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Breast Augmentation: Alexander Cosmetic Surgery San Diego, California (CA)
OVERVIEW BREAST AUGMENTATION BREAST LIFT ENLARGEMENT/LIFT BREAST REDUCTION TUMMY TUCK VASER LIPOSELECT ARM LIFT THIGH LIFT COOLSCULPTING
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PREPARING FOR SURGERY

Who Is a Candidate?

Breast augmentation is usually performed on adult women who have healthy breast tissue and chest muscles and have realistic goals for improvement. Occasionally younger patients, even in their late teens, may be candidates for breast augmentation if they are emotionally mature and have their parent’s approval.

Good Candidates are:

  • Healthy individuals who do not have a life-threatening illness or medical conditions that can impair healing
  • Individuals with a positive outlook and specific goals in mind for breast surgery

But because every case is unique, the only way to accurately determine which procedure is best for you is to consult with Dr. Alexander.

For more information about your breast augmentation procedure, please contact us online or call us at We look forward to helping you look your best.

PREPARING FOR SURGERY

Prior to surgery, we will have you:

  • Take certain medications or adjust your current medications
  • Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding
  • Stop smoking well in advance of surgery
  • Depending on your age get a baseline mammogram before surgery to help detect any future changes in your breast tissue
During a Pre Operative appointment, usually 1-2 weeks before surgery, we will:

  • Get lab testing or a medical evaluation
  • Tell you what to do on the night before and morning of surgery
  • Discuss the use of anesthesia during your procedure
  • Explain post-operative care and follow-up, and what help you will need after the procedure

INFORMED CONSENT

The decision to have breast surgery is extremely personal and you’ll have to decide if the benefits will achieve your goals and if the risks and potential complications are acceptable. In general, the overall risks are small this type of surgery. However, it is common to require additional procedures to manage problems that may arise.

Pain from the Breast Augmentation surgery varies depending on the position of the implant. If the implant is placed above the muscle, pain is moderate for the first 24 to 48 hours. If the implant is placed below the muscle, pain is much more significant. The chest feels extremely tight and constricted for approximately 48 hours. Patients are given pain pills to alleviate the discomfort. We have not found the temporary, indwelling pain pumps to be very effective, therefore we do not routinely use them.

We will explain in detail the risks associated with surgery. You will be asked to sign consent forms to ensure that you fully understand the procedure you will undergo and any risks and potential complications.

Possible complications include:

  • Scarring
  • Bleeding (hematoma)
  • Infection
  • Changes in nipple or breast sensation, may be temporary or permanent
  • Capsular contracture, which is the formation of firm scar tissue around the implant
  • Implant leakage or rupture
  • Wrinkling of the skin over the implant
  • Anesthesia risks
  • Fluid accumulation
  • Pain, which may persist
  • Deep vein thrombosis, cardiac and pulmonary complications
  • Possibility of revisional surgery

Even when complications occur, they do not impair breast health. Careful review of scientific research conducted by independent groups such as the Institute of Medicine has found no proven link between breast implants and autoimmune or other systemic diseases.

Breast implants are not guaranteed to last a lifetime and future surgery may be required to replace one or both implants. Pregnancy, weight loss and menopause may influence the appearance of augmented breasts over the course of your lifetime.

COST

A quote will be provided to you after your consult with Dr. Alexander. Cost is always a consideration in elective surgery. We offer patient financing plans, so be sure to ask.

Costs include:

  • Surgeon’s fee
  • Operating room and supplies
  • Prescriptions for medication
  • Medical tests
  • Anesthesia fees

IMPORTANT TERMS TO KNOW

  • Anesthesia—General: The patient is asleep, requiring that the airway be protected, either by a standard breathing tube, or by a laryngeal mask (LMA), an inflatable mask that goes in the back of the throat but doesn’t go down the trachea. Through the airway, an anesthesiologist gives gases to put the patient asleep. Drugs may also be given through the iv.
  • Anesthesia—Local: The surgical area is numbed up with an injection, but the patient is awake. Sometimes a patient will be given an oral medication, like Valium, to help with relaxation.
  • Anesthesia— Sedation (Twilight): The patient is made sleepy with medications given through an iv. The level of sedation can be adjusted, from barely sleepy to very sleepy. Sometimes sedation is given by the surgeon, but most of the time it is administered by an M.D. Anesthesiologist.
  • Areola: Pigmented skin surrounding the nipple.
  • Breast Implants: Medical devices placed in your body to enhance an existing breast size or to reconstruct your breast. Breast implants fall into two categories: saline breast implants and silicone breast implants.
  • Capsular contracture: A complication of breast implant surgery, which occurs when the capsule of thin scar tissue that normally forms around the implant tightens and squeezes the implant making the breast become firm.
  • Incision—Axillary: Incision made in the underarm area.
  • Incision—Inframammary: An incision made in the crease under the breast.
  • Incision—Periareolar: An incision made at the edge of the areola.
  • Mammogram: An x-ray vision of the breast
  • MRI: Magnetic Resonance Imaging; a painless test to view tissue similar to a CT scan.
  • Saline implants: Breast implants filled with salt water.
  • Silicone implants: Breast implants filled with an elastic gel.
  • Submammary or subglandular placement: Breast implants placed directly behind the breast tissue, over the pectoral muscle.
  • Submuscular or subpectoral placement: Breast implants placed under the pectoral muscle, which is located between the breast tissue and chest wall.
  • Ultrasound: A diagnostic procedure that projects high frequency sound waves into the body and records the echoes as pictures.
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Breast Augmentation





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