What is Breast Augmentation Surgery and How Is It Performed?

What is breast augmentation surgery? How is it done? Who can have breast augmentation surgery? Are there any side effects and risks? What are the prices? You can find the answers to all these questions and much more below.

What is breast augmentation surgery?

Breast augmentation surgery is the reshaping of the breast with a surgical procedure to enlarge it. Breast augmentation surgery; It is also called breast augmentation surgery, breast augmentation surgery, breast augmentation aesthetics and mammoplasty . Breast implants are used to increase breast size in breast augmentation surgery. Most people resort to breast augmentation surgery for cosmetic or aesthetic reasons. Your doctor may also recommend a breast reconstruction procedure after breast surgery.

Breast augmentation surgery is a common but major surgery with significant risks and potential complications. Despite major surgery, you may have no choice but to have surgery to improve breast size or shape. You may still want to consider getting a second opinion on all your treatment options before having augmentation surgery.

Types of breast augmentation surgery

Types of breast augmentation surgery procedures include:

  • Lower breast surgery involves making an incision in the natural crease in the lower part of your breast. Your surgeon will insert the implant through this opening. You will likely have a scar on the lower side of your chest that will not be visible from the outside.
  • Periareolar surgery involves making an incision around the dark area surrounding the nipple. Your surgeon will insert the implant through this opening. This technique can cause an inability to breastfeed or a loss of nipple sensation.
  • The transaxillary approach is a minimally invasive procedure, meaning it’s a minor surgery. Your surgeon will make a small incision in your armpit and insert the implant through the hole.
  • The transumbilical approach is a newer, minimally invasive technique, meaning this is also a type of minor surgery. Your surgeon will make an incision near your belly button and push the implant up to your chest. It will then fill the implant.

Types of breast implants

Types of breast implants include:

  • Saline implants are filled with sterile saline. If this type of implant leaks, it will collapse. But it is not dangerous, your body will absorb the salt water and eliminate it.
  • Silicone implants are filled with a gel that looks more like natural breast tissue. If this type of implant leaks, it may not collapse. This may require regular follow-up visits with ultrasound imaging to confirm the condition and function of the implants.

Other actions that can be taken

Your doctor may perform other procedures in addition to breast augmentation surgery. The most common combination is a procedure called breast lift (mastopexy) surgery or breast lift aesthetics . Breast lift is a procedure to lift saggy or loose breasts or to make them look bigger.

Why is breast augmentation surgery performed?

If you want larger or smoother breasts for aesthetic reasons, your doctor may recommend breast augmentation surgery. This surgery can also be used to reconstruct the breasts after breast surgeries such as mastectomy . Not everyone is a good candidate for breast augmentation surgery. Ask your doctor about all your other options and be sure to get a second opinion before deciding on breast augmentation surgery.

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Your doctor may recommend breast augmentation surgery for you if:

  • If the size or shape of one breast is different from the other
  • If one or both breasts have not developed normally
  • If you are bothered by the feeling that your breasts are too small
  • If you are not satisfied with the size, shape or firmness of your breasts as a result of weight loss, pregnancy or aging
  • If your breasts are extremely small

Who does breast augmentation surgery?

A plastic surgeon or a plastic surgeon performs breast augmentation surgery. These physicians are experts in plastic, aesthetic and reconstructive surgery. While each of these areas is different, a plastic surgeon performs some of the surgeries that a plastic surgeon does, including breast augmentation, but it should be noted that the education and training of surgeons is also different.

How is breast augmentation surgery done?

Your breast augmentation surgery will be performed in a hospital or outpatient surgery center.

Surgical approaches to breast augmentation surgery

Breast augmentation surgery is performed using one of the following approaches:

  • Minimally invasive surgery involves inserting special instruments and an endoscope through small cuts in your armpit or near your belly button. The endoscope is a thin, lighted instrument with a small camera. The camera sends pictures of the inside of your body to a video screen viewed by your surgeon during surgery. Minimally invasive surgery usually involves faster recovery and less pain than open surgery. This is because it causes less contact with tissues and organs.
  • Open surgery involves making a larger incision under your breast or around your nipple. Open surgery allows your doctor to view and access the surgical area directly. Open surgery usually involves a longer recovery and more pain than minimally invasive surgery. Open surgery requires a larger incision, more cutting and displacement of muscle and other tissues than minimally invasive surgery.

