I have never known a surgeon to perform a full breast augmentation without general anasthesia. Minor surgeries I've known to be done that way (swapping of implants, etc.), but a surgery as major as a full augmentation (that, depending on the placement, may require you to cut into the muscle) requires the use of an OR and an anesthesiologist.
Breast augmentations usually take approximately 1 hour (2 tops). The patient usually goes home the same day, but their stay in the recovery room can vary depending on how they react coming out of anesthesia. Recovery also varies for many people. Some find themselves up and about after only a few days--for others it takes longer. It also depends on whether the implant is placed above or below the muscle. For submuscular implants, the recovery period is longer and more painful as the muscle requires time to heal.
Breast implant surgery can be performed on an outpatient (not in the hospital) basis or in a hospital. It can be done under local anesthesia (only the breast area is numbed) or under general anesthesia (put to sleep or not aware of having surgery).
Breast implant surgery can last from one to several hours depending on your particular case (your condition, implant choice, incision site, implant placement, etc.).
If the surgery is done in a hospital, the length of the hospital stay will vary according to the type of surgery, the development of any postoperative (after surgery) complications, and your general health. The length of the hospital stay may also depend on the type of coverage your insurance provides.
Mine was an hour. I went from a B cup to a D cup. I had to be at the hospital/surgery center 90 mins before surgery. I was in surgery for an hour. I was in recovery for 90 mins. Then they sent me home. It is a great procedure. The results are great too. Recovery is slow and somewhat painful. The recovery depends on the person and their pain tolorence. If you take your pain medicine on time.. it's not bad. What is hard is not being able to raise your arms for 4 days. And having to sleep on your back for a week. BUt it is worth it if you have no boobs and you want bigger boobs.
I'm going to guess you mean how long until the breast begins to soften a bit after surgery. My guess would be a few weeks, once the body has finished encapsulating the implants and the swelling has gone down. Keep in mind though depending on what implant was chosen and how much it was filled will change how the breast feels.
DefinitionAfter a mastectomy, some women choose to have cosmetic surgery to recreate their breast. This surgery can be performed during mastectomy itself or later.The breast is usually reshaped in two stages. First a tissue expander is used. Then a saline implant is placed. Sometimes the implant can be inserted in the first stage.Alternative NamesBreast implants surgeryDescriptionIf you are having reconstruction at the same time as your mastectomy, your surgeon may do a skin sparing mastectomy. This means only the area around your nipple and areola is removed and more skin is left to make reconstruction easier.If you will have breast reconstruction later, your surgeon will remove enough skin over your breast during the mastectomy to be able to close the skin flaps.Breast reconstruction with implants is usually done in 2 stages. You will receive general anesthesia (asleep and pain-free).In the first stage:Your surgeon will place a small tissue expander under your chest muscle and skin. The expander is a pouch made out of silicone, similar to a balloon.Your chest will still look flat right after this surgery.Starting about 2 to 3 weeks after surgery, you will see your surgeon every 1 or 2 weeks. During these visits, your surgeon will inject a small amount of saline (salt water) through your skin into the pouch through a valve.The pouch or tissue expander slowly enlarges the pouch in your chest to the right size for the surgeon to place an implant.When it reaches the right size, you will wait 1 to 3 months before the permanent breast implant is placed (the second stage).In the second stage:Your surgeon will remove the tissue expander from your chest and replace it with a breast implant. This surgery takes 1 to 2 hours.Before this surgery, you will have talked with your surgeon about the different kinds of breast implants. Implants may be filled with either saline or a silicone gel.You may have another minor procedure later that remakes the nipple and areola area.Why the Procedure Is PerformedYou and your doctor will decide together about whether to have breast reconstruction, and when to have it.Having breast reconstruction does not make it harder to find a tumor if your breast cancer comes back.Getting breast implants does not take as long as breast reconstruction(which uses your own muscle tissue). You will also have fewer scars. The size, fullness, and shape of the new breasts are more natural with reconstruction that uses muscle tissue.Many women choose not to have breast reconstruction or implants. They may use a prosthesis (an artificial breast) in their bra that gives them a natural shape, or they may choose to use nothing at all.Women who have had a lumpectomy rarely need to have breast reconstruction.RisksRisks for any surgery are:Blood clots in the legs that may travel to the lungsBlood lossBreathing problemsHeart