Breast augmentation is, together with rhinoplasty, one of the most performed aesthetic operations with great results. This procedure is typically carried out in cases of small, non-developed or shrunken breasts due to pregnancy.
The augmentation is provided by placing natural materials made of silicone, which are called prostheses or implants, under the breast tissue. Nowadays, the enlargement provided with fat transfers taken from the own body has also become very popular.
My personal opinion is that the best aesthetic results are obtained when prosthesis and fat grafts are used together in the same operation.
Today’s implant technology is highly developed and modern implants are made in such a way that they mimic the shape and consistency of the breast. In addition to this, cohesive gel technology is used to prevent the implants from exploding, like it could occur before.
Breast Augmentation Implant Location
Breast implants can be placed under the breast muscle (subpectoral), over the breast muscle (subglandular) and under the breast muscle membrane (subfacial).
If the patient has only very little breast tissue (if the medial and lateral pinch test is less than 2 cm), there is the risk that the implant will be visible from the outside, which is why it is placed under the breast muscle.
In patients with sufficient breast tissue, it is preferred to place the implant over the breast muscle (subglandular) or under the breast muscle membrane (subfacial).
My personal opinion is that the pain of the patient is much less and the rate of late complications is lower when the subfacial plan is used.
Shape and Size of the Breast Implants
The implants are available in round and drop shapes and both have their own advantages and disadvantages. Drop shaped implants look more natural but due to rotation it may be necessary to carry out a second surgery. With round implants the cleavage and top of the breasts look fuller. There is no risk of rotation.
Breast Augmentation Surgery
This procedure is carried out under general anesthesia. ıt takes approximately 1-1.5 hours. The prostheses used for breast augmentation are placed into the body via 4 ways: under the breast, nipple circumference, armpit and navel. Nowadays many surgeons place the prostheses via the groove under the breast. My personal opinion is that the groove under the breast is the best entryway for breast prostheses.
After Breast Augmentation Surgery
The patient may return home 5 hours after the surgery. Simple analgesics and oral antibiotics are sufficient. After two days the patient may resume work. A special bra must be worn for 4-6 weeks after the procedure.
The implants are in a more upright position and fuller than they should right after the procedure. After the edema disappear and the breasts take their place with the help of gravity, they will gain their real shape. This can take 6 months to 1 year.
Breastfeeding after Breast Augmentation
Breast augmentation has no effect on breastfeeding because it is carried out under the mammary glands.