BREAST ENLARGEMENT

Breast enlargement methods

Small breasts; either developmentally inadequate breast tissue or breast tissue after breastfeeding (involution).



Breast augmentation with silicone

The most reliable and healthiest method of breast enlargement currently available is the use of "silicone breast implants". However, breast augmentation using fat injection or breast augmentation with fillers is possible.



What are the characteristics of silicone breast prostheses?

The outer surface consists of a hard shell and the inside of soft consistency gel silicone. The outer shell of the implants is extremely pressure-resistant and can carry a load of 40 kg over an area of 1 cm2. Looking at the entire surface, the outer shell of the implants is resistant to 1-1.5 tons of pressure. On the other hand, this shell can be pierced with sharp objects. The implants contain a silicone in the form of a so-called memory gel that retains its shape. Even if the shell breaks, the gel will not spread to the surrounding tissue and will retain its shape. This property of the implants enables us to use these implants for a lifetime. Silicone is a very well tolerated substance for the body. Therefore no allergic reaction is to be expected. Silicone in the structure of the implant is not excreted in milk and has no known side effects on breast diseases (including cancer). Around 65 million women worldwide have breast implants. Over the past 4 years, an average of 300 patients have been diagnosed with a soft tissue tumor called ALCL. This tumor was found in the capsule surrounding the implant and was not of a spreading nature. Once detected, the capsule removal appears to be sufficient for treatment. It was believed that ALCL was caused by the damage caused by rubbing the implants with a rough surface. It is sufficient if the patients receive a breast ultrasound once a year postoperatively. The presence of an implant in the breast is a routine mammogram that should be done in women over 40 years of age. One of the rare problems with silicone breast implants is "capsular contraction". Capsular contraction; The fiber capsule, which physiologically develops over a certain period of time and surrounds the prosthesis, sometimes manifests itself in a severe reaction that surrounds the implant very tightly. It is characterized by pain, asymmetry, and hardened breast tissue. Early capsule contractions usually respond to regular massage. In rare cases of severe capsular contractures, the prosthesis may need to be removed.

How are breast prostheses classified according to their shape?

Breast prostheses are made in the form of drops (anatomical) and yuvarlak (round). Round implants enlarge the top, bottom, right, and left parts of the nipple equally. Currently, round implants are preferred in most surgeries. Drop implants fill the lower, right, and left parts of the nipple while leaving the nipple empty. If the drop prosthesis is asymmetrical, it can rotate in its nozzle if it rotates in any way. This can only be corrected through surgery. With the development of technology, a new generation of breast implants has been manufactured. The content of these implants consists of intelligent gel that is shaped by gravity and thus mimics normal breast tissue. This feature saves most patients from the dilemma of round or falling prostheses.



How and where are breast prostheses placed on the body?

The breast prosthesis can be inserted through the armpit, nipple, or subcutaneous groove. Today the most common method used is; Underbust prosthesis. This can be done from the incision without damaging the breast tissue and other surrounding tissues. The trace remains at the bottom of the chest and is unclear. The surgical operation is the shortest of operations performed with the incision under the breast. Implants can be placed in different layers of tissue during breast augmentation surgery. 1- Subglandular 2- Subfacial 3- Submuscular (submuscular) 4- Half-muscle and half-breast tissue (double plan) are used in the tissue plan. Breast prosthesis is used to fill in insufficient breast tissue. Based on the creation, the most suitable tissue plan for the implant can be found. Hence, unless there is a compelling factor (excessive weakness, disproportionate breast size, additional factors); The most ideal tissue plan is to place the prosthesis under the breast or closest to the muscle membrane. When there is little or no breast tissue, you can hide the boundaries of the prosthesis using a sub-muscular plan or a dual plan. Submuscular placement is not recommended in patients with adequate breast tissue.

What are the characteristics of the submuscular prosthesis? This plan is used when there is little or no breast tissue. It prevents the prosthesis from being felt and creating an artificial appearance. Since the implant is held by the muscle after the operation, a natural sagging of the breast cannot be observed over a long period of time. Makes it look very steep. As the breasts sag over time, the implant stays above the breast tissue almost as if a candle were flowing over the implant. A subcutaneous plan is not recommended for breasts with sagging skin.

What are the characteristics of an underbust prosthesis?

Ideal for patients with sufficient breast tissue. The postoperative period is very pleasant and painless. Natural appearance in a short time The edges of the prosthesis can, however, be felt with the finger (waviness). Recently, the use of fully loaded and rounded implants minimizes this risk of fluctuation.

How is the size of the breast prosthesis to be used determined?

There are two important factors in determining the type, size, and height of the prosthesis to use in surgery. The first is the patient's height and breast structure, and the second is the patient's expectations. The base diameter and height of the prosthesis can be adjusted according to the patient's body width and height. In this phase, the wishes of the patient are taken into account,

Breast augmentation surgery

Breast augmentation surgery takes about 45 minutes - 1 hour in operating room conditions and under general anesthesia. It is completely painless after the operation, especially in areas with excessive muscle build-up. Pain in sub-muscular areas in the first 3 weeks postoperatively is the subject of considerable complaints. It is enough for the patient to stay in the hospital for one night. At the end of day 3, he can return to his daily routine. It can take 8-10 weeks for the newly formed breasts to take shape and take on a certain shape. First, the erect and tense breasts take time to achieve their ideal shape, with gravity and tissue stretching a factor. An important point is post-operative weight loss, where up to 8-10% of body weight leads to breast shape disorder and sagging.

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