BREAST AUGMENTATION SURGERY (AUGMENTATION MAMMOPLASTY)
The size of the breast has an important place in the measurement of the shoulder width, chest circumference, waist and the hip circumference in the female body. For a feminine aesthetic appearance, the breasts with a suitable size are irreplaceable for most women.
Women's breasts may be structurally small or asymmetrical. Nowadays, restoring the breasts to the desired size with silicone prostheses is the most ideal method. Besides the desired size can easily be adjusted by using this method, it is a completely permanent method. Apart from that, it is also possible to obtain breast augmentation by fat injection and by injection of water-retainer substances, called aquafilling, which is a newer application. These are easier to apply but non-permanent methods.
The materials called silicone breast prosthesis are round or drop-shaped implants with varying size and height filled with silicone. The outermost part is also made of silicone and there are breast implants with textured or smooth outer surface. The material filling inside the outermost silicone layer may be different. Today, the most preferred implants are breast prostheses filled with silicone gel. These are manufactured in different sizes, shapes and volumes, and the prosthesis size suitable for patient is determined after the measurements and detailed consultation with physician. In addition, the ideal size can be found by using test prostheses (non-permanent) during surgery and the original prosthesis can be placed according to the determined size.
Before the surgery, radiological examination of the breast in terms of cysts or other formations is recommended, especially in patients over 40 years of age. This is important to identify an existing pathology and to provide guidance during next follow-ups. The placement of breast prosthesis neither increases the risk of breast cancer in the patient, nor prevents to perform a breast examination, follow-up and mammography imaging.
Capsular contracture is the major undesired complication in breast augmentation procedures using silicone prosthesis. Since silicone prostheses are foreign structures to the body, a reaction may be developed against them over time and a membrane, called capsular contracture, may form around them. If this condition that may lead to stiffness and malformation in the breasts is mild to moderate, it does not cause too much discomfort in the patient and does not create a impairment in appearance and can be removed by external massage and sometimes by additional surgical interventions. If a severe capsular contracture is present, removal of the prosthesis may be necessary. Prostheses are manufactured from very durable materials and their rupture is very rare. Incidents leading to the compression of prosthesis such as traffic accident or impact may also occur.
The surgery is performed under general anaesthesia and the prosthesis is inserted into the gap that is prepared by entering through an incision of approximately 3-4 cm made on the inframammary line. The prosthesis can be placed directly under the breast, under the muscle, or in dual plane, a portion under the muscle and a portion under the breast. The placement area is decided by the doctor depending on patient's breast tissue. The incision made can be under the nipple, under the breast fold, or under the armpit.
There may be difficulty in arm movements and slight pain for a few days after the surgery but the healing period is not very uncomfortable. Patients usually return to work within 5-7 days. Patients are recommended to wear compression bra for up to 6 weeks and not to do heavy sports. In general, the outcomes of the surgery are very pleasing and psychologically healing for the patient.