Breasts Lift 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 Lift (& Augmentation)
PREOPERATIVE DIAGNOSIS: Breast pseudoptosis, bilateral
POSTOPERATIVE DIAGNOSIS: Breast pseudoptosis, bilateral
OPERATION: Breast augmentation via inframammary fold under the pectoralis muscle using the Mentor smoth, round 325 ml implant infused up to 330 ml bilateral
ANESTHESIA: GENERAL
Indications: The patient is a ___ year old female who would like to improve her breast features. She has lost volume and has glandular ptosis after pregnancy.
OPERATIVE PROCEDURE:
After induction of general anesthesia, she was prepped and draped in the usual sterile fashion. 50 ml of 0.25% Lidocaine with epinephrine wereinjected to the breasts bilaterally. A total of 100ml were injected. A 1 inch incision was made along the inframammary fold 5 mm lower than her own fold, anticipating the enlarged diameter due to the implant. Dissection was carried down to the muscle. Under the pectoralis muscle, a plane was developed using blunt dissection, and a Bovie cautery was used to stop the bleeding. 325 ml length was incesed. Dissection was carried out to develop the plane under the pectoralis Stretching of the muscles and minimal cutting of the muscles were done using the cautery. Most of the stretching of the medial pectoralis was obtained using the dilator. 325 ml smooth round implant was inserted subpectorally and infused up to 330 ml. Symmetry was confirmed by elevating the head of the bed, and it was found to be satisfactory. The skin was closed in layers using 3-0 Vicryl and 4-0 Vicryl, and a bulky dressing was applied after Steri-Strips were applied to the incision lines. The patient was given IV antibiotics during the surgery. She tolerated the procedure well, was extubated, and transferred to the recovery room in a good standing.