The breasts are organs which are the symbol of the womanhood. Breast augmentation surgery is typically performed for underdeveloped breasts or reduced breast size after delivery. Breast prosthesis is used to augment the breasts. These are prostheses with silicone-covered periphery which may contain silicone or physiological saline solution. Recently, cohesive gel prostheses have been started to be used more frequently. Even if they are ruptured, they do not leak out and no micro-leakage occurs after the procedure. When they are touched, they give the feeling of breast texture and protect their shape. These prostheses are FDA-approved. If no problem arises, patients can live with the prosthesis until the end of their lives. There is no need to be replaced. It has been certainly proven that silicone does not cause breast cancer.
Small incisions made on the nipple, under the breast, or on the armpit are used to implant the breast prosthesis. Moreover, the prosthesis can be implanted between the breast tissue and the thoracic muscle or under the thoracic muscle. After the interview with patient, the region to be entered, the implantation plane and the size of prosthesis are decided. Because all of these techniques have advantages and disadvantages compared to each other.
It is important to cease smoking at least 2-3 weeks before the surgery and to discontinue the use of drugs that slow down coagulation, such as aspirin, at least 1 week before the surgery.
Large arm movements should be avoided after the surgery. If the prosthesis is implanted under the muscles, drains (fine silicone tubes) are used to drain the blood that may accumulate inside. Although a little bit more pain arises in these surgeries, it can be taken under control with painkillers. 3-7 days later, patient can return to work. After the 15th day, massage is started. A special bra is used for 4-6 weeks.
After the surgery, complications (undesirable results) such as blood accumulation, infection, wound site problems, decreasing, increasing or loss of nipple sensation, inability of feeding the nipple and late-term complications such as asymmetry, capsular contracture may occur. However, we encounter with such results very less in practice with timely cessation of smoking and discontinuation of aspirin, attentive surgical technique, and the use of good quality and appropriate materials.