It is performed for patients with sagging breast tissue and volume insufficiency. It can be considered as a combination of breast lift surgery and breast augmentation surgery with silicone. It is relatively more difficult operation since two opposite operations have to be performed at the same time. Its planning is more complex. However, the scars are similar to those in breast lift or reduction. The need for revision in these surgeries may be slightly greater than other methods.

PREPARATION FOR SURGERY

Detailed examination of the patient is the first and most important step. The general condition of the patient, accompanying diseases, medications used, and whether expectations are realistic are the most important points for us. Detailed examination together with the anesthesiologist is a must for preoperative preparation. If the patient smokes, it is recommended to stop 3 weeks beforehand, and blood thinners to be discontinued before the specified time. Preoperative planning is an important step for surgical preparation. The shape and size of the required prosthesis is determined. Imaging techniques such as pre-interventional mammography are used in those over a certain age and with a palpable mass. Afterwards, the technique to be used is decided according to the size of the breasts, skin and mammary gland characteristics. If there is tension and tenderness in the chest before the menstrual periods, the surgery should not coincide with this period. If there is someone in the family with breast cancer, it should be reported to the doctor.

METHOD OF SURGERY

General principles of breast lift (augmentation mastopexy) surgeries with prothesis applied today, adhering to the design made while the patient is standing before the operation, are to shape the breast skin and mammary gland separately after removing excess skin and breast tissue, to provide the missing volume by placing the prosthesis in a prepared pocket, and place the nipple in its new anatomical place while preserving the blood supply and sensation. Various marks occur as a result of these shapings. While the T- shaped scars around and under the nipple are pinker and more prominent in the first months, they begin to fade away and become less obvious within 6 months and 1 year. Drains are placed to prevent blood accumulation in the operation area.

HEALING PROCESS

Depending on the procedure and taking into account the general condition of the patient, the patient can be discharged from the hospital on the same day; patient can also be treated by hospitalization for one or several nights after surgery. The pain is not too severe, usually at a level that can be relieved with painkillers. Fixated drains are drawn in a day or two. Because the stures are mostly under the skin, the stitches are not taken. After discharge, bathing is usually allowed after 3 days. It is recommended to wear appropriate medical bras for a while. As with any surgery, there is a risk of complications during breast lift surgery with prosthesis.