Contents
ToggleBreast Augmentation
How should the ideal breast shape be?
Although the ideal breast shape varies according to the body structure, taste and culture of the person, the breast with a fuller lower part, known as the alpha breast, is universally considered ideal. Breast lift, küçültme ya da büyütme işlemlerinde bu oranın göz önünde tutulması daha doğal meme görünütüsü verecektir. En önemli olan nokta üst kutup, alt kutup oranıdır. Alanında en iyi plastik cerrahi dergilerinden Amerikan Plastik Cerrahi dergisinde rapor edilen bilimsel çalışmada bu oranın % 45 üst kutup, %55 alt kutup şeklinde olmasının tercih edildiği rapor edilmiştir.
Is scarless breast augmentation possible?
The only solution that can be included in the concept of scarless breast augmentation is breast augmentation with stem cells. Since the breast will be enlarged by injection from very small entry points, it can be put into this category.
What are the advantages of breast augmentation with silicone?
It does not only idealise breast proportions but also creates a balance in the whole body. Psychological advantages such as increased self-confidence and strengthening of female identity are quite high. It gets away from the stress of constantly using a padded bra.
Is it possible to solve postpartum breast sagging with silicone ?
There may be an easy solution for breast sagging due to emptying of the upper breast after childbirth. A new method of breast augmentation, shaping and lifting known as the under muscle fascia technique can be used in such false sagging. In this approach, a pocket is created under the membrane or sheath called fascia, which is normally located above each muscle. A silicone prosthesis is placed in the pocket created under the chest muscle. In breast augmentation methods, a prosthesis is placed in the pocket prepared under the chest muscle or directly under the breast.
Since this method does not cause any damage to the chest muscle, it is seen as the most ideal approach especially for athletes. In the technique under the muscle fascia, healing will be faster and pain will be minimal. In addition, there is no direct contact of the silicone with the breast tissue in this method. The fascia on the silicone covers the silicone and prevents it from being visible according to the under-breast technique.
The risk of the prosthesis slipping due to the movement of the muscle, which can be seen in submuscular techniques, does not occur in this method. With breast silicone under the muscle fascia, it is also possible to lift and lift the breast together with the breast lifting prosthesis in mild to moderate sagging after birth. In other words, the method can be used in real sagging as well as false sagging.
Especially the technique under the first and sometimes second degree pectoral muscle fascia is a method to be preferred. The new generation of double gel implants have more advantages in lifting the downward-facing nipples. Since the gels are memory, while the silicone prosthesis continues its form, it does not scatter around in case of any rupture. By placing these new generation silicones under the muscle fascia, it is possible to lift the breast without leaving a visible scar on the breast. There are different access routes for breast prosthesis under the muscle fascia. It can be placed under the breast, armpit or nipple.
This method will be a good choice especially for those who want to return to work quickly. Moreover, loss of form in the breast, which can be seen after many years, is less common in this method. The reason for this is that there is a silicone maturation compatible with breast tissue aging.
It is very advantageous especially in the postpartum breast cavities. In the technique under the muscle fascia, it also slows down the sagging that may occur in the breast, as the natural straps of the breast are preserved in the ligaments.
Since the chest muscle is protected and there is no contact with the rib cage, recovery after the procedure is fast and pain is minimal. The procedure can also be performed under local-sedation anaesthesia.
Is it possible to correct the breasts that are separated from each other with silicone?
It is possible to bring the breasts that are separated from each other closer together with the method of creating a special silicone pocket and the appropriate silicone.
Can I feel the silicone after breast augmentation with silicone?
If you feel your ribs very comfortably with your hand, you will probably feel the prosthesis. In this case, it will be necessary to put the silicone as deep as possible. If the skin is very thin, it is possible to thicken it later with fat injection.
Can silicone be used as large as desired?
