Breast Augmentation Surgery (Implant, Fat Transfer, Aquafilling)

Augmentation mammoplasty or breast augmentation is a surgical procedure to increase the size, shape or fullness of a woman's breasts. The surgeon places silicone, saline or alternative composite breast implants under the chest muscles or breast tissue.

Breast augmentation is done to:

• Enlarge breasts that are naturally small.
• Restore breast size and shape after pregnancy, weight loss or breastfeeding.
• Restore symmetry when the breasts are asymmetrical
• Restore the breast(s) after surgery as treatment for breast cancer or some other condition or event that affected the size and shape of the breast.

Breast augmentation surgery involves using;

• Breast Implants
• Fat referred to as Fat Transfer Breast Augmentation
• Aquafilling.

* IMPLANTS *

A breast implant is a medical prosthesis that is placed inside the breast to augment, reconstruct or create the physical form of the breast.
The outer layer of breast implants is made of firm silicone. The inside of the implant is filled either with salt water (saline solution), silicone gel, or a composite of alternative substances. Makers of breast implants say they should last for at least ten years. There are three main types of breast implants:

• Saline implants - filled with a sterile saline solution (biological-concentration salt water 0.90% w/v of NaCl, ca. 300 mOsm/L.) which is held within an elastomer silicone shell. These implants can be filled with different amounts of saline solution, which may affect the feel, firmness and shape of the breast. If this type of implant leaks, the solution will be absorbed and expelled by the body naturally.
• Silicone implants - filled with a viscous silicone gel which is held within an elastomer silicone shell. If a silicone-filled implant leaks, the gel will either stay in the shell or escape into the breast implant pocket. A leaking silicone-filled implant might not collapse. Patients choosing this type of implant should carry out more regular checks with their doctor compared to those on saline solution implants. The condition of the implants can be determined with an MRI or ultrasound scan. There are five generations of this type of implant. The latest one is made of a semi-solid gel that has virtually completely eliminated silicone gel bleed (filler leakage) and silicone migration from the breast to other parts of the body.
• Alternative composite implants - these may be filled with polypropylene string, soy oil or some other material.

BEFORE SURGERY

• Make sure you tell us about any and all medications (including, but not limited to, heart medication, blood pressure medication, insulin, antidepressants, etc.), vitamins and herbal or homeopathic remedies you are taking.
• Stop taking aspiring, aspirin-containing meds/products and all vitamins and herbs for at least 2 weeks prior to your surgery. Many types of vitamins, herbs, and meds will cause the blood to thin, which is why you do not need to take anything without your plastic surgeon Dr.Emre Gönen's approval.
• Do not drink alcoholic beverages for at least 24 hours pre-op.
• If your period is due around the time of your scheduled surgery date, make sure you let your surgeon know.
• You will want to practice sleeping on your back and/or propped up on pillows, because you will be sleeping like this for a few weeks (at least) after your surgery.

SURGERY
The procedure is done under general anesthesia. You could discuss incision options with your surgeon Dr. Emre Gönen. He will explain which are most suitable for you and your desired outcome.
The following incision options are possible

• Inframmammary incision - in the crease under the breast.
• Transaxillary incision - in the armpit (axilla)
• Periareolar incision - around the nipple

The choice of which incision to use depends on several factors, including the degree of enlargement, your anatomy, the type of implant, and surgeon-patient preference.

The breast implant is inserted into a pocket.
There is a choice between two types of placements:
A submuscular placement - under the pectoral muscle. When placed here the patient may take slightly longer to recover, compared to subglandular placement, and may also experience a little more post-operative pain.
A submammary (subglandular) placement - behind the breast tissue, over the pectoral muscle.

Then, the surgeon closes the incisions with layered sutures in the breast tissue and with skin adhesives, sutures and surgical tape to close the skin and keep it closed.
Initially, there will be evident incision lines. These will fade with time.

