BREAST AUGMENTATION

To plan for a breast augmentation start with booking a consultation to discuss what you would like to achieve with regards to size, shape and/or firmness.

I will examine your breasts and we can discuss the breast implant types and techniques. The implants can be smooth or textured, saline or silicone, round or anatomical. I will go through the incision options and explain the surgical techniques. I will also go through the procedure and what to expect after the surgery. With all this information you will be able to make an informed decision.

To prepare for breast augmentation surgery you may be asked to stop smoking for 2 – 4 weeks before the procedure. Nicotine retards the healing process. So, not smoking for as long as possible before surgery will help improve the blood flow.

You might also have to have a blood test before surgery.

During the consultation be sure to disclose what medication, vitamins and supplements you are taking. I may need to adjust this leading up to surgery. You should avoid certain medication like aspirin and some anti-inflammatory drugs. You may also need to stop taking some vitamins and supplements. Avoid any recreational drugs.

Be sure to arrange for transport to and from the clinic. You will not be able to drive yourself after the procedure.

After breast augmentation you can expect some swelling, bruising and discomfort in the first week, this is normal. Prescribed medication should ease any pain you feel. You should be able to return to work after the first week but take it easy.

After surgery you will have a dressing over the wound which you should keep dry for at least 48 hours. The stitches along the incision lines will dissolve on their own. Avoid hot baths, hot tubs for about 6 weeks. Swimming is generally fine after 2 – 3 weeks.

Avoid strenuous activities like jogging, gym, heavy lifting, yoga, etc. for 6 weeks. If implants are below the muscle healing will take longer than above the muscle placement.

Expect to return to normal activities within 4 – 6 weeks. Take it slowly to build back up to your original strength and fitness regime.

One of the risks of breast augmentation is capsular contracture. This is when the scar tissue distorts the shape of the breast implant. If this happens it may mean removal or replacement of the implants.

Each type of implant has pros and cons which we will discuss during the first consultation. There is a risk of rupture or leakage resulting in more surgery to remove or replace implants.

Another risk associated with breast augmentation surgery is a change to nipple and breast sensation.

Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL) is a rare cancer associated with a breast implant. Only a handful of cases have ever happened in South Africa. Late-onset seroma (fluid around the implant) can be a sign of this. Early detection and removal of the implant have resulted in the cure for most cases. The implants I use are associated with the lowest risk of this condition. We will discuss this in detail during our consultation.

With any surgery there is a (low) risk of post-operative infection, bleeding, and swelling.