The pocket created under the breast has a capacity. Therefore, one's “let it be the biggest” approach is not appropriate. The pocket has an expansion capacity. Using silicone that is much larger than the capacity of the pocket can cause large scars, wound separation, skin thinning, excessive artificial appearance, and deformity in the chest. Is the size of the silicones important for a healthy aesthetic future? Silicone size, especially after 350 cc, problems begin with the effect of weight and volume. As the silicone grows, it stretches and thins the tissue more. For this reason, silicone of a size that will not force the pocket too much is healthier.
What is the difference of new generation silicones from the old ones?
It contains silicone that does not leak and is subjected to much more robustness tests.
What is a high cohesive gel?
It retains its shape better and is less likely to fluctuate are new silicones containing dense silicone.
What is gummy bear silicone prosthesis?
Form stable prostheses, also known as form stable prostheses, are prostheses that retain their shape. In particular, it has the advantages of maintaining its shape, not having deformations such as fluctuations or folding over time, and being less likely to tear.
What is a rough surface silicone implant?
Especially more effective against capsule development are silicones with a rough surface.
What is a flat surface silicone implant?
Silicone moves together with the nozzle. Therefore, the naturalness of movement is more.
What is a round silicone implant?
Especially for people who want upper pole fullness, the upper and lower halves are ideal prostheses with equal volume.
What is saline silicone prosthesis?
Although the outer sheath is silicone, they are prostheses filled with serum. These prostheses were more popular in the past but are used less frequently today. If there is a rupture in any way, the body absorbs the leaking serum and a sudden deflation and deformity of the breast occurs.
Is silicone healthy?
Silicone is found in deodorants, hair care products, moisturisers and other everyday products. Cyclopentasiloxane or cyclomethicone are the chemical names of silicone written on the package insert. It is scientifically accepted that silicone is not associated with cancer or any other disease.
What is dual plan breast silicone augmentation?
When the pocket where the silicone is to be placed is placed under the pectoral muscle, half of it is covered with muscle and the lower half is covered with breast tissue. In other words, there is a double or dual tissue plan. Half of it is not under the muscle.
What is full submuscular breast augmentation?
Full submuscular breast augmentation can be used especially in cases where the skin of the lower pole of the breast is very thin or in cases where the breast has been removed due to breast cancer and breast reconstruction is necessary. The silicone breast muscle is placed under the chest section of the abdominal muscle or tailor muscle and completely covered with muscle.
What is endoscopic breast augmentation?
It is a method used especially for placing breast prosthesis under the armpit. The pocket of the silicone is prepared with magnifying tubes called telescopes under the armpit. Although it is also possible to prepare this pocket blindly, there is a risk of the silicone sliding upwards, especially because the lower edges of the pocket are not fully opened. Endoscopy provides an advantage in this respect. At the same time, recovery after the procedure is easier as it provides a cleaner area.
How is breast augmentation done with stem cells?
In the method, stem cells are separated from a part of the fat tissue taken from the excess parts of the person with the help of a device in about 1 hour, and the stem cells obtained are mixed with fat and the cell cocktail is injected into the breast. It is a good alternative to silicone in people who want breast augmentation, especially in people with excess fat reserves. While the breast is obtained without stitches and in a natural consistency, it usually helps to grow one size. Moreover, it is also included in the category of body sculpturing as it will also shape in places where fat is taken.
It is also very effective in false breast sagging due to the emptying of the upper pole of the breast after birth. It eliminates the loosening problem in the breast due to weight loss or age and revitalises the breast. It is a good method for people who do not want breast augmentation, but only for those who want lifting and lifting. Sometimes it can be done together with silicone.
In areas where silicone is not fully effective, better results are obtained with stem cell injection. A beautiful result is obtained in the whole by giving it under the nipple or decollete. Another interesting issue is the use of this technique in breast reconstruction in people who have lost their breasts after cancer. As long as the tissue allows, these cell injections in sessions can create a breast round while improving tissue quality. It improves tissue quality especially in people who have received radiotherapy.
