BREAST AUGMENTATION

Breast augmentation is a surgical technique applied to increase the size of your breasts or to restore them, mostly by placing silicones (implants) on the breasts. Each year, thousands of women in the world undergo this operation for different reasons.

 

The most common reasons can be stated as follows:

• Increasing the size of the natural breast.

• Reducing the asymmetry in the breasts (size difference between the breasts).

• Restoring the breast volume due to the reasons such as weight loss, pregnancy, or breast-feeding.

• Gaining a better-looking body image and ratio to feel more self-confident.

 

This operation is called as "aesthetics of breast augmentation". In breast augmentation surgery, silicone is placed in the appropriate area with a small skin incision. The recovery period usually requires rest ranging from 24 hours to 48 hours.

 

WHAT ARE THE SPECIALITIES OF AN AESTHETIC BREAST?

Aesthetic breasts must be located symmetrically with each other on the anterior chest wall. The nipples should be equidistant from the midline and approximately 38-42 mm in diameter. When looked from the side, the area from the underarm fold to the nipple should cover 45% of the breast; and the area from the nipple to the inframammary fold should cover 55% of the breast.

In a natural breast, there is no hollowness or protrusion in the upper area of the breast. This area should be flat. The concept of decollete expresses the fullness that emerges with the outfit. There is no decollete view when being naked on a natural breast. The nozzles should be vertical in a form that when the pen is placed the under-breast fold, it should not stand there. The breast cup sizes vary according to many factors such as the height, weight and body structure of the person. B or C cup sizes are generally more suitable for women in our Turkey.

WHAT IS BREAST CUP SIZE?

Cup size is a measurement system that expresses the size of the breast itself. The cup size is expressed by the letters on the bra. For example, an 85 B bra means that the surrounding of the chest under the breast is 85 cm and the breast size is B cup. Contrary to popular belief, the numbers here are not the breast size, but the surrounding of the rib cage. However, American, European and Asian cup size letters differ somewhat from each other.

WHAT ARE THE METHODS OF BREAST AUGMENTATION? WHAT ARE THE DIFFERENCES BETWEEN BREAST AUGMENTATION WITH SILICONE, BREAST AUGMENTATION WITH LIPOFILLING, BREAST AUGMENTATION WITH MEDICAL FILLERS AND HYBRID / COMPOSITE BREAST AUGMENTATION METHODS?

Today's the most frequently used method for the breast augmentation is breast augmentation aesthetics by the use of medical silicone implants. For this purpose, the most suitable silicone size for the patient's body can be selected together with the patient, with a 3D simulation to be made after a detailed consultation and measurement. Apart from this, although it is possible to augment breasts with medical fillers or just lipofillers, these procedures are not preferred today due to the various problems they cause. The main problems in breast augmentation method with the self-fat tissue are as follows;

Because of that fat fillers are made up of living cells, they need to be adequately nourished in the place where they are given, in order to keep them permanently. There is an expected rate of resorbtion in every fat filling procedure. This rate can vary between regions, individuals, even between the right and left areas of the same person. Therefore, in fat filling applications, a second session of additional fat filling may be required. However, it is difficult for fat fillers to expand the breast tissue sufficiently. A device which is similar to the 'Brava' milking device has been developed in the USA for that. However, this device must be carried by the patient continuously for approximately 2 months. In this case, after the breast envelope is prepared, the fat filling can be made to give the breast a better shape. However, the problem of the permanence of the shape of the breast arises at this time.

Normally, the breast consists of breast tissue and adipose tissue. When you are young, breast tissue is more and the adipose tissue is less. Therefore, the breasts are more upright when they are young. As we age, hormones are withdrawn, breast tissue is replaced by the fat tissue and the breasts sag. As it can be understood from this situation, trying to make breast augmentation with only fat filling will reveal a breast that is a candidate for easy sagging instead of a perky breast. Due to the risk of both asymmetric suction and sagging, breast augmentation with only fat filling is not preferred by many surgeons today.

In breast augmentation with medical fillers, foreign body reactions and infections that the filling may cause irreversible damage to the breast. Because in such a case, it is almost impossible to clean the medical fillers from the inside of the breast without damaging the breast. On the other hand, in the presence of an unexpected situation, the silicone implant can be easily removed from the breast.

