Breast Augmentation ("Boob Job")
This procedure improves the size and/or shape of the breast. Augmentation is usually following loss of volume of breast from various reasons that include previous breast surgery, after child birth, to improve body contour and to achieve symmetry in asymmetrical breasts. It involves placing a silicone gel implant in pocket created under the breasts.
The surgery is performed under general anaesthesia. Incision is placed under the breast just above the breast crease. A pocket for placement created could be either just behind the breast tissue or under the muscle of the chest wall. Drains are left in the wound for a day. You stay overnight. You will feel stiff with some pain for few days. The discomfort will last for few days. You may feel few twinges for few weeks. Simple analgesics will relieve pain that may occasionally occur.
The procedure takes about an hour. You will overnight in the hospital and discharged next day after removal of the drains.
types of implants
Bleeding in the cavity created for the implant is rare, if present then may have to return to the operation theatre for removal. Very rarely implants may get infected. Antibiotics are prescribed in the initial stages and if it persists then the implant is removed and reinserted after few months once the infection is fully under control or completely eradicated. The more common complication is breast become harder than normal. This is due to the body response to the silicone and form a scar tissue. When the scar shrinks it causes contracture of the capsule around the implant.
You could have altered sensation of the breast or nipple ranging from loss of sensation to increased sensitivity. Tear drop implants can move or rotate altering the shape of the breast.
Scar under the breast can remain red and lumpy may take many months to improve.
Other information that is relevant is effect of breast feeding and risk of cancer with breast implants. Current literature suggests there is no link between breast implants to cancer or any other disease. There is no evidence of silicone impact on breast feeding. Mammography is possible with the breast implants but the radiologist has to be informed prior to the procedure.
Postoperative Advice, Instructions & Final Result
You will experience some pain and discomfort from day2, simple painkillers will help. Sports bra to be worn immediately after surgery up to 6 weeks day and night. Continue walking to prevent clot formation in your legs.Week 2
You will feel some discomfort when you move your arms. Any undissolvable stitches will be removed. Can start normal daily activities, avoid lifting heavy objects. Ca n take shower and apply moisturising cream to the scars.Week 4 – 6
Scars begin to settle better. Sensation around the nipple and breast improve. No need to wear a bra in the night after 6 weeks but continue wearing during the day.Month 6 – 9
Scars begin to fade. Swelling should resolve completely and you will be able to see the final result.