Breast augmentation may be performed with either general anesthesia or a combination of local anesthesia and sedation. There are several possible locations for the incision, including beneath the armpit (axillary), within the crease below the breast (inframammary), and around the nipple (periareolar). Once the incision is made, the breast tissue is lifted and the implant is inserted either above the chest muscle (subglandular) or beneath the chest muscle (submuscular). The implant is then filled with a saline solution to the desired size and the incisions are then closed. The procedure typically takes between one and two hours to complete. The incision location and implant placement that are right for you depends upon several factors and are best determined with the help of you surgeon.
Immediately after surgery, the breasts may be taped and wrapped with gauze or bandages. A drainage tube may be inserted beneath the skin. Some amount of discomfort is common and can be controlled with prescription pain medication. Drainage tubes are usually removed within one to two days after surgery while the bandages are typically removed within a few days after surgery, though a support bra or compression bandage may need to be worn. The stitches are usually removed within seven to ten days. Swelling is common and tends to fade within a few weeks. The breast may feel more sensitive to physical contact for several months. Most patients find that they can return to work within a few days, though more strenuous activities may need to be limited for several weeks and physical contact with the breasts should be avoided for three to four weeks.
As with all types of surgery there are potential complications associated with breast augmentation and these may include the following: adverse anesthesia reactions, breast feeding complications, breast tissue atrophy, calcium deposits, capsular contracture, changes in breast and nipple sensation, delayed wound healing, excessive bleeding, hematoma/seroma, implant deflation or rupture, implant extrusion, implant shifting, infection, mammogram interference, necrosis, pain, rippling, toxic shock syndrome, and the need for additional surgery. Patients should be aware that the implants may require removal and/or replacement at any time and, in most cases, are not intended to last a lifetime.
Contact Dr. Mingrone to learn more about breast augmentation surgery or to schedule a consultation.
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