At the point where aesthetic surgeries developed with new technologies have come, breast aesthetics is among the most widely preferred surgical interventions nowadays. Breast tissue may be deformed due to birth, breastfeeding, aging and developmental disorders. However, depending on age, it may be deformed or have a congenitally small or large form. This may cause people to be unhappy with their physical appearance and even have self-esteem and phycological problems. In addition, this satisfaction of a person’s physical characteristics is an important factor that reflects on his/her psychological state in relation to creating a healthy body image. For this reason, personal preferences are considered as a criterion in breast aesthetic surgery. However, the realistic results that mat occur after surgery should be shared with the patient by the plastic surgeon and the patient should be informed in this direction. Breast aesthetic operations are applied by plastic surgeons who are experts in their field. Although the shape and proportion of the breast is not a standard measure, it is preferred that each body has its own breast type. Breast reduction, breast reconstruction, breast lift and breast augmentation are among the most preferred surgical interventions nowadays. With implants placed with incisions made under the natural folds under the breast and it is possible to apply breast shaping, remodeling, breast augmentation and lifting. Thanks to the different shape and volume options of the implant models designed in round and drop shape, it is extremely easy to achieve the desired breast structure today.

The shape and weight of the breast according to the weight, height, age and body ratio of there person is controlled by 2D and 3D measurements. From this point of view, it is aimed to correct the breast asymmetry, increase the volume with implant technique, correct the external appearance of the breast, eliminate factors such as back and neck pain caused by breast size, posture disorder, and provide the appearance that is suitable and desired by the person. Fat injection indication and breast implants are among the choices to achieve these results. However, as the indication for fat injection has limited options, implants are among the more preferred surgical interventions. Breast implants alone are the widely preferred method for breast augmentation and breast shaping. There are different varieties such as drop or round shape, rough or smooth surface. With these options, it is aimed for the person to achieve the dream appearance and to feel better. In addition, augmentation surgery is often preferred simultaneously with mastopexy, breast lift surgery. When breast aesthetic is evaluated within the scope of oncoplastic surgery, it is aimed to improve the appearance of the breast in cases such as significant weight loss, developmental problems and breast cancer. In this direction, planned surgical interventions are applied in the most appropriate way to the patient’s physiology. Factors such as pregnancy, birth, breastfeeding and smoking in the person’s life affect the operation process and method. In this direction, the procedure is carried out with the aim of reshaping the breast and gaining size according to the the needs of the patient.

Breast aesthetics are applied to people who are not satisfied with their breast size, people who have fillers and loss of form in their breasts, people with symmetry problems in their breasts, people who have self-confidence problems due to the size of their breasts, and who lose one or both of their breasts due to various diseases such as cancer.

In addition, it is inconvenient to have breast aesthetics during pregnancy and the necessary information should be given to the specialist doctor about this issue. In addition, breast aesthetics are not recommended for people who are breastfeeding after birth.

Even if breast implants are not harmful to the health of the baby, it is recommended to be performed after the process is over in order not to affect the breastfeeding period and to make any surgery healthier. People who want to have breast aesthetics are recommended to wait until the body development period is completed and make their decision without rushing. In addition, people who are considering losing weight are recommended to postpone breast aesthetics. Weight gain can affect the appearance of the breasts, even if it does not directly affect the implants.

Breast aesthetics are applied to people with breast hypertrophy, in order to correct breast asymmetry, such as insufficient breast development, breast sagging depending on weight and age, breast sagging after pregnancy, excessive growth and shrinkage of the breast, waits and breast disproportion.

Although the range of 18-50 is recommended, breast aesthetics can also applied to people under age of 18 if the family has consent and if it causes phycological problems in the person. Likewise, considering the health condition of the person and whether it is suitable for surgery, it may be possible to apply breast aesthetics for people over 50 with approval of the surgeon. Breast aesthetics are applied in men when there is fat around the breast due to irregular increase in estrogen and testosterone hormones, various diseases or due to malnutrition. In surgical intervention, also known as gynecomastia, the liposuction method is applied to remove excess fat accumulated around the breast, in this case, the insecurity program that occurs in people will be removed.

