Breast Augmentation Turkey

Big breasts

Changes occur in all our bodies during puberty. While all that some women who want to witness the new state of their bodies undergoing changes in this process is to look at themselves in the mirror once in a while, there is a group of women that does not get to witness this change at all… Because there is no change, no developing organs. This is the story of our women. The organ I will talk about is breasts.

What is Breast Augmentation Surgery?

The definition of Breast Augmentation turkey surgery is probably one of the simplest in the world. First of all, we can accept that the change in breast size reaches a noticeable volume and then fits into the palm of the hand as a definition. Do you think that definition is too primitive, or do you think bir breasts fill a size 90 bra? I hope not, anyway that figure is an incorrect bra size calculation. I will explain it as well. Therefore, to summarize briefly, breast augmentation surgery is the process of reinforcing breasts.


blank

What is the Breast’s Anatomy?

The breast is an organ consisting of skin on the outside and adipose tissue and mammary glands on the inside. They are suspended by approximately 20 ligaments (Cooper’s ligaments). Adipose tissue and mammary glands can lose their volume due to many hormonal and metabolic reasons. This causes changes in the appearance of the breasts. The skin surrounding them is not always able to adapt to these changes. In this case, sagging is added to the shrinking problem. This basic information is enough for you to grasp for now, while explaining many issues related to breast aesthetics.

Why do Our Breasts Stay Small?

Of course, this is not always the case. While the breast tissue of some of our patients does not develop at all genetically, there is a loss of breast volume in other patients, which constitute the other half. So why does the breast subsequently lose volume;

Weight loss can cause breast reduction since some of the breast tissue is fat.

Hormone levels increase a lot during pregnancy. This level is reduced to normal with delivery, but sometimes it is possible for the breast tissue to become smaller than normal in this retraction.

Breast reduction may occur due to mammary gland atrophy after the lactation process.

In breast cancer treatments, a part or the whole breast can be surgically removed. Some of these conditions can be corrected with a simple implant placement and some with special repair techniques.

Symmetry can be achieved by breast augmentation for those with breasts that are unequal in size congenitally.

If you have had a breast prosthesis before but want a larger breasts, a breast augmentation can be considered again.

We have breasts that have always been small or have shrunk due to various reasons and we must enlarge them. How? By filling it, of course. With what? That is a good question. I would like to go through methods such as various drugs and hormonal applications and compare them with surgical options that are much more sensible. Theoretically, you can have breast augmentation with synthetic fillings, your own fat and a breast prosthesis (i.e. silicone implant).


blank

Which Situations warrant Breast Augmentation?

Breast augmentation surgery can be considered for every individual whose breast tissue, that is, its volume, is insufficient due to the reasons mentioned above. The breast is not just a lactating organ. It is also a sexual organ. Maybe even more so. I have never had a woman consult me by saying “I can’t produce enough milk”, but the number of those wanting sexy breasts is too many to mention. If you feel that you cannot reflect your femininity adequately and you think the problem is related to breast size, this surgery is suitable for you. I think it’s wrong to try to wrap this in a medical issue.

Who Should Have Breast Augmentation Surgery?

Breast augmentation surgery can be performed on any woman who thinks the volume of her breasts is insufficient and finds them too small. If I think the desired breast size is too much, it is just my personal opinion. Of course, my personal opinion is affected by my aesthetic perception and it governs how I do my job, but there are very few scientific details with which we can refute women’ss expectations. Of course, we share these details with our patients when it is pertinent.

What is Non-Surgical Breast Augmentation?

This is an augmentation procedure that is generally performed in a clinical setting by injecting synthetic fillers into the breast without entering the operating room. It is possible for non-surgeons to do this practice. Sounds good doesn’t it? Various types of filling have been produced for this purpose. If you ask my personal opinion, I would not recommend injecting synthetic breast fillers into the breast. However, they are applications that are simple and have a high profit margin, but they are not ideal in terms of patient health. Although you are told that these can be applied even in the office, it is not so safe and true. Many injections might be required until the breasts reach the desired volume. Thus, a large pool of foreign material is formed in the breast, which increases the risk of infection. In addition, since these filling materials are extremely fluid, it is difficult to make it stay in the desired and injected place. In addition to being illogical, the cost can become higher than breast prostheses. Let’s say you have it done, after a few years the body will destroy it and you will go back to the start. Another filling material, which can remain in the body for up to nine years, has a much greater risk of infection. Now you can say that “breast prosthesis is also a foreign body, it can also become infected”. Very true, that can happen. But if there is such a problem, you can remove it and throw it away. Moreover, the probability is much less. What will you do with the filling, it will not be easy to clean an infected filling that has spread inside the breast.

