Breast implant technology and advances in surgical techniques have made breast augmentation a very safe and effective procedure, enabling patients to obtain pleasant and natural results.

OPTIONS

There are many factors and options to think about when considering whether or not to undergo a breast augmentation surgery, including:

IMPLANT SIZE
Implants are measured in cubic centimetres (ccs) and range from approximately 120cc to 960cc.

IMPLANT PROFILE

The implant profile specifies the distance that the implant projects from the body–higher profile implants result in more prominent silhouettes than lower profile implants.

Implant shapes can vary between round and drop-shaped.

INCISION PATTERN:
Inframammary (under the breast)
Periareolar (around the lower half of the areola)
Transaxillary (in the underarm)
Transumbilical or TUBA (In the navel area).
IMPLANT PLACEMENT:
Submuscular placement: under the chest muscle
Submammary or Subglandular placement: between the chest muscle and breast tissue.
Dual plan
Under Sarcolemma
IMPLANT TYPE:
Saline implants are inserted into the body in its empty form and filled with a sterile, saline solution after they are placed.
Silicone implants are pre-filled with a silicone gel (viscous fluid that simulating the texture and feeling of human breast tissue).

Breast augmentation surgery is one of the most common cosmetic procedures performed today and is performed for a number of reasons, including (but not limited to);
Increasing breast size
Correcting asymmetrical breasts
Enhancing lost breast volume after pregnancy and breastfeeding
Augmenting breast size after significant weight loss
Correcting imbalanced body proportions
In conjunction with breast reconstruction surgery after mastectomy or injury to the breasts
In conjunction with breast revision surgery after complications from a previous breast surgery
In conjunction with a breast lift, to add volume and fullness while correction breast sagging

With aging, our tissues lose collagen and elasticity and therefore result in a condition known as breast ptosis (sagging of the breasts). Fortunately, a breast lift (mastopexy) can provide a youthful appearance to your breasts. When necessary, a breast lift can also be utilized to reduce or reshape the size and appearance of the areola (the dark skin surrounding the nipple). Some patients prefer to undergo breast lift surgery in conjunction with a breast augmentation, in order to simultaneously lift and increase the size of their breasts within the context of one procedure.

OPTIONS

There are several variations of breast lift surgeries, which differ primarily in terms of the incision pattern used during the surgery:
The Anchor or Standard Lift
The Lollipop or Vertical Lift
The Donut or Concentric Lift
The Crescent Lift

You may be a good candidate for breast lift surgery (mastopexy) if you have one or more of the following conditions:
Breasts that lack firmness
Breasts that are small and sagged
Breasts that are flatter after weight loss
Breasts are saged from pregnancy and breastfeeding
Breeds that are elongated in shape
Breasts that lack fullness
Breasts that are pendulous (sagging)
Nipples that point downward
Unsupported nipples that fall below the breast crease
Enlarged areolas
Areolas that point downward
Breasts that have stretched skin
Asymmetrical breasts
Heavy breasts

The most popular types of breast surgery procedures are breast augmentations and breast lift. While both operations treat the same part of the body, they have very specific purposes and results. Breast volume, size, and fullness in breast augmentation are increased with the surgical insertion of a breast implant. Breast lift surgery corrects the aesthetic breast problems resulting from ptosis—sagging, or flat breasts that have lost their youthful, round shape and appearance. The primary causes of ptosis include: age, genetics, childbearing/breastfeeding, and weight fluctuations; a breast lift (mastopexy) can solve these problems. Very slight cases of breast ptosis can be improved by breast augmentation alone. However, beyond a certain point, breast augmentation cannot solve the problem of ptosis, and similarly, a breast lift will not increase the overall size or shape of your breasts. If your surgical goals are an increase in breast size and correction of sagging breasts, you can undergo a breast augmentation procedure in conjunction with your breast lift surgery (augmentation-mastopexy).

