What is breast augmentation?
Breast augmentation, also known as augmentation mammoplasty, is a common plastic surgery procedure that has helped millions of women worldwide achieve their desired body image. Behind the scenes, the intricate blend of medical science and artistry that drives it is nothing short of fascinating.
Is the surgery the same for everyone?
Breast augmentation is not a one-size-fits-all procedure. Each surgery is as unique as the individual, and the first step is a detailed consultation. Prof. Dr. Ferit Demirkan evaluates the patient's anatomy, lifestyle and aesthetic goals to formulate the most suitable plan, and uses the consultation to decide on the type of implant, its placement and the incision site — underscoring how personalised the procedure is.
The science of the implant
One of the most intriguing aspects is the science behind the implants. In the early days, silicone and saline were the only options. Today, surgeons can offer "gummy bear" implants — so named because they hold their shape even when cut in half, much like the candy. These highly cohesive silicone gel implants carry less risk of leakage and provide a more natural look and feel than their predecessors.
Choosing implant placement
Placement is a blend of science and artistry. The surgeon must understand both breast anatomy and the principles of aesthetics to create a natural, beautiful outcome. The implant can be placed under the pectoral muscle (submuscular) or directly behind the breast tissue (subglandular), depending on body type, the amount of natural breast tissue, and the implant's type and size.
The art of achieving symmetry cannot be overstated. No two breasts are perfectly alike, even on the same person, so the surgeon often acts as a sculptor — carefully shaping and placing each implant for a balanced, harmonious appearance. This is especially challenging in significant asymmetry or when reconstructing a breast after mastectomy.
Technology and the bigger picture
Advancements in 3D imaging have transformed the process. Surgeons can now give patients a virtual preview of their post-surgery appearance using specific measurements and projections, which aids decision-making and sets realistic expectations — contributing significantly to satisfaction.
Breast augmentation is more than a cosmetic procedure; for many women it is a means to regain confidence and embrace their femininity. The interplay of science, technology and art reflects both the complexity of the procedure and the surgeon's commitment to the best possible outcome — and ongoing advances promise an even more personalised approach in the years ahead.
