The breast is one of the most dominant parts of a woman's body. It has a very important meaning in a woman's life, both in terms of sexual identity and functional purpose. The breast, which is a food source for a baby, is a factor that determines sexuality for a woman. Sometimes in a statue, the symbol of fertility (the multiple-eyed Cybele statue), sometimes in the hands of a painter (Delacroix), is the symbol of freedom (freedom that leads to the public). Breasts marked with so much meaning in life are one of the most indispensable aesthetic elements of women. In this case, the lack of breast tissue, if too small to be necessary at all, or any reason why the breast was damaged, can all cause mental trauma in women. Therefore, as a solution, a surgical procedure must be performed to optimize the breasts in the ideal size or to completely reconstruct new. A woman regaining her self-confidence will be more active in society and the happiness of what she feels is spreading around her. (Breast enlargement surgery Izmir)
Am I a suitable candidate for breast augmentation?
It's about how much you can accept your current situation. However, it is extremely unpleasant for all women when the breast volume decreases and hangs. This table shows in which cases it can occur:
1) If from birth on, no breast tissue is present.
2) When during normal puberty, the normal development of breast tissue is poorly developed (not achieving the ideal mass).
3) If the asymmetry between both breasts is missing
4) If the breasts, after pregnancy or even through excessive weight loss, are affected by volume loss and relaxation.
5) If women who exercise excessively suffer from a significant decrease in breast volume due to estrogen suppression
6) An additional case in which the prosthesis is used is the case of a sex change. At the transition to the female sex, a "bag" of sufficient size for the prosthesis is first produced with the help of silicone expanders. These are then removed and permanent silicone prostheses are placed.
If you suffer from any of these conditions, you are a suitable candidate for breast augmentation surgery. However, they can not undergo surgery until they are 17 to 18 years old, when breast development is largely completed. With very strong breasts, it will not be enough to place only one prosthesis in the breasts. You should also undergo a breast lift during the same session.
What type of prostheses should I use?
Although breast implants are made of silicone, liquid silicone is no longer used as before. The use of liquid silicone was banned about 22 years ago because it is extremely harmful to the body. Today, breast prostheses are made of solid silicone and filled with cohesive gel or saline. Dentures made in the anatomical structure (in the form of drops) or round, rough or flat, high or low profiles in various shapes, which are determined in the examination of your doctor and according to your wishes. If e.g. Your mammary glands may have a small volume and a thin-skinned breast structure, so a saline-filled prosthesis may be felt on the skin. Therefore, in such cases, cohesive gel-filled implants should be preferred. In addition, when using saline-filled prostheses, the risk of trauma from breakage and leakage of fluid inside and during certain movements, the audible water sound. Gummy bear prostheses introduced in recent years have a harder silicone structure (Cohesive Silicone Gel III). Risks such as unfolding or exploding do not carry it. Even if it breaks, the shape does not change. Compared to the other prostheses, these are significantly more expensive.
With which technique are the prostheses placed?
This decision should be taken together with your doctor. If your specific requirement is that the breast has no scars, then you can place the prostheses either under the armpits or through the navel. Both methods have their advantages and disadvantages. Entrances through the breasts occur in two ways; from the nipple line or under the nipple line. Nowadays, the most commonly used method is placement of the prostheses under the breast line. This method provides a very good field of vision in the chest. Thus, the bleeding control can be better performed. In addition, interventions in the pectoral muscle allow for a dual-level technique, allowing placement. In 95% of my patients, I use the underbust method.
How does the process go after the operation?
The breast augmentation is performed under general anesthesia and lasts on average 1-1,5 hours. They spend one night in the hospital and are released the next day. At the end of the operation, the blood discharge channels located at both breasts are drawn before discharge. When you leave the hospital, you will need to wear the elastic breasts for a month. Activities that require you to use your arms during the first week are limited. After your pain has significantly decreased you can go back to work (on average at the end of the first week) (of course, if it is a light work at the desk). After 7-10 days you can start with light sports, such as walks. To ensure the correct placement of the prostheses and the faster resolution of the swelling, your doctor will explain the special massage exercises that you can perform independently. On average, after 3-4 weeks, you can practice light sports and after 1.5-2 months you can now do completely heavy exercises.
What are the risks of this operation?
First of all, the risks that can occur with all other operations (bleeding, infections, bursting of the sutures, risk of anesthesia) also apply to this operation. Such problems are very rare in a woman whose general health is very good and whose test evaluations are normal.
In addition, poor scarring (keloid, hypertrophic scarring), displacement of the prosthesis within the breast (usually due to excessive opening of the "pocket") is among the complications that can be observed.
The numbness of the nipple is one of the complications that can occur after surgery. However, it is not permanent and improves by itself over time. The most annoying complication of breast prosthesis surgery is the formation of capsules around the silicone prosthesis. This is actually normal and consists of a thin, soft, non-palpable capsule around all the prostheses. This is a natural defense against a foreign body. However, sometimes this mechanism can cause overload and cause a very thick capsule. Such a capsule is painful, brings the breast to a hard stone-like consistency and can cause the prosthesis to shift on the chest wall. The only cure is to completely remove the capsule tissue with a second operation and insert a new prosthesis. The roughness of the surface of the prosthesis, placement under the muscle and post-operative massage are the factors that reduce the risk of capsule formation.
You should know that too
Prostheses do not cause cancer or increase the risk of cancer. A woman with a prosthesis may have cancer, which is independent of the prosthesis.
There is no scientific evidence that the silicone prostheses that have been used for decades can cause cancer. Even though prosthetics can stay healthy in your body for years, none of the breast surgery remains the same for the rest of your life. Gravitational effects, weight loss, weight gain and breastfeeding can cause the breast structure to sag or make the prosthesis appear under the skin. In such cases, you may need to undergo a second surgery, such as prosthetic replacement and breast lift, for treatment.