Breast Aesthetics

Plump, upright and appropriate size breasts, is one of the most important elements of female beauty. There is no doubt that our prehistoric ancestors spoke to the female idols of enormous breasts. One of the most amazing examples of the reverence attributed to the breast in ancient times is the statue of Artemis. Breast has been the symbol of both femininity and fertility. Whether the breasts are smaller, larger, or sagged than desired, structurally or due to developmental factors; may cause psychological problems that decrease the quality of life of the person. The sagging of the breasts is almost inevitable as the breast tissue succumbs to gravity due to aging. Hormonal changes, genetic factors, weight gain or loss, pregnancy and breastfeeding, which may have an impact on women at various times in their life, can lead to loss of breast tissue form and excessive growth or sagging of the breasts. However, nowadays it is possible to get rid of these problems with developing techniques. With the development of aesthetic surgery, it is very easy to get rid of these problems by applying the necessary techniques.

What Are Breast Aesthetic Operations?

Breast Enlargement

Breast augmentation surgery, as the name suggests, is done for two reasons; to give volume to small nozzles and to shape non-uniform nozzles. This goal can be achieved in two ways; Breast augmentation with the use of one's own fat or with silicone prosthesis. If there is no sagging in the breast, the fat graft can be enlarged with your own fat in one or more sessions. It can be made to thicken the tissue as a preparation for prosthesis application in people who have no breasts. Because prosthesis can be very prominent and artificial in women who do not have enough tissue. This is prevented by thickening the tissue with fat. Or simultaneous prosthesis application and fat injection can be performed. This application is preferred for those who have a little nozzle, do not use a very large prosthesis but still need tissue thickening.

Breast Enlargement According to Incision Location;

Breast augmentation surgery in which the doctor initiates surgical intervention incision under the breast, armpit or nipple can be made from one of three different areas. The selection of these regions is made to ensure that the 4 - 5 cm precision required for the operation can be opened at least in a visible and remarkable manner. For many years, operations through the incision through the nipple have become increasingly less desirable today. Because my breast is in contact with the outside due to the milk channels and is full of bacteria. This indicates a dirty texture. If the nozzle is inserted through the incision, the prosthesis contacts the nozzle and becomes dirty. Capsule contracture or infections may occur in later years. Therefore I do not prefer. The operations performed with the intervention made from the breast underline offer an advantage because the surgical trace remains below the gaining breast. As well as the breast tissue remains above, no contact occurs. I don't prefer the armpit incision because it may affect future breast cancer scans. The absence of a trace in the breast seems to be an advantage, of course, but I think that there is no need to take that risk for a stored trace that will almost disappear from visibility over time. It is not possible to say that a cut tissue can be healed without any scar after a surgical operation. However, the incision can be concealed in a way that does not disturb the patient and can be improved with the use of medical creams to leave minimal scarring.

According to the Plan of Prosthesis Applied

Sub Muscle Dual Plan;

Dual plan breast augmentation method is a technique that is different from the sub-muscular and sub-muscular placement of silicone. In the dual plan method, silicone remains under the breast muscle tissue, but there are different types of it. Differences are determined according to the breast tissue, muscle structure and needs of the patient.

The dual plan breast augmentation method can be applied in different ways.

Silicone is partially under the breast muscle and partly under the mammary gland, or, the chest muscle is completely separated from the place of the silicone or, Breast gland is a practice that can be done by changing the relationship between the breast muscle silicone.

In breast augmentation with silicone, two concepts are important to determine the relationship between silicone and muscle;

The first one is in the sub-breast fold and the sternum region of the anterior sternum (muscle), the second is the relationship of the breast gland and chest muscle relative to each other. In order to change the relationship of the chest muscle to silicon again, they must be separated from the places where the chest muscle is held in the sub-breast fold. In this case, the muscle will be pulled upwards to the extent permitted by the mammary gland or breastbone. In dual plan breast augmentation, the position of the chest muscle is made either by releasing the chest muscle only in the area of the sub-breast fold or by releasing the connections between the breast muscle and the mammary gland. These two maneuvers are preferred in different ways depending on the type of surgery, type of breast, dynamics of the breast and silicone. It is important to have sufficient soft tissue in this region. Soft tissue thickness is measured on the upper breast. If this area is 2 cm or thicker, an anatomical silicone can be used that is sufficiently filled to a localization under the mammary gland. The thickness of the soft tissue is likewise measured in the sub-breast fold area. If it is thinner than 0.4 cm in this region, the chest muscle is not released and sufficient tissue coverage is provided. If the person wants a full enlargement of the upper breast, an over-inflated round silicone or larger anatomical implant is preferred.