For all these reasons, the most preferred and safer breast augmentation method today is the breast augmentation with medical silicone implants. There is also a hybrid or composite breast augmentation method. Hybrid breast augmentation is the procedure of applying partial fat filling for the camouflage around the silicone in the same or additional sessions. So that, the transition of the silicone implant placed on the muscle is not obvious in the decollete area, especially in patients with very thin skin. Hybrid techniques are not needed because the muscle covers the decollete area in all patients who have dual plane (submuscular) procedures. However, if the skin is very thin and the muscle is insufficient, this method may be preferred in patients who have had their breasts removed due to breast cancer.

HOW ARE THE CONSULTATIONS AND IMPLANT (SILICONE) CHOICES MADE?

You will meet your doctor at your first consultation before the operation. During this consultation; your general health, and the diameter, size and shape of your breasts will be investigated, and the most convenient method for you will be explained. Besides, facts specific for you regarding the operation (breast asymmetry, chest wall deformities, sagging breasts, etc.) and their treatments, subjects related to the security, and the post-operative period will also be explained. With the professional and specialized guidance of your physician, you'll determine together the size of the breast implant.

In order to determine the size of the prosthesis to be placed, your doctor will perform very detailed measurements during your consultation. Then, according to these measurements, the prosthesis suitable for your body is determined by analog simulation in front of the mirror with silicone molds of various sizes. Since the words of "big"and "small" are subjective, which is they can change from one to another, the calculation must be done objectively by calculations using mathematics. Otherwise, undesirable results may arise, as what you call "large" may be expressed as "small" for someone else. Your body is scanned with a three-dimensional scanner (for example, Vectra 3D) so that you can see how this prosthesis will look on you as closely as possible to the result of the surgery (predictable). In this way, it is possible to see the closest result to your surgery result on yourself. On the other hand, such simulations provide an estimate, not a commitment. As a result of all these calculations and simulations, you will have the answer of the question "what size" you are most curious about at this point.

It's recommended to make a search about breast augmentation surgery before you go to the first appointment with your physician. The sizes of bras consist of a number and a letter. The number defines the surrounding below your breasts, and the letter defines the breast size. You may test various bras to have an idea about the size. However, it's important to take into consideration that the sizes defined by these letters may vary among the countries manufacturing bras. Do not mind about the prosthesis volumes (cc). A prosthetic volume which is inadequate for you may be quite large in another patient. In addition, there are 13 different shapes of the prosthesis in the same volume. Therefore, the volumes of prostheses placed on other people should not be a reference for you. Breast implants are 3D objects with width, length and height. Your body determines the width and length of the implant. The width of your rib cage and your height are two of the most important parameters here. Its height, that is its projection, is decided by your likes and the experience of your doctor. In summary, if you'll undergo an operation for breast augmentation, we may say that the placement of the most appropriate prosthesis that can fit well on your chest wall but that's NATURAL, will reveal the best outcome. In augmentation operations, there's a fine line in terms of the size between the one that's natural, and the one that's unnatural. One of the most important factors in determining this issue is the detailed measurements and your surgeon's guidance, experience and likes as well as your likes. During the operation, your surgeon is working while you're sleeping. It's consequently impossible to wake you up, and ask as 'Did you like it?'. Therefore, it is very important to do a very detailed planning before the surgery.

PREPARATION FOR THE BREAST AUGMENTATION OPERATION

Before the Operation

It's important to take into consideration the following points before you undergo the operation.

• During your consultation prior to operation, your doctor will ask you via a form if you have any other disease, the drugs you use regularly, if you have any allergy, and the former operations you have undergone. Some analyses required for undergoing general anesthesia will be done one day before the operation, and their results will also be evaluated by the physician anesthetists.

• You have to be sure that you do not have any health problems before the operation. It's important to have favorable physical conditions since this reduces the risks during the operation, and provides a more rapid recovery phase. If you have any ongoing treatment or treatments at present, you should report it to your doctor. Our objectives are to minimize the potential complications, increase the rate of a favorable outcome at the end of the surgical operation, and to provide you with the best conditions of patient safety within the current available conditions.

