Breast Augmentation

  • Breast Augmentation
  • FAQ
  • Fast Guide
SUMMARY

Breast augmentation is a surgical procedure to increase breast size and improve their shape. During breast augmentation, breast implants are placed under the breast tissue or chest muscles.

Cosmeticium is one of the main clinics who offer breast augmentation surgery in İstanbul, Turkey.

IMPLANT SPECIFICS

TYPE

We offer both saline and silicone breast implants. A saline implant is a silicone shell that is inserted (using the No Touch technique) into the breast pocket empty and then filled with sterile saline solution. A silicone implant is also a silicone shell but is prefilled with a soft silicone gel. Both options are safe and offer natural-looking results. The type chosen for an individual case depends on the patient’s physique, medical history, and personal preference.

SMOOTH OR TEXTURED

The exterior of the breast implant can be smooth, so the implant moves naturally in the pocket or textured, which adheres to the breast tissue slightly, like velcro.

SHAPE

Saline and s

ilicone implants come in either a round or anatomic or teardrop breast implant. A round implant is just that, with a round base, and choice of projection ranging from low, moderate, moderate plus, and high. The anatomic breast implants have a textured exterior surface and are sloped; the teardrop implant is closer to the anatomical shape of a breast, with more projection at the base and less at the top of the breast (near the clavicle.)

SIZE

The size of implants ranges from 100cc to 1000cc. Implants are accurately measured in cubic centimeters; they are not measured by cup size because cup size varies between stores. The implants doctor uses are approved and sterile.

Issues treated by breast augmentation at a glance:

  • Small breasts
  • Asymmetrical breasts
  • Breasts that have lost their volume
  • Lack of ample cleavage
  • Poor breast projection
  • Disproportionate breasts

THE PROCEDURE

This surgery is primarily an outpatient procedure with general anesthesia. Your surgeon will start with an incision, which will be the entry point for your breast implant. There are three common incision locations: under the fold of the breast, around the areola or in the armpit.  This will depend on the type of implant that you choose.

After the incision is made, a breast implant is inserted into a pocket either under the pectoral muscle, which is called a submuscular placement. Or directly behind the breast tissue, over the pectoral muscle, also known as a submammary placement.

The method for inserting and positioning breast implants depends on the type of implant, degree of enlargement desired, your body type and your surgeon’s recommendations. Over time the incision lines will fade. Your surgeon will discuss these details with you during your initial consultation.

Breast augmentation surgery usually takes about 2-3 hours to complete. The length of the procedure varies according to the technique used and the placement of the implants.

RECOVERY PERIOD

After the surgery, you may experience soreness and fatigue for a few days. Many patients return to work within a few days after surgery. Throughout the healing process, there may be swelling, bruising, redness, and sensitivity in the breast area, but these will subside within the following weeks. Your surgeon will give you a special bra and instructions on how to perform postoperative massages to help your body adapt to the implants.

Exercise is permitted after 1 to 2 weeks but only low or non-impact. After 6 weeks you can resume upper body exercise. Before you leave the hospital your surgeon will go over all of the post instructions with you and give you details about what to expect during recovery.

RESULTS

Under normal circumstances, the results of your breast augmentation surgery should be long-lasting. Gravity, pregnany and weight fluctuation may affect good results over the years.

Who is a good candidate for breast augmentation?

A good candidate for breast augmentation procedure is a woman who is dissatisfied with her current breast size and is in good general health. You should be near your ideal body weight, with no diseases or conditions that may affect your healing.

What is the right age for breast augmentation?

There is no single age that is best for breast augmentation. Saline breast implants are approved for women aged 18 and older, while silicone gel implants are only approved for women 22 and older. Other than that, the best age for breast augmentation is up to you. Some recommend waiting until after you are finished having children before having breast augmentation because pregnancy can affect results in some cases. On the other hand you may want to have breast augmentation to look best during your more image-conscious 20s. This is an issue you should discuss during your consultation with your doctor.

What are the risks of breast augmentation?

