Breast Augmentation also known as Augmentation Mammaplasty,
Breast Enlargement is a cosmetic procedure use to increase the size of the breasts using implants. The implants have a silicone shell that can contain silicone gel.
Incisions are made in inconspicuous areas to minimize visible scarring. Incision options include: Infra-mammary incision, Trans-axillary incision, Peri-areolar incision. Incisions vary based on the type of implant, degree of enlargement desired, your particular anatomy, and
patient- surgeon preference. After the incision is made, a breast implant is inserted into a pocket either: Under the pectoral muscle (a sub muscular placement), or directly behind the breast tissue, over the pectoral muscle (a sub-mammary placement).
The method for inserting and positioning implants depends on the type of implant, degree of enlargement desired,
your body type, and your surgeon’s recommendations. Incisions are closed with layered sutures in the breast tissue and with sutures,
skin adhesive or surgical tape to close the skin. Over time the incision lines will fade.
Preparation Prior To Surgery:
Medical history assessment (any allergies, serious medical condition and all
medications taken both prescribed and non-prescribed), physical
examination, and laboratory tests will be performed during consultation.
Avoid smoking for about 3-4 weeks prior to surgery, as nicotine interferes
with circulation and will greatly affect healing process.
Stop drinking alcohol, a week before the surgery and throughout your
Taking any medications should be avoided such as hormones, anticoagulants,
anabolic steroids and supplements at least 4-6 weeks to prevent complicating
medical factors prior to surgery, and also avoid taking aspirin, anti-
inflammatory drugs and herbal supplements as they can increase bleeding.
The surgery requires 2 hours to complete.
Types of anesthesia use:
This procedure will be perform in one of our affiliated hospital
Care after surgery:
Move slowly and get some rest. Avoid activities that tend to wear you out. Recline your
had slightly elevated above lower body.
Early ambulation is required to speed up healing process and improve circulation.
Eat a light diet at the day of surgery. Begin with liquids and progress to soup initially
then advancing your diet to regular foods.
You may take shower 24 hours after the surgery. Gently rinse the breast area with
water and pat dry. When showering remove the gauze dressing but leave the steri strips in
Avoid strenuous activities that can cause pain and discomfort.
The incision will be covered with steri-strips and a small gauze dressing. It is normal to feel
tired and sore for the next 2-3 days. It is normal to feel that the breast implants are not part of
your body. It takes 2-3 weeks for your beast implants to soften and feel more natural.
Bra: You do not need to wear a bra or may wear a loose fitting comfortable bra if desired. Do
not wear a push up bra for 6weeks.
Wound Care: Remove the gauze dressing before showering at least 24 hours after surgery.
Steri strips will remain for the next 6 weeks. Avoid direct sunlight to the incision for 1 year.
Use a sunscreen with zinc oxide with SPF 20 or greater.
Medications: Take all medications as prescribed. Follow all instructions which may
accompany the medications such as: Taking with food, avoid alcohol and driving restrictions.
Follow up appointment: Your first visit will be scheduled to see Dr. Teerapong in the next 3-4 days.
Call Dr. Teerapong office immediately for: Sudden onset of pain, fever, nausea, and vomiting, bleeding,
dizziness, shortness of breath, rash, rapid heart beat or rapid breathing.
You may go back to work in 2-5 days depending on how you feel.
Risks and complications:
The risks of breast implants and complications after breast augmentation include: unfavorable scarring, bleeding (hematoma),
infection, poor healing of incisions, changes in nipple or breast sensation, may be temporary or permanent, capsular contracture,
which is the formation of firm scar
tissue around the implant, implant leakage or rupture, wrinkling of the skin over the implant, anesthesia risks, fluid accumulation,
blood clots, pain, deep vein thrombosis, cardiac and pulmonary complications, possibility of revisional surgery.