The Breast Show in Istanbul

OP. DR. YUNUS DOĞAN



Forget the whirling dervishes

Plastic surgery in Istanbul is a popular tourist attraction. Kebab ranks pretty high too but those chicken breasts have nothing on the ones you’re considering. Medical tourism - specifically plastic surgery - is a safe, affordable way to achieve your best self. While some patients come for breast reduction, a majority of patients come for breast augmentation surgery. But what exactly is breast augmentation? Can you have breast augmentation without implants? We will answer this question and more in this post. Regardless of what type of breast augmentation you choose, there is no debating that you will want the best for your breasts. No doob is touching your boobs. Here’s some advice to help you find the perfect surgeon.

Breast implant types

These are the three types of implants, ranked from least to most expensive:

  • Saline
  • Silicone
  • Gummy bear


Saline

Saline implants are made from a sterile salt water solution, making them a safe choice if you’re worried about rupturing. (Which, consequently, is VERY hard to do. Some studies show that it takes 200-300 pounds of pressure to force a rupture, like the impact of a car accident. Although if your significant other is of significant size and you want to use this information as motivation for them to lose a little weight, that’s your interpretation of this information.)

Saline implants create a noticeably round shape, so if you’re looking for a more natural appearance, saline is NOT for you. However, if you’re looking for more attention and smaller scars, choose saline. Of the three types of implants, saline unfortunately is the most likely to ripple.

Silicone

Silicone implants are inserted into your breast empty and then injected with a silicone solution. They tend to have a more natural appearance and texture, making them look and feel like natural breast tissue. Silicone implants typically weigh less than a saline implant of the same size, so if you’re physically active, you may want silicone implants in your sports bra.

Regarding complications, in the rare occurrence of a rip or tear, a silicone leak can result in breast pain, numbness or an uneven appearance in size or shape. Silicone implants have less of a tendency to ripple than saline.

Gummy bear

Depending on when you were born, you may have this song in your head while you research this type of implant. (If YouTube is banned in your country, just know the most important line from the video: “Gummi bears! Bouncing here and there and everywhere.”)

The most sturdy implant, the “gummy bear,” is made of a more cohesive silicone that’s cross-linked and therefore more stable than regular silicone. This third type of implant has the lowest risk of rippling.

A bonus option: your own fat

There is a fourth injectable option to increase your breast size: fat that has been taken from other areas of your body. If you want fat grafting in your breasts, you will first need liposuction. In 360 degree liposuction, your surgeon uses a cannula to remove subcutaneous fat from your abdomen, flank, hips, waist and lower back. Then this fat is processed to remove dead fat cells and excess fluid and injected into your breasts.

This option has its own specific complications different from other implants, including a breakdown or reabsorption of the fatty tissue. When the tissue breaks down, occasionally it can die, turn into scar tissue or become necrotic. When the tissue is reabsorbed, your breasts lose volume and you will need additional grafts.

Trouble in the mountains

When you’re considering breast augmentation plastic surgery in Istanbul or anywhere else, you should also understand possible risks and complications. America’s Food and Drug Administration (FDA) has a comprehensive list of things that could go wrong - but probably won’t.

Capsular contracture, where the scar tissue around the implant thickens, hardens and squeezes the implant, is the most common complication. It can affect between 10-11% of patients. The National Library of Medicine published an in-depth article if you want to read more about ways to avoid capsular contracture.

A hematoma, when blood collects near a surgical site, usually happens in the first three days following surgery. Hematomas have been reported to develop in 2-10% of patients and are sometimes reabsorbed by the body. If they’re too large, a medical professional may need to drain them.

Around 10% of breast augmentation patients experience some degree of rippling after they’ve healed. Rippling occurs when the implant wrinkles up or folds on itself under the skin. There are several ways to correct this visual deformity. The American Board of Cosmetic Surgery posted an informative article about rippling, its causes and potential solutions.

Do you want apples or melons?

Prior to scheduling your surgical appointment, you should have an idea as to what size implants you want. As a general rule, you can increase one cup size with every 150-200 cc (cubic centimeters) of implant. Some people increase two cup sizes by using 200-300 cc. An Australian clinic published a great guide that discusses cup sizes along with other sizing details and circumstances that may influence your decision.

The last stitch

Once you’ve found your surgeon and explained your expectations, you can make an informed decision about the type and size of augmentation that will suit you best. Whether you’re traveling abroad for plastic surgery in Istanbul or just driving down the street, knowing what material you want to stuff in your dirty pillows is one of the most important decisions you will make. How do you want them to look, feel and move? How will their size affect how you look, feel and move? Answer those questions and you are well on your way to the Breast Show!

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