The breast is an important organ for "femininity". In fact, its main and most special function is breastfeeding. During breastfeeding, the baby's touch and smell stimulate the mother, and with the hormones secreted by the mother, milk production increases and the baby is nourished. Contrary to what happens in animals, in humans, the limbic system (sensory-emotional center) is more active and since only one baby is breastfed, an emotional bond is formed that is strengthened by the process and cannot be broken.
The size, shape and beauty take us back to before this process. In men's subconscious, choosing a woman who will be the "mother of their children" is a primitive thought that comes from our ancestors. Wide hips that increase the chances of a woman having a successful pregnancy and birth, and large breasts that will ensure that the baby is well nourished. This situation is a subconscious thought. It is effective in many men's choice of whom to have a child with.
Breast enlargement has always been a desired procedure in many cultures.
There are several methods applied for breast enlargement. The "gold standard" method of this job is breast enlargement with silicone prostheses.
Breast enlargement with prosthesis is a surgery that must be planned specifically for the patient. Like no other surgery, it is never “LIFE-LIFE”. If you have had breast enlargement surgery with a prosthesis, you will need to have another surgery to remove it, at best under local anesthesia.
Pain and the postoperative process are closely related to the surgical technique (under the muscle - under the membrane). . The submuscular plan should be preferred in patients with thin mammary gland and surrounding skin-subcutaneous tissue. When the submuscular plan is used, the muscle is cut and this causes pain, especially with arm movements, and some limitation of movement in the arms in the early period. Static pain usually subsides within 3 days. The result to be obtained; It is related to placing the right size prosthesis in the right plan for the right patient. The result may vary depending on the patient's rib cage, breast structure size and shape, andthe patient should be informed about these details before the surgery.
It will take 1.5-2 hours under general anesthesia. surgery i With this method, prostheses are placed in the appropriate plan. The issue of drain use varies from surgeon to surgeon and patient to patient. The postoperative period is generally painless, but the feeling of pressure of the prosthesis on the rib cage may cause discomfort for the patient for approximately 1 week. In the postoperative period, the patient must avoid excessive physical activities for about 2 weeks and is not asked to enter very hot environments (sauna, steam bath, Turkish bath, etc.). You can take a shower with warm water 2-3 days after the surgery. It is recommended to moisturize the breasts daily (cream, baby oil, etc.) after the first shower. Patients who complete their second week usually return to their daily routine. If the submuscular plan is preferred, pain or discomfort with arm movements may last up to 2 months, and muscle edema may last up to 6 months. If the submembrane plan is preferred, most patients do not complain of any pain at the end of the 1st week. In the early period (6 months), the breasts are a little hard and tight, and the incision scar is red and hard. Around 6 months, the breasts become smaller and softer (due to the regression of edema) and the incision scar begins to fade and soften.
Adverse events that may occur in the early period (1st week) bleeding(Days 1-3) and infection (Days 3-5). Bleeding and blood collection in the pocket where the prosthesis is placed after augmentation surgery requires repeat surgery. During the surgery, the blood collected inside is washed and cleaned, the bleeding focus is found and stopped, the prosthesis and pocket are washed again and the prosthesis is put back. It is not a big problem, the second surgery takes less time and does not have a big impact on the subsequent process. Although infection is very rare, it is a devastating process. To treat an infection that develops after prosthesis surgery, the prosthesis must be removed and appropriate drug treatment (inpatient or outpatient) must be followed. It will not be appropriate to use the same prosthesis again, and some time (3-6 months) must be waited (for the tissues to heal and soften) before re-enlargement surgery can be performed.
The setbacks that may occur in the late period (2nd year and later) are capsule contracture and prosthesis-associated lymphoma (a type of cancer of the immune system). . Breast with prosthesis b Since every woman who has augmentation surgery has a foreign object (silicone prosthesis) placed in the body, the body detects this and creates a capsule around it (like a security circle). This formed capsule is mostly thin and does not cause any problems. In some cases, it thickens a little and can be felt at the edges of the prosthesis. Although it is rarer, it can become thicker and cause hardening of the breast, shrinkage and deformities reflected in the breast skin. This condition is called Level 3-4 capsular contracture and requires repeat surgery. By surgery, the prosthesis is removed from the plane in which it was placed and placed in the other plane (under the membrane if it is placed under the muscle, under the muscle if it is placed under the muscle) and the thickened capsule tissue is cut or removed. Breast prosthesis-associated lymphoma is a newly identified type of lymphoma. Its incidence was found to be 1 in 300 thousand women who had breast augmentation surgery with silicone prosthesis. The capsule around the breast prosthesis is formed by immune system cells. In some people, these reactions of immune cells become excessive and can cause uncontrolled proliferation - lymphoma. In the late period, it presents with slowly developing swelling/enlargement, often occurring in one breast or rarely in both breasts. In the examinations, it is seen that fluid has collected around the prosthesis, and the diagnosis is made by pathological and flow cytometric examination of the sample taken from this fluid. Advanced cases respond to chemotherapy. Thereforedeath is very, very rare. The bad thing is that these patients can no longer have breast augmentation surgery with prosthesis again.
Actual setbacks are limited to these 4 situations. Additionally, problems with the size of the prosthesis and the shape of the breast may occur if the patient's expectations and anatomy are not well understood or if the result of the surgery is not explained to the patient well. . The patient should be informed before the surgery about the suitability of the breast shape and condition for augmentation surgery, and the possible effects of rib cage and spine abnormalities on the outcome of the surgery. Each person's height, shoulder width, position of the breast on the chest wall and the size of the area are different. Related to this, there is an upper and lower limit on the size of the prostheses to be used in each patient. a petite girl A small prosthesis should not be used on a large patient or a large patient.
Breast augmentation surgery is a surgery that will make a significant contribution to the social life of women. The gain experienced for the patient in successful cases cannot be explained or measured, but can only be experienced.
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