Overview of the surgery:
Augmented Mammoplasty (Breast Augmentation) is an operation to increase the size of the breasts using implants. The implants have a silicone shell that can contain either sterile saline/water or silicone liquid/gel. Incisions are made in inconspicuous areas to minimize visible scarring. Incision options include: Inframammary incision, Transaxillary incision, Periareolar incision. Incisions vary based on the type of implant, degree of enlargement desired, your particular anatomy, and patient-surgeon preference. After the incision is made, a breast implant is inserted into a pocket either: Under the pectoral muscle (a submuscular placement), or directly behind the breast tissue, over the pectoral muscle (a submammary placement). The method for inserting and positioning implants depends on the type of implant, degree of enlargement desired, your body type, and your surgeon’s recommendations. Incisions are closed with layered sutures in the breast tissue and with sutures, skin adhesive or surgical tape to close the skin. Over time the incision lines will fade.
Duration of the operation:
The surgery requires 2 hours to complete.
Post operative care:
- Move slowly and get some rest. Avoid activities that tend to wear you out. Recline your had slightly elevated above lower body.
- Early ambulation is required to speed up healing process and improve circulation.
- Eat a light diet at the day of surgery. Begin with liquids and progress to soup initially then advancing your diet to regular foods.
- You may take shower 24 hours after the surgery. Gently rinse the breast area with water and pat dry. When showering remove the gauze dressing but leave the steri strips in place.
- Avoid strenuous activities that can cause pain and discomfort.
- The incision will be covered with steri-strips and a small gauze dressing. It is normal to feel tired and sore for the next 2-3 days. It is normal to feel that the breast implants are not part of your body. It takes 2-3 weeks for your beast implants to soften and feel more natural.
- Bra: You do not need to wear a bra or may wear a loose fitting comfortable bra if desired. Do not wear a push up bra for 6weeks.
- Wound Care: Remove the gauze dressing before showering at least 24 hours after surgery. Steri strips will remain for the next 6 weeks. Avoid direct sunlight to the incision for 1 year. Use a sunscreen with zinc oxide with SPF 20 or greater.
- Medications: Take all medications as prescribed. Follow all instructions which may accompany the medications such as: Taking with food, avoid alcohol and driving restrictions.
- Call the surgeon immediately for: Sudden onset of pain, fever, nausea, and vomiting, bleeding, dizziness, shortness of breath, rash, rapid heart beat or rapid breathing.
You may go back to work in 2-5 days depending on how you feel.
Possible risk and complications:
The risks of breast implants and complications after breast augmentation include: unfavorable scarring, bleeding (hematoma), infection, poor healing of incisions, changes in nipple or breast sensation, may be temporary or permanent, capsular contracture, which is the formation of firm scar tissue around the implant, implant leakage or rupture, wrinkling of the skin over the implant, anesthesia risks, fluid accumulation, blood clots, pain, deep vein thrombosis, cardiac and pulmonary complications, possibility of revisional surgery.
This procedure may be performed in the cosmetic surgeon’s office-based facility, an outpatient surgery center, or at a hospital. This procedure is usually done on an outpatient basis.
Preparation before Surgery
One month before surgery:
· Stop smoking: smoking must be avoided for about 3-4 weeks prior to surgery, as nicotine interferes with circulation and will greatly affect healing process.
· Stop drinking alcohol: a week before the surgery and throughout your recovery period.
· Avoid taking any medications: such as hormones, anticoagulants, anabolic steroids and supplements at least 4-6 weeks to prevent complicating medical factors prior to surgery. Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding.
· Good nutrition: Eat well during the weeks prior to surgery. A healthy and balanced diet is essential for overall health and well being.
· Healthy lifestyle: maintain proper hygiene in weeks prior to surgery. Colds, cough, sore throat, virus or other illness will result in rescheduling of surgery. Make sure to address any illness immediately.
· Exercise: Proper fitness and body stretching can help enhance posture and gives you more strength for the up coming surgery.
· Get lab testing or medical evaluation: : Make certain all test ordered (CBC, EKG, X-ray) by your surgeon MUST be completed at least 5 days before surgery and no more than 30 days before surgery. Test results should be received by surgeon for clearance. If medical clearance is not yet received at the expected date of completion, surgery maybe delayed or cancelled.
· Get a baseline mammogram before surgery and another one after surgery to help detect any future changes in your breast tissue.
· Vital information: A preoperative visit or call is essential to review your health, your goals and any vital information including allergies and health considerations.
One week before the surgery:
· Confirm your day of surgery: Review all orders and instructions and put your schedule together a few days before the surgery.
· Continue to practice healthy habits: No smoking, no drinking alcohol and stop taking medications to ensure safety.
· Relax: Get plenty of rest. Anxiety is common over the thought of surgery, so don’t hesitate to contact our office. We are here to support you and answer all of your concerns regarding surgery.
· Shop for your post surgery bra: elastic cotton or other unpadded fabric with good full- cup coverage and support. Wide, well- balanced shoulder straps and wide supportive band across the back and beneath the breast with no under wires.
One day before surgery:
· Pack your personal belongings for the day of surgery.
· Assessment of the medical history (any allergies, serious medical condition and all medications taken both prescribed and non-prescribed), physical examination, and laboratory tests will be performed during consultation.
· Nothing by mouth. No candy, gum or mints. Anything more than a small amount of water as needed for brushing teeth or swallowing medication may result in the need to cancel surgery.
· Dress appropriately: do not wear jewelry, hair clips, body piercing, cosmetics. (If there is something you cannot remove, let the admitting nurse know right away)
· Wear comfortable, clean, loose- fitting clothing: Do not wear jeans or any tight fitting bottom; rather have a pair of loose, drawstring sweatpants to wear home. You may wear a robe. Wear slip on, flat shoes with a slip proof sole; no heels. Wear clean cotton socks as the operating room can feel cool.
· Shower as directed: use an antibacterial, fragrance free soap. Shampoo your hair. Do not use deodorant or perfume.
· Do not wear cosmetics, jewelry of any kind, contact lens, hair clips body piercing: ( if there is something you cannot remove , let the admitting nurse know right away)
· Relax: Rest and avoid unnecessary stress.
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