I-Breast reduction breast reduction
II-Breast lifting (slinging)
Breast enlargement (Breast augmentation)
There is no difference between breasts in pre-adolescent boys and girls in breast development. In this period, estrogen and progesterone hormone, which provides development of female sex characteristics, affect breast development.
In girls, breasts continue to develop under this effect for 3-4 years. During the breast development period about 2 years, the menstrual bleeding also begins with the effect of hormones. When the breast development is completed, milk production and fertility properties will be gained. Breasts continue to develop in size and reach adult dimensions between the ages of 18-23.
Again, changes in the breasts can be seen with the effect of hormones. This development can be either natural or external. This development of the breasts does not always follow a normal course in some people may be smaller than it should be.
The size of breasts is not preferred by every woman, but the size of the breasts in the role of the sexual character plays a role. Although B and C are accepted as normal limits, the preference of individuals is also important. Although there are different reflections in magazines, there is not much change in the preferences of men.
Some studies have reported that only 25% of males prefer large breasts. 25% of small breasts and 50% of normal size preferred. However, women’s preferences are more important. When the breasts are below normal sizes, they can be functionally inadequate and furthermore they negatively affect one’s psychology.
In some women with small breast sizes, body image perceptions are inadequate, they cannot see themselves as a complete woman, and this may negatively affect their bilateral relations. The small size is called micromasti (small breast) in medicine. It is not a rare case in women. Although many drug therapies or herbal products have been suggested, there is no scientifically accepted drug treatment method.
The first breast augmentation surgery started in the 1900s. However, paraffin was used in these years and these paraffins were not accepted by the body. Ivalon sponges were used in the 1950s but after a while, they were found to be hardening.
Breast augmentation with silicon started in the 1960s. Breast implants were developed after 1960s and modern implants were used today. Until the 1960s, all the implants were placed in the breast tissue allergy and after this period, the chest muscle was started to be placed. In both cases there are advantages and disadvantages. However, it is generally preferred to place them under muscle. There are some advantages of placing the silicone under the breast breast in the breast augmentation process.
They cover all silicone with 1-Muscle and silicone contact with the mammary gland is very small. There is less likelihood of hardness due to the sheath formed due to the sheath. At the same time it is necessary to correct the sagging of the breast.
Bleeding is seen in 1-2 patients in 200 patients. It is rare that the serum or gel content of the implant is removed due to fabrication failure. Generally, it does not cause any problems, but in 3-5 of 100 patients this capsule starts to thicken and thicken the silicone. This causes pain. When it is highly disturbing, capsule tissue is removed. Folding of the implant on itself is a rare condition. After surgery, the patient stays in hospital for 1 day. Failure to use drains may increase the risk of contraction of the capsule. Surgery can be started under general anesthesia is performed in the periareolar insicion silicone is placed under the muscle. Mammography in people over the age of 30 years. Silicone gel is selected in the desired volume. One of the silicone gel or serum containing implants is selected.
Dual plane breast enlargement
In breast surgery, breast enlargement with silicon is performed by various techniques. Dual plane breast enlargement method is the application of silicon under the breast gland partially or partially under the breast muscle or by placing the silicon in place of the chest muscle or by changing the relationship between the mammary gland and the breast muscle.
The first is the connection between the muscles of the muscles of the breast region and the mammary gland and the musculature of the muscles of the breast. In order to change the relationship of the chest muscles to the silicone, the breast muscles should be separated from their hands. In this case, the muscle will be pulled upwards to the extent that the mammary gland. In the case of a dual plane breast augmentation, the position of the chest muscles is done either by just releasing the chest muscle in the under-breast fold area or by releasing the connections between the diaper and the mammary gland. These two maneuvers are preferred in different situations, in different ways depending on the shape of the operation, the type of breast, the silicon dynamics with the breast.
Is there enough soft tissue in the chest area?
In the upper part of the breast, the thickness of the soft tissue is measured. If it is 2 cm or thicker in this area, an anatomic silicone can be placed under the mammary gland.
The thickness of the soft tissue is also measured in the breast region.
If it is less than 0.4 cm in this area, the chest muscle is not released in this area and sufficient tissue coverage is provided.
