Today, many women want bigger and fuller breasts. The reasons for augmentation mammoplasty surgery are very different.
For example, due to changes in the breast shape and condition after pregnancy and weight loss or when the breast size is very small compared to the person’s size. As the lactation period ends, it is sometimes seen that the mammary glands relax and cause sagging of the breasts’ upper part. This kind of breasts sagging in young women causes personal dissatisfaction.
By using a breast prosthesis, fat injection, or a combination of both, the breast size adjusts to the body. The best and most natural results are obtained when the amount of injected fat is measured or the used prosthesis size is reasonable.
If the breast skin is also open and stretched, a breast lift should be performed at the same time as the augmentation.
Breast augmentation surgery is not specific to an age group and can be performed at any age. Provided that the body growth period is over and the breasts’ final size is determined.
What can be expected from augmentation mammoplasty surgery?
A normal breast shape is possible if this surgery is performed by a specialist surgeon. By choosing the right position for the prosthesis, it is possible to prevent the prosthesis’s palpability under the skin after surgery. Depending on the physical and hereditary conditions, the resulting lifespan can vary. Aging and pregnancy are the reasons for the change in results. The need for prosthesis reoperation and replacement is typically about twenty years after surgery.
After examination and consultation with the patient, the plastic surgeon determines the prosthesis’s appropriate position.
Selectable positions include below the pectoralis muscle (subpectoral), below the pectoralis muscle skin (subfacial), below the sub-glandular mammary glands (sub-glandular), and the Dualplane.
If the fat injection method is used to enlarge the breast, it should be noted that the injected fat, like other body parts changes or decreases with weight, and the change decreases or increases accordingly.
Types of prostheses:
Two types of prostheses are common for augmentation mammoplasty. In the first type, a silicone capsule is filled with physiological saline and in the second type, it is filled with a silicone gel.
Silicone prostheses have different shapes and they are very natural. With the development of the gel formula used in such prostheses, the fear of the gel coming out of the silicone capsule in case of rupture is unnecessary.
Prostheses filled with physiological saline lose their saline content if they rupture. This saline is absorbed by the body without any danger. These types of prostheses are more noticeable when touched than silicone prostheses, and their content volume decreases over time, and sometimes the bubbles sound is heard when touched.
Both prostheses types can have a polished or embossed surface. No difference in the recovery length has been reported so far.
What are the risks?
The risks of breast augmentation mammoplasty are low, provided that the surgery is performed by a plastic surgeon who has sufficient experience.
The notable risks are as follows:
CAPSULAR FIBROSIS, since the prosthesis is a foreign body it is separated from the other tissues by a connective tissue capsule. Depending on a person’s genetics, this capsule may change the shape and texture, which will eventually cause painful breast tightening along with breast shape changing, and may need to change the prosthesis.
Depending on the prosthesis material and quality, the so-called silicone may sweat from the capsule’s outer layer and enter the adjacent tissues.
When using very large prostheses, there is a risk of damage to the chest sensory nerves which is temporary.
Other cases include hematoma, infection, and serum around the prosthesis.
Recommended preoperative measures:
The use of drugs that have anticoagulant properties should be discontinued by consulting the physician at least 14 days before the surgery date.
Minimize nicotine and alcohol use 4 weeks before surgery.
Be sure to tell your surgeon if you have any allergies or illnesses.
Be sure to tell your surgeon if you get bruises quickly after a small blow.
Be sure to tell your surgeon if you decide to lose weight or get pregnant.
It is recommended to do mammography or ultrasound to examine the breast tissue before surgery.
Recommended measures after the operation:
The breasts may become stiff and painful immediately after surgery and you may need to use painkillers.
Use a special breast girdle for up to 6 weeks.
If the sutures are not absorbable, pull them after 7 to10 days.
Direct sunlight and solarium should be avoided for up to 6 months to prevent suture line blur.
The patient can take a shower after 3 days, while swimming is not recommended for the first months.
To prevent Capsel fibrosis, it is recommended to gently massage the breast for 4-6 weeks after the operation.
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