Breasts smaller than desired depend on an indeficiency of growth usually in breasts in young ladies but sometimes they are also seen after excessive reduction of breasts in the post-pregnancy period. In both cases, the condition is tried to be corrected by the application of silicone breast implant. In this case, the implant is usually inserted through an incision of 5-5,5 cm which shall be opened under the breast. In case where a sufficiently firm and uplifted breast cannot be obtained just by inserting an implant, excess skin must be removed as well as inserting an implant. Excess skin is removed from around the breast areola (ring of colour around the nipple) and in such a case, the implant may be inserted through here.
The physician must provide his/her patient with any necessary preliminary information about such issues as the content, shape, size of the breast implant and the cavity in which it shall be inserted, and then explain his/her decision with his/her reasons and associate his/her patient with his/her decision.
The operation is performed under general anaesthesia and takes approximately 1-1,5 hour. An overnight stay is recommended at hospital after the operation. The patient may start to perform light works and activities at the expiration of a period of 10-15 days.
Breast Reduction:
Breasts bigger than desired usually bring about their being saggy as well. In the reduction of big breasts, it is required to remove the excess glandular tissue and the adipose tissue in the breast, thus reducing the volume of the breasts. It is also tried to remove the excess skin at suitable places and to leave any scars at as small a number as possible and at such places where such scars shall be seen the least. As women who have not yet completed 18 years of age as well as those who have passed 60 years of age apply for breast reduction and as the breast volumes and skin qualities of the applicants vary by both age and person, it is unavoidable to have various operational techniques. The younger the patients are, the more important it is to choose a function-preserving (nipple sensitivity and milk production) method. Moreover, more attention is paid to leave as little scar as possible in young women. Although rare, it is possible in young women for the lightened breast which is only reduced by fat removal (liposuction) to stay without sagging thanks to good elasticity of the skin. In such a case, there will be no scars other than the tiny entry holes of the cannulas used for fat removal. In some cases where this operation shall cause the breast to sag, the excess skin is only tried to be removed with a scar around the breast areola (ring of colour around the nipple). In case where this is not sufficient, it may be required to add another scar perpendicular to the one around the breast areola. This is usually the type of operation with the maximum scar for young patients. And beyond this, addition of a horizontal scar which extends under the breast is a condition which shall be applied in patients of old age and in cases where the skin elasticity has been lost in extremely big breasts.
Briefly, it is essential to reduce the breats by preserving the veins, nerves and mammary ducts coming to the nipple and thus to give any desired shape and uplift and to do it with as minimum scar as possible.
Breast Lifting:
Lifting is sometimes ensured without using implants an sometimes by using implants in necessary cases. Use of implants is not required in those women with taut skin and firm mammary tissue in whom it is suitable to lift the mammary tissue with sutures by removing the excess skin of the breast. However, in women who have cracked skin and loose tissues but desire quite firm breasts, implants may be required. The operation is performed under general anaesthesia and takes 2-3 hours. An overnight stay is recommended at hospital after the operation. The patient may start to perform light works and activities at the expiration of a period of 10-15 days.
The moving pictures in this page do not belong to any pre-operation or post-operation period. We have tried to show the intended effect of this operation using computer programmes.
The moving pictures in this page do not belong to any pre-operation or post-operation period. We have tried to show the intended effect of this operation using computer programmes.
WHAT TO BE PAID ATTENTION IN BREAST AUGMENTATION, REDUCTION AND LIFTING OPERATIONS
Pre-Operation:
If the breast operations only cover augmentation by inserting implants, the operational scar shall be quite small, but unlike this, operations may result in long scars in some cases in breast reduction operations. In breast reduction operations, you should know in detail beforehand what method you will require and where exactly and how long the scar shall stay.
In too big breasts, scars gradually reduce at varying degrees over months and years after reduction in many patients, usually depending on the person or rarely stay as distinctive and unrecoverable scars. This has nothing to do with taking utmost care in the operation or with the person who performs the operation, but it results from anatomical and unpredetermined reasons.
If you smoke, stop smoking 15 days prior to the operation if possible. This shall not make things hard for your lungs due to the general anaesthesia but shall be useful for the recovery of your scar.
Do not take such pills as Aspirin and its equivalent during 15 days prior to and 15 days after the operation. Take other painkillers if necessary. Taking Aspirin may cause excessive blood loss during the operation and spontaneous bleeding after the operation.
Stop eating and drinking within six hours prior to the operation.
Let your physician know if you have such a condition as influenza, cold, coughing, fever, exhaustion, etc. Your operation may have to be put off.
In case your are in your regular menstruation period, your operation may not have to be put off. However, you would better let your physician know. This is especially important for those patients whose breasts tighten to a great extent during menstrual terms.
Post-Operation:
Your painkiller for your pain shall be administered once you are resuscitated after the operation and continue in the subsequent period as well.
If you do not have any nausea six hours after the operation, you may start to drink a few sips of water and then eat and drink by gradually increasing at intervals.
You may have limited and painful use of your arms for a period of 15 days after the operation.
Note: please contact Prof. Dr. Ahmert SEYHAN for any issues which you do not deem to be sufficiently clear or which have not been stated.
