Breast Augmentation - Augmentation Mammoplasty
Breast Augmentation Surgery in Jacksonville FL
by Dr. A.H. Nezami at Jacksonville Cosmetic Surgery Center
Augmentation mammoplasty is a surgical and artistic procedure that enhances the size and the shape of the breast using saline or silicone breast implants. A patient chooses augmentation mammoplasty to balance the size of uneven breasts, to restore lost volume after pregnancy, to enhance the size and shape of her breasts, or as a reconstructive procedure after mastectomy.
A flawlessly executed breast augmentation incorporates and builds upon an individual's natural chest shape, muscle tone, skin elasticity, and breast structure. Dr. Nezami considers each of these factors, together with your desired breast size and shape, in order to help you choose the most fitting breast implants for you.
Virtual Results Imaging Available
Our practice is equipped with virtual 3D imaging capabilities that not only allow patients to visualize their post-surgical results, but also help them select and refine a personalized, aesthetic approach based upon visualizations of the available options.
Placement of Breast Implants
Dr. Nezami will discuss the optimal placement of the breast implants with each patient. Each person's anatomy will determine whether the implants should be placed above or beneath the pectoral muscles. Clinical studies indicate that placing the implants beneath the pectoral muscles decreases the incidence of capsular contracture. Also, it is believed that placing the breast implants under the muscles will improve mammographic imaging, since the breast tissue and the muscles are pushed forward. In the long run, placement of breast implants beneath the pectoral muscles will result in a more natural look for many patients.
Learn More about the differences between Saline implants and silicone implants. And in our blog, read "Breast Augmentation with Saline or Silicone Implants" for an explaination about the differences between saline & silicone implants.
One Month before Surgery
Smoking patients must refrain from smoking at least one month before the surgery, and must continue to refrain for one month afterward. Smoking interferes with blood flow to the skin, which prevents rapid healing and causes tissue loss. Patients should stop taking their birth control piles or any hormonal replacement therapy pills one month before and one month after their surgery to prevent any chance of blood clot.
Two Weeks before Surgery
Patients must avoid certain medications such as aspirin, Ibuprofen, vitamin E, and any other blood thinning medication. Patients who are taking prescription blood thinners will require authorization from their prescribing doctor before cessation. No herbal medications should be taken without the approval of Dr. Nezami.
One Week before Surgery
The patient will meet with Dr. Nezami for a pre-operative consultation. During this visit, she will make the final implant selection. Dr. Nezami will review the patient's medical history, and perform the pre-surgical measurements and final examination. A surgical assistant will review the pre- and post-operative patient instructions at this time. Alcoholic beverages must not be consumed beginning two days before the surgery.
The Day of Surgery
The patient should have fasted eight hours beforehand. She will continue to wash her body, especially her chest, breast and under arms, with Hibiclean (as she has already been doing for three days). The patient will arrive for surgery dressed in a front opening sweatshirt and comfortable, slip-on shoes. Any jewelry, including any jewelry on pierced body parts, should be removed. She will refrain from applying deodorant or lotion on the day of the surgery.
Breast augmentation surgery can take up to two and one half hours, and is performed under general anesthesia administered by a board certified anesthesiologist. Located within the Baptist Medical Center Complex, our surgical suite is accredited by the American Association for the Accreditation of Ambulatory Surgical Facilities, Inc.
As with all surgical procedures, breast augmentation surgery involves some degree of risk. There are some risks that are beyond the control of your plastic surgeon, no matter how expertly he performs the surgery. Although very rare, capsular contracture (hardening of the breast tissue due to tightening of the breast capsule which is a scar around the implant) may occur, causing deformity, hardening, and even some pain. If capsular contracture occurs, the tight scars around the implant need to be surgically cut to give more space to the implant. Massaging the breast after breast implant surgery as instructed by your Plastic Surgeon can help reduce this risk.
During the breast enhancement surgery, the patient is given intravenous antibiotics to reduce the risk of infection. In the rare event of infection, the implant must be removed for three months until the infection is resolved.
In rare cases, especially if the patient does not follow the instruction given to her , abnormal bleeding can occur after surgery. In this case, the patient is returned to surgery to stop the bleeding and remove the blood and replace the implants.
Sensation of the nipple may change due to stretching of the nerves during surgery; it may become sensitive for a short time, but normal sensation will likely return. It is also possible for a patient to lose nipple sensation altogether.
Although it is a rare occurrence, the implant can deflate due to malfunction of the fill valve in saline implant, or rupture of the saline or silicone implant itself. In these cases, the damaged implant must be replaced.
The surgical incision can be made either in the crease below the breast, or in the outline of the lower half of the areola. Dr. Nezami does not recommend axillary or umbilical incisions. Most of our patients prefer to have the incision made in the crease below the breast. A breast surgery incision is meticulously repaired to leave the least visible scar. There are a number of available products, such as vitamin E, Mederma®, cortisone cream, and silicone sheets, that can assist healing and help ensure smoother, faster results.
The patient should arrange for a driver both to transport her home on the day of the surgery, and to drive her back to our center for her first post-operative visit. In addition, a caregiver should stay with the patient during the first 48 hours of recovery at home. To minimize the risk of blood clot, we ask patients to walk several times a day following their surgery. The stitches will be removed within five days at the first post-operative visit.
The patient may shower five days after her breast augmentation procedure, but should avoid hot tubs and baths. Five days after the surgery, she is advised to begin massaging her breasts as instructed by Dr. Nezami; this massage technique will relax the tissue and help to prevent capsular contracture.
