What is Breast Augmentation?
Breast augmentation enhances the size and shape of the breast utilizing either silicone or saline-filled implants. Dr. Bradley will discuss the benefits, pros and cons of each type in order to decide which is best suited to each individual. Click here to learn more about silicone vs saline implants
Am I a candidate for this procedure?
The best candidate for this procedure is a healthy woman who has realistic expectations of enlargement and improvement. Whether the implant is placed under the muscle (subpectoral) or over the muscle (submammary) will be determined to a great degree by how much breast tissue a patient has and the quality of that breast tissue and the breast skin. Dr. Bradley will discuss your individual options and the pros and cons of subpectoral vs submammary surgical technique during initial consult. Click here to learn more about implant position. Even patients with pre-existing breast asymmetry can achieve excellent symmetry and beautiful results with breast augmentation surgery. To learn more about how breast symmetry can be corrected, click here. To see the various outcomes of breast augmentation surgery, view our gallery click here.
How much time does it take to perform the procedure?
This outpatient procedure usually lasts 1 to 2 hours to perform the surgery itself. The amount of time the surgery will take varies depending on the technique. A straight forward submammary or subpectoral breast augmentation takes about one hour to complete. Endoscopic transaxillary technique takes the longest amount of time (2 hrs.) because of the extensive equipment set up utilized and the technique itself is slightly more involved. Asymmetry correction usually can be done in 1 & 1/2 hours. The additional half hour is due to the use of intra-operative implant sizers. There is an additional 45 minutes immediately before surgery in which each patient is pre-medicated to relieve anxiety and patients are marked for their surgery. There is an additional 30 minutes or so immediately after surgery alotted to recovery. At our facility we generally allow for a total of three hours from the time the patient walks in until she walks out for a straight forward breast augmentation surgery.
How do I prepare for surgery?
Dr. Bradley will give you guidelines on drinking and eating and on avoiding certain medications, herbal supplements, vitamins, and smoking. Make sure you have someone to drive you home after the procedure and help you out for a few days.
What does surgery involve?
Dr. Bradley will decide, based upon your desires, expectations and a physical examination, if the incision will be made in your armpit, in the crease under your breast or around the nipple. Regardless if the incision utilized, all incisions are made with deliberate planning and attention to detail to make them as inconspicuous as possible. Anesthesia is generally done as a “local with p.o./IV sedation” meaning that you are given medications by mouth before surgery and additional medication intra- venous ( by vein) in the O.R. to make you completely unaware and comfortable so that the procedure can be done without the use (and risks and side effects) of general anesthesia. Dr. Bradley will then make a pocket behind your pectoral muscle or mammary gland in order to place the saline or silicone implants. All patients are provided with long acting local anesthetic in the operating room so that when you wake up from your surgery each patient is virtually pain free. These effects can last between a couple of hours to as long as 12+ hours. By using the anesthetic technique just described, most patients wake up so completely and quickly that they can walk out of our facility within 20-30 minutes upon completion of their surgery. Dr. Bradley prescribes medications to use after your surgery which will keep you comfortable during your recovery. In fact, 9 out of 10 patients who are compliant with Dr. Bradley’s post-operative instruction state they do not require narcotic pain medications after the first 24 hours of their surgery, relying instead on over the counter Tylenol and Motrin for pain control. Most patients can return to work once they no longer require narcotic pain medications, which is generally 2 or three days after their breast augmentation surgery.
Where is the surgery performed?
Dr. Bradley owns and operates his own accredited office based surgical facility since 1999. Patients have their surgery in an extremely private setting, receive one on one personalized attention by Dr. Bradley and his staff in a professional environment which provides more patient comfort and safety than a hospital environment. Click here for more details
When can I return to my normal lifestyle?
You can return to work a few days after the procedure, but avoid strenuous physical activity with the breasts for 3 to 4 weeks. It will take 6 months to 1 year for scars to fade. Click here for a detailed discussion regarding breast augmentation recovery
How much does breast augmentation surgery cost?
Please click here for more details.
Will I need a follow-up visit?
With every procedure, Dr. Bradley strives to provide personal follow-up visits to monitor your progress and answer any post-operative questions.