attack or stroke during surgeryInfection, including in the surgical wound, lungs (pneumonia), bladder, or kidneyReactions to medicinesThe risks for breast reconstruction with implants are:The implant in 1 out of every 10 women will break or leak in the first 10 years. If this happens, you will need more surgery.A scar may form around the implant in your breast. If the scar becomes tight, your breast may feel hard and you may have pain or discomfort. This is called capsular contracture. You will need more surgery if this happens.Infection soon after surgery. You would need to have the expander or the implant removed.Breast implants can shift. This will cause a change in the shape of your breast.One breast may be larger than the other (asymmetry of the breasts).You may have a loss of sensation around the nipple and areola.Before the ProcedureAlways tell your doctor or nurse if you are taking any drugs, supplements, or herbs you bought without a prescription.During the week before your surgery:Several days before surgery, you may be asked to stop taking aspirin, ibuprofen (Advil, Motrin), vitamin E, clopidogrel (Plavix), warfarin (Coumadin), and other drugs like these.Ask your doctor which drugs you should still take on the day of surgery.On the day of your surgery:Do not eat or drink anything after midnight the night before surgery.Take your drugs your doctor told you to take with a small sip of water.Shower the night before or the morning of surgery.Your doctor or nurse will tell you when to arrive at the hospital.After the ProcedureYou may be able to go home the same day as the surgery, or you may need to stay in the hospital for 1 or 2 days.Outlook (Prognosis)Results of this surgery are usually very good. It is nearly impossible to make a reconstructed breast look exactly the same as the remaining natural breast. You may need more "touch up" procedures to get the result you want.Reconstruction will not restore normal sensation to the breast or the new nipple.Having cosmetic surgery after breast cancer can improve your sense of well-being and your quality of life.ReferencesBurns JL, Blackwell SJ. Plastic surgery. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2008:chap 73.Wilhelmi BJ, Phillips LG. Breast reconstruction. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2008:chap 35.Reviewed ByReview Date: 01/26/2011Shabir Bhimji, MD, PhD, Specializing in General Surgery, Cardiothoracic and Vascular Surgery, Midland, TX. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
Some can, some cannot. I cannot. I had the surgery at a youthful 19...I am now 33. It was a horrible revelation for me that I couldn't breastfeed - and believe me I tried for 6 long weeks! I even asked the surgeon when I had the surgery and he told me I "should" be able to. No such luck. I have heard many women today can breastfeed with implant, so technology may have advanced the style of the surgery. If you are considering the surgery before having kids, I'd advise you NOT to do it. Get it done after you breastfeed! If you have already had the surgery, talk to your doctor and/or a lactation consultant. The consultants were really nice and supportive.
DefinitionBreast augmentation is a procedure to change the size or shape of the breasts.See also:Breast reconstruction - natural tissueBreast reconstruction - implantsBreast liftAlternative NamesBreast augmentation; Breast implants; Implants - breast; MammaplastyDescriptionCosmetic breast surgery may be done at an outpatient surgery clinic or in a hospital.Most women receive general anesthesia for this surgery. You will be asleep and pain-free.You may also be given medicine to relax you and local anesthesia. You will be awake and will receive medicine to numb your breast area to block pain.There are many different ways to place breast implants:In the most common technique, the surgeon will make surgical cut on the underside of your breast, in the natural skin fold. Your surgeon will place the implant through this opening. Your scar may be a little more visible if you are younger, thin, and have not yet had children.The implant may be placed through a surgical cut under your arm. Your surgeon may perform this surgery using an endoscope (a tool with a camera and surgical instruments at the end that is inserted through a vein). There will be no scar around your breast, but you may have a visible scar on the underside of your arm.The surgeon may make a cut around the edge of your areola, the darkened area around your nipple. The implant is placed through this opening. You may have more problems with breastfeeding and loss of sensation around your nipple with this method.A newer technique involves placing a saline implant through a surgical cut near your belly button. An endoscope is used to move the implant up to the breast area. Once in place, the implant is filled with saline.Breast implants may be placed either directly behind the breast tissue (subglandular) or behind the outer layer of chest wall muscles (submuscular). The type of implant and implant surgery can affect:How much pain you have after the procedureThe appearance of your breastThe risk of the implant breaking or leaking in the futureYour future mammogramsYour surgeon can help you decide which procedure is best for you.Why the Procedure Is PerformedBreast augmentation is done to