Breast Augmentation With Implants | Leyla ARVAS,MD |

Breast augmentation surgery using silicone implants is a common procedure that provides high satisfaction rates. This surgery is typically performed on those who are dissatisfied with the appearance or size of their breasts and wish to enlarge them. The majority of patients seeking breast augmentation are young women over the age of 18-20 whose breast development has been completed.
Breast implants are used to enlarge the breasts, and different sizes and shapes are available depending on the patient's desired outcome. The implant can be placed in various locations, including sub-muscular, sub-mammary gland, or dual plane. Smart implants are a new type of breast implant that is designed to provide a natural appearance and a full upper pole.
The décolleté, or upper pole of the breast, is an important area that must look aesthetically pleasing. To achieve the desired outcome, full or high-profile implants are typically used, as they have a full upper part and a protruding apex. Smart implants are preferred for their ability to provide a natural appearance when used in a dual plane or under the muscle.
Dual plane surgery, which involves placing the implant on top of the muscle and under the breast tissue, is the most natural-looking option. This approach is particularly effective for patients with breast tissue who wish to enhance the upper pole of their breasts. However, sub-muscular applications may be more effective for patients with minimal breast gland development.
Overall, breast augmentation surgery using silicone implants is a safe and effective option for those who wish to enlarge their breasts and improve their appearance.
I have found that the dual plane method provides the most natural results in all silicone breast implant applications. This can be achieved by making an incision under the breast in the breast fold area. Breast augmentation surgery usually takes about 1.5 hours and is performed under general anesthesia in a hospital setting. While it is an easy surgery to perform, there may be some pain afterwards, especially with the dual plane method, which may cause more muscle pain for about 3 to 5 days. Pain is usually at its peak during the first night but gradually decreases over time. Patients are advised to wear a special bra similar to a sports bra with thick straps, an elastic front closure, wire-free, and traceless seams for a month after the surgery.
Massage is recommended after the 10th day of surgery to reduce the risk of capsule contracture, a complication that occurs when the fibrous layer surrounding the silicone implant tightens over time and compresses the implant, resulting in pain and a deformed breast. Regular massage for a month can help prevent capsule formation and maintain the volume of the implant. Drains are not used in my procedures as they increase the risk of infection and capsular contracture.
What are other potential complications that can occur?
We mentioned that pain, swelling, and edema may occur during the first week due to the body's reaction to the silicone and the surgical procedure. Typically, about 80% of these symptoms dissipate within the first month and completely disappear by the sixth month. Therefore, we always advise patients that the final result of the surgery will not be visible until the sixth month. At this time, the breast's appearance will have fully settled, and the silicone implant will have compressed the tissue to its normal position and final form. Breast augmentation surgery using implants corrects asymmetry, provides more volume to the breast, and produces permanent results. Silicone implants come with a lifetime guarantee and maintain their shape, ensuring long-lasting results. Overall, breast augmentation surgery can increase self-confidence and result in happy outcomes. It is a beautiful, permanent surgery that is not too difficult.
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