the questions that you should ask yourself before the consultation

Making an analysis of your needs and targets will be extremely helpful before you plan for the consultation. There are various questions that you should ask yourself before you enter into this process. These questions are as follows:

  • What is my ideal cup size?
  • Is there a certain “appearance” that I don’t want or prefer?
  • Do I have a certain size of prosthesis in my mind (for example 250 cc, 325 cc or 400 cc)?
  • What kind of a prosthesis am I interested in, round (full cleavage) or tear-drop (natural cleavage)?
  • Do I need a breast lift procedure?
  • What other procedures can I utilize to fully achieve my aesthetic goals?

Taking time out and answering these basic questions will help you decide on the best procedure for yourself.
Today, a special medical silicone called cohesive gel is placed into the silicones produced with high quality. The feature of this gel is that its fluidity is reduced to prevent leakage into the body.

Preoperative Period in Breast Augmentation and Planning

With the 3D Vectra special photographing device, you can see your postoperative image in 3D with the simulation to be performed before the surgery. So, instead of envisaging it in your imagination, you have the opportunity to have a visual idea and decide on the post-operative situation.

With the 3-D imaging device in our clinic, it is possible before the surgery to monitor the 3-dimensional appearance of your breasts, which will be achieved by the breast augmentation operation.

Your surgeon should assess your health status and explain to you what the most appropriate surgical techniques are for the condition of your breasts, your skin flexibility and what you expect from the procedure. If your breasts are saggy, you may need to combine the procedure with the breast-lift procedure to obtain a better result.

Preparation to Breast Augmentation Operation

You will receive instructions on how to prepare for the surgery, including general information about eating, drinking, smoking, and certain vitamins and medicines to be avoided. The surgery risk increases in people, who smoke to a considerable extent. A breast x-ray can be taken to ensure your breast health and to support future comparisons. Before the operation, your general health status and blood tests will be checked by us to investigate whether there is an obstacle and permission procedures will be completed.
In the preparation process, it will be an advantage for you to arrange somebody to take you home by a vehicle and to accompany you after the surgery. In good hands, many patients recover very quickly following the surgery. Generally, patients have mild pain, that can easily be stopped by NSAID and paracetamol combinations. You will be given medications for home use on the operation day and afterwards. After 5-7 days following the breast augmentation operation, many patients feel mild or no pain.

Operation Day

On the day of the operation, you should not eat or drink anything starting from midnight, unless otherwise stated. You should wear suitable, wide, casual clothing with buttons or a front zip. If possible, it is better to take a shower with an anti-bacterial soap. Of course, you should stop smoking 2 weeks before the operation. Please be in the hospital 90-120 minutes before the operation.
When the operation is completed, aiming to ensure faster recovery and to enable the patient to take a shower on the next day without worry, waterproof dressing can be applied to the incisions made. The operation usually lasts 60-90 minutes. However, the total time spent in the operating room is a little longer, as it includes the durations required for anaesthesia and the recovery from anaesthesia.
After you rest for 6-8 hours to ensure full recovery from anaesthesia, you can be discharged from the hospital together with someone to take care of you. However, staying in the hospital for 1 night is advantageous in terms of pain control. Many patients come for a check-up after 72 hours and periodically afterwards.

Postoperative Period in Breast Augmentation

Within 24 hours following breast augmentation operation, you can return to normal daily activities that are not exhausting. You can return to work within a few days, if you do not have an occupation, which requires physical activity, e.g. heavy lifting. It is recommended that you do light and mid-tempo exercises such as mild flexion and cardio movements a few days later.
Upper body arm, trunk muscle exercises, and other heavy lifting or stretching movements are not recommended for 3 weeks which is the healing phase. If you are coming from another city, it is advisable to spend one or two nights nearby, before returning by car, train or plane. All types of travel are safe, but we recommend that you do not walk as far as possible against the risk of blood clots. A number of options are available for periodic monitoring of out-of-town patients.
We recommend the waterproof dressing over the incisions not to be removed usually for 3-4 days. Generally, the incision areas are closed with adhesives, without any stitch outside. No postoperative stitch removal is required. Therefore, you do not have to worry. A surgical sports bra is usually recommended to ensure proper positioning of clothes, support, compression, and safety sensation. In order to support the recovery of the breasts to the prominent and desirable limits in the healing process, we recommend wearing an underwire bra after the 4th-6th week. Cool compresses at regular intervals during the first few days partially resolve swelling, bruising, and pain. Swelling of the breasts lasts at least 4-6 weeks. Until this time, all the pain and tension sensation disappears and you start to feel that you become a whole with your augmented breasts.

