Breast augmentation is a surgical procedure performed to enhance the size and shape of a breast. This procedure involves inserting an implant behind each breast to increase the bust size by one or more bra cup sizes. Prospective patients should know not to expect perfection, per se, but to most definitely expect improvement.
What makes Dr. Byun’s technique different from other surgeons?
Dr. Byun wants the outcome of breast augmentation surgery to look natural, not artificial. He uses three sites for incisions: the axillary, the areola, and the inframammary fold. All three incisions sites are chosen in order to result in minimal scarring. Between the breast tissue and the skin is a pocket where the implant will be placed. The implant itself will be inserted either behind the breast tissue or the muscle of the chest wall, though Dr. Byun often opts to inserts the implants beneath the muscle because he believes it makes the look breasts more youthful and natural. The implants are then centered beneath the nipples to conclude the surgical procedure.
Breast Augmentation Procedure
We have provided a sample copy of an Operative Report. The procedure is subject to change per the patients needs.
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.
Breast Augmentation Recovery
Right after surgery you will need to refrain from heavy lifting and straining your chest or arms by pushing or pulling heavy objects. You should not lift your arms above your shoulders prior 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 Micro-foam 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.
How much done time is involved?
Most patients feel soreness and pain for several days following surgery. 48 hours after surgery, however, gauze dressings may be removed, and you may shower. Ten days after the conclusion of surgery, Dr. Byun will conduct a follow-up appointment, where he will remove sutures and inform you of massage techniques to perform at home to expedite the recovery process. Dr. Byun recommends purchasing a sports bra with a zipper in front to wear for the weeks of healing. Swelling may need three to five weeks in order to fully dissipate. Though you may return to work in about three to four weeks, excessive work or lifting should be avoided for a few months.