Breast augmentation is performed with the patient under general anesthesia and sedation. You can go home the same day after spending some time in post-op recovery.
To perform the breast augmentation, Dr. Combs will either make an incision under the crease of the breasts or around the areolas (the dark skin around the nipples). In both cases, the scars are barely seen after they heal.
You may be asked to undergo a medical evaluation or lab testing prior to surgery. In some instances, your plastic surgeon may recommend a baseline mammogram before surgery and another mammographic examination some months after surgery. This will help to detect any future changes in your breast tissue. Following breast augmentation, you will still be able to perform breast self-examination. Drinking lots of water before and after surgery is essential for safe recovery and optimal outcomes.
Before your procedure, your surgeon will discuss with you:
- The impact that smoking and tobacco products have on your surgery. Your surgeon may recommend that you be tobacco and tobacco product free, including nicotine patches, gum, and cigarettes.
- The importance of avoiding taking aspirin, nonsteroidal anti-inflammatory medications (NSAIDS: Advil, Motrin, Aleve), and vitamins or homeopathic regimens prior to the surgery, since these can increase bleeding.
- Breast augmentation is usually performed on a outpatient basis. If this is the case, arrange for someone to drive you home after surgery and to stay with you at least the first night following your procedure. Your surgeon will provide complete instructions on pre and post-operative care. Read the instructions thoroughly, and be certain that you fully understand them. This will help make your procedure as successful as possible.
Medications are administered for your comfort during the surgical procedure, which your surgeon will discuss. Choices include general anesthesia or local anesthesia with intravenous sedation.
A consultation with your surgeon will help determine the best incision and placement option, based on the type of implant selected, the desired breast size, and your body type. The incisions will be designed to be as inconspicuous as possible. An can be made in one of four places:
- Inframammary: underneath the breast, just above the crease
- Transaxillary: near the armpit, where the arm meets the chest area
- Transumbilical: in the navel (saline implants only)
- Perioareolar: around the edge of the areola (the dark area surrounding the nipple)
Following the incision, the implant is inserted into a pocket, either A) behind the breast tissue, over the pectoral muscle (submammary / subglandular placement) or B) under the pectoral muscle (submuscular placement), and the incision is closed.
Your results following breast augmentation will be visible immediately. Some discoloration and swelling may occur initially, but this should disappear quickly. Most residual swelling will resolve within a month.
Return back to the Portland Breast Augmentation Guide