AWAKE BREAST AUGMENTATION |
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Rejuve Med-Spa’s breast augmentation procedure is an in-office procedure performed under local anesthesia (tumescent) by our experienced surgeons. This procedure uses Saline or Silicone breast implants to fulfill a woman’s desire for fuller breasts (breast enlargement) or to restore breast volume that may have been lost due to pregnancy or weight reduction (breast enhancement). Implants have been used to augment a woman’s breasts since at-least 1895. Today, breast augmentation is the number one cosmetic procedure performed in the United States. It is the leading cosmetic procedure for women followed by liposuction, nose surgery, eyelid surgery and tummy tucks. According to the American Society of Plastic Surgeons, over 300,000 women had breast augmentation procedures in 2008. Women that have avoided breast augmentation because of the inherent risks associated with general anesthesia now have another option. Rejuve Med-Spa’s breast augmentation procedure is performed in-office completely under local anesthesia (tumescent). The added significant benefit of the use of local anesthesia is that the client is fully awake and hence involved during the entire procedure, interacting with the surgeon to determine the desired breast size. Breast implants come in a variety of shapes and sizes. Our surgeon will have a candid discussion with the client regarding their desired goals. He will discuss the different options and make recommendations regarding what type and size of implant would best achieve the desired goals. He will also discuss the incision point and implant position. The procedure itself takes from one to three hours to perform. An incision is made in one of two locations – in the crease under the breast (inframammary incision) or around the nipple (periareolar incision). The implant is then inserted into one of three locations – above the pectoral muscles (subglandular) or partially behind the muscle (partial submuscular) or completely behind the muscle (complete submuscular). The choice of incision point and implant placement depend on the size, shape & material of the implant, body frame, amount of breast tissue and desired scar location. Since the procedure is performed under local anesthesia, the client is able to walk out after the procedure. Because breast tissue is stretched & separated, and implants are inserted through incisions, the breasts will be bruised, sore and swollen after surgery. Moderate pain will be present and can be treated with prescription strength pain killers. A surgical bra or a tight elastic wrap will have to be worn for several days and the surgeon may recommend wearing an athletic or support bra until the swelling has subsided. The client can return to work in three to four days and to full activity in a approximately four weeks.
. 1. Am I a good candidate for breast augmentation under local anesthesia?
Women between the ages of 18 and 60 are good candidates for breast augmentation. Breast augmentation should only be considered after natural breast development is complete. If you feel that your breasts are too small and you feel self conscious wearing a swim suit or tight fitting top OR you find that your clothes that fit properly around the hips are too loose around your bust line OR your breasts have lost their firmness after having children OR the size and shape of your breasts have changed due to weight loss OR you notice that one breast is smaller than the other then you may be a good candidate for breast augmentation under local anesthesia.
2. How common is the breast augmentation procedure?
Breast augmentation is the number one cosmetic procedure in the United States. According to the American Society of Plastic Surgeons, over 300,000 women had breast augmentation procedures in 2008.
3. What should I expect during my initial consultation?
The initial consultation with the surgeon is the most effective medium to get all your answers and decide if breast augmentation under local anesthesia is right for you. Bring your list of questions and concerns regarding the procedure. You and the surgeon will discuss your goals and set the right expectations. If possible, bring before and after pictures of other women to show your desired results. You will also discuss incision options, pros and cons of saline and silicone implants etc. Come prepared to discuss your medical history including any existing medical conditions, current medications, allergies to drugs, past medical treatments received, past surgeries etc.
4.What are the different types of available breast implants?
Two basic types of implants are available – saline-filled or silicone-gel-filled. Saline implants have a silicone elastomer shell and are filled post-incision with sterile saline liquid. For this reason, they require smaller incisions to insert. Silicone gel implants have a silicone shell filled with viscous silicone gel. They are pre-filled and hence require larger incisions to insert. Both types come in different shapes and sizes. The surgeon will discuss the pros and cons of both types and determine the right shape and size for you during your consultation.
5. How much down time will I have?
The procedure itself will take between one and three hours. Because the Rejuve Med-Spa breast augmentation procedure is done under local anesthetic, post procedure recovery time is a lot quicker. You should be able to get back to normal activity in a few days and be able to do strenuous activities in a few weeks. 6. How is the breast augmentation under local anesthesia procedure performed?
The breasts are first numbed with local anesthetic (tumescent). An incision is made in one of two locations; a cavity is then created in one of three locations and the implant is then inserted into the cavity. If a saline implant is used, it is filled with solution after the implant is inserted into the cavity, thus requiring a smaller incision. If a silicone implant is used, the implant is pre-filled and then inserted into the cavity. Additionally, if a saline implant is used, the size of the breast can be adjusted after the implant is inserted since it is filled post insertion. Because the client is awake at this time, she is able to interact with the physician and give her feedback regarding the desired breast size. 7.Will I be awake during the procedure?
Yes you will be fully awake during the procedure and be able to interact with the surgeon regarding the desired breast size if saline implants are used. 8. How bad is the pain after the procedure?
This procedure is not pain free however most clients do well with oral medication taken to prevent pain. 9. How long after the procedure will the soreness and tenderness persist?
The worst soreness and tenderness persist for a few days after the procedure although lesser soreness may last for a few additional weeks. 10. How long does the breast augmentation procedure under local anesthesia take?
Typically the procedure takes anywhere from one to three hours. 11.What are the risks associated with the procedure?
All surgical procedures have some risk associated with them. For breast augmentation, the primary concerns are:
a. Capsular contracture is the build up of scar tissue around the implant which causes breast firmness. When severe, this may require corrective surgery. b. Symmastia or kissing implants is a complication that can occur when the cavities for the implants are made too close to each other causing the implants to join together. The cavities are usually created too close to each other on purpose to create cleavage. During your consultation we will set the right expectation by letting you know that this procedure is NOT to create cleavage. c. Deflation is usually harmless but may require additional surgery for replacement. d. Infection is rare and can usually be treated with antibiotics. e. Multiple studies have consistently failed to show that breast implants create a higher risk of breast cancer and two major studies have shown a lower than expected rate. According to a study at the University of Southern California, women with implants and in whom breast cancer has been detected have not been shown to have a later stage disease or poorer prognosis than other women without implants. The FDA has recently stated that women with implants may have a very small, but increased risk of developing anaplastic large cell lymphoma, or ALCL. With an estimated five to 10 million breast implant recipients worldwide, agency experts say the known ALCL cases are too few to say conclusively that breast implants cause the disease. The FDA believes there are about 60 of these ALCL cases worldwide. They say that although the risk is quite small, they want women to be aware that there have been reports of ALCL occurring around saline and silicone gel-filled breast implants. f. Implants may hinder the detection of breast cancer during mammography and may also make it more difficult to perform a mammography. It is essential to inform the mammography technician that this procedure has been performed so that special techniques may be used to minimize the possibility of a rupture and to get the best possible views. g. Keloids, which are lumps of fibrous tissue, can form at the incision site. Keloids can look darker than the surrounding skin. There is no way of knowing whether your incision site will Keloid or not. |
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