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Breast Augmentation PRE-OPERATIVE Implant types - Silicone or Saline, filled. See supplementary sheet. Size - Depending on cup size desired as well as existing chest girth. Check at home. Smoking - Essential to stop at least 3 weeks before surgery and until wounds are fully healed or at least 2 weeks after. Drugs - Avoid Aspirin/Ibuprofen type drugs for 3 weeks prior to surgery. OPERATION Scars - Under breast, in natural fold, or under arm in crease. Position - Implant is invariably placed deep to breast tissue only, but may be placed under pectoral muscle in certain circumstances. Sutures - Buried, dissolving. Drains - Removed when significant drainage stops. Dressings - Water proof dressing and bra for 2 weeks. POST-OPERATIVE Bra - Non-under-wired support bra, worn day and night for 3 weeks. Exercise - Avoid vigorous exercise for 6 weeks. No arm lifting for 5 days. Showering - Permitted on Day 2. Care of scars - Apply Micropore tape (1 inch) along the scar for 3 months to prevent stretching and accelerate scar softening. Vit. E creams may be used after this period. POTENTIAL PROBLEMS Pain - Moderate discomfort expected. Avoid Aspirin/Ibuprofen. Bruising - Common, may last for 2 -3 weeks. Wound - Occasionally, mild infection. Rarely, serious infection requiring antibiotics and possibly removal of the implant ( Risk less than 0.5 %). Rarely, haematoma (blood collection) that may require drainage. Sensation - Some diminished sensation is expected around the scar. May affect the nipple. Return to normal may take up to 3 months Temperature - breast will always be slightly cooler than body. Firmness - Initially breasts are swollen and firm. Uncommonly the firmness persists or recurs some months post-operatively. This may alter the softness or shape of the implant, or cause discomfort. ( Risk of capsular contracture less than 5 %) Rupture - Very rare. Rippling - May occur especially in very slim patient INTRODUCTION TO BREAST AUGMENTATION
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