AESTHETIC BREAST AUGMENTATION (SILICONE PROTHESIS)

Breast aesthetics, breast augmentation, aesthetic surgeons decide on the extent of breast augmentation before breast augmentation surgery, taking into account the patient’s wishes, the width of the chest and the patient’s body size. Breast augmentation is ideally performed under general anaesthesia in operating theatre conditions. It takes an average of one hour. For the first three days, depending on the patient’s condition, the bandage is thinned and a special bra called a sports bra is worn. Aesthetic surgeons recommend using this bra for at least two months.

There may be temporary swelling of the breast, purple discolouration and numbness of the nipple, but this disappears after a period of time. There may be a burning sensation around the breast for several weeks. Physical contact with the breast may cause pain and tenderness for 3-4 weeks. Sutures are removed within 7-12 days. Patients can return to work within 3-4 days after breast augmentation with the doctor’s approval.

The breasts may remain small or become smaller or asymmetries may occur due to growth retardation or after childbirth and many other reasons. Both or one of the breasts may need to be enlarged. And so fuller, larger and more aesthetically pleasing breasts can be obtained. For these procedures, there is no other option than silicone breast prostheses. While the silicone forms the outer walls, the filler can sometimes change. Prostheses have advantages and disadvantages depending on their shape and content. These should be explained to the patient and a decision made together on which prosthesis to choose. The extent of the breast augmentation is determined taking into account the patient’s wishes, the width of the chest and the patient’s height. Breast augmentation should not be performed in excess of the breast skin’s capacity. To check this, special trial prostheses are used to rehearse during the operation.

Silicone is the least harmful foreign substance to the body, and many substances are used in medicine besides breast prostheses. Breast prostheses are flexible structures with outer walls made of harder silicone and filled with different substances. There are two types, round and teardrop shaped. Round also comes in two different shapes, high-profile and low-profile. It is used by choosing the most suitable shape according to the patient’s wishes and needs. There are two types whose outer surface is rough or smooth. Prostheses today are divided into two main groups in terms of content: Gel-filled: the outer surface of the prosthesis is made of harder silicone and the inner surface of the prosthesis is filled with softer silicone gel, Isotonic-filled: the outer surface is the same and they are filled with salt water, also called serum. It is either brought ready before the operation or inflated during the operation. Other types of prosthesis than these two are not currently used worldwide.

When describing the desired breast size, patients usually indicate the desired bra size (e.g. 85, 90). However, bras of different brands may have different sizes. It should be remembered that measurements such as 85-90 correspond to the size of the patient’s chest. Generally, the bra size does not change, but the breast size, which is called cup size A,B,C,D, does change. Therefore, the patient’s expectation should be determined very well before the surgery. In addition, different sizes and their causes should be investigated, (e.g. breasts that have been very small since early childhood cannot be enlarged too much with surgery. Since the skin has a certain ability to stretch, this tolerance can lead to complications – suture opening, capsular contracture). Patients over 40 years of age should have a mammographic examination prior to surgery, especially if there is a family history of breast cancer. In addition, patients who have complaints other than a small breast should be examined before surgery. It is beneficial for you to talk to your surgeon about your expectations of breast augmentation and the advantages and disadvantages of the incision site and the type of prosthesis in relation to the outcome of the surgery. The risks of the surgery will be explained.If you smoke, you should stop 10 days before. Patients should not take aspirin before plastic surgery, if it is used it should be stopped 7-8 days before. There should be no infection in any part of the body. You can reduce these risks by strictly following your surgeon’s recommendations before and after surgery. The surgery should ideally be done under general anaesthesia and under surgical conditions. It takes an average of one hour. Depending on the incision site to be chosen, an incision may be made in the skin around the underbust crease, armpit, nipple margin or around the navel. The final incision site has not yet been accepted. These incisions will definitely leave scars. The prosthesis can be placed behind the breast tissue or behind the pectoral muscle. Each application has different advantages and disadvantages; these should be assessed before surgery.

Temporary swelling and pain may occur after the operation. The risk of bleeding, infection (inflammation) and opening of the suture after breast augmentation surgery is rare. Very rarely, an infection can occur inside the prosthesis capsule. In this case it is mainly treated with antibiotics. If the infection persists, the prosthesis may need to be removed and replaced. There may be temporary numbness in the nipples. The rumours that the silicone prosthesis causes cancer, prevents pregnancy or makes breastfeeding difficult are not true. On the contrary, it has been found that the cancer rate is lower in women with breast prostheses. A capsule can develop around the prosthesis, but if this capsule is thick, this can cause stiffness and that the prosthesis becomes more obvious at the base of the breast. In very rare cases, the body may not accept the prosthesis and try to remove it, or it may deform it and confine it to a small area. This leads to asymmetries and undesirable qualities and deformities in the breasts. Depending on the thickness of the capsule, massage or surgery (including insertion of a new prosthesis) may be recommended. Of course, these risks are further reduced when breast augmentation is performed by an experienced surgeon. Two months after the operation you can lie on your face. The prosthesis walls are resistant to stress, except for injuries with cutting and drilling tools. However, traffic accidents and falls from a great height can cause the prosthesis to tear. In this case, the prosthesis should be removed and a new one fitted at the patient’s request. During breast examinations, you must inform your doctor that a prosthesis has been inserted, as the prosthesis should be taken into account when evaluating the examinations to be performed (such as mammography and MRI). These examinations must be performed by an experienced team. Depending on the effect of the general anaesthetic, fatigue may occur for a few days after the operation. During the first three days, depending on the patient’s condition, the bandage is thinned and a special bra, which we call a sports bra, is put on. This bra should be worn for at least two months. Together, the massage described to the patient should be carefully performed. There is less pain, but if the prosthesis is placed behind the muscle, there may be pain or restricted movement when moving the arms. There may be temporary swelling of the breast, purple discolouration and numbness of the nipples. These will begin to disappear after a period of time. There may be a burning sensation around the breast for several weeks. Physical contact with the breast may cause pain and tenderness for 3-4 weeks. The suture is removed within 7-12 days. Depending on the patient, the pink colour of the suture marks may remain for up to 6 months, then slowly fades. The patient can return to work in 3-4 days. It is recommended to stay away from heavy sports for 3 months.