OPTIONS

There are a number of surgical options and choices in augmentation-mastopexy surgery, including:
Type of breast lift surgery (crescent lift, Benelli lift, vertical mastopexy, full mastopexy)
Type of breast implant (silicone and saline)
Nipple placement
Size of implant
Augmentation incision (inframammary, periareolar, transaxillary, transumbilical)
Implant placement (submuscular vs submammary)
Advantages of having augmentation-mastopexy at the same time are as follows:
Safety and convenience of a single dose of anaesthesia,
Decreased risk of surgical complications
Only one post-operative recovery period
Cost-effective
Ability to see final results after only one procedure
There are many breast augmentation options to choose from. A woman with an inadequate breast tissue and sagging breasts may only require a breast lift; however, when breasts simultaneously lose volume and begin to sag, breast augmentation with a lift is the best option.
Breast augmentation with lift can be chosen by women with:
Small breasts beginning to sag
Breasts that have lost volume and are stretched out from pregnancy or weight fluctuations
Breasts that are elongated or pendulous
Asymmetrical breasts
Breasts that have lost their shape and contour
Breasts that sag and have lost volume

For many women, large breasts (macromastia) can cause a number of physical and aesthetic complications, including chronic back pain, headaches, breathing problems, poor posture, neck strain, skin irritation, and deep, painful indentations from bra straps. Macromastia may also inhibit lifestyle choices, and obstruct physical activity, sports, and exercise extremely, leading to decreased mobility and increased the potential for weight gain.

Breast reduction surgery can also reposition the nipple to a cosmetically appropriate position and size.

During breast reduction surgery, Başaran, MD removes the necessary amount of fat, glandular tissue, and skin from your breast, and then reshape the breast to better contour to specific body size and shape. There are many different types of breast reduction surgery, and the reduction required to restore the breast health and specific aesthetic goals determine surgical details. According to conducted surveys, breast reduction surgery consistently ranks first in terms of patient satisfaction for all procedures performed by plastic surgeons. The American Society of Plastic Surgeons recently surveyed patients after their breast reduction surgery and over 95% of them responded that they would have the surgery performed again if they needed to. This informative statistic lends further evidence to the fact that breast reduction surgery continues to increase in popularity as a surgery with both medical and cosmetic benefits.

INDICATIONS

Breast reduction surgery can correct many health complications resulting from enlarged breasts (macromastia):
Cystic breast infections (polycystic mastitis)
Loss of sensation in the arms and fingers
Insomnia
Stretch marks on the breasts
Chronic back pain
Headache
Stasis ulcers (skin irritation or death of skin tissue due to pressure)
Shoulder pain
Poor posture
Neck aches
Pigmented bra-strap grooves
Numbness
Skin rashes under breasts
Inability to exercise
Difficulty breathing
Asymmetrical breasts
Restriction of physical activity due to the weight of the breasts
Dissatisfaction or self-consciousness about breast size

Those who have any of the symptoms listed above may be a good candidate for breast reduction surgery; however, the ideal breast reduction candidate must be in good health with no current or pre-existing medical conditions and with good skin elasticity.

Women may want to undergo breast revision surgery for a number of reasons. However, breast implants do not offer a lifetime guarantee. There are many occasions where complications (for example capsular contracture, implant rupture or deflation) require a revision surgery. In some patients, the reason of the revision surgery is not the breast implants.

Some women may want to have a second breast surgery to increase or decrease the size of the original breast implant or to change the shape, type, projection, or placement of their implants.

OPTIONS

Some of the most common aesthetic and/or health-related reasons women prefer breast revision surgery include:
Breast Volume and/or Shape Change: Weight fluctuations, age, pregnancy, and breastfeeding can lead to changes in the shape or volume of your breasts.
Saline Breast Implant Deflation: Saline breast implants can rupture or leak, causing implant deflation.
Silicone Implant Shell Leak: Silicone implants can rupture and leak. This can be detected with an MRI.
Breast Implant Exchange: For various reasons, some breast augmentation patients request to change their implant type (from saline to silicone or vice versa) due to their personal cosmetic or health concerns.
Capsular Contracture: A common complication of breast augmentation surgery is capsular contracture. It occurs when the scar tissue around the implants hardens.
Implant Malposition: If the pocket that surrounds the breast implant is too large, it will allow the implant to shift in position, leading to implant malposition.
Shifted Breast Implants: When implants do not have enough support from the surrounding muscle, they may shift, causing asymmetry.
Infection or Allergy: Although it is very rare, in some cases a woman’s body may reject a breast implant and causes an infection.
Implant Coverage Problems: If the breast tissue covering the implant is too thin, you may see the rippling of the implant through the skin.
Symmastia: If the pectoralis muscle is cut during the original breast augmentation surgery, this can cause the breast implants to fall towards the sternum at the centre of the chest, creating unnatural looking cleavage and a “uniboob” appearance.
Bottom-out Deformity: This complication occurs when nipples appear too high or an inframammary fold appears unnaturally low. This condition occurs more frequently in patients with very thin breast tissue because the implant can pull the breast downward causing it to bottom out.
Double Bubble: The double bubble complication occurs when the breast implant drops below the natural fold of the breast, causing breast tissue to hang and droop.
Breast Implant Removal: For women who have determined that they no longer wish to have breast implants, breast revision surgery can be performed to remove the implants and/or perform a breast lift on the remaining breast tissue
Correction of Scarring Associated with Primary Breast Surgery: Excess scarring from breast surgery can be ameliorated surgically.
Implant Size Revision: Women who are not satisfied with the size of their original implants may prefer to have breast revision surgery to increase or decrease their implant size.

