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Breast Augmentation

Breast Augmentation Surgery

Women want to have breasts that look aesthetically beautiful. Situations that bother women most are reduced breast size due to weight loss after birth or single or double-sided setback in the development of breasts, which both can lead to a distorted image or sagging. In these type of situations, breast augmentation surgery can help in gaining larger and fuller and aesthetically more beautiful breasts. Different and personalized prostheses are used for breast augmentation surgery and in order to get an even better result, the procedure can be combined with a breast lift surgery. Women, who want to undergo breast augmentation surgery have a measurement in mind and try to explain it with a size (such as 85 or 90). But we have to keep in mind that the sizes can differ from brand to brand. Also, measurements such as 85 or 90 describe the circumference of the chest cage. The breast size is expressed with the so called “cup size” and the letters A, B, C and D. The cup size A is the smallest breast size, while D is the biggest. Considering these points, the expectations of the patients must be determined correctly before the breast augmentation surgery.

Which size prosthesis is used in breast augmentation surgery?

Women generally apply to the doctor with a size in mind. Regardless of this, the suitability of the person’s wishes is determined according to the flexibility of the existing breast and the chest cage measurements. However, certain measurements are made during surgery.

Can breast augmentation surgery be combined with a breast lift?

A prosthesis may not be sufficient for breasts that have lost their fullness and are loose or sagging. In order to gain the desired erectness, the surgery can be combined with a breast lift, in which the nipples are pulled to a higher position and the excess skin is removed.

What are the used prosthesis during breast augmentation surgery?

The breast prosthesis is chosen according to the body type, breast structure and wish of the patient. Prostheses are a silicone sheath filled with a solution of salt and water, known as silicone gel or saline.

At what age is breast augmentation possible?

It is not recommended to carry out breast augmentation on teenagers or girls that are still in the development phase. First the natural development process of the body must be finished, after that it is advised to make a decision together with the doctor.

How much fullness can be achieved with breast augmentation surgery?

In general the desired breast size can be achieved with a single procedure. But it may not be possible to overly enlarge the breasts of women that have had small breasts from an early age with only one surgery. The skin can only stretch to a certain extent and it is recommended not to overstrain this tolerance. The overstraining of the skin may lead to different complications (suture opening, capsule contracture).

How is breast augmentation surgery carried out?

The doctor decides together with the patient where to make the incisions to place the prostheses. The doctor can insert the prostheses from three different points: He can either insert them via the armpit, from the area where the chest cage meets the breast so it stays within the bikini area of from the dark colored skin on the nipple area. The aim here is to reduce the scarring of the patient to the smallest extent. After the breast tissue and skin are raised from the determined incision points, the doctor places the prosthesis under the breast tissue or under the chest wall muscle, whichever is more suitable. Then symmetry is established between the two breasts. Lastly the incisions are closed and taped.

What is the difference between the placement of the prosthesis under and over the muscle?

Doctors have different views on this issue. In order to reduce the risk of capsule contracture, it is recommended to place the prosthesis behind the muscle. But when the prosthesis is placed behind the muscle it can lead to more pain.

What should be done before breast augmentation surgery?

If the patient uses blood thinner medication, your doctor may ask you to stop using them 10 days prior to surgery. It is also important that there are no infections on your body before surgery. Women over the age of 40, especially women, who have a family history of breast cancer, should undergo mammography before surgery.

Is anesthesia necessary for breast augmentation surgery?

If not requested by the patient otherwise, the procedure is carried out under local anesthesia with a mild sedation. Like in all types of anesthesia the patient does not remember the procedure and does not feel any pain.

How long does the operation take?

Breast augmentation surgery is completely in about 1 to 1.5 hours, if there are no complications.

Is it necessary to stay in the hospital after surgery?

Upon patient request it is possible to keep her in the hospital for one night but generally this is not necessary.

When can the patient  return to normal life after breast augmentation surgery?

It is recommended that the patient takes a leave for 4-5 days. A few days after surgery it is possible to work in an upright sitting/standing position.

Will there be scarring after breast augmentation surgery?

The incisions (scars) made during surgery will be hard and visible in a pink color at first. After a few weeks this pinkness will lose its color and the skin will start to soften. They will become completely pale once the healing is finished.

Does loss of feeling occur in the breasts after breast augmentation?

It is possible to experience loss of feeling after surgery. The nipples can be overly sensitive but also numb. Limited loss of feeling may also possible in the incision regions but these symptoms vanish over time.

Is it necessary to remove or exchange the used prosthesis?

Previous used prostheses needed to be exchanged or removed after a certain amount of time. The prostheses used nowadays have a warranty certificate given by the manufacturer’s firm, which is given to the patient. If no complications occur, they can be used for a lifetime.