Your New Appearance

Results of the breast augmentation procedure will please you and make you happy. You will like the fuller and more proportional appearance of your breasts during the healing process.
It is important to monitor yourself to assess the condition of your breast prostheses, as advised by your surgeon. You should also check your breasts on a monthly basis, regardless of using a breast prosthesis. Additionally, it is vital that you have breast ultrasonography and mammography examinations regularly.
taşımaktadır.

Examination

In order to plan your breast augmentation, please contact our assistants in our office on 0(212) 213 5700 and get an appointment to see your doctor Assoc. Prof. Erdem Güven, MD.

Frequently Asked Questions and Answers about Breast Augmentation

Breast enhancement is a procedure that cannot be done without surgery when we think logically today. Breast enlargement should be done by local injection of a filler injection.

At present, there are fillings in such high volums, but there is no clear information about what will lead to a change in the chest in the long term and whether or not it will cause cancer in the chest in the future. Therefore, I do not find it very safe to make breast enlargement injection with breast injection.

Breast enlargement, especially with silicone prostheses with a history of 60 years, is the safest method today.

The use of silicone prostheses, especially the use of silicone prostheses that have developed technology, certainly does not cause cancer, but we also use these same silicone prostheses in women who have been breasted because of cancerous tissue. Therefore, breast enhancement is the most reliable method of breast enhancement with silicone prostheses.

One of the most feared issues of our patients after breast augmentation is the fear of having too much pain. We now use many different methods in breast augmentation surgery.

Particularly, the methods we use may differ under the muscle, six of the muscle membrane or under the breast. Particularly subcutaneous methods seem to be slightly more painful than other methods, however, especially in patients who require subcutaneous method, it is more beneficial to prefer the subcutaneous method to leave the pain disadvantage aside and to ensure that the external appearance of the patient is lifelong permanent.

When we think about profit-loss, we prefer the long-term subcutaneous methods because of the more natural appearance of silicon due to the fact that the silicon is not visible from the outside. Most of our patients do not have any serious pain at first night after breast surgery, using intramuscular medication for special procedures and combined use of postoperative pain relief methods.

After discharge of our patients into the home, we have been able to prevent this pain from being felt with the dual pain relief systems. Muscle pain may be felt as the muscles of our patients under the muscle for 3 to 5 days. However, this pain does not interfere with daily work.

In very very sensitive individuals, it is possible to detect a little more pain. It is possible to eliminate these pain by giving additional pain medication to these people.

Breast augmentation surgeries have become very safe nowadays. Especially with the development of technology, it is possible to use these silicones for a lifetime thanks to a special wall covered with silicones.

Even if the outer wall of these silicones is damaged, the gel in which we call the gel cohesive is reduced with its fluidity, ie it is produced with suitable gels for special health which are prevented from flowing out of the silicone. Because of this, none of the silicones which are known in the market and which are used in the world are of a certain level.

As a result of the great research done today, the American Health Office has approved breast augmentation with these silicone prostheses, and in the US, millions of people have breast augmentation every year. Therefore, it was agreed that the silicones used in breast enlargement would definitely not cause cancer. Currently, the same silicones are used for breast cancer patients. We would not use these silicones for patients who received breast cancer because of the cancer.

Therefore, we can say that these silicones will not cause cancer according to our scientific criteria.