Breast Augmentation with Fat Injections

The issue of injecting fat taken from the patient’s body into the breasts has come to the fore very often in recent years. I definitely do not recommend this procedure. Namely, the injected fat will dissolve to a certain extent. The amount that dissolves might not be equal. And it can cause differences in breasts. Let’s say it is done, dissolving is more common in large volume injections (central necrosis) and the risk of infection increases. However, microcalcification is more important in fat injection. The condition called microcalcification is the formation of small crystals as a result of the adhesion of calcium to the disintegrated parts of the injected fat. In fact, this is a natural and normal physiopathological process. So what happens then? These calcifications can be confused with cancer tissue, even by the most experienced radiologists. They will put the seed of doubt in you on your first mammogram. After all, the radiologist does not want to take risks and when he sees the microcalcification, he will rightfully put you in the risk group. Nothing can relieve you except a biopsy. There is another bigger problem with fat injection into the breast. What if there is a cancer cell in your breast that would not be activated for life (pre-cancerous cells) and the stem cells in the injected adipose tissue converge with that pre-cancerous cell and activate it? What happens next if you have triggered breast cancer? No one has the scientific basis to refute this hypothesis as absolutely impossible. Please enlighten me if you do.

At the end of the day, all we have left to give your breasts a robust boost properly is the breast prosthesis. In other words, the silicone implant.

What is Breast Silicone?

They are implants that add volume to the breasts when placed into the breasts to create the ideal form. Silicone is nothing to be sneezed at. We have a wide variety of options; Flat surface, rough, anatomical (drop) shaped, round, double cohesive… Lots of variety. So which one do you prefer? Actually, the truth is, you don’t make this choice. You just describe to your doctor what kind of breasts you want. Your doctor will also choose the implant that will counter your expectations and also the most compatible one with your anatomy. When you wear a low-cut outfit, do you want the part from your collarbone (also called clavicle) to your nipple to be slightly convex, to be more prominent, or do you want it to descend to your nipple with a rather low slope? If you want a prominent cleavage, your prosthesis will be round. The second look is obtained with an anatomical prosthesis (drop). Do not think that the round prosthesis is something like a ball. My patients who see anatomical and round prosthesis side by side in my office say that they never imagined that they looked like that. Please do not strain your imagination in surgical matters. We do it for you. In a nutshell, the following types of implants are available;

Implant Types (Silicone) Used in Breast Augmentation;

  • By Shape

o Round: the upper and lower domes are equally oval in shape. But that doesn’t mean that the result will look like having oranges for breasts. We choose these for every patient who wants a fuller cleavage.

  • o Anatomical: this is also commonly known as a drop-shaped implant. The upper part of the implant is flatter and the lower part is more voluminous.
  • By shell
    • Smooth surface: Its surface is completely smooth. It has a higher risk of capsule formation
    • Textured: It has a specialized surface to prevent capsule formation.
    • Micto-textured: A relatively new technology designed to have a smaller textured diameter
    • Teflon coated ones: Made to eliminate the risk of capsule formation
    • Polyurethane ones
  • By Density
    • Grade 1 silicone: soft gel
    • Grade 2 silicone: medium hard gel
    • Grade 3 silicone: hard gel
    • Double cohesive silicone: Some parts have harder gel, some parts have softer gel.
  • By content material
    • Containing silicone
    • Serum Physiological, that is, those containing salt water
    • Containing soybean oil (no longer manufactured)
    • Hollow but subsequently inflatable ones
    • Extra light with air mesh inside
  • By projection
    • Ultra High Profile
    • High Profile
    • Medium Profile
    • Low Profile

What does FDA approval mean for Silicone Implants?

FDA is an agency in the United States that is the ministry of food and medicine and refers to American quality standards. And for a product to be approved by the FDA, it must be offered for sale in the United States. If it’s not going to be sold in the US, there’s no FDA evaluation anyway. In this context, even if a product does not get FDA approval just because it is not sold in the USA, it does not mean that it is unreliable. However, when we perform such a product-dependent surgery, we are also affected by the serene shadow of FDA approval and we try to choose silicone implants accordingly. In summary, while having breast augmentation aesthetics in our clinic, you will have this surgery with implants with extremely high safety standards and you will be given international guarantee documents with your name on it at the end of the surgery.

Is Breast Silicone Harmful to the Body?

The silicone base molecule is extremely inert. In other words, it is extremely stable in itself and does not easily change with external factors. This means that any biochemical reactions in the body will not affect the orientation of the silicone. Just because of this feature, silicone has been used in the pharmaceutical and cosmetic industry for a very long time. Silicone has taken its place in breast augmentation aesthetics since 1962.

