Breast Augmentation
Breast augmentation surgeries are usually cosmetic operations performed on small breasts that have not been able to grow due to different reasons or have shrunk after breastfeeding. The size of the breast, which is one of the most important structures of the female body and completes the aesthetic integrity, varies from person to person, even between two sides in the same person. Nowadays, very successful results are obtained with frequent breast augmentation surgeries. With the development of technology, breast augmentation surgeries have become more accessible, natural and fast.
Breast Augmentation Aesthetics For A Proportional Body
Although the concept of beauty varies greatly according to cultural and social structures, proportional body lines have recently been seen as the first criterion for beauty understanding. One of the elements that help achieve this proportion is the breasts. The breasts that are of sufficient size, the two breasts are not equal in size and are not sagging help the female body to look beautiful as a whole. However, due to childbirth, weight gain, hormonal disorders and genetic characteristics, many people may experience differences in breast size, very large or very small breasts, or sagging breasts. In this case, successful results can be obtained with breast aesthetics.
Breast Augmentation Requirements
- Breast shrinkage and sagging after birth and breastfeeding
- Disproportion due to small breasts in the body
- Breast shrinkage or deformity due to weight loss
- Disproportion between two breasts
- Feeling incomplete or insecure with small breasts.
Surgical Anatomy
There are ribs at the base of the breast area where we place the breast prosthesis. These structures are the main structures that keep the prosthesis in place. There is the attachment site of the rectus muscle, which we call the abdominal muscle, and the pectoral muscle, the main muscle of the chest, on it. Above this muscle there is a membrane of varying thickness and breast tissue on top.
Surgery
Under muscle
The prostheses to be placed are placed between the abdominal and chest muscles and placed under the chest muscle on the ribs. A space must be created to accommodate the prosthesis. By cutting the inner part of the muscle, the muscle is easily peeled off and a gap is created. Prostheses are placed in this area.
Over Muscle
There is an area under the breast tissue above the muscle and fascia that can be easily peeled off. The prosthesis is placed here. It is a technique that has the least risks such as bleeding and postoperative pain. However, it is not recommended for people with low breast tissue.
Before Breast Augmentation Surgery
The person who decides on the surgery should definitely have a breast examination first. The age for surgery is usually around 18 years of age when puberty and body development are complete. Every woman over the age of 40 should have mammography and breast ultrasound before breast augmentation surgery, and should evaluate and decide with her doctor. There is no upper age limit for surgery. Any woman who does not have any health problems that prevent surgery can have breast augmentation surgery. There are some routine tests and examinations that should be done before surgery. It is checked whether there are any health problems that prevent the surgery. The physician is informed in detail about the medications used, diseases and previous surgeries.
Not only breast shape and size, but also the person's height, breast structure, skin structure, sagging or uprightness differ from person to person, even between two breasts. Therefore, each breast is intervened in its own unique condition. For this reason, pre-operative examinations and measurements are very important in decision-making.
Breast Augmentation Techniques
Sometimes breasts cannot reach their normal size genetically and remain small. Sometimes, in women with normal breasts, breast shrinkage may occur after breastfeeding or in any period of life. In this case, the missing volume of the breast is tried to be gained from the outside. There are some techniques for this. The first of these is to enlarge the breast with its own adipose tissue. These may be sufficient for breasts that need very little volume. But the most common method is silicone prostheses. These silicone prostheses, which have become very safe with the developing technology, can be placed in the breast tissue from several different places.
These are;
- Armpit,
- Under breast,
- Nipple.
These prostheses are placed under the breast tissue or under the muscle tissue through a small incision. The choice of under breast tissue or under muscle tissue depends on the scarcity or abundance of breast tissue of the person. Since prostheses placed under the muscle will cause a tension on the muscle, returning to daily life after surgery is a little more difficult than prosthesis surgeries placed under the breast tissue.
Shape and Life of Breast Prosthesis
Breast implants are divided into two main groups:
- Round
- Drop (anatomic)