The proportionality of breast volume with shoulder width, chest circumference, waist and hip circumference plays an important role in women's self-confidence. Surgical intervention to increase the volume of the breast is called augmentation mammoplasty. Small breast volume may occur developmentally or after pregnancies and weight gain. Apart from these, breast augmentation operations can be applied to patients who have a difference in volume between the two breasts or who want breast reconstruction after mastectomy.
Today, the only method we can safely perform breast augmentation operations is to use a silicone breast prosthesis. Hormone-containing creams for breast augmentation and filling injections to increase breast volume cannot be said to be safe for health. Hormone treatments produced with the principle that the breast tissue is sensitive to estrogen can create a growth effect in the breasts. However, these hormones play a leading role in the formation of many cancers, especially breast and uterine cancer, by causing an irregular increase in cells.
Silicone breast prostheses are produced in many different volumes and shapes. Structural features of silicone prostheses are similar. Silicone gel, which gives the consistency of breast tissue, is produced by wrapping it in an envelope containing silicone. There are also prostheses that can be inflated with serum wrapped in an envelope or that are a mixture of serum and gel. The prosthesis to be used is selected according to the patient's request after the patient's examination. Prostheses are produced in round or anatomical (drop) shapes. Both have advantages and disadvantages over each other. For example, a round prosthesis is suitable for a patient who wants an assertive breast, while an anatomical prosthesis is more suitable for a patient with breast tissue who wants to increase the breast volume a little.
Breast prostheses are placed under the muscle under the breast (pectoral muscle), under the membrane surrounding the breast tissue and pectoral muscle, or partially under the muscle, in the space created partially under the breast tissue. The most important factor determining this plan is the patient's breast tissue amount to cover the prosthesis. Although the name of the surgery is called breast augmentation, the operation area is under the breast tissue. For this reason, milk glands and milk ducts are not affected and there is no problem in breastfeeding in the postoperative period.
General anesthesia is applied in breast augmentation surgery and the operation time is approximately 1-1.5 hours. In the sub-breast approach, prostheses are placed by making an incision of approximately 3.5-4 cm in the line under the breast. The scar of the incision is not obvious because the area where the incision is made remains under the bra / bikini, and the breast tissue is folded over this area over time. Other incision areas that can be preferred in suitable patients are around the nipple (areola) and armpit (axilla). 6-8 hours after the operation, the patient can stand up as the effect of anesthesia drugs wears off. Hospitalization for 1 day is recommended.
Exercises that over-work the chest muscle should be avoided for 2 months after the operation. The patient can return to his daily work within 3-5 days. The use of a special bra that covers the breasts for the first 2 months may cause the breasts to take shape.
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