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Women are mentioned with motherhood and fertility all over the world. The most obvious symbol of these features are the breasts. Ideally sized breasts also make women appear attractive, beautiful and self-confident, and many small-breasted women have stated that they do not feel sufficient as a woman because they have small breasts, and have psychological problems due to loss of self-esteem. The breasts can be single or double sided and underdeveloped from adolescence, and there are also cases of weight loss, loss of size and resistance due to pregnancy, asymmetric or "tuberous breast".

Every woman wants to feel beautiful and throughout the history, they have tried many things such as glass globes, animal cartilages, rubber and liquid silicones, which have ended with frustration, in order to have beautiful breasts. The first breast implants which have given healthy results were developed by Dr. Frank Gerow and Dr. Thomas Cronin in 1961 with help of Dow Corning company and the first breast implants were placed in the USA in 1962. Since then, silicone breast implants have undergone changes in the way they look and they have begun to feel more natural by keeping up with the technological developments and breast implant surgeries have become one of the most performed surgeries. Another method that has recently been used to increase breast volume is to inject fat from other parts of the body and inject it into the breast. You should discuss the advantages, disadvantages and applicability of this method with a plastic surgeon. Any surgical method you read on the Internet may not be suitable for you.

Nowadays, breast implants are the most commonly used method to add volume to breasts. Although the concept of an ideal breast and some figures are determined by plastic surgeons, everyone's understanding of beauty may not be the same and it should be accepted that patients may not be happy with the same size and model prosthesis depending on the age, height, weight, rib cage circumference, hip width, condition of the skin and expectations. Silicone implants are designed in two ways as anatomical and rounded. Hundreds of different types of silicones are produced with different surfaces, diameters, sizes and projections (heights). Round silicones cause a fuller image in the decollete while drop silicones produce a softer and more natural result. A woman who thinks her breast is smaller or asymmetrical than the ideal sizes and who has decided on an operation should definitely consult to a plastic surgeon and decide what size and shape will suit her, which area will be cut, and where the implant will be placed.

Silicone prostheses can be placed in 4 different places as under the breast tissue and fascia, under the breast tissue on the fascia, breast under the muscle tissue (pectoral muscle) or under the upper part of the muscle recently referred to as the dual plan. Each plan may have its advantages or disadvantages. A joint decision must be made according to the examination and wishes of the patient, the surgeon's knowledge, experience and preference.

Implants are most often placed on the nipple and under the breast (inframammarian sulcus) with an incision of 4-5 centimeters. It is also possible to insert implants by entering under the armpit and through the umbilicus, but an endoscopic approach is required and the sheath of the silo that can be inflated with the serum can be placed with this method. There are also some disadvantages of silicones, which can be inflated with serum. The marks on the nipple or the breastfold fold are usually visible over time and only when viewed very carefully.

Breast prostheses are placed under the breast tissue and do not interfere with breast milk because it does not disturb breast tissue. If you have a pregnancy plan following the surgery, your surgeon may recommend that you postpone this operation for a while, as the pregnancy process can change the shape and volume of your breast unpredictably and may affect the results of your breast augmentation surgery. In the same way, I think that a lady who has newly ended her breastfeeding period after childbirth should have the operation 1 year after the breastfeeding period as she will have bigger breasts and this may cause various postoperative complications.

Silicone implants have not been found to cause any carcinogen, immunological or rheumatic disease. It is used safely today. The presence of a breast prosthesis usually does not interfere with mammography images, but with the slightest hesitation additional imaging methods can be used. Regardless of whether you have breast cancer in your family, if your age is below 40, you should have breast ultrasound and breast ultrasound and mammography above 40.

Breast augmentation surgery can be performed under general anesthesia in 1-1.5 hours. If the prosthesis is placed on the subcutaneous plan, more pain is felt than the muscle plan. Therefore, you may need to stay in hospital for 1 night. If the muscle is preferred, the pain can be discharged on the same day. The placement of the drain (silicone tube that carries out the accumulated blood) depends on the choice of your surgeon and the course of your surgery. If drains are placed, drains are usually drawn in 1-2 days. Because the pain is more painful when the prosthesis is subcutaneously placed, the arm movements are a little more painful in these patients and this may cause movement restriction for up to 4-5 days. The stitches need to be removed as there is a melt stitch. It is recommended to use an athletic bra for 1 month after the operation.

Depending on the location and personal characteristics of the implants, the person can return to work after about 3-7 days. After 2 months, heavy sports can be made using the arms and lighter sports can be made 3-4 weeks later.

The risks that may be encountered in the early period can be summarized as bleeding, infection and wound opening which can be encountered in all kinds of surgical procedures. The most unpleasant reaction in the late period is the development of capsules around the implants. In fact, this reaction is a normal response to any foreign matter. Since the implant is a foreign matter, the body forms a membrane (capsule) from the connective tissue around this prosthesis. This capsule is usually fine and does not pose a problem. It can rarely thicken and cause hardness and sometimes pain. With help of the advanced technology, the introduction of pumice-coated silicones, the placement of prostheses on the back of the muscle or the dual plan, the inconvenience of capsule formation has decreased to 5%. In order to prevent this situation, various massages can be offered to the patient after the surgery. If, despite all precautions, a hard and deforming capsule is formed in the breast, this capsule may need to be surgically treated.

 

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