Post-surgical swelling may make the patient's breasts feel unnaturally tight. This condition is temporary, and the breasts will gradually soften and develop a more natural feel.
Patients can return to work after one week of recovery, but must avoid lifting heavy objects. After three weeks of recovery, the patient can gradually reintroduce exercise.
Breast implants stretche the surrounding tissues. While this stretching can be painful, it is most felt during the first two days after surgery, and can be managed through medication. Occasionally, patients experience sudden, sharp pains, a burning sensation or sensitivity of the breast and nipple area up to several weeks after surgery. Some nerves may become stretched during surgery; these symptoms signal the return of sensation and will subside.
Dr. Nezami is available by telephone at all times, and our practice maintains a 24-hour service number: 904-399-5061. If a patient experiences any of the following symptoms, she should call Dr. Nezami immediately:
- Uneven swelling.
- More pain in one of her breasts than the other.
- Temperature that exceeds 100 Degrees.
- Pain in her calves.
- Sudden, severe chest pain.
- Shortness of breath.
Points to Consider:
- Typically, the patient will receive general anesthesia. The surgery can also be done under sedation and local anesthesia.
- Patient should sleep on her back with her upper body elevated (side sleeping is not recommended until a week of recovery has passed).
- Patient should avoid driving for the first five days after surgeryor until they stop taking pain medication.
- Patient should avoid air travel for the first two weeks following her breast enlargement surgery unless absolutely necessary, in which case she must get out of her seat and walk every thirty minutes to prevent blood clot. The same movement is required for long drives.
- Showering is not permitted until five days of recovery have passed. Patients may sponge bathe or use a hand held shower to wash below the breasts.
- Our patients undergoing breast augmentation in Jacksonville, FL are advised to avoid wearing a bra for the first few weeks following surgery to allow stretching of the tissue. After this time, patients should wear supportive bras to prevent the weight of the implants from stretching the skin.
- Some patients may develop stretch marks after significant breast augmentation surgery.
- For patients who are unhappy with the results of a previous breast augmentation surgery, we recommend a three to six month waiting period between the original and the corrective procedure.
- Your skin will stretch to accommodate the implants; the skin of the areola will stretch as well. Larger implants demand more tissue expansion.
- While gentle touch is safe almost immediately following surgery, passive role sex is permitted after two weeks have passed. After three weeks, unrestricted sexual activity is safe to resume.
- Breast enhancement surgery does not affect future breast-feeding capability.
- Two weeks following your surgery, exposure to sunlight is considered safe if the incision area remains covered.
- Three weeks after your breast augmentation surgery, you may gradually reintroduce your exercise regimen. At this time, heavy lifting is also permitted.
We work with several companies that offer our patients convenient financing at the most competitive rates available. In most cases, patients can obtain approval within 24 hours.
How Can I Get Natural-Looking Breast Augmentation?
Enjoy Proportionate Enhancement from Breast Implants in Jacksonville, FL
For most women, the goal of breast augmentation is not to make it appear as if their breasts have been replaced with new ones, but to enhance what they already have. Dr. A.H. Nezami's proper use of breast implants means breast augmentation in Jacksonville, FL, can add volume to a woman's chest without appearing unnatural.
The key to creating realistic augmented breasts is in choosing a doctor who balances medical skill with an artistic eye, performing safe surgeries while paying close attention to the many details that set superior breast augmentation surgeries apart from the rest.
How Can Breast Implants Appear Natural?
There are many elements of a breast augmentation that must be considered when it comes to creating natural-looking results. Among them are:
Size of Implants
This may seem obvious, since the point of a breast augmentation is to add volume to the breasts to make them larger, but there is more to the process than simply selecting the biggest breast implants possible. Realistic breasts maintain particular proportions with the rest of the body, so women seeking a natural-looking enhancement should work with Dr. Nezami to select a size that is suitably larger, but not out of balance with other features. Patients are, of course, free to discuss any size range they would like, but should keep in mind that implants that are significantly larger than their current size may not appear to be natural. Dr. Nezami offers Vectra™ 3D imaging for patients who wish to see what different sizes of implants will look like on their own body, all before starting any surgery.
Type and Placement of Implant
Implants mainly fall into two categories: saline and silicone. Conventional thinking is that saline-filled breast implants can create a more round shape, while silicone offers the most natural-looking results because of its similarity to organic breast tissue. There are also two frequently chosen placement strategies in breast augmentation: above or below the pectoral muscle. Experience has shown that sub-muscle placement gives most women an ideal, natural look. The shape of an implant can also make a difference, given that the silicone shells can be round or teardrop shaped, with the round option being the implant of choice for women aiming to keep their new breasts from appearing "fake."
Implant size and type help to determine the placement of breast augmentation incisions, as does patient and doctor preference. Scars are obviously a sign that surgical work has been done, so Dr. Nezami makes every effort to hide or disguise the marks that come with receiving breast implants. By making the breast augmentation incision in the crease under the breast or in the line on the lower half of the areola, he can keep any scarring as inconspicuous as possible. He also works with patients to discuss skin care products they can use to promote healthy skin and healing.
Each woman's breasts are unique to her, and the left and right may even be different from each other. Dr. Nezami conducts a thorough consultation with each patient, getting to know her goals, opinions, medical history, and other details. He will develop a breast augmentation plan to deliver natural-looking results. Organic, beautiful breasts cannot be carbon-copy duplicated from patient to patient, but must be tailored to each woman.