Patients' Information

There are two important ways to prepare yourself for a breast augmentation surgery: Physically and mentally. Any surgery involves risk, a calculated risk, so you will want to be your best physical condition to face it.

You will achieve the best results when your breasts are fully developed at the time of surgery, you are physically healthy, have realistic expectations and are doing it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image.

Mentally, because there will be a change of your body image. Your body will be different, you will need new clothes (going from A to C) and people will perceive you differently. The procedure will increase fullness and projection of your breasts, improve the balance of your figure, and enhance your self-image and self-confidence. By now, you should know if your plastic surgeon is a member of his national society of plastic and reconstructive surgery.

This means he or she adheres to a strict code of ethics, has completed at least five years of surgical training with a minimum of two years in plastic surgery and is trained and experienced in all plastic surgery procedures, and fulfills continuing medical education requirements. Remember it is safer when the surgery is performed in an accredited medical facility.

Before The Surgery:
You will read and sign informed consents, which explain details of the procedure.

You will discuss the type of anesthesia preferred and discuss the size and type of implant, the appropriate incision and placement of the implant(under or above the muscle.)

A computer consultation helps tremendously when choosing the appropriate new breast size and shape. The patients' image can be seen with various breast sizes and the location of the incision is chosen. Many doctors have sample implants in the office, in different sizes, which can be placed in the bra to try for size.

Tell your doctor about your previous medical conditions, drug allergies and medical treatments.

You will be asked to get some lab testing, a medical evaluation and a baseline mammogram before surgery and another one after surgery to help detect any future changes in your breast tissue.

You should stop taking certain medications or adjust your current medications.

Avoid taking aspirin, anti-inflammatory drugs and herbal supplements (such as ginkgobiloba,) as they can increase bleeding.

Stop smoking well in advance of surgery.

Your doctor will examine your breasts, take detailed measurements of their size and shape, skin quality, placement of your nipples and take photographs for your medical record.

You will have to go to the hospital fasting for 6 to 8 hours and youwill be asked to remove make-up and nail polish.

After The Surgery

Breast augmentation is one of the most common plastic surgery procedures and one with the highest satisfaction rates. Yours should be an easy experience if all precautions are taken. You’ll need help after the surgery.

Be sure to arrange for someone to drive you to and from surgery and an adult to stay with you for at least the first 24 hours.

You will take medications to reduce pain and the risk of infection. After the surgery, you will be sleepy because of the anesthesia drugs and probably thirsty and hungry. After you are fully awake you will be able to drink and eat.

Remember there will be temporary soreness and sensitivity, swelling, a change in nipple sensation and possibly bruising for two to three weeks.

A return to work, if not physically strenuous, is possible in a few days. The scar will fade after several months but can be up to a year or more in some cases.

Dressings will be changed over several days immediately post operatively. Stitches, when necessary, are removed after 7 days.

Drains, when needed, should be removed in the first 2 or 3 days. Showering is permitted between three and seven days following surgery. A support bra is worn for a month, driving is permitted after two weeks and exercise after two to three weeks.

Heavy exercise after a month. Nipple or breast sensation may change, usually temporarily. Surgical removal and replacement of the implants may be required to treat capsular contracture, which can provoke breast hardness.

Results are variable but usually long-lasting, however implants may require removal or replacement. Mammograms are routinely prescribed annually after the age of 40.

Significant weight loss can affect the result.

Pregnancy and breast-feeding can alter breast size in an unpredictable way, although breast implants do not affect pregnancy or the ability to breast-feed. If, with aging, the appearance of the breasts change, it is possible to undergo a breast lift to improve contour.

Written by:

Prof. Dr. Luiz Toledo Dubai