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Breast Aesthetics

Breast Augmentation Surgery

What are the different methods specific to the individual in breast augmentation?

Breast Augmentation surgery includes not only volumetric augmentation, but also changing the shape and position of the breast. The formula and prosthesis to be used in breast augmentation should be chosen considering the patient’s chest wall structure and breast tissue characteristics, as well as the patient’s expectations about the breast shape after the surgery, and it should be aimed to create an ideal breast structure. In addition to the silicone breast prostheses, which are frequently used for augmentation, we also benefit from the injection of the fat taken from the person by liposuction into the chest. Placing the prosthesis under the muscle membrane in breast augmentation gives a natural breast appearance. The results are more satisfactory with the addition of fat injections in people with obvious tissue deficiency in the upper and inner parts of the chest. However, in patients who do not have enough adipose tissue or who do not prefer fat injection, a prosthesis can be placed under the muscle and muscle membrane by entering under the armpit. Thus, it is possible to cover the prosthesis with sufficient tissue and to gain a fuller appearance of the upper part of the chest. Armpit incision will be an ideal approach in patients who do not have sagging on their chest and do not want a scar on their chest or have scar problems. In patients with obvious breast sagging (breast ptosis), the nipple can be moved up by entering through the incision made from the nipple, and a prosthesis can be placed in a one-to-one session, and we provide an upright breast structure by reshaping. In this entry way, the prosthesis can be placed under the fascia and a natural chest state can be achieved. This process, in which both the breast is lifted and the prosthesis is placed, is called Augmentation Mastopexy. Another valuable consideration for the patient is the experience of the surgeon who will apply the formula. It is beneficial for individuals who want to have surgery to do adequate research and get a second opinion.

Breast Reduction Surgery

It is the surgical process performed to reduce and lift sagging and large breasts to achieve an aesthetic appearance. After the operation, a drain is placed and a bra is attached to prevent blood collection. Drains are usually 2-3. day is taken. A week’s rest is recommended.

Who is Breast Lift Applied to?

By evaluating your nipple and lower chest line, you can understand whether your breasts are sagging or not. It is an ideal situation that the nipple is above the lower line of the chest. The sagging condition of the breast (nipple), which we call thoracic ptosis, is usually divided into four clusters. If the nipple is at the level of the under-breast line or 1 cm below it, it is mild; If it is 1-3 cm below the under-breast line, it is considered as moderate, if it is located below 3 cm, it is considered as severe ptosis. If false ptosis; the nipple is located above the usual lower line of the chest, but the base of the chest is seen as sagging. Breasts may be drooping structurally without any reason, as well as sagging over time due to weight gain and loss, giving birth and breastfeeding, and the effect of gravity depending on age. Breast lift surgery can be planned for people who have looseness and sagging in their breast tissue, but whose breast size is not large. It is known as mastopexy or breast lifting surgery. Excess skin tissue is removed and the nipple is moved to the top where it should be, and the breast tissue is shaped and hung with internal stitches. In some individuals, if the breast tissue is too loose and it is thought that sufficient volume and form cannot be achieved after shaping, a breast prosthesis can be placed in the surgery and an operation called Augmentation Mastopexy can be applied. In this way, a more pleasant shape and consistency, a longer permanence breast structure can be obtained. After the surgery, there is usually a single line around the nipple and extending from there to the chest. If there is not a lot of excess skin on the chest, the nipple is carried up and only a scar around the nipple is left, Enlargement Mastopexy can be performed.

At What Age Can Breast Reduction Surgery Be Performed?

Extremely large breasts can be a problem at any age. With the development of breasts in the adolescence period, problems arising due to very large breasts begin to be experienced. This situation complicates the life of the person both physically and mentally. In some individuals, the problem is exacerbated by the sagging of large breasts after birth. As the age progresses, back pain and dermatoses under the chest become more and more problems in people with very large breasts. In addition to reducing the breast tissue with the reduction, reshaping and positioning surgery to be performed on very large breasts, the sagging of the breast is removed in a way that will relieve the patient by moving the breast to the upper real. Breast reduction surgery can be performed at any age, starting from the completion of adolescence, taking into account the size of the breast and the discomfort it causes. Thus, the patient can lead a healthy life both psychosocially and physically.

Is There Any Scar After Breast Reduction Surgery?

As in all other surgeries, scars remain after breast reduction surgery. The form and placement of the scars vary according to the technique used in breast reduction. After the surgery, opposing T, L or I-shaped scars may remain around the nipple and extending down the nipple. The scar around the nipple ring will not be obvious since it is in the discoloration zone, a real scar will extend from there. The scar under the chest is hidden when viewed from the front. In some individuals, while the wound is getting better, obvious scar formation or keloid (mark swelling, itching and redness) may occur due to the development of many tissues. Patients with a tendency to this should be more careful and precautions should be taken after surgery. The form of the chest is the most valuable element in its aesthetic appearance. The desired result in breast aesthetics is that the chest appears rounded, curved and the nipples are raised, and that the part under the nipple is more than the part above it when viewed from the side. A pleasing breast form that will emerge can make the scars less noticeable.

Is It Possible to Breastfeed After Breast Reduction Surgery?

There is no clear scientific study that breast reduction surgeries affect breastfeeding negatively. The nipple is moved to its new place on a tissue (with pedicle tracts) in such a way that the blood flow is not disturbed while the breast is reduced and the breast is shaped. Thus, loss of sensation and circulation is minimized and breastfeeding is not adversely affected. Except for the reduction surgeries of very large breasts, in which the nipple is taken and transferred to the reduced breast (free nipple method). However, if the person actually has a potential problem with breastfeeding, he or she will have a breastfeeding problem after the surgery.


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