If a person wants an enlargement in the upper part of the nipple, a rounded silicone or larger size anatomic implant is preferred.
Things to know before surgery
If you feel your ribs easily when you touch the nipple area with your fingers before surgery, you can feel the silicone on the side or on the side.
If you have a thin and very weak structure, the possibility of feeling the silicon outside will increase.
When large silicone is placed, the appearance of the breast may change over time and may cause sagging. Depending on the silicon content, the breast may be harder than normal. the possibility of a fold in the silicon due to the obstruction-reduction of the selection of the surgical technique according to the type of non-
Type 1 dual plane applied conditions No sag in the breast with no throat. protection of the relationship between the gland, covering as much muscle tissue and silicone as possible, and maintaining the prominence of the nipple B-
Type 2 dual plane technique is applied to most of the breast tissue on the lower fold of the breast tissue of the breast muscle between the weaker relationship between the nipple to the lower nipple folds between the distance of 5.6-6.5 between the purpose of this type of application of the breast muscle with the mammary gland to provide a higher level, a loose In other words, the movement of the mammary gland that is attached to the muscular muscle is reduced.
C-Type 3 dual plane technique applied this type of application is applied in cases where the breast is sagging and the lower part of the breast is narrow. There are sagging in the breast connections. The connections between the muscle tissue and the muscle are very loose. The diameter of the breast fold is 7-8 cm below the sternum. The aim of this type of application is to free the muscle tissue in the lower part of the breast as much as possible, to increase the relationship between the breast tissue and the stomach, to remove the sagging of the breast tissue. method reported.
It was stated that the fat injection for breast augmentation with plastic surgery would cause confusion in the detection of breast cancer. Classical fat from other parts of the body is used to provide a younger look in the face area and hands.
However, the use of breast enlargement in aesthetic surgery causes confusion with cancer development. It was stated that there was an increase in the demand for injecting fat into the breast tissue but it was more safe and not effective than the use of silicone.
In the long term, the formation of the masses in the breasts injected with fat and the accumulation of calcium in the fat tissue causes mixing with cancer. This confusion persists in manual examination, ultrasound scanning, MRI and mammography.
In addition, the injected fat tissue is also absorbed by the body over time. American Plastic Surgeons Association chairman Roxanne Guy stated that they do not recommend oil injection in breast enlargement without adequate clinical work.
When breasts are above normal sizes, they have negative consequences both for cosmetics and health. In breast reduction surgeries with a history of more than 100 years, 1921 Thorek transferred the nipple to the breast after the breast reduction. Breasts are genetically determined, but in cases of pregnancy and weight gain, the breasts grow.
It can also be seen sometimes in adolescence and it is also called virgin hypertrophy. It may be headache, back pain, pain in the neck and shoulder as a result of deterioration in body posture. In addition, the sports activities such as sports activities are restricted and social problems can also be revealed.
The method of surgery is used in such a way as to provide a trace. Nowadays, the method that leaves the T-shaped trace tends to be abandoned because it causes more traces. The distance between the nipple and the nipple is about 5-9 cm. There is an increase in these distances when there is a growth in the breasts. Then dressings are made at 2-3 day intervals. Stitches are taken in 10 days. It is recommended to wear sports bra for 6 to 6 weeks. The method called Vertical Technique is used. In this technique, especially in light-skinned and blond people, there is no obvious scar.
The surgery is completed with dressing Prevention of surgery should not have any health problems. Blood tests and bleeding clotting time measurements are performed. In addition, herbal products and teas should not be drunk at least 7 days in advance. 2 weeks prior to smoking will not be appropriate. The only solution for this is to reduce the size of the breasts by providing aesthetic appearance as much as possible by surgical intervention. If there is a family history of breast cancer, these people should have a breast x-ray after the age of 30. These persons should be stored again after 6-12 months after the operation, and these radiographs should be kept in order to see the changes that may occur later.
III-Breast lifting (breast lifting)
The method called mastopexy is the hanging or stitching of the drooping breasts. In 1981, it was tried to hang the breast with the Marlex file method. In the 1970s, the surgical method which causes only short scaring in vertical scars has been developed.
After menopause, the skin is lost due to the loss of elasticity and weight gain. Clinically, the breast sags are divided into groups. The tip is more likely to be located below but still does not fully fall beneath the lower part of the lower breast.