What Should the Breast Size Be in Breast Aesthetics?

One of the most important issues regarding the breasts are their size. How big shall we make them. I told you a story above. I said that if a person has no breasts, she will not experience that period of change. Those women experience the emotions they failed to experience before breast augmentation surgery. They can hardly pronounce the actual expectation of the breast size. Ever since I discovered this, I have been making an extra effort to understand the true expectation of our patients in determining breast size. I am in favor of wearing the fullest looking prostheses that are proportionate to the patient’s height and shoulders, which do not merge in the middle, do not protrude into the armpit, and are suitable for her body.

Can I Breastfeed After Breast Augmentation Aesthetics?

Yes you can. Of course, breasts also serve to give milk, but firstly they are a sexual organ, and creating adequate satisfaction for this purpose is a priority. Do not let that scare you, you will not have any problems with breastfeeding. We remain behind the mammary glands and milk ducts of the breast in almost all of the described surgical procedures. In other words, your milk ducts are safe and your milk channels are not touched. You will be able to breastfeed after breast augmentation surgery.

Should my prosthesis be textured or smooth?

Is the surface of the implants used in breast augmentation surgery textured or smooth? As someone who has experienced both prosthesis groups for a long time, I prefer the textured ones. Although smooth-surfaced prostheses seem to have a slight advantage in terms of softness, there is a high probability of hardening of the breast called capsular contracture which causes the prosthesis to be perceived as rock-like in the long run. In addition, a smooth-surfaced implant is placed in the pocket that has been opened for the implant, there is a high risk that the prosthesis slips and moves inadvertently to unwanted places due to the lubricating effect of the blood in the breast pocket. The textured technology of textured implants must be high quality to ensure that it does not flow over the prosthesis and cause undesirable reactions by the body’s immune system. However, new implant groups with “microtextured” surfaces, which are neither smooth nor textured, have also been produced, but considering the clinical results, there is still a risk of displacement like with the smooth-surfaced implants.

Where should we place your prosthesis?

Let’s come to another question that I often encounter: from where should we place the prosthesis? It is possible to insert a monolithic silicone implant under the breast (submamarian), nipple (periareolar), under the armpit, under the abdominal tissue during a tummy tuck. There is another type of prosthesis that is inflatable, which can be inserted through the navel and inserted into the breast (they are implants that are inflated with saline). We have the experience to place your prosthesis from wherever you want. When we compare the pros and cons, my suggestion is that it is placed from under the breast. This involves advantages such as less pain, rapid wound healing, comfort, safety, nipple sensation preservation, etc. We can discuss this issue during the examination and decide together.

Should the Implant (Silicone prosthesis) be placed under or over the muscle in Breast Augmentation?

We decided from where to insert the prosthesis, so what plane will the prosthesis rest on? Should it be under the muscle or under the mammary gland (ie, above the muscle)? There are advocates for two separate planes for prosthetics, and both groups have their fair share of being right. There are advantages and disadvantages to both planes. If so, which one shall we choose? At the beginning of the 2000s, the idea of ​​placing an implant under the muscle membrane, called “subfascial”, made its way into our field of application. The aim was to stay away from the disadvantages while experiencing the advantages of under and above the muscle. We combined this information with the classic “dual plan”. In other words, we place the upper part of the prosthesis on a plane to cover most of it, and the lower part of the prosthesis to be covered by the muscle membrane. This way we benefit from the advantages of all planes. There is an exception to this in my practice. It is functionally more advantageous to place the prosthetic on the muscle of women who do extreme sports and bodybuilders. This group of patients use their pectoral muscles very actively and we do not want to disfigure the results of the breast surgery. In addition, the problem called “motion effect” is more common in these patients, even if a textured prosthesis is used, which is not a very pleasant sight.

Can people tell that I have a Prosthesis after Breast Augmentation Aesthetics?

I have mentioned many technical details about breast augmentation surgery above. I stated that we placed the prosthesis under the muscle and muscle fascia in the dual plane. This plan ensures that the prosthesis in your breast is not noticeable. Therefore, your breasts will always be perceived as natural.

What size will I be after breast augmentation surgery?

