256-340-5188
1206 Somerville Rd
Decatur, AL 35603
256-340-5188
1206 Somerville Rd
Decatur, AL 35603
Before
After
300 Round Filled To 330 cc
Before
After
300 Round Filled To 330 cc
Before
After
300 Round Filled To 330 cc
The basic goal of augmentation mammaplasty is to increase the size of the breasts using a implant. An additional goal is to make the augmentation look natural. I can only roughly estimate changes in bra size and I don’t make any guarantees about changes in bra size. My goal is to increase the size of your breast and form a breast that maintains natural contours and matches the size of your body.
Before
After
300 Round Filled To 300 cc
Before
After
300 Round Filled To 300 cc
Before
After
300 Round Filled To 300 cc
During your initial consultation we will discuss all of the aspects of the operation and how it relates to you. We will have a second visit that is the pre-operative visit where I will answer all of your final questions, write the prescriptions for the medicines you will need after the surgery and you will do your pre-operative visit at the hospital.
This is not an insurance covered case unless the augmentation is related to congenital or developmental deformities and asymmetries of the breast.
The plan for the operation starts with selecting the proper incision to place the implant. Most of the time I will use an incision on the bottom of the breast. In some patients I will use an incision at the lower edge of the areola. Since I use textured saline implants, it is important for me to have an incision that allows for precise dissection of the pocket for the implant and allows for precise positioning of the implant.
The picture on the left shows the placement of the saline implant under the chest wall muscle, the Pectoralis Major muscle. Placement of saline implants under the muscle makes them look and feel better, especially in thin women. Placement of the implant under the muscle is what contributes most to the postoperative discomfort. Compare the picture on the right which shows the implant below the breast gland but in front of the chest wall muscle.
Before
After
Before
After
The operation is done as an outpatient procedure or day-surgery at Decatur Morgan Hospital using general anesthesia. It is done in the main operating rooms at Decatur Morgan Hospital and takes just over 2 hours to perform. We do the operation in the morning and you will get discharged to home late in the afternoon or the early evening. You will go home with a drainage tube in each breast to remove postoperative blood and fluid so it does not accumulate in the breast around the implant.
Before
After
All patients are unique and the response to post-operative discomfort is variable, but augmentation mammaplasty is associated with some postoperative discomfort. The discomfort is related to the work done under the chest wall muscle, not the skin incision. Most patients state that the discomfort feels like tightness and soreness in the chest wall muscle under their breasts. It feels like you did a lot of bench press weight lifting the day before. There is a lot of discomfort for 2 to 3 days, then moderate tenderness out to 5 days and then by 7 days there is only mild soreness. Most patients take the narcotic medicine for 3 or 4 days and then switch to Tylenol for pain. Some patients take a narcotic medicine for 1 or 2 weeks after the surgery. As I said, patients are all unique and their pain tolerance is very different. Almost all patients feel normal by 4 weeks.
Before
After
350 Shaped Implants Filled To 370 cc
Before
After
350 Shaped Implants Filled To 370 cc
Before
After
350 Shaped Implants Filled To 370 cc
For a desk job that does not require any heavy lifting you should expect to be away from work for 1 week. Some women have gone back to a desk job in as little a 5 days. For a job that requires physical exertion or heavy lifting you should expect to be away from work for 2 weeks. An additional 1 to 2 weeks of a light duty job, if that is available, is beneficial to limit a lot of chest wall muscle contraction and allow the implant to set in position.
You will come to the office 2 days after your surgery and you need to arrange for someone to drive you to this appointment because you will be sore and on narcotic medications. At this first postoperative check I will change your dressings and remove your drain tubes. Removing the tubes pinches and burns a little but is not terribly painful. You will go home with a light gauze dressing over your drain removal site that you can remove the next day. I do not use any special postoperative surgical bras because you will come out of the operation with special tape on your breasts that will help hold the implants in position.
You can take a full shower 24 hours after you drains are removed. You will take off your dressings and shower, soapy water will not hurt your incisions, pat yourself dry. The special tape remains on your skin for 7 to 10 days.
Your next appointment will be in 1 week. At this appointment we will discuss removing the tape on you skin and allowing you to shop for a supportive bra. The first bra you will have to buy is a tight supportive "cross your heart" type of bra. The next appointment will be in about 1 weeks to check your bra.
Your next appointment will be in approximately 1 to 2 weeks. After that I will see you again in approximately 2 months and then again at 6 months and finally 12 months from your surgery and do a final assessment of your size and shape, assess the quality of your scars and get your final opinion on the surgery. You will be on our computer recall list and I will want to examine you annually to make sure you are doing well with your implants.
Before
After
330 Round Implants Filled To 360 cc
Before
After
330 Round Implants Filled To 360 cc
Before
After
330 Round Implants Filled To 360 cc
Generally you can resume all of you normal activities, including physical exertion and exercise after 4 weeks. Mammograms should be continued as usual after a augmentation mammaplasty if you are at the age where you were getting mammograms. You should wait at least 6 months after a augmentation mammaplasty before getting another mammogram to allow postoperative density changes in the breast to soften and resolve.
Before
After
350 Shaped Implants Filled To 370 cc
Before
After
350 Shaped Implants Filled To 370 cc
Before
After
350 Shaped Implants Filled To 370 cc
© 2005 - 2020 Gordon M. Telepun, MD
Providing care to patients in Decatur, Huntsville, Madison, Hartselle, Florence, Muscle Shoals
Photographs May Not Be Reproduced, Written Text and Descriptions are Copyrighted and May Not Be Reproduced