One of the most comprehensive and important branches of plastic surgery is mammoplasty. A woman's breasts are the most important organs that enable her to feel feminine. It is also the secondary sex organ that a woman can exhibit (with cleavage dress) with self-confidence.
Problems such as non-existence of this organ that is of great importance in terms of both the body and psychology; its size big enough to be incompatible with life; and sagging or deformed breasts, create very big impacts on the psychology of a woman.
In fact, the field that we collect under the same heading can be the subject of a comprehensive text and even the subject of a BOOK. At this point, we will mention about the general subjects of mammoplasty.
In general there are three types of Mammoplasty procedures.
In the past, breast implant was the only solution for mammoplasty in women who have no breast; but today there is an alternative way such as fat injection. Nevertheless, breast implants are still used in mammoplasty operations, with a rate of 98 percent.
There are some criteria for breast augmentation with fat injection, and if they are not met, the procedure may result in failure.
Patients and physicians should discuss the subject adequately to determine the procedure. In the meantime, let us also remind that these two techniques can be used in conjunction with each other. In other word, both silicone implant and fat injection can be applied, at the same time.
As you know, the access (incision) locations of the breast implants are classified in three types as PERIAREOLAR (around the nipple, SUB-AXILLARY (armpit), and SUB-MAMMARY (bottom line of the breast). The physician should choose a method among these, in consultation with the patient. In addition, jelly implants with a textured surface are the implants that I use the most.
SUB-MUSCULAR placement is the most preferred one, in terms of the level of silicone implant placement; however, implants can also be placed UNDER THE MILK GLANDS in suitable patients (the criteria has been medically determined). In recent years, a third way has been put forward. In that way, the muscle is cut from the appropriate place and then is left as cut. Thus, the upper part of the implant is covered by the muscle, while its lower part is covered by the milk glands. The conditions that require the use of these placement methods have been scientifically determined. This information should be given to the person who apply for such a surgery; and the points about the determination of the implant placement procedure (under or above the muscle) and the way of accession (periareolar/ sub-axillary/ sub-mammary), depending on the patient’s own breast condition, should be explained in detail and then a mutual agreement should be reached with her. In consequence of this surgery, the patient stays in the hospital overnight. The patient should use her arms less for a period of ten days. After this period, she will be able to easily move her arms.
There are some provisions in BREAST AUGMENTATION with FAT INJECTION procedures. First of all, an adequate amount of adipose tissue, i.e. the main material of this procedure, should be available in other areas of the body. Let's say you have adequate amount of fat, and the fats have been taken with liposuction (vacuum). In this case, your breast should not be excessively saggy; otherwise the fats cannot give shape adequately and the desired result cannot be achieved.
Fat injection will not give the desired ideal result in a saggy breast.