Breasts are structures that complete the physique of the woman’s body appearance. Breast volume has an important place in the measurements of shoulder width, chest circumference, waist and hip circumference. When the breast volume is small within these measurements, the body contour view remains incomplete. Breasts may be small due to different structural reasons.
One may be smaller than the other, asymmetrical. Congenitally there may not be one at all. Silicone prostheses (implants) are the most valid method today to make both breasts equal or increase their volume. Breast augmentation surgeries have been tried with the person’s own tissues, but have yielded limited results. For example, partial enlargement of the breasts can be achieved by taking fat tissue from the person. However, fat filling is not a completely permanent method. The main ingredient in breast prostheses is the silicone on the outer surface of the prosthesis. The filler in it may be different. Each prosthesis has its own advantages and disadvantages. These should be discussed in detail before the surgery and it should be decided together which one to use.
What is Silicone Breast Prosthesis (Implant)?
Silicone-containing products are also used for other purposes in the cosmetic industry and medicine. Breast prostheses are balloon-like structures prepared in the shape of a breast. There are round and drop-shaped ones called anatomical. One of them is chosen according to the situation in the woman’s breast. The balloon part is made of silicone; The surface of the prosthesis is produced as rough in order to adapt to the tissues in the body. There may be a difference in the materials filling the balloon. Breast prostheses used today can be named as:
a. Inside the balloon, the outer surface of which is silicone, there is also a gel of silicone origin. These are produced ready-to-use in various sizes. In the USA, it was again approved by the FDA (Food and Drug Administration) in November 2006.
b. The inside of the silicone balloon is empty. Gel-filled: Filled with saline-filled (Saline-filled): During the operation, it is filled with saline, popularly known as saline, until the desired volume is obtained. Recently, it has been reported that ready-to-use ones have been manufactured.
c. PVP: Likewise, the inside of the silicone balloon is filled with a chemical substance called PVP (polyvinyl pyrrolidone povidone). It is in gel form and ready to use. It has been reported to be withdrawn from the market by the manufacturer company.d. Soybean Oil: These are ready-to-use prostheses filled with soybean oil inside a silicone balloon. The usage area is still new. There is not much information about the remote results.
What You Need to Know Before Surgery
If the patient to whom the prosthesis will be placed is over 40 years old, radiological examinations called mammography and, if necessary, ultrasonography are performed before the operation. Every surgery has general or specific risks. Edema and pain in the breast area are the postoperative complaints. Bleeding and infection due to surgery are rare conditions. Some patients complain of increased or decreased sensitivity in the nipples or numbness around the incision after surgery. This is usually temporary. However, none of this has been scientifically proven.
In breast augmentation surgery, there may be problems with the prosthesis, since the enlargement of the breast can be achieved with a foreign substance for the body. There may be hardening and narrowing due to the development of a membrane called a capsule around the prosthesis. The thin membrane does not cause any problems. In case of a medium-thickness membrane, a slight hardness in the breasts and a distinctiveness at the base of the breast can be noticed. In rare cases, the body may not accept this foreign substance, it tries to form a thick membrane (capsule) around the prosthesis, compress it and sometimes try to throw it out of the body.
In case of thick capsule formation, hardness and sometimes asymmetry can be seen in the breasts. In case of mild and medium capsular contracture, external massage and additional surgeries can be done to remove the capsule around the prosthesis. Normal and moderate massages do not hurt. The person can lie face down 2 months after the surgery. Occasionally, leakage of the prosthesis contents out of the balloon can be seen. If a gel-filled prosthesis is used, these substances leaking into the tissue spaces may cause mass formation. It is not yet known how soybean oil works.
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If a prosthesis filled with serum is used, the saline filled in the prosthesis may leak out of the prosthesis, into the tissue spaces, in this case the leaked serum is quickly absorbed by the tissues without causing any harm to the body. In fact, this substance, which can be given intravenously and used for other treatment purposes, has no harm. Prosthesis rupture is a rare condition. Mammography and surgical examination to be performed later on breasts with prosthesis do not pose a problem. The prosthesis is seen as a gap in mammography. The risk of developing cancer does not increase in a breast with a silicone breast prosthesis, it is the same as normal breast tissue.
When such a situation occurs, surgery and other forms of treatment for cancer in the breast with prosthesis are also applied in accordance with the standards. Before deciding on breast augmentation surgery, you should clearly tell your doctor about your defect that bothers you and your expectation from the surgery, the prosthesis to be selected, the cut from which the prosthesis will be placed, the type of anesthesia, the early and You need to discuss the late results.
Operation Process
The operation is performed under general anesthesia in the operating room under hospital conditions. It takes 1-2 hours. A 4-5 cm scar is opened for the prosthesis to be placed. This permission overlay can be one of the following:
- Submammarian folds
- The lower part of the breast head (Circumareolar)
- Armpit (alcils).
- Recently, prosthesis can be placed endoscopically by entering around the navel. However, this method has not yet been widely accepted.
- Wherever the entrance is, a trace will be left.
- These are marks that are obvious at first, but become vague over time.
- Depending on the patient’s breast structure, the prosthesis can be placed behind the breast tissue or behind the pectoral muscle.
- Each application has its advantages and disadvantages, and this detail should be evaluated before the operation.
After Operation
- The patient is discharged on the same day.
- Swelling and bruising may occur on the forehead and around the eyes.
- It is usually kept with a head wrap for 2-4 days.
- After about 1 week, the sutures are removed, and after an average of 2 weeks, the patient regains their former comfort, can put on make-up and go to work.
- Although it varies from person to person, the effect of surgery may continue for 5 years and sometimes for life.