Breast Enlargement: Before Your Surgery

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What is breast enlargement?

In breast enlargement surgery, the doctor makes the breasts larger by putting an implant under the breast tissue and often under the chest muscle. An implant is a soft silicone shell filled with a saltwater solution or a gel.

Your doctor will make a cut, called an incision. Then the doctor will put in the implant and adjust it to the correct shape, size, and position. Then the incision is closed.

You may have a breast lift at the same time as the breast enlargement. A breast lift is also called mastopexy. It can raise sagging or drooping breasts. It can also pull up the nipple and the area around it.

You will probably be asleep during surgery. You may be able to go home the same day. Depending on the type of work you do, you should be able to go back to work or your normal routine in 1 to 2 weeks. The incisions leave scars. But the scars will fade with time. Your doctor will try to make the incisions in line with the curve of your breast as much as possible.

Your new breasts may feel firmer and look rounder. It is very important to understand that your breasts will look and feel different after surgery. You will have scars where the doctor made the incisions in your skin. The skin on your breasts may be numb. This usually gets better with time. But you may always have some loss of feeling in the nipple area.

Most breast implants don't last a lifetime. Over time, you may need surgery to remove or replace your implants.

How do you prepare for surgery?

Surgery can be stressful. This information will help you understand what you can expect. And it will help you safely prepare for surgery.

Preparing for surgery

 
  • Be sure you have someone to take you home. Anesthesia and pain medicine will make it unsafe for you to drive or get home on your own.
  • Understand exactly what surgery is planned, along with the risks, benefits, and other options.
  • If you take a medicine that prevents blood clots, your doctor may tell you to stop taking it before your surgery. Or your doctor may tell you to keep taking it. (These medicines include aspirin and other blood thinners.) Make sure that you understand exactly what your doctor wants you to do.
  • Tell your doctor ALL the medicines, vitamins, supplements, and herbal remedies you take. Some may increase the risk of problems during your surgery. Your doctor will tell you if you should stop taking any of them before the surgery and how soon to do it.
  • Don't smoke. Smoking can delay recovery. Stop smoking for at least a month before surgery. If you need help quitting, talk to your doctor about stop-smoking programs and medicines. These can increase your chances of quitting for good.
  • Make sure your doctor and the hospital have a copy of your advance directive. If you don't have one, you may want to prepare one. It lets others know your health care wishes. It's a good thing to have before any type of surgery or procedure.

What happens on the day of surgery?

  • Follow the instructions exactly about when to stop eating and drinking. If you don't, your surgery may be canceled. If your doctor told you to take your medicines on the day of surgery, take them with only a sip of water.
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    Take a bath or shower before you come in for your surgery. Do not apply lotions, perfumes, deodorants, or nail polish.
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    Do not shave the surgical site yourself.
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    Take off all jewelry and piercings. And take out contact lenses, if you wear them.

At the hospital or surgery center

  • Bring a picture ID.
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    Your doctor will use a marker to draw lines on your breasts. He or she will use the lines during surgery to reshape your breasts.
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    You will be kept comfortable and safe by your anesthesia provider. The anesthesia may make you sleep. Or it may just numb the area being worked on.
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    The surgery will take about 1 to 2 hours.

When should you call your doctor?

  • You have questions or concerns.
  • You don't understand how to prepare for your surgery.
  • You become ill before the surgery (such as fever, flu, or a cold).
  • You need to reschedule or have changed your mind about having the surgery.

Where can you learn more?

Go to https://www.healthwise.net/patientEd

Enter U777 in the search box to learn more about "Breast Enlargement: Before Your Surgery".

The Health Encyclopedia contains general health information. Not all treatments or services described are covered benefits for Kaiser Permanente members or offered as services by Kaiser Permanente. For a list of covered benefits, please refer to your Evidence of Coverage or Summary Plan Description. For recommended treatments, please consult with your health care provider.