increase the size of your breasts.A breast lift, or mastopexy, is usually done to lift sagging, loose breasts. The size of the areola, the dark pink skin surrounding the nipple, can also be reduced.Talk with a plastic surgeon if you are considering cosmetic breast surgery. Discuss how you expect to look and feel better. Keep in mind the desired result is improvement, not perfection. Emotional stability is an important factor. Breast surgery can renew your self-confidence and improve your appearance, but the rest is up to you.RisksRisks for any surgery are:BleedingInfectionRisks for any anesthesia are:Reactions to medicinesBreathing problems, pneumoniaHeart problemsRisks for breast surgery are:Difficulty breastfeedingLoss of feeling in the nipple areaSmall scars, usually in an area where they do not show much. Some women may have thickened, raised scars.Uneven position of your nipplesDifferent size or shape of the two breastsIt is normal for your body to create a â€œcapsuleâ€ made up of scar tissue around your new breast implant. This helps keep the implant in place. Sometimes, this capsule becomes thickened and larger and may cause a change in the shape of your breast, hardening of breast tissue, or some pain.Breaking or leakage of the implantVisible rippling of the implantThe emotional risks of surgery may include feeling that your breasts don't look perfect, or you may be disappointed with people's reactions to your â€œnewâ€ breasts.Before the ProcedureAlways tell your doctor or nurse:If you are or could be pregnantWhat drugs you are taking, even drugs, supplements, or herbs you bought without a prescriptionDuring the days before your surgery:You may need mammograms or breast x-rays before surgery. Your plastic surgeon will do a routine breast exam.Several days before surgery, you may be asked to stop taking aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), and any other drugs that make it hard for your blood to clot.Ask your doctor which drugs you should still take on the day of surgery.You may need to fill prescriptions for pain medicine before surgery.Arrange for someone to drive you home after surgery and help you around the house for 1 or 2 a days.If you smoke, try to stop. Ask your doctor or nurse for help.On the day of the surgery:You will usually be asked not to drink or eat anything after midnight the night before surgery.Take the drugs your doctor told you to take with a small sip of water.Wear or bring loose clothing that buttons or zips in front and a soft, loose-fitting bra with no underwire.Your doctor or nurse will tell you when to arrive at the hospital.After the ProcedureYou may need to stay overnight in the hospital. Some women can go home when their anesthesia wears off and they can walk, drink water, get to the bathroom safely, and have pain they can manage at home.After breast augmentation surgery, a bulky gauze dressing will be wrapped around your breasts and chest, or you might wear a surgical bra. Drainage tubes may be attached to your breasts. These will be removed within 3 days.Sometimes doctors also recommend massaging the breast starting 5 days after surgery to reduce hardening of the capsule that surrounds the implant. Ask your doctor first before massaging over your implants.Outlook (Prognosis)You are likely to have a very good outcome from breast surgery. You may feel better about your appearance and yourself. Also, the pain or skin symptoms you had (such as striation) will disappear. You may need to wear a special supportive bra for a few months to reshape your breasts.Scars are permanent and are often more visible in the year after surgery. They will fade after this. Your surgeon will try to place the incisions so that your scars are as hidden as possible. Your scars should not be noticeable, even in low-cut clothing, since incisions are usually made on the underside of the breast.ReferencesBurns JL, Blackwell SJ. Plastic surgery. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2008:chap 73.Sarwer DB. The psychological aspects of cosmetic breast augmentation. Plast Reconstr Surg. 2007 Dec;120(7 Suppl 1):110S-117S.Holmich LR, Lipworth L, McLaughlin JK, Friis S. Breast implant rupture and connective tissue disease: a review of the literature. Plast Reconstr Surg. 2007 Dec;120(7 Suppl 1):62S-69S.McLaughlin JK, Lipworth L, Fryzek JP, Ye W, Tarone RE, Nyren O. Long-term cancer risk among Swedish women with cosmetic breast implants: an update of a nationwide study. J Natl Cancer Inst. 2006 Apr 19;98(8):557-60.Wiener TC. Relationship of incision choice to capsular contracture. Aesthetic Plast Surg. 2008 Mar;32(2):303-6.Reviewed ByReview Date: 02/08/2011David A. Lickstein, MD, FACS, specializing in cosmetic and reconstructive plastic surgery, Palm Beach Gardnes, FL. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
A breast implant is a prosthesis which is inserted into the breast in order to artificially enlarge its size. They are available in different shapes and sizes. Breast implant, saline- or silicone-filled prosthesis used after mastectomy as a part of the breast reconstruction process or used cosmetically to augment small breasts. Know more about them by visiting: Dr Tavakoli Suite 1, Level 1, 376 New South Head Road, Double Bay, NSW 2028, Sydney Phone : 1300 368 107
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