Breast Augmentation Questions
denver and lone tree, colorado
Plastic Surgeon, Dr. David Broadway has received extensive, specialized training and certification which sets him apart from other cosmetic surgeons.
Dr. Broadway has four Board Certifications
He has completed residencies and a fellowship in four specialties relating to cosmetic surgery. Dr. Broadway is one of the few plastic surgeons who has achieved four separate Board Certifications: American Board of Plastic and Reconstructive Surgery, American Board of Facial Plastic and Reconstructive Surgery, American Board of Cosmetic Surgery, and the American Board of Otolaryngology (Ear, Nose & Throat, Head and Neck Surgery)
What is breast augmentation?
Breast Augmentation, technically known as augmentation mammoplasty, is a surgical procedure to enhance the size and shape of a woman’s breast:
- To enhance the body contour of a woman who, for personal reasons, feels her breast size is too small.
- To correct a reduction in breast volume after pregnancy.
- To balance a difference in breast size.
- As a reconstructive technique following breast surgery.
By inserting a breast implant behind each breast, surgeons are able to increase a woman’s bustline by one or more bra cup sizes. Breast augmentation surgery is one of the most in-demand aesthetic procedures performed in the United States. Because a woman’s breasts — natural or surgically modified — are an integral part of her physical and emotional identity, it’s important to point out what breast augmentation can and cannot do. Some women approach this surgery unrealistically, thinking that a bigger, more shapely bustline will change their lives in extraordinary ways. The procedure can give you greater self-confidence, which in turn may change the way that people respond to you.
Tell me more about breast augmentation surgery.
In your initial consultation, plastic surgeon, Dr. Broadway will evaluate your health and explain which surgical techniques are most appropriate for you, based on the condition of your breasts and skin tone. Be sure to discuss your expectations frankly with Dr. Broadway and he will describe your alternatives and the risks and limitations of each. Dr. Broadway’s staff will give you instructions to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins and medications. While making preparations, be sure to arrange for someone to drive you home after your surgery and to help you out for a few days, if needed.
The surgery will be performed at one of our plastic surgery centers. The surgery itself takes approximately 1-1/2 hours and stitches are used to close the incisions and may also be taped for greater support. A bandage may be applied over your breasts to help with keeping the implants settled. You’re likely to feel tired and sore for a few days following your surgery, but you’ll be up and around in 24 to 48 hours. Most of your discomfort can be controlled by medication. You will be given detailed instructions in caring for your incisions and when to remove your bandages. As you begin to heal, you will experience different sensations as your nerves heal. Everyone heals differently and some patients do not experience any of these symptoms at all. Remember that you will have surgery on two breasts and each one will heal differently than the other.
Most patients are able to return to work in a week, depending on the level of activity required for your job. You may begin driving once you are off your pain medication for 24 hours. Follow Dr. Broadway’s advice on when to begin exercises and normal activities. Your breasts will probably be sensitive to direct stimulation for two to three weeks, so you should avoid much physical contact. After that, breast contact is fine once your breasts are no longer sore, usually three to four weeks after surgery. Your scars will be firm and pink for at least six weeks. Then they may remain the same size for several months, or even appear to widen. After several months, your scars will begin to fade, although they will never disappear completely. Routine mammograms should be continued after breast augmentation for women who are in the appropriate age group, although the mammographic technician will use a special technique to assure that you get a reliable reading.
What are the risks of breast augmentation surgery?
