Breast Augmentation

Summer Sizzle Breast Augmentation SpecialIn 2013, Breast Augmentation was the 2nd most commonly performed cosmetic surgical procedure in the United States (after liposuction).*

Because breast augmentation is performed so frequently, many patients take a casual approach to getting a breast augmentation. Breast augmentation should be thought of as an investment. Thoughtful planning and meticulous execution of the first operation is the best chance for an excellent, long-lasting result. Though a routine plastic surgery operation, if breast augmentation is not thoughtfully planned and carefully executed, the risk of receiving a less than satisfactory result and having to undergo costly revisions is significantly increased.

Typical Timing/Age 18-50
Problem Small breasts
Procedure A thoughtfully and carefully selected silicone or saline breast implant is placed under the breast tissue. The superior (top) part of the implant is usually placed under pectoralis major muscle as well (dual plane position). The top of the implant can be placed superficial to the pectoralis major muscle (total subglandular position) in appropriately selected patients. The breast implant pocket is created and accessed from an incision in the inframammary fold (crease under the breast), an incision around the areola or an incision in the axilla (arm pit). If a trans-axillary incision is used, an endoscope may be utilized for better visualization during pocket creation. The dissection is done with an electrocautery to create a bloodless field that is thought to reduce the risk of infection and capsular contracture. After the pockets are created, temporary intraoperative “sizers” may be used to confirm or assist with final implant selection. Once the final implant choices are made, the pockets are irrigated with an antibiotic solution. The implants are then opened and placed directly from the manufacturer’s packaging into the pocket – being touched and manipulated as little as possible with a fresh pair of surgical gloves. The operation usually takes 1-2 hours.
Goal To improve breast size and shape.
Facility Surgery Center or Hospital
Preparation Patients should be at a stable weight and cannot be using any nicotine containing substances. Patients should not be pregnant, breastfeeding or recently postpartum.
Anesthesia General anesthesia
Hospital stay Most patients choose to go home after surgery.
Assistance You will be able to walk around, feed and bathe yourself. Depending on your pain medication requirements, you may not be able to care for others or drive a car.
Walking You are encouraged to walk around as much as possible to help reduce the risk of DVT and thromboembolism.
Showering After 48 hours you should remove your dressings and take a shower.
Exercise You should do mild/gentle stretching exercises immediately after surgery to prevent your arm and chest muscles from getting tight. Light exercise is ok 1 week after surgery with your new breasts well supported. No arm exercises (other than stretching) for 3 weeks.
Sex Wait 1 week because you don’t want to increase your blood pressure during the early healing period. After 1 week, sex is ok ONLY if your partner is able resist touching your new breasts. You are the only person allowed to touch your breasts for the 6 weeks following surgery.
Work Depending on your type of work you can resume light office work as soon as you feel you are able to do so. Most people take about 1 week off of work following a breast augmentation.
Swelling Usually peaks around 3 days and gradually goes away.
Bruising If present, should subside within 1-2 weeks.
Follow-up Appointments 1-3 days after surgery, 7-10 days, 4 weeks, 6 months, 1 year.
Inherent Risks & Complications Hematoma, Infection, Implant malposition, Numbness, Capsular contracture, Implant rupture, Poor scarring, Need for revision, Complications related to anesthesia.
Performed by: Dr. Butler, Dr. Leveque


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*Cosmetic Surgery National Data Bank: Statistics 2013. (2014). Aesthetic Surgery Journal / the American Society for Aesthetic Plastic Surgery, 34(1 suppl), 1S-22S.doi:10.1177/1090820X14542571

Gulf Coast Plastic Surgery is the only plastic surgery office in the area offering Canfield Vectra 3-D Imaging and Breast Sculptor software.