BREAST AUGMENTATION
What is Breast Augmentation?
The breast is one of the most important organs that symbolize the gender of women. Developmental or subsequent size and shape disorders of the breast may adversely affect the psychosocial status of individuals. A sense of bodily deficiency can lead to self-confidence problems. we aim to harmonize the size and shape of the breast with the body contours, after breast augmentation surgery.
Breast augmentation goals
Breast augmentation surgery is performed to achieve a more balanced body contour and aesthetic appearance. By selecting implants that suit individual body proportions, we aim to achieve natural-looking results that are harmonious with the body structure. This operation is not just a physical change; for many, it means regaining self-confidence.
Who is a candidate for breast augmentation surgery?
Suitable candidate
Having small breast tissue due to developmental reasons,
Breast volume decreases after childbirth and breastfeeding.
For those who are dissatisfied with their breast size and want a fuller appearance,
Having a difference in size between the two breasts,
Breast tissue reduction due to extreme weight loss;
Over 18 years old
Have realistic expectations
It can be applied to individuals who are aware of the surgery and recovery process.
Breast augmentation may not be possible or may be postponed.
If pregnant or breastfeeding, it can be done 6 months after breastfeeding ends.
Those with conditions that increase the risk of surgery, such as uncontrolled diabetes, serious heart or lung disease, and clotting disorders.
Those with active infections
Those suspected of having breast cancer/those undergoing investigation
Heavy smoking negatively affects recovery.
Having unrealistic expectations
Are you a suitable candidate for breast augmentation?
Please share your questions about suitable treatment options, your goals, and your concerns with us.
Factors influencing the decision to undergo breast augmentation surgery.
The patient's physical and psychological readiness for surgery positively impacts recovery. Pregnancy plans, weight, and smoking habits should be thoroughly evaluated, and any suspicious breast lumps should be treated first.
Being decisive, confident, and realistic.
How much does the shape and size of your breasts bother you?
What kind of change do you really want?
Do your physical characteristics meet your expectations? Discuss these questions openly with your doctor during your initial consultation.
Pregnancy plan
The implant does not interfere with breastfeeding.
Breast shape can change if pregnancy occurs shortly after birth.
You should clearly share your plans so we can make decisions together.
Weight change
If you are on an active weight management program, surgery may be planned when you approach your ideal weight, or even after you have remained at your ideal weight for a while.
Benign cysts in the breast
Benign breast lumps detected during monitoring or pre-operative examinations do not preclude surgery. Post-operative follow-up can continue with ultrasound or mammography.
Cigarette
Cigarette:
It can increase complications related to anesthesia.
delays wound healing
Smoking increases the likelihood of developing a foreign body reaction to the implant. To reduce the risks to your overall health during and after breast augmentation surgery, avoid smoking.
Breast Augmentation Methods
Different breast augmentation methods can be chosen depending on the individual's anatomical structure, expectations, and skin characteristics. The most common and long-lasting method is breast augmentation with silicone implants.
Breast Augmentation with Silicone Implants
The most common and permanent method for breast augmentation is silicone implants. Today, FDA-approved implants are medical materials compatible with body tissues.
Silicone implants:
It retains its form for many years.
It provides a natural consistency similar to breast tissue.
With various shape (round, teardrop) and height options, it offers personalized planning possibilities.
Enlargement with Fat Injection
In this method, fat tissue taken from the person's own body (usually from the abdomen, waist, or thigh area) is processed using special techniques and then injected into the breast.
● Silicone implant ● Fat injection ● Fillers
Currently, the most effective method for breast augmentation is breast implants, which increase breast volume.
💡💡In suitable individuals, it can be applied in combination with silicone implants to reduce the visibility of implant edges.
Breast Augmentation with Fillers
Augmentation with specially manufactured fillers (Aquafiling)
It is performed quickly under local anesthesia.
The healing process takes a few days, and there will be no scarring.
It is temporary and reversible (average duration of effect 12–18 months).
It can be used for patients who want a small increase in volume or who are not suitable for surgery.
However, they are not preferred much due to side effects, limited magnification, and temporary effects.
New Techniques in Breast Augmentation Surgery
Mia® Technique: (Minimally Invasive Aesthetic)
The procedure is performed by inserting the implant under the breast tissue through a small incision using a specially designed syringe. Diamond Shape SmoothSilk® Ergonomix2® implants can be used for sizes up to 195 cc.