• You must have stopped taking blood thinners including aspirin and so on, analgesics including Ibuprofen, and the drugs for influenza at least one week prior to surgery, and must not take them for two weeks following the surgery. The treatment protocol is somewhat different in the case of using the blood thinners as Coumadin and anti-rheumatic drugs, and it will be explained by your physician.

• If you use any oral contraceptive pills, you will be asked to completely quit them 1 month before to operation and 1 month after the surgery. If you use drugs such as Roaccuttane (for the acne treatment dose usage), you will be asked to quit them 6 months before to operation and it is recommended not to take them for the next 6 months after the surgery.

• Substances like vitamin E, garlic, cherry, ginseng, green tea, herbal teas, linseed and resveratrol (red wine extract) may also cause blood dilution. It's therefore you are required not to consume these substances for at least 1 week before and 2 weeks after the surgery.

• Do not drink alcohol for 48 hours before the surgery and for the first week after surgery.

• You must inform both your surgeon and anesthetist about any disease you have and all drugs (including all analgesics) you use within 3 weeks before the surgery.

• If you are a smoker, it's recommended for you to stop smoking 4 weeks before the surgery in order to reduce the risks of general anesthesia.

• Take a bath one night before the operation.

• You must bring button up pajamas for your hospitalization. Do not bring night-robes.

• Using 1000 mg of vitamin C once in a day within 2 weeks before and 2 weeks after the surgery would help the rapid wound healing.

• If there are hairs around your nipple, you may cut them with scissors before the operation. However, it's harmful to take them with a tweezer due to the possibility to cause folliculitis (inflammation or infection of hair follicles).

• In order to undergo a general anesthesia, you must not eat anything 8 hours before the operation and must not drink water 4 hours before the operation.

• WHILE COMING TO THE HOSPITAL FOR THE SURGERY, PLEASE DO NOT APPLY MAKE-UP AND DO NOT WEAR ANY JEWELRY SUCH AS PIERCING OR EARRINGS.

HOW IS THE BREAST AUGMENTATION OPERATION PERFORMED?

The operation starts by placing a small 4 to 4,5 -centimeter incision under the breast fold. In order to prevent the incision scar from being easily noticed, it is taken exactly into the new under-breast fold, so at the end of 1 year, it is difficult to notice the scar even when naked. The underarm incision is not preferred in today's literature, as it can increase the possibility of the visibility of the scars when they raise their arms in patients wearing hanger clothes and more importantly, the possibility of the capsular contracture formation. Similarly, the nipple (areola) incision is not preferred in the today's literature because it increases the risk of loss of sensation, the scar that can be seen in front, increasing the capsular contracture and the possibility of infection. In fact, in the current literature, it is even recommended to cover the nipples with a sterile cling film and not to touch them during the surgery. At the following stage, the breast implant is placed via the opened incision. The implant is placed at the area using the submuscular method, supra muscular method (just behind the breast tissue), subfascial (under the muscle membrane) method or the dual plane method (a more improved type of the submuscular method).

As the most up-to-date technique, the Dual Plane technique is frequently preferred by surgeons because it has been seen in the literature to reduce many risks. The implant placement behind the breast tissue, in patients with skin thickness less than 2.cm, increases the capsule contracture and the risks of a wavy appearance, which is called 'rippling' in the decollete area and can be seen directly from the outside. Similarly, the prosthesis placed behind the muscle membrane, in patients with skin thickness less than 2.cm., occurs a risk of wavy appearance in the decollete area and the need to use drains due to increased blood leakage as the muscle membrane is removed. There is no risk of a wavy appearance in the decollete area in the Dual Plane technique. The Drain use is not required in almost all patients. In the today's literature, the Dual Plane technique is recommended especially in studies with multicenter and large series with long-term results in order to reduce risks such as ALCL and capsular contracture.1

At the end of the operation, the related tissues are anesthetized and a special technique is applied to minimize your post-operative pain. When the breast augmentation surgery is completed, your incision is closed with absorbable aesthetic sutures on the body. According to the current literature, in the Primary breast augmentation surgery (if there is no vascular abnormality), the use of drains (hose system that resorbs leaks) is not recommended because it may increase the risk of capsular contracture.1

HOW IS THE RECOVERY PERIOD AFTER A BREAST AUGMENTATION OPERATION?

