Remember! Breast is a tissue that can be replaced.

What to know about breast prosthesis in Turkey?

Breast cancer is the most common disease that knocks on women’s doors in our country, as well as in the world. One in nine women experience breast cancer at some point in their life. While aesthetics play an undeniably important role in the women’s world, women with breast cancer first worry that they will ‘lose their breast’. However, no worries. 

Turkey Medicals member Surgical Medical Center Plastic, Reconstructive and Aesthetic Turkish specialist Op. Dr., “breast cancer is a tissue that can be replaced by breast, although it causes breast loss. And this operation has no age. After breast cancer happens to a woman, she definitely shouldn’t give up,” she says. Breast prosthesis in Turkey and what is curious about breast construction from one’s own tissues she told it for our readers.

What’s the right time?

A breast prosthesis can be successfully performed on a patient who has undergone a maskectomy and has passed the time. There are many examples of this both in the world and in our country. But it is best for the patient to go into surgery with the general surgeon and perform the operation simultaneously. That’s the way the approach is now in the world. In simultaneous reconstruction, when the tissues are fresh, the application immediately provides more beautiful and aesthetic results.

What has changed about breast implants in Turkey?

Prosthetics have been used for Turkey breast reconstruction for half century. During this time, there were huge improvements in technology and materials used. At first, the implants (prosthetics) were rough and flat, round-shaped, with remote filling ports, and their back sides, which allowed the prosthetics to bombard forward, were not of a semi-rigid consistency. Breast implants used to be round and far from the anatomical ideal breast image. Now we can successfully get a real breast image.

What methods are applied in Turkey hospitals?

The options offered in breast construction are changing. At first, we put a tissue expander in a breast reconstruction that will be performed with two steps. The prosthetics we use now have a semi-rigid silicone coating on the back, which allows the tissue expander to bombard more forward. In this way, the prosthesis imitates the image of the breast better. Moreover, both prosthetics and tissue expanders now have a rough surface.

Is natural appearance possible?

It’s definitely possible. There are breast expander prostheses that correspond to the anatomical shape of the woman’s natural breast, which we call drops. This, in turn, allows the patient to have a normal ideal breast image. In a natural breast, the top of the breast is more inclined, and the bottom is more convex. Because prosthetics and tissue expanders mimic this shape, they allow us to better get a natural and beautiful breast image.

How is prosthetic breast applied to the patient?

Medical Center Plastic, Surgical Reconstructive doctor in Turkey, “we place a tissue expander simultaneously with the general surgeon in the same operation to a patient who has received the entire breast due to breast cancer. The surgeon general takes the breast tissue and nipple, and we place the tissue expander in the area where the breast tissue is emptied. In this way, we expand the skin that is flat and create a pocket there to place the permanent prosthesis. A month after surgery, we begin to inflate the tissue expander by injection. At certain times, the patient is treated as if he comes for an examination. We inflate the balloon inside by giving the serum with the injector to the breast where the tissue expander is placed,” he says.

Does it affect the treatment process?

The tissue expander we put in the breast doesn’t interfere with chemotherapy or radiation therapy. In this process, we are preparing the pocket that we have created for the second operation. In about a few months, we complete the process of expanding the skin by inflating. Then we wait for the chemotherapy to end and for his body to have a body condition that can take general anesthesia. At the end of the process of about three, three and a half months, we remove the tissue expander in the second operation and put a permanent breast prosthesis in the patient that we use in normal breast augmentation. There’s another good thing about this second operation. If you also need to recover, lift and reduce another healthy breast, we also arrange it in the same operation, ensuring that both breasts are in the same proportion. Five or six months after that, we make a nipple with a procedure of about half an hour under local anesthesia to a breast that was removed due to cancer and then repaired.

Is there risk of breast cancer re-triggering in patient who has undergone a breast prosthesis?

Let go of the ones breast cancer, breast cancer, not just the women who had to have breast augmentation surgery is also very concerned about this. “If breast cancer is triggered, how will I become aware of it if I have breast cancer?” If we talk about both groups of patients, breast cancer is not triggered when a breast prosthesis is applied in a patient who does not have breast cancer. If you have a high possibility breast cancer, even during routine follow-up may occur. In breast cancer, the cancer tissue originates from inside the mammary gland tissue. We call a mastectomy; the mammary gland, that is, the tissue with all the cells that give birth to this cancer, is completely removed. A breast prosthesis is placed in place of the Taken breast tissue. It is therefore impossible to talk about the formation of a new cancer, since there are no cells associated with the cancer.

How is a nipple made?

Plastic surgery has special techniques. One of them is “flap surgery”. With flap surgery, we create a tiny nipple using neighboring tissues and soft tissues. You can think of it as a skin islet from its own skin located on the top of the breast. That patient apparently has a nipple.

Is there any innovation in terms of the materials used in breast repair?

One of the most beautiful developments in recent times is the integrated port tissue expanders( expanders); there is a magnet inside the tissue expander that we placed in the first operation. By combining the magnet finder from the outside of the chest with the magnet inside the chest, we determine the area where the serum will be given. And then we inflate it this way by giving serum into the tissue expander with an injector. Tissue expanders with integrated ports are a very nice and important improvement in patient comfort. We also participate in international scientific meetings, speeches and introductions, follow the latest developments and apply them to our patients one-on-one here.

What are breast reconstruction options other than breast prosthesis?

We have a few options. We can make breasts from the patient’s own tissue, for example, from the tissue in the abdomen! Second, from the back you are again able to get the breast using the patient’s own novelties and skin tissue. Many patients, unfortunately, do not know that the breast can be put back after surgery to remove the breast due to cancer, which we call a mastectomy. When we first tell the patient about this operation, the patient is first surprised by saying, “how so?” It is important that general surgeons, as well as us, inform patients about this and refer them to plastic surgery. As soon as you tell the patient that there is a chance that his chest will be restored, the patient becomes aware of this event, then he becomes conscious and begins to investigate. If not, it is unacceptable for me to say that we will take your breast and wait for the patient to live with a flat front wall of the chest without offering the patient this possibility. In particular, the breast is a very important place in the history of all surgery as a limb of women.

How long after the patient can fully regain his lost breast?

Starting from the first breast removal process, the patient can regain the appearance of the old breast after six months. The better the symmetry between the two breasts, the more natural the appearance looks. Therefore, far from a repaired breast image, it is not clear that the prosthesis was applied.

When can a patient with a breast prosthesis return to their sexual life?

Let’s divide this into the first operation and the second operation. The tissue expander we put in after the first operation needs to fit into place, which is about a month’s process. We don’t want a blow or a trauma until the first blow after surgery is done. Based on the second operation, of course, there is a change. After the change, the permanent prosthesis needs to fall into place and the breast needs to be shaped. It is also a process of at least one to one and a half months of recovery, edema, and formation of the other breast. We don’t want any trauma during these periods. Whether it’s running on the treadmill or sex life.

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President of Organ Transplant Center at MedicalPark Hospital Antalya

Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.

Physician's Resume:

Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.

Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.

In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.


Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.


Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .

Professional Members:

American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.


Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.
Medically Reviewed by Professor Doctor Alper Demirbaş
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