Breast Aesthetics

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Breast Aesthetics

Breast Enlargement

Breasts play a very important role in women’s life as an organ which is both related to maternity in terms of breastfeeding and related to sexuality.

Women who have small breasts due to having a small breast tissue developmentally or breast tissue getting empty due to birth-giving or weight-loss, or have asymmetric breasts or tubular breasts due to a developmental defect in the lower part of the breast, or need breast repair due to breast cancer surgery prefer this surgical operation.

Patients must be above 18 and their history regarding breast cancer must be carefully queried.

Can Women Who Underwent Breast Enlargement Operation Breastfeed? Do They Experience Loss Of Sense On The Nipple? Can They Be Scanned For Breast Cancer?

Silicone implants do not prevent breastfeeding. Silicone implantation usually do not cause loss of sense on the nipple. Silicone implants do not lead to breast cancer. Breast implantation do not cause an obstruction for women to be scanned for breast cancer (breast ultrasonography, mammography, breast MR).

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What Are The Types Of Silicone Implants? Are There Any Differences In Their Shape, Size, Or Touch? Should The Silicone Be Placed Behind Or In Front Of The Pectoralis Muscle?

Silicone implants are categorized in two including anatomic, i.e. drop-shaped, and round. Anatomic silicones are narrow on the top and wider at the bottom. The challenge in placement of them, and their probability to move within the body, i.e. rotation may lead to late problems related to these prostheses. And they may fail to be useful for women who want to have upper pole fullness. Here it is highly important that the physician decides the type of the prosthesis in consultation with the patient.

Silicone implants are divided into two including smooth surfaced and rough in terms of their shell structure. There are publications asserting that rough-surface silicones lead to less capsule formation.

Silicone implants are divided into two including water-filled and gel-filled. Salt water-filled ones can generally be inserted in the body before being inflated, and therefore can be put from the armpit or even the button belly. However, since the gel-filled ones that we use more often can only be implanted from the nipples or the lower fold of the breasts.

Silicone implants can vary greatly in size. Size, volume, and projection (height) can be different depending on manufacturer.

Silicone implants can be implanted behind or in front of the pectoral muscle or under the sarcolemma. Thickness of the breast tissue of the patient will determine where the surgeon will implant the prosthesis.

In breast enlargement operations with silicone implants, we generally decide jointly with the patient the size, shape, implantation spot, and body entry-spot of the prosthesis.

Breast Reduction

Breasts which are sexual organs in terms of both fulfilling maternity functions by providing milk and complementing the woman image begin to grow upon the onset of puberty. It is sometimes unavoidable for some breasts to grow big due to weight gain, genetic predisposition, or pregnancy, and consequently sag down by the impact of the gravity. It has a negative effect on social life of females due to having difficulties in clothing selection, marks left on shoulders by bras, the malodor or the rash occurring under breasts especially in summer, and tiring effect of neck and back pains.

Breasts that normally need to weigh about 350-500 gr extremely vary in shape and size, but the average distance from nipples and the surrounding brown tissue (areola) to the collarbone normally measures 19-21 cm. This must fall on the fold of the breast where the breast sticks to the body from the bottom. This roughly falls on the median of the shoulder joint and the elbow joint.

Breast reduction and breast lifting operations are fundamentally quite similar. The aim to bring the saggy nipple and areola to the place where they should normally be. If we remove no or less than 350 gr tissue from the breast in doing this, it is called breast lifting, if we remove more tissue, called breast reduction.

The technique to be used must be agreed upon with the patient depending on the size and position of the breast, and the patient must be informed about the advantages and disadvantages of the technique to be applied.

Gynecomastia Treatment

It is the female-type breast growth in male individuals. It is especially resulted from the increase of the breast tissue under the nipple which is normally of a small amount or the increase of fat amount inside of the breast or the combination of these two causes. Gynecomastia can arise as the side effect of some drugs or sometimes from hormonal disorders or weight gain. It can impair the aesthetical appearance of males and lead to difficulties in clothing in social life and psychological issues.

How Should The Surgeon Decide The Treatment in Case of Gynecomastia?

There are 3 periods that considered normal for breast enlargement in human life.
1. Period 1 is the infant period and results from the transfer of the estrogen in mother’s blood to the infant and will spontaneously recover in a while.
2. Period 2 is the adolescence and results from the hormonal fluctuations during growing up and will spontaneously recover in a few years.
3. Period 3 is the old age and characterized by enlargement of the breasts due to the reduction in androgen. If the cause leading to breast tissue enlargement is the increase in gland tissue, it is called glandular type or the increase in fat issue, called as adipose type, or the combination of these two, called combined type gynecomastia, and the treatment is planned accordingly. Excess skin can be seen depending on size of the breast tissue.

How is Gynecomastia Operation Performed? What Type of Operation Will Be The Best For You?

The decision should be made jointly by the patient and the physician based on the gynecomastia treatment plan as in almost all aesthetical surgery operations. A surgical treatment will be planned depending on the size of the breast tissue, whether it contains fat or gland tissues more, and whether there is excessive skin needed to be removed, and whether there is asymmetry between the breasts.

It is categorized under 3 main groups in surgical treatment. For the cases with fat components, liposuction, i.e. fat vacuuming is the most preferred method. VASER liposuction used to reshape not only breasts but many parts of the body today can provide better results and also have some effect on cases that also contain glandular components and be effective in shaping the breast tissue. This method allows removing the fact tissue under the breast by 1-2 small entry holes on each breast.

The procedure usually lasts 1-2 hours depending on the size of the breast tissue, under general anesthesia. A corset will be provided to ensure a better fit and shaping of the breast skin on the base after the procedure. It is recommended to use this corset for 2-4 weeks.

The second method involves removal of tissues out of the breast. This method is usually used in addition to liposuction particularly in cases where the gland tissue behind the areola is too solid and widespread. We can also call it part removal from the breast tissue by a half moon-shaped cut made around the areola. The cut area is usually closed by aesthetic stitches following the operation, and it leaves a hardly visible scar around the areola.

This method usually increases the operating time 30-45 minutes and it might be necessary to use drains to prevent any complications such as bleeding or seroma (fluid accumulation under the operation area) in the recovery period. These drains will be left on the operation area for a few days.

The third method is used in case of any excess skin that needs to be removed, and the skin will be removed as planned depending on the size of the breast along with the other methods explained above. If this procedure will be performed as agreed with your surgeon, the most important consideration here is to predefine what kind of a scar it will result in. Skin removal takes place in such a broad range that skin can be simply removed all around the nipple leaving a hardly visible scar in future or the methods used to reduce big breasts can also be needed. Therefore, pre-operation planning is critical to define what you need. Removal of excess skin is usually necessary particularly in gynecomastia treatment to remove any skin sagginess resulting from weight loss after the bariatric surgery which treat obesity, the disease of our age.

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