As a cosmetic surgeon, Dr. Quita Lopez believes that it is critical for patients to understand all aspects of their augmentation procedure, including the steps necessary before, during, and after surgery. As you learn more about the ins and outs of breast augmentation surgery, you will become more assured and comfortable with the procedure. Dr. Lopez firmly believes that only a knowledgeable patient will have the most successful procedure, and will be most satisfied with the end result of her breast augmentation in Fresno – Visalia.
If you have unanswered questions about the surgery, or would like to schedule a consultation at Dr. Lopez’s office in Fresno, call our office at (559) 440-9025 today.
Preparing for your Fresno Breast Augmentation Surgery
Prior to the day of your procedure, it is critical that you:
- Make sure that all of your questions have been answered.
- Complete the required blood tests as far in advance as possible (usually two to four weeks).
- Inform Dr. Lopez of any changes in your health or medication(s) prior to cosmetic surgery in Fresno, CA.
- Purchase bras to fit your chosen size. We recommend a black bra, without underwires, and with a back closure and adjustable shoulder straps.
- Arrange for a responsible adult to drive you to and from the Fresno office and plan to have a responsible adult stay with you during the first 24 hours after surgery.
- Notify our office where you will be staying so that Dr. Lopez can telephone you the evening after your surgery.
- Discontinue all aspirin, ibuprofen, naproxen, vitamins, herbs, and supplements for 10 days prior to the surgery. Dr. Lopez must be notified of all prescription medicines you take and she will advise you in writing which medicines are to be stopped and which are acceptable to continue preoperatively.
- Undergo, if age 35 or older, a mammogram and send the completed radiologists’ report to Dr. Lopez. Surgery will not be scheduled until this has been completed.
- Schedule your pre-operative visit to:
- Review all matters with the nurse.
- Finalize your chosen size of breast implant.
- Review lab results and mammogram (if applicable).
- Schedule your post-operative visits.
- Receive your medication instruction sheet.
Understanding the Surgical Procedure
The method of inserting and positioning your breast implant will depend on the type of implant you choose, your anatomy, and Dr. Lopez’s recommendations. During the breast augmentation surgery, every effort is made to ensure that the incision is placed so that resulting scars will be as inconspicuous as possible. Working through the incision, Dr. Lopez will lift your breast tissue and skin to create a pocket, either directly behind the breast tissue or underneath your chest wall muscle (submuscular). The implants are then centered beneath your nipples, and the insertion point is sealed. The procedure usually requires 60 to 90 minutes, with recovery time of about 30 to 60 minutes. On average you will stay at the office approximately 2 1/2 hours before being sent home following cosmetic surgery in Fresno, CA.
Steps taken during a breast augmentation procedure will vary depending on many factors. Here are the typical steps involved in an inframammary, submuscular procedure using saline implants:
- Local or general anesthesia is applied, depending on the patient’s selection.
- The doctor places a pre-operative mark around the breast crease or inframammary fold to locate the incision site.
- Your surgeon places an incision along the inframammary fold. The incision usually measures about three centimeters (or slightly over one inch) in length, and is made so that it will remain hidden in the crease of the beast. Precise placement depends on the patient’s pre-existing breast tissue characteristics, along with size of the implant.
- A small retractor is used to separate the skin, revealing the breast fat and breast gland.
- After exposing the pectoral muscle, the muscle is lifted, creating a pocket so that the implant can be placed underneath.
- Dr. Lopez then rolls up the implant and places it under the pectoral muscle. Note that if a silicone breast implant is used, implant cannot be rolled since it is filled prior to surgery—this is why a larger incision must be made to accommodate silicone implants).
- The saline implant is then filled through a tube attached to the implant, and after the desired volume is reached, the tube is extracted.
- Dr. Lopez then confirms the position of the implant by feeling its edges. The steps above are repeated for the other breast, and breast symmetry is ensured.
- The incision sites are closed with dissolvable stitches on three different layers of tissue.
- The surgical area is cleaned and the patient is placed in the Center’s private recovery area.
Recovery and Care Following Surgery
After your breast augmentation cosmetic surgery in Fresno, CA, it is important that you take the following steps to care for yourself and your implants, to avoid potential complications and speed recovery time.
- Have a responsible adult stay with you for at least the 24 hours following surgery.
- Take all medications as prescribed; you will receive an instruction sheet at the pre-op visit.
- Do not drive for at least 48 hours following your surgery. Never drive when under the influence of pain medication or muscle relaxants.
- Avoid any pushing, pulling, or lifting until authorized at your first post-op appointment.
- Call Dr. Lopez immediately if you have a temperature above 99.5 degrees, chills, or sweats. Also call for obvious swelling of one breast compared to the other, or if there is excessive bleeding at the incision sites. A small amount of bleeding is normal at the incision sites.
- Leave your bra on until your first post-op visit.
- Sponge bathe until after your first post-op visit. After this visit, most patients then will be permitted to shower.
- Do not submerge the incision sites until authorized to do so, usually seven to 10 days after surgery.
- Perform only light activity such as walking for the first 48 to 72 hours after surgery; thereafter you may increase activity as tolerated.
- Most patients resume work one week after the operation. If your job is physically demanding, you may require more time for recovery.