Breast Implant

Breast Implant

The Explanation

The breasts have a very important place in the body. For many different purposes, women want to have breast implant surgery. For example; it can be done for health and certain health problems, or in order to increase self-esteem. Breast implant surgery is quite common in the world. It is the second most preferred opera!on after rhinoplasty.

What is Breast Implant?

Breast implants, which are generally performed for aesthetic purposes is a procedure where the silicone implants are inserted to breasts. Another alternative treatment is known as the fat injection method to breasts. This is performed to increase the size of the small breasts, however it does not give very satisfactory outcomes when compared to breast implants. Whether the desired size can be achieved or not should be evaluated by the surgeon.

Breasts may lose their volume in time, tissue damage may occur due to the development of deformities in breasts, or due to weight loss, breastfeeding after pregnancy (either on one breast or both breasts). Breast enlargement surgery is performed in order to obtain a fuller, healthier and more aesthetically beautiful appearance of the chest.

In What Situations is Breast Augmentation Surgery can be Performed?

A breast implant can be used to correct the size disproportion (especially hip-to-chest ratio) in women who think their breasts are small.

  • This operation can be performed to eliminate the loss in breast volume after pregnancy. Sagging occurs in the breasts after pregnancy commonly and in these cases, breast lifting surgery needs to be performed.
  • Breast augmentation surgery can be performed to provide general symmetry in breast size. In general, in many women, breasts are not symmetrical. This situation is mainly due to the problems that arise during the breast development period and if the symmetry problem is too much, breast augmentation surgery can be performed. Of course, after the breast implant surgery, the breasts are still going to be a bit different from each other, no breast can be perfect symmetrized even after the breast implant surgery, the surgeon can only make the two breasts look alike as much as possible.
  • Breast augmentation can be applied to re-create the breasts tissue such as, after breast cancer surgery or no congenital breast.
  • The surgery can be performed as a revision operation because the implants of the previous augmentation surgery is worn out, become deformed or cause problems in that area.

Breast implant opera!ons are always considered to fulfill both aesthetics desires and also correct health problems. Procedures related to health problems and requirements also require doctor’s approval. Breast implant surgery is an operation that benefits patients in a physical and a social way. Patients who are dissatisfied with their bodies or have health problems feel much better after having breast implant surgery.

What are the Types of Breast Prostheses?

Breast prostheses, also known as breast silicones, used in surgeries for breast enlargement; It is possible to classify in terms of shape, content and surface.

Such as;

  1. Teardrop implants,
  2. Round implants. 

The round diameters of the prostheses are equal to each other horizontally and vertically. In teardrop prostheses, the vertical length is longer than the horizontal diameter. It is also called anatomical prosthesis.

As content:

  1. Silicone,
  2. Saline  (with saline content) (not preferred at all)

When analyzed as content, the implants can be filled with silicone gel or saline.

Surface structure:

  1. Smooth surface (not preferred at all) 
  2. Textured surface 

When looking at the surface structure, prostheses are examined under two different factors, the surface to be either smooth or textured. It has been found that capsule forma!on around prostheses is less common with textured surfaces than those with smooth surfaces. 

Are Prostheses/Implants Safe?

Silicone implants do not contain any health risks. As of November 17, 2006, it has been revealed that the implants can be used in plastic surgery and do not cause a disease. The breast tissue should be examined in pa!ents with breast prosthesis not only by mammography, but also via breast ultrasonography as well. If there is a suspicious situation or a lesion, this can be easily detected.

What About Being Allergic to the Breast Silicone?

Breast silicone material is included in many substances that we use in our daily lives. If we look from this point of view, then we can clearly see that the silicone material is actually extremely common. Also, the breast implant is known to be one of the easiest materials that would adapt to the body. It is possible to come across its content frequently in cosmetics and food industry. Therefore, allergy to this material is extremely rare.

From Which Area is the Breast Prosthesis Placed?

There are 3 different incision area op!ons that can be used for implantation during breast implants. Armpit, under breast, nipple circumference. As can be understood, each op!on has some advantages and disadvantages. The incision made around the nipple can heal with a rather small scar around the part called the areola. In this case, milk channels may be need to be cut.

In the under breast option, there is no damage to the mammary gland and milk ducts. The procedure is ended with a vague scar under the breast and heals in a short time. This can be shown as the most preferred method. 

In the armpit incision, the silicone is placed directly under the armpit. While silicone is placed with underarm and umbilical cuts, the prosthesis is generally placed endoscopically. Even if the scars seem to be slightly red after the surgery, they gradually become obscure and invisible over !me. This op!on is not very preferred as well.

The armpit incision has no effect on the breast. As can be understood, the silicone is placed directly under the armpit. While silicone is placed with underarm and umbilical cuts, the prosthesis is generally placed endoscopically. Even if the scars seem to be slightly red after the surgery, they gradually become obscure and invisible over time. There is nothing to worry about. With all these incisions, an appropriately sized gap is created in the planes under the mammary gland or the breast and the prosthesis is placed there.

