Breast Augmentation
(Augmentation Mammoplasty) |
Augmentation
mammoplasty is a process to enhance or improve your existing
breasts with an implant prosthesis to create a larger,
more shapely and fuller breast. We only employ only the
latest techniques in breast enhancement technology. We
offer saline implants, teardrop (anatomic) implants as
well as other alternatives. |
The
Consultation
A
consultation is usually around thirty to forty-five minutes
long, and is usually an exchange of information between the
Doctor and the patient. Dr. Parker is a very understanding
and caring doctor who will put you at ease and help you make
an informed final decision. Your ultimate happiness with your
decision is his number one goal. You may wish to bring
in photos from publications to demonstrate desired look and
size.
The Doctor will need to obtain a pertinent
medical history, family history, medication history, allergy
history, and also to define the general goals and expectations
of the patient. The patient will walk away a complete understand
of the surgery and process.
| Pre-Procedure |
The
Procedure |
Recovery
Period | | Scheduling
surgery involves payment of a non refundable deposit, as there are costs involved
with preparing for your operation, and for holding the time. A period of at least
two weeks off any medications containing aspirin, ibuprofen, vitamin E, or other
medications which could adversely affect the ability of the blood clotting mechanism,
is required to prevent any bleeding complications.
At
the time surgery is scheduled, a preoperative visit is also scheduled for one
to two weeks prior to the date of the operation. In women aged 30 and older, a
baseline mammogram needs to be obtained prior to surgery. At this visit, a consent
to operation is signed. The size of the implants to be used is finalized. Photographs
are taken. A directed physical exam is carried out. All questions relating to
the surgery are answered in detail. We will advise you which bra to purchase for
your recovery. The surgical fee is due in full at this time. Arrangements should
be made for transportation for the day of surgery and for the first postoperative
visit (usually two or three days after surgery). | The
operation usually requires 1 hour of operating time. General anesthesia is the
route that is used. This involves a Board-Certified Anesthesiologist providing
a brief but complete general anesthetic, which provides for the greatest degree
of comfort during the operation. In fact, with general anesthesia one is completely
unaware of the experience and feels absolutely no pain whatsoever. Dr. Parker
administers intercostal nerve blocks during the procedure which numbs your chest
with a long lasting local anesthetic, to provide you with pain relief post-operatively.
At the conclusion of the procedure you will be placed into a bra. The recovery
room stay is approximately one hour. | Because
of the use of sedative medications, it is absolutely essential that a responsible
adult escort be available to transport the patient to and from the operation,
and be available for the first 24 hours. During that time, the caretaker person
will assist the patient in getting up to the bathroom, taking medications, and
eating and drinking. It is best to stay in bed for the first 12 - 18 hours following
surgery, and to limit intake to liquids. You
need to anticipate some discomfort until the serum level of the narcotic pain
medication reaches a therapeutic threshold. This usually takes a double dose of
the pain pills for the first two to three doses, after which a single dose is
sufficient to maintain control of the pain. Antibiotics, which are begun the day
prior to operation, are continued for four days after the procedure to lower the
risk of infection. Activity
should be restricted to no lifting, pushing, pulling or driving for 48 hours.
It is not advisable to drive a motor vehicle until one is completely off of narcotic
pain medication and there is no restriction of upper extremity mobility, such
as may be required in an avoidance maneuver with a car. | Frequently
Asked Questions: Am I able to breast feed after
I get implants? Breast feeding is unaffected
by implant placement What is the life span
of the implant? It is possible that The implants
may need to be replaced in 5-10 years. Will
I get Silicone implants?
The saline implants
which are being developed today are of the highest quality and provide natural
shape and feel. Saline implants are the type of implants which are used in almost
every augmentation. There are some special circumstances which select Doctors
are allowed to use silicone implants. Dr. Parker is one of the surgeons
participating in the FDA study and can use Silicone implant in certain situations.
The Doctor will inform you if you are a candidate for those type of implants.
What
size implants should I be getting?
You are
the person who lives with the implants on a daily basis. The Doctor will not tell
you what size, but recommend, based on what you tell him you are looking for
as far as size. You may wish to bring in photos from publications to demonstrate
desired look and size. Most frequently, women err on choosing too small
an augmentation size. |