Best Breast Aesthetics in Turkey | 2025 Cost, Reviews and Before & After Results

Breast aesthetics refers to the group of surgical procedures aimed at changing the shape, size or position of the breasts. These aesthetic interventions are generally performed to increase personal satisfaction, correct post-pregnancy deformities or eliminate age-related sagging.

Breast augmentation surgery is performed with silicone implants or fat injection for individuals who have experienced volume loss or who wish to have fuller breasts. The longevity of the result may vary depending on the material used and the person’s lifestyle.

Breast reduction surgery is performed for both aesthetic and medical reasons in individuals with physical complaints such as back and neck pain. During the procedure, excess tissue and skin are removed so that the breasts become proportional to the body.

Breast lift operations are preferred to correct sagging due to aging, breastfeeding or genetic factors. In this procedure, the nipple is repositioned and excess skin is removed, giving the breasts a younger and more uplifted appearance.

How Does the Planning and Preparation Process Work Before Breast Aesthetic Surgery?

The success of an aesthetic operation begins long before the scalpel touches the skin, at the planning table. The fundamental rule for achieving an excellent result is proper patient selection and minimization of preoperative risks. Another factor that is just as important to us as technical skill is how mentally and physically prepared the patient is for this change. As surgeons, our primary duty is to analyze whether the result the patient dreams of aligns with medical realities.

Conducting a psychosocial evaluation before deciding on surgery is at least as critical as performing blood tests. The aim here is to manage the patient’s expectations correctly. For example, a patient who hopes to resolve emotional emptiness or social problems solely through a physical change may remain unhappy with the outcome, even after a technically flawless operation. Therefore, we want to make sure that the patient’s motivation is based on a healthy foundation. If expectations are not realistic, postponing or cancelling the operation is the most ethical decision to protect the patient.

In the physical preparation phase, body mass index (BMI) and lifestyle habits come into play. For an ideal healing process, the body must be metabolically balanced. In patients with a BMI over 30, wound healing problems and infection risks are statistically higher. In addition, smoking is our greatest enemy when it comes to tissue perfusion. In a smoker, the capillaries constrict and the amount of oxygen reaching the operated area decreases; this can lead to tissue loss, known as “necrosis”. Therefore, quitting smoking before surgery is not a choice but an obligation.

Risk factors that may lead to postponement or cancellation of surgery include:

• Uncontrolled diabetes
• High blood pressure
• Active smoking
• Morbid obesity
• Blood clotting disorders
• Unrealistic expectations
• Psychological instability

How Is Implant Selection Made in Breast Augmentation Surgery?

The implants used in breast augmentation must be selected in a completely personalized way, according to the patient’s anatomical structure and the result they desire. With advances in technology, we now have implant options with different characteristics. The most commonly preferred material is silicone gel implants, which provide a feeling closest to natural breast tissue. Thanks to their consistency, these implants are very successful at mimicking the natural movement and softness of the breast.

Another option is saline-filled implants. These are placed into the body empty and then filled inside. However, because they may feel like a water-filled balloon to the touch and can develop folds over time, they may not be perceived as natural as silicone gel implants. In addition, the age limits for both types of implants differ; in general, saline implants are recommended for patients 18 years and older, and silicone implants for patients 22 years and older.

One of the questions our patients are most curious about is the lifespan of implants. Although implants are manufactured to be highly durable, they should not be considered devices that are guaranteed for a lifetime. Over time, wear or leakage can occur in the outer shell of the implant. Especially with silicone implants, “silent rupture” can occur, meaning tears that the patient does not notice. To monitor this, in accordance with FDA protocols, regular imaging is recommended starting from the 5th year after surgery.

Implants can be classified according to their surface characteristics as follows:

• Smooth-surface implants
• Micro-textured implants
• Macro-textured implants
• Polyurethane-coated implants

How Are Decisions Made About the Dual-Plane Technique and Incision Site?

