WHAT IS BREAST AUGMENTATION?
A Breast Augmentation is a surgical procedure performed to enlarge the breasts by inserting a breast implant either behind the breast tissue, or partially or completely under the chest muscles. Incisions are made to keep scars as inconspicuous as possible, usually under the breast along your natural skin fold. The method of implant selection and size, along with surgical approach for inserting and positioning breast implants, will depend on your preferences, your anatomy and your surgeon’s recommendation.
Breast augmentation increases the breasts’ size or shape with implants. Silastic (silicone polymer) is used for outer shell of all implants, but there are various fillers, including saline and silicone. Silicone gel is used predominantly these days to create the most natural feel. During the consultation, Dr. Rumer will suggest which procedure she thinks best suits the candidate.
WHAT SHOULD I KNOW?
Although most breast implants will last a lifetime, some implants may to be replaced after about 10 years. There are two locations where the implant may be placed – submuscular and subglandular. Submuscular indicates between the chest muscle wall and rib cage, and is often used in small-breasted women. It provides extra padding, creating a natural look while decreasing potential scarring. Subglandular indicates in front of the pectoralis muscle and under the breast tissue. The subglandular procedure is typically recommended for larger-breasted women, as the outline of the implant may show through skin of smaller breasts, especially in thin-skinned women. There are three types of incisions used for inserting breast implants: the inframammary; the peri-areola; and the axillary. Dr. Rumer recommends the inframammary incision method in that it is made under the breast, at the fold or crease line, which naturally hides the scar. This incision method also permits immediate access to the breast for precise implant placement. All sutures are under the skin.
WHAT DOES THE PROCEDURE INVOLVE?
Once general anesthesia has been administered and has taken effect, the inframammary incision, about 3 cm long, is made. A pocket is then made behind each breast (either submuscular or subglandular). The breast implants will then be placed in these pockets and positioned for optimal appearance and symmetry. After comparing both breasts to ensure proper implant placement, Dr. Rumer will close the incisions with stitches.
HOW LONG IS RECOVERY AND WHEN CAN I RESUME MY NORMAL ACTIVITIES?
Most patients can walk delicately and do light daily activities the day after surgery. It’s advised to take it easy and avoid stretching and heavy lifting during the first seven to 10 days. You can return to non-strenuous work within three to seven days. Driving is possible after a week. Most swelling, bruising and soreness is gone within four to six weeks. You can return to strenuous activities in six to eight weeks. Plan on being cautious for the first two months. Your final bra size can be determined within 10 to 12 weeks. The scar will continue to fade for up to two years.