Breasts are structures that complete the physique of the woman's body appearance.
Breast volume has an important place in the measurements of shoulder width, chest circumference, waist and hip circumference. Breasts may be small due to different structural reasons. One may be smaller than the other or asymmetrical. It is possible that, congenitally, the person does not have one of them at all. Silicone prostheses (implants) are the most valid method today to make both breasts equal or increase their volume. Breast prostheses are balloon-like structures prepared in the shape of a breast. There are round ones and drop-shaped ones called the anatomical ones. One of these is selected in accordance with the situation of the woman's breast.
The balloon, the outer surface of which is silicone, also contains a gel of silicone origin. In the USA, it was again approved by the FDA (Food and Drug Administration) in November 2006. If the patient to whom the prosthesis will be placed is over 40 years old, mammography and, if necessary, radiological examinations called ultrasonography are performed before the operation. Every surgery has general or specific risks. Edema and pain in the breast area are postoperative complaints. Bleeding and infection due to surgery are rare conditions. Some patients complain of increased or decreased sensitivity in the nipples or numbness around the incision after surgery. This is usually temporary.
It has been suggested that against the prosthesis, which is a foreign body, some connective tissue diseases develop in the body, it becomes difficult to breastfeed the baby, and the prosthesis causes cancer. However, none of these has been scientifically proven. Mammography and surgical examination to be performed later on breasts with prosthesis do not pose a problem. The prosthesis is seen as a cavity on a mammogram. The risk of developing cancer does not increase in a breast with silicone breast prosthesis; it is the same as normal breast tissue.
When such a situation occurs, surgery and other forms of treatment for cancer are applied also to the breast with prosthesis in line with the standards. The operation is performed under general anesthesia in the operating room under hospital conditions. It takes 1-2 hours. A 4-5 cm scar is opened for the prosthesis to be placed. The placement of the scar can be at one of the following:
Under-Breast Curl (Submammarian)
Lower Part of the Nipple (Circumareolar)
Depending on the breast structure of the patient, the prosthesis can be placed behind the breast tissue or behind the pectoral muscle. Each application has its advantages and disadvantages, and this detail should be evaluated before the operation. Post-surgery is usually comfortable. Pain is minimal. If the prosthesis is placed behind the pectoral muscle, there may be limitation in arm movements for a few days. A bra or wrap is applied to the breast after the surgery. If there are non-dissolving stitches, these can be taken on the 10-12.day.
There is no need for suture removal in dissolving stitches. There may be swelling in the early period, numbness in the nipple and purplish discoloration on the skin. These disappear on their own in a short period of time. The patient can return to work in 3-4 days. After 3 weeks, the prosthesis settles into place and the breast regains its normal function. The patient is advised to stay away from heavy sports (which require jumping-running) for 2 months Breast augmentation surgery with prosthesis is an operation that gives good and permanent results in general, improves the mental health and psychosocial structure of the person, and makes them more connected to life.
Post-surgery is usually comfortable. The pain is very minor and can be relieved with medication. At the end of the surgery, a special bandage is applied to the vacuum applied areas and the patient is dressed in a special corset. After the operation, medical dressing is applied to the patient. The patient continues to wear the corset for 5-6 weeks. There may be purplish color changes in the vacuum applied areas. There may be swelling, tingling and burning sensation. These disappear spontaneously within 3 weeks. Surgical scars also become indistinct within 2-6 months.