Breast augmentation increases the size and fullness of the breast by introducing an implant behind the breast gland or behind the pectoral muscle. This procedure can make the breasts more proportionate to one’s body frame, reshape breasts that have lost their contour after pregnancy and breast feeding, and/or balance breast size.
Breast implants currently used are silicone shells filled with either saline (salt water) or silicone gel. Both implant types are safe to use and each offers its own advantages. We will help you decide which type and profile of implant is right for you during your consultation. If appropriate, Dr. Smith or his Nursing Consultant will use our 3D imaging system called the VECTRA to help you choose the implant you are looking for. The vectra has 6 cameras that take a picture simultaneously, creating a 3D photograph. It allows us to simulate what you will look like with different implant options so you can make your implant choice with confidence.
Breast augmentation is typically performed under general anesthetic. The procedure itself takes approximately one hour. Incisions are made either in the fold under the breast (inframammary) or around the areola (the darker skin around the nipple-periareolar) Choice of incision is largely a matter of preference of the patient and Dr. Smith, but can be dependent on the implant style and size.
Patients generally experience some discomfort immediately post-operatively, and appropriate pain medication will be prescribed as needed. We also suggest using ice packs to help minimize swelling and tightness. Depending on their breast shape and implants chosen, patients may be asked to wear a supportive bra after their surgery. Small bandages are placed over the incisions in the OR. These should be left intact for 72 hours. Patients can remove these dressings to shower and will be instructed on changing the bandages.
Patients will be seen by our office nurse 5 – 7 days post-op for review of incisions and implant position. Sutures are dissolving, thus suture removal is not required. Patients will likely re-visit the office nurse at 10 days post-op for guidance on breast massage. You should be able to return to work 7 – 10 days after your surgery, but are restricted from heavy lifting for 4 – 6 weeks post-op.
As with any surgery, it is important to have a full understanding of potential risks and complications. These include, hematoma, infection, scarring, rippling of the implant, rupture of the implant, altered or loss of nipple sensation, capsular contracture (hardening of the breast capsule), persistent asymmetries or double contour.
Long term follow-up and photos are done 3 – 4 months post-op.
For more information please click on either of the implant manufacturers ALLERGAN, MENTOR or IDEAL IMPLANT.