Preservation Technique
This technique, developed by Motiva®, a company that manufactures implants, aims for minimal tissue damage. Using special devices produced by the company, the implant can be placed under the breast tissue through an incision beneath the breast.
📌Both techniques aim to minimize tissue damage and promote rapid healing, and are currently under development. With appropriate patient selection, achieving the desired outcome is possible. However, they may not be suitable for every patient.
Please share your questions about suitable treatment options, your goals, and your concerns with us.
Initial Consultation Before Breast Augmentation Surgery
For patients who apply to our clinic for breast augmentation and if no issues are found regarding suitability for surgery, the details of the surgery are planned after evaluating the examination findings and expectations.
Measurements and imaging
During the examination:
breast size
consistency of breast tissue,
breast diameter,
skin elasticity and thickness,
presence of chest deformity,
Asymmetries are evaluated.
Before surgery, breast examination is performed using imaging techniques such as ultrasound and/or mammography. Blood tests and an assessment by an anesthesiologist are also planned for anesthesia.
Surgical Plan
Based on the data obtained, the surgical plan is created. Details such as the technique and implant to be used, and the incision site are determined. It is decided whether additional procedures such as breast lift or contouring with fat injection are necessary. Detailed information is provided regarding the surgical process, recovery period, and risks. Blood tests are performed for anesthesia, and an assessment by the anesthesiologist is planned.
Implant Selection
İmplant based on content
silicone gel
Serum (saline) filled
Implants based on surface characteristics.
Flat surface
Rough surface
Nowadays, silicone gel-filled implants are more commonly preferred. The shape and height of the implant are determined according to the individual's anatomical features and expectations. While implants with smooth surfaces have poor adhesion to the tissue, textured surfaces may pose a risk, albeit a small one.
Because they maintain their shape for a long time and have a structure more similar to breast tissue, silicone gel implants are used in breast augmentation today.
Textured-surface implants are preferred due to their better adhesion to tissue. However, some studies have shown that, very rarely, they may trigger breast implant-associated lymphoma (ALCL) . Smooth-surface implants have lower adhesion to tissue, so displacement and shape changes may occur.
💡💡Some companies manufacture silicone implants coated with polyurethane to reduce the risk of side effects; polyurethane implants may be preferred in suitable cases.
Implants based on their shapes
Round
Drop
Implants based on the projection
Low profile
Medium profile
High profile
Extra high profile
Round implants provide better fullness in the upper pole of the breast and accentuate the décolleté area. Teardrop implants, on the other hand, provide a smoother transition in the upper pole while increasing breast volume more in the lower part.
Projection in breast implants In other words, protrusion or height refers to the distance from the highest point to the base. The height of the implant is determined according to the individual's anatomical structure, skin elasticity, and expectations. In individuals with very little breast tissue and/or a narrow chest diameter, extra-high implants can provide better volume.
MEME BÜYÜTME AMELİYATLARI - Op.Dr.Nurgül ALTUNTAŞ
ARE IMPLANT USED IN BREAST AUGMENTATION DANGEROUS?
Implant used in breast aesthetics are selected from FDA-approved brands that have been tested for biocompatibility. No relationship was found between breast implant and breast cancer. Breast implant can remain in the body for a lifetime, but it should be noted that secondary surgery may be required if visual discomfort occurs due to aging and weight changes.
How to choose the implant size (cc) for breast augmentation?
Criteria considered when determining implant size.
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Breast base width
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Chest circumference, distance between nipple and inframammary fold.
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Amount of breast tissue
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Skin thickness and elasticity
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The person's expectation
The width of the breast base is a measurement that directly affects the diameter of the implant to be used.
If the person has thick skin and/or sufficient breast tissue, placement under the breast tissue may be preferred.
For placements beneath the breast tissue, teardrop-shaped implants are considered if a more natural look is desired, while round implants are considered if a high increase in volume is expected.
For placements under the breast tissue, medium plus and high profiles are preferred. For placements under the muscle, extra high profiles provide a satisfactory volume effect.
The goal is a natural look that is proportionate to the body.