Your surgeon will advise you which procedure is best for you and how long you need to stay in hospital, based on your diagnosis, age, medical history, general health and possibly personal preferences. You can learn about different breast augmentation procedures and ask why your surgeon would use a particular type for you.

Types of anesthesia that can be used

Your surgeon will perform breast augmentation using general anesthesia or regional anesthesia, depending on the specific procedure.

  • General anesthesia is a combination of intravenous drugs and gases that puts you into a deep sleep. This means you will be unaware of the surgery and will not feel any pain. In addition to general anesthesia, you may receive a peripheral nerve block infusion. This anesthetic flows through a small tube placed near your surgical site to control pain during and after surgery.
  • Regional anesthesia is also known as nerve block. It involves injecting an anesthetic around certain nerves to numb a large area of ​​the body. You will likely receive sedation with regional anesthetic to keep you relaxed and comfortable.

What awaits you on the day of your breast augmentation surgery?

On the day of your surgery, you can usually expect:

  1. Before the surgery, the nurse will do an examination and make sure that all necessary tests are done. The nurse will also answer your questions and make sure you understand and sign the surgical consent form.
  2. It’s a good idea to leave all jewelry and valuables at home or with family members. Your care team will give you blankets for warmth.
  3. Your medical history will be evaluated and it will be decided which anesthesiology is right for you.
  4. An anesthesiologist will then begin to perform the anesthesia procedure.
  5. A tube may be placed in your windpipe to protect and control breathing during general anesthesia. But don’t worry, you won’t feel and remember this or the surgery.
  6. The surgical team will monitor your vital signs and other critical body functions. This happens throughout the procedure and throughout your recovery until you wake up, breathe effectively, and your vital signs are stable.
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What are the risks and possible complications of breast augmentation surgery?

As with all surgeries, breast augmentation surgery carries risks and potential complications. In some cases, complications can become serious and life-threatening. Complications can also develop during surgery or recovery.

General risks of the surgery

General risks of surgery include:

  • Anesthesia reaction such as allergic reaction and breathing problems
  • Bleeding that can lead to shock
  • blood clots, such as deep vein thrombosis
  • Infection

Possible complications of breast augmentation surgery

Complications of breast augmentation surgery include:

  • Your body normally forms a capsule of scar tissue around the implant. This capsule may become abnormally tight, thick, or large, causing shape changes, hardening, or pain.
  • Breast appearance may change due to possible future pregnancy, weight loss or menopause.
  • There may be a change in nipple or breast sensation, which may be permanent.
  • There may be difficulties while breastfeeding.
  • There may be more difficulty reading mammograms and finding breast masses by manual examination.
  • There may be a need for implant replacement surgery. Because the implant may not last a lifetime.
  • Fluctuation of the implant, which may be visible, may occur.
  • The implant may rupture and leak into your body.
  • Permanent scarring may occur.
  • Irregular breast positions may occur.

Reducing your risk of complications

You can reduce the risk of certain complications by following your treatment plan and practicing the following:

  • Adhere to recommended activity, diet, and lifestyle restrictions before surgery and during recovery
  • Report any concerns you have such as bleeding, fever, increased pain, or redness, swelling or discharge from the wound to your doctor immediately.
  • Inform your doctor or radiologist if you are breast-feeding or may become pregnant (it is also important to tell your doctor if you plan to become pregnant, breast-feed or lose weight in the future)
  • taking your medications exactly as directed
  • Let your doctor know if you have any allergies
  • Wearing a post-operative support bra as directed by your doctor

How should I prepare for breast augmentation surgery?

Keep in mind that you are an important member of your own healthcare team. The steps you take before surgery can improve your comfort and outcome.