Selection of surgical technique according to breast type;

A-Type 1 dual plan is applied to:

No sagging in the breast, Breast and breast muscle tightly connected to one, nipple lower breast fold between 4-6 cm,

The purpose of type 1 dual plan silicone application is to maintain the relationship between muscle and mammary gland, to cover as much muscle tissue and silicon as possible, and to preserve the prominence of subcutaneous folds.

Cases with B-Type 2 dual plan technique;

Most breast tissue is above the lower breast fold, weaker relationship between the mammary gland and the chest muscle, the distance between the nipple and the lower breast fold 5.6-6.5 between

The purpose of this type of application is to ensure that the breast muscle and the mammary gland are placed higher, reducing the mobility of the breast gland that is loosely attached to the breast muscle.

C-Type 3 dual plan technique applied cases: Street

This type of application is applied in cases with sagging nipples and narrow nipple.

There is sagging in the breasts, the connections between the breast tissue and muscle is very loose, the tip of the nipple and the curvature of 7-8 cm up to six distances, there is stenosis in the lower part of the breast so tubular breast.

The purpose of this type of application in the lower part of the breast muscle muscle to release as much as possible, to increase the relationship between breast tissue and breast muscle, to eliminate sagging of the breast tissue.

Subfascial Technique;

Subfascial technique began to appear in the literature in 2002. Subfascial technique, such as sub-muscle, under the breast is not a common technique, but its use is increasing because of its advantages. In this technique, silicone is placed under the membranes of the muscles on which the breast is located.

It is placed between the facies of all the muscles on which the breast is located (pectoralis major, serratus anterior, intercostal muscles, sometimes the upper part of the rectus abdominis muscle). Technically, it is more difficult and takes longer than sub-muscular and sub-muscular techniques. (Approximately 30 minutes longer), Silicone is less sagging over the years because the muscle membrane is repaired again, Separates the silicone from breast tissue and does not touch the silicone breast tissue, No muscle is cut, No loss of function and pain due to muscle cut, When the arms are pressed towards the waist silicones do not move or run away from the side, on the side of the nipple where the nipple passes, under the fascia of the serratus muscle, there is little bleeding and the nerve is easy to maintain.

Under Breast Technique

The prosthesis (implant) is placed under the breast tissue in a pocket formed on the chest muscle (pectoral muscle). Muscles are preserved. There is no pain after the operation and return to daily life is fast. For this technique, breast tissue must be thicker than 2 cm, otherwise the prosthesis edges will be noticed. It is not a preferred method because it makes contact with breast tissue and prosthesis.

Breast augmentation surgery is one of several different surgical approaches used. One of the most commonly used techniques; is the incision of the sub-breast fold made slightly above the region where the lower breast reaches the rib cage. This area is the best access incision where the surgical site is best observed, bleeding control can be performed comfortably, no trace is visible while standing, and the trace becomes the same color as the skin.

Prosthetic Types;

Most of the success of breast augmentation techniques with silicone prosthesis (implant), most of us agree that breast augmentation. Silicone breast enlargement is ideal for achieving desired size and consistency, correcting inequalities between breasts and providing long-lasting satisfaction.

Breast prosthesis, also called silicone prostheses are two kinds of shape; round and drop. The round ones resemble the hemispherical shape. The heights vary. In this way, we can choose different height implants in different breast types according to need. Applicable to all plans.

Drops in the lower part is fuller, the upper part is more flattened in the form of a hemisphere. It is not suitable for sub-muscular application. Round or drop, whichever is better? Both have their own advantages. We select the most suitable prosthesis, taking into account the criteria I will list below.

Thickness of breast tissue Diplodp

Thickness of the pectoral muscle

Length of the shoulder to the nipple Diplodp

Person's size

Sagging rate in breast tissue Diplodp

Contact preference

Has she had breast surgery before?

Advantages of round denture;

Most women are empty of the upper part of the breast, because they are tired of wearing a sponge bra breast enlargement process. Round breast silicone fills the upper part of the breast better. For those who prefer open decollete clothing, the round prosthesis creates a more pleasing appearance, and without the use of a supported bra, the first choice for women with thick breasts and muscles is mostly round prostheses. I believe that only these prostheses can overcome the pressure of the thick tissue on them. In patients with sagging breasts, round prosthesis gives a more proportionate appearance if skin collection is to be performed. The round prosthesis fills the pre-formed pocket more safely in patients who wish to replace the breast prosthesis.

Advantages of drop-shaped anatomical implant;

Chest skin and muscle create a more natural appearance in patients with weakness.

The rib cage provides a more natural image in long patients.