The "cc" quantity of the implant in the catalog is checked for the specified diameter, shape, and height. Patients want to discuss implants in terms of "cc" during the initial consultation, but implants with the same cc can have very different shapes, or the same implant may not look the same on everyone due to skin structure.
The key is to create a balanced, healthy breast structure that is in harmony with the individual's body measurements and meets their expectations, through personalized planning.
" The right size" is the size that suits your body type. If implant selection is done according to breast width and tissue boundaries, the result looks more natural, the person feels more comfortable, and there are generally fewer long-term problems.
What incisions are used in breast augmentation?
Incisions used in breast augmentation
Inframammarian incision: This is the most commonly used incision today.
Nipple incision (periareolar incision): Preferred in suitable cases.
Axillary (transaxillary) incision: rarely preferred.
Navel (transumbilical incision): no longer used
Inframammary incision
Inframammary incision:
This is the most commonly used incision today.
It is planned to be hidden in the inframammary fold.
It provides a more comfortable field of vision.
No intervention is needed on the breast tissue.
The incision is not noticeable when standing, but it may be visible when lying down.
The risk of breastfeeding being affected and loss of sensation is minimal.
Nipple (periareolar incision)
Nipple incision:
It is planned in a crescent shape on the colored part of the nipple.
It can be preferred in some breast deformities.
It can be used as an alternative to an inframammary incision in suitable cases.
Reaching the back of the breast requires making an incision in the breast tissue as well.
The scar is usually camouflaged within the colored areola (nipple).
Sometimes it can be noticed from a distance while standing.
🗞️For details on which incision is preferred and when in breast augmentation, see "INCISIONS USED IN BREAST AUGMENTATION". You can read our article.
How is implant placement determined in breast augmentation?
Breast Augmentation Implants Can be placed
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under the breast tissue (subglandular)
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Under the muscle fascia (subfascial)
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Under the muscle (submuscular)
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In a dual plan (under the muscle and under the breast tissue).
Subglandular
Subfascial (below the muscle membrane)
Indication
If there is sufficient skin thickness (>1.5-2 cm)
If the amount of breast tissue is sufficient
❋ If the submuscular layer is applied, an additional 2-3 mm of tissue coverage is provided.
Features
It provides a noticeable fullness.
People with thin skin are at risk of rippling and visible edges.
Round implants can give an artificial appearance in the upper pole.
Recovery is rapid, pain is relatively minimal.
For some individuals, droplet implants may be preferred in this plan.
If used in unsuitable individuals due to the relatively small amount of tissue coverage, the likelihood of late-term complications may increase.
Dual plan (Submuscular modification)
Indication
People who are thin and have thin skin,
Those expecting a smoother transition and natural slope at the upper pole
❋ In a dual-plane system, the implant is placed under the muscle at the upper pole and under the breast tissue at the lower pole.
Features
Natural appearance on some bodies
Positioned according to anatomical structure.
Muscles may feel tense, and pain may occur.
Round implants may provide better results.
It provides a multifaceted approach.
Extra-high profiles may be necessary for individuals with tough skin.
Better tissue coverage means that late complications are less likely.
🔸 How long does the pain last after breast augmentation?
Pain may be more pronounced in the first few days, generally subsiding within 7-10 days. There may be a feeling of tension and pressure. Pain may be felt more intensely in submuscularly located areas.
🔸When do breast augmentation results "set"?
As the swelling subsides and the tissues soften, the appearance will change within weeks. The final appearance usually becomes clearer within an average of 6 months.
🔸Will breast implants completely resolve asymmetry?
Natural asymmetry is common in humans. Significant differences can be reduced with surgery; however, "complete symmetry" is not always possible.
What happens on the day of breast augmentation surgery?
Stages of Surgery
While details may vary from person to person, the stages of breast augmentation are similar;
incision site and pocket creation
implant placement
insertion of a drain and repair of the incision
Anesthesia and post-operative care
It is performed under general anesthesia.
It takes 1-2 hours on average.
Dressing and medical bra at the end of the surgery.
You will be allowed to drink water and eat food a few hours after the surgery.
Generally, an overnight hospital stay and monitoring are required.
Anesthesia evaluation a few days ago.
Be at the hospital at the specified time.
Necessary preparations and markings, and transfer to the operating room.
Breast Augmentation Surgery Recovery Guide
First day
A medical bra is fitted at the end of the surgery.
