Step by Step Breast Augmentation Aesthetics
How do I know which one I need? Over time, sagging breasts occur due to many reasons such as age, breastfeeding, pregnancy, and genetic factors. When you come to the examination, first of all, many parameters such as the distance of the nipples to the collarbones, the length of the chest circumference, shoulder width, height and weight are evaluated together to determine which surgery you need.
In some suitable patients, intercostal block can be performed under ultrasound after surgery. Thanks to this block, patients can get through this week much more comfortably. If the patient is rested in the 1 week period after the surgery, the possibility of feeling the pain will not be much.
Breast augmentation surgery will not prevent you from breastfeeding, this surgery has nothing to do with milk ducts or glands. If the place where the implant will be placed is chosen as the nipple, you may experience a 10-20% loss of sensation in your nipple as a low probability. Therefore, in our routine practice, we prefer incision of the lower fold of the breast in every patient under the age of 40.
After the first week after the surgery, light sports including walking, yoga and some pilates movements can be started. After the first month, all kinds of light-heavy sports, swimming and diving can be done. Again, after the 1st week, it is possible to sunbathe with a protective bra.
Not true. Although lymphoma formation was observed around the sheath of some implants, it turned out to be related to the implant structure and these implants were discontinued.
We are currently using Mentor and Motiva implants. Both brands offer a lifetime warranty.
How is our surgery process?
According to the measurements and drawings made before the operation, surgery is planned under 4 headings. Incision site; It is decided where the breast implant will be placed, the implant can be placed with a 1.5 cm incision under the breast, an incision to be made from the nipple or an incision to be made under the armpit. When deciding on the incision site, the patient’s age, breastfeeding status, predisposition to keloid (bad scar) and social life are taken into account.
The plan where the implant will be placed; The implant can be placed in roughly 2 planes, submuscular plane or supramuscular plane. The submuscular plane is now classified as the dual plane 1-2-3. In cases where the patient’s chest tissue thickness is moderate to good, the supramuscular plan may be preferred. However, in cases where the breast tissue is insufficient, the submuscular (dual) plan is preferred. In our routine practice, we mostly prefer the submuscular (dual) plan because it looks more natural and hides the implant lines better.
Implant shape; There are 2 basic implant shapes, anatomical (drop) or round. The patient’s breast structure, weight, shoulder width, desired breast shape will guide us in choosing the implant. During this election, I ask my patients the following questions; If décolleté is at the forefront for you, you no longer want to use a bra with support and you want breasts with fullness even without using a bra, choose a round implant. If naturalness is at the forefront for you, if you are dreaming of slightly ptotic and non-operational breasts while naked, choose a drop implant.
Implant size; An implant size range can be told to the patient by calculating many parameters including the dimensions of the rib cage, shoulder width, waist width, height-weight in the preoperative drawing. For example, a minimum of 250 and a maximum of 350 cc implants can be placed. Afterwards, examples of the results of patients who had surgery before are shown, and which size is closer to the patient’s request is determined together.
Do I need to replace my breast implant in the future? What is capsule formation?
Most of the new generation implants are life-long, they may need to be replaced for two reasons, first when you want to enlarge or shrink your implant, and secondly, when there is capsule formation around the implant. Capsule formation is the case of a sheath that surrounds the implant and deforms the shape of the implant, which can occur in 1-2 patients per hundred thousand after an average of 5-10 years after surgery. Numerous scientific studies have been conducted on the causes of capsule formation, a few of which are rough surface implants.
Selection, postoperative blood accumulation (hematoma) in the surgical field, can be counted as infection. In such a case, the implant should be removed, the capsule cleaned and a new implant placed. Capsule formation is a very rare condition and this probability becomes almost zero if all precautions are taken to prevent capsule formation.