With all these type of incisions, an appropriately sized gap is created in the planes under the mammary gland or the breast and the prosthesis is placed there.

Different conditions should be taken into consideration when deciding the size&shape of the breast prosthesis. In par!cular, the most appropriate prosthesis size is decided together with the pa!ent’s height, shoulder width, sagginess level of the breasts, chest cage width, the patient’s desires and the doctor’s approval. You can take a look at the before-after photos of patients who have had this surgery before to get an idea.

Recovery of breast augmentation surgery varies from pa!ent to patient, the duration of the surgery takes around 1 to 2 hours. The next day of the surgery, you are discharged from the hospital. In general, the first 2 days should be spent resting. Although pain is not much (mostly like soreness), it will take a few days for the pain to resolve. The swelling that occurs disappears over time. This swelling is called edema and is normal. Sometimes pain can occur as a result of arm movements. This is very common especially in prostheses placed behind the muscle. On the next day of the operation, there is only a tape on the incision line and no other dressing is required. From the 3rd post op date, you shall contact your surgeon and ask if you can take a shower. After around 2 weeks, these tapes are removed by the doctor. The corset bra used after the surgery plays an important role in the shape of the breast and its faster recovery.

What Should be Considered After the Implant?

Sportive activities should not be carried out for 3 weeks after breast implant surgery. After this process, if the doctor approves, sports activities can be started. Sports that involve arm movements such as tennis, volleyball and basketball are not permitted before 1 month.

Post Operative Care After the Breast Implant Surgery 

Heavy cardio exercises should not be carried out for 3 weeks after breast implant surgery. After this !me period is completed, if your surgeon approves, one can start with light cardio exercises. Sports that involve arm movements such as tennis, volleyball and basketball are not permi ed before 1 month of healing process is completed. 

How Long Do Breast Implants Last? 

Prostheses (Implants) used in breast augmentation operations may sometimes differ depending on the quality and manufacturer. However, they can generally be used between 10 to 20 years. Theoretically, pa!ents can use prostheses without change over their life!me, but in the long term, the implant may need to be renewed or removed as a result of sagging of the skin and/or internal tissues. At the same time, as a result of capsule contractors, it may be necessary to replace the prostheses or improve the implant by a revision surgery.

Breastfeeding

In breast implant surgery, the breast prosthesis is placed under the tissue. Therefore, the prosthesis does not damage the breast tissue or milk ducts. In addition, the possibility of the silicone substance mixing with the milk is very weak. In this respect, breastfeeding is not a risky issue.

Breast Implant and Pregnancy

Silicone placed with a breast implant does not affect pregnancy. While normally breasts grow naturally during pregnancy, they appear even larger with silicones. Although the amount of growth differs according to the structure of the body, silicone prosthesis also play an important role in this regard. At the same time, there is no danger related to pregnancy.

Breastfeeding

In breast implant surgery, the breast implant is placed under the breast tissue. Therefore, the prosthesis does not damage the milk ducts. There is no risk of breastfeeding related to breast enlargement surgery. The possibility of risk can be seen in cases of breast reduction. In this surgery, there is a danger of damaging the milk delivery functions. 

Alternative Ways

Although there are many claims about breast augmentation operations on the internet and from different sources, the safest and most common method can be shown as a breast implant. Fat injection is one of the less preferred methods, but not all patients are good candidates for fat injection surgery. It is also an opera!on that might need revision as the survival rate of the fat is not very stable in the long term. In this respect, the breast implant is more preferred due to its permanent results. 

But, this method is generally applied to patients with medium sized breasts who want slightly larger breasts.

Pros and Cons

Prose: With the breast implant, the breasts can appear larger in size and projected.

You can use it for a long period of time. You can choose the implant in the shape and size you want according to what would fit your anatomy, your surgeon should guide you regarding this issues.

Cons: In some cases, capsule contracture condi!ons or situa!ons requiring replacement might be needed. In these cases, implants should be replaced.

Preparation

First, the surgeon and the pa!ent have a consultation appointment on the agreed date. The surgeon carefully listens and evaluates the patient’s expectations and desires. Then the surgeon informs the pa!ent about what can be achieved. The incision sites, implant shape and size are determined. Then the patient and doctor determines the date of surgery.

Safety

Although patients can request the implant they want during their surgery, they generally choose the implants filled with silicone gel(with the guidance of the surgeon). Although there are differences in both material types, the process and the healing process between the two methods, both are extremely safe. You can consult your doctor for the most appropriate implant material selection for you.

General Anesthesia During Surgery

Incisions are created in the specified areas. A pocket is created above or below the pectoral muscles and implants, depending on the method’s requirements. 

Incisions are closed with their inner layers and then s!ched with the sutures. The surgery takes a total of 1-2 hours.

Potential Risks and Side Effects

Various complications such as implant leakage or rupture, cenoma (fluid accumulation), capsular contracture can be considered as potential risks. The doctor explains the side effects in the most detailed way during the first examination. You can contact your surgeon for more information about the risks and side effects mentioned.