Breast augmentation results are visibly evident straight away. There will be some swelling caused by the surgery, which will resolve within a couple of weeks. As the swelling dies down and the incision lines fade, the patient will have a better idea of whether the procedure met her expectations.

AFTER SURGERY
As the anesthetic wears off, the patient will be given painkillers to relieve the pain.
Nobody should drive immediately after anesthesia, because it affects coordinating and reasoning skills for at least 24 hours.
In most cases, the woman should not engage in strenuous physical activities for about six weeks. She will probably be encouraged to do some post-operative exercises, such as flex and move her arms to relieve pain and discomfort.
Thanks to more advanced techniques today, including submuscular and subglandular placements, recovery times have improved considerably.
It'ss important to follow the surgeon's advice regarding what type of bra to wear, and when to wear it. If the surgeon used sutures that do not dissolve or placed drainage tubes near the breasts, the patient will need a follow-up appointment to have them removed in one or two weeks. Absorbable (dissolvable) sutures usually disappear within six weeks.

* FAT TRANSFER *

Many women feel that their breast size and shape affects their body confidence. Factors such as weight loss, breast feeding, ageing and genes can cause breasts to droop or lose their fullness. Now it's possible to improve the shape and size of your breasts without the need of implants.

Fat transfer to the breasts is performed under general anaesthetic and can take from 1 to 3 hours depending on the amount of fat to be transferred and the complexity of the particular case. Breast enlargement with fat transfer is a safe alternative to breast implant surgery and during the procedure, fat is taken from a donor site using a liposuction cannula (a thin, tube like syringe) and is then prepared for re-injection into the recipient site. Both shape and size can be enhanced and the result is very natural looking and feeling breasts. You're using your body’s own natural material to add volume back to the breasts, there is no chance of rejection or allergic reaction.

Advantages

• Bigger breasts using your own fat – the most natural alternative to implants available
• Two procedures in one, areas of the body are slimmed and the breasts enhanced in one session
• No silicone breast implants, no foreign bodies
• No general anaesthetic, no lengthy time off work
• Permanent results, unlike implants which may need replacing
• Soft natural looking results

* AQUAfilling® *

Larger, rounder and firmer breasts – every woman dreams of a beautiful, tempting bust that catches the eyes of men and arouses the envy of other women. They can do this without invasive surgery under general anaesthesia, no scars, or painful several week-long recovery. Recently, another treatment joined the non-invasive methods of breast augmentation – procedures with AQUAfilling®. Breast augmentation is the most popular procedure for women. In view of the unwaning interest of patients in breast augmentation, scientists have continued to develop other less invasive methods that look natural. One of the latest surgical techniques is a breast augmentation method using AQUAfilling®.

AQUAfilling® is a preparation designed for contouring and body shaping. It is an innovative hydrophilic gel, composed of saline (98%) and polyamide (2%), a salt binding substance that gives the preparation the appropriate volume. The gel is used to correct soft tissue imperfections, including eliminating deformations resulting from liposuction or plastic surgery. It can be used to shape the shoulders, rounder buttocks, and enlarge breasts.

AQUAfilling® breast augmentation is virtually painless as injections are performed under local infiltration anaesthesia. The gel is applied with very thin needles and the gel flows easily into the skin. You won`t even notice when the procedure is finished.

Advantages

• Non-surgical procedure with minimal trauma for a patient.
• Short-term postoperative recovery within 1-2 days. 
• The final aesthetic result is observed by the 7th day after the procedure (all postoperative reactions disappear). 
• Absence of infiltrations within the injection zones.
• Absence of any signs of inflammation or allergic reactions within the injection zone. 
• Absence of any gel migration from the injection zone.
• Absence of implant fragmentation.
• Natural consistency in the soft tissues.
• Natural look of the effected soft tissues.
• Long-lasting effct until five to eight years. 
• Possibility to perform reinjection.

AQUAfilling® is performed in MISSPLAST, Beauty Clinic by Emre Gönen with advanced technology in a sterile environment.