After the Operation

For the healthy individuals, the post-operative recovery period includes a 48- to 72-hour rest. For your comfort and pain control, it's preferred to stay in hospital for one night. This fact is not medically essential. You may be discharged from the hospital at the same day, if you wish. Your doctor would request from you to reduce your daily activities along the following several days. The duration of this period will depend on your health status at present, and the appearance of your surgical scar and its condition of healing along your post-operative controls. The details are mentioned as follows:

• You must eat or drink nothing for some time following the operation. During your stay in hospital, the nurses will tell you the time you can start to drink water. Start drinking water at the 4^th hour following the operation. At the 6th hour, you may gradually begin to take solid foods. (you can consume every type of food at the 8th hour and thereafter). It's recommended to consume a plenty of water within the first 24 hours after you start drinking water.

• If there is inability to defecate or rectal gas during the first 24 hours following the operation, please inform the nurses (or your doctors if you have been discharged from the hospital).

• You should walk in the company of a companion and a nurse as soon as possible after the surgery (when the nurses measure your blood pressure and say that it is okay to walk). Your private anesthesiologist will make this planning and visit you after the surgery. It is also recommended to move your legs and feet during your stay inside the bed. The more you walk as long as you stay in the hospital, the more the risk of clotting in the leg veins, which is one of the common risks of anesthesia of all surgeries, is being prevented. For this purpose, a measure of safety during your surgery, a special machine is operated on your legs for this purpose. In addition, you will be warmed from the bottom during the operation in order to reduce the risk of clot formation in your veins and to ensure that you wake up comfortably.

• There will be a bandage at your chest after the operation. This bandage will be removed the day after, and you'll be worn a brassiere and a chest band which are special for you. During the removal of bandage and placement of bra, you should not have any expectation related to its shape and size. Because the prosthesis tries to widen skin from inside and the bandage presses down from outside, the appearance is almost always not as it had been imagined. But do not worry; It's explained below in detail how it takes form and gains the exact beauty you wish.

• During the operation, Prof. Dr. Haldun Kamburoğlu will apply anesthetic to your muscles and in order to minimize your pain. Contrary to the popular belief, you'll feel less pain in the first day after the operation. The pain related to breast augmentation surgery is quite well tolerated due to the drugs administered in the hospital at first night, and those taken orally on the second and the third days. In most of the patients, the pain disappears dramatically from the 3rd day on.

• It's recommended to stay in hospital for one night after surgery, in order to be kept under supervision. Your doctor will come to discharge you from the hospital the day after operation, at 11:00 a.m.

• Your breasts may appear slightly larger than you've expected within the first 2 weeks after the operation, because of the swellings especially at the upper parts.

• At the end of the 2^nd week, swellings at your breasts begin to disappear. At this stage, you may worry if your breasts have got smaller; however, do not worry, because the volume of the prosthesis inside is constant, and since your breast skin has not yet been stretched and shaped by the prosthesis, your breasts have not yet gained their final size and shape.

• At the 1st month after the operation, your breasts would be considerably shaped if your skin is sufficiently flexible (elastic). However, if your skin is quite tight and you were exactly devoid of breasts before the operation, you'll have to wait for them to take a shape till the end of the 3^rd month.

• The film layer on your wound does not require to be applied anything and disinfectants can damage this film layer. You can take a bath 2 days after the operation. Do not peel off the protective transparent film on your wound. This layer will flake off on its own in about 3 weeks. Keep this area dry after bathing. Then, after bathing, cover the wound with a sterile gauze without taping (more taping on this area may cause allergies, the bra will be enough to keep the gauze in its place). On this gauze, wear the bra that is worn in the hospital and that you should wear for the first 1 month.

• At the end of the 1^st month, you can take off the medical bra, and buy the bra you wish, either with or without underwired. However, you have to wait for 6 months to use a supported bra for wearing extra decollete dresses. It is necessary to use a sports bra in your normal life, even at night, to maintain the firmness of your breasts.

• It's normal for your breasts to be hard at first. You will see that they start to soften in the 3^rd month and become normal enough to touch each other in the 6^th month. And in the 1^st year, your breasts gain a consistency similar to natural breasts with an extra softening.

• It's TOO IMPORTANT not to lie on your side within the first 1 month; at the end of one month, you can lie on your side. During this period, you may experience backache due to lying on your back. Electric massage devices sold in electronic markets are quite helpful for many patients in this matter.

