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Cosmetic breast surgery, or mammoplasty, is the common name of surgically shaping female breasts through augmentation, reduction or lifting. There operations are performed by cosmetic and plastic surgery specialists. There are rumors that general surgeons can also perform mammoplasties, but these operations need to be performed by cosmetic surgeons for optimal outcomes.
Types of Cosmetic Breast Operations
Cosmetic breast surgeries include a variety of operations. These can generally be divided into two: non-surgical and surgical. The different types of cosmetic breast procedures are as follows:
- Breast reduction surgery
- Breast lift surgery
- Breast augmentation surgery
- Nipple reconstruction (areola reduction)
- Breast augmentation (with fillers)
- Breast augmentation (with the patient’s own fat)
- Breast lift (with fillers or LipiVage)
Breast Augmentation with Silicone Implants
Breast augmentation can be achieved surgically through the placement of a silicone implant under the chest muscle. Silicone breast implants are divided into two types:
Types of Silicone Implants
- Teardrop implants
- Round implants
How Is Breast Reduction Surgery Performed?
Breast reduction is one of the most common cosmetic breast surgeries. They are performed for both cosmetic and medical reasons. It is possible to lift or reduce a sagging or excessively large breast.
There are also patients that request breast reduction not for cosmetic reasons, but because it makes them physically uncomfortable to the point that it affects their health. The major problems caused by excessively large breasts are as follows:
- Back pain due to heavy breasts
- Excessive sweating under the breast
- Yeast infections under the breast
- Difficulty walking due to breast volume
For these reasons, women want to have breast reduction surgery.
This operation is in fact not very difficult, and lasts approximately 2 hours. They are performed under general anesthesia in full-fledged hospitals with emergency and intensive care departments.
After Breast Reduction Surgery
The patient is provided with painkillers to make sure they are comfortable after cosmetic breast surgery. It is also possible that your physician will insert a drain to prevent fluid accumulation. The drain needs to be monitored daily and aims to prevent infections and wound complications.
The patient must follow the directions of their surgeon after the operation, which may include using medication and avoiding physical activities and showers for a certain period of time. The operated region will be examined by the surgeon and the dressing will be changed, if necessary.
How much scarring does breast reduction cause?
Each cosmetic surgery will inevitably leave a scar. In breast surgeries the operation is performed through an incision at the border of the areola. The surgeon can use surgical techniques to hide the incision mark. However, scar formation can never be completely prevented.
Still, the marks will become very faint about one year after the operation. It should be noted that scarring largely depends on the skin structure of the patient, where some patients may be left with more visible scars.
Will the Reduced Breast Grow Again?
It is very unlikely that the breast will spontaneously grow after reduction. Major factors that might cause breasts to grow are pregnancy and significant weight gain. It is possible to intervene with a second breast reduction, if necessary.
Can You Breastfeed After a Breast Reduction?
Breast reduction operations can cause damage to milk channels depending on the structure of the body. This condition is seen in one out of four people. It is important to inform the patient regarding this risk and to consider postponing the operation if they are considering having children in the future.
How Much Should the Breasts Be Reduced?
The reduction amount will be different for every person. The physician will help you determine the optimal breast size, taking into account the size of the chest and the weight of the patient. It is more adequate to determine a different breast size for each patient as the ideal breast size is different for every person.
Do I Need A Preoperative Mammography?
Your physician can answer this question during your examination. The requirement of mammography depends on several clinical factors, and might be requested after your examination.
What Is the Youngest Age a Person Can Have a Breast Reduction?
Breast reduction surgery can be performed on every woman aged 18 or older.
Physical Activity After Breast Reduction
You can go back to your normal life 1.5 months after your operation on average. After your doctor gives you the clear, you can resume physical activities including swimming.
Will My Insurance Company Pay for My Breast Reduction Surgery?
Breast reduction is considered a cosmetic procedure, thus neither government nor private health insurance cover this surgery. If you are considering this procedure, you will have to finance it by your own means.
Will My Breasts Lose Sensation After Breast Reduction?
Some patients experience temporary loss of sensation around the nipple, however rarely. This is a temporary condition and should improve in 6 – 12 months.
Breast Lift Surgery
Breast lift surgery is for women with sagging breasts. The breast is reduced or lifted with silicone implants. In some rare cases, there may be a need for both reduction and silicone replacement. The ideal treatment option is decided after a thorough examination.
A breast lift operation takes 2 to 4 hours depending on the course of the surgery. The operation is performed under general anesthesia under hospital conditions without the patient feeling any pain.
After Breast Lift Surgery
Your physician will insert a surgical drain to the surgical site to remove any accumulating liquids. You will be provided with painkillers to manage any postoperative pain. You will also be provided with a sports bra that will help support your breast and reduce pain. You may start showering 2-3 days after the operation with your doctor’s permission. You will need to wear the sports bra for about 3 weeks, and it will take approximately 1.5 months for the breast to assume its final look.
Will My Breast Start to Sag Again After Breast Lifting?
It is possible that your breasts will start to sag after breast lift surgery. This depends on contributing factors like pregnancy or fluctuating weight. If that is the case, you may need to undergo a second breast lift surgery.
Can My Breasts Become Upright Without Surgery?
