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Augmentation mammaplasty is one of the three most popular plastic surgeries both in our country and in the world. The augmentation mammaplasty which is a breast plastic surgery gives very good results when it is performed right. But like in all the surgeries, it is very important to determine augmentation mammaplasty to be performed in which cases and what aim.

THE BREAST AESTHETIC AND THE BREAST AUGMENTATION SURGERY and GYNECOMASTIA

The most frequent question about this surgery is that if there is another method for breast augmentation other than prosthesis. At the present time, the only method for breast augmentation is the breast prosthesis. I particularly advise to keep away from the methods of augmentation with medicines. The medicine that is claimed to augment the breast must include hormones although it is claimed that it is natural. These hormones do not only disorder your balance but also increase the risk of cancer. Keep away. The fat addition might be taken in consideration in very less amounts and in very rare cases. But with the injection of fat which aimed the breast augmentation you cannot obtain neither the size nor the shape and symmetry.
The only aim of breast prosthesis can be augmenting the breasts. Usually a frequent mistake is to suppose that this is a method to lifting the breasts that drooped. That prosthesis can be used in seldom cases but a breast that is really drooped first should be lifted and then it should be augmented if necessary.
Another question that is often stuck in the mind is the possibility for prosthesis to lead some problems in long terms. But at first I want to mention about the surgery and prosthesis.

COMPLICATIONS AND PROBLEMS THAT CAN OCCUR

Let me separate the problems that can occur after this surgery into two as because prosthesis and surgery.
The complications that may occur due to the surgery: The risk of bleeding and infection is possible in this surgery as well. There is almost no risk of serious bleeding in this surgery. The bleeding may emerge in a part of the breast as blood accumulation namely hematom. Your doctor may desire to make you undergo the surgery again and clean this accumulation or stop bleeding if it continues.
A tumescence which is on one side for 5 days may be the sign of an infection. The healer might be removing the prosthesis and cleaning the infection.
Although those are the problems that are very rare, they are present always among the possibilities.
The complications that are because of the prosthesis: The body senses silicon covered prosthesis as unknown. A reaction carried against the silicon and a thin barrier forms around it. In rare cases this reaction exaggerates and the barrier becomes hard by getting thicker called ‘capsule ‘. If the capsule is high level then the breast shape corrupts and it might be necessary to treat. If the remedies without operation do not reply to the treatment then the prosthesis is removed. But most of the capsules can be treated before this level and there is no need to remove the prosthesis. The rough surface of the prosthesis and being underneath the skin reduces the risk of capsule. The use of hematom, surgical gloves powder and chemical materials and the light infection that cannot be realized increase the risk of capsule.
The blow of the prosthesis is not possible although it is a very popular and sensational news topic in media. Prosthesis is very durable that even a truck goes over, it does not low up. It can be ripped by only something sharp and beaked. Even it is shown that some of the prosthesis can be tore off as time flows, it is a very less possibility and in the new generation prosthesis this risk is even less.

FREQUENTLY ASKED QUESTIONS

Can a mum who has breast prosthesis suckle her kid?
Every mum candidate wonders about it. The only answer of the question is right. Because the prosthesis is placed underneath the skin in every possibilities and it does not harm the milk tissues and milk channels.
Perhaps the only risk is that after the cut of nipples. Normally it is an unexpected situation but the risk is more when the prosthesis is placed from the nipples.

Does the breast prosthesis cause cancer?
In USA it is being researched by years. FDA prohibited all the breast prosthesis in a term. But the researches that are done after proved many times that the breast prosthesis does not cause cancer and FDA release the use of breast prosthesis. In summation it is not wrong to say that breast prosthesis does not cause cancer thanks to today’s knowledge.

What is it dependant on that the result of the surgery is natural?
Some of the native and foreigner celebrations become famous by their unnatural breast prosthesis. My patients explain what they do not want, by pointing the models whose breasts seem like they will blow up which I do not want to name. It is dependant on the surgeon that the result is natural or not. Although some of the models have the same prosthesis, nobody realizes it. Believe it or not the prosthesis is not guilty.

Can the breasts that drooped after suckle be lifted by prosthesis?
Usually there is tissue loss in the breasts of the mums that suckled their kids called atrofi and the breasts droop like emptied. It is not always possible to fix that pendency by prosthesis. But in rare cases, if the problem is that the breast tissues to be reduced, it results very well. If there is pendency on the skin it is necessary to add up the breast lifting operation.

WHAT HAPPENS BEFORE AND AFTER THE SURGERY

This is a middle degree operation in magnitude and difficulty. It is not an aching operation. Generally the patients can discharge at the same day and they can be back at work after 3-4 days.
The first day may relatively be bothering. Usually it is adequate to take a painkiller by mouth. This surgery is not an operation that serious tumescence and lividness are expected.
If you work it is better to reserve a week for this surgery. After this surgery you become almost normal after one week.

THE REPORT OF THE SURGERY

Anesthesia: General
Where should the surgery be performed: In a hospital operating room.
The duration of the surgery: 2 hours
The duration of rest in the hospital: Can be dismissed in the first day.
The ache and pain after the surgery: There may be a little ache for a few days. Usually it is sufficient to take painkillers by mouth.
Tumescence and lividness: Middle degree, for 3 to 6 days.
Dressing for a wound: Is taken in 2 days.
Bra: it is necessary to use sportsman bra for 4 weeks.
Sutures: No suture is needed to be removed.
When can be back at work: 3-7 days
Sports: After 2 weeks long jogging, 3-4 days later running can be performed. The sports that arms are used like tennis and fitness can be performed after 4-5 weeks.
Last shape: Usually breasts appear to be 30% bigger than they are for the first few months. The reason for that is surgical tumescence. For those to recover and for breast to take the last shape takes 3 months.

A note on smoking
Smoking can significantly affect the outcome of your procedure. Please be aware that the long term effects of smoking cause a narrowing of the small arterial blood vessels that traverse the skin. This decreases the circulation of the tissues of the skin and makes it necessary for the surgeon to be more conservative in any plastic surgery procedure. Smoking near the time of surgery causes a further acute narrowing of the blood vessels which may cause ischemia of the tissue, poor healing, bad scars, or actual loss of tissue.