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Breast augmentation is designed to enhance breast size, when, for personal reasons, the size is felt to be too small, to enhance the size and shape after pregnancy, and to improve differences in breast size. Your consultation is designed to understand your reasons for desiring augmentation and to ensure your expectations are realistic and obtainable. Many types of implants are currently available and will be discussed during your consultation. The type of implant used for your augmentation is dependent upon your breast size and shape prior to surgery and your desired shape after surgery.
Incisions for implant placement vary widely and include through the nipple, under the breast, through the armpit and transumbilical. These access incisions will be discussed in length during your consultation. Implants in our practice are preferably placed under the muscle, and this provides for improved tissue coverage, improved longevity of the breast shape and a decreased incidence of breast hardness.
Your surgery will be performed in our AAAASF (American Association for Accreditation of Ambulatory Surgery Facilities, Inc.) nationally certified outpatient facility. Breast augmentation is performed under general anesthesia. Routine breast augmentation is approximately 1 hour in length. All wound closure is provided with absorbable stitch material and waterproof dressings for patient comfort. Postoperative support will be provided and may consist of a bra, Ace support, a chest strap or any combination thereof. Prescriptions for medications required in the postoperative period will be provided prior to your surgery, to prevent any delay in availability after surgery.
Instructions will be provided from our office surgery coordinator. Your arrival time will be provided the day before surgery by our facility and will include general dos and dont's for make-up and clothing wear. All medications to be stopped, including herb and vitamin supplements, which will need to be halted, will be discussed at the time of your preoperative visit. Smoking significantly increases your risk of wound healing complications, and this will be discussed prior to surgery.
Rest for the first 24 hours is highly recommended with assistance to provide for the needs of other household members. The medications prescribed will help control your discomfort, and the type of medication you receive may vary, dependent upon your individual tolerance. Instructions will be provided for return to work and return to exercise, usually at approximately 5 to 7 days and 6 weeks, respectively. Multiple follow up visits in our office will be arranged, and patients will be followed closely in the early postoperative period. Scars will be monitored, settling of the implants and patient comfort will be addressed with each visit. Postoperative photographs are usually obtained at the 2 to 3 month mark, when your implants settle into their final resting position. The risks of surgery will be outlined in detail, so a fully informed decision on your part can be made with regards to your candidacy for surgery.