The key to aesthetic success in breast augmentation surgery is choosing the correct “pocket” in which the implant will be placed. In the past, implants were placed either completely under the muscle or completely under the breast tissue. However, both methods had their own disadvantages. With subglandular placement (above the muscle), the edges of the implant could become visible, while with complete submuscular placement, “animation deformity” could occur, where the shape of the breast changed with arm movements.

Today, the “Dual-Plane” technique has become the gold standard to eliminate both of these problems. In this technique, the upper part of the implant remains under the muscle, ensuring a soft transition in the décolleté area and hiding the implant edges. The lower part of the implant is positioned under the breast tissue, giving the breast a natural teardrop shape. The Dual-Plane technique is ideal for preserving the natural, slightly downward sloping appearance of the breast and avoiding an artificial “ball-like” look. In addition, by releasing the lower attachments of the muscle, the implant does not remain suspended high up and instead integrates with the breast tissue.

The choice of incision site is critical in order to avoid long-term complications. In particular, we want to minimize the risk of “capsular contracture”, in which the body forms a tight, thick capsule around the implant. Scientific data show that an incision made in the inframammary fold is the safest method. This region provides the surgeon with the best surgical exposure and, because the milk ducts are not disrupted, the risk of bacterial contamination is minimized. With incisions made through the armpit or around the areola, the risk of infection and capsular contracture is statistically higher. Once healed, an inframammary incision lies within the natural crease of the breast and is aesthetically discreet.

The surgical entry sites used are:

• Inframammary fold
• Periareolar (around the nipple-areola complex)
• Axilla (armpit)

Which Techniques Are Used in Breast Lift Procedures?

Gravity, breastfeeding, rapid weight gain and loss, and aging all cause the breast tissue to lose elasticity and sag over time. Breast lift, or mastopexy, aims to correct this sagging and restore a youthful and firm breast shape. The technique used, however, cannot be based on a one-size-fits-all approach; it must be determined entirely by the degree of sagging. We evaluate the position of the nipple relative to the inframammary fold using a system known in medicine as the “Regnault Classification”.

In mild ptosis, a “periareolar” incision made only around the nipple may be sufficient. As the degree of sagging increases and the amount of excess skin to be removed grows, more extensive techniques are required. For moderate sagging, a vertical “lollipop” incision is preferred, while for severe sagging, an “inverted T” or anchor-shaped incision is used. The goal is always to achieve the best shape with the least amount of scarring; however, form and long-term stability should never be sacrificed just to shorten the scar.

The most important revolution in modern mastopexy surgery is the abandonment of procedures that rely solely on tightening the skin. Skin is an elastic structure and cannot bear the full weight of the breast on its own; after a while, it will inevitably stretch again. For this reason, we now use techniques known as “dermal sling” or “internal bra”. In this method, a sling system is created from the patient’s own tissue, particularly the deep dermal layers. This sling supports the breast tissue from below and secures it to the chest wall. As a result, the load is borne not by the skin, but by this strong internal structure. In this way, the achieved lift can be maintained for many years. In addition, with a technique called “auto-augmentation”, instead of cutting away the sagging tissue in the lower pole, we reposition it upward to create fullness in the upper part of the breast, allowing for a natural increase in volume without using an implant.

The stages of breast sagging are:

• Mild ptosis
• Moderate ptosis
• Severe ptosis
• Pseudoptosis

Is Breast Reduction Surgery Only an Aesthetic Choice?

Breast reduction surgery is often perceived in society as a purely aesthetic whim, but in reality, it is a serious medical necessity for many patients. Excessively large breasts, known as “macromastia”, place a constant load on the skeletal system. Chronic neck and back pain, curvature of the spine and postural disorders are frequently seen in these patients. During the summer months, persistent rashes under the breasts, deep grooves in the shoulders caused by bra straps and limitations in daily physical activities significantly reduce quality of life.

When planning this operation, the goal is to achieve a reduction that is proportionate to the patient’s body. The techniques used are usually vertical (lollipop) or inverted T (anchor) incisions. The method chosen depends on the size of the breast and the quality of the skin. The vertical technique is often preferred today, as it leaves less scarring and provides a more projected, uplifted breast shape. However, in very large breasts, the inverted T technique may be necessary to adequately remove the excess tissue. In both techniques, the aim is not only to reduce the size of the breast but also to reshape it while preserving blood supply and nipple sensation.

