Breast Aesthetics

Breast Augmentation

Development disorder can be seen in one or in both breasts. Due to weight loss after the birth the breasts can get smaller or sagged so that the aesthetic of the breast may distorted. Because of such reasons with the operations to enlarge and fill the breast it’s possible to give a larger, aesthetic looking to the breasts. The easiest way for this enlargement is silicone breast prosthesis. Breast enlargement can be performed, if necessary, together with mastopexy surgery.  Procedure involves silicone gel breast prosthesis that placed behind the breast tissue. These prostheses can be placed beneath or over the muscle. Both techniques have their own advantages and disadvantages. With the former technique recovery can takes more time and more painful after the surgery. However, unless there is a special condition use of former technique is safer and healthier.   

 

There are two types of breast prostheses: 
1- Silicones filled with saline.
2- Silicones filled with gel. Both types have a shell made of same silicone material.

 

Expectation of the patient must be well identified before the surgery. Also, different sizes and causes of the difference should be identified. For example; it could be difficult to enlarge the natural small breast in one surgery in that the skin has a certain stretching capacity. Mammographic examine of the patient should be done before the surgery. Patient is informed about the risks. In addition, smoking must be stopped 10 days before the surgery. 

 

Silicone prosthesis doesn’t prevent the pregnancy or the nursing. Since the prosthesis is placed not inside but behind the tissue it doesn’t harm the tissue. In order to implant the prosthesis the incision is made around the nip or on the line beneath the breasts. Where both options can’t be done the incision is made on the armpit. 

 

You may feel tired after the surgery for 3 days. Surgery is made under general anesthesia. Wearing a bra with supporter is required for 6 to 8 weeks. There could be a burning sensation around the breast for one or two weeks. Sutures are removed within 10 days. Scars of the sutures remain pink around 6 weeks then whiten gradually.

Breast Reduction

 

Breast reduction may be performed due to back and neck pains, headache, shoulder pain, positional changes, chest pain, personal hygienic issues caused by big breasts. 

 

Since big breasts could be a result of overweight, losing weight can be effective in some people. Although this weight loss doesn’t affect the size of the breast much still it helps to facilitate the surgery and reduce the problems that may arise during the surgery.  As a result of the surgery the breast are get smaller and straightened. 

 

Attended surgeon decides on the procedure, taking the breast tissue to be removed, ptosis of the breasts and other factors into account. Breast tissue and excess skin are removed from the proper areas.  

 

The breasts are straightened and nipples are lifted to where they should be. Depending on the height of the patient, the surgeon lifts the nipples to some point around 19-21 cm away from the collar bone.
Subject to the used technique, there would be some post-surgical scars in shape of T, L, or I under the breasts. Although all required attentions are taken to eliminate such traces, existence of these traces depend on the color and texture of the skin.

 

Breast Lifting (Mastopexy)

 

Especially after giving birth; the breasts become larger due to breast lift and after this period size of the breast get smaller again and aesthetically distorted. Reduction in the breast size causes loss in the elasticity of the skin and nipples drop down. In some case this occurs due to abnormal weight loss. This condition could be corrected by mastopexy, using patient’s own tissue. Without extracting any tissue, only the excess part of the drooped skin is removed. 

 

Post surgery  
Next day of the surgery dressing is replaced. A special soft bra that covers the breast is worn. This special bra is used for 2 weeks while it reduces the formation of oedema, it also functions as a mold for the breast. Sutures are removed within 10-15 days. The patient can stand on the same day and will able to her daily jobs within 2 -3 days.  Pains can last 1 -2 days after the surgery. You may take pain killers. Since the scars will stay pink for the next couple months they won’t be noticed. Color of the scars will gradually fade in about 6 months to one year. Patient can get back to work within one week. 

 

Is breast lifting possible after the surgery?  
With the inferior technique used in breast reduction surgeries, some milk channels are preserved. However, there is still a risk of inability of breast-feeding. 

With the mammoplasty  breast prosthesis is placed under the breast tissue. Therefore prosthesis doesn’t harm the tissue or the milk channels.

 

How long after the birth can I go under a mastopexy? 
At least 6 months should be passed after the completion of breast lift period. Otherwise there could be post surgery infection in the breasts or the sutures could be ruptured and these may cause more scars on the skin. 

 

Is there much pain? 
Mastopexy isn’t different from other surgeries. Pain may last for couple days but this pain could be alleviated with the help of pain killers. You may experience mild burning sensation, stinging pain, or tingling in the breast for 6-12 months. But you won’t experience severe pains.

 

Gynecomastia (Male Breast Reduction) 

 

This is a contrary case in terms of the generally accepted conventional men's appearance. Sometimes it can especially turn the lives of young men into a nightmare. It is the name given to the female type ‘’breast development’’. Gynecomastia may occur both due to the transfer of mother's estrogen hormones to newborn in an excessive manner and as a result of  increased adiposity in elderly due to decrease in androgen hormones and increase in estrogen thereby creating breast development. 

 

The most common cause of gynecomastia is steroids and male hormones that men take who want to gain weight and who are engaged in body building to develop muscles during this process. The male hormone, turns into female hormone while being excreted from the body after use and unfortunately this is the reason of female type breast development. 

 

Then why does one need to visit the physician? Pain, swelling and tension are causes for this. On the other hand, the overall look of a person may be irritating and this is a fundamental reason. Sometimes the person may suspect of male type of breast cancer. This is a rare reason of coming. In this process, a breast ultrasound made beforehand will facilitate your doctor’s works and structure and size of the breast will be revealed. Because there are three types of gynecomastia: glandular (growth in breast tissue), fat (growth in adipose tissue) and fatty glandular (growth in both). It is important to determine the type of the disease because the surgical treatment will be determined according to these reasons. In fatty type of growths it will be sufficient to enter in with one or two small holes and making the liposuction/fat taking. In other forms, cutting the breast and, removal of glandular tissue may be required in addition to liposuction. Here a small incision will be made in the dark area of the nipple and excess skin will be taken by this method. Sometimes possible excess skin is also taken in this way. All of these operations can be made with local, local/ sedation or general anesthesia method. The method will be determined by you and surgeon. 

 

The operation may last up to 1 hours. Usually you can go home the same day. You will be provided with a corset instantly covering your chest region tightly. This will reduce fluid retention in that area, will fight edema as well, and accelerate the sticking of your chest to your skin. The semi-circular cuts made in nipples will not be seen and stay in the colorful region. There is no trace if only suction is performed. Corset is functioning as a closure dressing at the same time and will remain 2-4 weeks. This period is the period when the swellings shall pass. In this period your breast skin shall be close to the chest and you are expected to look fit. The level of pain can be handled simply by pain killers. The next day you can live your normal daily life without making exaggerations. It is important to live a peaceful period of 8-10 days because of the effect of facilitating recovery. Do not forget to start to make sports after 15-20 days. You will be advised not to use cars for 2-3 days. Similarly it is important no to lift something heavy. This is one of the cosmetic procedures commonly performed in men. The results are gratifying. In recent years, new methods have been added, for example and devices such as Vaser can make even firmness and adhesion easier.