This is my favorite question that I get most often. The answer is usually not very impressive when first heard, because before we can speak the same language, we have to have a conversation about bra sizes. In this surgery, your breast will enlarge, yes, but neither the diameter of your chest wall nor the width of your skeleton will change. There is a concept called “Cup Size”. This is the dome volume of the breast. In bras, for example, “B” expressed as 85B is your “cup size” value, and with this surgery it grows, becomes C, becomes D. The 85 shows the circumference of your thoracic skeleton and is measured just under the breast, from where you did that pen test. If you don’t do this calculation, you will continue to see your body size differently depending on where you buy your bra. I always tell my patients this. I ask them to show me some full body pictures they like before surgery. Notice that I am not asking for a portrait photo with breasts. The important thing here is the proportion of the breasts you like to that body. The shoulder width, height and chest wall diameter of the woman in that picture are important. And whether the size of breasts you want is suitable for you. It is more important for me to understand which breast/body ratio you like rather than which cup size or how many cc prosthesis you want.

What awaits me after the surgery?

Your surgery will take approximately 30-40 minutes and will be performed under general anesthesia. You will wake up from the surgery with a tight dressing. I do not use drains in prosthetic augmentation. You will usually need to use an elastic band that wraps around the armpit like a girdle for about 2 weeks immediately after the surgery. Your stitches do not need to be removed, they dissolve on their own. You can swim in the sea 4 weeks after the operation. Pain is minimal in this surgery.

Will I need massage?

After the breast augmentation surgery, we will ask you to massage according to the shape of the prosthesis and the placement plan, to prevent the formation of capsules. In the past, we used to start these massages with our patients very early, but current information recommends massage a little later. The reason is that there is no silicone separation from the prosthesis, even in microscopic dimensions. These are updates on very unlikely possibilities.

Does the prosthesis fix sagging in small and sagging breasts?

Not always, unfortunately. Imagine the breast skin as an empty pouch. The prosthesis you will put in will stretch your skin a little, but remember that the prosthesis has a weight and gravity will pull the already loose breast down. In summary, you will have a double breast that is large due to the prosthesis but drooping due to excess skin and looseness. What’s the solution? It is to combine your breast augmentation process with the breast collection (mastopexy) procedure that is suitable for you. Of course, depending on the technique to be chosen, there will be an additional incision in your breast and an associated surgical scar. This incision is usually in the form of a single line extending from the colored part of the breast (areola) to the inframammary fold (vertical scar) and in the form of an inverse T in very saggy breasts. Of course, every incision will produce a scar. It doesn’t matter. The important thing is the quality of the scar and whether the breasts have achieved the desired beauty.

How long can Breast Silicone be used?

International law refuses to guarantee implants for more than ten years. That is why the fact sheet on the silicone prosthesis boxes gives us a ten-year warranty. However, in practice, it is possible to use these prostheses for a lifetime. A  quality prosthesis lasts for a lifetime. The only recommendation that the FDA of the USA has for patients who have been fitted with a breast prosthesis is that they should be checked once a year after the operation for fluid accumulation around the prosthesis. This is countable new information even for 2021. If fluid is detected, a sample should be taken for the cytology laboratory and it should be proven that no silicone-related pathology has occurred. The probability of this is 1/500.000.

 

What are Breast Augmentation Surgery Prices (Silicone Breast Augmentation Price) in Istanbul in 2021?

Since the prices of breast augmentation surgery is centered on a surgical consumable such as silicone / prosthesis, the pricing changes accordingly. If you remember the types of prosthesis we mentioned above, you will see that there are many types of prostheses. Despite this, there are two factories in the world that provide raw materials, namely silicone gel, for these prostheses. Therefore, in 2021, breast silicone prices and therefore breast augmentation aesthetic prices will be monopolized by these two companies and the American dollar. Of course, the patients receiving service should also add the experience coefficient of the doctor who will perform the surgery on top of the monetary policies of the companies that manage the world market. In our social life, fewer people see and criticize your breasts than your nose. Unfortunately, it is a common mistake to make a price-based choice in breast augmentation surgery just because of this evaluation. Instead of thinking about how much a breast augmentation surgery with silicone costs, you should think about how much you value this organ, which is the symbol of femininity…

What could be the worst scenario for me?

I do this surgery under general anesthesia. Risks related to surgery in general are valid such as anesthesia, infection, bleeding, and healing problems. Special problems related to silicone implants, capsule contracture, silicone leaks, although rare can occur. Loss of sensation in the nipple is rare and usually temporary. I can easily say that these complications are extremely unlikely. There are solutions if they occur. It is a pleasant surgery that puts you back into your social life very quickly during and after the operation.

 

Can I have my Breast Prosthesis Removed or Replaced Later?

You had a nice breast augmentation surgery, but if you later decide that you wish you had not had the augmentation, that you miss the former version of yourself then of course, it is possible. The scenario we see more often goes like this: Since patients are usually hesitant to express the size they want, they may later wish that they had chosen a larger size or that they were larger after the procedure. The prosthesis of such patients can be removed and replaced with a larger one. However, the patient needs to think things through carefully and not make hasty decisions. All you need to do is think about how this process can be more enjoyable, we plan everything else.

