There are a variety of procedures for women with different types of breast conditions and four typical entry sites. All implants are saline, working carefully and with great skill to minimize scarring. The areola is a common entry site, because its location and color tend to exhibit the least noticeable scarring.
If you have the procedure done on a Friday, you may be able to return to work the following Monday with minimal discomfort. After your surgical procedure you may experience moderate pain, but you get suitable medication for relief. You also take antibiotics for 10 days to prevent possible infections.
For three days after the surgery, you must take sponge bath only–NO showers. As soon as you can tolerate it, you should massage your breasts to prevent capsule formation and undue breast hardness, we explain this massage in detail. For three weeks, you must sleep on your back. Some women find a pillow on each side and one under the knees help.
Cosmetic surgery is not covered by insurance, and payment usually is required in advance. Costs include the surgeon’s fee and fees for the hospital and anesthesia. Don’t be tempted to “bargain shop.” The training and experience of your surgeon are the most important factors in the success of your surgery. Do not compromise.
Surgery can be performed in a number of locations. Generally, aesthetic plastic surgery takes place in a hospital or an ambulatory surgery center. Our facility meets strict health care guidelines and is equipped with the latest in surgical technology. For some aesthetic surgical procedures, you will be given general anesthesia so that you sleep through the entire operation. During surgery, you will be carefully monitored by a certified registered nurse anesthetist. In other cases, a local anesthetic will be administered to numb the area to be treated, along with a sedative to relax you. Postoperative discomfort is normally controlled with medication.
- Where and when did you get your medical training?
- Are you board-certified by the American Board of Plastic Surgery?
- In what specialty are you certified?
- Do you routinely perform the procedure I want?
- What surgical techniques will be used?
- How long will the procedure take?
- How much pain is involved?
- What are the risks and complications?
- How long will the effects of the procedure last?
- Is the anesthesia administered by a board-certified anesthesiologist who stays during the surgery?
- Will I be staying in the hospital or is this outpatient surgery?
- At which hospital(s) do you have privileges to perform the procedure I’m considering?
- Do you have malpractice insurance?
- Are you a member of any medical societies? Which?
- Is financing available?
Although one must consider size (how big), shape (round or tear drop), type of procedure (under the breast, under the arm or through the nipple area) and need for lift or mastopexy. The most important consideration is that additional surgery will be necessary in the future to replace or remove the implants. Implants should not be considered lifetime devices. Recent studies suggest that saline implants should last from 8 to 12 years. Extended warranties are available and will be discussed at the consultation.
- Women who desire larger breasts.
- Women with a moderate degree of breast sagging and smaller breasts, whose problem can be solved by enlargement.
- Women who have one breast that is noticeably smaller than the other.
- Larger and shapelier breasts.
- A more positive self image.
- The procedure is done on an outpatient basis under general anesthesia.
- A small incision is made under the breast and a saline implant is inserted under the breast tissue or under the breast tissue and the underlying muscle.
- The patient goes home in an elastic bra. The bra helps hold the breasts in the correct position.
- Initial discomfort is controlled with oral medication.
- Sutures are usually removed in 7-14 days.
- Light activities can be resumed as tolerated. Aerobic activities can be started in about 3 weeks.
For the woman whose breasts are too large or sagging, we perform a breast lift/reduction, which involves removing excess skin (and, if necessary, tissue) and repositioning the breast. Women who want larger, firmer, or more symmetrical breasts can get saline implants with or without a breast lift.
- If you have sagging breasts due to past pregnancies, genetics, or aging.
- If the sagging is too great to be treated with an implant alone. If your nipple-areola complex (pigmented areas around nipples) are enlarged.
- An elevated, more youthful breast contour.
- Nipple-areola complexes of the desired size and at the correct height
- The procedure is done on an outpatient basis under sedation and local or general anesthesia.
- The design of the incisions can vary but usually include incisions around the nipple areola complex and in the crease under the breast.
- The nipple-areola complex is repositioned higher, the excess skin is removed, and the breast is reshaped in a pleasing contour and in a more normal position.
- The insertion of an implant as well, may or may not be advisable.
- The patient goes home in a bra with only light dressings over the incision lines.
- The bra is worn as a “dressing” for 2-3 weeks.
- Sutures are usually completely removed within 2-3 weeks
- Initial discomfort is easily controlled with oral medication.
- Light activities may be started in 7-10 days.
- If you have large, heavy breasts, which may be the cause of breathing difficulties, back, shoulder and neck pain, poor posture, bra-strap indentations and chafing under the breasts.
- If you have excessive breast size, which may decrease a sense of attractiveness and self-confidence.
- More attractive contour and smaller breast size.
- Freedom from health problems associated with excessively large breasts.
- Improved self-image.
- The procedure is done under general anesthesia on an outpatient basis or in the hospital.
- Incisions are made around the pigmented area (the nipple-areola complex) and extend vertically below the nipple and in the fold under the breast. The nipple-areola complex is moved upward to the desired location; excess breast tissue, fat, and skin are removed.
- The incisions are covered with light dressings, and the breasts are placed in a bra. The bra holds the breasts symmetrically during initial healing.
- Initial discomfort subsides daily and can be controlled with oral medication.
- Scars will usually fade in 6-12 months.
- Surgery will probably reduce, and possibly eliminate, the ability to breast feed.