You can prepare for breast augmentation surgery as follows:

  • Answering all questions about your medical history and medications: This includes prescription and over-the-counter medications, herbal treatments, and vitamins. It’s a good idea to always carry an up-to-date list of your medical conditions, medications, and allergies with you.
  • Taking pre-operative tests according to the instructions: The test will vary depending on your age, health, and specific procedure. Pre-operative tests may include a breast exam, mammograms, chest X-ray , blood tests, and other tests as needed.
  • Getting rid of excess weight before surgery with a healthy diet and exercise plan: Getting healthy eating habits and losing weight will contribute to you before and after the surgery.
  • Not eating or drinking before the surgery as stated: If you eat or drink too close to the start of the surgery, your surgery may be canceled as you may block your stomach during anesthesia.
  • Quitting smoking as soon as possible: Even quitting for just a few days can be beneficial and aid the healing process.
  • Taking or stopping medications exactly as directed: Your doctor will likely ask you not to take aspirin , ibuprofen , and any blood-thinning medication.

Questions to ask your doctor

Facing surgery can be stressful. It is common for patients to forget some questions during their doctor’s visit. You can think of other questions after your appointment. It is important to contact your doctor with any concerns and questions before surgery and between appointments.

It’s also a good idea to bring a list of questions to your appointments. Possible questions could include:

  • Am I a good candidate for breast augmentation surgery? Are there any other options for me?
  • What type of breast augmentation surgery will I have?
  • What results can I expect?
  • What options do I have if I am not satisfied with the results?
  • What other implant-related surgery should I expect in my lifetime?
  • What should I expect if I remove the implants?
  • How long will the surgery take? When will I go home?
  • What restrictions will I have after the surgery? When can I return to work and other activities?
  • What kind of help will I need at home?
  • How do I care for the cuts? When can I take a bath or shower?
  • How should I take my medication?
  • How will you treat my pain?
  • How should I contact you?
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What can I expect after my breast augmentation surgery?

Knowing what to expect can help you make your recovery path as smooth as possible after breast augmentation surgery.

How long does it take to heal?

After surgery, you will remain in the recovery room until you wake up, breathe effectively, and your vital signs are stable. You may have tubes attached to your breasts to drain fluids. Your surgeon will usually remove them within three days. With some types of surgery, you may experience mild sore throat due to irritation of the windpipe. This is usually temporary, but let your doctor know if you feel uncomfortable.

Patients usually go home the same day if there are no problems. In other cases, a one-day hospital stay may be required. Your surgeon may recommend specialized nursing care to help you recover safely.

Recovery after surgery is a gradual process. Recovery time will vary depending on the procedure, the type of anesthesia, your general health, age, and other factors. You may need to wear a surgical support bra for several weeks after surgery. Full recovery takes a few weeks to a month.

Will I feel pain?

Pain control is important for a smooth recovery. There will be discomfort after the operation. Your doctor will treat your pain so that you are comfortable and get the rest you need. You should let your doctor know if your pain gets worse or changes in any way, as this could be a sign of complications.

When should I call my doctor?

It is important that you follow up with your follow-up appointments after breast augmentation surgery. You should contact your doctor for questions and concerns between appointments. You should call your doctor or seek immediate medical attention if:

  • unusual bleeding
  • Fainting, dizziness, unresponsiveness, or confusion
  • Chest pain , palpitations, or irregular heartbeats
  • High fever
  • Inability to urinate or defecate
  • uncontrolled pain
  • Breathing problems such as shortness of breath, difficulty breathing, difficult breathing or wheezing
  • Sudden change in the size or shape of your breast(s)
  • Unexpected discharge, pus, redness, or swelling at your incision site

How does breast augmentation surgery affect my daily life?

Breast augmentation surgery can increase satisfaction with your appearance and increase your self-confidence. Surgeons point out that it’s important to be realistic about how much breast augmentation can improve your self-image.

It will be beneficial for you to know what aesthetic breast augmentation surgery can and cannot do for your general appearance. Time, gravity and aging will ultimately affect the size and shape of your breast implants, just as with natural breasts.

It is important to ask your doctor any questions you have about your breast augmentation surgery. Breast augmentation can make it harder to feel a lump in the breast or see it on a mammogram, meaning it can delay a cancer diagnosis. Also, breast enlargement can make breastfeeding difficult.

What is the price of breast augmentation surgeries?

Prices for breast augmentation surgery will vary depending on many factors. While determining the price in breast augmentation aesthetics, there are many factors including which surgery will be performed, the experience of the institution to be operated on, and the materials to be used. It should also be noted that aesthetic centers approved by the Ministry of Health are not allowed to give prices on their websites.

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