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Breast Augmentation

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Dr. David Bauer, a board certified plastic surgeon at Arkansas Plastic Surgery in Little Rock, Arkansas is very skilled in creating beautiful, natural-looking breasts, whether you desire a subtle enhancement or a more dramatic augmentation of your breasts. He has extensive training and experience and can help you achieve the look you desire.

Dr. Bauer will speak with you in great detail at your initial consultation about your goals and your options for breast augmentation.

There are two main types of breast implants—silicone and saline. They will also present you with options for type, size, shape, profile, and texture to help you to achieve the results you want.

Implant type and size will be determined not just by your desired increase in size, but on your breast anatomy, skin elasticity, and body type. Bringing in photographs from a magazine or the internet of your desired size can be helpful during your consultation. We also have implants available that you can try on during your appointment to help you determine the size you’re looking for.

The Breast Augmentation Procedure

Incisions are made in inconspicuous areas to minimize visible scarring. These incisions are very small and can be placed under the breast, under the nipple areola, or in the underarm area.

The incision placement and whether the implant should be placed under or over the muscle will be discussed with your surgeon during your consultation. During your breast augmentation surgery, you will be asleep under general anesthesia for your comfort and safety. This one hour surgery is performed as an outpatient procedure and can be combined with other procedures.

Aftercare and Recovery Process

A Rapid Recovery Protocol is utilized at Arkansas Plastic Surgery. As a result, most of our patients have minimal bruising and can usually return to light activities within a day or two and full activities within 3-4 weeks. Our rapid recovery protocol includes: topical anesthetics, anti-inflammatories, oral analgesics, muscle relaxers, and the keller funnel which allows the surgeon to make smaller incisions for the insertion of the implant. You will wake up from anesthesia in a surgical bra that you will wear for first 24 hours. At that time, you may shower and wear a regular sports bra.

Immediately after your breast augmentation procedure

Following your breast augmentation procedure, your breasts may feel tight and sensitive to the touch and your skin could feel warm or itchy. You also may experience difficulty raising your arms.

You might see some discoloration/bruising and swelling, but this will disappear quickly. Most patients’ swelling will resolve within a month.

Once the anesthesia wears off, you may experience some pain, which is easily managed with oral pain medication. For more information on breast augmentation surgery, please contact our office in Little Rock, Arkansas to schedule a cosmetic consultation.

Recovery after breast surgery
You should be able to walk around without assistance immediately following your breast augmentation procedure. It is very important you walk for a few minutes every few hours to help reduce the risk of possible blood clots that can form in your legs.

Once you decide to proceed with surgery, it is vital to follow the pre and post operative instructions provided by your surgeon. This will include information about wearing your compression garments, care for your incisions, and taking the prescribed medication.

You should receive detailed instructions about the symptoms you will experience and the potential signs of complications. It is always important to remember each patient heals differently and recovery time varies greatly.

Frequently Asked Questions about Breast Augmentation Surgery

Am I a good candidate for breast augmentation surgery?

You might be a good candidate for breast augmentation if…

  • You believe your breasts are too small for your body
  • You feel self-conscious wearing a swimsuit or form-fitting clothes
  • Your breasts have become smaller due to weight loss or having children
  • You are in good health
  • You have a positive attitude and realistic expectations

Is breast augmentation surgery safe?

Breast augmentation is very safe. Surgical techniques for breast augmentation and all breast implants are continually being refined, increasing the safety and reliability of the procedure. Contact Arkansas Plastic Surgery if you have questions or if you are ready to make an informed decision.

Are implants permanent?

While breast implants are intended to last your lifetime, it is important to keep in mind replacement surgery will likely become necessary. Post surgery, it is recommended to have periodic exams by your surgeon to monitor the implants.

How long will the results last?

Under normal circumstances, the results of your breast augmentation surgery should be long-lasting. Time, gravity, pregnancy, and weight fluctuation may affect good results over the years. Schedule follow-up appointments periodically with your surgeon to maintain the look you’re wanting.

What are the associated costs with breast augmentation surgery?

The cost of a breast augmentation varies from doctor to doctor based on patient needs and implant choice. Schedule a consultation with one of our board certified doctors to learn more about the breast augmentation procedure and the costs associated with it.

Will breast implants affect my ability to breastfeed?

In most cases, our patients are able to breastfeed if they have undergone breast augmentation surgery. Most augmentation patients will produce breast milk. It may not be as much as there would have been without implants. The implants may prevent the milk glands from filling completely.

If you are planning to have children in the near future, it is important to consult with your surgeon so you can choose the surgical options that best fit your needs and are in line with your family planning.

Should I wait until after I have children before having breast augmentation?

Getting breast augmentation is a personal decision in which there is no “right” time to do it– only when it is right for you. We would suggest, however, that if you intend to have a child within the next year or two, then you should postpone your procedure until after the birth because of the changes your body will go through.

Other than this, many women get breast augmentation done before having children and there are usually no issues. Many find that the implants will prevent the deflated look often seen after pregnancy and breast feeding.

When can I start exercising again?

Speak with your plastic surgeon to find out when is the best time for you. Generally, you must wait at least 3-4 weeks before doing anything too strenuous, as it could set back your healing. Try not to lift heavy objects or bend over too much, especially right after surgery. You should start slowly and work up to more aerobic or vigorous activity when you feel comfortable.

Will insurance cover breast augmentation?

In most cases, breast augmentation will not be covered by insurance if it is seen as an unnecessary cosmetic procedure. There are exceptions to this, such as if it is for the purpose of reconstruction after breast cancer then insurance may offer coverage. Talk with your insurance provider to see if you qualify.

Will I have scarring?

As with any medical procedure, there will have to be an incision made to allow for entry into the breast. Incisions are typically made in 3 main areas:

  • The fold underneath the breast
  • The border of the nipple or areola
  • In the armpit crease

Most surgeons prefer the incision beneath the breast as it has a lower rate of complications and is well hidden. It may take up to a year for scars to mature, but usually after that amount time, they are very inconspicuous and easy to conceal.

How long will it take to recover from my breast augmentation surgery?

Typically, it takes 7-10 days to return to fairly normal activities. Patients with less strenuous jobs may return to work in 3-4 days, while more physically demanding jobs may require you to be off 1-2 weeks.

Will I have to change anything about my lifestyle after a breast augmentation?

Once you have allowed healing to take place for 2-3 weeks, you are free to resume all of your normal activities as before. There are no major life changes except a greater feeling of self confidence in your appearance!

What size implant should I get?

This is dependent on your individual frame and ultimate appearance goals. You should discuss your expectations with your surgeon so that he can help you reach your desired results. There is no “size” or “cup” to choose from, as everyone’s body is unique. The exact same size of implant will oftentimes look cosmetically different from patient to patient. We like to think of breast augmentation in terms of proportion and shape rather than size.

What are the risks of breast augmentation surgery?

Breast augmentations have a high success rate when performed by a trained and experienced surgeon. However, as with any surgery, it is not without risks. These can include changes in breast or nipple sensitivity, infection, hematoma, bleeding, scarring, rupturing of the implant, and other adverse reactions to the anesthesia. Talk with your doctor about any further complications you may have with a breast augmentation.