As with any operation, there are risks associated with this procedure. Fortunately complications are very unusual. Capsular contracture occurs if the scar or capsule around the implant becomes thickened and tightens around the implant. This can cause the implant to feel hard or to become misshapen. This can be treated by removal or scoring of the scar tissue. This occurs in less than 5% of cosmetic breast augmentation patients. As with any surgical procedure, excessive bleeding following the operation may cause some swelling and pain. If excessive bleeding occurs, another operation may be needed to control the bleeding and remove the accumulated blood. This is a very rare complication. Postoperative infection is uncommon, but possible. We reduce this to a minimum by giving intravenous antibiotics during surgery and oral antibiotics after surgery. Most infections are mild and resolve without incident. If a serious infection develops, the implant will probably need to be removed. The implant can then be replaced with a new implant several weeks later. Nerves that supply skin or nipple sensation may be cut or damaged while the pocket or space for the implant is being created. If sensory loss occurs, the nerves slowly recover over a period of 1-2 years in about 85% of cases. If for any reason the valve or implant covering fails, the saline will leak and be excreted by your body. This causes no medical harm, as the saline fluid in the implant is the same fluid used in intravenous injections. The implant will need to be replaced in a secondary procedure. The implant manufacturer guarantees the implants.
When the surgery is completed, you will be taken into a recovery area where you will continue to be closely monitored. There may be some discomfort, but this can be controlled by medication which you may continue take at home. A compressive dressing such as an elasticized bandage or specially designed garment may have been placed over the areas that were suctioned. Dr. Broadway will tell you how long you should wear the garment and will instruct you on how to remove it so that you may shower or bathe.
What type of implants do you use for breast augmentation?
Dr. Broadway currently offers both saline and silicone gel implants. There are different styles and shapes available and during your consultation we will show you the different types available. A recommendation of the type, style and size range will be made to you based on your measurements, body type and your goal of what you are seeking. We will work with you to achieve your goals.
Dr. Broadway has been offering his breast augmentation patients high cohesive silicone gel breast implants since 2002, years before they were approved by the FDA, and before other Denver-based surgeons were able to offer them. These gel implants are pre-filled and they feel more natural, have fewer wrinkles and are lighter in weight. They are semi-solid and will keep their shape should the shell rupture. During your consultation, pros and cons will be reviewed with you.
Dr. Broadway was one of the first six plastic surgeons nationally chosen to participate in the breast implant study with Sientra. The study was very successful and we have been very pleased with the results. Dr. Broadway feels very comfortable offering his patients MemoryGel and Sientra high strength silicone gel implants.
What happens during a breast augmentation consultation?
The consultation is a vital part in making your decision on whether you should have breast augmentation surgery. Plan on spending approximately 1.5 hours meeting with Dr. Broadway and his staff. During the consultation, you will:
- Be asked to fill out a detailed medical history form. This will give Dr. Broadway an opportunity to assess if you are a good candidate for surgery. He will also discuss your past surgical experience and current medical status.
- Dr. Broadway will meet with you and discuss the surgery itself and the risks involved. He will review the different implants available and you will be able to see and touch them. This is a good opportunity to ask any questions or concerns you may have about the surgery.
- Dr. Broadway and a Patient Coordinator will examine you and thoroughly measure you. Based on this examination, a recommendation of implant styles & sizes will be made to help you get the cup size you desire. You will also have an opportunity to try on the implants.
- After the examination, the Patient Coordinator will show you before & after pictures and will go over a final quote of your surgery fees and explain what is needed to schedule your surgery. You can schedule your surgery then or can call us after you have had time to consider your options. We will do everything we can to make you feel comfortable in your decision and share with you any other information you require.
Is there another option for a breast augmentation consultation?
If you have been thinking about breast augmentation cosmetic surgery for the last couple of years, you know it is a very difficult decision to make. There are many questions you have about the surgery, the implants and recovery. A consultation with a board-certified plastic surgeon is your first step to learn more about this surgery and learn more about the physician. However, you are ready to see the doctor NOW, and you do not want to wait 4-8 weeks for a consultation. Unfortunately, there are times it can take that long for your appointment. As a convenience to our patients, you can now meet with our Patient Advocate for your first consultation. This complimentary consultation is very informative and you will learn so much about the complete process. This is truly a one-on-one educational experience from someone who has been through the process herself. She can share her personal experience as well as give good concise information.
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The decision to have breast augmentation surgery is a very personal one, and it is also an important medical decision. To have a detailed discussion, schedule a breast augmentation consultation at Broadway Plastic Surgery today.