PREPARING FOR YOUR SURGERY
You will be given specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking and taking or avoiding certain vitamins and medicines.
If you smoke, plan to quit at least two weeks prior to the surgery and not resume smoking for at least two weeks after your surgery. Avoid overexposure to the sun before the surgery, especially on the abdomen, and do not go on astringent diet, as both can inhibit your ability to heal. If you develop a cold or infection of any kind, it is important to inform the surgeon, as your surgery may need to be postponed.
You will need to arrange for someone to collect you after your surgery, as you will be unable to drive. It is also advisable to have someone to stay with you for a few days to help you out, if needed.
BEFORE YOUR BREAST AUGMENTATION PROCEDURE
In the week before your breast augmentation surgery with LCAS, you should not take any medications containing aspirin (acetylsalicylic acid), since these products affect the blood clotting mechanism and therefore may lead to excessive bleeding during and after surgery, hence resulting in increased bruising. Taking high doses of vitamin E preparations, eating large amounts of garlic and consuming alcohol can also produce the same result and should be avoided. If pain medication is necessary, we recommend you take ibuprofen/paracetamol. It is in your own best interests to quit smoking, at least two weeks before and until 2 weeks after surgery. It is well known that smoking causes narrowing of the blood vessels, which leads to a decreased blood supply to the skin, thus slowing and interfering with the healing process. Be sure to inform your surgeon of any medications you take, as well as possible allergies including (drug, latex, plasters etc). Your surgeon will decide whether preliminary examinations are necessary, such as blood tests, an electrocardiogram, or x-rays of the lungs. If this is the case, these tests should be performed several weeks before the surgery. It is best not to wear any makeup when you come in for your operation, and to tie your hair back if possible.
THE BREAST AUGMENTATION PROCEDURE
Your operation will be performed at the London Centre for Aesthetic Surgery clinic, under sedation, so you’ll sleep through the entire operation. You will need to arrange someone to collect you from the clinic as driving and using public transport are to be avoided for 48hrs after the operation.
The method of inserting and positioning your implant will depend on your anatomy and your surgeon’s recommendation. Several incisions can be used to allow the placement of the breast implant. The most common incision is about 5cm long, close to the infra-mammary fold (crease of skin beneath the breast). This allows good access to correctly position the breast implant whilst placing the scar in an area that usually heals well and is not obviously seen. Incisions can alternatively be placed in the axilla (armpit) or around the nipple. Each incision has advantages, and your surgeon will explain why he has chosen to use a particular incision.
Working through the incision, the surgeon will lift your breast tissue and skin to create a pocket, either directly behind the breast tissue or underneath your chest wall muscle (the pectoral muscle). The implants are then centred beneath your nipples.
The use of drains is variable and depends on the position of the implant, the amount of bleeding and whether any additional surgery has been carried out. They may come out of the scar or through a separate tiny incision. If drains are used, they will usually come out the day after the operation. If a large amount of fluid is drained, then the drains may stay for several days until this amount has reduced to an acceptable level.
The surgery usually takes one to two hours to complete. Stitches or skin glue are used to close the incisions, your new breast will then be taped up for greater support.
AFTER THE BREAST AUGMENTATION PROCEDURE
You’re likely to feel tired and sore for a few days following your breast augmentation surgery, particularly when the arms are moved, but you’ll be up and around in 24 to 48 hours. Most of your discomfort can be controlled by medication, which you will be given.
On the day of discharge, you will be given an information sheet and be asked to attend to have your dressing removed one week after the operation. At that appointment, the dressings will be removed by a nurse and the wound checked. You will only see a doctor if there is a problem. You will then be permitted to shower but it is inadvisable to soak in the bath with the wounds submerged for at least three weeks. The stitches are removed at two weeks. A further appointment will also be made to see the doctor between six and twelve weeks following the surgery.
After the dressings have been removed, you will be asked to wear a sports bra day and night to support the prosthesis for the first six weeks. It is advisable to continue to wear a bra during the day long-term in order to maintain your breast shape. After two weeks you may go back to non-physical employment and resume driving a