Breast Augmentation - Augmentation Mammoplasty
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Incisions are made to keep scars as inconspicuous as possible, in the breast crease, around the nipple, or in the armpit. Breast tissue and skin is lifted to create a pocket for each implant.

Augmentation Mammoplasty - Breast Enlargement

Augmentation Mammoplasty, also known as a breast augmentation, is a surgical procedure to enlarge the breast to improve body contour and balance. Breasts that are small or have lost volume due to pregnancy, asymmetric breast (one breast is smaller than the other) can benefit from this surgery. Some patients may require a breast lift with augmentation if the breasts have sagged due to weight loss or pregnancy.

There are several styles of implants.
 Currently the Food and Drug Administration is allowing the use of the silicone shell filled with saline for augmentation procedures. The FDA felt that more studies were needed on the implants filled with silicone gel, and these implants are restricted for use in the United States. The shapes include the round implants, as well as the anatomical shaped implants. The round implant is designed to give equal fullness to the upper portion of the breast as well as the lower portion. The anatomical implant, also known as the "tear drop" implant, is designed to have less fullness of the upper portion of the breast.

After surgery, breasts appear fuller and more natural in tone and contour. Scars will fade with time.

With every surgery there are possible risks and complications:  
Dr. Yaker performs many breast augmentations successfully each year. However; there are risks associated with this surgery. Possible complications following surgery include infection, swelling, bleeding, pain, delayed healing, and reaction to anesthesia. In addition, there are potential complications specific to the breast implants that include deflation of the implant, interference with mammography, contraction of the scar tissue capsule around the implant, changes in the nipple or breast sensation, and shifting of the implant. At this time, there is good scientific evidence that women with silicone breast implants are not more susceptible to cancer than other women.

About the Surgery: The surgery is performed in our on site AAAASF certified ambulatory surgery center under general anesthesia. Dr. Yaker will see you for consultation prior to the surgery to determine where the incision will be made to insert the implants (under the breast or around the areola). He will also help you to choose the size and shape of the implants, as well as the texture (smooth or textured) of the outer shell of the implant. After surgery a gauze dressing will be applied, and possibly a surgical bra. Some swelling and bruising will occur and should disappear approximately 4-6 weeks after surgery. Sutures are removed at one week, with the final sutures removed approximately two weeks post operative. You will be instructed on massaging the breast at your 2 week post operative check.

Illustrations  above are courtesy of ASPS (The American Society of Plastic Surgeons)  
(The American Society for Aesthetic Plastic Surgery, Inc.)

Pre-Operative Instructions For Breast Augmentation

2 Weeks Before Surgery:

• Do not take aspirin or ibuprofen products (You may take Tylenol)
• Do not take any diet pills or similar appetite suppressant medications, (i.e. Metabolife)
• Do not take any herbal preparations, (i.e. St. Johns Wart)
• Do not take Vitamin E

If you are having a breast lift with augmentation - Do Not Smoke. This will interfere with the circulation and healing process causing major complications.

Products Needed at Home:

• Fill your prescriptions given to you during your pre-op visit:
• Percocet, Lortab, or Dilaudid is for pain
• Keflex is an antibiotic (you will need to take all of these as directed)
• Diazepam is a muscle relaxer
  Extra Strength Tylenol
  Benadryl 25mg - For Occasional Itching

Two bags of frozen vegetables (i.e. corn or peas). These work great as ice packs after surgery.

The Night Prior to Surgery:

• Eat a bland meal - Nothing Spicy
• Take a Pepcid AC
• Take One Diazepam with a sip of water the evening before surgery

The Day of the Surgery:

**Eating or Drinking Prior to Surgery Will Result in Cancellation of the Surgery**

• Wear loose clothing, something very easy to put on after surgery. Wear a top that buttons or zips in the front. (Do not wear jeans or tight clothing)
• Do not wear make-up
• Leave all jewelry and valuables at home

The person caring for you after surgery will need to stay with you for at least 48 hours

Post-Operative Instructions
For Breast Augmentation

Medications:

• Take your pain medications for the pain. Take one every 4-6 hours for pain if needed. Do not take it on an empty stomach. Most patients take their pain medications for 2-4 days after surgery, and if needed longer.
• Diazepam is a muscle relaxer given to patients that are having the implants placed behind the muscle, take these alternating with the pain medication.
• Take the antibiotics as directed until they are all gone.
• Sometimes patients will develop a yeast infection from the antibiotics, if this occurs call the office.
• Should you become constipated, you may use an over the counter stool softener. If you do not have relief from your stool softener, call the office.
• Should you have nausea, a prescribed Phenergan suppository should help.
• The pain medications can cause nausea, itching, and constipation. When possible taking Tylenol is preferable.

Remember no aspirin products until 2 weeks after surgery.

Other Things to Remember:

• If you feel you are in an emergency situation, please call the office at any time. Our phones are answered 24 hours a day. These calls include: abnormal bleeding, abnormal swelling, or a temperature over 101 degrees. Other calls should be made during business hours Monday - Friday 9:00a.m. - 5:00p.m.
• Keep the gauze or bandage areas dry.
• You may use your arms at a moderate level as tolerated. Do not raise your arms over your head for one week.
• Most patients take one week off from work.
• Some patients experience shortness of breath, this is often caused by chest pain following the surgery.
• No smoking for one week after surgery.
• Do not drive for one week after surgery.
• Place on the breast a baggie with ice, or a bag of frozen vegetables to help reduce pain and swelling.
• Rest or sleep on your back with 2 pillows behind your back for the first 2-3 days to help with the pain and swelling.
• It is normal to experience numbness and tingling in the breast, it should disappear in the next 6-8 weeks in most cases.
• Occasionally patients will notice a nipple discharge after surgery, which is normal and should discontinue with in a couple of weeks. If the breast begin to lactate or fill with breast milk, call the office.
• Patients are encouraged to massage lotions containing Aloe Vera and Vitamin E on the scars to help during the healing process, once all of the sutures have been removed.
• Keep activities moderate for the first 3 weeks. After 3 weeks you may ride a life cycle, and take walks. After 4 weeks you may resume normal activities as tolerated.

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