Op.Dr. Hakan TEYMUR

BREAST AUGMENTATION SURGERY

Breast augmentation surgery is one of the most commonly performed aesthetic procedures today. Several methods are available to increase breast volume, with implant-based augmentation being the most frequently used. Additionally, methods such as Fat Injection (may be supported by Stem Cells and/or PRP) or filler injections are also options. However, due to documented literature on potential side effects and the difficulty of removing these substances from breast tissue if complications arise, I do not recommend using filler injections for augmentation. Discussions regarding the use of fat injections to increase breast volume have been ongoing. Current information supports that fat injections do not cause cancer, do not mimic cancer appearance, and are considered safe. It is a suitable method for patients with adequate body fat reserves who do not mind having small scars and are willing to undergo multiple sessions.

WHY IS BREAST AUGMENTATION SURGERY PERFORMED?

To enhance small, underdeveloped breasts or those that have lost volume due to pregnancy/breastfeeding.
Dissatisfaction with breast size affecting body image and self-confidence.
Disproportion between hip and breast size.
Postpartum breast shrinkage, sagging, or loosening.
Changes in breast size and mild sagging after weight fluctuations.
Asymmetry between breasts.

PRECAUTIONS BEFORE SURGERY

A breast examination must be conducted before surgery. In cases of potential risks or patients over 40 years old, breast evaluation with mammography and/or breast ultrasound should be performed to assess breast health before deciding on surgery.

AT WHAT AGE CAN BREAST AUGMENTATION SURGERY BE PERFORMED?

It is recommended after 18 years of age when breast development is complete. However, in cases like Poland Syndrome where one breast develops significantly more than the other or in cases of Tubular Breast Deformity which can cause serious psychological issues due to asymmetric and problematic breasts, with parental consent, breast augmentation surgery with implants can be performed at earlier ages.

METHODS USED FOR BREAST AUGMENTATION SURGERY

For implant placement, one of four entry points is typically used: around the colored edge of the areola, in the breast crease, under the armpit, or through the navel (rarely used for saline implants only). The choice of entry point depends on the patient's examination and the surgeon's preference. A pocket must be created where the implant will be placed, which can be under the breast tissue (subglandular - over the muscle), under both the breast and chest muscle (subpectoral - under the muscle), or a combination of both (Dual Plane). The selection of the method depends on the patient's anatomy and examination.

SHAPE OF THE BREAST IMPLANT

Implants used for breast augmentation are primarily divided into round and teardrop (anatomical) shapes. Teardrop implants have a fuller lower part under the nipple, which is preferred when there is minimal breast tissue and insufficient covering tissue. These implants come in various width, height, and projection combinations, which may be chosen based on body type. However, they also have disadvantages such as potential rotation within the pocket, affecting appearance. Round implants are suitable for cases where more fullness in the upper part of the breast is desired and if there is sufficient natural breast tissue to provide coverage without rotation risk. Surgeons often find it challenging to predict whether a round or teardrop implant will be chosen for submuscular placement. Therefore, the choice between anatomical and round implants for submuscular placement does not make much of a difference unless specific circumstances dictate otherwise. It is important to consider your surgeon's recommendations and avoid letting information from other sources confuse you.

ANESTHESIA METHOD AND DURATION

Surgeries are performed under general anesthesia in a hospital setting. The duration of the surgery varies between 1.5 to 3 hours, depending on the technique and scope of the operation. After the operation, bandages are applied to the breasts, and wearing a special bra without an underwire is beneficial for edema and pain control. Patients can typically stand a few hours after surgery and are discharged the next day. Spending the night in the hospital allows for better positioning of the bed, pain control, and close monitoring for potential complications.

RECOVERY PROCESS

Post-surgery discomfort can be easily managed with medication and usually subsides within a few days. Surgical scars will fade over time, becoming faint after 6 months to 1 year. In the first few months after surgery, breasts may appear slightly larger and firmer due to swelling, but they will settle into their true size and softness over time. Showers can be taken 3-5 days post-surgery, and return to work can occur based on the patient's comfort level. Follow-up visits as scheduled by the doctor (e.g., 1 week, 2 months, 6 months) are important. Bandages or creams may be used to aid in the smooth healing of the incision, which will eventually fade and blend with the skin color.

POST-BREAST AUGMENTATION SURGERY PRECAUTIONS

Walking is encouraged, but activities requiring intense effort or straining the chest muscles (like tennis or swimming) should be avoided for 6-8 weeks.
Patients can typically return to work within a few days, but should avoid driving for 1 week, lifting heavy objects for 3 weeks, and raising their arms overhead.
Sweating should be avoided during the first 15 days when healing is most intense.
During exercise, always wear the bra recommended by your doctor.
Use high SPF sunscreen or bandages to protect the incision from the sun during the first year to prevent darkening.
Breast implants do not interfere with pregnancy, and breastfeeding can be performed without issues.
Inform the technician about breast implants before mammography for proper imaging. Implants do not interfere with MRI or CT scans, and films can be easily interpreted by radiologists.
Silicone breast implants do not have an expiration date. However, it is recommended to remove or replace them after 15-25 years due to potential shape deformities and capsule thinning.