The silicones used in breast augmentation surgery, especially those who work seriously in this regard, research and development of the company itself, the development of technology to reduce the bursting and deformation is very low-life silicone use, which is now available on the market has been launched.

I have been using silicones that have been approved by the American Health Department, which we call FDI for about 18 years. With the use of these silicones, it can stay in the body for a long time and our patients can use these silicones healthily until the end of their life. Therefore, healthy prostheses are deformed, the probability of explosion is very low and silicones can be used safely.

Particularly, these silicones do not explode by impact, by compression, by compression from a place with compression. Because these silicones are given a very serious weight on the silicon although we see that the explosion. Therefore, it is not possible to develop such diseases by using reliable silicones of good companies

Preoperative measurements, length of the patient, body length, shoulder width, hip width, waist width, chest width, midline; The distances from the center to the two sides are of great importance.

In these measurements we have done, we pay great attention to the general posture of our patient and the harmonic of the patient’s body, that is, to ensure a total integrity.

Nowadays, 3-dimensional imaging methods have emerged. With these methods, the photos taken from different angles of the patient to each other, overlapping with a 3D appearance appears. And with the help of special softwares that reveal the silicon’s appearance, our patient can see the simulation of the appearance after the surgery. In this way, our patient has been guided by this 3-D imaging in order to decide what image can be. The measurements made in this way result in the successful conclusion of the silicon to be applied to our patient.

Breast enlargement without silicone insertion, unfortunately, is not possible with safe methods today. Particularly nowadays, methods made of silicone insertion can be divided into two different categories. By injecting an external filler-like substance, the other can be divided into two as the methods that provide the growth of the breast by injecting the fats taken from the body into the chest. Injection of a foreign body from the outside does not seem very safe, especially in 1 out of 10 women with breast cancer. And I certainly don’t recommend it, and I don’t. Especially breast tissue is made up of a very complex tissue and the reason for the formation of cancer within the scientific world has not solved. Breast enlargement does not appear to be safe due to the fact that the administration of a foreign substance in the long term does not have fully proven results as to how this substance will cause a change. Growth is also very limited by injecting its own fat. It is possible to obtain the result of a tiny silicone by the injection of oil, especially in 2 or 3 sessions. Therefore, fat injection methods are not among the most preferable methods because they are very laborious and costly methods.

In many cases, we recommend performing these surgeries at the same time as there is no need to perform two separate operations. I started to recommend this operation to the individuals who applied to this subject by seeing how much the need for this surgery was heard over the years as my experience increased. Those who want to take the prosthesis to the other place, take the excess skin or take the nipple into the most appropriate place as desired by the surgeon and the patient have shown a significant increase.

The breast – breast lift section of the operation is usually the process of moving the nipple and nipple circumference to a higher place and then removing the breast tissue of the breast; the nozzle is suspended in the body and the nipple is completely removed (not standing there when the body is placed under the nip).

Breast lift, younger-looking, less drooping and often reveals a narrower breast. In some cases, a small amount of breast tissue is actually removed. In most cases, a significant amount of skin is removed from the lower flank of the breast, especially from the lower fold of the breast.

At the same time, we can extend the breast by reducing skin coverage and lifting the breast, placing a prosthesis located either directly below the breast tissue, either under the pectoral muscle, or subcutaneously or muscularly.

Each approach can have gains and disadvantages. You should discuss options with your surgeon when deciding on breast augmentation or breast lift.

gögüs dikleştirme

Special precautions should be taken when performing breast augmentation-lift surgery. This is because, in contrast to magnification or just peening, there may be little or no risks in these operations, each of which is independent and separate.

These risks may cause problems in the breast due to some complications such as bleeding or infection after amplification. However, good news is that these risks are very rare and occur in less than 1% in breast augmentation. However, these are the conditions that can occur in all breast processes but are generally uninhabitable and unimportant. Instead, very good looking breasts will give them excitement.

It is usually a part of the Inborn Beauty concept surgery that involves the abdominal contour only in combination with reshaping or steepening or reshaping the breasts.

