Breast augmentation is a breast enhancement procedure that enlarges the size of the breasts through the use of breast implants. Women who are ideal candidates for a breast lift generally have small or unevenly sized breasts.
Breast augmentation surgery involves making an incision underneath the breast, near the nipple, in the armpit or in the belly button. The plastic surgeon then inserts and positions the implant either under the breast tissue or under the pectoral muscles. Depending on the implant type and procedure used, the breast implant may be prefilled or filled by the cosmetic surgeon when the implant is inserted.
In the case of unevenly-sized breasts, an inflatable or fillable breast implant is used. The plastic surgeon can then adjust the amount of fill to make the smaller breast the same size as the other one.
Implants do not have a defined lifespan
There are official recommendations made by the Turkish Agency for the Health Safety of Health Products (Afssaps), indicating that the lifespan of a breast prosthesis filled with silicone gel depends on the possible occurrence of complications. Therefore, an implant should not be changed every ten years, it can be kept much longer, or sometimes also, less.
Consequently, a clinical examination is recommended every 5 years for signs of rupture. When a rupture is suspected, the reference examination is MRI.
What are the risks in case of rupture?
It all depends on the product used to fill the prosthesis. In fact, an implant consists of a silicone elastomer envelope, filled either with water, or with hydrogel or silicone gel. If the envelope cracks (wear, trauma), the filling substance can escape. In the case of water, the envelope empties suddenly within a few hours, while this water is eliminated naturally. If it is a hydrogel, it temporarily increases the volume of the breast, before being eliminated, too, naturally. On the other hand, when it is silicone gel which escapes from the implant, one can fear a local reaction. Attention, it remains very localized, benign and inflammatory type. The silicone gel is not toxic, it does not cause a toxic reaction for the body.
Increasingly “light” breast implants
Have certain scandals, notably that of PIP prostheses, affected your activity?
Unfortunately, these scandals have given a bad image of breast implant augmentation. This is unfortunate because current techniques allow obtaining superb results without risk if the protocols are followed. That said, the general public has understood that with the scandal of PIP prostheses, we were victims of a scam from a manufacturer who obviously did not question the technique of the breast implant. The positive aspect is that Turkish plastic surgeons are even more vigilant about the phenomena of implant rejection to intervene as soon as an anomaly is detected. In addition, the laboratories are very aware and placed under surveillance. In short, the scandal of PIP prostheses is regrettable but how can we imagine that we can use car gel rather than medical gel …
What is the typical profile of the woman who comes to consult for breast surgery?
there is no standard profile! This goes from the 18 year old girl who is complexed by her small breast to the mother whose pregnancies have damaged her breast or made her lose breast volume, through the active sixty year old woman who wants to keep a harmonious silhouette. In short, there is no age, provided that the woman is of age.
Do we still have to replace implants after ten years?
No, in my opinion, this is a somewhat outdated concept given the evolution of technologies. On the other hand, it is essential to regularly monitor the state of its prostheses with at least a clinical examination every two years. It is in any case strongly recommended for all women from 45 years of age for breast cancer screening mammograms.
Why change the implants?
Either because the prosthesis has aged, or the breast itself has aged. Prosthetic replacements are indeed often necessary because the breast changes from 45 years, it no longer has the same shape.
Is the lifespan of a breast prosthesis longer than it was twenty years ago?
Yes, the old prostheses had a lifespan of ten years. Today, these breast implants have come a long way, both in terms of the shell and the consistency of the gel. Some manufacturers guarantee their prostheses for life. I have no opinion on the matter. On the other hand, it is certain that a prosthesis well placed in a healthy environment will last 20 or 25 years.
What is the future of your profession in breast implantation?
The fitting of increasingly light prostheses. These “light” prostheses will allow better aging of the breast because it will be less subject to the gravity of the weight of the prosthesis. Some firms are currently working on the marketing of such prostheses. We hope to be able to test them within a year, even if Turkish regulations are very restrictive. Accreditation procedures are underway.
Is the Turkish demand for breast implants really different from foreign countries?
Yes, the Turkish woman is very attached to the natural aspect of implants. We therefore see that the average volume of implants in France is lower than on the other side of the Atlantic or even in other European countries. We are on a C cup or a small D cup. Requests are rarely for larger volumes.
Inflatable Breast Implants
Inflatable breast implants are a type of breast augmentation surgery that involves placing a deflated implant into the breast area and then inflating it to the desired size. This type of implant is typically made of silicone or saline and can be adjusted after the initial surgery to achieve the desired breast size.
One of the benefits of inflatable breast implants is that they offer more flexibility in terms of sizing. Traditional silicone or saline implants require a specific size to be chosen before the surgery, but inflatable implants allow for adjustments to be made after the surgery to achieve the perfect breast size.
