1. Breast Augmentation: What You Should Know First
Breast augmentation (augmentation mammoplasty) is a surgical procedure that enlarges and shapes the breasts using implants or fat transfer. It is one of the most commonly performed aesthetic surgeries worldwide. The goals are to create more balanced body proportions, correct asymmetries and restore lost volume.
2. What Is Breast Augmentation?
Breast augmentation is most commonly performed by placing an implant filled with silicone gel or saline solution. Less commonly, fat transfer (injecting fat taken from other areas of the body into the breasts) may be used.
Implants are selected based on:
Filling material: Silicone gel, saline or cohesive “gummy bear” gel.
Shape: Round or anatomical (teardrop).
Placement plane: Under the chest muscle (submuscular) or under the breast tissue (subglandular).
Incisions: Typically placed in less visible areas such as the inframammary fold (under the breast), around the areola (peri-areolar) or in the armpit (axillary).
3. Who Is a Good Candidate for Breast Augmentation?
The American Society of Plastic Surgeons (ASPS) describes good candidates as those who are:
- Physically healthy and not pregnant or breastfeeding.
- In possession of realistic expectations.
- Fully developed in terms of breast growth.
- Distressed by the feeling that their breasts are too small, or who have lost volume after pregnancy, weight loss or ageing.
- Concerned that the upper part of their breasts looks “empty” or deflated.
- Experiencing noticeable asymmetry or unusually long / drooping breast shapes.
4. The Most Common Breast Augmentation Options
Silicone Implants:
Provide a feel closest to natural breast tissue and are available in various shapes and sizes. The FDA recommends MRI or ultrasound imaging 5–6 years after placement and then every 2–3 years to monitor for silent rupture.
Saline Implants:
Filled with sterile salt water (saline). They can be used in patients aged 18 and older. In the event of rupture, the saline is harmlessly absorbed by the body.
Cohesive Gel (“Gummy Bear”) Implants:
More form-stable and firmer in consistency; designed to reduce the risk of leakage.
Fat Transfer:
Fat harvested via liposuction from other body areas is injected into the breasts. This is ideal for modest volume increases with very natural results.
Combined Approaches:
Implants and fat transfer can be used together, particularly to refine upper pole fullness and improve contour.
5. What to Expect Before Surgery
Consultation and Planning:
Your surgeon will measure your breasts, discuss implant size, shape and incision options, and review your medical history and medications.
Health Precautions:
Smoking and nicotine products should be stopped at least 4 weeks before surgery. Blood-thinning medications and certain herbal supplements are discontinued or adjusted under medical supervision.
Imaging and Photographs:
Preoperative photos are taken; in some cases, 3D imaging may be used to help visualise potential outcomes.
Home Preparation:
Arrange help at home for the first 48 hours. Have a supportive bra or bandage, comfortable clothing and prescribed medications ready.
Emotional Preparation:
Discuss your expectations openly with your surgeon and agree on realistic goals.
6. Step-by-Step: Stages of the Operation
Anaesthesia:
Your surgeon will recommend the most appropriate form of anaesthesia – usually general anaesthesia, or in selected cases intravenous sedation.
Incisions:
Incisions are placed in areas that help conceal scars as much as possible, such as the inframammary fold, around the areola or in the axilla.
Implant Placement:
The implant is positioned either under the muscle (submuscular) or under the breast tissue (subglandular). If fat transfer is planned, the processed fat is injected into the breasts.
Closing the Incisions:
Breast tissue and skin are closed with layered, aesthetic suturing techniques. Skin closure may be completed with sutures, surgical adhesive or tape.
Seeing the Result:
Changes in breast size and shape are visible immediately, but final results become clearer as swelling subsides.
8. Possible Risks and Safety Considerations
As with any surgery, breast augmentation carries certain risks:
- Anaesthesia-related risks and bleeding
- Changes in nipple or breast sensation; chronic pain
- Fluid accumulation (seroma) or blood collection (hematoma)
- Infection, which may require antibiotic treatment or, rarely, implant removal
- Capsular contracture: formation of firm scar tissue around the implant
- Implant leakage or rupture, requiring implant replacement
- BIA-ALCL and BIA-SCC: very rare types of cancer associated primarily with certain textured implants
- Asymmetry or malposition of the implants, potentially requiring revision surgery
- Implants are not lifetime devices: they may need to be replaced or removed at some point
For silicone implants, the FDA recommends MRI or ultrasound screening 5–6 years after placement and every 2–3 years thereafter. These imaging tests are important to detect silent ruptures.
Burun estetiği için Dr. Hasan Çelik'i tercih ettim ve bu kararımdan hiç pişman olmadım. Hem estetik hem de fonksiyonel olarak mükemmel bir sonuç elde ettim. İşlem süreci ve sonrası tamamen güven vericiydi.
SBeyza Ç.