How is a breast augmentation performed?
Breast augmentation can be preformed using one of three types of incisions; transaxillary (arm pit), periareolar (around the nipple) or inframammary (in the fold under the breast).
In the majority of cases Dr. Schwarz prefers the transaxillary approach. An incision of about 4 centimeters is made in the hair bearing area of the axilla. The implants, usually silicone gel are placed behind the muscle.
The advantages of this procedure are:
- No scars on the breasts.
- No change in nipple sensation.
- Mammograms can be done normally.
- Less frequency of hardening of the scar around the implant (capsular scar contracture).
A breast augmentation takes about 1 hour to complete, incisions are closed with absorbable internal stitches, leaving only a fine line at the incision site. These are covered with a simple and comfortable dressing. After awakening from anesthesia, our patients are brought to the recovery room where they are cared for until they are comfortable and alert.
They leave the clinic with oral and written indications for their care at home as well as a prescription for pain management.
Breast implants are placed over the muscle in patients who are body builders, gymnasts, or weightlifters, where powerful use of the chest muscles can shift breast implant position during contraction.
Types of Implants
Implants are either Silicone gel or Saline filled and they come in different sizes. The surface of the implant can be smooth or texturized and the shape round or teardrop.
Silicone and saline implants both have very similar safety profiles. They both have pros and cons as well as differences which are important to discuss with the doctor during consultation. Some of these differences are the following:
Silicone implants provide a more natural look and feel, because they are filled with a soft, silicone gel.
Before surgery an evaluation of the breasts will be done in order to decide which is the best implant for you. Dr. Schwarz will guide you through this process and provide you with “sizing breast implants” to help you choose the appropriate size. It is important to choose an implant that will give a natural shape to your breasts.
There are no implants that last a lifetime. Dr. Schwarz recommends replacing the implants after 10-15 years when chances of breakage are possible. If an implant does break, it can be changed easily.
Do breast implants affect breast-feeding?
This is a myth and patients who plan on having surgery done before having a baby should not fear. Patients who undergo breast augmentation can expect to breast-feed normally, with no effect whatsoever on the breast milk or the baby.
Breast Augmentation + Lifting
In some patients the breasts are somewhat droopy and the augmentation is combined with a breast lift. Dr. Schwarz will determine during the consultation whether or not you would benefit from such a procedure.
Breast augmentations are all done under general anesthesia.
Post operative care and Recovery
Patients keep the dressing over their breasts dry 48 hrs, after which the bandages are removed.
Patients are allowed to shower normally once the dressing is removed and wearing a brassiere depends on the patients comfort.
Daily activities can be resumed as soon as they are comfortable, avoiding cardio exercises, strenuous activity, or heavy lifting during the first week only.
Dr. Schwarz recommends patients take one week off work. Resting and relaxing ensures better healing.
Follow-up appointments are scheduled at one week, three weeks, three months and then in one year.
Breast augmentation is a safe predictable procedure. As with any surgery there are associated risks and complications which Dr. Schwarz will discuss with you.