The Breast Augmentation surgery is an aesthetic surgery that shows fastest growing in the world. The purpose is to shape the breast, not just enlarge it. The breast augmentation surgery is performed by placing prostheses containing silicone or saline liquid under the breast area of the patient. The breast augmentation is performed by choosing prostheses that are suitable for the body structure of the patient, the structure of the rib cage, the flexibility and ptosis of the breast, and the skin structure, by taking the wishes of the patient into account. It is possible to obtain the desired results by means of the technology developed in the recent years and accordingly, the prostheses produced in a wide variety of sizes and shapes. The breast augmentation surgeries are the aesthetic surgeries where the patient satisfaction is highest.

Who is the Breast Augmentation Surgery for?
The patients having small or medium breasts and patients having the breasts of which its inner is emptied after breastfeeding are ideal patients for this surgery. The augmentation is not sufficient only in the patients having small but severely sagging breasts. The breast lift surgery is also required to be performed in these patients.
At what ages is the Breast Augmentation surgery performed?
The young and middle-aged patients who have completed their breast development (18 years and older) are suitable for the surgery. 
What types of prostheses are used in the Breast Augmentation surgery?
In the breast augmentation surgery, silicone or saline (salty water) filled prostheses of which cover is silicone are used. After the developments in the silicone technology and the bans in the USA are removed, the use of saline prosthesis is gradually decreasing. The new generation silicone prostheses contain cohesive silicone in gel type (low fluidity).  The prostheses are diversified in such a way that they will be anatomical (drop) or round shaped, rough or flat on the outer surface.
Do Breast Prostheses cause cancer?
For a period, the use of the silicone prostheses has been banned in the USA, since the uncertainty of the effect of the breast prostheses on the breast cancer with the suspicion that the prosthesis will interfere with mammography and adversely affect cancer follow-up. However, the studies conducted during this banned period have showed that these suspicions were unfounded and showed that there was no relationship between the prosthesis and breast cancer and rheumatological diseases. Following this, the silicone prosthesis applications have been released again. It has been shown that the follow-up in terms of the breast cancer in the breasts in which prosthesis have been put will be able to be made in a healthy way with the breast MRI.
Can the breast be enlarged with any other method other than the prosthesis?
Although the adipose injections have been popularized in this regard in the recent years, its use is limited. Very large volumes cannot be reached with the adipose injections made and 2nd and 3rd sessions can be required due to the loss of a certain amount of injected adipose in the first period. For this reason, it is preferred in selected breast asymmetry cases, augmentation cases where small volumes are required, and in the patients who are not very thin. The latest trend is the use of the adipose injections with the silicone prosthesis. When the hyaluronic acid is injected in high amounts, the augmentation can be performed. However, this technique is both expensive and its complications are high. 
What should be done and what should not be done before the surgery?
Before the surgery, the breast USG/mammography is required to be taken. This is an important data that is required to be kept in the future follow-up of the patient. The breast USG/mammography is repeated 1 year after the surgery. As it is in all surgeries, smoking should be stopped 3 weeks in advance. Smoking is one of the most important factors that increase wound healing problems. Aspirin and blood thinners should be stopped at least 1 week before.
Those being inconvenient to use before the surgery:
The painkillers such as Apranax, Voltaren, Vermidon (Minoset and Novalgin can be used when the pain relief is required), the multivitamin pills containing substances such as ginseng, ginkgo biloba, coenzyme Q, Green tea, flaxseed, cherry stalk, tomato seed herbal products and All weight loss products.
Do silicone prostheses cause cancer?
In 1993, the Food and Drug Administration (FDA) stopped the use of the silicone prostheses for 10 years. The reason of this was unclear of its effect on the breast cancer, concern that it would be able to disrupt the mammographic examinations, and suspicion that it would be able to cause some joint diseases. The studies conducted over these 10 years have proven all of these suspicions to be unfounded. It has been released again in the USA starting from 2003. Therefore, it can be said that the silicone prostheses do not have any effect on the breast cancer. On the contrary, the incidence of the breast cancer in the patients having the breast prosthesis is 30% lower than in normal women. The reason for this can be that the women in the high risk group do not prefer the prosthetic surgeries.
