The duration and invasiveness of breast augmentation cosmetic surgery can vary according to the surgical technique chosen and the placement of implants. However, the procedure steps largely remain unchanged in all cases. Board certified plastic surgeon Dr. Paul Fortes provides breast augmentation to patients in Houston, Texas, TX, and surrounding locations.
Breast augmentation plastic surgery is usually performed with the patient under general anesthesia. Inhaled or IV sedation may be used to put the patient to sleep until the procedure is over. The anesthesiologist will continue to monitor the patient throughout the surgery. The patient will not be able to hear, see, or feel anything during the surgery.
Following the surgery, the patient will be brought out of anesthesia. She will probably be groggy and having a feeling of nausea for some time. She should have someone to drive her back home after the surgery when she is released from the observation area in a few hours. In exceptional cases, the surgeon may use local anesthesia with IV sedation for breast augmentation.
The surgeon will place an incision in the breast crease, the armpit, the perimeter of the areola, or in a few cases, the navel. Discreet incision placement is a priority for an experienced surgeon to ensure minimal visible scarring. Location of the incisions will be determined in advanced at the time of surgical planning in consultation with the patient.
The patient’s aesthetic goals and unique anatomy will be taken into account to create optimally placed incisions. Experienced cosmetic surgeon Dr. Fortes receives patients from Houston, Texas, TX, and nearby areas for breast augmentation.
Placing the Breast Implants
The surgeon will create a breast pocket to place the implant in a pre-determined position. The implant may be positioned in front of the pectoral muscle and directly behind the breast tissue or under the pectoral muscle.
In the first option, the post-surgical pain and soreness is reduced, and in the second option, the implant’s interference with future mammograms is avoided. The patient should discuss both options with the surgeon and arrive at the best decision based on her body type and personal preference.
Closing the Wounds
Once the implants have been placed and adjusted into the desired position, the surgeon will close the incisions carefully with sutures. Traditional or absorbable sutures may be used as per the surgeon’s discretion. Traditional sutures will have to be removed in about one to two weeks following the implant surgery.
The area around the sutures should be kept clean to prevent infection. As far as possible, the patient should avoid submerging the incision site into water. Vigorous movement and activity should be avoided to minimize the risk of the sutures getting pulled.
Drains and Bandages
After the incisions have been closed, the surgeon will wrap the breasts in a bandage. The patient will be fitted with a surgical bra to provide support for the first few weeks. Drain tubes may be placed below the skin in the incision areas to collect excess fluid. This will help to minimize the risk of infection.