Breast Augmentation - Sinno Plastic Surgery

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Not all women are happy with the size or shape of their breasts. A breast augmentation procedure, which enlarges and enhances your breasts, can help you achieve the look you want. At Sinno Center for Plastic Surgery, we will work with you from initial consultation to final results to make sure your breast augmentation is successful and that you have reached your aesthetic goals.

What is breast augmentation?
When should breast augmentation be done?
Who is a good candidate for breast enlargement?
How is breast augmentation done?
What results can you expect with breast augmentation?
How can you prepare for your breast augmentation?
What can you expect when you are healing?
How long will results last?
What are the possible side effects or risks?
Are there other procedures that could be done along with a breast augmentation?
Will insurance pay for breast augmentation?
Next steps …

WHAT IS BREAST AUGMENTATION?
Breast augmentation, or breast enlargement, is a surgical procedure that will enhance the size and shape of your breasts.

An implant is imbedded under the breast to increase its size. Breast implants are made of a silicone shell filled either with silicone gel or a saline (a salt water solution).

At Sinno Center for Plastic Surgery, we will provide you with detailed information about regulations established by the Food and Drug Administration (FDA) for use of implants. We follow these regulations.

WHEN SHOULD BREAST AUGMENTATION BE DONE?
Women generally choose breast augmentation surgery for one or more of these reasons:

To make breasts bigger; to balance their overall body figure with a more proportioned breast size
To correct a noticeable imbalance in breast size
To reconstruct breast(s) after breast surgery
To correct a reduction in breast size after pregnancy
To fix breast sagging and smaller breasts by enlarging them

WHO IS A GOOD CANDIDATE FOR BREAST ENLARGEMENT?
Breast augmentation will enhance your appearance and your self-confidence.

The best candidate for a breast enlargement is a woman with realistic expectations about the results of the procedure. You should not expect a dramatic change in your appearance or in the way people regard you.

You should be in general good health for this procedure.

HOW IS BREAST AUGMENTATION DONE?
The operation is done at the Sinno Center for Plastic Surgery on an outpatient basis using general anesthesia, so you will sleep throughout the procedure. It takes 2-3 hours to complete.

An incision is made in order to insert the implant. Dr. Sinno will decide the best place to make the incision, depending on your anatomy. Every effort is made to assure the incision is made so resulting scars will be as inconspicuous as possible.

After making the incision, Dr. Sinno will lift your breast tissue and skin to create a pocket. The pocket either will be directly behind your breast tissue or beneath your chest wall muscle. In most cases, Dr Sinno will recommend implant placement behind the chest muscle (shown on the right in the graphic). The pocket is created meticulously for accurate positioning and coverage of the implant.

Absorbable sutures (stitches) are used to close the incisions internally and tape is placed on the outside. A gauze bandage may be put over your breasts to aid healing.

Local anesthesia (numbing medicine) is applied to the breast before the end of the surgery, so you will be comfortable for hours after you wake up from anesthesia.

WHAT RESULTS CAN YOU EXPECT WITH BREAST AUGMENTATION?
Breast augmentation will give you larger, shaplier breasts. Many women report an increased sense of self-confidence and self esteem.

HOW CAN YOU PREPARE FOR YOUR BREAST AUGMENTATION?
Initial consultation
You will have a comprehensive consultation with the staff at the Sinno Center for Plastic Surgery that includes:

Discussion of your goals and expectations. Dr. Sinno will ask you how you want your breasts to look.
Evaluation of the condition of your breasts. If your breasts are sagging, Dr. Sinno may also recommend a breast lift.
Review of various options to help you meet your desired goals
Discussion of potential risks
Outline of how the surgery is done, anesthesia used for the procedure and what to expect
Details about costs
Answer any questions you have

Be ready to provide the following information:

Complete medical history
List of medications you take, including use of aspirin and other over the counter medications, vitamins and herbal supplements
Details about your tobacco and alcohol consumption

Before your surgery date:

Live right. The best way to prepare your body for any surgical procedure is to make healthy lifestyle choices in the weeks beforehand. If you prepare your body for surgery, your “back-to-normal time” is often reduced.
Exercise regularly.
Get adequate sleep.
Eat right.
Take vitamin supplements.
Reduce stress.
Depend on someone. Arrange for someone to drive you home after surgery. You may want to have someone to help you at home for the first day or two while you recuperate.

WHAT CAN YOU EXPECT WHEN YOU ARE HEALING?
The first two weeks after surgery . . .

The first 24-48 hours after surgery you will feel tired and sore. Prescribed pain medication will relieve much of your discomfort.
You can shower or take a bath the day after surgery. Don’t let the incision strips soak for more than 1-2 minutes.
During the first week, try to sleep on your back instead of your side. This helps keep the implants in the best possible position during healing.
Any burning sensation in your nipples—not everyone experiences it—should disappear within 7-14 days.
Bruising will disappear in about two weeks.
If you have any gauze dressings, they will be removed after a few days.
Avoid heavy lifting and straining for at least 2 weeks.
Allow the skin tapes (steristrips) over the incision to come off by themselves within 2 weeks.

