Breasts Augmentation Pre-Op, Operation & Post-Op Procedures
- Do not take aspirin products, non-steroidal anti inflammatory drugs such as Advil, Ibuprophen, Motrin, Aleve and other prescription drugs, multi-vitamins, vitamin E, anti-aging medications, herbal pills, or products containing these drugs for two weeks prior to surgery and for two weeks following surgery. You should take blood pressure medication in the morning of surgery with sips of water. All other medications (cholesterol, hormones, diabetes etc.) can be skipped.
- Do not eat or drink anything from midnight on the day of the surgery for all anesthesia procedures (no coffee, chewing gum, saltines, etc.).
- Wear clothing that has a button or zipper front and avoid clothing that pulls over the head.
- Do not wear makeup or contact lenses.
- Be sure to have a family member or friend drive you home after the surgery and stay with you for the remainder of the day. If you have sedation or general anesthesia, you will not be allowed to leave alone. You must have someone accompany you. A taxi cab driver is not allowed to pick you up, unless you are accompanied by a relative/friend. We will provide you with limousine information, should you require a driver.
- Schedule a post-operation follow-up appointment.
- Fill prescriptions Dr. Byun has given to you prior to surgery. Most patients will receive IV Antibiotics during surgery. Prescription for pain medications can be used only as needed should pain increase after surgery. Tigan (big pink pill) is a rectal suppository. Use this only in the case of severe nausea.
- Buy a reusable ice pack from your local pharmacy (i.e. Walgreens) and a box of clean gauze. You will use them for eye and face areas. The first 48 hours makes the most difference.
- If you are a smoker, stop smoking two weeks prior to surgery and two weeks following surgery. Do not wear a nicotine patch or chew nicotine gum because they constrict the blood vessels and deliver less amount of oxygen to the surgery areas.
- If you consume alcohol, and are a “social drinker”, meaning you allow yourself one or two glasses of wine, or an occasional beer, on one or two occasions weekly, you need to stop any alcohol intake, 48 hours prior to surgery.
If you are inclined to have more than “the occasional drink”, meaning your body is conditioned to alcohol intake on a daily basis, or five times, or more, weekly, you need to stop any alcohol consumption 5 days prior to surgery.
You will be receiving a pre-op phone call the day prior to surgery to give you any instructions, additional information, or answer any questions you may have with regard to your scheduled procedure.
Breasts Augmentation
ANESTHESIA: GENERAL
OPERATIVE PROCEDURE:
After induction of general anesthesia the patient will be prepped and draped in the usual sterile fashion. Often an incision of less than one inch is made underneath the breast, just above the crease, where it is usually inconspicuous. Another possible location for the incision is around the lower edge of the areola (the pigmented skin surrounding the nipple). A third alternative is to make a small incision within the armpit. Once the incision is made, Dr Byun will create a pocket into which the implant will be inserted. This pocket is made underneath the pectoral muscle which is located between the breast tissue and chest wall.
BREASTS
Right after surgery you will need to regrain from heavy lifting and straining your chest or arms by pushing or pulling heavy objects. You should not lift your arms above your shoulders prioro to your first per-operative visit. At your first visit, Dr. Byun will determine which activities you would be allowed to resume. Everyone heals at a different pace, asymmetry and swelling is part of the healing process.
Keep all bandages, dressings, and tapes intact for 48 hours. This time is crucial in creating the desired results. After 48 hours you may take your first shower. Remove and discard external bandages not applied directly to the skin (ace wraps and gauze) and do not replace. Do not remove the Microfoam sponge tape that supports the breasts. You must wait until your first follow-up appointment with Dr. Byun where he will further instruct you. Also, as stated before, do not remove any bandages/tapes that are applied directly to the skin to cover incisions. If any tape or part of the tape loses adhesiveness, it is acceptable to trim the edges. Do not remove tape completely. Cleanse any uncovered incisions 3-4 times a day using clean gauze soaked in saline water (found at your local pharmacy) and follow the instructions from the first page about showering and cleansing incisions.
It is not uncommon if you experience discomfort for several weeks after surgery, especially while you open doors and pull or push objects. This is all normal. Except asymmetry, size differences, and folds at different levels. All these will be addressed by Dr. Byun at the follow up appointments in the weeks to come.