Breast Reduction

Breast Reduction Surgery (Reduction Mammaplasty) is a surgery in aesthetic breast surgery is basically very close to the breast lift surgery. The only difference of breast reduction surgery is to reshape the breast by removing as much amount of breast tissue as necessary during this operation. This reduces both the shape and the shape of the breast. According to the needs of the person, the shape of the breast, the amount of sagging, the size of the breast can be reduced by different techniques.

Superomedial Pedicled Technique;

One of the reduction techniques that I use frequently. It is a technique in which the circulation and sensation of the teat are safely protected. Breast shape can be as beautiful as we want to reduce. It is a safe and suitable technique for very large and sagging breasts.

Superior-based dermal pedicle technique

Breast tissue less than 500 g is preferred if removed. If I'm going to remove less tissue, if I'm applying prosthesis on the sagged breast, I prefer it.

Inferior Pedicle Technique;

It is an old technique. Breast shaping is not good. The nipple rotates upward, the lower nipple appears too empty at the top, so an image like a small drooping nipple may occur. It is advantageous that it can be made fast and can remove a large amount of tissue. For this reason, it is used for reduction purposes in elderly patients. But it's not a technique I prefer.

Central Pedicle Technique;

The technique I practice most often and believe in its results. This technique can be applied to all breast hypertrophies. Although a large amount of skin release is performed, the technique is very safe. Nipple sense and breastfeeding function are fully preserved. Since the skin and breast are separated, we do not push the breast up with a suture, but we really straighten the tissues by releasing and carrying them up. The footprint of the nozzle is changed and moved to where it should be. The disadvantage is that the operation requires a team, knowledge and experience and takes a little longer. But the shape is both beautiful and preserved for many years.

Free Nipple Technique;

Free nipple graft technique is one of the most used techniques for advanced breast size. This technique appears to be advantageous in cases where more than 2000 g of breast tissue should be removed. The technique involves transport of free nipple-areola grafts with partial breast amputation. The advantages of this technique are that it can be applied safely in extreme breast hypertrophies, can be done quickly, with minimal skin release and minimal blood loss, and provides relatively aesthetically pleasing results. Therefore, this technique is very suitable for the group of patients who have surgical scars in the region where there is a systemic disease and potential pedicle and skin flaps besides the reduction of very large breasts. The disadvantage is the loss of nipple sensation and breastfeeding function. Therefore, it is a reliable and appropriate technique in elderly patients.

Breast Lift

It is a surgical procedure to bring sagging breasts back to an upright position. In breast lift operations; nipple is moved to where it should be, breast tissue is shaped and excess skin is removed. If the breasts are large, excess breast tissue is removed, and if it is small, it is supported by silicone prostheses. Breast lift operations are carried out with reduction for those with large and sagging breasts, and with enlargement in hollow and sagging individuals after births or weight loss.

Breast lift surgery is actually a very good operation if done well. It is of course possible to reshape the nozzle, completely remove the sagging, and at the same time enlarge or reduce the nozzle. But the cost of all this is the marks left on the breast. An operation technique that can erect a breast without a trace is not known yet. The techniques used leave a mark along the entire circumference of the nipple with the skin and towards the bottom of the nipple. This trace continues under the breast in classical techniques and continues on the fold line below. If the sagging in the breast is small, the method is vertically profitable, that is, only the perpendicular incision and not allowed in the sub-breast fold. Usually, the more sagging the breast, the longer the scars can be accepted. What is the difference between breast lift and breast reduction surgery? Basically the only difference is that the breast tissue is removed in one and the breast is reduced in the other and only the sagging is removed. Technically, both operations are very close.

Breast Augmentation and Lifting

Breast lift surgery is aimed to regain the former form and steepness of the breast. If the dark area around the nipple (areola) is large, it can be narrowed with this surgery. In addition, if there is a loss of volume in the mammary glands after pregnancy, or if it is desired to gain a volume in the same operation, silicone breast prosthesis surgery can be combined with this erecting process to achieve both erectification and growth.

These two operations may appear to be performed in the opposite of two operations. But when a sagging breast is recovered, if the remaining amount is small when the excess skin is removed, then it is correct to support the size with the prosthesis. Or a woman who wants a large breast, even if there is enough tissue is applied. Here I prefer the sub-muscular plan when placing the prosthesis. I'm definitely using a round denture because the deficiency usually occurs in the upper decollete area. The traces formed become white and the visibility decreases with time.

Breast lift and enlargement, reduction and erecting operations only with vertical, round, shape, but we can promise beautiful breasts. Remember that the tracks will be almost invisible in 6 months-1 year, but the happiness of your new breast will last a long time. Breasts are one of the most important organs of women, and I can confidently say that I have never seen or regretted a woman who had breast shaping surgery.

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