☰ CENTER for COSMETIC SURGERY Sculpt A New You Call 858.483.0690 BREAST AUGMENTATION Dr. Alavi has performed over 5,000 Breast Augmentation procedures Considering a Breast Augmentation, Revision, or Enhancement? Breast augmentation, technically known as augmentation mammoplasty, is a surgical procedure to enhance the size and shape of a woman’s breast for several reasons: To enhance the body contour of a woman who, for personal reasons, feels her breast size is too small. To correct a reduction in breast volume after pregnancy. To balance a difference in breast size. As a reconstructive technique following breast surgery. By inserting an implant behind each breast, surgeons can increase a woman’s bustline by one or more bra cup sizes. If you’re considering breast augmentation, this will give you a basic understanding of the procedure–when it can help, how it’s performed, and what results you can expect. It can’t answer all of your questions since a lot depends on your individual circumstances. Types of implants A breast implant is a silicone shell filled with silicone gel or a salt-water solution known as saline. Both of these implants types are available at the Center for Cosmetic Surgery. Dr. Alavi has performed over 4,000 Breast Augmentation procedures, and he is considered an expert in both implant types. Dr. Alavi will go over the pros and cons of each implant type and help you decide which is best for you. The best candidate for Breast Augmentation Breast augmentation can enhance your appearance and self-confidence, but it won’t necessarily change your looks or cause other people to treat you differently. Before you decide to have surgery, think carefully about your expectations and discuss them with your surgeon. The best candidates for breast augmentation are women looking for improvement, not perfection, in the way they look. If you’re physically healthy and realistic in your expectations, you will likely be a good candidate. Breast augmentation is usually done to balance a difference in breast size, improve body contour, or reconstructive technique following surgery. VIEW BREAST AUGMENTATION BEFORE & AFTER PHOTOS Planning your surgery In your initial consultation, Dr. Alavi will evaluate your health and explain which surgical techniques are most appropriate for you based on the condition of your breasts and skin tone. If your breasts are sagging, your doctor may also recommend a breast lift. Be sure to discuss your expectations frankly with your surgeon. They should be equally frank with you, describing your alternatives and the risks and limitations of each. You may want to ask your surgeon for a copy of the manufacturer’s insert that comes with the implant they will use — so that you are fully informed about it. And, be sure to tell your surgeon if you smoke and if you’re taking any medications, vitamins, or other drugs. Your surgeon should also explain the type of anesthesia to be used, the type of facility where the surgery will be performed, and the costs involved. Because most insurance companies do not consider breast augmentation to be medically necessary, carriers generally do not cover the cost of this procedure. Breast augmentation surgery is relatively straightforward. But as with any operation, there are risks associated with surgery and specific complications associated with this procedure. Your surgeon and staff will discuss these risks during your initial consultation. While most women do not experience these complications, you should discuss each of them with your physician to make sure you understand the risks and consequences of breast augmentation. Preparing for your surgery Dr. Alavi will give you instructions to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins and medications. While making preparations, be sure to arrange for someone to drive you home after your surgery and to help you out for a few days, if needed. Where your surgery will be performed Your surgery will be performed in our accredited operating room. Types of anesthesia Breast augmentation can be performed with general anesthesia, so you’ll sleep through the entire operation. Some surgeons may use local anesthesia, combined with a sedative to make you drowsy, so you’ll be relaxed but awake. The Surgery The method of inserting and positioning your implant will depend on your anatomy and your surgeon’s recommendation. The incision can be made either in the crease where the breast meets the chest, around the areola (the dark skin surrounding the nipple) or in the armpit. Every effort will be made to ensure that the incision is placed so that the resulting scars will be as inconspicuous as possible. Incisions are made to keep scars as inconspicuous as possible, in the breast crease, around the nipple, or in the armpit. Breast tissue and skin are lifted to create a pocket for each implant. Working through the incision, the surgeon will lift your breast tissue and skin to create a pocket, either directly behind the breast tissue or underneath your chest wall muscle (the pectoral muscle). The implants are then centered beneath your nipples. Some surgeons believe that putting the implants behind your chest muscle may reduce the potential for capsular contracture. This placement may also interfere less with breast examination by mammogram than if the implant is placed directly behind the breast tissue. However, placement behind the muscle may be more painful for a few days after surgery than placement directly under the breast tissue. The breast implant may be inserted directly under the breast tissue or beneath the chest wall muscle. You’ll want to discuss the pros and cons of these alternatives with your doctor before surgery to make sure you fully understand the implications of the procedure they recommend for you. The surgery usually takes one to two hours to complete. Stitches are used to close the incisions, which may also be taped for greater support. A gauze bandage may be applied over your breasts to help with healing. After surgery, breasts appear fuller and more natural in tone and contour. Scars will fade with time. After your surgery You’re likely to feel tired and sore for a few days following your surgery, but you’ll be up and around in 24 to 48 hours. Most of your discomfort can be controlled by medication prescribed by your doctor. Within several days, the gauze dressings will be removed if you have them, and you will continue to wear the surgical bra for four weeks after your surgery. You may also experience a burning sensation in your nipples for about two weeks, but this will subside as bruising fades. Your stitches will come out in a week to 10 days, but the swelling in your breasts may take three to five weeks to disappear. Getting back to normal You should be able to return to work within a few days, depending on the level of activity required for your job. Follow your surgeon’s advice on when to begin exercises and normal activities. Your breasts will probably be sensitive to direct stimulation for two to three weeks, so you should avoid much physical contact. After that, breast contact is fine once your breasts are no longer sore, usually three to four weeks after surgery. Your scars will be firm and pink for at least six weeks. Then they may remain the same size for several months or even appear to widen. After several months, your scars will begin to fade, although they will never completely disappear. Routine mammograms should be continued after breast augmentation for women who are in the appropriate age group. However, the mammographic technician should use a special technique to ensure that you get a reliable reading. Your new look For many women, the result of breast augmentation can be satisfying, even exhilarating, as they learn to appreciate their fuller appearance. Your decision to have breast augmentation is a highly personal one that not everyone may understand. The important thing is how you feel about yourself and your new look. If you’ve met your goals, then your surgery is a success. Dr. Alavi has been chosen as one of America’s Top Physicians in cosmetic surgery by the Consumer’s Research Council of America for the past five years. After your consultation, we are sure you’ll see why. Contact the Center for Cosmetic Surgery today to learn more about how Dr. Alavi and his team can guide you through your breast augmentation. 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