BREAST AUGMENTATION (AUGMENTATION MAMMOPLASTY)
Breast prosthesis procedures are surgeries where a foreign substance is implanted in the body for breast augmentation and shaping. It may be possible to enlarge the breast to some extent by injecting a limited amount of fat tissue to be taken from fatty regions into the breast, if there are rarely apparent fat deposits and the form of the breast is adequate, mostly with the use of prosthesis. The applied method is the placement of the prostheses, which are a silicone sheath and are filled with silicone gel or normal saline, in front of or behind the muscle at the chest wall. When the prostheses filled with normal saline are used; 10-30% volume loss or complete deflation can occur in the prosthesis. This is rarely seen in silicone gel prostheses.
Preoperatively, it is determined where the incision and prosthesis will be placed. There are three options: the junction of the areola (the colored ring around the nipple) and the breast skin, the inframammary fold and the axillary fold. Which of these is more appropriate is discussed before the surgery.
The incisions, which are usually made from the junction of the colored and the colorless parts of the nipple, are indefinitely healed in terms of surgical scars, while permanent marks are always formed under the breast prominently in the first months. It has approximately 4 cm length. The axillary incision is not visible in the normal stance, but will be visible as a line when the axillary cavity is raised and its axe and cavity are exposed. This is a gradually decreasing character over time. You are informed about various technical applications related to these surgeries and different results they will cause, in detail.
You should avoid blood thinners such as aspirin, vitamin E and coenzyme Q, 10 days before the procedure. If the patient has significant past disorders and medications that s/he has regularly used, the doctor should be informed about them.
Some analysis will be performed on the day of surgery and whether there is any obstacle for your surgery will be decided. The area of the prosthesis and the details of the surgical technique are determined with a drawing to be made in your room while you are standing before the surgery, and photographs are taken to compare the preoperative and postoperative results. You usually should be starved for 5-6 hours before the surgery.
When the operation is over, a vacuum system called drain can be used in order to collect the leakages that may occur in the operation area. A number of bands surrounding your region of surgery and sports bra holding your breasts are worn. Dizziness, fatigue and nausea can be usually seen in the first hours after the surgery. Some kind of medications will be used to eliminate this condition. Increasing edema (swelling) in the first two days begins to decrease from the third day. Arms and body will relax. The short-term pains such as stinging, burning, crimp may sometimes occur, which may last for months with decreasing gradually. The incidence and severity of these pains which are not in the dimension to affect everyday life gradually decrease. Painkillers may be used in such cases.
You are allowed to go home on the day of surgery or the next day by performing discharge procedures. You should usually rest for the first two days. You may have different complaints in this period depending on the placement of the prosthesis in the back or front of the muscle. Generally, the pain increases with the arm movements in the prostheses placed in the back of the muscle. This is limited to the first days.