Breast Augmentation

Expert Techniques, Natural Results

Breast Augmentation is a surgical procedure to increase the size, fullness, and/or shape of breasts using an implantable prosthesis. The surgery increases the breast size and is supposed to perfect the shape of the breasts. This is commonly done with patients who have lost volume and desire to regain a fuller and sexier profile.

Reasons to Consider a Breast Augmentation:

Desire larger breasts, restore breast size and shape after pregnancy, weight loss, breastfeeding, unevenness or other conditions that altered the size and shape of the breast.

What Do I Need to Know?

Patients can have saline implants, which are most popular, or they may elect to try silicone implants, which were recently approved again by the FDA. For the ultimate in natural look and feel, as well as peace of mind regarding safety concerns, there is also the gummy bear breast implant, a cohesive silicone gel implant that has revolutionized breast augmentation.

There are a few different types of incisions that can be used:

Inframmammary: in the crease at the base of the breast

Axillary: in the armpit

Areola: around the nipple

The surgeon’s choice of which incision to use depends on the degree of enlargement, the type of implant, and the surgeon-patient preference. The breast implant can be placed into a pocket beneath the pectoral muscle or can be placed beneath the breast tissue, between the pectoralis muscle and the rib.

All these methods keep scars as inconspicuous as possible.  The most popular way of performing breast augmentation is through an incision in the armpit utilizing the minimal incision technique. Utilizing this method, no incisions are made on the breast or into the breast tissue. The incision is about 1 inch in length and heals in a small non-revealing fold in the armpit.  Most breast implant procedures we perform are done behind the muscle for a more natural feel.

What to Expect After Surgery?

You will have gauze dressings and a support bra placed at the time of surgery. The support bra will help swelling and support the breasts as they heal. During the first 24 hours, you will have some drainage from the surgery site. You can expect bruising, numbness, swelling and soreness. Pain medication, prescribed by the surgeon, will help control the discomfort during your recovery period.

Abstain from taking aspirin, aspirin containing products, or any non-steroidal anti-inflammatory agents immediately and following your surgery unless instructed otherwise.

Do not take pain medications on an empty stomach. This may make you nauseated.

Opioid pain medications (Codeine, Viocodin, Percocet, Darvocet, Norco, Hydrocodone, etc.) can cause constipation. Use a stool softener or gentle laxative (MiraLax or Dulcolax) if you experience this. Notify your physician if your constipation does not resolve.

Pain medications and antibiotics are usually prescribed. If they are not prescribed to you please call the office and confirm.

If you are a smoker, you should abstain from smoking immediately. This will help to avoid respiratory complications and improve circulation to the surgical areas.

Avoid alcoholic beverages until advised by your physician.

Drink plenty of fluids after surgery for the first 3-4 days. Avoid caffeinated, sugar or carbonate beverages or drinks.

Unless otherwise instructed, consume only liquids the evening after your surgery. You may then slowly advance your diet the following day to soft and bland foods i.e. mashed potatoes, over-cooked pasta, eggs, etc. It is suggested to stay away from dairy products for 3-4 days.

Walking is important to help with leg circulation and should be increased gradually each day as tolerated.

Do not lift anything heavier than a gallon of milk until cleared. Generally no strenuous activity, no lifting greater than a gallon of milk, no vigorous activity, or sex for six weeks. If all has healed well you will be cleared to resume light exercises after 6 weeks.

Deep breathing and coughing is encouraged. Holding a pillow firmly against your abdomen may help reduce discomfort.

You will not be allowed to drive until cleared.

At your first postoperative visit, you will be instructed to massage your breasts.

You will have a bra and dressings placed at the time of surgery. This will be removed at your postoperative visit.

During the first 24 hours following breast augmentation, you can expect some drainage from the surgery sites.

You must not wear a bra with an underwire for 3 months following surgery.

You may wear a sports bra or camisole during the first 3 months.

Do not shower until cleared by your physician. After you are cleared it is permitted for soap and water to come in contact with your incisions and drains.

Obtain assistance when showering so you do not fall and get hurt.

Do not immerse yourself a tub, Jacuzzi, or pool until cleared. This is not permitted for at least 6 weeks and possibly longer depending on the incisions being completely healed.

Sleeping on a towel for the first few days may help prevent soilage of your bedding as a result of normal oozing from your incisions and drains.

Do not apply any body lotions, creams, vitamin K, or other skin treatments to your incisions until advised.

Bruising, Oozing, Swelling, Emotional ups and downs, Numbness, Itching, and Discomfort

Make your follow-up appointment by calling the office. If a follow-up appointment is not made for you please go ahead and make one for the day after surgery, 1 week after surgery and weekly while incisions have not healed correctly, or drains are in place.

Please report the following symptoms to the office immediately or your doctor:

• Fever >100° F or higher
• Unusual bleeding
• Excessive pain
• Excessive swelling of or around the wound
• Increased redness
• Light headedness
• Temperature of 100° F or higher
• Chest pain
• Shortness of Breath
• Severe Headaches,
• Changes in Vision
• Any Neurologic problems
• Numbness in the extremities
• Heart Palpitations or Arrhythmia

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