¬ Breast Augmentation

Breast Augmentation (Augmentation  Mamaplasty)

Breast augmentation namely silikon surgery   restore breast size using silicone gel implants, saline implants or cohesive gel implants. This  surgical procedure will enhances the appearance of breasts  by way of providing  balance, symmetry  and the fullness.

If;

 • You think you have small breast size

You do not fill in  your bust part of your clothes 

You feel uncomfortable when you wear a bikini or bathing suit

You have volüme loss and more sagging breasts folllowing breast feding and pregnancy

Your breasts changed in  terms of size,shape and volume  following losing weight

One of your breasts is smaller than other ,

You might be a good candidate for breast augmentation.

Pre-Op Initial Consultation 

If you are considering breast augmentation surgery you should seek an experienced plastic surgeon and consult with the doctor.

In this consultation you should clearly tell your complaints and expectations about  this surgery.Over the couse of the consultation,  your doctor will evaluate the  size, shape and skin elasticity  of your breasts  , and  detect  ,if exist, the asymmetries , the deformities . Then  he/she will take notes for surgical plans. Considering your expectations and surgical examination,  your doctor will offer you the best and tailor made option and give you detailed information that includes what should you realistically expect from the surgery. Your plastic surgeon  will explain the surgical method, anesthesia ,the place of operation (hospital) . He will provide  complete instruction  on pre and post operative  care. Also he will    give you information about the risk and potential complications of the surgery . 

Before undergoing surgery, your plastic surgeon will present you  a variety of suitable breast implants  (silicone gel implants, saline implants or cohesive gel implants) that may differ in type, shape, style, and size. 

Before deciding  breast surgery ask all the questions you have in your mind until you get satisfactory answers and fully comprehend . In this consultation you may also get a quote. Based on the whole information you got you may finalize  your decision.

Once you decide to go with the procedure you will be asked  to have several blood tests done . If  test results are normal, the surgery time, date  and  place will be  determined.

The day  of surgery

Following registration in the hospital you will be smoothly transferred to your room. Your surgeon and anesthesist will come over to your room before the surgery . Your surgeon  will mark your breast as he /she planned . Also  anesthesist will inform you about the anesthesia and ask related  questions. Before going to operating room (OR) , a sedative  injection  will be administered.   It will help you to relieve the anxiety and the excitement related to surgery which is very common. 

The surgical procedure

In the operating room, anesthesia will be applied. Breast augmentation can be  performed under general anethesia or local  anesthesia with intravenous sedation. But mostly general anesthesia is preferred. Under general anesthesia you will be sleeping during the  surgery. Your doctor will offer you the best choice that fits your case.

There are different incision for  breast augmentation. The most commonly used incisions sides are inframammarian which is done underneath the breasts just above the  natural crease and  periaerolar incision which is done  around the lower edge of the brown area surrounding nipple  like a halfmoon. Less likely used incision is the one made under armpit in axillary area (see shape 1). Incisions for the placement of breast implants vary depending on the type of implants, the size of aerola, body type   and patient- surgeon preference. Breast implants are inserted in the pockets via one of the incisions as agreed.

Pockets are prepared for the implnats to be placed. Pocket can be created  behind breast tissue (submammarian) or under pectoral muscle(subpectoral). The location of pockets are determined based on the size of breasts, the severity of sagged breasts, type of the body, the sufficiency of breast tissue and patient - surgeon preference. Following the incision the implant is inserted into the pocket. At the end, incisions are closed with specific sutures.

After the surgery a special dressing is performed on the breasts or a supporting bra is given. The result is visible immediately after the surgery. Over time swelling will fade and the scar will become undetectable. Breast implant patients are the most satisfied among cosmetic procedure patients. The results are remarkable. 

Breast augmentation recovery

One or two hours after the surgery you will be allowed to drink water ,eat and mobilize. For managing pain, painkiller will be provided. In general   the surgical  pain  may fade away in 2-3 day and  simple pain killer  work well. Depending on your recovery the same or the following day you will be discharged. Even you may easily resume normal life within 2-3 post-op days, your doctor will suggest you a necessary program. For a better recovery, you should avoid strenuous activities and carrying heavy things for a few weeks. The decision in order to resume daily life depends on how fast you heal and you feel.

Even your doctor will make the best effort to make scars unvisible they are inevitable for this surgery.In most cases scars will fade away and will become hardly noticeable. Mild swelling and colur change will go away very fast. Soreness will alleviate within weeks. Your doctor will give necessary instructions on breast massage to provide softness. 

This site is created to give information about the breast augmentation surgery. While considering breast implant surgery you are always encouraged to ask your doctor about the above mentioned issues and further. 

Prof. Dr. Muhitdin Eski