Tucson Breast Augmentation Surgery, Implants Information Benefits and Risks
What is a breast augmentation (enlargement)?
A surgical procedure in which silicone or saline implants are placed to enhance the size and shape of the breast.
When is a breast augmentation used?
Good candidates for breast augmentation are women interested in enhancing the size and shapes of their breasts because they are under-developed, misshaped or have decreased volume due to pregnancy or weight loss.
What is involved in the initial consultation?
When you come in for your initial breast augmentation consultation, you will meet with both Dr. Maloney and Lindsay, the clinical coordinator. Dr. Maloney will examine you to determine if you are a good candidate for the procedure. He will also discuss details of the operation, show you before and after photos and take some measurements of your breasts. These measurements are important in determining the size and shapes of the implants we will use. Dr. Maloney will show you both the saline and silicone implants. The saline implants are a silicone shell filled with saline. The silicone implants are a silicone shell filled with silicone gel. The silicone implants offer a very natural look and feel to augmented breasts and are the more popular choice of the two. The new generation of silicone implants are much different than the old ones, which were taken off the market years ago due to complications with the implants. The new generation of silicone implants are made out of a silicone gel, not silicone oil as they were in the past. They have a low rupture rate and are very safe. The saline implants are great for patients looking for a lot of cleavage and roundness or for patients with different sized breasts. For different sized breasts, we can use the same implant size (width), and overfill one to match the volume of the other.
At this consultation, Lindsay will review surgical fees, financing options and answer any other additional questions you may have. If you choose to have surgery, you will return for another consultation about two weeks prior to your operation. At this second appointment Dr. Maloney will review the surgical plan with you and go through consent forms, take pre-operative photographs and give you your prescriptions. We will also make a final decision about the implant style and shape. Lindsay will go over all of your surgical instructions and give you a packet of information so when you leave you are ready for your breast augmentation surgery.
How do I prepare for a Breast Augmentation?
After meeting with Dr. Maloney and choosing a surgical date for your breast augmentation, you should plan for your care and recovery after the operation. You will need to arrange a ride to and from the surgery center the day of surgery and arrange for someone to stay with you for the first 24 hours. You should take 3-7 days off of work for this operation depending on the type of work you do (speak to Lindsay, Dr. Maloney’s Clinical Coordinator for additional information). If your employer requires paperwork for time off, please obtain it ahead of time and bring it to our office. If you smoke, you must quit a minimum of two weeks before surgery. We suggest 6-8 weeks, but two weeks is the minimum. Smokers heal slower and can have wound healing problems. If you take aspirin or other medication that causes bleeding, you should stop taking it three weeks before surgery because it causes increased bleeding and therefore more bruising. If you are taking any diet pills (prescription or over-the-counter) or Metformin (a common diabetes medication), you should stop one week prior to surgery to avoid anesthesia risks. All medications, herbs, vitamins and dietary supplements you take should be carefully reviewed with Dr. Maloney prior to surgery. If you are under the care of a physician for any health issues, we may require surgical clearance from your physician and/or cardiologist.
At your pre-operative consultation with Dr. Maloney you will be given a map to the surgery center and your prescriptions. Get these prescriptions filled before surgery so they are at home when you need them. You should purchase an inexpensive sports bra to wear for the first two weeks after surgery. Pick up some bags of frozen peas or corn to use as icepacks after your procedure. You need to stay hydrated, so have plenty of water or sports drinks around the house. You should mix sports drinks and water 50/50. You should also start taking a stool softener as narcotic pain medication and anesthesia can make you constipated.
The morning of surgery you may not have anything to eat or drink after midnight, this includes water. You should take a shower using an antimicrobial soap on the chest and abdomen. Do not put any lotions, deodorant or make-up on the day of surgery. Do not wear any jewelry to the surgery center. You should wear comfortable clothes that are easy to get in and out of. A shirt that zips or buttons up the front is preferable. Bring your photo ID when you check-in to the surgery center. You will be taken back to the pre-operating area where Dr. Maloney will come and discuss the plan again, answer any additional questions you have and mark the surgical site. You will also meet the anesthesiologist and ask him/her any questions you may have.
How is the breast augmentation performed?
The operation takes about an hour. The anesthesiologist will put you to sleep for this operation to ensure safety and comfort. An incision is usually made below the breast in the inframammary fold or around the areola. Both of these incisions leave a well-concealed scar. Dr. Maloney will create a pocket underneath the chest muscle, large enough for the implant to be placed. He will then insert the implant using a funnel device so the implant does not touch your skin or the surgeon’s gloves as it is being inserted. This is the very latest technology that is proven to reduce the infection and capsular contracture rate because the implant never touches skin. Dr. Maloney will close the incision with dissolvable sutures. You will wake up in the recovery room and be ready to go home in about an hour.
What should I expect during recovery after a breast augmentation?
You will leave the surgery center with a small dressing over your incisions. You should rest and eat a healthy diet, high in protein, for a speedy recovery. You should also avoid alcohol and refrain from smoking. All surgeons recommend early and frequent ambulation after surgery to reduce the risk of blood clot formation in the legs and to speed up recovery. You may remove your dressings and shower 1-3 days after surgery depending on what the office tells you. You will return to the office for your first post-operative exam 1-3 days after surgery. Discomfort and tightness of the chest are normal after surgery. Be sure to take your antibiotics until they are done. A low-grade fever is not unusual after any surgical procedure. You may wear a sports bra or regular bra when you feel comfortable doing so. You will not be your final size/shape for about two weeks because the implants need some time to fall into the pocket. Therefore, we do not recommend buying or getting measured for new bras until this two-week period has passed. If you have any questions during the recovery phase, please do not hesitate to call our office any time, day or night.
What are the benefits of a breast augmentation?
After the procedure you will have a breast size and shape that is more pleasing to you.
What are the risks of a breast augmentation?
This procedure comes with both aesthetic and health risks, and it is the woman’s personal decision whether the benefits outweigh those risks. Common risks include breast asymmetry, firmness, changes in nipple or breast sensation and capsular contracture. There are also more uncommon, complicated risks such as bleeding, deep vein thrombosis, and infection, which may require the removal of the implant. For a full list of risks, go to plasticsurgery.org.