Breast Operations

BREAST ENLARGEMENT

Nowadays, the most acceptable solution for both congenital and acquired breast smallness is breast prostheses. Breast prostheses used today have emerged as prototypes of the present state since the 1960s and have become available for life with today's technological possibilities.

Breast enlargement is essential, to have a breast of the desired size and beauty, without loss of sensation and damage to milk channels is to perform the procedure without complications.

Today, the most widely accepted and used silicones;

Silicongel

saline fillet and saline fillet + silicongel.

In addition, each prosthesis has high profile, low profile and anatomic (drip) models, which have recently been adapted to body measurements. They are also rough, flat and semi-rough.

Prosthesis places are periareolar (the area around the nipple where dark skin meets normal skin), sub-mammarian (subline where breast tissue connects with the body), sub-axillary (underarm) and umblical (through the navel). The location plans are subglandular (sub-breast tissue), submuscular (under pectoral muscles) or dual plan (using both plans).

It is an operation in which the cosmetic vision and design power of the plastic surgeon comes into play. A thorough understanding of the patient's desired breast size, discussion of its correct or incorrect results, the fullness of the breast in decolletage, removal of the nipple position and present asymmetries, removal of the separation in the breasts and, if any, the size differences in both breasts is a natural and beautiful appearance.

Breast lowness (sagging) should be evaluated very well and whether the prosthesis can be corrected with this should be understood very well or our patient wanders with both a large and saggy chest. If necessary, it should be considered together with recovery surgery.

Prosthetic placement is made from a place where every physician is accustomed and successful. Accuracy or inaccuracy is equivalent to patient satisfaction. My personal preference is nipple entry unless there is a persistent request.

Interventions made around the area of ​​Areola (where the dark skin around the nipple meets the normal skin color) are both a plan in which we are very close to the details of the operation site and a cosmetic choice which is not very clear at the entrance. I think it is more noticeable, no matter how well done, our breasts are under the scar problem of our people.

The armpit area should be carefully evaluated in terms of the distance to the operation area and the risks that may be associated with it. Belly button application is, in my opinion, just a fantastic undertaking, I only respect those who successfully apply it.

Muscular and sub-muscular applications are a choice for the size of the breast tissue and the fullness of the décolleté.

Our choice in this regard, ie, sub-muscle, sub-gland or both plans using technical applications is our decision after the patient's examination. We evaluate the silicone models by testing the appropriate size with the testers of all 3 models, taking into account the patient's expectations during the operation. Our aim is always natural-looking breasts that are not clear after all these details.

After 18-20 years of age, the operation is applied to people with small breasts without any disability. Since the psychological component outweighs, my preference is for the first time it is realized or obsessed. (Because I have many patients who wait until the age of 50-55 and then enlarge their breasts and then get mad because I didn't have them done before yaptır)

There is no permanent loss of feeling in a good operation, it does not prevent milking and breastfeeding, and it does not affect the results in mammography and ultrasonography for diagnosis and screening. (Practitioner should be informed about this)

It does not need to be removed during pregnancy. They can be used permanently for life.

Does silicone cause cancer? Does it increase rheumatic diseases? Does silicone pass to my child while breastfeeding? Such questions remain only as a historical debate.

The operation is performed under general anesthesia, which takes about 1-1.5 hours. In principle, we keep every patient under general anesthesia for 24 hours in the hospital. We'il be discharged the next day. We use a special bra for 6 weeks and 6 weeks apart. Preferably (unbalanced, seamless, sports bra) 2-3 days after the bandages with dressing control is released, 1 week later we start a massage. It is usually a comfortable process that can be controlled with painkillers for 2-3 days after the operation.

Breast enlargement with temporary fillings (Aquafilling)

 Breast enlargement with fat filling (Mesenchymal ctemcell) is among the alternative techniques.

BREAST REDUCTION

As the breast tissue grows, so does the accompanying problems. From rashes under the chest, shoulder pain, shoulder