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Breast Augmentation 101


Interested in a breast augmentation? Want to learn the difference between a breast lift or breast reduction? Learn what you need to know from Manhattan, New York, board certified female plastic surgeon, Dr. Nina S. Naidu. – PowerPoint PPT presentation

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Title: Breast Augmentation 101

A Best Friends Guide
Breast Augmentation
What you need to know prior to having a breast
The decision to undergo breast augmentation is an
important one. Have you always thought about
increasing the size of your breasts, but havent
known who or what to ask?
Weve got you covered.
Within this guide, well introduce you to
everything you need to know about breast
augmentation How To Choose a Plastic Surgeon,
Breast Implant Sizes and Types, Breast Incision
Placement, Risks, Recovery and more.
Were here to guide you through this journey.
Who are we?
Dr. Naidu is a board-certified plastic surgeon in
New York who takes great pride in providing her
patients with the safest and most effective
techniques to enhance their natural beauty. She
is committed to providing highly personalized and
compassionate care at all stages of treatment,
including at the initial consultation, during
surgery, and throughout the recovery process.
While patient safety is the top priority, every
attempt is also made to make the experience as
comfortable and simple as possible.
Dr. Naidu is Board Certified by the American
Board of Plastic Surgery and is a Clinical
Assistant Professor of Surgery at Weill Cornell
Medical College. Her practice focuses on
aesthetic and reconstructive surgery of the face,
breast, and body, with a special emphasis on
breast augmentation surgeries.
We want to ensure the best education and support
for all women interested in plastic surgery,
whether you become a patient of ours or not.
The Basics
Breast augmentation is performed to enhance the
size of the breasts. A womans breasts may be
congenitally small or asymmetric, or they may
have changed following pregnancy or weight loss.
Breast augmentation can produce a more feminine
size and shape to the breasts while maintaining a
natural look and feel. Most women report an
improved self-image following breast augmentation
surgery. Breast augmentation surgery requires
research, careful consideration ,and a basic
understanding of what will be involved even
before your first consultation. Being prepared is
the best way to ensure a successful procedure and
a happier you. Now that you have some
background, its time to move forward and dive
deeper into what you need to consider prior to
having a breast augmentation. Keep in mind
throughout your research that expectations must
be realistic in order to avoid disappointment,
and should be carefully discussed with your
surgeon. This leads us to the first and most
important part of your journey Choosing the
Right Surgeon.
Well.. weve got you covered.
Were here to guide you through this journey.
Choosing your plastic surgeon
  • The single most important factor in achieving the
    results you desire is selecting the best plastic
    surgeon for your breast augmentation. Choosing
    the right surgeon for you is one of the most
    important decisions. Dont let yourself be
    pressured into making uneducated, quick
    decisions. Instead, do your own research and
    check your surgeons training and experience
    prior to your first consultation. Diligent
    research on your part will give you peace of mind
    during the entire process and your procedure.
  • Youll want to research and verify your
  • Plastic surgery specialty
  • Plastic surgery board-certification
  • Years of experience and training
  • Hospital privileges
  • Surgical facility/office, and accreditation by a
    national or state agency

Plastic Surgery Certification
There are many ways to find a qualified
physician. Referrals from friends or family
members whove had a breast augmentation is
always a great place to start. Researching
plastic surgeons in your area and reading
testimonials from previous patients is another
option for finding a plastic surgeon.
In addition you may also contact a number of
respected professional organizations, such as
  • The American Society of Plastic Surgeons (ASPS)
  • American College of Surgeons
  • International Society of Aesthetic Plastic

  • In addition to learning about your plastic
    surgeons certification and experience, the
    following questions will help to address more
    specific questions you may have. They will also
    give you a feel of your surgeons bedside manner
    and whether or not you feel comfortable with him
    or her.
  • What are the risks and complications associated
    with having breast implants?
  • How many operations should I anticipate over a
    lifetime after having a breast augmentation?
  • How will my breasts look if I eventually choose
    to have the implants removed without replacement?
  • What shape, size, surface texturing, incision
    site and placement site are recommended for me?
  • How will my ability to breastfeed be affected?
  • How can I expect my breasts to look over time?
  • How can I expect my breasts to look after
    pregnancy or after breastfeeding?
  • What are my options if Im dissatisfied with the
    cosmetic outcome of my breast augmentation?
  • What alternate procedures or products are
    available if I choose not to have breast
  • Do you have before and after photos I can look at
    for each procedure, and which results are
    realistic for me?

Questions for Your Plastic Surgeon
These questions and your initial consultation
will help you to assess your plastic surgeon and
ensure that you feel comfortable with him or her.
Youll want to make sure that your surgeon takes
time to answer your questions and that he or she
speaks to you in a patient, respectful manner.
The Breast Augmentation Procedure
From start to finish, well discuss exactly what
happens during your breast augmentation
procedure. It is important to understand the
process and have realistic expectations of how
long the procedure takes, what is involved during
surgery, recovery, and potential risks. Though
it is always important to continue to ask your
plastic surgeon questions about your procedure,
understanding the process beforehand will help to
guide you.