Gynecomastia is the growth of abnormally large breasts in males caused by the production of excess breast tissue (not fat tissue). For that reason, this condition cannot be solved through diet and exercise alone. According to the American Society of Plastic Surgeons (ASPS), gynecomastia consists of for more than 65 percent of all male breast disorders. Although not considered as a serious medical problem, gynecomastia can be a psychologically difficult situation. Fortunately, advances in surgical technology have enabled men to take control of their aesthetic appearance back and to correct the condition of enlarged breasts through surgery.

OPTIONS

A successful male breast reduction surgery offers numerous physical and emotional benefits, including a firmer, flatter, and more contoured chest, and increased levels of self-confidence and self-esteem. The surgical results will be permanent, except for substantial weight gain which can create a gynecomastia-like effect.

Men of any age with enlarged breasts can consider gynecomastia surgery if their breast development has stabilized and they have realistic expectations about the procedure. A candidate for gynecomastia must be healthy emotionally as well as physically. The procedure is not recommended if a patient is overweight because the surgery provides the most successful results for men with firm, elastic skin that will reshape to the body’s new contours.

Breast reconstruction is a surgical procedure to rebuild and reconstruct a woman’s breasts after mastectomy, trauma, illness, or congenital defects. Although many variables influence a woman’s decision to consider breast reconstruction, the most common motivating factor is the removal of one or both breasts during a mastectomy after breast cancer.

Breast reconstruction techniques have improved dramatically over the past decade. Breast cancer advocacy and awareness have led the majority of health insurance companies to take the breast reconstruction procedures in repayment coverage. The Federal Women’s Health and Cancer Rights Act of 1998 mandates that health insurance also covers all stages of breast reconstruction after mastectomy.
Researches have shown that reconstructive breast surgery can have a positive emotional and psychological impact on breast cancer survivors, This procedure can provide the patient with a sense of closure to the traumatic experience of battling breast cancer.

OPTIONS

Thanks to advances in reconstructive surgical technology, there are many options for breast reconstruction procedures; however, breast implants, the patient’s own body tissue (autologous tissue), or a combination of the two techniques are used in the three primary reconstructive methods. During the initial consultation, Başaran, MD conducts a thorough medical evaluation and listens carefully to the patient’s reconstructive surgery goals and then explains the treatment plan customized to the patient for breast reconstruction surgery. Breast cancer is the most common cancer among women in the United States of America (other than skin cancer), and the chance of a woman having invasive breast cancer at some point in her life is about 1 in 8. Breast reconstruction can begin at the same time with a mastectomy (immediate reconstruction), or at a later date (delayed reconstruction). If mastectomy due to breast cancer is planned, it is very important to talk with your physician about post-mastectomy breast reconstruction options. Thus, your surgeon can utilize specific mastectomy techniques in order to provide a better foundation for your future reconstructive surgery. Breast reconstruction can be performed for partial mastectomies as well as complete mastectomies.

Some of the most common reasons patients prefer the breast reconstruction include:
Full or partial mastectomy resulting from breast cancer treatment
Significant deformity of the breast after lumpectomy (partial removal of the breast)
Genetic deformity
Accident or injury to breasts