The breast tip is on the lower breast fold line or on this line. The sagging of the breasts may affect the psychology of the person without any direct health problems. Although all breast sagging can be performed, a more detailed evaluation should be done in the future for those who think about pregnancy and breastfeeding. The best aesthetic result is with the methods used according to the degree of sagging in the diffuser may vary.
Slight sag: If there is too little sagging in the breast, this silicon implant can be corrected and removed if necessary, in a periareolar skin. scarring technique is adequate, but rarely a reverse T-shaped method can be used. After surgery, stay in the hospital for 1 day after surgery. 2-3 times a day dressing is done. It should be avoided to remove the weight and avoid exhausting exercises for 2-4 weeks. The loss of sensation in the nipples of the breast .Periareolar tissue removal in the breast can be seen in the reduction of projection.
Using TEBS (Tercan external breast sizer) Breast reduction in breast reduction surgeries is done according to some measurements and more eye decisions. There is no specific method to determine the size of the breast during surgery. By using the patented Tercan External Breast Sizer we developed in breast reduction surgeries, we prevent the development of postoperative asymmetry and achieve the desired reduction in size. The size of the nozzles of normal sizes is determined by the measurement of the circumference of the breast underneath the nipple. This is actually the measurement of chest circumference. Likewise, when the breast is passed through the nipple, the breast sizes are revealed. This difference is called ”cup Bu. Generally, the nozzles of normal size are in the B cup group. This indicates that the breasts are wider than 6.5 to 13 cm around the chest. So A cup measure B cupa, B cupdan C cupa transition is provided. 300 ml silicone will cause an increase in the size of the cup approximately 2 cups. If D is greater than 5, it is defined as D cup.
The circumference of the nipple is 70 cm. and six
71-75 cm between the 7576-80 cm. between 8081-85 cm between 8586-90 cm between 9091-95 cm between the 9596-100 cm. 100
IV-Silicones are specially manufactured material that is placed under the breast tissue or breast muscle to enlarge the materials. There are two types of implants. or the serum is filled during surgery. Those filled with gel are prefilled and cannot be filled during surgery. The condition of silicone implant in the world. This institution has already allowed the use of 4 separate silicon implants. The products of Mentor and Allergan companies are among these products.
What are the risks of breast implants
1-Possibility of a re-operation
2-Developing capsular contracture with the hardening of tissues around the implant
3-Changes in the sensation at the nipple: It is usually transient, but sometimes permanent.
4-Intra-implantation of the content by penetration of the implant
Silicone and breastfeeding: No differences were found in the silicon level in the milk of those who did not have silicone. Calcium accumulation in the tissue surrounding the implant. Mamography may show calcium accumulation around the implant. This can be confused with the development of cancer. Thinning of the breast tissue and breast muscle may cause thinning of the tissues of the breast tissue and chest muscles. It may increase. However, this issue is controversial. The incidence of cancer in women using breast implants and cancer is not higher than in other women.
Ratio of implantation on its own wall at the 3rd year after surgery -21% Loss of sensation at the nipple – 10%
Capsular contraction rate – 9%
Implant removal – 8%
(37% size change,
24% implant perforation,
18% capsule contraction,
5% on its own incidence,
2% sagging, 1% cancer)
Asymmetry – 7%
Hypersensitivity to the nipple – 5%
Pain in the breast – 5%
Implant or puncture in the implant – 3%
Improper touch of the implant from the outside – 2%
Sagging in breasts – 2%
Surgical scarring – 2%
Bleeding – 2%
Breast size increase rate – 96% of patients
In addition, the breast caused at least 1 size increase. The chest circumference also increased by an average of 7.1 cm.
How long the implant is used
The manufacturer specifies a duration of 10-15 years.
How to tell the puncture of the implant
If the implant containing the serum is punctured, there will be a significant loss of volume. When this condition is suspected, MRI is exam. It is appropriate to have the gel implants checked by an MRI for 2-3 years. Implants around the implant, the size and shape of the implant, the breast hardening, under the seat in the case of the arrival of the implant puncture should also be considered.
The American Drug Administration considers the oxidation rate of platinum as implants to 0. There is no data on its damage.