Before surgery:
- During the consultation, the course of the procedure will be thoroughly explained, including any risks associated with the surgery and post-op recovery.
- The size and shape of the implants will also be decided during the first consultation. There are two types of implants most commonly used for breast augmentation – round or teardrop (anatomical) shaped.
- Depending on the patient, the implant is placed either behind the glandular tissue in your breast (subglandular placement) or behind the chest wall muscle (submuscular placement). For a successful surgery, the patient will need to inform the surgeon of all previous and ongoing medical conditions.A blood test and mammogram will need to be performed.
- The date for surgery will be set
Operation:
- The patient will need to abstain from drinking or eating at least 6 hours before surgery.
- The operation is performed under general anaesthesia.
- The incision will usually be made in the fold under the breast (inframammary fold) and is 3-5 centimeters in length. In some cases, the incision can also be made along the areolar edge (peri-areolar incision) or in the armpit (axillary incision).
- The operation usually takes around 1 hour.
- The patient will be in an intensive care unit following the procedure, where they will be administered pain medication if necessary. They will spend the night under the supervision of trained medical staff and can leave the next morning, after a visit from the surgeon.
- The patient will need to wear a special soft bra without underwire continuously for a time period recommended by the surgeon. Depending on the surgery, from two weeks up to three months after the procedure. This helps ensure that incisions heal correctly and the implants stay properly positioned.
Recovery:
- The initial recovery period is around 2-3 weeks and the final results of the surgery will appear after 3-6 months.
- During the initial healing period, no heavy lifting or extra strenuous activities are allowed.
- The place of the incision needs to be kept as dry as possible. Wound dressings shouldn’t be removed until the stitches are taken out. The wound dressings need to be sterile and a dry dressing applied after bathing. Using a sauna is not recommended during the first two weeks after surgery.
- Stitches are usually removed ten days after surgery
- The patient should contact a doctor if the wound is painful, bleeding or feverish.
- Smoking slows down the scarring process and increases the healing time.
- Over the counter scar creams can be applied to speed up the wound healing process.
- The scar should not be exposed to direct sunlight for three months after surgery because UV radiation can darken the scar.
- Possible risks: bleeding, infection, excess scar tissue and decreased sensation in the breast.