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Breast
Implant Augmentation
Breast
Augmentation Cost
Types of Surgical Procedures
-
Areola (Nipple)
-
Transaxillary
(Underarm)
-
Inframammary Fold
(Crease)
-
Trans-Umbilical (Belly
Button)
-
Submuscular (under
the muscle)
-
Subglandular (over
the muscle)
Candidates For
Breast Implant Surgery
Types of Breast Implants
-
Saline-Filled
-
High Profile / Standard
-
Expandable
-
Smooth / Textured
-
Round / Tear-Drop
Choosing The
Right Implant Size
Breast
Augmentation Consultations
- Preparing
For Your Consultation
- What To
Expect
Risks of
Surgery
Before Your
Surgery
During The
Procedure
After Breast
Augmentation Surgery
-
Massage and
Compression
-
Mammograms and
Self-Exams
Finding The
Right Cosmetic Surgeon
Before Breast Augmentation Surgery
Removing
Breast Implants
Breast Implant
Glossary of Terms
Breast Implant
Complications -
Re-Operations
-
Removal
-
Rupture / Deflation
-
Capsular Contracture
-
Breast Pain
-
Breast Sensation Changes
Highland Plastic Surgery Centers is a division of
Highland Medical Centers
OTHER RESOURCES:
Highland Pain Institute
Highland Bariatric Institute
Highland Sleep Institute
Highland GERD Institute
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During Your
Breast Implant Surgery
This surgery
can last anywhere from 35 minutes to 3 to 4 hours
depending upon the technique, skill of the surgeon or
amount of correction or if other procedures are being
performed in conjunction with your breast
augmentation. Details may vary depending upon your
surgeons technique, preferences and/or protocol.
Surgical Markings
You will be marked for surgery. These markings will
indicate where the incisions will be, depict the center
of the sternum, etc. These markings are made with a
permanent Sharpie-type marker specifically made for
surgery. Many surgeons use single use, individually
wrapped surgical pens. Some surgeons draw your
markings in the examination room, some in the operating
room and still others on the operating room table.
There are many variations so the markings to the right
may appear different than your own. The markings will
remain on the skin after you are scrubbed with Betadine
solution.
IV Insertion
You may or may not have already been hooked up to the
saline IV drip and are awaiting the operating room to
be prepared for your surgery. Other surgeons wheel you
into the OR and insert your IV then. If you had been
given an oral sedative or valium prior you usually
could care less what they are sticking in you. If you
haven't been given a sedative, the initial first few
minutes until you are anesthetized may be stressful.
Having an IV inserted feels sort of like blood being
drawn, but for a shorter period of time. It's the
initial placement of the IV catheter that may sting a
bit. Some patients get it in the crook of the elbow,
some the hand. I dislike the ones in the hand as it's
a nasty place for a bruise to be, at least with the arm
you can hide it, it all depends upon your veins
though. So if your veins are not very prominent this
can be a problem. Some patients even have to be
catheterized in the neck.
In short, the IV is for a saline drip to keep you
hydrated and also acts as a vascular doorway for
medications, many times including anesthesia. You may
or may not receive some medications to help you relax
or feel sleepy at this time. This can help with
pre-operative anxiety if you were not given an oral
medication to do so.
Monitoring Equipment
Regardless of the order and manner in which they insert
your IV, after you are placed on the operating table
they will talk to you for a minute or two and hook you
up to the heart monitoring and oximeter machines,
possibly wrapping your legs with compression cuffs and
other final preparations. Your vital signs will be
monitored, including your blood pressure, body
temperature, pulse rate/heart beat, and your breathing
rate -- all very important factors to determine if you
are okay while under anesthesia. The O.R. staff will
also check your blood pressure.
You have more than likely had your blood pressure taken
before with the use of a cuff which inflates firmly
around your arm. You will also have an oximeter clip
(or strip) placed on either your finger, your earlobe,
or possibly on your big toe. The oximeter machine
monitors the oxygen/carbon dioxide saturation in your
blood -- this is very important. Your anesthesia and
saline will also be closely monitored and meticulously
controlled. You may also have intermittent pneumatic
compression sleeves placed on your legs to decrease the
risk of Deep Venous Thrombosis (DVT) and subsequent
pulmonary thromboembolism. Heavier patients may
especially benefit from this.
These
devices are inflatable sleeves for your legs which are
either thigh high or knee high that inflate and deflate
to keep circulation optimal. You may also have heat
lamps or heated blankets, depending upon the surgeon,
your temperature, etc. Your vital statistics must be
determined as stable before going any further.
Anesthesia Types Used In Breast Augmentation Surgery
If you and your surgeon have chosen an IV Liquid
Sedative, they will either manually insert medications
with a hypodermic into a Y site or injection port along
the length of the silicone tubing connected to your
catheter hub/IV or more than likely your
anesthesiologist will attach a bag of anesthetic or use
a computer-controlled drip system. The computer system
automatically infuses a few drops of anesthetic every
few seconds into a drip chamber where it mixes with the
saline. The drip crate can also be controlled via the
roller clamp. Flow regulators can also regulate the
flow rate.
When the anesthesiologist releases the roller clamp the
mixture starts heading towards your body. The effects
of the anesthesia are felt soon after injection or
opening the roller clamp--a few seconds in fact. It
feels like heat going into you veins then creeping up
your arm; then it jumps from your shoulder to a
metallic-like taste under your tongue and then you are
blissfully anesthetized.
Coming
Out Of Anesthesia
The transition period can be very rough for some
patients. You may experience sickness, dizziness,
depression, anxiety, haziness, etc. You may also feel
like crying or pouting. It is very close to the
sensation of drinking a lot of alcohol and feeling
drunk but with even less control over your body's
movements at first. You may also be cold and shaking
and this is usually from the anesthesia. This, too,
will pass. Your throat may be sore if you chose to have
General anesthesia via intubation.
Don't be
afraid if you are feeling out of control or incoherent
as this is very normal. If you fight it, you may only
feel more uncomfortable or panic. You may also feel
very agitated while your doctor or the recovery staff
are asking you questions repeatedly. They aren't doing
this to annoy you, they are just trying to assess your
consciousness. Knowing what to expect may help but more
than likely you will forget and feel anxious.
The Recovery Room
You will be taken to the recovery room, which is
usually located right off of the operating room, and
placed in a recliner, hospital bed or gurney and placed
somewhat upright to help with swelling and drainage.
Your saline drip will more than likely still be in and
you will usually still be hooked up to the monitors so
that your recovery can be properly tracked. If you do
feel sick or are in pain, alert the recovery nurse. He
or she will give you a pain reliever and possibly some
sickness relief medication or a few sips of cool water
to ease your stomach.
If you chose Light Sleep Sedation or Local with IV
(basically the same thing) you should be allowed to go
home pretty soon (2 to 3 hours, depending). If you
chose General they will want to keep you around for a
bit longer, plus you may get a little sick. They give
you medication to remedy this but it may or may not
work for you. You may have to urinate directly after
surgery due to the amount of saline, In fact the
surgeon may insist that you do before releasing you.
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