Breast augmentation is a plastic surgery procedure where silicone implants are used to enhance breast volume and shape. Dr. Erdal performs personalized planning for every patient — implant brand, shape, profile, placement, and incision choice are decided after thorough consultation, not from a "standard package."
Important: Breast augmentation is not a one-size-fits-all procedure. Rather than offering "standard packages," we conduct anatomical measurements, evaluate expectations, lifestyle, and health status to create individualized plans. The decision is made together during in-person consultation, not selected from a website.
Suitable candidates for breast augmentation include:
Anatomical measurements are taken: breast base width, chest wall structure, skin elasticity, existing tissue volume. Patient height-weight ratio, shoulder width, activity level, and aesthetic goals are evaluated. The balance between desired and anatomically feasible is established collaboratively.
Performed under general anesthesia in fully-equipped hospital with board-certified anesthesiologist. 1 night hospital observation is standard.
| Incision | Advantages | Limitations |
|---|---|---|
| Inframammary (under-breast crease) — most common | Direct access, precise placement, hidden in natural fold, minimal breastfeeding impact | Visible scar without bra (fades within 1 year) |
| Periareolar (around nipple) | Scar at areola border, combined with lift possible | Slight risk of milk duct damage, more visible in fair-skinned patients |
| Transaxillary (armpit) | No scar on breast, hidden in armpit fold | Limited visibility, not suitable for anatomical implants, harder asymmetry correction |
| Placement | Advantages | Disadvantages |
|---|---|---|
| Subpectoral (under muscle) | More natural appearance, less palpable, lower capsular contracture risk, easier mammography | Initial more painful, animation deformity in muscle activation |
| Subglandular (over muscle) | Faster recovery, less post-op pain, no animation distortion | Edge palpable in thin patients, higher capsular contracture risk |
| Dual-plane (combined) | Combines advantages: upper sub-muscular, lower sub-glandular | More complex surgical technique |
Premium brands available: Motiva (Costa Rica - Q-Inside safety chip, nano-surface, Ergonomix), Mentor (USA - FDA-approved MemoryGel, longest clinical track record), Polytech (Germany - Microthane polyurethane, B-Lite lightweight), Allergan Natrelle INSPIRA (USA), and others. Selection based on patient anatomy, preferences, and budget. Detailed comparison on implants page.
Standard breast augmentation takes 1.5-2 hours. Combined with breast lift (mastopexy-augmentation): 3-4 hours. Performed under general anesthesia in fully-equipped hospital with experienced anesthesiologist. Usually 1 night hospital observation followed by discharge.
Three main options: (1) Inframammary (under-breast crease) — most common, direct access, scar hidden in fold. (2) Periareolar (around nipple) — scar at areola border, can be combined with lift. (3) Transaxillary (armpit) — no scar on breast but limited visibility, not suitable for anatomical implants. Choice based on anatomy and preferences.
Sub-muscular (under chest muscle): more natural look in thin patients, less visible implant edge, lower capsular contracture risk, easier mammography. Sub-glandular (over muscle): faster recovery, less initial pain, no muscle animation distortion. Dual-plane (combined): blends advantages. Decided in consultation based on tissue thickness and lifestyle.
Through anatomical measurements (breast width, chest wall, existing tissue), patient lifestyle assessment, and trial sizers in special bras. Turkish patients typically choose 295-470cc. Decision is collaborative — your goals balanced with anatomical feasibility. "Bigger is better" approach is avoided.
Capsular contracture (2-5% with modern implants), hematoma (1%), infection (<1%), nipple sensation changes (usually temporary, return in 6-12 months), implant rotation (rare with anatomical), asymmetry, BIA-ALCL (very rare, ~1 in 300,000). Modern surgical protocols and implant selection minimize these risks.
Desk jobs: 5-7 days. Light physical work: 10-14 days. Heavy physical work: 3-4 weeks. Most patients return to most daily activities within a week with arm movement restrictions for 2-3 weeks.
Yes, most patients can breastfeed after breast augmentation. Inframammary and transaxillary incisions preserve milk ducts well. Periareolar incisions carry slight risk of duct damage. If breastfeeding is planned, this is discussed in consultation for incision choice.
Modern silicone implants (Motiva, Mentor 6th gen, Polytech) come with lifetime warranty. The "10-year replacement" rule is outdated. Implants don't need replacement unless there is leakage, capsular contracture, or patient preference change. Yearly follow-up is standard.
Detailed evidence-based articles to help you research thoroughly before your consultation.
What the international literature actually says — beyond the marketing.
The science behind TrueMonobloc gel, SilkSurface and the Q Inside chip.
FDA guidance, modern rupture rates, and when replacement is genuinely indicated.
How to know if augmentation alone is enough, or if a lift should be added.
Free pre-consultation via WhatsApp or video. Detailed in-person planning during your Istanbul visit.