Breast is a woman’s sexual identity. The small size of the breast or the removal of the breast due to cancer affect the self-confidence and social age of the woman. For this reason, it is one of the most frequently performed plastic surgeries. Breast augmentation is most commonly performed with a silicone prosthesis. The technique and type of prosthesis to be applied should be determined in line with the patient’s body structure and expectations.
3-4 cm wide the location of the incision is roughly 4 places
- Breast bottom
- Nipple circumference
- Navel button
The most preferred of these is the one made under the breast. Each method has advantages and disadvantages.
In all types of silicone prosthesis and submuscular or supramuscular techniques, under the breast is the most suitable method.
Although the advantage of the incision made under the armpit is that there is no scar on the breast, it may not be easy to put anatomical and silicone prostheses with this method and may affect the result.
The place where the prosthesis will be placed may vary depending on the breast tissue and skin quality. A submuscular plan should be used for upper breast tissue less than 2 cm thick. If there is enough tissue, the supramuscular plane can be used, although it is less painful and easy to heal for the patient, it is known that the prosthesis is more likely to be felt and capsule formation is more.
Recent studies and results highlight a method that is a combination of the submuscular plan and the upper plane. With this method known as dual plane, the prosthesis is felt less and Capsule formation was observed to occur less frequently and became widespread.
In order to achieve the best results in my own surgeries, I use the incision under the breast and the dual plane technique. As a prosthesis, I use textured and round or anatomical (drop) prosthesis according to the patient’s preference.
Breast augmentation surgery is performed under general anesthesia. The operation period is about 2 hours. You will have drains and dressings after the surgery. You can stay in the hospital for one night and drain the drain the next day. You need to use a special bra for 3 weeks and physical contact should be avoided during this process. Special tapes on the sewing line are taken at the end of the 2nd week and control is provided.
Possible postoperative complications include hematoma formation (blood collection), infection, wound problems, capsule formation, prosthesis displacement, prosthesis burst, loss of sensation and scarring. Capsule formation is a condition that occurs in all prosthesis patients, and it is the body’s response to the foreign body. If this is excessive, it can cause results such as pain and deformity. This situation needs to be corrected with surgery can reach a point. It may be necessary to tear the capsule with massage under general anesthesia, to remove it surgically or to abandon the prosthesis altogether. Massage is recommended for up to 5 weeks, 1 week after the surgery, in order to prevent it.