All breast reduction surgeries have three things in common. In all, the excess skin of the breast should be removed and the remaining skin recovered, the excess of breast tissue removed, and the nipple should be moved higher up, i.e. where it should be. Since all three of these processes can be performed in different ways, dozens of methods emerge. Which method is used affects the location of the resulting scars, the quality of the scars, the sensation of the nipple and the rates of milking. However, since there are some advantages and disadvantages in each method, there is no single method that is best for everyone. A good surgeon should be able to apply several methods according to the changing needs of the patient. On the other hand, patient satisfaction is determined by how skilfully the method is applied and an honest patient physician relationship, rather than which method is used.
Breast augmentation enlarges a woman’s breasts by surgically placing breast prostheses (implants). In general, it is a cosmetic procedure to achieve your desire to have larger breast volume or to correct breast volume loss after weight loss or pregnancy.
Breast prostheses, also called mastectomy, can also be used for reconstructive purposes to reconstruct a breast which is lost due to injury or other reasons. In any case, breast prostheses offer women fuller, natural-looking breasts and a more balanced figure. This information provides an overview of Breast augmentation.
The best way to find out how breast augmentation can help you achieve your personal goals is to consult a plastic surgeon.
When considering plastic surgery, be sure about the following:
- Your surgeon must be a physician licensed to practice in your country of procedure.
- Your surgeon must have completed a comprehensive training in plastic surgery and passed the exams.
- Your surgeon must be a member of a national association of plastic surgery recognized by the International Confederation of Plastic, Reconstructive and Aesthetic Surgery (IPRAS).
What is breast augmentation?
Breast augmentation is to increase the fullness and proportion of breasts by planting surgical prostheses (implants) and correcting the symmetry of breasts.
Clinically called augmentation mammoplasty, this procedure is used aesthetically for the following purposes:
- To enlarge small breasts that are usually naturally inherited.
- To correct breast volume loss as a result of breastfeeding seen after pregnancy or due to weight loss.
- If the breasts are slightly disproportionate in size and shape, to achieve better symmetry.
Sagging breasts cannot be corrected with the “Breast Augmentation” operation
But breast augmentation does not correct sagging breasts. In cases where a woman wants to increase breast fullness and improve the position and shape of sagging breasts, a breast lift operation (mastopexy) should also be performed with breast augmentation.
Breast augmentation is a highly personal procedure; it is a procedure that you have to choose according to your own enlarged breast size preference, not somebody else’s.
“Stay away from aesthetics that are not under specialist doctor control!”
Permanent breast augmentation can only be performed surgically. There is no other medical breast augmentation treatment that has proven results and provides satisfaction with enlarged breasts.
Does “Breast Augmentation” prevent breastfeeding?
Adult women of all ages can benefit from breast augmentation to increase small breast size or provide fullness. However, it is recommended that breasts are fully developed before breast augmentation. You should also be aware that breast augmentation usually does not affect a woman’s ability to breastfeed.
Listen to yourself and not your environment about “Breast Augmentation”!
A woman who wishes to improve her breast contour will likely be pleased with the results of breast augmentation surgery. Good candidates are identified as follows:
- Healthy individuals who do not have life-threatening diseases or medical conditions that may prevent healing.
- Individuals with a positive perspective and specific goals to improve their body image.
Where should I start?
The consultation with your plastic surgeon is the first step in learning how breast augmentation will improve the appearance of your breasts and improve your body image. The consultation is designed to fully educate you in a pressure-free environment about breast augmentation and includes:
- Discussing your goals and assessing your situation
- Options available in breast augmentation surgery.
- Possible consequences, risks and complications of breast augmentation
- The treatment recommended by your plastic surgeon
- Your plastic surgeon will also answer your questions.
General health and personal perspective can greatly influence the results of breast augmentation surgery. The success of your procedure, security and overall satisfaction depend on your ability to:
- Share your expectations honestly
- Fully explain your health history, medications you use, vitamins, herbal supplements, alcohol smoking and drug use
- Be honest about your family history of breast cancer and your own breast health
- Strictly follow all instructions of your plastic surgeon./span>
What should be your breast augmentation procedure?
Your plastic surgeon performs breast augmentation using prostheses produced from medical, quality, biocompatible, rough or smooth silicone shells, filled with silicone gel or sterile saline (normal saline). Silicone gel implants are not fluid because they have high cohesiveness thanks to new technologies used in production. Even if the prosthesis is punctured, the high cohesive non-fluid gel is very unlikely to infect and react with adjacent tissues. If the serum is in saline-filled prostheses, saline is safely absorbed by the body and does not pose a health hazard, even if puncture and leakage occur. The prostheses may be slowly filled during surgery by means of a pre-filled or self-closing valve before insertion.
Prosthesis placement, type and size will be determined according to your breast anatomy, body type, desired increase in size and the assessment of your plastic surgeon. Prosthetic manufacturers occasionally introduce new prosthetic styles and types; additional options may also be available for you.