There are many women that try non-surgical methods to lift their breasts before resorting to cosmetic surgery. However, you should note that it is not possible for breasts to become tighter without surgery. Hormonal drugs and ointments cannot make the breasts tighter and more upright.
Is Using Silicone Implants Necessary for Breast Lift Surgery?
When a patient requests a breast lift, the physician primarily examines them to understand the amount of tissue their breasts contain. If the breast is full enough that a simple reduction and tuck will be sufficient to lift it, it will not be necessary to use silicone implants. Otherwise, it will be required to use silicone or other implants for a breast lift.
The Best Time for Breast Lift
The best time for breast lift is after having a baby. You can have a breast lift surgery 6 months after you stop breastfeeding.
Is Breast Lift A Permanent Surgery?
If silicone implants are used for breast lift, the results will be considerably durable thanks to the resistant and durable structure of silicone. For this reason, there will not be much sagging in the breast after the operation.
Type of Anesthesia for Breast Lift Surgery
Almost all breast surgeries are performed under general anesthesia. These surgeries last considerably long and it is not possible for the patient to tolerate the pain. That is why the patient is anesthetized before the surgery.
What Season Is Better for Breast Lift Surgery?
There is not an optimal designated month for cosmetic breast surgeries. The best time is the time you feel good and ready to have this surgery.
Why Do Breasts Sag
Breasts start to sag over time due to gravity, breastfeeding, and excessive changes in weight. It is also possible that the patient is just genetically predisposed to sagging breasts.
Will Surgery Cause Loss of Sensation?
It is natural for the operated region the develop edema and swelling, and some degree of numbness. However, the operation will not result in loss of sensation.
What Is the Ideal Size for a Breast Lift?
The ideal size for a breast lift is perfect symmetry and what is closest to the natural breast size. This size is different for every person. What determines the ideal natural size for a woman is mainly the size of their chest, where if the breasts fit in the width of the chest, they will look natural.
Breast Augmentation Surgery
Breast augmentation surgery is the enlargement of breasts through surgical intervention. The primary method of breast augmentation is silicone implants, followed by fillers. Both methods will result in noticeable breast growth. The ideal size of the breast depends on the width of the rib cage.
Breast Augmentation with Silicone Implants
Breast augmentation surgery with silicone implants is performed under general anesthesia under hospital conditions, and takes approximately 1.5 hours. After the operation, the patient needs to stay in the hospital overnight for medical observation to be able to quickly intervene to any possible adverse event.
Silicone implants are placed under or over the chest muscle. The procedure is planned prior to the operation. Silicone implants are divided into two different kinds: teardrop and round.
Teardrop Implant Breast Augmentation
Teardrop silicone implants are ideal for patient with minimal sagging that have a considerable amount of breast tissue left. These implants can also be used to lift breasts. They are easily placed under or over the chest muscle through the nipple or the axilla.
Round Implant Breast Augmentation
Round silicone implants are preferred for patient that do not have sufficient breast tissue, or where the patient requires a significant change in size. This type of implant is more adequate for women who like to show their cleavage. Round implants should be preferred if the purpose is not to contour but to reconstruct the breast.
Fat Transfer Breast Augmentation
This method is also called no-anesthesia or non-surgical breast augmentation. This technique makes it possible to augment the breast without using silicone implants. If the patient has sufficient fat deposits around their body, these are collected through liposuction and injected to the breast tissue.
Some of the injected fat will dissolve over time, so it is important to leave room for some shrinkage to obtain the desired breast size.
This breast augmentation method is actually easier and more practical, but unfortunately not suitable for every patient. This method is not adequate for patients without sufficient fat in their body, that is skinny patients.
It is also important to note that the injected fat can dissolve after some time and may require a second operation after 5-6 years, or if the patient wants to change the size of their breasts. In other words, this method will not provide the permanent results that can be obtained by silicone implants. If that is what is desired, silicone implants will be a more adequate option.
Frequently Asked Questions About Breast Augmentation
Will Silicone Implants Rupture?
Silicone breast implants will not rupture. These surgical prostheses are extensively tested before they are made commercially available, where they will not rupture even under a hydraulic press. My professional opinion is that silicone implants need to be inspected every 10 years for safety.
Are Round or Teardrop Implants Better?
Each of these implants are more appropriate for different purposes. The choice of implant will be directed by purpose. Neither is superior to the other, just different.
Is Breast Augmentation A Permanent Surgery?
Breast augmentation operations with silicone implants yield permanent results and the implants will last a lifetime. They will not lose volume over time; hence, you will not require a second breast augmentation operation in the future. However, operations that utilize fillers are not permanent. The body will degrade the injected material, and the breasts will revert to their previous condition.
Can People Tell That I Had My Breasts Augmented?
Silicone implants are not discernible through look or touch, especially if the implant is placed under the chest muscle and if the implant is not too big.
Pregnancy After Breast Augmentation
Breast augmentation will not get in the way of you getting pregnant or giving birth. It is even possible for you to breastfeed.
Do Silicone Implants Cause Cancer?
Medical studies have shown that breast silicone have zero carcinogenic effects. We can say that nobody gets cancer because they have breast implants.
Can Breast Implants Be Removed If Desired?
Yes, breast implants can be removed at the patient’s request or if the person is not satisfied with the implant after breast augmentation surgery. The only drawback will be some degree of sagging in the breasts, which can be corrected during the same operation.