Nausea and vomiting due to anesthesia
Feeling of tension and pressure when breathing.
Checking drains and monitoring bleeding.
Generally, hospitalization on the first day
Suggestions
Pain medication for pain control.
Short walks promote circulation.
Lying position is semi-sitting.
Days 2-3
A feeling of tension and pressure.
Swelling and pain
Weakness and fatigue
Changes in sleep patterns
Strain in the arms (in submuscular cases)
Suggestions
Lying position: semi-sitting
You should take your medication regularly.
Short walks promote circulation.
You should avoid lifting heavy objects and sudden arm movements.
4-7 days
Swelling and tension persist.
Pain and tenderness decrease.
It is easier to move around.
The feeling of tiredness begins to subside.
Implants may appear high and feel firm.
Suggestions
Lying position: semi-sitting
You can turn left and right carefully.
You should continue with light walks.
As the swelling decreases, the shape of the breasts will become more defined.
You can drive when you feel well enough.
2-4th week
Daily life comfort increases.
Edema and tension decrease significantly.
The strain on arm movements is reduced.
A return-to-work plan is made.
Suggestions
Walking is allowed as long as it's not at a high pace.
You can turn left and right easily.
Continue to avoid heavy lifting.
Continue with the medical bra.
Apply scar treatments.
2-6 months
The swelling will decrease significantly.
Breast shape and size begin to become apparent.
The breast begins to soften.
You may experience sensitivity during your period.
Suggestions
You can gradually start with low-intensity exercises.
Sports bras should be worn while exercising.
Careful return to sexual activity.
You can go swimming in the pool or the sea after 6-8 weeks.
>6 months
Generally, recovery is complete in around 6 months.
The breast softens
More natural look
The breast shape is determined.
Suggestions
You can return to your normal life.
All activities are allowed.
Scar treatments continue until the 6th month.
Regular checks every year.
Don't forget that you are carrying a foreign object in your body.
Factors affecting the recovery period:
Incision site and implant placement: With dual-plane/submuscular placement, tension and pain may subside a few days later.
Smoking: delays healing.
Breast tissue thickness and elasticity: Individuals with thicker tissue may experience greater tension.
Compliance with regular inspection and maintenance recommendations.
Presence of chronic disease or medication use
Daily work and activity intensity
💡The stated timeframes are general ranges; the recovery process may not progress the same way for everyone. Therefore, returning to daily routine and exercise should be considered individually for each patient.
In what situations should you contact your doctor immediately?
High fever
Rapidly increasing swelling or hardness in one breast
Increased redness, increased temperature, foul-smelling discharge.
Severe and progressively worsening pain
If you experience symptoms such as shortness of breath or palpitations, be sure to contact your doctor.
▪️Sensory changes
Risks of Breast Augmentation Surgery
Like all surgeries, breast augmentation surgery carries risks. A personalized risk assessment is necessary, taking into account body type, overall health, habits, and genetic factors.
⚠️ General risks of surgery and anesthesia
Bleeding, hematoma : a large accumulation of blood in the surgical area after surgery, sometimes requiring emergency drainage.
Infection : Antibiotic treatment is given; in severe infections, removal of the implant may be necessary.
Seroma: Fluid accumulation in the implant pocket; can be monitored, but treatment is required in advanced cases.
Complications related to anesthesia (allergy to anesthetic drugs, nausea, vomiting)
Delayed healing, failure of the wound to close.
Blood clot/embolism: a very rare but risky condition.
‼️ Risks specific to breast augmentation with implants
▪️Capsule contracture:
A 2-3 mm thick sac of moderately firm connective tissue forms around each implant. This tissue surrounding the implant, which we call the capsule, hardens;
pain,
breast lump,
It can cause deformities.
Depending on the degree of capsule contracture, different treatments may be applied. In advanced cases;
cleaning the capsule
implant replacement
The implant may need to be completely removed.
▪️Implant rupture
This is not a common occurrence with silicone gel implants.
The integrity of the implant can be compromised if it is injured by a sharp object.
Very rarely, the activation of certain factors in the body can lead to implant deterioration, in which case the implant needs to be replaced.
