Breast Lift And Implant

You may be eligible for this surgery if:

• You are over the age of 18
• Have no plans on getting married or pregnant in the near future. (Note: if you are planning on getting pregnant in the near future, then you should have this surgery after you’ve had your baby).
• Have tubular breast defect (also referred to as goat breasts)

Our first question for the patients, who need breast lifting after giving birth:

• Are you planning on having a second/third?
• If yes, then have this surgery after you’ve had all your children.

If no, then do so 6 months after you’re done breastfeeding.

Having both surgeries done at once will give you:

• • Younger, more attractive, more upright, and fuller breasts
  • Breasts that match your body
  • A proper bra size
  • A more symmetric breast size,
  • Symmetrically positioned nipples

During a pre-operative exam, Dr. Ozsular first will listen to any expectations, and complaints you have. This doctor and patient communication is very important.

Next, he’ll measure how much your breasts have sagged, the distance between your shoulder and breasts, and how much inner breast tissue you have, alongside your height, weight, age, shoulder width, waist circumference, and physique – all to decide which surgery will best suit you as well to re- design your breasts.

He will also inform you about the location and size of all likely scaring after the surgery.

Next, he’ll photograph your breasts from different angles for medical records and planning and construct a preview from them using simulation to show you what your new breasts may look like.

The following three issues will be addressed during the examination:

1. Location
2. Size
3. Shape

The incision site is pre-determined: beneath your breast – as the goal is to leave behind as little physical trace as possible. Thus, no additional incisions are planned.

Experiences of your doctor are important because he will decide where to put your implant and how to conduct your surgery. For implants, there are two location options: either below or above your muscle. The structure of your pectoral muscles, professional sports life, and age are important factors during decision making stage.

If you’re already a professional sportsman and have sufficient breast tissue, then we prefer to place your prosthesis above your muscle.

If you have insufficient breast tissue, submuscular plan is preferred. This plan tends to look more natural and hides your implant better.

Factors needing to consider when deciding the size of your implant include: existing breast tissue, height, weight, age, size of rib cage, waist width, hip width, and breast-clavicle distance. All of these will dictate your implant size range. Since your implant and breasting lift are planned together, circulation of your sutures and tissues is important. Your implant shouldn’t cause stiffness or deteriorate the circulation your tissues. For example, some patients need a 100 -200cc-sized implant, others may need a 200 -300cc-sized implant – depending on their body type. You are ensured to look at examples first to get an idea of what you want. We’ll use photographs and simulation to give you a preview of what you may look like.

Next, we’ll need to decide the shape of your implant. There are two types of implants: round and drop (anatomical). Here, your own expectations are matter.

When doing both surgeries at once, we do not prefer drop implants because breast tissue is (naturally) low-lying. The lower part of drop implants are fuller, and thus they won’t show exactly the recovery of your breast.

We use mostly round implants in these two-in-one surgeries. Round implant, on the other hand, give you better results, and fuller, more voluminous, more upright breasts along the upper pole.

Before undergoing the surgery, you need to be in full agreement as well as in full communication with your doctor. You’ll need to decide together on size and shape of implant, as well as keep in mind the location of scarring after the surgery. You need to be ready yourself both physically and psychologically, and feel as comfortable/confident as possible.

Before the surgery, an ultrasonography or mammography should be taken according to your age and your blood values should be controlled.

 If you smoke, you should quit three weeks beforehand. Also, Dr. Ozsular may tell you to temporarily stop using certain medications – in which case you should do so.

If you take aspirin or any form of anticoagulant, tell Dr. Ozsular and continue only if he tells you to do so.

Try to reduce how much salt you consume as well a few days before the surgery. This will reduce your risk of developing edema.

You are allowed to eat as well as drink water until 00:00 (12 AM) the night before your surgery. Since the surgery will be conducted with general anesthesia, you will need to fast for at least six hours prior to the procedure. (If you forget to do so, your surgery may be postponed or canceled.)

Don’t put on make-up.

Don’t wear nail polish or enamel.

Don’t wear wigs. Don’t wear any jewelry (including piercings) – your body should be free of metal.

Also, don’t forget to put together an overnight bag – including loose clothes (preferably with zippers/buttons) – before you come in for the surgery. You also should wear comfortable sneakers.

On the morning of the surgery, you will be taken to your room to rest. Your final preparations for the surgery will be conducted. Dr. Ozsular and his assistant will come and visit you.

The doctor will begin shaping your breasts as soon as you’re placed under general anesthesia.

Photographs are taken at the end of the operation, nerve blockade is applied via local anesthesia, and your dressing is done. Then, your special protective bra is worn and you are slowly awakened. Local anesthesia applications allow you to wake up comfortably, without any pain.

You won’t feel any pain and ache while awaking from the surgery.

You may feel dizzy for the first few hours after the surgery– this is caused by the effects of general anesthesia. This is normal and temporary. You’ll be able to eat a warm and light soup 3-4 hours after the surgery.

Since the surgery is performed under general anesthesia, you won’t feel any pain whatsoever. During your stay in hospital afterwards, you’ll be given strong analgesics or epidural anesthesia so that you don’t feel stiff or any discomfort.