Especially for people with excess fat in the waist, leg, abdomen or arm area, breast augmentation with stem cells is an ideal method. It is possible to obtain permanent results in one session in stem cell-rich fat cell injection. Additional sessions can be performed according to the situation.
As a result, a natural and soft breast is obtained. It does not cause allergies like some synthetic substances injected into the breast and is permanent.
Can fat injection be used for breast augmentation?
Although a mixture of fat cells and stem cells is used in breast augmentation with stem cells, the survival rate decreases because large amounts of fat tissue are required in breast augmentation. Fat tissue that cannot survive may be mistakenly interpreted as a malignant lesion on mammography. To eliminate this disadvantage, a mixture enriched with stem cells is preferred instead of fat alone.
Stem cells, which are difficult to obtain from bone marrow, can be obtained from adipose tissue easily and almost 1000 times as much as the same amount of bone marrow.
How is the breast silicone size to be placed determined?
One of the most important issues is the size of the prosthesis to be selected. Although the plastic surgeon determines an approximate size according to factors such as the body structure, skin quality, rib cage diameter, the actual size may vary (to some extent) according to the patient's demands.
By measuring the diameter and height of the breast, your doctor can approximate the size with a breast elasticity test.
Rice test A rice test can also be done at home. The person buys a bra in the desired breast size. The pantyhose is cut over the foot part and filled with rice. The sock, whose mouth is tied, imitates the silicone prosthesis. For example, if the person wants to imitate a 250 cc prosthesis, 250 cc rice is put in. By adding and subtracting 20 g of rice for every 20 cc, prosthesis measurements as 230, 250, 270 cc are tried and noted. After the desired volume is found, the person will continue his daily life for a while with it.
3D simulation: 3D simulation techniques give much more detailed results. Such as the type of silicone, the brand, the posture with clothing. If the 3D simulation result can be combined with the brass test, a fourth dimension is added. That is, the appropriateness of the size during movement.
Is a drain used in the operation?
It is usually not necessary for the submuscular technique. It may sometimes be necessary in the submuscular technique.
Is it important for the prosthesis patient to choose a bra?
Yes, after the appropriate prosthesis is found and placed, another important issue is the choice of bra. In the ideal bra size found by size and cup measurements, it may be necessary to prefer the cup part one larger. For example, 95 D should be preferred if the measurement of 95 C is output. This is because the width of the prosthetic breast is wider than standard sizes.
What is capsule development due to silicone used in breast enlargement?
The body builds a capsule around the silicone implant. This is normal. However, if the capsule thickens, this creates a problem. Although there is no clear information about the rate of this problem. Around % 3. This problem increases with serum implants and flat surface silicones.
What is silicone prosthesis rupture? What to do in case of rupture?
% 1 rupture has been reported. Usually there is an obvious cause such as a car accident. In case of rupture, the silicone is replaced.
What is implant rotation?
Although such a risk is mentioned with drop implants, there is a very low risk with breast muscle modification. In such a case, additional minor surgery may be required.
What is silicone infiltration?
It is a problem with old type silicones. It explains the leakage of silicone even if there is no tear in the prosthesis. This problem is no longer mentioned in new generation cohesive implants.
Mammogram after breast implants?
There is no problem with mammography, ultrasound or MRI. However, this should be shared with the radiologist before mammography and different positions will be required accordingly.
How is silicone used in breast asymmetries?
There are different types of breast asymmetry. One breast is normal and the other breast is small, both breasts are small but different, one breast is large and the other breast is small. In cases where the two breasts are different, two different procedures are required. In cases where both breasts are small but different, one can be achieved with a larger silicone. Sometimes different silicone may not be enough for equality. In this case, combination with fat cells is preferred.
About the author
Aesthetic Plastic Surgery Specialist Prof. Dr. Ahmet Karacalar; He is known for his international studies on the lymph-protective 'Superdry Method' and 'Leg Aesthetics' developed in the treatment of lipoedema. He is the author of reference books such as 'Amazons' and 'Lipoedema Syndrome' with his approach combining art and medicine.