With breast aesthetics, it is aimed to give a more pleasant and beautiful image and to make person feel better. Although it is not preferred for this, fat injection indication method or more frequently preferred silicone implants are preferred.

• Augmentation Mammoplasty (Breast Augmentation): It is applied in order to gain volume for breasts that are disproportionate to the body and shrinking due to age, in cases of sudden weight gain and loss, postpartum, developmental reasons. When determining the implant to be used to enlarge the breast, the breast structure of the patient, the shape of the rib cage, weight and body proportions are taken into consideration. In order to determine the physiological limit, the patient and the doctor decide on the shape and size of the implant. During the operation, the implant is tested for evaluation purposes and the application that gives the best result is applied.
• Reduction Mammoplasty (Breast Reduction): Weight gain, developmental reasons, some medicines and various tumors may cause breast the get larger. Excessively large breasts can cause posture, neck and back pain. With the reduction mammoplasty operation, it is possible to create a lighter, healthier and aesthetic appearance by reducing the structure of the breast tissue and removing excess fat tissue.
• Mastopexy (Breast Lift): It causes sagging of the breasts due to the loss of the elastic structure of the body with the advancement of age, hormonal reasons, sudden weight loss after pregnancy and breastfeeding. A vertical incision is made around the nipple of the patient, who is examined in an outpatient position, to the breast fold, and the breast lift is performed with the prosthesis placed under the breasts.
• Gynecomastia: It is known as breast reduction operation for men. Fat accumulating around then breast due to reasons and various diseases causes gynecomastia. Patients treated with the liposuction method are sucked into the fatty tissue through a 2-3 mm tube under anesthesia.

Although aesthetic operations are often applied for creating a beautiful image, they are also applied to remove various health problems. They are preferred surgical interventions to repair deformed parts of the body. The breast, which is seen as one of the symbols of fertility and sexuality among the people, has a great role in spiritual, physical and aesthetic aspects. It is important to conclude the surgical intervention, which will be preferred in breast aesthetics, with the least damage.

Various shapes, sizes and filling materials are selected according to the needs are wishes of the person.

The implant is placed under the breast. With this method, it is ensured that the breast looks best in the body. The application prevents the scars caused by the surgery to be seen at first glance. This method can also be done with an incision made from the nipple or armpit. However, the incision made under the breast is more preferred because it is a method that makes the breast less deformed.

As with all surgical interventions, it is very important to choose a specialist doctor for breast aesthetic operations. Surgery applied in hospital conditions is performed with general anesthesia. The duration of the operation varies between 2.5 – 3 hours. Although the method used in the surgery is designed to create the least deformation, there may be scars on the nipples, but these scars heals over time and becomes less visible. Although it varies from person to person, it is seen that the scars, swelling, tingling and burning sensations gradually disappear within 2-6 weeks. A bandage is wrapped in the area where the surgery is applied and a corset is put on the patient.

Although each surgery has its own risks, pain and edema in the breast area are common. In age-related risk situations, radiological examinations such as mammography and ultrasonography should be applied before surgery. The prosthesis placed behind the breast muscle can restrict the person’s movements compared to before surgery. Although it varies depending on whether postoperative complications occur or not, as a standard, the possible pain of patients discharged from the hospital within 2-5 days can be relieved with medication. Drains that can be placed to prevent fluid accumulation in the body during the surgery are removed in the first week after the operation. Stitches are removed within 7-10 days. Although the recovery period in breast lift surgeries such as mastopexy may take up to 6 weeks, this period may be shorter in prosthetic surgeries. You can get information about when to return to exercise and daily routines by talking to your surgeon. However, according to the general procedure, it is recommended to avoid heavy exercise for 3-6 weeks. Postoperative measures such as proper nutrition, quitting smoking and alcohol use are effective in shortening the healing process. Maintaining the ideal weight and continuing to exercise will ensure the long-term preservation of the surgical result.