Breasts grow during puberty at the age of 9-14 and continue to develop until the age of 19-20. Some women have a familial small breast structure. Some women, on the other hand, have small breasts due to their very thinness, and for these patients who do not want to gain weight but want breast fullness, the solution is again prosthesis applications. Even when the breasts are of different sizes during development, the same size can be approached with different size prosthesis applications. The lost volume in emptied breasts is supported by a prosthesis. In sagging breasts, while the volume is supported by a prosthesis, in addition to the breast, lifting can be done. This process is called augmentation mastopexy (enlargement while lifting the breast). After previous breast cancer surgeries, the lost breast can be repaired with a prosthesis. In short, in breast augmentation surgeries with breast prosthesis, we increase the size of the breast as well as correct its shape.
Today, non-surgical breast augmentation is mentioned with some drugs. It is necessary to stay away from methods that can be dangerous, such as breast augmentation with medication. Although it is claimed that a medicine that can enlarge breasts is natural, it definitely contains hormones. These hormonal drugs not only disrupt the hormonal balance in the body, but also increase the risk of cancer.
Breast augmentation with fat injection is a method that is talked about a lot, but its application area is limited. Fat injection into the breast can be done in small amounts and for contour correction purposes. Reaching the desired size and shape with fat injections for breast augmentation is often not possible in a single session and repetitive operations may be needed. The application is more restricted in patients who do not have enough adipose tissue. However, it is a feasible procedure in patients who persistently want breast augmentation with their own tissue and accept multiple sessions. Whether you are suitable for this treatment method, your expectation and the result, how many sessions you may need and whether the amount of fat in your body can meet this procedure will be decided after a face-to-face interview and examination with your doctor.
Breast augmentation is also performed with filling materials, but we do not prefer the injection of unnatural products into the breast and do not recommend it to our patients. Filling applications can be made with hyaluronic acid derivatives, but it is a process that needs to be repeated as it dissolves over time.
CONSIDERING THE ISSUES RELATED TO BREAST PROSTHESIS, WE CAN SUMMARIZE THE DETAILS UNDER 4 MAIN HEADINGS;
What size breast
The structure and shape of the prosthesis to be used
In which way the prosthesis will be placed
Where to place the prosthesis
What size breast do you want?
Many details may be of interest to the plastic surgeon who will perform the surgery, but the patient should decide for herself what size breast is desired. To determine the size of the prosthesis, the proportions and size of the rib cage, breast and body lines are important. A large prosthesis may not suit a small rib cage, and a small prosthesis may not look good on a large rib cage.
In patients who want to have breast prosthesis surgery, first of all, the size of the prosthesis to be placed is tried to be determined. First of all, the possible size is determined by using the High-Five measurement system according to the patient’s breast size, structure, skin elasticity, and rib cage diameter. Trial prostheses of various sizes, similar to prostheses, in this value and in a size close to this value, are put into a bra without sponge and a body that wraps the rib cage is dressed. In this way, the size of the breast and body proportion are checked over the clothing. In such a planning, the patient does not encounter negative surprises about the size of the breast.
THERE ARE MANY TYPES OF PROSTHESIS TO BE USED IN TERMS OF STRUCTURE AND SHAPE.
According to the outer surface structure is smooth or rough. In the first years of the prosthesis, flat surfaces were produced, in the last 10 years, prostheses with rough surfaces began to be used more. The purpose of these prostheses is to reduce the possibility of capsule formation.
The content of the prosthesis may be filled with liquid silicone, solid silicone or physiological saline. It is the liquid silicone one that fits the natural softness of the breast. The most commonly used are liquid silicones with a rough outer surface. Prostheses containing solid silicone have properties that do not contaminate the environment, even if they are damaged in an accident. However, this feature causes it to feel hard when touched. Prostheses filled with physiological saline (saline) are more dilute and looser than breast tissue. If a prosthesis filled with salt water is to be preferred, it would be appropriate to place the prosthesis behind the breast muscle. In some studies, it has been determined that saline water prostheses lose 10% of their volume within 6 months after surgery.
The shape of the prosthesis can be round or drop (anatomical). The most commonly used prosthesis shape is the round ones. Especially when it is placed under the muscle, the breast takes a very good shape. Anatomical prostheses are like a drop of water, and when placed under the breast, they show their own shape better. If placed under the muscle, they are crushed due to pressure and lose their anatomical shape. Asymmetric prostheses have come to the fore in recent years. This type of prosthesis is mostly preferred in patients who have no breasts or whose breasts have been removed due to cancer.
The prosthesis can be placed under the breast, areola and armpit. It is best for the patient and the doctor to decide together in which way the breast prosthesis will be placed. The patient’s expectation and where she will tolerate the scar better are important, but in addition, the structure of the breast and the diameter of the areola affect the operation to be performed. For this reason, we will make the final decision together as a result of the mutual conversation we will have with you after the examination.
There are three options for where the prosthesis will be placed; under the breast tissue, under the muscle fascia, or behind the pectoral muscle located behind the breast. It is a good option for covering the posterior muscle prosthesis in cases where the skin is thin and the breast tissue is insufficient. Most of the time, it is considered an advantage if the chest is almost non-existent. In such cases, the ideal breast form is obtained by choosing a good prosthesis to be placed behind the muscle. In prostheses placed behind the muscle, breast sagging due to gravity does not occur over time. Prostheses placed under the breast may sag over time, just like large breasts, due to gravity. For this reason, it is recommended that the prostheses to be placed under the breast should not be chosen too large.
When a prosthesis is placed under the breast, a good image is obtained immediately after the operation. In prostheses placed behind the muscle, the best appearance is seen after the muscle relaxes, which is between a few months and 1 year in time.
When can I have prosthetic surgery, how will it affect me if I become a mother? This operation can be safely performed on adult patients who have completed breast development and have passed adolescence. It is okay for breastfeeding mothers to have an operation 6 months after stopping breastfeeding. Augmentation surgery does not have a negative effect on breastfeeding. Because it acts by pushing and raising the breast tissue under the breast by placing it under the muscle, not under the breast tissue. For this reason, it has no relationship with the mammary glands and does not have a negative effect on breastfeeding.
Prostheses are made of silicone, a material that is most compatible with the human body and has low allergy risk. Silicone is present in many products that we use in our daily lives, and the prosthesis used in breast augmentation affects our lives only so much. Of course, the important question to keep in mind and which you should definitely ask your doctor is what brand of prosthesis will be applied to you. Make sure your doctor is using one of the FDA-approved brands with proven reliability.
Exercise activities are stopped for 2 weeks after breast augmentation surgeries. In particular, patients with submuscular application should stop their upper body movements for 6-8 weeks. Lower body exercises and walking can be started after the 2nd week.