Initial consultation appointment
During your initial consultation, you will have the opportunity to discuss your cosmetic goals. Your surgeon will assess your candidacy for breast augmentation in Mumbai and will explain the procedure's benefits. Alternative and complementary treatments may be considered depending on your objectives and medical condition.
You should arrive at the consultation prepared to discuss your complete medical history. This will include the following information:
Previous surgical procedures
Historical and contemporary medical conditions
Allergies and current medications
You have been treated medically.
Medications you are currently taking
A family history of breast cancer
Recent mammogram results
Your smoking history, use of steroid medications, or any other factor that may affect healing
Your plastic surgeon will examine, measure, and photograph your breasts for medical records. Your surgeon will take the following into account:
The current size and shape of your breasts.
The desired size and shape of the breasts.
The quality and quantity of your breast tissue.
The quality of your skin.
The position of your nipples and areolas.
If your breasts are sagging, a breast lift may be recommended in conjunction with breast augmentation.
Notify your plastic surgeon if you intend to undergo significant weight loss. Prior to surgery, the surgeon may advise you to maintain a healthy weight.
If you believe you may wish to conceive in the future, discuss this with your surgeon. Pregnancy has an unpredictable effect on breast size and may compromise the long-term outcome of your breast augmentation. Although there is no evidence that breast implants will interfere with pregnancy or breastfeeding, you should consult your plastic surgeon if you have any concerns.
Your therapeutic approach
Your surgeon will provide you with recommendations and information based on your objectives, physical characteristics, and the surgeon's training and experience.
A surgical strategy, which may consist of a single procedure or a series of procedures.
The anticipated consequences.
The cost of the procedure.
Possible risks and complications.
Alternatives to general anaesthesia and surgical site.
What is necessary to prepare for surgery?
What to anticipate in the aftermath of surgery
Present before-and-after photographs of similar cases to yours and address any concerns; 3D imaging may be used to assist you in selecting the best implant for you.
The following are some pertinent questions to ask your cosmetic surgeon.
It is critical that you take an active role in your surgery; as such, please use the following list of questions to guide your initial consultation:
Is breast enhancement or enlargement the best course of action for me?
Are my desired outcomes reasonable and attainable?
Do you have any photographs of the procedure I'm about to undergo?
Will your breast augmentation procedure include a breast lift?
In my case, will the breast implants be positioned beneath the breast tissue or the pectoral muscle?
Will my scars be visible? Where will my scars be located? Is there any way I can minimize scarring?
Which type of implant would you suggest for me?
Which anesthetic would you recommend for me?
How much does breast augmentation cost in Mumbai?
What are your expectations of me in order for us to achieve the best results possible?
How long will it take for me to recover and when will I be able to resume normal activities?
How many additional implant-related procedures am I likely to have during the course of my life?
How can I predict how my implanted breasts will look over time? What happens following pregnancy? After breast-feeding?
What are the risks and complications associated with my procedure?
How are roadblocks overcome?
What options do I have if the cosmetic outcome of my breast augmentation falls short of the standards we established?
What will my breasts look like if I choose not to have the implants replaced in the future?
Preparing for Your Procedure
What preparations should I make for breast augmentation?
Your surgeon will provide detailed preoperative instructions, will answer all of your questions, will take a detailed medical history, and will perform a physical examination to determine your surgical fitness.
To assist you in detecting and tracking changes in your breast tissue, your plastic surgeon may recommend the following:
Prior to surgery, a baseline mammogram is recommended.
A mammogram is performed a few months after surgery.
To aid in healing, your surgeon will ask you to abstain from smoking for at least six weeks prior to your procedure.
Avoid aspirin and certain anti-inflammatory medications that have the potential to cause excessive bleeding.
Regardless of the type of surgery performed, adequate hydration prior to and following surgery is critical for a safe recovery.
You may be instructed to wear a special bra to expand the skin and tissue surrounding the breasts in preparation for breast augmentation with autologous fat transfer.
In most cases, breast augmentation surgery is performed as an outpatient procedure. Make arrangements for someone to drive you home and stay with you for at least the first night following surgery.
What can I expect on the day of my breast augmentation?
Breast augmentation can be performed in a hospital, an outpatient surgery centre, or an office-based surgical suite. Breast augmentation procedures take between one and two hours on average, but can take up to two hours longer if breast lifting is also performed.
Medications are administered throughout the surgical procedure to ensure your comfort.
While general anaesthesia is frequently used for breast augmentation procedures, local anaesthesia or intravenous sedation may be preferable in some circumstances.
Throughout the surgery, various monitors will be used to check your heart rate, blood pressure, pulse, and the amount of oxygen in your blood.
Your surgeon will perform the procedure according to the surgical plan that you and your surgeon agreed upon prior to surgery.
Following the procedure, you will be transferred to a recovery area where you will be closely monitored for the remainder of the day.
Sutures will be used to close the surgical incisions made during breast implant insertion and placement. Numerous plastic surgeons will bandage your chest area or dress you in a surgical compression bra to help with healing. Occasionally, drainage tubes may be used for a brief period of time following surgery.
Breast augmentation with autologous fat transfer requires liposuction and fat injection. Your plastic surgeon will perform liposuction to extract fat cells from a predetermined location, process the fat, and then inject it into your breasts. Your liposuction incisions will be closed with sutures, and you will wear compression garments over the liposuction areas and your breasts.
After a brief observation period, you may be discharged home unless you and your plastic surgeon have made alternative arrangements for your immediate post-operative recovery.
Your surgeon will discuss the timeline for returning to normal activity and work with you. Following surgery, you and your caregiver will receive detailed post-operative instructions, which will include the following:
Drains, if installed
Complications present in a variety of ways.
Following your breast augmentation procedure, you may be placed in a surgical dressing, which may include a support bra or garment.
Breast augmentation surgery causes stretching of the breast tissue and can be uncomfortable—especially when implants are placed beneath the chest muscle. The most discomfort is typically experienced within the first 48 hours following breast augmentation surgery. Your pain level should decrease gradually each day, and it can be effectively treated with a variety of pain medications.
Breasts may feel constricted and sensitive to touch, while skin may be warm or itch. It may be difficult for you to raise your arms.
Discoloration and swelling will occur initially, but will subside quickly. Within a month, the majority of residual swelling resolves.
As the anaesthesia wears off, you may experience some pain. Consult your physician if the pain is severe or persists for an extended period of time. Additionally, some redness and swelling will occur following the surgery. Consult your surgeon to ascertain whether your discomfort, redness, and swelling are normal or indicative of a problem.
Recovery Time Following Breast Augmentation
You should be able to walk independently immediately following breast augmentation surgery. Walking for a few minutes every few hours is critical to lowering your risk of developing blood clots in your legs.
It is critical that you follow your surgeon's patient care instructions to the letter. This will include instructions on how to wear compression garments properly, how to care for drains, when to take an antibiotic if prescribed, and the appropriate level and type of activity. Additionally, your surgeon will provide detailed instructions on how to properly care for the incision sites and any possible complications. It is critical to recognise that recovery times vary significantly between individuals.
The first week
For two to five days, you may experience stiffness and soreness in your chest region.
The surgical dressings will be removed within a few days. You may be instructed to wear a support bra.
Showering is permitted between one and seven days after surgery.
External sutures will be removed approximately one week after the procedure. If your surgeon used tissue glue or tape, it should fall off naturally within a week or two.
You may be able to return to work within a few days to a week, depending on the nature of your job.
Avoid lifting, pulling, or pushing anything that causes you pain, and limit strenuous activity or upper body twisting if this causes you discomfort.
Published by Dr Siddharth Prakash