“Breast prostheses have not been proven to impair breast health.”
The careful study of scientific research by independent groups such as the National Institute of Medicine (IOM) do not demonstrate a proven link between breast prostheses and other autoimmune or systemic diseases in women. However, prostheses can make slight or more noticeable changes in the appearance and feel of your breasts. Capsular contracture, a condition that causes the compression of naturally occurring wound tissue around a breast, occurs in varying percentages of patients and can cause the breast to appear stiffer than normal. Although this condition can be surgically treated, correction is not always permanent.
Following breast implant
You should be aware that breast prostheses are not guaranteed
for a lifetime and may require further surgery to replace one or two prostheses in the future.
Pregnancy, weight loss and menopause can affect the appearance of enlarged breasts in a woman’s life. Breast augmentation requires maintenance over time, including regular examinations to assess breast health and the status of prostheses.
Before your procedure, a mammogram may be required to check breast health and provide a basis for future comparisons. Following the procedure, mammography is technically more difficult. Achieving the best possible results require special techniques and additional opinions. When going through a diagnostic breast exam, you need to be honest about your prostheses. Breast augmentation requires surgical placement of breast prostheses to increase breast size. The most common incisions are the inframammary incision (next to the line under the breast), a lateral incision (in the armpit area), or a periaerolar incision located at the edge of the aerola (pigmented skin surrounding the nipple). Incision shapes depend on the type of prosthesis, desired degree of enlargement, patient anatomy, and the preference of the patient and surgeon. During the incision, a pocket is formed such that it is directly behind the breast tissue (inframammary insertion) or below the pectoral muscle and above the chest wall (sub-muscle insertion) or under the pectoral muscle fascia and breast tissue, above the muscle (subfascial, sub-fascial insertion). The prosthesis is inserted into this pocket and the incisions are closed with layered, non-removable sutures in the breast tissue and close to the skin, with skin adhesives or surgical tapes. The results of breast augmentation can be seen immediately. Over time, postoperative swelling will decrease and the incision lines will be examined.
Your satisfaction with your improved body image will continue to increase as you see your fuller breast goal.
Preparing for the surgery
Your plastic surgeon will carefully explain your breast augmentation surgery. Prior to surgery, you will be given special instructions, including the following: Preoperative procedures, diagnostic examinations and medications, Instructions on the day of the surgery and medications, Special information on anaesthesia, Post-operative care and follow-up, In addition, you will be asked to sign a consent form to assure your plastic surgeon that you fully understand the procedure and possible risks and complications.
Possible risks of breast augmentation include bleeding, infection or poor healing of incisions, changes in the nipple or nipple sensation. Capsular contracture, prosthesis leakage or perforation or skin wrinkling on the prosthesis is also possible and may require a second procedure.
Risks and precautions
All surgeries involve risks associated with anaesthesia. These and additional risks will be disclosed before your approval. It is important to answer all your questions and it is natural that you are excited about surgery. Discuss these feelings with your plastic surgeon.
What to expect?
Breast augmentation surgery will be performed by your plastic surgeon in the operating room conditions within a hospital. The type of anaesthesia will depend on the circumstances of your particular procedure and the preference of the patient and surgeon. Your plastic surgeon and assistant staff will do their best to ensure your comfort and safety.
After your procedure is completed, your incisions will be dressed and bandaged. A supportive bra to be worn immediately after surgery reduces swelling and supports breasts during recovery. Before you are discharged, you and your accompanying family member, friend or carer will be given special instructions, including the following:
- How to take care of the breasts after surgery
- Medications to be administered or taken orally to help heal and reduce the risk of infection
- Specific changes in the surgical area or general health
- When to check with your plastic surgeon for examination
Development and recovery
During the initial healing phase, swelling and discomfort may occur at the incision areas and in the breast tissue in general. Discomfort is common and can be controlled by medication. A support bra that can be worn continuously for the first two or three weeks may be recommended. It is important to clean the incision areas and apply the ointments as specified. Follow all instructions carefully; this is crucial for the success of the result. When you feel ready, it is possible to return to your mild, normal activities, usually within one or two days after surgery. Initial wound healing may take 5 to 10 days; suturing will be removed during this time. If you feel comfortable, you can now return to work and normal activities, unless they involve lifting heavy items or over exercising. Once the healing is complete, the breasts can be touched, usually within 4 to 6 weeks. The healing lasts for several weeks, during which swelling is reduced, the prosthesis sits in place, and the incision lines continue to thin. The incision lines are permanent, but they are placed invisibly.
Continue to follow the instructions of your plastic surgeon and go to the controls as scheduled. Results and appearance The results of breast augmentation are immediately seen. The final results gradually develop over several weeks as the swellings decrease and the breast size and shape fit into place. The cut lines will typically continue to fade within the following year. Over time, your breasts may change due to ageing, weight fluctuations, hormonal factors and gravity. However, your newly enlarged breast contour and the freedom to wear your desired clothes without the need for filled bras will give you additional self-confidence on the beach or in the meeting room.