What Is Breast Augmentation
Breast augmentation, sometimes called a “boob job,” involves increasing the size of the breasts using implants. It typically involves the surgeon and patient making several decisions together:
• Where to place the incision. Dr. Sweeney performs all incisions including transaxilliary (near armpit), periareolar (around areola), and inframammary (in the breast fold).
• Type of implant: saline or silicone. Dr. Sweeney offers the option of saline or silicone implants. Each of these implants have their benefits. Dr. Sweeney will go over this with you in detail and help choose what’s right for you.
• Pocket for the implant. The implant can be placed on top of the muscle, completely under muscle, or half under the muscle, or half on top. Each of these pockets give the breast a different appearance. Dr. Sweeney focuses on a tear drop breast shape that looks completely natural.
During your consultation with Dr. Sweeney, he will thoroughly examine you and listen to your concerns and priorities. All of the incisions will be outlined and shown to you. You will be able to feel each implant and go over sizing options. This appointment will take as long as required to ensure all your questions are addressed and you feel comfortable with the individualized aspects of your breast augmentation.
Dr. Sweeney will review the procedure with you and discuss any remaining questions to ensure total comfort and ease. This is the opportunity for you to review everything with Dr. Sweeney. At this time, Dr. Sweeney may mark the surgical site with a surgical marking pen to prepare for the procedure.
Step 1: Anesthesia
Medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you.
Step 2: The incision
Incisions are made in the appropriate place to minimize scarring and achieve your desired outcome, as discussed in your consultations.
Step 3: Inserting and Placing the Implant
After Dr. Sweeney makes the incisions, creating pockets for the implants, he will insert the implants as you and Dr. Sweeney decided is best for you: under the pectoral muscle (submuscular placement), over the muscle (submammary placement), or a combination of both.
Step 4: Closing The Incisions
Once the implants are inserted, the incision will be closed. Sutures are layered deep within the breast tissue to support the newly shaped breasts. Sutures, skin adhesives and surgical tape may be used to close the skin.
Some incision lines resulting from breast augmentation are concealed in the natural breast contours; however, others are visible on the breast surface. Incision lines are permanent, but in most cases will fade and significantly improve over time.
Many women desire the smallest scar possible. However, Dr. Sweeney will recommend the incisions which best suit your anatomy.
After the procedure, the patient is sent to the recovery room for several hours. Then the patient is typically discharged home with a soft bra and soft pads to protect the patient’s breast.
As the patient, you will be asked to do a couple of things while recovering to ensure your result is optimal:
1 – Refrain from raising your arms above shoulder height for 10-14 days.
2 – Do not sleep on your stomach for four to six weeks as this can worsen your scar.
3 – You may return to a desk job or a job without physical demands within a week, for all other jobs please discuss with Dr. Sweeney.
4 – Keep your heart rate low with any activity, exercise, sex, for four weeks.
5 – After four weeks you can begin cardio exercise.
6 – No heavy lifting for six weeks.
7 – Return to the office for suture removal on the fifth day after surgery and the tenth day after surgery.
8 – On the post-operative day, the patient will be instructed to start massaging her breasts. The patient will be shown how in the office.
Real patients, real results
You may be a candidate for breast augmentation if:
• You have made the decision personally and are not doing it for someone else.
• You are physically healthy and you aren’t pregnant or breastfeeding
• Your breasts are fully developed
• You are dissatisfied with the size of your breasts, feeling they are too small
• You feel that the upper part of your breasts appear “empty or deflated”
• Your breasts are asymmetrical
• One or both breasts did not develop normally
You may return to a desk job or a job without physical demands within a week, for all other jobs please discuss with Dr. Sweeney.
You can go out in public the next day, as long you feel comfortable, do not raise your heart rate, or perform any heavy lifting.
Following breast augmentation, it can take the implants around 6 weeks before they start to noticeably fluff and fill the breast, sometimes referred to as the implants dropping. Most patients will notice that their implants have settled by 3 months, but some patients that have tighter skin will notice it takes until 6 months for the implant to settle completely.