One of the biggest concerns after breast reduction surgery is nipple sensitivity. In modern surgical techniques, the tissue is removed while preserving the vascular and nerve structures (the pedicle) that supply the nipple. In particular, inferior and superomedial pedicle techniques have been developed to minimize the risk of sensory loss. Although temporary changes in sensation may occur postoperatively, permanent loss of sensation is quite rare in experienced hands with the correct technique.

The physical benefits provided by breast reduction surgery include:

• Reduction in back pain
• Reduction in neck pain
• Reduction in shoulder pain
• Resolution of skin irritation
• Improvement in posture
• Increased ease of physical activity

What Are Breast Implant Complications and When Is Revision Necessary?

Although breast implants are made from materials that are highly compatible with the body, there are, as with any surgical procedure, some long-term risks. Being aware of these risks and adhering to regular follow-up protocols is vital for patient safety. One of the most common issues is “capsular contracture”. The body forms a protective thin capsule around any foreign object; this is called the capsule. Normally, this capsule is soft and not noticeable. In some cases, however, the body thickens and tightens this capsule. This can cause the breast to harden, change shape and even become painful. In cases of severe hardening (Baker Grade 3 or 4), surgical intervention may be required.

Another important issue that has come to attention in recent years is a rare lymphoma associated with breast implants, known as BIA-ALCL (Breast Implant-Associated Anaplastic Large Cell Lymphoma). This is not breast cancer, but an immune system-related condition and has generally been associated with textured implants. Although its incidence is very low, it is a serious condition that must be taken into account. It typically presents years after surgery with a sudden swelling of the breast or fluid accumulation (seroma) around the implant. In such suspicious cases, or in the presence of advanced capsular contracture, the surgical technique that should be applied is “En Bloc Capsulectomy”.

En Bloc Capsulectomy is a delicate procedure that requires strict surgical discipline. In this method, the implant and the hardened capsule surrounding it are removed from the body in one piece, without being opened or fragmented. The aim is to prevent any potentially infected material or suspicious cells within the capsule from spreading to surrounding tissues. Simply removing the implant and leaving the capsule in place is not sufficient treatment in such high-risk situations. Therefore, revision surgeries require more extensive anatomical knowledge and experience than the initial operation.

The stages of capsular contracture are:

• Soft and natural appearance
• Mild firmness
• Noticeable firmness and shape distortion
• Painful firmness and deformity

What Should Be Considered During the Postoperative Recovery Period?

A successful breast aesthetic operation does not end when the surgeon’s work is done; it continues with a recovery process that requires the patient’s active participation. In the immediate postoperative period, our priorities are pain management and control of swelling. Thanks to modern pain management protocols, our patients usually experience this process quite comfortably. A mild feeling of pressure and tightness in the first few days is completely normal.

The first week after discharge is what we call the “active rest” period. In other words, we do not want you to lie motionless in bed; on the contrary, short walks at home increase blood circulation and support healing. However, excessive use of the arms, heavy lifting and sudden movements should be avoided. Generally, a lukewarm shower is allowed after 48 hours, but it is important not to rub the incision sites and to keep them dry.

The medical bras used during the recovery period play a critical role in maintaining the new breast shape and reducing swelling. These bras are usually recommended to be worn day and night for 4 to 6 weeks. One of the most common questions our patients ask is when they can return to sports. Light walking can begin as early as the first week, while activities that increase the heart rate and strain the chest muscles, such as running, Pilates or fitness, should generally be postponed until after the 6th week and only started with the doctor’s approval. For patients who smoke, staying away from cigarettes during the recovery period is essential for thinner and less noticeable scarring.

Things to avoid during the recovery period include:

• Lifting heavy objects
• Sleeping on the stomach
• Raising the arms excessively overhead
• Smoking
• Hot baths or sauna
• Activities with a risk of impact