Women are always attracted to the possibility of obtaining a beautiful breast by using breast implants. The breast augmentation surgery, indeed, is one of the most requested and one of the those that offer a greater satisfaction of both the surgeon and the patient. However, it is advisable to bring some clarification on some points.

The prosthesis, regardless of its content, is made of a silicone surface used to further reduce the amount of risk of capsular contracture.

The shape of the prosthesis can be round, of different thicknesses - high and low profile - or anatomical, also called "shaped of pear" for its configuration particular. In the latter case as well, volume and thickness are different.

The shape of the prosthesis, as well as its thickness, are recommended by the surgeon according to the breast tissue present and patient needs.

The most commonly used prostheses are the textured prostheses, with a surface rough, which also offer a guarantee of of quality and results.

There are prostheses with a coating made of polyurethane, a kind of foam that would offer a lower risk of contracture capsular.

The surgical incision is made at through the areola, in the mammary fold or in the by the axillary route (generally not used by the author). The implants can be placed under the mammary gland or the pectoral muscle. This choice must also be discussed with the patient according to the anatomy of the subject.

Through the incision, the surgeon creates a pocket immediately behind the fabric or behind the muscle of the wall thoracic muscle (pectoralis major). It is in this pocket that the prosthesis will be inserted, then centered behind the nipple.

One element to be carefully evaluated is the the most appropriate position to place the breast implants. There is no real privileged position, but it must be chosen and proposed on a case-by-case basis. Here is some examples of typical situations :

1. The absence of breast tissue points to a full submuscular position, or partial (double plane) according to the local conditions;
2. The sub-fascial position is indicated when a modest volume of fabric is present but sufficient, if associated to the muscle fascia, to ensure a natural result;
3. Above the muscle, i.e. under the mammary gland, when the tissue of the recovery is sufficient.

In short, the position of the implants must always be discussed with the surgeon chosen, depending on the final result expected.

A recent technical development for breast augmentation consists of inserting breast implants under the fascia of the pectoral muscle. The pocket is thus obtained in a plane placed between the aponeurosis of the muscle and the muscle itself.

In other words, it is a more deep than the subglandular plane. This type of intervention allows to give a more coverage to the prosthesis, generating a best aesthetic effect. The only disadvantage of this last case is that it requires a longer time for its achievement.

The type of anesthesia to be used for breast augmentation in Turkey must also be chosen according to the needs of the patient.

This usually involves anaesthesia or local anesthesia associated with sedation. Also in this case, a very frank and open discussion should be conducted with the surgeon, taking into account of the many possibilities.

At the end of the operation, which lasts usually an hour and a half to two hours hours, an elastic compression bandage is used and drains are applied. The next morning, we remove the elastic and we wears an elastic cotton bra, as those used for the activities sports.

The dressing is then checked after a few days. Normally, you can use a glue to close the wound and you do not need stitches external. For about two/three days, it is advisable and useful to suspend your social and professional activities. The scars can be followed by the use of silicone-based ointments in order to obtain scars with very little visible.

With regard to the risks associated with the breast augmentation surgery in Turkey, it is appropriate to consider the possible complications.

Among these, the most feared is the capsular contracture, i.e. a hardening of the breasts due to a excessive scarring of clean tissue around the implants. When the prosthesis is inserted, the body forms a capsule around of her: it is part of the process normal healing process.

The capsule can, in some cases, be contract and tighten the implant, giving the breast a consistency harder than the normal. This process can occur with a variable frequency. Currently, with new techniques and new materials, the incidence is indicated in the international literature as being of about 1%.

In extreme cases of contracture, it is necessary to intervene again to weaken the fibrous capsule and sometimes replace the prosthesis, by modifying possibly also the anatomical plan.

Some scientific work suggests that the insertion of the prosthesis behind the can further reduce the risk of injury to the pectoral muscle. risks of capsular contracture.