Breast Surgery A–Z

What can be done for the breast?

Small, sagging, heavy, uneven, differently shaped, removed by cancer or troubled by an implant — almost every breast concern has a matching surgical solution. This guide explains each one and where to read more.

Every breast concern has a matching procedure

Breast surgery is not one operation. The right procedure depends on what bothers you: the size of the breasts, their shape and position, the difference between the two sides, the skin and nipple, or problems after previous surgery. Many plans combine two procedures — for example a lift with an implant, or reconstruction on one side and symmetry surgery on the other.

The figure below shows the six situations we see most often. Each is described in its own guide.

Common breast conditionsSix front views: small, sagging, large and heavy, asymmetric and tuberous breasts, and one breast removed by mastectomy. Small breasts Sagging breasts Large, heavy breasts Asymmetry Tuberous breasts After mastectomy
Figure 1Six common situations: small, sagging, large, asymmetric and tuberous breasts, and a breast removed by mastectomy.
A patient and doctor talking during a consultation
Every plan begins with an unhurried conversation about your history and goals.

Condition and procedure at a glance

Your situationUsual procedure
Breast removed by mastectomyBreast reconstruction — implant or own tissue
Small or underdeveloped breastsBreast augmentation or fat transfer
Sagging breasts after pregnancy or weight lossBreast lift (mastopexy), with or without an implant
Large, heavy breasts causing painBreast reduction
Two breasts of different size or shapeAsymmetry correction
Narrow, tube-shaped breastsTuberous breast correction
Hard, painful or ruptured implantImplant removal or exchange
Inverted nipple or large areolaNipple and areola correction
Enlarged breast tissue in menGynecomastia surgery
Extra breast tissue in the armpitAccessory breast tissue removal
  1. 01Procedures explainedReconstruction to nipple correction
  2. 02Combined proceduresOften possible
  3. 03AnaesthesiaGeneral or local
  4. 04First stepPhotographs & assessment
Figure 2Breast surgery at a glance.

Reconstructive breast surgery

Reconstruction rebuilds a breast that has been removed or never developed. It includes reconstruction after mastectomy, preventive (BRCA) mastectomy with immediate reconstruction, oncoplastic surgery during breast-conserving treatment, and the correction of congenital differences such as Poland syndrome.

Who breast reconstruction is forThree front views: a breast removed after cancer, a congenital breast difference, and both breasts absent after preventive mastectomy. After breast cancerCongenital differenceAbsent or removed breasts
Figure 3Reconstruction is for breasts removed by cancer surgery, congenital differences and preventive mastectomy.

Changing size and shape

  1. Augmentation — more volume with a silicone implant or your own fat.
  2. Lift — the nipple and breast tissue are raised and the skin envelope is tightened.
  3. Reduction — weight and volume are removed, relieving neck, shoulder and back pain.
  4. Combined procedures — a lift with an implant, or reduction on one side and augmentation on the other.
Breast lift and reduction incision patternsThree incision patterns: periareolar around the areola, vertical (lollipop) around the areola and down to the fold, and inverted-T (anchor) that also follows the breast fold. Periareolar Vertical (lollipop) Inverted-T (anchor)
Figure 4Lift and reduction use the same three incision patterns, chosen according to the amount of correction needed.

Problems with existing implants

Implants are not lifetime devices. Hardening of the scar capsule around an implant (capsular contracture), rupture, a change in position or the simple wish to be implant-free are common reasons for further surgery. Options range from exchange to complete removal with a lift or fat transfer.

Capsular contracture grades (Baker I–IV)Four implants with a progressively thicker and tighter surrounding capsule: grade I soft and natural, grade II slightly firm, grade III firm with visible distortion, grade IV hard, painful and distorted. Grade ISoft, natural Grade IISlightly firm Grade IIIFirm, visibly distorted Grade IVHard, painful, distorted
Figure 5Capsular contracture is graded from a soft, natural breast (I) to a hard, painful and distorted one (IV).
A patient and doctor talking during a consultation
Time to ask questions — your options are explained clearly and without pressure.

Nipple and areola

Inverted nipples, enlarged or uneven areolas and elongated nipples can be corrected with short procedures, usually under local anaesthesia. After mastectomy, the nipple itself can be reconstructed.

Grades of inverted nippleSide views of the nipple: grade 1 slightly inverted and easily drawn out, grade 2 returns inwards, grade 3 deeply retracted by tight ducts, and the projected nipple after correction. Grade 1Easily drawn out Grade 2Returns inwards Grade 3Tight, short ducts After correctionNipple projected
Figure 6Inverted nipples are graded by how easily the nipple can be drawn out.

Other breast conditions

Gynecomastia — enlarged breast tissue in men — and accessory breast tissue in the armpit are both treated with liposuction, gland excision or a combination of the two, through small, discreet incisions.

Gynecomastia surgeryA male chest with enlarged breast tissue before surgery and a flat chest contour after liposuction and gland excision. GLAND EXCISION LIPOSUCTION FLAT, NATURAL MALE CONTOUR GynecomastiaAfter surgery
  1. Gland excision
  2. Liposuction
  3. Flat, natural male contour
Figure 7Gynecomastia: excess fat and gland are removed to create a flat male chest contour.

Breast surgery in Istanbul, Turkey

Patients travel to Istanbul for the full spectrum of breast surgery — reconstruction, augmentation, lift, reduction, implant revision and nipple correction — planned by one surgeon trained in both reconstructive and aesthetic techniques. Your case is reviewed online first, so that you know the likely procedure and length of stay before you book travel.

How to photograph your chest for an online assessmentThree standard views — front, left side and right side — taken from the neck to the waist in good light against a plain background. Front Left side Right side Neck to waist · plain background · daylight · arms relaxed
Figure 8Front and side photographs are the starting point for an online assessment of any breast procedure.

Frequently asked questions

Can two breast procedures be combined in one operation?

Often, yes. A lift is frequently combined with an implant, and reconstruction on one side is often combined with symmetry surgery on the other. Whether combining is safe is decided individually.

How do I know which procedure I need?

Send front and side photographs with a short description of what bothers you. Dr. Fatih Kılıç reviews them and explains the options that suit your anatomy.

Do I need a mammogram or ultrasound before breast surgery?

Depending on your age and history, up-to-date breast imaging is requested before most breast operations.

Dr. Fatih Kılıç

Medically reviewed by Dr. Fatih Kılıç, Plastic, Reconstructive and Aesthetic Surgeon. This page is for general information and does not replace an individual consultation.

Information & application

Considering breast reconstruction?

You do not need to decide on a surgical technique before contacting us. Share your treatment history and what you hope to achieve — your case will be assessed individually.

  • Individual review by Dr. Fatih Kılıç
  • Reply from our international patient team
  • Your details are kept confidential
Prefer WhatsApp? Message us

Request information

Ask on WhatsApp