During your consultation, several important issues will be discussed in detail. One is the type of implant you will choose—silicone or saline. Our experience dictates silicone implants generally feel more natural and have a smaller chance of skin wrinkling in thin women. Saline implants afford more size adaptability and may be the best choice for women with significant asymmetry. It should be noted that saline implants are less expensive than silicone. During your consultation with Dr. Kay, you will thoroughly discuss and be informed of the pros and cons of each implant type as it applies to your individual situation. You will then be led through an exercise to determine an appropriate and desirable size for your implants. Part of this decision making process involves trying on implants of various sizes to better assist you in making a choice you are comfortable with.
Then, with Dr. Kay’s guidance, you will determine incision placement—either around the lower edge of your areola (the pigmented skin surrounding your nipple), or underneath your breast just above the natural crease. A pocket is created for the implant either behind your breast tissue or behind the muscle between your breast and your chest wall (pre-determined during your discussion with Dr. Kay). The best area for placement depends primarily upon your anatomy. If you opt to place the implant underneath the chest muscle, a small catheter (as thin as a paper clip) is inserted during surgery that will infuse local anesthetic into the area for several days post-operatively. This will significantly decrease post-operative discomfort, enabling you to move around more freely, consequently speeding up your recovery time.
Following breast augmentation surgery, your breasts will be wrapped in a dressing and placed in a surgical bra, which we provide. You will need to wear a supportive bra for several weeks following the procedure. Typically you will be able to resume normal activities, except for lifting more than 10 pounds, within a week of surgery.