Another benefit of inflatable breast implants is that they can be used for breast reconstruction surgeries. In cases of breast cancer or other medical conditions that require a mastectomy, inflatable implants can be used to reconstruct the breast tissue and achieve a more natural look and feel.
However, there are also some potential risks and complications associated with inflatable breast implants. Overinflation can lead to issues such as implant rupture or tissue damage, and adjustments to the implant size can also cause discomfort or pain.
Overall, inflatable breast implants can be a good option for those seeking breast augmentation or reconstruction surgery, but it’s important to carefully consider the potential risks and benefits before making a decision.
In which countries do we find “big shots”?
The United States, of course, but also some Gulf countries, Brazil. In these countries, there is the search for volume but also for form. In France, we are looking for the natural, which explains the success of anatomical implants combined with other techniques such as coating the prosthesis with grease on the surface of the prosthesis. This is called “composite breast”. The volume is given by the prosthesis and the appearance of the natural skin is ensured by this surface coating. This often hides the edges of the prosthesis, which are often not very harmonious, and creates a nice transition with the thoracic skin.
What scar will I have following the breast operation?
There are three types of incisions that will generate three different scars, each with their advantages and disadvantages.
First, the sub-mammary scar, which appears when the surgeon introduced the breast implant through the fold under the breast, is a scar that cannot be seen when the patient is standing, but it can be seen a lot when the patient is in position. lying. This type of incision cannot be made in smokers because the risk of poor healing is higher.
There is also the scar around the areola. It has many advantages, especially that of being the most discreet scar, especially in patients with black skin because the scar is hyper pigmented, it blends perfectly with the color of the areola. The only drawback is that this incision cannot be made on the small areolas because the introduction of the implant becomes very difficult.
Finally, the scar under the arm (at the armpit) is less and less frequent because, even if it allows to have no scar on the breast, this type of incision is less precise and the risk of ‘asymét
Boob job Surgery FAQ
How will I know how big my breasts will be?
Your plastic surgeon may ask you to try on breast “sizers”. This helps gives you a general idea of what your breasts will look like. Some surgeons also have computer programs that show what you would like with different-sized breasts.
Also, breast implants tend to be wider than a natural breast, so if you wear a C cup now, a D cup will likely be needed after breast augmentation.
What will be the shape of breasts after surgery?
The same shape as your breasts now, only larger. The shape of the breasts does not change after breast augmentation.
How long does breast surgery take?
Breast augmentation surgery takes between 1 to 3 hours. The length of surgery is determined by breast implant placement and type of incision.
Will I have to stay in the hospital?
No – most breast augmentation surgery is performed as an outpatient procedure. Most women are able to return home within a few hours after surgery.
How large is the incision made for a breast implant?
The incision for a breast implant is between 1 to 1½ inches in length.
Where is the incision made for a breast implant?
The incision is made either below the breast (the most common), under the armpit, near the nipple or at the belly button.
Will the incision leave a permanent scar?
Yes. Over 3 to 6 months, the scar will turn from red to pink, gradually getting lighter in color, thinner, and flattening out. After a year, the scar may be fairly unnoticeable.
Am I a candidate for breast augmentation?
Several of the following feelings or conditions may indicate that you are a good candidate for breast augmentation:
- you bothered by the different-sized of your breasts
- you feel that your breasts are too small
- you feel your hips are too large in comparison to your bustline
- you feel self-conscious wearing a swimsuit or form-fitting top
- your breasts have become smaller and lost their firmness after pregnancy
- you feel that weight loss or aging has changed the size and shape of your breasts
Others conditions include,
- you are 18 years of age or older (the FDA does not allow implants in people under age 18)
- you have no history of chest radiation therapy
- you have no history of autoimmune or connective tissue diseases, such as lupus or rheumatoid arthritis
- you accept the fact that the breast implant may not last forever, and you may have to have additional surgery in the future
Who is not eligible for breast implants?
- Women with existing malignant or pre-malignant cancer of your breast without adequate treatment
- Women who are currently pregnant or nursing
- Women with active infection anywhere in your body
Can I breastfeed after breast augmentation?
The answer is YES. For women who have breast augmentation, breastfeeding is no more difficult with implants than without. Even though there was fear that breastfeeding with silicone implants would endanger the child, there have been studies performed to show this not to be the case. The main reason is that the silicone molecule is too large to pass into the milk ducts.
How long does breast augmentation surgery usually take?
Breast augmentation surgery usually completed within one to three hours. The duration varies according to the technique used, the placement of the implants, the patient’s anatomy, and the type of anesthesia used.