• From the 3^rd day, you can apply Lierac anti-crack cream or almond oil to your breasts to reduce the possibility of cracking on your breast skin.

• Starting from the 3^rd week (after the protective film layer on the scars has fallen), it is recommended to use a sunscreen cream (a sunscreen with a factor of at least 30) on small surgical scars on your breasts (silicone gel 2 times a day for 3 months). Even if you are in a bikini, apply sunscreen for 15 minutes before sunbathing (or under your bra if you are wearing a transparent outfit). The key point of this care is to apply sunscreen first. Because the scar-reducing gel creates a barrier on the skin, and it does not let sunscreen to be resorbed under it.

• According to the today's literature, a routine massage application after a breast augmentation surgery is not recommended because it can cause double capsule formation and slippage, and it also does not show any preventive effect on the development of capsule contracture. As a moisturizer, you may use a cream or body lotion containing aloe vera extract.

• It is not recommended to have a dental treatment in the first 6 months after the surgery unless it is mandatory.

• Since the aesthetic sutures absorbable in body are applied, there is no need to remove sutures. Your check-ups by your physician will be carried on at certain intervals, until you complete the first year of your surgery. These intervals vary depending on the individual. Afterwards, it is recommended that you come for a check-up once a year. People who have not had any surgery should have breast imaging with ultrasonography and mammography once a year after the age of 40. If there is a family history, these scans can be started from the age of 35. It is okay to have ultrasonography (USG) and/or mammography from the 6^th month after the breast augmentation surgery. If you do not prefer to have your breast compressed in the mammography device, an MRI consultation may also be requested. There is no harm in having an MRI while there is silicone. In addition, we recommend a breast control with MRI every 3 years for all age group patients who have annual follow-up with USG and/or mammography.

• As it is the case in every operation, it's essential to use your common sense also in the recovery period of the breast augmentation surgery. You will be given the number of your surgeon, two operating nurses and the clinic manager to call in case of any doubt. You can directly call these 4 related people.

WHAT ARE THE DIFFERENCES OF ANATOMIC (TEARDROP, GUMMY BEAR) AND ROUND SILICONES?

Breast implants are produced in two forms as anatomical (teardrop, gummy bear) and round. The outside of these implants is made up of a silicone case, and there is silicone gel inside. (Silicones that can be filled with saline (a liquid that can be administered intravenously) are also available, and their use has decreased considerably in the world since the 2000s due to the risks of deflating.) New generation implants are very resistant to the impacts and pressure. (There is a video that Prof. Dr. Haldun Kamburoğlu shared about this issue on his Instagram page in 2015.)

Anatomical and round breast prostheses have different advantages and disadvantages compared to each other. In general, drop implants provide a more natural appearance than round ones. They shape this area better, especially in patients with developmental deficiency in the lower breast area. Round prostheses, on the other hand, can be preferred in patients who have a beautiful breast shape and desire a slightly fuller breast. On the other hand, there are 9 different forms of teardrop prostheses. In round prostheses, on the other hand, the base is round and the profiles are changed and offered by manufacturers in 4 different shapes. At this point, it is possible to make an individual choice with the teardrop implants.

Anatomical and round breast implants contain different gels. Round implants have a partially softer 4^th generation cohesive 1 gel, while teardrop implants have 5th generation cohesive 3 gels. In this way, drop implants can give the desired shape to the breast more easily. According to the 10-year results of major manufacturers, complications such as capsular contracture are less common in the teardrop prostheses than in the round ones.2

Contrary to popular belief, sagging in teardrop implants is less than in round ones due to superior production technologies. On the other hand, due to the necessity of surgical technique, some patients may prefer round implants who have breast lift and augmentation together at the same time. A frequently asked question is the possibility that the teardrop implants can rotate inside. In the book, this possibility exists. However, it can be prevented thanks to some precautions taken and the points that the patient should pay attention to in the first month. Some brands which have been approved by American Food and Drug Administration (FDA) such as Mentor etc. are being preferred.

WHAT ARE THE DIFFERENCES BETWEEN SMOOTH AND ROUGH-SURFACE IMPLANTS?

