Breast Augmentation

Underdeveloped Breast Tissue (Breast Augmentation/Implant Surgery)

The first thing anyone considering breast augmentation surgery should do is to consult a plastic surgeon. In order to achieve the desired result, you should discuss your expectations about the postoperative size and appearance of your breasts with your surgeon.


Why Breasts Do Not Grow?

One or two years before the first menstruation, breasts start to grow with the effect of female hormones estrogen and progesterone. The breasts undergo monthly changes that parallel the menstrual periods and are triggered by the levels of female hormones in the blood. As if preparing for pregnancy, the mammary glands become active every month and the breasts swell, and with the return of the hormone values ​​to normal, the mammary glands become inactive again. Depending on genetic factors, breast growth may not be suitable for the person’s body size. This situation creates difficulties for many women in terms of development of sexual symbols.

The most important activity that should be done before undergoing any plastic surgery is emotional stability. Breast augmentation surgery shapes your breasts but does not shape your life. Aesthetic surgery improves your appearance, refreshes your self-confidence and improves wearing comfort, but the rest is up to you. After examining you, the surgeon will discuss with you the other variables that will affect surgical decisions, such as the skin covering the rib cage and the condition of the breasts.

In breast augmentation operations, the volume to be implanted is determined by calculating the amount of volume deficiency first. Then, the type of implant to be placed and the method of application of the surgery are determined by discussing with the patient.


Types of Implants

There are various breast implants. These include saline-filled implants, silicone gel-filled implants, soybean oil-filled implants (no longer used), etc., and the available shapes include teardrop or round. In addition, implants are available with woven and non-woven sheaths. The content of silicone implants is divided into two groups as cohesive and non-cohesive implants. Cohesive implants are preferred since they do not leak into the breast in case of damage. All these types of implants have their own advantages and disadvantages. These are explained to the patient before deciding on the type of implant.

Placement of the Implant and Incision Area

Then, the placement of the implants and the incision area are determined. Implants are usually placed in three areas. It is placed from under the brown part of the nipple (Areola), the inframammary fold or the armpit. The most commonly used areas are the inframammary fold and the areola. In patients who have not given birth or whose areolas are small in diameter, it is preferred to place the implant from under the inframammary fold, and in patients who have given birth and whose areolas are large in diameter, it is preferred to insert the implant from under the areolas.

In order to obtain a better shape and reduce surgical risks, it is preferred to place the implant under the mammary gland if the mammary gland tissue is of sufficient thickness, or under muscle tissue if it the gland tissue is not sufficient. The operation takes approximately 1.5-2 hours.


Frequently Asked Questions and Answers

  • After implant surgeries, patients have no impairment in their breastfeeding functions, they can become pregnant, give birth and breastfeed, and the implant does not have any harmful effect on the baby.
  • Implants have no cancerous or other disease effects. Breast sensation and shape are normal. Noticeable scarring usually does not occur.
  • Use only medicines prescribed by your doctor. Do not use aspirin or medicines containing aspirin or medicines to prevent blood clotting
  • Only use medications prescribed by your doctor. Do not use aspirin, medicines containing aspirin, or anticoagulant medicines.
  • Implants can be durable for many years, or sometimes they may need to be changed after 15-20 years.
  • Antibiotics and painkillers are prescribed to the patient.
  • For 3-4 days, the patient might have pain that might be exacerbated with movement. Therefore, patients are asked to limit their arm movements for a week.
  • There is no need to remove the stitches after the surgery as self-absorbing stitches are used.
  • In the third week, patient starts areolar massage as instructed by the doctor. Then, the patient is for monthly and then two-month follow-ups for a year.

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