Breast augmentation is a procedure to enlarge or change the shape of the breasts.Being an option and to elect cosmetic purpose Breast Augmentation changes the aesthetics — of size, shape, and texture — of healthy breasts.
Breast augmentation is done by placing implants behind breast tissue or under the chest muscle.
An implant is a sac filled with either sterile salt water (saline) or a material called silicone.
The surgery is done at an outpatient surgery clinic or in a hospital.
Most women receive general anesthesia for this surgery. You will be asleep and pain-free. If you receive local anesthesia, you will be awake and will receive medicine to numb your breast area to block pain.
There are different ways to place breast implants:
- In the most common technique, the surgeon makes a cut (incision) on the underside of your breast, in the natural skin fold. The surgeon places the implant through this opening. Your scar may be a little more visible if you are younger, thin, and have not yet had children.
- The implant may be placed through a cut under your arm. The surgeon may perform this surgery using an endoscope. This is a tool with a camera and surgical instruments at the end. The endoscope is inserted through the cut. There will be no scar around your breast. But you may have a visible scar on the underside of your arm.
- The surgeon may make a cut around the edge of your areola This is the darkened area around your nipple. The implant is placed through this opening. You may have more problems with breastfeeding and loss of sensation around the nipple with this method.
- A saline implant may be placed through a cut near your belly button. An endoscope is used to move the implant up to the breast area. Once in place, the implant is filled with saline.
Risks of anesthesia and surgery in general are:
- Reactions to medicines, breathing problems
- Bleeding, blood clots, infection
Risks of breast surgery are:
- Difficulty breastfeeding
- Loss of feeling in the nipple area
- Small scars, usually in an area where they do not show much
- Thickened, raised scars
- Uneven position of nipples
- Different sizes or shapes of the two breasts
- Breaking or leakage of the implant
- Visible rippling of the implant
- Need for more breast surgery
It is normal for your body to create a “capsule” made up of scar tissue around your new breast implant. This helps keep the implant in place. Sometimes, this capsule becomes thickened and larger. This may cause a change in the shape of your breast, hardening of breast tissue, or some pain.
Emotional risks of this surgery may include feeling that your breasts do not look perfect. Or you may be disappointed with people’s reactions to your “new” breasts.
Before the Procedure
Tell your health care provider:
- If you are or could be pregnant
- What medicines you are taking, including medicines, supplements, or herbs you bought without a prescription
During the days before your surgery:
- You may need mammograms or breast x-rays before surgery. The plastic surgeon will do a routine breast exam.
- Several days before surgery, you may be asked to stop taking aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), and any other medicines that make it hard for your blood to clot.
- Ask your doctor which medicines you should still take on the day of surgery.
- You may need to fill prescriptions for pain medicine before surgery.
- Arrange for someone to drive you home after surgery and help you around the house for 1 or 2 days.
- If you smoke, try to stop. Smoking can cause problems with healing. Ask your provider for help.
On the day of the surgery:
- You will usually be asked not to drink or eat anything after midnight the night before surgery.
- Take the medicines your doctor told you to take with a small sip of water.
- Wear or bring loose clothing that buttons or zips in front. And bring a soft, loose-fitting bra with no underwire.
- Arrive on time at the outpatient clinic or hospital.
After the Procedure
You will likely go home when the anesthesia wears off and you can walk, drink water, and get to the bathroom safely.
After breast augmentation surgery, a bulky gauze dressing will be wrapped around your breasts and chest. Or, you might wear a surgical bra. Drainage tubes may be attached to your breasts. These will be removed within 3 days.
The surgeon may also recommend massaging the breasts starting 5 days after surgery. Massaging helps reduce hardening of the capsule that surrounds the implant. Ask your doctor first before massaging over your implants.
After 15 days, light cardiovascular activity is generally acceptable, but patients are advised to listen to their bodies. If something doesn’t feel right, it’s recommended to back off.
High-impact activity such as running and heavy lifting should not be resumed until after a month. You’ll get back to all of your pre-surgery activities, but the timing to get there varies from person to person.
The recovery from breast augmentation is faster and simpler than most people initially expect. Soreness mainly stems from implant placement behind the pectoralis muscle, but it dissipates rather quickly over the first few days. Most people are off of pain medication within 1 to 5 days. After this, returning to work at a non-strenuous job is permitted, as are driving and normal activities that don’t require exertion.
The aesthetic recovery can be an evolution. Some patients’ breasts look terrific and natural directly after surgery, while others need some time for the lower pole breast skin to relax and allow the implants to drop into a more natural position. This can vary from a few weeks to even a couple of months. Either way, the breasts will look great in clothes, a dress, or even a bikini right after surgery.
Finally, precise, fine-line scars are placed in the most inconspicuous location possible, but they take up to 2 years to fade completely. At the Go Cosmetic Clinics, the surgeons perform any scar revisions at no cost in the rare event it is helpful in achieving an improved, thinner, flatter scar appearance. The color of a scar is determined by the individual genetics of the patient, and only time can allow for fading of this color. Scars creams and topical therapies such as silicone sheeting can help reduce the thickness of a hypertrophic or keloid scar, but these products actually offer no long-term benefit in normal scar appearance as compared with time.