▪️Deformities
Rippling: Especially in individuals with thin skin, if implant placement is above the muscle, a rippling appearance may occur, or the edges of the implant may be palpable. The implant can be repositioned to a deeper plane, or fat injections can be used.
Implant displacement: Every implant shifts downwards to some extent due to gravity. However, especially when using flat-surfaced implants, and if the implant pocket is opened wide, bothersome displacements can occur.
Asymmetry: Everyone has minor asymmetries between the breasts and rib cage. Surgery aims to minimize these asymmetries. If significant asymmetry emerges after surgery, it needs to be corrected.
Numbness, decreased sensation, or increased sensitivity in the nipple or skin. Sensory changes are usually temporary and very rarely permanent.
▪️Animation deformity
In some cases of submuscular implant placement, the implant may move along with the muscle. If this movement is very noticeable and bothersome, correction is planned.
▪️Traces and dissatisfaction
The size/shape may not meet expectations; revisions may be needed.
🛑 Rare occurrences
• ALCL (BIA-ALCL): This is a rare type of lymphoma, particularly associated with certain textured implants. In the late stages, it may manifest as swelling and fluid accumulation in one breast. Complete removal of the implant is necessary. It should be noted that chemotherapeutic drugs may be required as additional treatment.
• BII (Breast Implant Illness): This condition may be associated with systemic complaints such as fatigue and joint pain. There is no definitive diagnostic test, and some individuals report improvement after implant removal.
Breast Augmentation Surgery Frequently Asked Questions
🔸Is a teardrop shape or a round shape better?
The key is selecting the right patient. The choice is made based on the desired natural look, upper fullness, amount of breast tissue, and need for symmetry. Personalized planning increases the likelihood of a good outcome.
🔸Should breast implants be placed under or above the muscle?
Submuscular/dual plane and supramuscular options are determined based on tissue thickness, breast structure, and target size. The technique that provides the best tissue support to achieve a natural look is applied according to the individual's characteristics.
🔸When can I return to work after breast augmentation surgery?
Most people can return to desk jobs within 5–10 days. The recovery period is generally longer for heavy lifting and intense sports, and planning will depend on the progress of the recovery process.
🔸Will I be able to hold my child after breast augmentation surgery?
Lifting heavy objects can be risky after breast augmentation; your child might come out of your arms.
You can hug your child, but lifting your child directly with your arms might cause pain in the first few weeks.
🔸Does breast augmentation make cancer screening more difficult?
Follow-up is possible with ultrasound (USG). When implants are present, the mammography technique is adjusted, so if a mammogram is planned, the person undergoing the exam should be informed about the presence of implants in advance.
🔸Breast Augmentation Does it affect breastfeeding?
Breast enlargement does not prevent breastfeeding, but since breastfeeding is a function affected by many factors, it is not accurate to give a complete guarantee.
🔸Breast Augmentation When can we resume our sex life?
Sexual activity can be resumed 4-6 weeks after surgery. It is necessary to avoid activities that put pressure on the breast area.
🔸 Is breast massage necessary afterwards?
No pressure massage is needed on the breast. To help the skin swelling subside more quickly, a gentle massage with St. John's wort or baby oil can be applied.
🔸 Is it risky?
Plastic and aesthetic surgeons can achieve natural results that are harmonious with body contours with proper planning. As with any surgery, breast augmentation carries some general risks. There may also be a foreign body reaction to the implants.
Breast Augmentation Prices :2026
🍀 To determine if you are a suitable candidate for breast augmentation surgery and to receive pricing information, you must first have an examination.
Factors affecting prices
The current prices for breast augmentation surgery are a frequently asked question for those considering the procedure. However, breast augmentation surgery prices vary depending on the procedure, materials used, the conditions of the hospital where the surgery will be performed, the need for additional procedures, and the surgeon's experience. Therefore, you should first have an examination to assess whether you are a suitable candidate for breast augmentation surgery and to receive pricing information. This content is for informational purposes only. If you are considering breast augmentation surgery in Izmit, it is recommended that you schedule an appointment and consult with a specialist for a detailed evaluation, personalized planning, and risk assessment.
Examination and personalized planning.
🌿This content is for informational purposes only. If you are considering breast augmentation surgery in Izmit , it is recommended that you schedule an appointment and consult with a specialist for a detailed evaluation, personalized planning, and risk assessment.