Breast Augmentation

Drs. Butler, Leveque and Patterson have performed thousands of breast augmentations and other breast-enhancement procedures over the course of their careers. They make sure each operation is thoughtfully planned and carefully executed.

Gulf Coast Plastic Surgery uses VECTRA 3D Imaging technology, which allows you to “try on” different sizes and types of breast implants BEFORE your breast surgery so you can be sure that your implants give you the look you want.

Candidates for Breast Augmentation

Breast enhancement is used to improve breast size and shape using prosthetic breast implants. The usual candidates for this plastic surgery procedure are patients with small breasts who are looking for bigger breasts. Typically, breast augmentation patients are between ages 18 and 50.

In some cases, patients are interesting in combining their breast augmentation with a breast lift for increased perkiness and volume. This procedure is known as augmentation mastopexy.

Introduction to Breast Augmentation

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The Breast-Augmentation Procedure

Before breast augmentation, patients should be at a stable weight and cannot be using any nicotine-containing substances. Patients should not be pregnant, breastfeeding, or recently postpartum.

The procedure will take place at a surgery center or hospital. General anesthesia is typically used to make the patient comfortable during the 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 (armpit). If a trans-axillary incision is used, an endoscope may be utilized for better visualization during pocket creation. The dissection is done with 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 pockets – being touched and manipulated as little as possible with a fresh pair of surgical gloves.

What Is the Breast-Enhancement Recovery Process Like?

Most patients go home after breast-augmentation surgery. You will be able to walk around and feed and bathe yourself. You are encouraged to walk around as much as possible during breast-augmentation recovery to help reduce the risk of DVT and thromboembolism. Depending on your pain medication requirements, you may not be able to care for others or drive a car.

After 48 hours, you should remove your dressings and take a shower. You should do mild/gentle stretching exercises immediately after breast 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) should be performed for 3 weeks.

Wait 1 week before sexual intercourse, because you don’t want to increase your blood pressure during the early healing period. After 1 week, sex is okay ONLY if your partner avoids touching your new breasts. You are the only person allowed to touch your breasts for the 6 weeks following surgery.

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 no more than 1 week off of from their job following a breast augmentation.

Swelling usually peaks around 3 days and gradually goes away. Bruising, if present, should subside within 1-2 weeks. Other potential complications include hematoma, infection, implant malposition, numbness, capsular contracture, implant rupture, poor scarring, need for revision, and complications related to anesthesia.

Follow-up appointments will take place 1-3 days after surgery, 7-10 days, 4 weeks, 6 months, and then 1 year.

Performed by: Dr. Butler, Dr. Leveque, Dr. Patterson

Breast Augmentation

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Contact Us for a Consultation

To find out more about breast augmentation and our other breast-enhancement procedures, contact our office and set up a consultation. Doctors Butler and Leveque and Patterson will be happy to help you achieve your cosmetic goals.

*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.