Wearing a bra . . .
After surgery, you must wear a specialized elastic bra or sports bra to help hold your breasts in the correct position.

Wear it at all times, even while sleeping, for the first two weeks.
You can take the elastic bra off while you shower or take a bath. Put it back on immediately after drying off.
If the elastic bra is too tight, be sure to call us at Sinno Center for Plastic Surgery. Pinching bras can cause skin problems.
After two weeks you may sleep without the bra.
You should not go braless except while sleeping—for 4-6 weeks after the surgery.
When you go back to wearing your own bras, you will probably be more comfortable wearing a bra without an underwire while you are healing.

Getting back to normal . . .

You should be able to return to work or school within a few days after the surgery, depending on how physically strenuous your work load is
Resume driving when you experience no pain turning the steering wheel—usually within a week for power steering.
You can do other light activities as tolerated
Strenuous exercise can start in about 3 weeks after surgery
Protect scars from sunlight for at least a year.

What you might notice . . .

Your breasts may heal at different rates. One may swell, one may feel less comfortable than the other, or the shapes may look different at first. When fully recovered, your breasts will look very similar and natural.
You may hear or feel a “sloshing” sensation after surgery. This is not the implant! Sometimes fluid accumulates in the area around the implant immediately after surgery. It will all be absorbed by your body within a few weeks.
The skin of your breasts may appear temporarily shiny due to swelling. Within a few weeks, the swelling will disappear and the skin will return to normal.

Diet and nutrition . . .
Good diet and nutrition will help your body heal better, and faster, after a surgical procedure.

Drink plenty of water or clear fluids; up to 64 ounces a day is recommended
Eat fresh fruits and vegetables with every meal
Eat small amounts of protein with every meal
Eat every 4-5 hours; do not wait longer to eat
Eat more frequent meals, with fewer calories per meal
Eat breakfast within an hour after you get up
Use vitamin supplements, especially antioxidants, to promote healing and renew energy

HOW LONG WILL RESULTS LAST?
Results of your breast augmentation are permanent. Keep in mind that as your body and skin continues to age, your breasts may show some natural sagging.

WHAT ARE THE POSSIBLE SIDE EFFECTS OR RISKS?
All surgical procedures have some degree of risk. The specific risks and the suitability of this procedure for you can only be determined during your consultation with Dr. Sinno prior to performing the procedure.

You can reduce chance of risk by closely following instructions before and after the procedure that are provided by Sinno Center for Plastic Surgery.

Capsular Contracture
This condition occurs if the scar tissue around the implant begins to tighten or contract. This squeezes the soft implant, causing your breast to feel hard. The contracting can happen immediately after surgery or years later in one or both breasts; there is no way to predict it.

If this condition occurs, it can be anywhere from very mild and barely noticeable, to severe enough to produce discomfort, pain or distortion of the shape of your breast. Sometimes surgery is necessary to treat it.

Infection
A very small number of women get an infection around the implant. This can occur at any time, but usually it happens within a week or so after surgery. Sometimes, the implant must be removed, and then a new one reinserted several months later when the infection clears up.

Changes in sensation
You may find that your nipples become either overly sensitive or they have decreased sensitivity and possibly numbness. These symptoms generally disappear in time, but they can be permanent in a small percentage of women. There is no way to predict who may experience this side effect of breast augmentation surgery.

Wrinkling
You may notice visible wrinkling under the skin. This is more frequent if textured implants are used. This is a mild side effect and it generally improves or disappears within a year.

Ruptured implants
Occasionally the fluid-filled implant may leak or even break. If a saline implant breaks, it will deflate and the salt water in it will be harmlessly absorbed by the body.

When a gel-filled implant leaks or breaks, one of two things can happen. Either you will notice no change, or you may see a change in the shape or firmness of your breast.

A broken or leaking implant generally is remedied with a replacement operation. In some cases, it may not be possible to remove all the silicone gel, which leaks into the breast tissue.

Mammograms
Currently, there is no evidence that indicates breast implants cause breast cancer or prevent breast cancer. However, when you schedule your routine mammograms after the surgery, be sure you request a technician experienced in the special techniques needed to get a reliable x-ray of a breast with an implant.

ARE THERE OTHER PROCEDURES THAT COULD BE DONE ALONG WITH A BREAST AUGMENTATION?
If your breasts are sagging, you may want to consider a breast lift (called a Mastoplexy) to enhance the breast augmentation.

WILL INSURANCE PAY FOR BREAST AUGMENTATION?
Breast augmentation is considered a cosmetic treatment. It is not covered by insurance. You are responsible for full payment.

NEXT STEPS …
Please contact the Sinno Center for Plastic Surgery or set up an appointment with Dr. Sinno to explore your interest in a breast augmentation. He will work closely with you to answer all your questions, to understand your goals and to help you achieve them.