Breast augmentation (Breast Augmentation - Breast Prosthesis, Boob Job) is basically a process of magnifying small breasts using silicone prosthesis. If the breasts are small and there is significant sagging on the nipple and skin, a breast augmentation would be performed together with breast uplift (breast lift, mastopexy). It is an operation that directly affects the psychosocial status and also the life quality of the person in a positive way.
In the USA, in 2009 alone, 290.000 breast surgery with silicone prostheses were performed and it's been the most common aesthetic surgery. Although different drugs or methods have been proposed for breast augmentation, usage of silicone prostheses to enhance breasts is still the gold standard.
There are three main incision techniques often preferred by surgeons:
Inframammary incision - This spot is underneath the breast, where the breast merges with the chest wall.
Periareolar incision - made along the bottom edge of the areola (pigmented area on the breast around the nipple).
Transaxillary incision - made in underarm.
Each technique has advantages and disadvantages. Insertion of saline-inflated prostheses through the umbilical hole (belly button) is not preferred as it is not adequately controlled and could be unpredictable.
In case incision located underarm gets worse, it is more difficult to conceal and it is possible to be seen when you wear short sleeves. It is technically more difficult to create a pocket under the breast for prostheses through the underarm incision and to control bleeding. It requires special tools and experience. The most common problem is the prostheses might be above or outside of the area where they should normally be.
In order to perform periareolar incision, the diameter of the areola must be at least 3 cm. When entered through this incision, surgeons reach underneath the breast by cutting the breast tissue or passing around it. The bacterias, located in the milk channels, are likely to infect the prosthesis and may cause a partial numb at the nipple. If the incision heals badly, the scar could be visible.
It is much easier to prepare a pocket underneath the breast through the Inframammary incision. It is possible to see the blood vessels and check the bleeding. Again, preparing the pocket under the chest muscle is more controlled and easier. There is no direct contact with the nipple and breast tissue, and the incision is concealed successfully.
Breast augmentation surgery is recommended after the age of 18 as breast tissue completes its development by then. Breast examination should be done before the surgery. On suspicious cases or if the person is 40+, breasts must be examined by applying breast ultrasonography and mammography in case there is a disease.
1 to 2 hours.
It is performed on conditions of operating room, under general anaesthesia.
2 to 3 days for normal activities. 3 to 4 weeks for cardio activities.
6 to 8 weeks for full recovery.
Silicone breast prostheses used in breast augmentation surgery do not prevent pregnancy and breastfeeding. Breast enlargement surgery can be performed at least 3 months after breastfeeding, on some occasions it may require 6 months after breastfeeding.
When can I see the final results?
After the surgery, your breasts will begin to “drop and fluff” as the skin stretches and muscles relax, moving the implants into a more natural position. You should wait at least 3 months to see final results.
When can I wear my new bras?
3 months after the operation, you can start to wear underwire bra.
How long will prostheses last?
Although it is said that the breast prosthesis may remain in the body for a lifetime, practically there is a possibility of deformation after a certain period of time due to wear on the surface of the prosthesis. This time depends on the structure and quality of the implants. On average, 15 years can be said. Generally, at the end of this period, the breasts are lifted up and prostheses are replaced as the breasts might start sagging.
Which shape of implant should I prefer?
Breast prostheses are divided into two main groups as round and anatomical shape (waterdrop). Anatomical type prostheses imitate the shape of a natural breast better. It is particularly preferred when breast tissue is very small. These prostheses are produced in different combinations such as width and height. Specifying the right combination is up to your consultation that you'll make with your plastic surgeon.
Click on the images to see before & after photos
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