- Any person who will undergo breast augmentation surgery will first meet with a surgeon to discuss the risks, benefits, and determine the details of the surgery. A physical examination will be necessary and photographs of the breasts will likely be taken. The surgeon will help the patient decide what type of surgery and implants will work best by taking into consideration certain factors such as the size, shape, skin quality and health history.
- On the day of the procedure, the patient checks into the clinic and is sedated before the procedure for maximum comfort. Generally, both a local anesthetic and an IV drip will be available for the patient. In some cases, a general anesthetic is administered. Sedation methods often depend on a patient's overall health and medical history, and great care must be taken to ensure safety.
- After sedation, the implants are inserted into the body. There are two types of implants that can be used for a breast augmentation procedure, silicone gel or saline. Both of these are FDA approved and safe in most instances. The major difference between the two types of implants is that silicone gel implants are pre-filled, while saline implants can be filled before or during the surgery.
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Breast Implant Incision AreasIncisions are made according to the type of implant that was chosen by the patient. Silicone implants are placed beneath the pectoral muscle (the upper chest area). Saline implants are inserted and often filled after placement. Incisions for breast implants can take place in the following areas: underneath the breast near the fold of skin; along the areola; in the arm pits; in the naval area; and in the abdominal area. Incision location and size depends greatly on the size of the implant as well as the body type of the patient. - Implants are usually placed beneath the pectoral muscle. Some of the muscles in this area are relaxed so that the implant will be positioned in a way that looks somewhat natural. Placement can vary, depending on the needs of the patient and how extensive the surgery is. For example, a patient who is having a reconstruction will likely need the implant placed differently than a patient who is undergoing just an augmentation procedure.
- After the surgery, the patient's breasts are covered with a surgical bra, or in some instances surgical gauze. Most patients can return home within a few hours after the procedure. The first week or so can be extremely painful as the muscles that were cut during surgery are healing. Normal activity is usually resumed after a week or two of healing and resting.
