Breasts are complementary parts of beauty in women, besides their functions in breastfeeding and symbolizing femininity. Therefore, lack of self-confidence may arise in women who are not satisfied with the appearance of their breasts and who do not find them beautiful. Breast augmentation surgery is one of the methods providing permanent results to solve this problem.
When To Perform Breast Enlargement Surgery?
For women believing that they have small breasts; breast augmentation surgery can be performed to improve the disproportionate appearance of body lines, especially to correct the hip to breast proportion.
This surgery can be performed to restore the volume lost after pregnancy. If the issue is saggy breasts, breast lift surgery can be performed in combination with breast augmentation.
Breast augmentation can be performed to achieve symmetrical breasts; as well as, to reconstruct breasts if the breasts are congenitally absent or if they have been removed due to cancer.
Breast prostheses already been placed in the breast tissue may need to be replaced due to ageing or loss of their properties. Sometimes they may need to be replaced because they have become problematic. Breast augmentation can be performed in these cases, too.
How Is Breast Enlargement Surgery Performed?
Breast augmentation surgery is a procedure that allows increasing the breast volume to a desirable size, either via fat injection or by placing silicone prostheses in the breast tissue.
Surgery is performed under general anesthesia in hospital conditions, and it lasts for 1-2 hours. A bandage and bra are applied to the breast. Postoperative pain is minimal. Since absorbable sutures are used, there is no need for suture removal. Early swelling and bruising may occur, but they disappear spontaneously in 10 days. Drains are placed based on surgeon’s discretion. If they are placed, they are usually removed in 1-2 days.
The patient can return to work in 3-5 days. The patient will be advised not to engage in strenuous physical activity or workouts for 1-2 months. It is not recommended for patients to lie in the face down position for 2 months. There may occur some minor deformations in the postoperative period; however, these can usually be corrected by massaging.
Having breast implants placed is not an obstacle to engage in air travelling and deep diving like activities.
Are the prostheses used in breast augmentation surgery safe?
According to the FDA clinical studies, it has been determined that silicone breast prostheses do not cause cancer or any other diseases. Therefore, the use of silicone prostheses for aesthetic procedures has been approved since 17 November 2006. This is a major source of confidence for individuals wishing to undergo breast augmentation.
In women with breast prosthesis, all kinds of lesions can be identified by examining the breast tissue with magnetic resonance imaging and breast ultrasonography without the need for mammography. As the use of breast prostheses became widespread, radiology clinics have started to implement mammography tests for silicone breasts in their routine practice.
Silicone breast prostheses:
These breast prostheses, called silicone in short colloquially, are of various types in terms of their content, shape, and surface structure.
These prostheses are classified into two types based on their shape. These are as follows:
Teardrop implants (Anatomical)
The horizontal and vertical base diameters are equal in round implants. In droplet implants, the vertical diameter is longer than the horizontal diameter and the lower pole is longer than the upper one vertically. Teardrop implants are described as anatomical because of their proximity to the natural breast shape.
Breast prostheses can also be classified into two based on their content. These are as follows:
Saline filled breast implants
Silicone gel breast implants
The implants used in breast augmentation surgery contain either physiological saline or silicone gel. The silicone layer of implants consists of physiological serum or silicone gel.
According to the surface structure, the breast implants can be classified into two. These are as follows:
Smooth surfaced breast implants
Textured breast implants with rough surfaces
Capsule formation occurs less around the textured implants compared to the smooth ones.
Where is a breast prosthesis placed?
There are 4 different areas to place the implants in breast augmentation surgery. Prostheses can be placed through the incisions made around the areola, in the armpits, and below the breasts, or they can be placed through a small incision in the belly button (navel or umbilicus). These incisions have their advantages and disadvantages over each other.
The incision around the areola recovers well; however, it is associated with a risk of injury to the milk ducts because of the surgical technique.
When the prosthesis is inserted through an inframammary incision, the milk channels are not affected. With this technique, the incision will be inconspicuous because it will be hidden under the breast. Furthermore, any problem that may occur in the breast or the chest wall can readily be restored during the intervention.
With the incisions in the armpits, there will be no scar marks in the breasts because the intervention is made through the incisions in the under-arm area. Endoscopy is used in interventions, in which implants are placed through the navel or the incisions made in the armpits. Although the incision marks will be slightly reddish in the early days, they will fade away and become unnoticeable over time. Breast prostheses can be easily inserted into prepared pockets during the surgery.
Recovery after breast augmentation surgery
Breast augmentation operations are usually completed within 1 hour. Patients may be discharged from the hospital on the same day or the day after. Patients should spend 2 days resting after the surgery. The pain will not be severe during this period. Only a feeling of fullness in the breasts can prevail. This latter feeling will diminish significantly after 3 days.
Edema is anticipated to occur after breast augmentation surgery. The severity of pain after the surgery increases with arm movements in case of breast implants placed through the armpits. However, the pain severity will start diminishing after the early days. The movements of the arms and body will be relieved after 3 days following the surgery. A skin-colored bandage is placed over the implant on the day after the surgery. Other than that, no further dressing will be needed.
Patients wear sports bra on that bandage. It is not inappropriate for the patients to take a bath every 3 days without removing that bandage. Your specialist surgeon who has performed the intervention will remove the bandage after 14 days. Putting on a sports bra for a month helps shaping the breasts.