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 AgreementYou 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.
- 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.
The week before your surgery:
- Write down the correct date, time, and location of your surgery.
- Arrange a ride home. Ask a family member or friend to drive you home after your surgery or procedure. Do not drive yourself home.
- Ask your caregiver if you need to stop using aspirin or any other prescribed or over-the-counter medicine before your procedure or surgery.
- Bring your medicine bottles or a list of your medicines when you see your caregiver. Tell your caregiver if you are allergic to any medicine. Tell your caregiver if you use any herbs, food supplements, or over-the-counter medicine.
- You may need to have blood and urine tests, a mammogram, or chest x-ray. Ask your caregiver for more information about these and other tests that you may need. Write down the date, time, and location of each test.
The night before your surgery:
- You may be given medicine to help you sleep.
- Ask caregivers about directions for eating and drinking.
The day of your surgery:
- Ask your caregiver before taking any medicine on the day of your procedure. These medicines include insulin, diabetic pills, high blood pressure pills, or heart pills. Bring a list of all the medicines you take, or your pill bottles, with you to the hospital.
- Caregivers may insert an intravenous tube (IV) into your vein. A vein in the arm is usually chosen. Through the IV tube, you may be given liquids and medicine.
- An anesthesiologist will talk to you before your surgery. You may need medicine to keep you asleep or numb an area of your body during surgery. Tell caregivers if you or anyone in your family has had a problem with anesthesia in the past.
- Caregivers may take pictures of your breasts. This will be used to compare the pictures of your breasts before and after the surgery.
- You or a close family member will be asked to sign a legal document called a consent form. It gives caregivers permission to do the procedure or surgery. It also explains the problems that may happen, and your choices. Make sure all your questions are answered before you sign this form.
What will happen:
- 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.
Contact a caregiver if
- You cannot make it to your surgery.
- You have a fever.
- You have a wound near the area where surgery will be done.
- You have questions or concerns about your surgery.
Seek Care Immediately if
- You feel a lump in your breast or armpit.
- You have discharge coming from your nipple.
- You have redness, swelling, or severe pain in 1 or both breasts.
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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.