Composite Breast Augmentation

Breast augmentation is a plastic surgery procedure for women who find their breasts too small. Depending on the needs and preferences of the person, the desired results can be achieved by using breast implants or only filling injections.

Breast augmentation after liposuction is one of the most common plastic surgery operations. If there is sagging in addition to breast smallness, a breast lift operation may be required simultaneously with the augmentation procedure. In this way, an aesthetic appearance is achieved by giving both form and volume.

In the solution of breast hypoplasia (small breast size) problems, the quality of the skin covering the breast tissue largely affects the technique and success of the operation to be performed. A quality skin ensures that the breast implant or filling procedure results in a more natural and aesthetic appearance. Especially the adequate quality of the skin covering the breast tissue and the fat layer is an important factor that increases the success of the aesthetic operation.

What is the Goal of Composite Breast Augmentation?

The main goal of composite breast augmentation is to increase the volume of the breast and achieve an aesthetically fuller and more natural appearance. At the same time, it is also aimed to make the skin layer covering the breast tissue more firm and elastic. This method is a modern approach that is suitable for the body structure of the person and provides natural results.

Within the scope of this operation, the combination of different techniques makes it possible to customize the shape, volume and symmetry of the breast. Among the methods used:

Breast implant Prostheses containing silicone or saline filler used to add volume to breast tissue.
Fat transfer (lipofilling): It is the injection of fat tissue taken from the person’s own body into the breast area by purifying it with special processes.
Composite breast augmentation: It is a combined method in which breast implants and fat transfer are used together. In this way, the volume obtained with the implant is supported by fat transfer, giving a more natural appearance.
Filler injections and external augmentation: Breast volume is increased by injecting fillers into the breast area or using external augmentation devices.

The use of these methods together or separately is determined depending on the patient’s needs, aesthetic expectations and the surgeon’s recommendations. The composite breast augmentation method, in particular:

Insufficient breast tissue,
Wanting a more natural look,
It offers an ideal solution for people who want to achieve harmonious and symmetrical results with their body.

With composite breast augmentation, both a fuller volume and a natural appearance are achieved, while the elasticity of the skin tissue is increased thanks to fat transfer, resulting in a firmer and healthier structure.

Beyond addressing aesthetic concerns, this method is a modern approach that increases self-confidence and provides a more proportionate body structure.

How is Breast Augmentation with Breast Implants?

Breast augmentation with breast implants is one of the most popular and common methods of plastic surgery. In addition to adding volume to the breasts, this method is applied to correct symmetry and achieve the desired aesthetic appearance. The procedure involves the insertion of specially designed silicone or saline implants into the breast area.

Breast implants resemble a small balloon with an outer surface made of a flexible, soft and durable material. These implants, which differ in terms of their content and design, are selected in accordance with the anatomical structure and aesthetic expectations of the person.

Features of Breast Implants

Filling Material:
- Silicone Gel: It is the most preferred filler today because it provides a more natural feeling and appearance. Silicone gel implants have a very similar structure to breast tissue.
- Saline (Salt Water): These are implants containing sterile salt water. Although it does not provide a natural feeling, it may be preferred by surgeons in some cases.
Figure:
- Drop Shape (Anatomical): It makes the lower part of the breast look fuller and the upper part more natural. It is especially suitable for people with less breast tissue.
- Round Shape: Provides a more pronounced and fuller appearance. It is generally preferred for patients who want more volume in the upper chest area.
Placement Methods:
Depending on the existing structure and quality of the breast tissue, the implant can be placed in the following locations
- Under Muscle: Provides a more natural appearance and reduces the risk of implant prominence. It is generally recommended for patients who are thin and have little breast tissue.
- Over Muscle: The recovery time is faster and suitable for patients with adequate breast tissue.