Prior to each follow-up appointment you must take a shower that day so as to clean the incisions and prepare them suture removal.
- MEDICATIONS
Use the pain pills and anti-nausea we provided, as needed. You can skip if you don’t need them. If you were prescribed an antibiotic, start taking this immediately following surgery and continue until bottle is finished. Dr. Byun will usually give you a one week course. Discontinued use could make you vulnerable to infection. Do not take blood thinners, aspirin, ibuprofen, multi-vitamins, vitamin E, anti-aging medications, herbal pills, and products containing these drugs for two weeks prior to surgery and for two weeks following surgery since they increase bleeding. Continue taking any other pills for blood pressure, cholesterol, birth control and hormone pills as part of your regular routine. - BANDAGES
Leave all external bandages on for 48 hours following surgery. The term external bandages refer to bandages that are not directly applied to the skin then reapply them as instructed per surgery. - SWELLING
Post Operative swelling is normal and peaks about 48-72 hours after the surgery. The majority of the swelling will go down within the first two weeks. Swelling is a part of the healing process, so it is normal for the surgical areas to be swollen for a few months after the procedure as the body heals. You can apply re-useable ice packs to the surgical areas for the first 24-48 hours to help reduce swelling in these areas. - BLEEDING
Small amount of bleeding from incisions is part of the healing process and is normal. Expect bleeding from the incisions 24-48 hours after the procedure. If bleeding continues after this 48-hour period, apply gentle pressure to the area using clean gauze and call our office. - SHOWER
You must shower 48 hours following surgery. At this time you may also remove external bandages (ace wrap, epi-foam, and gauze) as directed by the instructions below pertaining to your particular procedure. BAndages/tape applied directly to the skin, if any, especially those covering incisionsmust not be removed. At this time it is also important to allow soapy water and shampoo to run gently through the incision areas. Baby shampoo is recommended as regular shampoo may sting your incisions. Following your shower, re-apply clean/laundered ace wraps, epi-foam, compression garments, and binders as necessary depending on your particular procedure. Fresh gauze can be placed on incision sites if they are irritated by wraps, foam or garments. For patients who have undergone a procedure to the face: when applying shampoo or conditioner be mindful of the incisions along the hairline. Massage the scalp gently taking extra care to not irritate incisions. Also try to avoid snagging suture incisions with a comb or brush. - EXERCISE
An increased heart rate and blood pressure increases swelling and compromises the healing process, so relax and take it east for the first two weeks following surgery. It is a MUST that you consult Dr. Byun before returning to regular physical activities. With each follow-up as the weeks go by, Dr. Byun will inform you on which activities are suitable for you at that time. Generally however, for the first two weeks light walking and movement is acceptable, while bending forward (as that increases blood pressure in the head and may cause bleeding), stretching the surgery area, and any activities that will raise your heart rate should be avoided. - SLEEPING
Cover your pillow with an old towel or pillowcase as there will be dripping of blood from the incision in the first 24-48 hours after surgery. This is completely normal. For two weeks, sleep using two pillows to elevate your head, neck and shoulders for face related procedures. Should you have any sleeping difficulty, Tylenol PM is the recommended sleep aid. If the problem still exists, we advise that you call our office for a prescriptive drug, after speaking with Dr. Byun. - DRIVING
Try not to drive for one week following surgery. If you must drive however, you may not while taking pain medications. Remember, your safety comes first. - SMOKING/ALCOHOL
If you smoke, do not smoke for two weeks after surgery. Do not wear a Nicotine Patch or chew Nicotine Gum as this constricts your blood vessels and inhibits healing. Do not consume alcohol for at least ten days after surgery as this also raises blood pressure and causes late bleeding. If this will be a problem Dr. Byun can prescribe a medication to help you quit smoking prior to your procedure. - NAUSEA/PAIN
Nausea is a common side effect. It is recommended by Dr. Byun to take Zofran, which was prescribed to you, as soon as you arrive home and one pill before you go to bed. Along with anesthesia, the pain medication may cause nausea. Therefore, you should stop or decrease the amount of pain medication intake. In order to decrease the nausea created by the pain medication, make sure to take it after meals.