Cosmetic Augmentation Mammaplasty

WHAT YOU SHOULD KNOW:

Cosmetic augmentation mammaplasty is breast implant surgery. This surgery will increase the size and change the shape of your breasts. A breast implant has an outer silicone shell and an inner filling. The filling may be saline (salt water) or silicone gel. Breast implants come in different shapes and sizes and may be adjustable.

CARE AGREEMENT:

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment.

RISKS:

  • You may bleed more than expected or get an infection. You may have an allergic reaction to the anesthesia or the implants. Your breasts may be numb in areas or look uneven. You may not be able to breastfeed. Scar tissue may form around the implant. The implant may wear out, burst, or leak.

  • You may get a blood clot in your leg or arm. This can cause pain and swelling, and it can stop blood from flowing where it needs to go in your body. The clot can break loose and travel to your lungs or brain. A blood clot in your lungs can cause chest pain and trouble breathing. A blood clot in your brain can cause a stroke. This can be life-threatening.

WHILE YOU ARE HERE:

Before your surgery:

  • Informed consent is a legal document that explains the tests, treatments, or procedures that you may need. Informed consent means you understand what will be done and can make decisions about what you want. You give your permission when you sign the consent form. You can have someone sign this form for you if you are not able to sign it. You have the right to understand your medical care in words you know. Before you sign the consent form, understand the risks and benefits of what will be done. Make sure all your questions are answered.

  • An IV is a small tube placed in your vein that is used to give you medicine or liquids.

  • General anesthesia will keep you asleep and free from pain during surgery. Anesthesia may be given through your IV. You may instead breathe it in through a mask or a tube placed down your throat. The tube may cause you to have a sore throat when you wake up.

During your surgery:

  • Caregivers will clean your chest and the area around your breasts. Caregivers will make incisions in your breast area, armpit, or belly button. The breast implant will then be placed under the breast tissue or chest muscle. Caregivers may use an endoscope. An endoscope is a flexible tube with a light on the end.

  • If an adjustable implant is used, the implant will be filled with saline through a small, removable fill tube. This tube is left attached to the implant and placed just under the skin for weekly breast size adjustments. This is removed when the desired size of the breasts is reached. Drains (thin rubber tubes) may be put into your skin to drain blood from your incision. The incisions will be closed with stitches and covered with bandages.

After your surgery:

You will be taken to a room to rest until you are fully awake. Caregivers will watch you closely for any problems. Do not get out of bed until your caregiver says it is okay. The bandage covering your incisions helps keep them clean and dry to prevent infection. When your caregiver sees that you are okay, you may be able to go home. If you are staying in the hospital, you will be taken to your hospital room.

  • Activity: Your caregiver may have you get out of bed and walk as soon as possible after surgery. This will help your bowels start working sooner. Call your caregiver before you get up for the first time. If you feel weak or dizzy when you stand up, sit or lie down right away, and press the call button.

  • Deep breathing and coughing: This will help decrease your risk for a lung infection after surgery.

    • Hold a pillow tightly against your incision when you cough to help decrease pain. Take a deep breath and hold it for as long as you can. Deep breaths help open your airways. Let the air out and follow with a strong cough. Spit out any mucus you cough up. Repeat the steps 10 times every hour.

    • You may be given an incentive spirometer to help you take deep breaths. Put the plastic piece into your mouth and take a slow, deep breath. Let out your breath and cough. Repeat the steps 10 times every hour.

  • You will be able to drink liquids and eat certain foods once your stomach function returns after surgery. You may be given ice chips at first. Then you will get liquids such as water, broth, juice, and clear soft drinks. If your stomach does not become upset, you may then be given soft foods, such as ice cream and applesauce. Once you can eat soft foods easily, you may slowly begin to eat solid foods.

  • Drains: These are thin rubber tubes put into your skin to drain fluid from around your incision. The drains are taken out when the incision stops draining.

  • Intake and output: Caregivers will keep track of the amount of liquid you are getting. They also may need to know how much you are urinating. Ask how much liquid you should drink each day. Ask caregivers if they need to measure or collect your urine.

  • Pressure stockings: These are long, tight stockings that put pressure on your legs to promote blood flow and prevent clots.

  • Pneumatic boots: Inflatable boots are put on your legs. The boots are connected to an air pump. The pump tightens and loosens different areas of the boots. This helps improve blood flow to prevent clots.

  • Medicines:

    • Pain medicine: Caregivers may give you medicine to take away or decrease your pain. Do not wait until the pain is severe to ask for your medicine. Pain medicine can make you dizzy or sleepy. Prevent falls by calling a caregiver when you want to get out of bed or if you need help.

    • Antibiotics: This medicine is given to help treat or prevent an infection caused by bacteria.

    • Antinausea medicine: This medicine may be given to calm your stomach and to help prevent vomiting.

    • Muscle relaxers: This medicine helps relax your muscles. It is also given to decrease pain and muscle spasms.

© 2014 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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