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Breast Aesthetics – Breast Augmentation

Throughout history, the “breast” has been the symbol of femininity and mercy. The “breast” is an indispensable double anatomical organ for women, men and children, both functionally and aesthetically. It is the dream of every woman to look aesthetically pleasing to this organ, which contains such wonderful meanings, and to preserve this appearance for a long time. However, at the beginning of the young girlhood, the breast may remain small as a result of unilateral or bilateral growth retardation of the breast structure, or it may appear smaller and/or drooping than it was in the first state after breastfeeding or weight loss. In such cases, women can have fuller, straighter and more vibrant breasts with breast lift and/or breast augmentation surgeries.

Breast augmentation is a process performed with silicone breast prostheses. These prostheses can be of various structures and features. The most commonly used are prostheses containing silicone gel and having a rough surface. These, too, have two structures as round or anatomical (drop) prostheses. Which one is preferred mostly depends on the decision of the plastic surgeon and the patient together, according to the structure of the chest.

The incisions used for the placement of the silicone breast prosthesis can be made around the nipple, under the breast line or in the armpit area. Incisions made around the nipple can leave a scar around the nipple, as well as cause partial loss of sensation in the same area and breastfeeding problems. In incisions made from the under-breast line, the patient does not have any problems with the nipple and breastfeeding, while a stitch scar of approximately 5-7 cm may occur, which is implicit in the under-breast groove and is not visible even with the thinnest bikini. In incisions made under the armpit, there is almost no scar after about 6 months, and the bleeding that may occur during the operation may put the doctor a little difficult.

After these incisions, let’s come to where we will place the prostheses. We have two choices for this. We will either place the silicones under the breast tissue (between the breast tissue and the chest muscle), or under the chest muscle (between the chest muscle and the ribs). Your plastic surgeon should make the decision according to the structure of the chest. However, the important point for the patient is that; Patients with prosthesis placed under the muscle may need a slightly longer time to start their daily activities compared to patients placed under the breast tissue.

Silicone prosthesis alone may not always be sufficient for breasts that have lost their fullness, sagging or have actually displaced the nipple. In such cases, in addition to the placement of the silicone prosthesis, the excess skin tissue should be removed and the nipple should be moved to the place where it should be. This process is called “mastopexy” (breast lift).

Breast augmentation surgeries take approximately 1-2 hours and are performed under general anesthesia. After the surgery, patients can go to their homes the same day or the day after. Since the incisions are mostly sewn with dissolvable closed sutures, it is not necessary to take stitches.

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