This surgery is more painful than just breast lifting or just breast implant alone. Thus, it is normal for you to pain for the first 3 – 4 days after the discharge. You’ll be prescribed analgesics to keep you feeling comfortable.

Although it is an interesting and exciting process, you shouldn’t take your special bra off unless you take a shower.

You’ll be able to take short warm showers two days after the surgery.

If you have a drain in you, it’ll get removed the following day. You’ll stay overnight at the hospital since the surgery is conducted under general anesthesia. 

You may develop slight ecchymosis or edema depending on how your body reacts to the trauma – this, too, is normal and temporary.

If you want to heal faster, be sure to eat a balanced diet heavy in animal- and vegetable-based protein. Also, try not to smoke.

Make sure to protect your breasts from strikes at all costs. You may also experience light bleeding around your incision site for the first three days – this is normal. However, if you experience excessive bleeding, then please notify your doctor or go to your doctor or a clinic/hospital immediately.

You’ll need to rest for the first five days. You can spend this process resting, sunbathing, and taking light walks. You may have trouble sitting, standing, and walking. You may need support for the first few days. You are not allowed to run or to lift anything heavy, and you must protect your new breast from any impact.

Your first control will take place 3 to 5 days after the surgery, during which we will change your bandages.

Don’t forget to take your medications as they’ve been prescribed to you.

You’ll be able to go for slow walks, return to work, and return back to your normal life a week later – provide you avoid doing any heavy labor.

You’ll need to wear an uplift bra for minimum 4 weeks after the surgery to make new shape of your breasts permanent.

You’ll be able to exercise and do light stretching 15 to 20 days after the surgery – except for moving your arms and breasts.

You’ll be able to return to your normal life two months later.

They will be more lifted than normal and won’t have a natural appearance for the first three weeks after the surgery – which is when your edema will subside and your tissues cast themselves. Your breasts will have taken their final look three months later.

Yes, this two-in-one surgery will cause scarring as in breast lift surgery. Dr. Ozsular will give you more details about the position, location, and shape of the scars during your pre-operative examination.

Most patients are only left with faint scarring depending on their skin structure and how they heal after surgery. In some patients, the scars are more prominent. Although rare, wound site will heal by swelling in the patients with poor wound healing.

However, it doesn’t matter how they heal, they won’t be visible as they’ll be hidden beneath your bra/bikini.

Dr. Ozsular will give you anti-scarring moisturizing creams to use on a regular basis (with certain dates and amounts). If you follow his instructions, your scars will become indiscernible.

The correct surgical technique, meticulous sutures, and your surgeon’s experience also all play an important role.

Quitting smoking will help your wounds heal faster, too.

The above said, no matter what you do (extra procedures, creams, lasers…), this surgery WILL ABSOLUTELY LEAVE A SCAR. However, your skin’s structure, your quality of life, and whether you eat healthy or not will all affect its severity – positively or negatively.

Women don’t have equally sized or equally full breasts in general. However, this difference is often indistinguishable to the naked eye, and thus not troublesome in any way.

This procedure will give you symmetrical and proportional breasts via reduction and the selected implants.

Your implant and your body size should match one another. If you choose an implant that’s too big for you, then they may sag later on.

After the surgery, you should maintain your weight and wear uplift bras. If you don’t do so, your breasts will sag as you age – as with other people.

If you gain or lose large amount of weight after surgery and don’t wear uplift bra, then your breasts may sag somewhat.

In case of excessive weight gain, the fat tissues in your breasts will grow. We cannot prevent that, unfortunately.

You who have never breastfed before, have not given birth to a child and have undergone breast lift surgery, may or may not experience deformation as in normal people after pregnancy and breastfeeding. As long as you wear a bra and – if after pregnancy – you don’t gain too much weight, then your breasts won’t sag like they used to. Breast asymmetry can occur when infants suck on one breast but refuse the other.

Every woman has a potential breastfeeding threshold. Your mammary glands, lactiferous ducts, environment, genetics, hormones, and other unknown factors all determine how much milk you produce.

This surgery won’t affect your mammary glands and lactiferous ducts. However it may cause you to lactate less because your breast tissue has been displaced slightly. However, this doesn’t mean that you’ll never be able to breastfeed again.

If you plan on becoming a mother in the future, we perform the surgery based on preserving the mammary glands and lactiferous ducts by considering the possibility of breastfeeding in the future

If you’re of an advanced age and don’t plan on getting pregnant/becoming a mother, then we can remove your larger tissues via more radical surgeries.

During both procedures, we also can feed your breasts stem cell-enriched fat if you want.

We first will remove a fair amount of fat from any part of the body (e.g. abdomen, waist, hips) via liposuction to obtain stem cell-enriched fat. That fat will be then filtered and processed through an air-tight closed system by preserving stem cells. Last, we will then transfer that fat into breast and decollete area during the surgery.

Stem cells take part in tissue repair and accelerate the cells’ recover process. They also enhance the quality of your skin. They are miraculous agents boosting blood circulation in the in the area where they get transferred and add youth and vitality to the cells.

They also make your upper pole more voluminous. Your own tissue bond with and adapt to other tissues, thus giving you natural contours.

40 to 60% of that fat will remain in your body; the rest will melt away.

Stem cells will give you younger looking, more natural breasts and decollete area.