BREAST ENLARGEMENT
Breast augmentation, technically known as augmentation mammoplasty,
is a surgical procedure to enhance the size and shape of a woman's breast
for a number of reasons:
To enhance the body contour of a woman who, for personal reasons, feels
her breast size is too small.
To correct a reduction in breast volume after pregnancy
To balance a difference in breast size.
As a reconstructive technique following breast surgery.
By inserting an implant behind each breast, surgeons are able to increase
a woman's bustline by one or more bra cup sizes.
The
Best Candidates for Breast Augmentation
Breast augmentation can enhance your appearance and your self-confidence,
but it won't necessarily change your looks to match your ideal, or
cause other people to treat you differently. Before you decide to
have surgery, think carefully about your expectations and discuss
them with your surgeon.
The best candidates for breast augmentation are women who are looking
for improvement, not perfection, in the way they look. If you're physically
healthy and realistic in your expectations, you may be a good candidate.




Types
of Implants
A breast implant is a silicone shell filled with either silicone gel
or a salt-water solution known as saline.
All Surgery Carries Some Uncertainty and Risk
Breast augmentation is relatively straightforward. But as with any
operation, there are risks associated with surgery and specific complications
associated with this procedure. Dr Aylin Karanlik will discuss this
in detail with you preoperatively.
Planning
your Surgery
In your initial consultation, your surgeon will evaluate your health
and explain which surgical techniques are most appropriate for you,
based on the condition of your breasts and skin tone. If your breasts
are sagging, your doctor may also recommend a breast uplift.
Be sure to discuss your expectations frankly with your surgeon. She
should be equally frank with you, describing your alternatives and
the risks and limitations of each.
Preparing for your Surgery
Your surgeon will give you instructions to prepare for surgery, including
guidelines on eating and drinking, smoking, and taking or avoiding
certain vitamins and medications.
While making preparations, be sure to arrange for someone to drive
you home after your surgery and to help you out for a few days, if
needed.
The
Surgery
The surgery usually takes one to two hours to complete. Stitches are
used to close the incisions, which may also be taped for greater support.
After your Surgery
You're likely to feel tired and tight for a few days following your
surgery, but you'll be up and around in 24 hours.
After surgery, you'll find steristrips over the scars with dressings
over these. Finally the sports bra which you brought in with you will
be worn over the top of this. The dressings will be removed 24 hours
postoperatively but the steristrips should be left in place until
you are reviewed in out-patients 10 days later.
You may feel some discomfort for the first couple of days - especially
when you move around or cough. This will last for a week or so. You
may also experience a burning sensation in your nipples for about
two weeks, but this will subside as bruising fades. Your surgeon will
prescribe medication to lessen the discomfort. You may hear a “sloshing”
noise inside your breast and possibly feel a “bubble-wrap”
like change in the skin near the breast – this is normal and
will resolve after 2-3 days.
Dr Aylin Karanlik will advise you to bring in a sports bra in the
appropriate size before your surgery. This should be non-underwired,
black and a sports type bra. Front-fastening or over-the-head bras
are not recommended. Your bra will be fitted at the end of your operation.
You'll probably find it most comfortable to continue wearing the sports
bra around the clock for 2-3 weeks, until the swelling and bruising
subside. Your stitches will not need to be removed either as they
will be dissolvable. Sometimes a small amount of the stitch can be
visible – this is normal. Do not pull it, but you can cut it
short or simply leave it and it will dissolve.
If your breast skin is very dry following surgery, you can apply a
moisturizer several times a day, but be sure to keep away from the
suture area. You may get the wounds wet after 48 hours. A shower is
best or a bath splashing the water up over the scars. Be sure to dry
the scar-line afterwards and do not soak the wounds.
Getting Back to Normal
You should be able to return to work within a few days, depending
on the level of activity required for your job.
Follow your surgeon's advice on when to begin exercises and normal
activities. Your breasts will probably be sensitive to direct stimulation
for two to three weeks, so you should avoid much physical contact.
After that, breast contact is fine once your breasts are no longer
sore, usually three to four weeks after surgery.
Your scars will be firm and pink for at least six weeks. Then they
may remain the same size for several months, or even appear to widen.
After several months, your scars will begin to fade, although they
will never disappear completely.
Your
New Look
For many women, the result of breast augmentation can be satisfying,
even exhilarating, as they learn to appreciate their fuller appearance.