The enlargement is done by placing a saline
implant just behind the breast tissue or underneath the pectoral
(chest) muscle. The size of the enlargement will depend upon the
size of the implant and amount of breast tissue present. The size
of the implant used is dictated by the tightness of the patient's
skin. The surgeon works with the patient to decide on the most appropriate
implant size given the patient's physical appearance and existing
breast tissue. This preoperative period is an important time, as
in all cosmetic procedures, for the surgeon to share with the patient
the available options to achieve desired results and to help the
patient make informed decisions. This is particularly critical for
women who plan to nurse at some point after surgery.
Augmentation
is generally a safe procedure that can usually be done on an outpatient
basis under local anesthesia with sedation or general anesthesia.
Patients will be given preoperative instructions such as avoiding
blood thinning agents such as aspirin, anti-inflammatory medications
or Vitamin E for at least two weeks before and after surgery.
The usual operative time for breast augmentation is around one
hour. Once in place, the implant is filled with saline and the
incision closed and covered with tape strips and/or a surgical
dressing. The patient may be fitted with a special bra and/or
Ace bandage wrap at the completion. The wrap or support materials
used will depend on where the incisions have been made for placing
the implant and should not be removed by the patient.
The enlargement is done
one of two ways:
a.) by placing the implant just behind
the breast tissue or
b.) underneath the pectoral,
chest wall, muscle
Incisions are made to keep scars as inconspicuous
as possible, either underneath the breast just above the crease,
around the areola, or in the armpit.