There are various reasons for breast augmentation. Some of them are:
- Achieving body proportion with breast augmentation
- Shaping and increasing the size of the deformed breast secondary to breastfeeding.
- Balancing the size or shape of uneven breasts.
- The reasons are exactly personal. Therefore, the decisions should be made by the patients and their surgeons based on the personal needs, desires and expectations of the patients.
The breasts consist of fats, glandular and fibrosis tissues. There are blood vessels, milk ducts, fats, glands and sensorial nerves inside of them. Pectoralis major muscle is present beneath the breast, which a large muscle and contribute to arm movement.
Options for Incisions
Breast augmentation is typically performed by using one of three common incision areas: around the nipple (periareolar incision), the inframammarian fold (inframammary incision) or axilla (transaxillary incision).
Periareolar Incision: This incision is minimally visible. However, it may interfere with breastfeeding.
Inframammary Fold Incision: This incision is very popular because it is concealed in the inframammary fold.
Transaxillary Incision: This incision is not completely invisible, but it may be the best choice for women who desire minimal scars on their breasts.
Options for Placement
During the breast augmentation surgery, the implants are placed under the breast muscle (submuscular placement) or above the breast muscle, and under the mammary glands (subglandular placement).
This type of placement may reduce the probability of feeling the implants in the subcutaneous tissue and surrounding scar tissue stiffness. At the same time, it results in easier imaging of the breasts during a mammogram. The possible disadvantages of this placement choice may be a prolonged surgery and recovery period. However, it is the most commonly preferred region considering postoperative side effects and complications in our day.
Through this type of placement, surgery takes a short time and recovery period is quick. When the implants are placed beneath the breasts, the imaging of the breasts may be more difficult during the mammogram. The subglandular placement is usually preferred for women who have a sufficient amount of breast tissues and a low risk for capsule constriction.
Types of Breast Implants
There are two basic types of breast implants:
- Gel-Filled Breast Implants
Cohesive, safe and aesthetical gels are used in all gel implants of the brand called Mentor.
- Saline-Filled Breast Implants
During the surgery, saline-filled breast implants are filled with saltwater solution which is similar to the liquid composing most of the human body. For many women, the most difficult part in choosing implants is the decision on the size of the breast they want. However, these implants are rarely preferred in our day.
- Shapes of Implants
Depending on desired breast shape, you can choose a round or contoured implant together with your doctor. Contoured implants have a tear-drop shape and may provide the patients with more natural breast appearance.
- Surfaces of Implants
Surfaces of the breast implants can be textured or smooth. The implants with the smooth surfaces have a softer coat and a lower possibility of being felt through the skin. The implants with the textured surfaces are called as Siltex.
Normally, the patients can be discharged to home in same day. Typically, general anesthesia is preferred. The surgery usually lasts one to two hours. Your surgeon makes an incision, and creates a pouch where the breast implant is placed. When the implant is properly placed, the incision is closed using sutures. In order to obtain the best results and provide the fastest recovery as far as possible, your surgeon will explain the most appropriate surgical techniques for your personal needs.
Recovery period varies from woman to woman. Mild pain will persist for several days after breast augmentation. The first 24-72 hours after the procedure will be the most discomforting period. Your breasts will be swollen and very sensitive. Even though recovery period varies from woman to woman, you will be able to perform minimal physical activities approximately 1 week later. For your recovery, it is highly important to wear a postoperative bra or a special compressive garment. Your surgeon may make specific recommendations.
What is the ideal proportion in breast aesthetics?
The first stage in the breast aesthetics is to determine the general characteristics of the need for surgery. The patient’s expectations, general structure of the body, and recommendations made by the surgeon are considered, and the procedure to be followed is decided. After this decision, operation stage is started according to the needs of patient. The breast aesthetic is generally composed of the breast augmentation, breast reduction, and breast lift. In breast augmentation and breast reduction, the most important issue is the patient’s general body structure. In this point that the patient’s length and weight are highly important, the aim is to provide the patient with a natural, aesthetical and well-proportioned breasts. The most important criterion in determination of the ideal breast structure is the surgeon’s experiences on this subject.
How long is the recovery period after the breast aesthetic surgery?
The recovery period after the breast surgery varies by the type of surgery, and the patient’s general lifestyle and habits such as smoking and alcohol consumption. In the profile of an ideal patient, the average recovery period is 4 to 5 days. Even though the patients can return to their daily life after 4 to 5 days, they should avoid heavy exercises and strenuous works until complete recovery is achieved. Depending on the patients’ general conditions, they can completely return to their daily activities after 1-15 day recovery period.