Breast augmentation (breast enlargement), technically known as augmentation mammoplasty, is a surgical procedure to enhance the size and shape of a woman’s breast for a number of reasons:
- To enhance the body contour of a woman who, for personal reasons, feels her breast size is too small.
- To correct a reduction in breast volume after pregnancy.
- To balance a difference in breast size.
- As a reconstructive technique following breast surgery.
By inserting an implant behind each breast, Dr. Nikolov is able to increase a woman’s bust line by one or more bra cup sizes. If you’re considering breast augmentation, this will give you a basic understanding of the procedure–when it can help, how it’s performed, and what results you can expect. It can’t answer all of your questions, since a lot depends on your individual circumstances.
Breast augmentation can enhance your appearance and your self-confidence, but it won’t necessarily change your looks to match your ideal, or cause other people to treat you differently. Before you decide to have surgery, think carefully about your expectations and discuss them with Dr. Nikolov.
The best candidates for breast augmentation are women who are looking for improvement, not perfection, in the way they look. If you’re physically healthy and realistic in your expectations, you may be a good candidate.
Types Of Implants
A breast implant is a silicone shell filled with either silicone gel or a salt-water solution known as saline.
Recently, the Food & Drug Administration (FDA) has approved silicone gel-filled implants in addition to the already approved saline breast implants. Both implant types continue to be available to breast augmentation patients on an unrestricted basis. Ask Dr. Nikolov about the new saline Ideal Implant.
As with any type of surgery, there are risks and complications associated with plastic surgery. The degree of risk will depend on a number of factors, including whether the surgery is to a small or large area of tissue, the surgeon’s level of experience and the overall health of the person having the procedure.
Some procedures carry specific risks, but general risks include infection, scarring and the failure of the repaired area of skin due to a restricted blood supply.
Dr. Nikolov takes great pride and care to ensure a beautiful outcome with each procedure to minimalize any risk.
Breast Augmentation: Surgery
Planning Your Breast Augmentation Surgery
In your initial consultation, Dr. Nikolov will evaluate your health and explain which surgical techniques are most appropriate for you, based on the condition of your breasts and skin tone. If your breasts are sagging, Dr. Nikolov may also recommend a breast lift.
Be sure to discuss your expectations frankly with Dr. Nikolov. He will be equally frank with you, describing your alternatives and the risks and limitations of each. You may want to ask Dr. Nikolov for a copy of the manufacturer’s insert that comes with the implant he or she will use — just so you are fully informed about it. And, be sure to tell Dr. Nikolov if you smoke, and if you’re taking any medications, vitamins, or other drugs.
Dr. Nikolov will also explain the type of anesthesia to be used, the type of facility where the surgery will be performed, and the costs involved. Because most insurance companies do not consider breast augmentation to be medically necessary, carriers generally do not cover the cost of this procedure.
Preparing For Your Surgery
Preparing For Your Breast Augmentation Surgery
Dr. Nikolov will give you instructions to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins and medications.
While making preparations, be sure to arrange for someone to drive you home after your surgery and to help you out for a few days, if needed.
Where Your Surgery Will Be Performed
Dr. Nikolov may prefer to perform the operation in an office facility, a freestanding surgery center, or a hospital outpatient facility. Occasionally, the surgery may be done as an inpatient in a hospital, in which case you can plan on staying for a day or two.
Types Of Anesthesia
Breast augmentation can be performed with a general anesthesia, so you’ll sleep through the entire operation.
Dr.Nikolv believe’s that putting the implants behind your chest muscle may reduce the potential for capsular contracture. Drainage tubes may be used for several days following the surgery. This placement may also interfere less with breast examination by mammogram than if the implant is placed directly behind the breast tissue. Placement behind the muscle
however, may be more painful for a few days after surgery than placement directly under the breast tissue.
You’ll want to discuss the pros and cons of these alternatives with Dr. Nikolov before surgery to make sure you fully understand the implications of the procedure he recommends for you.The surgery usually takes one to two hours to complete. Stitches are used to close the incisions, which may also be taped for greater support. A gauze bandage may be applied over your breasts to help with healing.
Breast Augmentation Recovery
You’re likely to feel tired and sore for a few days following your surgery, but you’ll be up and around in 24 to 48 hours. Most of your discomfort can be controlled by medication prescribed by your doctor.
Within several days, the gauze dressings, if you have them, will be removed, and you may be given a surgical bra. You should wear it as directed by Dr. Nikolov. You may also experience a burning sensation in your nipples for about two weeks, but this will subside as bruising fades.
Your stitches will come out in a week to 10 days, but the swelling in your breasts may take three to five weeks to disappear.
Getting Back To Normal
Breast augmentation recovery can take time. Nevertheless you should be able to return to work within a few days, depending on the level of activity required for your job.
Follow Dr. Nikolov’s advice on when to begin exercises and normal activities. Your breasts will probably be sensitive to direct stimulation for two to three weeks, so you should avoid much physical contact. After that, breast contact is fine once your breasts are no longer sore, usually three to four weeks after surgery.
Your scars will be firm and pink for at least six weeks. Then they may remain the same size for several months, or even appear to widen. After several months, your scars will begin to fade, although they will never disappear completely.
Routine mammograms should be continued after breast augmentation for women who are in the appropriate age group, although the mammographic technician should use a special technique to assure that you get a reliable reading, as discussed earlier.
Your New Look
For many women, the result of breast augmentation can be satisfying, even exhilarating, as they learn to appreciate their fuller appearance.
Regular examination by Dr. Nikolov and routine mammograms for those in the appropriate age groups at prescribed intervals will help assure that any complications, if they occur, can be detected early and treated.
Your decision to have breast augmentation is a highly personal one that not everyone will understand. The important thing is how you feel about it. If you’ve met your goals, then your surgery is a success.