FAQ: Breast Augmentation

FAQ Breast Augmentation

If you are concerned with the size of your breasts being too small, unflattering, asymmetrical, and believe that enhancing the size of your breast will improve your appearance and give you more confidence.

Breast augmentation will aim to enhance the overall appearance of your breast and add volume to the area of the chest.

The most common risk is capsular contracture. Other risk can include hematoma, keloids, and infections.

The alternatives to breast augmentation are fat grafting, and using external prosthesis

This depends on the size of the patient’s breast, soft tissue over the chest wall and before operation and patient request. It can be sub muscular (under the muscle) or sub glandular (under the breasts but above the muscle).

There are two major brands that carry breast implants that have a large range of size that differ in height and width. Consultation will help determine which size option is best suited to your body structure and current breast size.

There are two types of breast implants, Silicone and Saline. Silicone is mostly common since it is more authentic to the feel of a natural breast.

The implants should last for about 10 years and will need to be replaced after that time period.

There are different locations of incisions that will produce different incision size. The choice of location will depend on what the patient wants, the doctor’s recommendation, and the agreed size of implant chosen for the surgery.

Refer to my website for before & after pictures or request them during consultation.

Refer to my website for before & after pictures or request them during consultation.

The surgery can range from $6,000-$8,000 for both breast. Saline is on the lower end of pricing.What can I expect after my surgery?
After surgery, some discolouration and swelling will occur, but this will disappear quickly. You may also experience temporary soreness, swelling, bruising and change in nipple sensation.

Most residual swelling diminishes within a month.

After surgery, they will feel temporary soreness, swelling, bruising and change in nipple sensation.

Usually, it does not affect your ability to breastfeed.

Breast implants can make it more difficult to read mammograms, therefore the patient may need to inform your doctor after the surgery.

Patients will experience a moderate degree of pain that will subside over time, along with soreness, swelling, and bruising.

Patients may take extra strength Tylenol, Tylenol 3, Percocet to help with the pain.

I do not usually use drain after breast augmentation.

Patients are recommended to wear loose clothing that will not compress or irritate the chest area.

The scars from the incision are usually well hidden.

The surgery is an outpatient procedure. Patients are kept in the clinic for a couple of hours until they have awoken from the surgery and are ready to leave.

Patients can return to their normal routine in a few days.

It is recommended that sexual activity be avoided for 1 week to 10 days and after that time frame, if you do feel comfortable enough to engage in sexual activity, you may do so afterwards.

Patients can return to their normal routine in a few days and you are not using narcotics.How long will it be until I can go back to work?
Patients can return to their normal routine in a few days.

The choice of anesthesia will be discussed and chosen for you before surgery by an anesthesiologist that will review your medical history.

An anesthesiologist will be at the clinic to assist during the surgery and will evaluate your medical history before the surgery to determine any allergies or possible reactions to anesthesia. The anesthesiologist will discuss the possible options of anesthesia for you and address any concerns you may have.

I review all patient medications on initial consultation, pre operative appointment and day of surgery.

In general, all medication that may cause bleeding or prolong bleeding time may need to be stopped or alter. One should not stop any medication without consulting with your family physician and the specialist that put you on these drugs.

You should not have anything to eat or drink 6 hours prior to the surgery.

We recommend that you arrive at the time we have indicated on the pre-op sheet . We will also try you on your mobile phone if the time of surgery has been changed.

It can be found on my website, by calling or our mobile app.

Yes, patients should arrange for a drive home since they will be sedated during the surgery and will feel drowsy afterwards. It is not recommended for the patients to drive themselves home.

  • Arrange for personal items you might need during your hospital stay
  • Arrange for someone to take care of responsibilities at home and work
  • Arrange for someone to take you home from the hospital
  • Arrange for someone to stay with you the first night after surgery
  • Call your doctor if you think of other questions
  • Notify your doctor if you get sick within 10 days of your surgery (even minor illnesses like a cold)
  • Do not eat or drink alcohol 24 hours before your surgery. Do no smoke 6 weeks before surgery
  • Make sure you have the doctor’s contact information
  • Make sure you have directions to the hospital/office for visitors
  • Wear a button-front shirt and loose clothing to the clinic/hospital

The surgery can vary from 1-1 1/2 hours.