Operation Process

Preparatory Phase:
Before the operation, the patient and the surgeon discuss in detail. Breast measurements are taken, the desired aesthetic results are evaluated and the implant type and size are determined.
Anesthesia and Cutting Site:
The surgery is performed under general anesthesia. Depending on the area where the implant will be placed, the cutting sites can be as follows:
- Inframammary fold
- Nipple circumference
- Armpit
The incision site is determined according to the surgeon’s recommendation and the patient’s preference.
Implant Placement:
The implant is placed under the muscle or above the muscle. During this procedure, the surgeon makes careful planning to ensure that the implant looks symmetrical and natural.
Closing the Cuts:
After the procedure is completed, the cuts are closed with aesthetic stitches. Generally, scars lose their prominence over time.

Advantages and Consequences

Breast implants increase self-confidence and complement body contours more aesthetically.
A natural look can be achieved with the right planning.
After the surgery, the patient gets the full and symmetrical breasts she wants.

Recovery Process

There may be mild pain and swelling after surgery, but these usually subside within a few weeks. It is important to follow the surgeon’s instructions so that the healing process goes smoothly. On average, the patient can return to daily activities within 6-8 weeks.

Breast augmentation with breast implants offers safe and satisfying results thanks to personalized planning and the expertise of an experienced surgeon.

How is Breast Augmentation with Lipofilling Performed?

Lipofilling, or fat transfer method, is the process of injecting fat cells taken from another part of the body into the breast area to add volume. This technique is a completely natural method used for breast augmentation and contouring. The most important advantage of lipofilling is that no foreign substances are used in the procedure and therefore there is no risk of allergic reactions.

Implementation Process:

Oil Intake
- Excess fat tissue around the abdomen, hips, thighs or waist is usually preferred as the donor site.
- The fat cells removed by liposuction are purified by a special process and made ready to be injected.
Injection Process:
- The purified fat cells are carefully injected in small injections under the skin in the chest area.
- This procedure aims to create a natural breast shape as well as volume.
Conclusion and Review:
- Approximately 40-60% of the injected fat cells survive and become permanent in the breast tissue.
- However, due to this loss rate, a second fat injection may be required, usually after 6 months.

Advantages and Disadvantages:

Advantages:
- As it is a natural method, no foreign material is implanted in the body.
- Fat removal in the donor area contributes to the aesthetic shaping of that area.
- There is no risk of allergy or rejection by the body.
Disadvantages:
- Some of the injected fat may disappear over time.
- Larger volumes may require more than one session.

Who is it Suitable for?

Lipofilling is an ideal option for people who want mild breast augmentation, are looking for a natural method and have sufficient fat tissue in the donor area.

How is Composite Breast Augmentation Procedure Performed?

Composite breast augmentation is an innovative technique that combines breast implants and lipofilling. This method allows for a more natural appearance while increasing breast volume. It is an effective option especially in solving problems such as soft tissue deficiency and capsular contracture.

Why Composite Breast Augmentation?

When used alone, breast implants can sometimes cause an unnatural appearance.
In cases where the soft tissue covering the implants is insufficient, this deficiency can be overcome by lipofilling.
The composite approach eliminates the artificial appearance of the implant, providing both fullness and a natural aesthetic result.

Implementation Process:

Implant Placement:
- The breast implant is usually placed in the supramuscular plane. This position prevents the implant from moving with arm movements and reduces postoperative pain.
- The size and shape of the implant (drop or round) is determined by the patient’s preference and the surgeon’s recommendation.
Lipofilling Application:
- Fat cells from the donor area are purified and injected around the breast implant.
- The fatty tissue is distributed to the upper border of the implant and other quadrant areas of the breast, resulting in a softer and more natural appearance.
Natural Look and Retouching:
- Fat injection allows the breast tissue to better cover the implant and creates a natural transition.
- The results can be optimized with a second lipofilling session.

Advantages:

Provides a more natural breast appearance.
It combines the advantages of both implant and adipose tissue.
It reduces the artificial appearance by increasing the amount of soft tissue around the implant.

Who is it suitable for?

Composite breast augmentation is an ideal option when implants or lipofilling alone are insufficient. It offers an effective solution for patients who want fuller breasts but want a natural look.

Surgical Techniques Developed

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