What is Breast Augmentation Aesthetics?

SURGERY NAME: BREAST AUGMENTATION, AUGMENTATION MAMMOPLASTY

OPERATION TECHNIQUE: An operation plan is created according to the size and placement of the prosthesis. This plan is determined by the patient’s anatomical features, i.e. the structure of the body, but the patient’s request is at the forefront, especially in the choice of prosthesis. Plans where the prosthesis is placed:

-Subfascial plan: A plan placed above the muscle but below the muscle membrane. Since the prosthesis and breast move together, it is a more anatomical, natural operation. I prefer to perform this operation as long as the patient’s skin thickness allows it. In cases where the skin thickness is not sufficient, the prosthesis should be placed under the muscle.

-Subglandular plan: It is the plan placed under the breast tissue. The prosthesis is more likely to become palpable. It is an easy plan to put in place.

-Submuscular plan: It is the plan applied to benefit from the covering feature of the muscle in patients with thin skin tissue. The muscle does not cover the lower part of the prosthesis and the prosthesis is not palpable in the upper part of the chest. Since the muscle is treated, the postoperative period is more painful compared to the subfascial plan. The prosthesis is displaced by the movement of the muscle. Animation problems may occur. (temporary deformity of the breast with hand-arm movement)

-Dual plan In this technique, the prosthesis is placed under the muscle. Only in breast tissue is it separated above the muscle. Thus, no shrinkage or deformity of the breast with muscle movements It is a technique to prevent animation problems.

The types of dentures are drop, round, and fully filled dentures with rounded edges. When choosing the prosthesis, the patient’s height and weight, the shape of the rib cage, the size of the existing breasts, the amount of sagging in the breasts, and the patient’s wishes are taken into consideration.

Patients more ideal for a round prosthesis

• If the breast tissue is sufficient under the nipple but less on the upper side of the nipple, i.e. in the upper pole
• If breast sagging is in the foreground and breast lift operation will be performed at the same time
• If she wants a nice cleavage
• According to the patient’s request

Ideal patients for drop dentures

• Patients who want to have a natural breast size, the group of patients who say that I want my breast to grow but I don’t want it to be obvious that I had surgery
• Patients with little breast tissue, small sized breasts
• According to the patient’s request

The number of cc of the prosthesis will be decided according to the patient’s body structure and the above requests. Without surgery, trial models of prostheses suitable for the patient’s body structure are brought and shown to the patient. The patient makes the final choice after seeing these prostheses. Although the prosthesis is usually placed in the inframammary groove, it can also be placed in the nipple in small breast lift cases.

TYPE OF ANESTHESIA General

PATIENT’S REQUESTS OR COMPLAINTS: Small breast size, breast asymmetry, breast sagging,

HOSPITAL STAY : 1-2 days

RECOVERY PROCESS

• 3-4 days for desk work, 3 days for work requiring muscular strength. week
• Return to daily activities and self-sufficiency 3-4 days
• In the subfascial plane, the patient does not experience pain when moving the hand and arm. She can hug her children as she wishes and do her daily activities.
• Pain is minimal in the supramuscular planes and moderate in the submuscular planes. In the hospital, intravenous painkillers are administered to relieve the patient’s pain, and after discharge, oral painkillers are administered to prevent the patient from feeling pain.
• The patient can shower 48 hours after the drain is removed.
• The patient should wear a sports bra for 1 month.
• The tubes that drain the blood, called drains, are removed from the patient for 1-2 days.

SITUATIONS TO WATCH OUT FOR

AND POSSIBLE COMPLICATIONS

• The surgical scar is not noticeable because it remains in the inframammary groove.
• Smoking carries extra risk for the patient who will undergo breast surgery. There may be numbness in the nipple. Sensory disturbances usually return between 3-12 months.
• Minimal breast asymmetry may occur after the operation. During the healing process of the breast, the formation of healing tissue between the interlocking of tissues may occur at different rates or tissue edema may be at different levels in the right and left breast. Minimal breast asymmetry may therefore be seen.
• Breast implants do not cause breast cancer. But if the breast prosthesis has formed a capsule (5-15%), it may cause a lymph node disease called ALCL at a rate of 1/30.000. The prosthesis must be removed. If not removed, the patient may develop lymphoma
• It is best to decide on the choice of prosthesis together with the doctor.
• After the operation, sit or stand more than lie down. Take active rest. Your back pain will definitely increase as long as you lie down
• You do not need to massage your breasts unless your doctor tells you otherwise. You will be told if necessary when the time comes.

IT IS STRONGLY RECOMMENDED TO QUIT SMOKING 2 WEEKS BEFORE SURGERY.