BREAST AUGMENTATION – Dr. Erkan Yüce

Breast, the main function of which is breastfeeding, has been a complementary element of the female sex outside the reproductive system throughout human history. Each race has a unique breast shape, the width, color and size of the nipples differ from each other. Sometimes developmental and sometimes familial characteristics do not develop sufficiently at the end of adolescence and normally may remain smaller. After breastfeeding, breasts may shrink or breast tissue may decrease and cause a hollow appearance. In people with obesity problems, it may become deformed and sag in the breasts after diet or stomach reduction surgery.

There are two safe surgical procedures for women with such problems; Breast augmentation with silicone prosthesis and breast augmentation with oil graft injection.

Breast augmentation with silicone prosthesis

Silicone prostheses consist of hard silicone on the outside and dense fluid silicone on the inside. Although different brand prostheses are offered in our country, I use products with FDA and CE certificates for my patients.
Silicone prostheses are divided into 2 according to their shape;

Damla (Anatomical) prosthesis; It has a flat bottom and has an upper surface that increases from top to bottom. It has a more dense hard structure compared to round prosthesis. In the decollete part, it is not as prominent as a round prosthesis. It is more suitable for natural breast image.

Round prosthesis; It has a hemispherical shape and has a softer consistency. It is more useful in defining the decollete area.

Location of the prosthesis:

Where the breast meets the body and armpit areas can be preferred for implantation. Each region has its advantages and disadvantages.

The incision for armpit placement does not require any incision in the breast. However, postoperative pain may last longer and can cause chronic muscle pain. It is also not a preferred place for high volume prostheses.

The lower fold of the udder is the area where the udder meets the body. The prosthesis is placed through an incision of 3-4 cm. If the seam line is planned to coincide with the full fold, the scar seen in the early period will be hidden and after 1 year it will almost completely disappear.

Insertion level of the prosthesis

Silicone prosthesis can be placed under the muscle, under the breast tissue and under the muscular membrane. If there is no breast tissue, it may be preferred under the muscle to prevent the prosthesis from touching. If there is a certain thickness of breast, a prosthesis is placed under the breast tissue. The under-muscular membrane technique can also be considered as a combination of the other 2 techniques. After the examination, the surgeon decides which level of prosthesis will be placed and will explain the reason for preference in this regard.