Will there be Any Sagging After a Breast Prosthesis is Inserted?

Newton said it, everything runs to gravity. Like the other organs in our body, the breasts will get their fair share. After all, the prosthesis also has a weight and is unfortunately not exempt from gravity. In the meantime, let’s mention here that a thin fibrotic tissue that will form around it after prosthesis surgery sticks both your breast and your prosthesis to the anterior chest wall, delays the sagging process. So what happens if sagging occurs later on? Of course, depending on the sagging rate, a recovery can be done with the same prosthesis. This should not make you conclude that a prosthesis accelerates the sagging process of your breasts. On the contrary, it slows it down. And the process we’re talking about is quite long. The use of a proper bra will also greatly support this process. So instead of hemming and hawing about sagging, just focus on the pleasure of your big breasts for now.

What is the Breast Augmentation Aesthetic Surgery Process like?

  • The initial stage is the decision-making stage. After the meeting in our clinic, we need to determine the date of surgery together. We facilitate your decision-making process by showing before and after images of patients who have had breast augmentation aesthetics and have agreed to showing their pictures.
  • We evaluate your previously liked body shots, preferably nude, if possible. This will show us which body/breast ratio you like. In fact, I tell my patients to show me the picture again in our meeting on the morning of the surgery.
  • Of course, breast augmentation surgery prices with silicone were updated in 2021 as well. Planning is created so that the material dimension of the subject is not carried over to the day of surgery.
  • As in every plastic surgery operation, it is an inevitable ritual for us to take photos before surgery.
  • After all the planning and speeches, we send you off to see you again on the morning of the surgery.
  • If there is no special situation, you will be admitted to the hospital early in the morning and some blood tests will be done and preparation for anesthesia will be carried out.
  • Then we take you to the operating room to perform our surgery, which will take approximately 30-45 minutes. At this stage, by giving you a sedative, the process will be more comfortable and enjoyable from your perspective.

What Should I Pay Attention to After Breast Augmentation Surgery?

  • When volume is added where none was available before, the tissues stretch a little, which creates a tense feeling mixed with some discomfort. The trick here is that the more you relax and do not strain yourself, the faster your healing process will take place and this uncomfortable feeling will disappear in a short time.
  • You will not need dressing as your incisions will be closed with a special tape after the operation that supports wound healing.
  • We will ask you to wear a special bra that we provide for two months.
  • You will use a flexible and elastic belt, which we call the chest band, for about two weeks.
  • After seeing you on the first day, the third day, the tenth day and the twenty-first day after the operation, I will continue to see you for certain periods, setting the interval according to your breast condition.
  • In the first 3 months, I do not want you to turn left and right and put pressure on the prosthesis while you sleep. The earliest time to sleep on your side is 3-4 months.
  • Keep your silicone implant identity and warranty documents, which we will give you after the surgery, for life.

 

Is Breast Augmentation a Risky Surgery?

The risks in breast augmentation surgery can be divided into general risks and special risks, as in all other surgeries. In general, the risk of wound healing problems, bleeding, infection, etc. experienced in other cases is also valid for breast augmentation surgery. In addition, there are rare case specific situations such as displacement, capsule formation and silicone leaks in silicone breast implants. Let’s talk about these risk issues before breast augmentation surgery and how we can solve them if and when they arise.

 

When Exactly Does Breast Augmentation Aesthetics Take Final form?

  • Any feeling of pain will largely be over during the first week after the operation.
  • You may find your breasts very hard and erect during the first month, the biggest factor in this is edema, but you will witness the breasts soften during the first two months.
  • Nipple numbness is not usual. Even if it occurs, it will pass within the first three months. In very rare cases, this period can be extended up to two years.
  • Be sure to come to your check-ups regularly.
  • In the past, breast massage was started immediately, but the FDA has stated in its published articles that it no longer recommends early massage. The reason, as I mentioned, is to maintain the integrity of the silicone implant.
  • As with any surgery, please keep in mind the most important health surgery rule: be positive, because positive people’s wounds heal much better..

The Last Words in Breast Augmentation Surgery …

The last thing I can say to you about breast augmentation surgery will not be about the nature or the technique of this surgery. My last words are about self-confidence and being a woman… We are talking about resurrecting an organ that has been deformed or never existed for various reasons in the one lifetime we have and kneading it with estrogen again. Your whole world can change in as little as half an hour. Half to your left, half to your right.

So let’s go big…