We have tried to compile the most frequently asked questions regarding breast augmentation and breast implants. We understand that patients can have many more questions, and we are happy to answer any question you may have at your consultation. We encourage patients to write down their questions about breast augmentation surgery before their consultation so you can be sure they are answered.
Am I a good candidate for breast augmentation surgery?
Breast augmentation, also known as augmentation mammaplasty, is a procedure that enhances the shape and size of a woman’s breast. In 2005, 350,000 breast augmentation surgeries were performed in the United States alone. It is one of the more common procedures performed by Board Certified plastic surgeon John Tyrone, MD.
Most healthy women are candidates for breast augmentation surgery. Age is not a contraindication to breast augmentation surgery, and it is not uncommon for women in their 50's or later to undergo the procedure. Breast implants 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, carefully consider your expectations and discuss them with Dr. Tyrone. If you're healthy and have realistic expectations, you may be a good candidate.
What types of implants are available for breast augmentation?
A breast implant is a medical device with a silicone shell filled with either a salt-water solution known as saline or silicone gel. Most cosmetic breast augmentation surgeries involve the placement of the implant behind the breast or chest muscle. For some women saline implants make an excellent choice and are safe and reliable. Dr. Tyrone recommends silicone gel breast implants for many women. These include patients with very thin soft tissue covering the chest, those who require a breast lift in conjunction with an augmentation and those patients who require implants following breast cancer surgery. Silicone gel implants are available to women who meet criteria determined by the FDA. This includes most women 22 years old and up and can also be available to younger patients with a signed consent.
Dr. Tyrone will discuss the advantages and disadvantages of each type of breast implant, and help you make a decision that is best for you.
What will my breast augmentation consultation with Dr. Tyrone entail?
During your initial consultation, Dr. Tyrone will inquire about your medical and surgical history including current medications and allergies. Safety is Dr. Tyrone's top priority, it is important to be thorough when discussing your medical history. Your full disclosure of all pertinent medical information prior to surgery will reduce the incidence of unwanted complications. You will discuss your motivations and concerns for seeking breast augmentation. Details of the breast augmentation will be discussed including incision placement, implant size and type as well as what is expected of you preoperatively and postoperatively. The risks of surgery will also be discussed. Numerous before and after photographs of actual patients can be reviewed during your consultation. Dr. Tyrone will be able to show you where the incisions in the photographs are located as well as the size of the implants. Frequently, during this part of the consultation, the patient sees a photograph that she feels is most similar to the before and after result she would like to obtain.
Following your consultation, you will meet with our patient coordinator, who will answer any other questions you may have and discuss scheduling your surgery.
What will I need to do to prepare for my breast augmentation surgery?
Once you have scheduled your breast augmentation surgery with Dr. Tyrone, you will be given preoperative instructions that discuss everything from finances to follow-up visits after surgery. Prior to your breast augmentation, you will receive prescriptions from Dr. Tyrone. It is important to have the medication prescriptions filled in the days prior to your surgery so they are waiting for you when you return home from surgery.
You will receive a list of medications (i.e. aspirin, nonsteroidal anti-inflammatory drugs and alcohol) to avoid for 14 days prior to your surgery. One of the staff members from North Florida Plastic Surgery will call you to go over your preoperative checklist the week of your surgery. They will also give you your day of surgery check in time and to go over any additional information you will need on your surgery day.
Where will my surgery take place?
Dr. Tyrone performs breast augmentation surgery in a new, state of the art outpatient surgical facility located in Gainesville, Florida. North Florida Plastic Surgery, is certified at the highest level by American Association for Accreditation of Ambulatory Surgery Facilities. Our entire staff is dedicated to your care and comfort. A beautifully decorated reception area, comfortable exam rooms and attentive care from our staff through all phases of your breast augmentation recovery help to make your entire surgical experience pleasant. Every measure has been taken to ensure your comfort and safety.
When you arrive at the surgery center for your breast implant surgery, you will check in and be escorted to the surgery suite. Dr. Tyrone will meet with you prior to your surgery.
If Dr. Tyrone feels a hospital is a more appropriate setting for your surgery, he has full privileges at UF Health Shands hospital.
What results can I expect?
Provided you are a good candidate for breast augmentation surgery, breast implants in Florida will provide you with the fullness and increased size you are seeking. The results are long lasting. It is important to remember that your breast will continue to age on top of the breast implant. Breast shape may also subsequently change secondary to pregnancy and weight fluctuations. Problems with the implants themselves are rare; however, implant rupture may occur and require the replacement of a new silicone or saline breast implant. Maintaining a relationship with Dr. Tyrone after your surgery is important to help you address these changes and other concerns which may arise. Regular examination by Dr. Tyrone 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 be treated.
What are the risks of breast augmentation surgery?
Breast augmentation is a relatively straightforward procedure, and most patients have very low risks of complications. But as with any operation, there are risks associated with surgery and specific complications associated with the procedure.
The most common problem, capsular contracture, occurs when the scar or capsule around the implant begins to tighten. This squeezing of the soft implant may cause the breast to feel hard. Capsular contracture can be treated in several ways, and sometimes requires either removal or "scoring" of the scar tissue, or perhaps removal or replacement of the breast implant. Massage of the implants after surgery has been demonstrated to decrease the incidence of capsular contracture. Dr. Tyrone will instruct you on the proper massage technique following your surgery, and it is important to follow his recommended regimen.
As with any surgical procedure, excessive bleeding following the operation may cause some pain and swelling. If excessive bleeding continues, another operation may be needed to control the bleeding and remove the accumulated blood.
A small percentage of women develop an infection around a breast implant. This may occur at any time, but is most often seen within a week of surgery. In some cases, the implant may need to be removed for several months until the infection clears. A new implant can then be inserted.
Some women have reported that their nipples become oversensitive, undersensitive, or even numb. You may also notice small patches of numbness around your incisions. These symptoms usually disappear within time, but may be permanent in some breast implant patients.
There is no evidence that breast implants will affect fertility, pregnancy, or your ability to breastfeed. If, however, you have nursed a baby within the year before augmentation, you may produce milk for a few days after your surgery. This may cause some discomfort, but may be treated with medication prescribed by your doctor.
Occasionally, breast implants may leak or break. Rupture can occur as a result of injury or even from the normal compression and movement of your breast and implant, causing the shell to leak. If a saline-filled implant breaks, the implant will deflate within a few hours and the salt water will be harmlessly absorbed by the body.
While there is no evidence that breast implants causes breast cancer, they may change the way mammography is done to detect cancer. When you request a routine mammogram, be sure to go to a radiology center where the technicians are experienced in the special techniques required to get a reliable x-ray of a breast with an implant. Additional views are required. Ultrasound examinations may be of benefit in some women with implants to detect lumps or to evaluate the implant.
While the majority of women do not experience these complications, Dr. Tyrone will discuss each with you to make sure you understand the risks and consequences of breast augmentation surgery.