For many years, some surgeons were reluctant to do this surgery and were discouraged by others. But nowadays, because of the better understanding of blood supply to tissues as well as improved prostheses, many surgeons who are experienced in breast enlargement and uplift operations will perform these surgeries and bring their patients to excellent results.

Another thing to mention is the incision in the breast enlargement process, as is the case with breast augmentation alone, and as a result, the pericardium of the nipple is usually perpendicular to the nipple under the nipple. However, in some cases, there may be a short incision and a surgical scar on the underside of the breast.

In the long-term, in many women, these traces are diminished, and do not cast a shadow on the beauty and general aesthetics of your newly formed breast.

If you are a healthy person over the age of 18, if you think your breasts are small, there is disproportion with your hip and chest diameter, if your breasts have sagging and relaxation after birth and breastfeeding, if you lose weight and have gained weight and your breasts are alive, there is a difference in size and shape between the two breasts. The appropriate candidate for the operation.

The risk of permanent loss of life after breast augmentation is around 1%, which is slightly higher at the entrance to the nipple. The loss of sensation or hypersensitivity seen in the early postoperative period usually returns to normal within a few months.

For breast augmentation operations, at least the adolescence period is over and chest development has been completed and the breast has not been observed to grow for at least 2 years. This operation can be performed after approximately 19-20 years of age.

Breast augmentation is performed under general anesthesia for approximately 1-2 hours. The patient can usually be discharged on the same day. After the operation, we will be given a bra for 3 weeks. Patients usually return to work after 3 days.

After the operation of breast augmentation, depending on the work you work on average 3 days – 1 week later you can return to work. In addition, heavy activity that requires intense effort, arm and chest muscles should not be done for 4-6 weeks. It is also important that the wound healing is continued and not persist for at least 10 days. You can take a shower one day after the breast enlargement operation because the wound site is covered with special tapes.

After breast enhancement surgery with silicone breast prosthesis, there is no harm in giving birth and giving milk.

Silicone has no expiration date, you can use it for life. However, as people age, a deformation, sagging, and a decrease in existing breast tissue are observed, which are not due to silicone. In such cases, the replacement of the prosthesis or chest recovery operations can be planned.

In order to attract attention in the Internet environment, some methods can be described as better. However, in aesthetic surgery, each individual is considered to be special and applying customized treatment to the person is of great importance in terms of catching perfection. It is not correct to say that under the muscle or the dice six is ​​better.
Body structure is very important in breast augmentation. Breast tissue is very small, skin structure and muscle structure is thin and a very little fat in the body of individuals with primarily muscle tissue to provide a good cover on the silicone prevents the understanding of the outside. In these individuals, drop shaped silicone prostheses with less prominent projections should be preferred. Silicone under the membrane of this type of people is quite obvious from outside will disturb the person. The sub-technique can be preferred to protect the integrity of the muscle structures and prevent the displacement of the silicon in the sporty structure, muscle structure and some breast tissue. As stated in the examples here, the suitability of the methods, not the good or evil, should be carefully and precisely determined.
Considering the advantages and disadvantages of the procedure, you should not doubt that the best decision will be made by an experienced surgeon.

Breastfeeding can be done after breast enlargement. A mother who is likely to give milk before surgery can breastfeed her baby after enlargement.
In breast augmentation, the silicone prosthesis is placed behind the breast tissue and independent of the breast tissue. Milk channels coming into the nipple can be damaged only by entering the nipple. However, this can be prevented by careful technique to be applied.

Natural results in breast augmentation are due to several important factors. First of all your body should be evaluated very well by your doctor and the size and shape of the silicone to be used should be determined very carefully. It will not be very difficult for physicians who are busy with breast surgeries to identify them. Particularly, it is an important key to success of individuals to share the appearance they desire with their doctor and the exact overlap of the physician and patient expectations at a realistic point.

