AUGMENTATION MAMMAPLASTY SURGERY
Breast augmentation surgery (augmentation mammaplasty) is one of the most popular operations both in the world and in our country. As with any surgery, it is very important to determine in what condition and for what purpose will the breast augmentation surgery be performed.
BREAST AESTHETICS AND BREAST AUGMENTATION SURGERY
The only method we use in breast augmentation surgery is breast implant. The purpose of breast implant is to enlarge your breasts. It is generally thought that the implant can also lift the sagging breasts. In some cases, implants can be used for this purpose, but really sagging breasts must first be "lifted" and if necessary then they should be enlarged with implant.
Breast implants have different shapes and types. The common thing is that the cover is silicon material. The content in this silicon bag can be liquid or solid, or serum physiological. The feature of solid silicone implant is that silicone does not flow even when it explodes. The surfaces of the implants are flat or coarse. Shapes are; round, anatomic and asymmetric. The implant is expressed according to the volume and cc. (1 cc = 1 mm³). The most commonly used lengths are between 200 - 350 cc. Each asymmetric breast can be applied to different sizes of implant.
After the breast implant, only the size will increase.
Surgery consists of placing silicone implant underneath the breast. There are a few different ways to do this. The implants are placed underneath or on the breast muscle (just under the breast glands).
The posture of implants placed underneath the muscle will be less natural than the implant on the breast muscle. In addition, it is safer to keep implants underneath the muscle. Muscle protects both the implant and reduces the possibility of developing a "capsule" complication. If you are considering surgery with an armpit incision implant, the only alternative is to use a underneath the muscle and water filled implant.
The implant on the muscle looks a bit more superficial, which makes them more natural. The only way to use anatomically shaped implant is to put them on the muscle. Under the muscle, the shape of the implant disappears.
There are 3 options for cutting.
Transaxillary incision: At the end of the hairy area under the arm, implant is placed by entering from the 3-4 centimeters incision. It is very difficult to see the surgical field with this technique. The hollow implant is placed either manually or endoscopically and then filled with serum.
Periareolar incision: If the nipple is big, the implant can be placed from a half-moon incision from where the colored part connects to the skin. The remaining scar is vague. This technique has the potential to cause loss of sensation in the nipple and problems with breastfeeding.
Inframammary incision: The implant is placed from 3-5 centimeters incision from the natural folding line under the breast. There is very little scarring left in the folding line. This method is the most preferred cutting in the world because it is both the most reliable and easiest.
Complications related to the surgery: It is unlikely that there will be a serious bleeding in this surgery. Bleeding can be in the form of blood (hematoma) on one side of the implant.
A unilateral swelling around the fifth post-operative day may be an infection signal. The likelihood of such complications is very low.
Complications related to the implant: Silicone-coated implants can be considered as a foreign body and create a very thin barrier around the implant. In some cases, the barrier may thicken and turn into a rigid structure called "capsule". If the capsule is in the severe degree, the shape of the breast may be distorted and should be treated.
The "burst" of implant is unlikely. Implants are strong enough not to burst even if the trucks pass through them. They can only be punctured with a sharp or spiked object.
It is a moderate level surgery in size and difficulty. Patients usually feel a little pain in the arm movements during the first 3-4 days, and they complaint for tenseness of the breasts.
You may be discharged on the same day after the surgery and return to work after 3-4 days. The first night may be relatively problematic. Usually, simple painkiller taken orally is sufficient. Severe bruises and swellings are not expected as a result of this surgery.
It would be best to spare one week for this surgery. By the end of a week you will possibly go back to normal.
SUMMARY OF THE SURGERY:
Type of the anesthesia: General anesthesia.
Where the surgery should be performed: In a hospital operating room.
Duration of the surgery: 1,5 - 2 hours.
Duration of stay in the hospital: It is possible leaving hospital on the same day.
Post-surgical pain and bother: A few days dull ache. Oral simple painkillers are usually sufficient.
Swelling, bruising: Between 3-6 days, mild - moderate.
Medical dressing: In 2 days is removed completely.
Bra: Need to use a soft sportive bra for 4 weeks.
Stitches: No stitches to be removed.
When can you start working: 3–7 days.
Sport: Hike after 2 weeks, can be started to running after 3 weeks. Can be started to sports using arms after 4th weeks.
Final form: In the first 1-2 months, the breasts usually appear 30% larger than normal. The reason for this is the surgical swellings. Healing and getting the full shape of the breast will be around 3rd months.