I currently work at my own private practice in Nişantaşı, Istanbul.
Breast aesthetics is the general name for surgical procedures that change the size, shape or position of the breasts. This page explains how breast augmentation, reduction, lift, nipple surgery and male gynecomastia surgery work, who they suit, recovery, risks, cost factors and how to choose a surgeon.
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I currently work at my own private practice in Nişantaşı, Istanbul.
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Breast aesthetic surgery covers operations that change the volume, shape or position of the breast on the chest wall. In women, the most common procedures are breast augmentation, breast reduction and breast lift. In men, surgery is also used to treat gynecomastia, an enlargement of the breast gland. Procedures that reshape the nipple or the darker area around it (the areola) belong to this group as well.
Breast surgery is not always only about appearance. Very large breasts can cause neck, back and shoulder pain, and reduction then also aims to relieve symptoms. Pregnancy and weight changes affect breast shape, so timing matters.
Breast surgery is performed by placing an implant, removing tissue or repositioning tissue, depending on the change you want. In breast augmentation, implants filled with silicone gel or saline are used. The implant is placed through an incision in the fold under the breast, at the edge of the areola or in the armpit. It can sit in front of or behind the chest muscle. Fat transfer, where your own fat is injected, is another option, but the increase in volume it gives is more limited.
Breast augmentation usually takes one to two hours. Reduction and lift operations may take longer.
In both procedures the nipple is moved higher and excess skin is removed. In breast reduction, part of the breast tissue is also removed. Incisions usually run around the areola and down the breast, with a horizontal cut in the fold if needed. A lift can be combined with an implant when volume has also been lost.
Breast surgery is considered for people whose breast development is complete, who are in good general health and whose weight is stable. The surgeon decides on suitability after an examination. These situations need extra assessment or postponement:
In gynecomastia, the cause should be investigated first. Hormonal disorders, some medicines and liver disease can lead to breast enlargement in men. Gynecomastia during puberty often goes away on its own, so doctors usually wait before recommending surgery.
Most people return to desk work within about a week to ten days after breast surgery. Tightness, swelling and pain in the chest are common in the first days, and pain is usually controlled with medication. A supportive bra is worn day and night for several weeks. Heavy lifting, arm-intensive exercise and running are usually postponed for a few weeks.
It can take a few months for an implant to settle and for swelling to go down fully. Scars fade over time.
Breast implants are not considered lifetime devices. They may need to be replaced in the future because of rupture, hardening or a change in shape. Silicone implant rupture may cause no symptoms, so imaging at the intervals your surgeon recommends is advised.
The risks depend on the procedure. Alongside general surgical risks, there are risks specific to implants or tissue removal.
The link between these systemic symptoms and implants is still being studied. If you notice swelling, a lump or a change in shape years after surgery, see your doctor.
Types of breast surgery differ according to whether they aim to increase volume, reduce it or lift the breast. Augmentation adds volume. Reduction removes excess tissue and skin. A breast lift raises a sagging breast. Gynecomastia surgery removes enlarged gland and fat tissue in men.
| Procedure | Aim | Common technique | Point to keep in mind |
|---|---|---|---|
| Breast augmentation | Increase volume | Silicone or saline implant, fat transfer | Implants may need replacing later |
| Breast reduction | Reduce volume, relieve symptoms | Removal of tissue and skin, nipple moved higher | Breastfeeding may be affected |
| Breast lift | Correct sagging | Skin removal, reshaping, implant if needed | Pregnancy can change the result |
| Nipple surgery | Correct inverted or large nipples | Nipple or areola reduction, inversion correction | Milk ducts may be affected |
| Gynecomastia surgery | Treat breast enlargement in men | Liposuction, gland removal | The cause must be investigated first |
The cost depends on the type of procedure and whether an implant is needed. Price ranges are shown in a separate section of this page. The main factors are:
The exact fee is set after an examination and a written treatment plan.
Look for a specialist in plastic, reconstructive and aesthetic surgery, the specialty that performs breast aesthetic operations in Turkey. You can use these questions as a checklist at the consultation:
You can compare surgeons who perform breast surgery on DoktorNo by city.
The information on this page is for general information only and is not medical advice. The suitable method for you can only be determined by a physician examination.