All surgery carries risks, although a recent survey indicated the overwhelming majority of women actually were satisfied with results and nearly 90 % of them would have the surgery again. The main source of dissatisfaction and reason for reoperation is the woman wishing to change her implant size, for this reason we work as hard as possible to help you decide on the size implant prior to surgery, and use the Vectra 3-D imaging system to provide a state-of-the-art computer prediction of your final result. The main potential risk of breast augmentation is capsular contracture or hardening. This occurs in less than 2% of our cases under the muscle, but may be higher than 10% over the muscle. Changes in nipple sensitivity do occur, but are usually temporary, and can occur with any incision. Infection, and seroma (fluid collection) hematoma (bleeding) can occur but are rare. Breast augmentation has not been linked to increased incidence of cancer, autoimmune, or generalized body disorders such as fibromyalgia. All breast implants will need to be replaced eventually, as they are artificial devices that will eventually fail. We recommend planning to change gel implants every 12-15 years as this is their average lifespan and even if they are intact, the shell is likely to be weakened. With saline implants one can wait till the implant leaks and deflates, which will also average 12-15 years.

Will breast augmentation affect my ability to breastfeed?

It’s possible that breast implants could affect the sensitivity of your nipple but it is extremely unlikely that the procedure will interfere with milk production. Recent studies have suggested that nipple sensitivity and changes in lactose production are also independent of incision.

Will breast augmentation interfere with mammograms?

Breast implants placed subglandular (subfascially) can interfere with mammograms, but if you work with a screener experienced with screening augmented breasts and inform her that you have implants, it should not be a problem. To reduce interference with mammograms, you should consider submuscular placement.

How long will my breast implants last?

Breast implants are not lifetime appliances. They have a life expectancy of about 12 -15 years, and studies of breast implants show that, unless affected by serious trauma, 92 % of implants retained their integrity after 11 years. In getting breast augmentation, it’s important to factor removal or revision surgery into your considerations. All breast implants will need to be replaced eventually, as they are artificial devices that will eventually fail. We recommend planning to change gel implants every 12-15 years as this is their average lifespan and even if they are intact, the shell is likely to be weakened. With saline implants one can wait till the implant leaks and deflates, which will also average 12-15 years.

Is breast augmentation painful?

Doctors control discomfort during the breast augmentation procedure with a combination of sedation and general and local anesthesia. Using gentle, efficient and meticulous technique results in a major improvement in recovery. Some of our patients even report going out for dinner the evening after their surgery. We use a long acting local anesthetic during surgery and prescribe anti-inflammatory medications starting the day of surgery. After the procedure, most women report relatively mild discomfort and often need only one or two of their stronger pain medications that we prescribe.

How long does recovery take?

According to surveys, most women went back to work after 7 days, and felt “back to normal” after an average of 28 days. Because of our gentle and efficient approach to the procedure most of our patients do much better than this, some requiring only a day or two off work. Obviously this also depends on the type of physical activity that your work requires. We do not place any strict restrictions on physical activity, simply recommending that you take it easy for a few days so as not to cause bleeding or damage to your incision site, and then to progress back to normal activity within your comfort range. Your doctor can give more specific instructions during follow-up care but mostly it is just common sense.

When should I get my breast augmentation surgery?

Although the breast augmentation procedure is quick and actual recovery fairly short, it may take 3-6 months to see the absolute final result as the implants and breast tissue settle into their final shape. We normally take our after pictures at 6 months for this reason. If you are planning an important event like a cruise or an important occasion like a wedding, we usually recommend that you plan your procedure at least 6-8 weeks prior to the event or occasion, so that you can be fairly certain of being back to 100% normal activity.


Procedure: Breast Enlargement/Augmentation/Implant

Duration: 3 to 4 hours

Stay: 1 night hospital, 4 nights hotel

Anesthesia: General anesthesia

Recovery: 7 to 10 days to return to work

What to bring: Comfortable clothes (sweatshirts, button-down or zipped shirt etc.)

Side Effect: Temporary swelling, bruising, soreness, discomfort, nipple sensitivity, numbness

Exercise: 3 to 4 weeks after

Scars: Yes (depending on the incision type)

Pain: Slight (depends on the patient)

Results: Immediate (final results after 4 to 6 months and may change due to pregnancy, gravity, weight or age)

Multiple surgeries: Breast lift, liposuction, nose surgery, botox and fillers