Is anesthesia required in the breast augmentation surgeries?
The breast augmentation surgeries are performed under the general anesthesia.
How long does the surgery take?
The breast reduction surgeries take between 1-1.5 hours.
From which areas are the Breast Prostheses placed and do they leave scars?
There are four areas to place the breast prostheses under the breast. They are mostly placed through the incisions made around the nipple or in the lower groove of the breast. The breast prostheses that can only be inflated with the saline can be placed with the incisions made around the axillary fossa and belly button. When an incision made around the nipple is preferred, the breast tissue is cut and can cause loss of sensation in the nipple. In addition, the capsular contracture is more common in this technique. The incisions made under the breast are the most preferred technique and the technique of which complication rates are least. It leaves a scar of 4-5 cm and becomes much less noticeable over time as it is under the breast fold.
On which plane is the Breast Prosthesis placed?
The prostheses are placed in the submuscular plane in the patients having weak and thin subcutaneous tissue, and under the breast tissue in the patients having sufficient subcutaneous tissue. 
In the recent years, the technique called dual-plan, in which the upper part of the prosthesis is placed under the breast prosthesis and the lower part is placed under the breast tissue, is applied.
Is pain felt after the surgery?
The breast augmentation surgeries are not painless surgeries. 
The surgeries in which the prosthesis is placed under the breast tissue are less painful, and more pain is felt in the cases where the prosthesis is placed under the muscle. After the surgery, strong painkillers are used and the pain on the day of the surgery is minimized. The next day, the pain is felt a little more intensely, but it can be relieved with painkillers. Between 3 days and 3 weeks, the tension caused by the prosthesis is felt.
What happens after the surgery?
3 hours after the surgery, the patient can be fed with liquid and then solid foods and can stand up. 1 night's hospitalization is sufficient after the surgery. Afterwards, a non-wired sports bra is used for 3 weeks. No sports are done other than walking for the first 3 weeks, then, all muscles can be exercised until the 6th week, except for the arm and chest movements. After the 6th week, all sports are free.
What complications can develop after the breast surgery?
Bleeding, infection and wound healing problems can be experienced in the early period. However, these are rare problems. The most common long-term encountered problems in the breast prostheses are capsular contracture, symmetry disorders and aesthetic problems. The prosthesis leaks and bursts are no longer observed in good brand prostheses; and the brands such as Allergan and Mentor give a lifetime product warranty in this regard. The capsule contracture is surrounds the prosthesis by detecting it as a hard capsule and pushes it to one side. When the capsule contracture develops, it causes hardening of the breast, asymmetry and visual disturbance depending on the severity. Its incidence varies between 1 and 5%. If it occurs, the capsule is required to be removed and the prosthesis is required to be replaced, by operating the patient again. If it repeats, it can be operated once more; however, when it repeats for the third time, the prosthesis procedure is canceled. The stubborn capsules are not situation encountered very common. The capsule rates are low in new generation prostheses. In addition, the capsule develops less in inframammary incisions, submuscular applications and prostheses with rough surface. Using a meticulous technique in the surgery and not applying excessively sized prostheses also reduce the risk of capsules. The symmetries, appearing the prosthesis from outside, being seen of the fluctuations on the prosthesis, patient's dissatisfaction with the size of the prosthesis, and not looking natural of the breasts can be counted among other problems that can be encountered after the prosthesis. All of these problems can be reduced by using oversized prostheses, using fifth generation form stable prostheses, placing the prostheses under the muscle in the weak patients, and meticulous surgery. 
Although temporary loss of the sensation in the nipple can be experienced, this complication is mostly seen after the incisions made around the nipple. Permanent loss of the sensation is rare.
Does the Breast Augmentation prevent breastfeeding?
The breastfeeding is not affected after the surgery. Since there can be extra growth and sagging in the breast after the pregnancy and breastfeeding, the breast lifting can be required afterwards.
Do the breast prostheses adversely affect mammography?
By means of newly developed digital mammography devices, the prostheses do not affect mammography capture and interpretation. Since the breast tissue is also cut in the incisions made around the nipple, the calcifications can occur and cause false positive results in the mammography. However, there is no such problem in the technique performed under the breast. The prostheses do not prevent the breast MRI and USG.