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What is the Breast Enlargement Operation with Silicone? Who Are Eligible for This Operation?
Breasts play a very important role in women’s life as an organ which is both related to maternity in terms of breastfeeding and related to sexuality.
Women who have small breasts due to having a small breast tissue developmentally or breast tissue getting empty due to birth-giving or weight-loss, or have asymmetric breasts or tubular breasts due to a developmental defect in the lower part of the breast, or need breast repair due to breast cancer surgery prefer this surgical operation.
Patients must be above 18 and their history regarding breast cancer must be carefully queried.
Can Women Who Underwent Breast Enlargement Operation Breastfeed? Do They Experience Loss Of Sense On The Nipple? Can They Be Scanned For Breast Cancer?
Silicone implants do not prevent breastfeeding. Silicone implantation usually do not cause loss of sense on the nipple. Silicone implants do not lead to breast cancer. Breast implantation do not cause an obstruction for women to be scanned for breast cancer (breast ultrasonography, mammography, breast MR).
What Are The Types Of Silicone Implants? Are There Any Differences In Their Shape, Size, Or Touch? Should The Silicone Be Placed Behind Or In Front Of The Pectoralis Muscle?
Silicone implants are categorized in two including anatomic, i.e. drop-shaped, and round. Anatomic silicones are narrow on the top and wider at the bottom. The challenge in placement of them, and their probability to move within the body, i.e. rotation may lead to late problems related to these prostheses. And they may fail to be useful for women who want to have upper pole fullness. Here it is highly important that the physician decides the type of the prosthesis in consultation with the patient.
Silicone implants are divided into two including smooth surfaced and rough in terms of their shell structure. There are publications asserting that rough-surface silicones lead to less capsule formation.
Silicone implants are divided into two including water-filled and gel-filled. Salt water-filled ones can generally be inserted in the body before being inflated, and therefore can be put from the armpit or even the button belly. However, since the gel-filled ones that we use more often can only be implanted from the nipples or the lower fold of the breasts.
Silicone implants can vary greatly in size. Size, volume, and projection (height) can be different depending on manufacturer.
Silicone implants can be implanted behind or in front of the pectoral muscle or under the sarcolemma. Thickness of the breast tissue of the patient will determine where the surgeon will implant the prosthesis.
In breast enlargement operations with silicone implants, we generally decide jointly with the patient the size, shape, implantation spot, and body entry-spot of the prosthesis.
The risks associated with this operation can be generally reviewed under 2 categories. The first one is surgeon-related risks including bleeding, infection, perforation of the pleura, or anesthesia-related conditions. These group of complications are the risks that can be seen in almost any surgical field.
Post-operation bleeding or hematoma can be considered in case of sudden swelling and color change on one side and pain particularly on that side. In this case, if hematoma is high, re-operation can be necessary to find the cause of the bleeding, and wash and clean the pocket where the prosthesis is implanted.
Although the operation will take place under sterile conditions and antibiotics will be given before and after the operation, in case of any surgical area infection that may arise, it can be necessary to remove the silicone implants and wait for a minimum period of 6 months.
Pleura can be very rarely perforated and in such case, the treatment is made using a chest drain.
The second group of risks can be considered surgery-specific aesthetical problems, including that the failure to remove the asymmetry existing between the breasts before the operation, enlargement of breast tissues below or above expectations, and capsule.
What Is A Capsule?
Capsule is the biggest challenge for those working on breast prostheses. Our body develops a capsule tissue around any foreign substance in our body, not only around silicone. Sometimes that tissue thickens and hardens, and consequently the breast tissue gets compressed and hardens. A serious deformation develops in the prosthesis-implanted breast. It is not possible to completely eliminate a capsule formation, but there are various approaches and methods to mitigate it. The important thing here is to place the prosthesis under the muscle to increase the cover tissue over the prosthesis and benefit from the massage effect on the prosthesis by contraction of the pectoral muscle. There are also findings that the rough-surfaced prostheses cause less capsule tissue formation.
To answer this, we need to know how to determine the right size first.
For instance, when we measure the rib cage under the breasts using a tape measure, assume that we obtain 70 cm while we get 80 cm when we measure it on the nipples line. The difference in between is 5 cm, then your correct bra size will be 70A.
Because if your under-breast circumference is 65-70 cm, you can use 70; if 71-75, size 75; if 76-80, size 80; if 81-85, size 85; if 86-90, size 90; if 91-95, size 95; and if 96-100, size 100.
If the difference between the first and second measurements is 0-6.5 cm, your cup size is A; if 6.5-13, cup B; if 14-19.5, cup C; if 19.5-26, cup D.
Post-operation size of your breast can be estimated depending on the prosthesis to be implanted based on the pre-operation size of your breasts based on these measurements. From this point of view, it should be noted that the operation will not change your body size but your cup size according to breast measuring criteria.