Breast augmentation (breast plastic surgery) is performed under general anesthesia and silicone implants are placed using various techniques. The special silicone implants are divided into smooth-surface and rough-surface depending on the texture of their outer surface. They are placed under the mammary gland or under the pectoralis major muscle. The classic accesses for insertion and insertion are axillary (when the insert is inserted through an incision made in the axilla, peripapillary (when the incision is made around the areola) and submastric (where the incision is made in the skin of the breast crease).
The lower perithecal approach is usually preferred and a tracheal surface insertion under the pectoralis major muscle is usually placed. This technique offers the most natural results and reduces the possibility of complications and capsule formation. The type and size of the implant depends on the original breast volume, as well as the desired result.
The total duration of the surgery is 1-1 ½ hours, and the patient remains in the clinic for one night. After surgery, the patient usually wears a special bra for a period of one month.
In cases where there is also a breast drop, it is recommended that the breast surgery be performed in combination with a breast lift.
Complications are not common and are limited by proper application of the appropriate technique, placement of the appropriate size implant, prophylactic antibiotic treatment and patient compliance with instructions. The main complications are hematoma formation (which will require drainage), inflammation and scar capsule formation around the graft. The scar capsule, if created, may alter the outcome of the operation and may require re-operation to remove it.
After breast augmentation surgery, you may experience swelling, numbness in the breast area or bruising, which will subside within a month. In addition, hypersensitivity of the breasts or nipples may occur, but usually the symptoms subside after a maximum of six months. The appearance of the scars from the surgery softens over time. Post-operative pain can be managed with analgesics, and the patient can return to mild work after 1-2 weeks and to full activity in 3-4 weeks. As far as breastfeeding is concerned, if appropriate implants are used, it is not affected in any way.
The result of breast augmentation is immediately visible, while its details become visible after about 3-12 weeks, that is, once the swelling subsides.
The silicone implants used in breast augmentation last more than 10 years and are American-made and of high quality.
In some cases, a woman may want to replace the implants after a few years due to age, pregnancy, or because she wants a different breast size. Primarily, however, the inserts do not require replacement.
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