Full and perky breasts have been one of the most important elements of beauty in the female body for centuries. If the breasts are structurally small, there is volume loss and sagging in the breasts after excessive weight loss or breastfeeding, the person may experience some aesthetic and psychosocial problems.
Breast augmentation can be performed on all individuals over the age of 18 who experience these problems and have completed breast development. Breast augmentation surgery is a procedure that will increase self-confidence, allow you to wear the desired clothes and has a high aesthetic satisfaction rate.
Today, the most effective and accepted method for breast enlargement is silicone breast prosthesis surgery. These prostheses, which have been used since the second half of the 20th century, have undergone significant changes thanks to increasing technological developments. It has become possible to find prostheses that are more durable, can remain in the body for a lifetime, can maintain their shape or take shape with body movements, are lighter, and are suitable for every body.
Silicone breast prostheses consist of a hard outer shell and a gel structure inside. It is quite resistant to pressure and it is not possible to burst with blunt pressure. However, the outer shell can be opened after a stabbing injury. In this case, since the gel content has low fluidity, it will not spread completely and it will be appropriate to replace or remove the prosthesis as soon as possible.
Breast implants are available in many volumes and shapes. It is available in round, anatomical (drop) shaped or shaped according to the movement of the body. Additionally, its surface can be smooth or rough. The purpose of breast enlargement surgeries is not only to enlarge the breast but also to shape the breast. There are two basic points in choosing a prosthesis. The first is the rib cage measurements, existing breast volume, position of the breast on the chest and skin elasticity after the physician’s examination; The second is patient wishes and expectations. These two situations are carefully evaluated and the most suitable prosthesis is selected for the patient.

Before surgery, mammography and breast USG examinations should be performed in patients under 35 years of age. Mammography is recommended at earlier ages in patients with high risk. In some cases, advanced examination methods may be required.
The surgery is performed under general anesthesia under sterile conditions. It is a process that takes 1-1.5 hours. Although the incision can be made in the sub-breast fold, nipple or armpit, the most commonly used method today is the incision made in the sub-breast fold. The prosthesis can be placed under the breast tissue, under the muscle membrane, under the muscle or half muscle and half under the breast. It is best to decide the area where the prosthesis will be placed by pre-operative examination. If there is no or very little breast tissue and thin skin, it is placed in the submuscular plane. Apart from this, sub-breast and sub-membrane plans will be more suitable. The drains that will be placed during the surgery are removed after 12-24 hours and the patient is sent home on the same day or the next day.
Since the prosthesis is placed under the mammary glands in all cases, there is no obstacle to breastfeeding due to the prosthesis. However, after pregnancy and breastfeeding, breast sagging may occur and breast lift procedures may be required.
After the surgery, the patient returns to normal life in the first week. She is asked to wear a special corset bra or an unbalanced sports bra for approximately 3-4 weeks. It is not recommended to do heavy sports for 3 weeks. There is significant edema in the breast in the first 3 weeks. The breast begins to take its full shape after the 3rd month. USG/mammography is repeated at the end of the first year. Breast prosthesis can help early detection of possible masses in the breast.
In recent years, it has been revealed that there is a very low risk of developing a type of lymphoma within the naturally occurring capsule around silicone breast implants. This disease, called BREAST PROSTHESIS-ASSOCIATED ANAPLASTIC LARGE CELL LYMPHOMA (BIA-ALCL), is NOT a type of BREAST CANCER; It is a type of cancer arising from lymph cells, and it is a disease that occurs approximately 4-8 years after the prosthesis surgery, and manifests itself in the majority of patients with complaints such as SWELLING IN THE BREAST, USUALLY ON ONE SIDE, PAIN, AND RARELY, BREAST MASS, HARDNESS, ASYMMETRY AND Redness. It can be treated by completely removing the prosthesis and the surrounding capsule. In case of late diagnosis or advanced disease, chemotherapy and/or radiotherapy may be required. Although it is a treatable disease, it can result in death if neglected.
However, breast enlargement with fat injections has come to the fore in recent years. However, effective results can be obtained if it is applied to a certain group of patients in certain situations. It can be used to obtain a fuller décolleté area in the presence of sufficient breast tissue, to correct slight asymmetries in the breast, and to reduce the asymmetry and perceptibility of the prosthesis after the prosthesis. Its permanence is unpredictable and repeated applications may be required. It is also thought that it may cause diagnostic difficulties in breast diseases due to possible calcifications.
Apart from these, injections of high amounts of hyaluronic acid or water-based fillers can be used, but they are less effective, less permanent and relatively more costly.