The surface of breast prostheses can be in 5 different forms as smooth, nano-rough, micro-rough, macro-rough and polyurethane. Breast prostheses are produced with rough surfaces for two reasons. First, the risk of capsular contracture is higher in those with smooth surfaces than those with rough surfaces. According to the largest meta-analysis of the current literature, while the risk of capsular contracture is 3.8% in micro-rough prostheses such as the brand Mentor with Siltex surface, this rate is higher in macro-rough prostheses and 15.56% in smooth prostheses. Anatomical implants are produced with rough surfaces by major manufacturers in order to reduce the risk of rotation.

WHAT IS THE CAPSULAR CONTRACTURE?

A capsule which borders the prosthesis is naturally formed around all prostheses placed on the body. This is not an undesirable situation. However, the thickening and wrinkling of this capsule is undesirable. According to the Baker classification, while there are no obvious symptoms in stage 1-2; pain, hardening and transformation into a round shape like a ball are seen in stage 3-4. There are hypotheses that this condition, the cause of which is not fully known, develops after triggering a bacterium named S. Epidermidis with a biofilm reaction in people with genetic predisposition. As it can also be seen in a short time, it is mostly seen after 10 years. It is possible to reduce it considerably thanks to measures such as the use of 14 point plan techniques for its prevention1 (not using nipple or armpit incision1,4,5, using Dual Plane technique1, using special antibiotics and solutions1,4,6, not using drains1,4), avoiding dental treatments that may cause dental problems. On the other hand, the use of implants with a rough-surface also decreases the risk of capsular contracture.3,7,9 In the case of stage 3-4 capsular contracture, removal of the prosthesis with its capsule is curative. A new prosthesis can be put in the place of the other one.

WHAT IS ALCL?

Anaplastic large cell lymphoma (ALCL), as the name suggests, is a type of cancer. In addition that the exact cause is not clear, there are hypotheses that it develops after triggering a biofilm reaction by a bacterium called Ralstonia in people with genetic predisposition. It can develop around not only breast implants, but also prosthesis, dental implants and even stomach bands. There may also be a regional predisposition because the incidence in the Australia-New Zealand region is much higher than in the Asian continent. Loss of chromosome 20q13.13 has been genetically associated with this disease.¹⁰ This condition develops from the capsule of silicone prostheses. Its incidence is around 1/3194 (such as Biocell/Allergan) in macro-rough dentures, while it is 1/36.730 (such as Siltex/Mentor) in micro-rough prostheses.¹¹ Therefore, the use of all macro-rough prostheses in France was discontinued in April 2019¹². The Biocell macro-rough implant of the Allergan company, which is responsible for a significant part of the cases, was banned by the FDA in July 2019¹². In our practice, this prosthesis has never been used before and only the micro-rough prostheses which have the lowest risk as the rough-surface is preferred.

The complete removal of the prosthesis and its capsule with early diagnosis is often being sufficient for the treatment. The life-threatening risk was calculated as 0.4/1,000,000 even when macro-rough prostheses responsible for the majority of cases were included¹³. To compare this situation, the life risk of driving in a metropolitan city for 1 hour a day is 2/1.000.000.¹³

IS THE AESTHETICS OF BREAST AUGMENTATION A PAINFUL PROCEDURE?

Although the breast augmentation surgery is generally known to be slightly painful, thanks to the special muscle and nerve numbing performed during the surgery, patients recover with comfort and ease similar to those in the reduction and lift surgeries.

IS THE BREAST AUGMENTATION A PROBLEM FOR BREAST-FEEDING?

There is no harm in planning a pregnancy after the breast augmentation surgery. However, it is recommended to wait 1 year for your breast tissue to completely heal and regain its final shape without being affected by the hormones in the pregnancy. The silicone prosthesis placed in the breast augmentation process does not prevent you from breast-feeding, and does not pass to your baby through the milk you give.

HOW LONG AFTER THE BREASTFEEDING, CAN I HAVE A BREAST AUGMENTATION SURGERY?

If you have just finished breastfeeding, it is recommended to wait at least 6 months before having the breast augmentation surgery. Because the consultation to be made while the lactiferous ducts are full makes the decision of the final shape difficult. In addition, it is not appropriate to put a silicone prosthesis when the lactiferous ducts are full.

HOW TO FOLLOW-UP YOUR BREAST AGAINST BREAST CANCER?

