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Am I a good candidate for breast enlargement? Are you concerned that your clothes that fit well around your hips are often too large at the bustline

Do you feel self-conscious wearing a bra?
Have your breasts have become smaller and lost their firmness?
Has weight loss has changed the size and shape of your breasts ?
Is one of your breasts considerably smaller than the other ?

During consultation, you will be asked about your desired breast size and anything else related to the appearance of your breasts that you feel important.

This will help your surgeon understand your expectations and if they realistically can be achieved.

How will my plastic surgeon evaluate me for breast augmentation surgery?
Your surgeon will examine your breasts and may take photographs. Factors will be considered such as the size and shape of your breasts, the quality of your skin and the placement of your nipples and areolas . If your breasts are sagging, a breast lift may be recommended along with augmentation.
You will give information about any medical conditions, drug allergies, medical treatments you have received, previous surgeries including breast biopsies, and medications that you currently take. You will be asked whether you have a family history of breast cancer and about results of any mammograms.

There is no scientific evidence that breast augmentation increases the risk of breast cancer. The presence of breast implants, however, makes it more technically difficult to take and read mammograms.

If you are planning to lose a significant amount of weight, tell your plastic surgeon. They may recommend that you stabilize your weight prior to surgery.

Pregnancy can alter breast size and could affect the long-term results of your breast augmentation. if you have questions about these matters, you should ask your plastic surgeon.

How should I prepare for surgery? Your plastic surgeon may recommend a mammogram before surgery and another some months after surgery. This helps to detect any future changes in your breast tissue.

If you are a smoker, you will be asked to stop smoking well in advance of surgery. Aspirin and certain anti-inflammatory drugs can cause increased bleeding, so you should avoid taking these medications for a period of time before surgery. Your surgeon will provide you with additional preoperative instructions.

Breast augmentation is usually performed on an outpatient basis.

What will the day of surgery be like? Medications are administered for your comfort during the surgical procedure. Frequently, local anesthesia and intravenous sedation are used for patients undergoing breast augmentation, although general anesthesia may be desirable in some instances.

When surgery is completed, you will be taken into a recovery area and closely monitored. Your breasts will be wrapped in gauze dressings or a surgical bra.

You may go home after a few hours, unless you and your plastic surgeon have determined that you will stay in the hospital or surgical facility overnight.

How will I look and feel initially?
A day or two after surgery, you should be up and about. Any dressings will be removed within several days, and you may wear a support bra. Stitches will be removed in about a week.

Some discoloration and swelling will occur initially, and disappear quickly. Most swelling will resolve within a month

When can I resume my normal activities? After breast augmentation surgery, it is often possible to return to work within just a few days or a week.. Vigorous activities, especially arm movement, may be restricted for two to three weeks.

Sexual activity should be avoided for the first week following surgery. After that, care must be taken to be extremely gentle with your breasts for at least the next month.

What type of implants will be used? Individual factors and personal preferences will help you and your plastic surgeon to determine your appropriate breast size, the location of incisions, and whether the implants will be placed on top of or underneath the chest muscle.

Currently, all those undergoing breast augmentation receive saline-filled implants which consist of a silicone shell filled with sterile saltwater.

The implant is placed in a pocket either directly behind the breast tissue or underneath the pectoral muscle which is located between the breast tissue and chest wall.

In the future, it is possible that additional types of filler materials may become available.

Where are the incisions placed? One of the advantages of a saline-filled implant is that, because it is filled with saltwater after being inserted, only a small incision is needed. Often, an incision of less than one inch is made underneath the breast, just above the crease, where it is usually quite inconspicuous.

Another location for incision is around the lower edge of the areola. A third alternative is to make a small incision within the armpit.

An incision can be made either underneath the breast, just above the crease, around the lower edge of the areola or within the armpit.

Once the incision is made, the surgeon creates a pocket into which the implant will be inserted. This pocket is made either directly behind the breast tissue or underneath the pectoral muscle which is located between the breast tissue and chest wall.

How long will the results last? Except in the event of implant deflation requiring surgical replacement with a new implant, the results of your breast augmentation surgery will be long-lasting. Gravity and the effects of aging will eventually alter the size and shape of virtually every woman's breasts.

You will return to your surgeon for follow-up care at prescribed intervals, where your progress will be evaluated. Your surgeon will encourage you to schedule routine mammographic evaluations at the frequency recommended for your age group.

If you have questions or concerns during your recovery, or need additional information at a later time, you should contact your surgeon.

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