Breast Augmentation

What is breast augmentation?

Many patients express a desire to have more fullness in the upper half of their breasts, more cleavage, and a better appearance both clothed and bare. Breast augmentation surgery can enhance the size, shape, or balance of your breasts. Patients seek augmentation for many reasons, but some of the most common include:

  • Underdevelopment of breast tissue
  • Post-pregnancy and post breastfeeding loss of volume and shape
  • Age-related loss of breast tissue and droopy breast shape

Your initial consultation will involve an introduction to Dr. Eckhaus, our practices, and a detailed discussion about the surgery. Decisions will be made about size, implant location, and the location of scars as well as the recovery and surgery aftercare.

The Surgery

Breast augmentation surgery is performed under general anesthetic, takes roughly 1.5 hours and requires no overnight stay.

After Your Surgery

Most patients are very comfortable immediately following surgery because of the local anesthetic used at the time of the surgery. Here are some additional things to expect following your surgery:

  • A compression garment is left on for 3 days and changed daily thereafter. 
  • The majority of the initial swelling subsides within the first 4 weeks.
  • You should refrain from upper body exercise for 4-6 weeks, but may begin lower body exercises after 2 weeks.
  • Patients typically require 1-5 days of downtime.
Pre-Operation & Post-Operation Recovery Guide

For women who are concerned their breasts are too small due to insufficient development, disease or deflation after pregnancy and breast feeding, breast enlargement using implants may be an option. Breast enlargement or augmentation is the surgical procedure used to increase the size of breasts and in some cases address obvious inequalities in size between the breasts.

Initial Consultation

Consultation time required: New patient 30 mins.

Approx. total cost: Provided after consultation.

Usual length of operation: 1 ½ hours

Usual length of stay: Day stay

Type of anaesthesia (usually) General.

Are there permanent scars? Yes. Short, usually just under the breast in the natural fold, but it may also be placed around the lower areola.

Pre-Operative Instructions

Preoperative Instructions: No aspirin two weeks before, fast according to instructions, take usual meds with a sip on the day of surgery. If you get ill, i.e. flu before surgery, notify us.

Post-Operative Course

On discharge: Go home to rest under supervision, drink well, take antibiotics and pain meds as directed, start a light diet if you feel able to.

Next Day: Mobilize around the house, rest, drink well, take meds as directed, we encourage walking.

Day 2 – 7: Increase mobility as you feel better.

After Day 7: Return to all but heavy exercise and work.

When is my first pos-top visit? Usually about 3-5 days after surgery.

Is there pain? Expect moderate pain – will need painkillers for some days.

Is there swelling? Yes, especially first 3 days.

Is there bruising? Usually not, but occasionally.

Are there stitches to be removed? No, all of the stitches are dissolving.

Are there dressings? Yes, skin tapes on the wound and a compression garment.

How do I manage these? Leave them. Keep them clean.

Can I shower? After your first post operative visit on day 3 and the initial compression wrap is removed.

When can I see people without surgery being obvious? Immediately following your stay in the recovery room you get dressed and feel fairly comfortable.

When can I drive? Must be able to see clearly, be off strong painkillers and able to move comfortably, usually 1-5 days.

When can I go back to work? Office work 2-7 days. Heavy lifting jobs: 14-21 days, depending.

When can I exercise? lower body 2 weeks after surgery, upper body 4 weeks after surgery.

When can I resume heavy lifting, etc? 4 weeks after surgery.

Things I should phone about: Pain not controlled by the medication. Sudden swelling and pain on one side or the other. Vomiting or unable to take plenty of fluids.  Excessive oozing from the wound or dressings.  Fever over 38 degrees.  Difficulty breathing well.  Progressive swelling or redness in the area of surgery.  Any other worries.

First Post-Operative Visit

What we do: We check you and the wound. Keep the wounds taped until steri strips fall off (usually 10-14 days).

Sutures: Dissolving.