If there is no family history, it is recommended to assess the breast with both ultrasonography and mammography once a year after the age of 40. Breast augmentation or reduction surgeries are not an obstacle to these follow-ups. These surgeries do not cause any cancer originating from the breast tissue.

I AM COMING FROM OUT OF THE CITY; HOW LONG DO I HAVE TO STAY IN ANKARA FOR A BREAST AUGMENTATION SURGERY?

Your analyses are done one day before surgery, you undergo surgery the day after and stay in hospital in the evening, and you are discharged from the hospital in the following day. As a consequence, it's enough to stay in Ankara for 2 nights for undergoing a breast augmentation surgery. However, you have to come to Ankara again after 2 or 4 weeks for your first control, although it varies depending on the applied procedure. It's not harmful to make a trip after the operation.

BREAST AUGMENTATION COSTS

The cost of breast augmentation surgery is applied in the same way for all our patients in the primary breast augmentation patients. Otherwise, those who pay more may feel bad and this attitude is unethical. In this way, you can be sure that no one who comes after you will pay less than you for the same amount of work under the normal inflation conditions. In addition that the prices vary in cases such as asymmetry, sagging, tuberous breasts, the prices are also the same for the same amount of work in these different situations. Due to the related legal regulations, it is not possible to share information about breast aesthetics prices on our website. However, you can contact us directly at 03122855521 to learn about breast augmentation surgery prices and to learn more about Breast Augmentation in Ankara. Breast augmentation surgery is a very common type of surgery. Make sure you are ready before the operation, have done enough researches, and decide to have this surgery for the right reasons.

REFERENCES

1. Adams WP, Jr., Culbertson EJ, Deva AK, et al. Macro-textured Breast Implants with Defined Steps to Minimize Bacterial Contamination around the Device: Experience in 42,000 Implants. Plast Reconstr Surg 2017;140:427-31.

2. Derby BM, Codner MA. Textured silicone breast implant usage in primary augmentation: core data update and review. Plast Reconstr Surg 2015;135:113-24.

3. Shauly O, Gould DJ, Patel KM. Microtexture and the Cell/Biomaterial Interface: A Systematic Review and Meta-Analysis of Capsular Contracture and Prosthetic Breast Implants. Aesthet Surg J 2019;39:603-14.

4. Deva AK, Adams WP, Jr., Vickery K. The role of bacterial biofilms in device-associated infection. Plast Reconstr Surg 2013;132:1319-28.

5. Wiener TC. Relationship of incision choice to capsular contracture. Aesthetic Plast Surg 2008;32:303-6.

6. Ajdic D, Zoghbi Y, Gerth D, Panthaki ZJ, Thaller S. The Relationship of Bacterial Biofilms and Capsular Contracture in Breast Implants. Aesthet Surg J 2016;36:297-309.

7. Minami E, Koh IHJ, Ferreira JCR, et al. The composition and behavior of capsules around smooth and textured breast implants in pigs. Plast Reconstr Surg 2006;118:874-84.

8. Hakelius L, Ohlsen L. A clinical comparison of the tendency to capsular contracture between smooth and textured gel-filled silicone mammary implants. Plast Reconstr Surg 1992;90:247-54.

9. Ma SL, Gao WC. [Capsular contracture in breast augmentation with textured versus smooth mammary implants: a systematic review]. Zhonghua Zheng Xing Wai Ke Za Zhi 2008;24:71-4.

10. Los-de Vries GT, de Boer M, van Dijk E, et al. Chromosome 20 loss is characteristic of breast implant-associated anaplastic large cell lymphoma. Blood 2020;136:2927-32.

11. Loch-Wilkinson A, Beath KJ, Magnusson MR, et al. Breast Implant-Associated Anaplastic Large Cell Lymphoma in Australia: A Longitudinal Study of Implant and Other Related Risk Factors. Aesthet Surg J 2020;40:838-46.

12. Ionescu P, Vibert F, Ame S, Mathelin C. New Data on the Epidemiology of Breast Implant-Associated Anaplastic Large Cell Lymphoma. Eur J Breast Health 2021;17:302-7.

13. Sieber DA, Adams WP, Jr. What's Your Micromort A Patient-Oriented Analysis of Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL). Aesthet Surg J 2017;37:887-91.