There’s always many questions surrounding breast surgery, here are some common questions I am asked. If you have more questions please feel free to book a consultation with me and I’ll answer your questions clearly.
General anesthesia is given for breast surgery. You will be contacted by the anaesthetist before your surgery.
You will feel sleepy or groggy when you awake from anesthesia. You will remain in our recovery room until you are ready to go back to the main ward.
Smooth implants do move more freely than textured implants and, in that regard, are more like the natural breast. However, some patients prefer styles of implants, such as anatomical implants, which are not available with a smooth surface.
I will strive to achieve your goal if it is realistic for your anatomy.
Nipple reduction surgery is possible during surgery although it will restrict your incision options to peri-areolar (around the nipple/areola). After surgery, nipple reduction is possible as a new procedure.
Be sure you have listed your medications on the medical history questionnaire you completed upon intake. If you overlooked any medications, tell your doctor during your consultation. Ask him about drug interactions with any medications you are taking. Do not overlook vitamins, supplements or over-the-counter medications taken regularly.
Breast augmentation tightens the skin, flattening stretch marks out and making them less noticeable.
During your consultation, your doctor will talk with you about your desired breast size. Taking into account many physical factors, including your height, weight, existing breast volume, shoulder width, chest wall, body fat, breast position, nipple position, asymmetries, spacing between the breasts, laxity of skin, as well as your desired bra size, your doctor will recommend an implant size for you.
It takes six months for the implants to soften and settle completely. Most of the settling occurs during the first two months.
You will need to wear a sports bra as you heal. You can purchase ice packs if you like. Some patients find the numbing effect of ice packs feels good during the first few days after surgery.
You will need an escort to pick you up from our office, take you home and stay with you the first night after the surgery. Whether and for how long you will need help after surgery depends on your responsibilities at home. Most patients are comfortable after the first few days. If you have infants or young children, you may need help for a little longer. You cannot lift heavy objects for three to four weeks.
Patients vary in their post-surgery discomfort, especially during the first week. You should not drive while you are taking prescription pain medication. For planning purposes, you can anticipate that you will not be able to drive for a week or so.
Change in sensation can result after breast surgery. They may result from direct injury to the nerve during surgery or indirectly from the pressure placed on the nerve from the implant. They usually improve with time. Submuscular implant placement and implants that are not excessively large for the patient’s anatomy are both associated with lower incidence of permanent loss of sensation.
After breast augmentation surgery, the body forms a capsule of scar tissue around the implant. Formation of scar tissue starts within days of surgery and continues for a year or more, the same as in every other type of surgery. In most patients, the presence of this scar capsule is not detectable. Some patients experience capsular contracture. This term refers to the contraction or hardening of the scar tissue surrounding the implant. If capsular contracture occurs, I recommend removing some or all of the capsule and replacing the implants.
It is known that submuscular implant placement results in a much lower capsular contracture rate than subglandular placement. Massage may also help to lower the incidence, and is highly recommended.
I do recommend massage, beginning as soon as its comfortable after surgery. I recommend continuing to massage your implants to minimize the likelihood of occurrence of capsular contracture.
The shell of round implants is smooth. In anatomical implants, the manufacturers roughen the shell, giving it a texture similar to velcro. The rougher texture minimizes implant movement and is believed to reduce capsular contracture
Round implants have is the traditional shape we use for breast augmentation. Anatomical implants have a tear drop shape, so you will get less upper quadrant fullness than round implants. Anatomical implants are more expensive than round implants.
Rippling refers to the occurrence of wrinkles, or “ripples,” in the skin over a saline implant. The underlying shell of the implant has rippled as well. I do not use saline implant in my practice for this reason.