Before & After
Something about Breast augs here from Anne or a patient. Maybe a testimonial.
This 24 y.o. woman had a bilateral submuscular breast augmentation with 255cc moderate profile smooth round silicone gel implants through inframammary fold incisions.
About Breast Augmentation
What is a breast augmentation?
Is a procedure that increases the size or enhances the shape of your breast either from small cup size, or to re-shape after pregnancy, weight-loss or by the natural aging process. It can be performed using implants, either Saline or silicone, or by fat transfer.
How do I know if this surgery is right for me?
Because most cases of pure breast augmentation are considered cosmetic, the surgery is typically considered elective. Before undergoing any medical procedure, you should be in good health, but if you have a known cardiovascular problem, bleeding problems or neurological issues, you may or may not be a good candidate for elective breast augmentation.
- Typically, patients are at their goal weight (BMI 30 or below)
- They have quit smoking (all forms) at least 6 weeks prior to surgery
- And are in relatively good/optimal health
If you’ve had previous surgery, it is best to discuss these specific questions with your surgeon and primary care provider to know what options may be best for you.
I’ve had previous surgeries. Can I still have a breast augmentation?
As long as you’ve not had previous complications to surgery and you haven’t had previous breast surgery, this is a safe procedure. It’s best to discuss what kind and how long ago your previous surgery(ies) were with your plastic surgeon to see if this procedure is right for you.
I’ve had bariatric surgery and lost a lot of my breast tissue. Will a breast augmentation be right for me?
As stated previously, it is best to be at your optimal/desired weight and size, as gaining or losing weight can change the look of your breasts and overall satisfaction with the surgery. It is also important to keep in mind that optimal health before undergoing any procedure is important and to discuss this with your surgeon and/or primary care provider on whether you would be a good candidate.
What can I expect after surgery?
At first, the breasts are tight, swollen, and may be painful. Over the first six weeks, there is a significant amount of settling that happens. By month three, majority of the swelling has significantly decreased, and the breasts are soft and look more natural. Having said that, every person is different, and it depends on your body frame, health status, and many other factors, but typically, you’re out of work for one week, no strenuous exercise for six.
- Days 1 to 4: Swelling, pain, tenderness. Pain medication is usually required during this time. Bruising may start to appear. Fluid retention/swelling is common, as is weight gain.
- Days 5 to 10: Generally OK to shower by now. Constipation is an unfortunate side effect if opioid/pain medications. Discomfort/pain tend to affect patients in the middle of the night and is more severe with implants placed sub-pectorally. You may begin to massage your breasts if permitted by your surgeon. Although you should always be looking for signs of infection, around one-week post-op is the time to be more vigilant. If you had external sutures (stitches placed) they will usually be removed around this time. If your surgeon used tissue glue or tape, these will fall off after a week or two.
- Day 11 to 3 weeks: Start to increase your physical activity, such as low-impact exercises. Most of the swelling has subsided at this point. Don’t be surprised if you still are having your sleep disrupted from occasional pain. Nerves begin to come back online and it is normal to feel like there are “pins and needles” or the sensation when your foot falls asleep in your breast. It is also very normal for you to have areas of numbness.
- Weeks 3 to 6: You start to turn the corner and usually do not require any more pain meds, but all patients are different. Generally OK to switch to ibuprofen or Tylenol, but consult with your primary care provider/surgeon first. You may even get the OK to start higher intensity workouts.
- Week 6 to 9 Months: This is where the rest of the 5-10% of swelling usually resolves/dissipates and the breasts start to settle into their more natural shape.
Am I going to still have sensation?
In general, yes. Your sensation may heighten, diminish, or remain the same. Different risks are associated with the different approaches/techniques we use to place the implants. Be sure to discuss this with your surgeon.
I Haven’t finished completing my family yet. Does a breast augmentation affect breastfeeding?
You don’t have to wait to have kids before having your surgery, but this choice is very personal for a lot of patients. Discussing scarring, goals and future needs/wants is important prior to surgery and may determine where the incision is placed/how the implants will be placed. Make sure to discuss with your surgeon the best approach for you and maintain/achieving your goals.
How do I know what size to get? CC’s are confusing.
Whether you are looking for fat transfer or implants, measurements are typically measured in cc’s (cubic centimeters). It is important to discuss your goals with your surgeon to come up with a plan that best fits you.
I have tubular breasts. Can a breast augmentation fix this?
In most cases, yes. Depending on your anatomy, it may require an augmentation with a lift.
I’m worried about post-op complications. What can I expect? I’ve heard about bottoming out.
Breast augmentations, when performed by a board certified and qualified surgeon, have great success rates, however, no surgery is without inherent risks. Complications can include infection, bleeding, hematoma, scarring, capsular contracture, bottoming out, rupture, anesthesia complications, and results that don’t match expectations which may require further surgery. In general, following post-op guidelines, then “when can I’s” regarding exercise, sexual activity, swimming, etc., breast augmentations can have great and natural-looking results.
What can I do at home for best results?
There are several things you can do to help the healing process at home. I like to give my patients a short handout regarding the frequently asked questions about recovery and the “when can I’s” but in general, be active, but take it slow and listen to your body. Follow all discharge/post-op instructions given by your surgeon unless explicitly advised otherwise. Try to avoid alcohol and smoking (all forms) for at least 2 weeks, for best results, 4 weeks before and after your surgery. Take care of your incision by following your surgeons’ guidelines regarding your specific scar management regimen, and get a lot of respite by decreasing stress, taking long walks and listening
Anne Peled, MD
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San Francisco, CA, 94115
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