You usually wake up within 10 minutes from the procedure.

They may see you as soon as you wake up.

Yes, patients are provided with antibiotics to take.

  • Make sure your identity has been confirmed with name and date of birth
  • Make sure your procedure has been confirmed
  • Make sure the correct site of your surgery has been marked
  • Make sure the correct side of your surgery has been marked
  • Confirm any allergies and side-effects you might have

I usually talk to you in the recovery room as well as with one to two days after surgery in your postoperative visit to explain how your surgery went.

This depends on your medical conditions and I will discuss this with you at your preoperative consultation.

I usually like you to continue with your usual medication with exception of medication that can cause bleeding. I will discuss this with you further.

My usual protocol does not use drains, tubes or catheters because I use special closure technique to decrease the needs of these devices.

You can drink water and liquid shortly after the procedure.

My procedure is usually as an outpatient and you will be staying for a few hours after. I only let my patient go home if they are ready.

You need to meet all the discharge criteria before you can go home.

You will be given pain medication to take afterwards and I will inform you in more detail after the surgery.

You should have the medication filled before the day of surgery.

Any medication that can cause bleeding or alternate your medical condition need to be stopped or changed before surgery. I will be discussing with you in detail at pre operative visit.

You should keep the area clean with minimal contact and avoid swimming.

You should remove the bandage dressing after 24 hours and after the removal of the dressing, it is encouraged that you start on stretching exercises.

It is suggested that patients avoid any activity that will raise their blood pressure, the primary concern is to prevent any amount of bleeding to occur.

I usually like to see my patients the first one to two days after surgery.When will my bandages be removed?
Your bandages will be removed the next day after surgery.

The sutures will be removed 5 days post-operatively.

It is recommended that patients remain braless during the recovery process and if the patient wishes to wear a bra, they must make sure that the breast does not feel too tight.

You will be sore and in pain, it is suggested that patients rest the first day and continue to increase activity when the pain and soreness has subsided.

Sexual activity can be resumed after 2-3 weeks and if the patient does not feel comfortable after the given time frame, they may prolong when to be sexually active again.

Patients can return to their normal routine in a few days.

In general, you should not drive the first 48 hours after surgery. Also if you are taking heavy narcotic, one should not be driving. Most of my clients are usually driving after 3 to 4 days.

After your surgery
Make sure your care providers wash their hands before and after your care
Do not wait until your pain is severe before you ask for pain medication
Make sure the call button is within reach before medical staff leave the room
Sit on the edge of the bed for a few minutes before you stand up to prevent getting dizzy
Do not get out of bed without help if you feel weak or dizzy

  • You have a fever higher than 100.4 degrees Fahrenheit
  • You have shortness of breath or chest pain
  • You notice increased redness, swelling, warmth, or pain around your surgical incision
  • You notice that your incision is separating or you have infected discharge from your incision
  • Your bandages are repeatedly soaked with blood
  • You have pain that your existing pain medications cannot control

 

  • Take pain and other medications as prescribed
  • Do not drive when you are on prescription pain medications
  • Do not soak in a bath or go swimming for ten days after your surgery
  • Follow your doctor’s instructions on caring for any drains you may go home with
  • Keep your incisions clean and dry
  • Follow your doctor’s instructions on massaging your breasts to prevent hardening of breast tissue around the implants
  • Wear a special supportive bra as long as advised by your doctor
  • Avoid strenuous exercise and heavy lifting as long as your doctor advises
  • Follow your doctor’s instructions on resuming normal daily activities
  • Follow your doctor’s instructions on resuming sexual activity
  • Inform your care providers before having a mammogram or other testing (X-rays, MRI, CT scans)

 

 

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