Generally, sagging and relaxation of babies giving milk to the breasts of mothers after giving up the milk in the upper part of the discharge of the upper part of the skin comes out of plenty. Correction of sagging with breast prostheses is only possible in mild sagging. Silicones give the desired result when there is little sagging and only volume loss. As I mentioned at the beginning of the skin and tissue in the case of looseness and downstroke, breast lift and enlargement should be done at the same time. You can find detailed information on the topic under the same title.

Patients usually spend 1 night in the hospital following the procedure. There may be mild bruises and swelling on your breasts and around 1 or 2 weeks. The swelling of the breasts can continue for a few weeks. You can start your normal activity again in 1 or 2 days. However, you should avoid difficult and heavy exercises for 3-4 weeks following your operation.

You may have pain for a few days, although most of our patients are uncomfortable. Already after the surgery you will be prescribed the appropriate pain relief, which greatly reduces your pains.

Your first visit after surgery is usually within the first 3 to 5 days. We will monitor your recovery in a few weeks. We also recommend that you check out at 6 and 12 months later.

Usually you can return to work within 1 week. If your job requires physical labor, you can take 2-3 weeks off or you can consider more limited work.

Vehicle use varies according to the operation performed. Vehicle use is generally allowed after 3 weeks. However, in special cases up to 6 weeks of vehicle use is not required.

You will be prescribed pain relief and antibiotic remedies when you leave the hospital. Generally, if you do not have any allergies to NSAIDs (such as rantudil, apranax, magick) and paracetamol (such as geralgine, parol), we prefer to use these two groups in combination. Usually 5-7 days after surgery we recommend the use of appropriate antibiotics.

Although we prefer to stay in the hospital for 1 night in general, our patients may be allowed to go home in the same day.

You can do it when you feel comfortable enough. Immediately after the operation, anything other than soft manipulation to your chest may damage the incision sites.

In breast augmentation surgeries, implants are inserted through very small incisions. There are no visible sutures in the surgery, but the wound lips are adhered together. The healing of the scars may vary from person to person depending on the genetic characteristics of the body, but the treatments that prevent the formation of a scar is explained to our patients in the postoperative period.

The drains are necessary to collect the fluid accumulated in your chest after the surgery. We generally consider the use of drains to be the most secure way to finalize our breast enlargement candidates. You must measure and drain drains at least once a day. Our nurses will give you the training before you leave the hospital. The drains are often removed in the first day and sometimes in a few days following the operation. You can hide your drain pretty well under some loose clothing.

If you have a drain, you can wipe it with a wet wipe. You can take a shower at the earliest 2 days after your drain has been taken. There are usually no visible seams in your incision areas. There will be two layers of tape in these regions. The first layer tapes, which are pasted on the skin and in skin color, are removed after 7-10 days. We recommend removing the white or waterproof transparent dressing tape at the top, ie the second layer of tape after showering.

We recommend wearing a sports bra after surgery. There should be a non-wire (without bare) bra at the front. On the day of surgery, we recommend that you bring a pajamas with you at the front with a button-on and comfortable pull-out.

You will notice the result noticeably. There will be 10% -20% swelling. The swelling will greatly decrease in 3-6 weeks.

Different techniques are used in breast reduction operations. In the techniques we use, the nipple remains intact and does not affect breastfeeding. Extra large saggy breasts may require more aggressive applications. In such cases, there may be changes in the level of breastfeeding because the channels to the nipple will be too long.

There may be loss of sensation on the nipple following the surgery. In spite of this, often the feeling slowly returns. However, loss of sensation in breast reduction surgeries is risky.

Breasts can grow with too much weight gain from normal. Therefore, it is important to stay close to your current weight. Let’s not forget that the breasts also grow in the case of pregnancy.

We do not use any sutures that can be seen from outside. For this reason, you do not need to take a stitch.

You can travel in a few days. However, we would like to follow your recovery process for a few days and a few weeks after the surgery. Patients living outside the city can continue their checks by taking pictures.

Author: Doç. Dr. Erdem Güven
We're writing about our patients.

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