Step 1 Anesthesia Breast augmentation surgery is
performed on an outpatient basis, either in the
hospital or in an ambulatory surgery center. The
surgery lasts 1 1 ½ hours, and is performed
under general anesthesia. Prior to surgery you
will be required to obtain medical photographs,
routine bloodwork, and in some cases preoperative
clearance from your primary medical doctor. The
evening prior to surgery, you should not eat or
drink anything after midnight. This ensures that
you will have an empty stomach prior to surgery,
which is very important for your safety. You
will need to have a responsible adult available
to escort you home after surgery.
Breast Augmentation Surgery
Image provided by ASPS
Step 2 Incisions There are three commonly used
incision locations for placement of breast
implants within the breast fold (inframammary),
around the nipple (peri-areolar), or under the
arm (transaxillary).
The inframammary incision is well-concealed and
allows the best visualization of your tissues.
There is a lower risk of difficulty
breast-feeding with this incision. The
peri-areolar incision is also well-concealed, but
it is difficult to place some types of silicone
implants through this incision and has a higher
risk of difficulty with breast-feeding. While the
transaxillary incision is off the breast, it may
be visible in some types of clothing, and runs a
risk of injury to important nerves and vessels in
the arm. Large silicone implants cannot be placed
through this incision.

Step 3 Inserting and Placing the Breast
Implant Breast implants can be placed either
partially under the pectoralis muscle
(submuscular) or over the muscle and under the
breast tissue (subglandular). The goal is to
provide optimal long-term coverage of your
implants and to avoid creating deformities which
cannot be corrected, including visible implant
edges and rippling.
Breast Augmentation Surgery
  • not recommended for thin tissues
  • more visible and palpable implants
  • higher risk of capsular contracture
  • more difficult mammograms
  • appropriate for thin tissues
  • less visible and palpable implants
  • lower risk of capsular contracture
  • easier mammograms

Step 4 After Surgery Immediately following
surgery small pieces of tape are placed over the
incisions. Drains, pumps, and support bras are
not used. A soft bra without an underwire may be
worn the following day if desired. Most swelling
will resolve within one month, and the breasts
will achieve their final shape and size within
six months. You should expect to remain out of
work for 3-4 days. Light activity including
walking is permitted and encouraged immediately
following surgery. Heavy exercise, lifting, and
sexual activity should be avoided for two weeks
following surgery. You may return to chest
exercises six weeks after surgery.

Breast Augmentation Recovery
It is vitally important that you follow all
patient care instructions provided by your
plastic surgeon. This will include information
about wearing compression garments, care of your
drains, taking an antibiotic if prescribed and
the level and type of activity that is safe. Your
surgeon will also provide detailed instructions
about the normal symptoms you will experience and
any potential signs of complications. Following
breast augmentation surgery, you will awaken in
the recovery area. Once you are fully alert, you
will be transported to the step-down area where
you will be given something to eat prior to
discharge. You will need to be seen in the office
3-5 days following surgery. You may return to
most normal activities the day after surgery, but
aerobic and sexual activity should be limited for
2 weeks. Most patients take 3-4 days off of work.
You will be given detailed written recovery
instructions regarding activity. You may notice
some temporary swelling, tightness and numbness.
If you notice sudden swelling of one of breasts,
severe pain, redness, drainage, or a fever,
contact the office immediately. View our Recovery
Timeline next.
Recovery Timeline
  • The First Week
  • You will be permitted to shower the day after
  • Light activity including walking is permitted and
    encouraged immediately following surgery.
  • You may be able to return to work 3-4 days after
    surgery, depending on the nature of your job.
  • You should refrain from lifting, pulling or
    pushing anything that causes pain and limit
    strenuous activity for 2 weeks.
  • You will need to set up an appointment with your
    surgeon to ensure your recovery process is on
  • Two Three Weeks
  • You should minimize excessive physical or sexual
    activity for at least two weeks after surgery.
  • Most swelling will resolve within one month.
  • Long-term
  • For safety, as well as the most healthy outcome,
    its important to return to your plastic
    surgeon's office for follow-up evaluation at the
    prescribed times and if you notice any changes in
    your breasts. Do not hesitate to contact your
    plastic surgeon if you have any questions or

Potential Risks
  • All surgery carries specific risks and benefits.
    The specific risks of breast augmentation surgery
    include but are not limited to the following
  • Rupture A breast implant may rupture at any time
    after surgery, and this is more likely when
    implants have been in place for ten years or
    longer. MRI screening is recommended by the FDA
    for silicone implants at 3 years after your
    initial surgery, and every two years thereafter,
    to assess for silent rupture. If a rupture is
    found, removal with or without replacement is
  • Capsular contracture Capsular contracture is a
    tightening of the scar tissue surrounding an
    implant. This may result in firmness of hardness
    of the breast, or pain. Additional surgery may
    be required if pain and firmness are severe.
  • Infection Although most infections occur within
    several days after surgery, this complication is
    possible at any time. Infection may necessitate
    implant removal for at least three months prior
    to replacement.
  • Hematoma/seroma Hematoma refers to a collection
    of blood in the space surrounding the implant. A
    seroma is a pocket of clear fluid that sometimes
    develops in the body after surgery. Both
    collections can result in an eventual infection
    or capsular contracture. While small collections
    may resolve spontaneously, larger amounts of
    fluid or blood will require additional surgery
    and possibly additional scars.
  • Mammography Breast implants make mammography
    more difficult. Although techniques have been
    developed to move your implants during the study,
    complete visualization of the breast tissue is
    not possible You should alert your mammography
    center that you have breast implants, and you
    should continue to perform monthly
    self-examination of your breasts.