Breast Augmentation Frequently Asked Questions

1. Is it safe to have implants if having a  baby or should I wait?

Your timing of breast augmentation is a personal decision, but there are also pros and cons, please read below for more information:


PRE PREGNANCY 
Pro -  Enjoyment of breast enhancement (photos, appearance in and out of photos, etc...)
Con -  Pregnancy often changes shape and volume of the breasts which may require a second procedure.

POST  PREGNANCY
Pro -  your breast changes can be compensated in procedure
Cons -  during this time period you will forego the benefits of improved breast appearance  

I recommend that you make several consultative appointments with Plastic Surgeons who are experienced and Certified by the American Board of Plastic Surgery. In addition ideally they are members of the American Society for Aesthetic Plastic Surgery (denoting by membership as having met additional criteria and a focus on Cosmetic Plastic Surgery).

 

2. Non-Narcotic Pain Medication for Breast Augmentation?

Hello, Asumming gentle surgical techniques here are several intraoperative procedures to reduce postoperative pain.

LOCAL INJECTION OF MEDICATION:
1) Bupivcacaine  
2) Exparel is along acting injectable Bupivacaine .
Price difference is significant.
Both can be injected locally.

NON NARCOTIC PAIN PUMP
A pain pump us a mechanical device where there is a external "pump" through which thin catheters are inserted into the surgical site. For the next several days the local anesthestic agent (usually Bupivacaine) is release at constant flow. The thin catheters need to be removed in 3-4 days .

Contrasting the two:
Exparel
1)one time local injection
2) works only where injected
3)longer 1/2 life of Bupivacaine (effects last longer)

Non narcotic pain pump 
1) a external delivery system through small catheters 
2) can diffuse throughout the surgical site: in breast augmentation or abdominoplasty the anesthestic (Marcaine) fluid can disperse throughout the entire surgical pocket and theoretically cover more area  in contrast to direct injection of the Exaparel or Bupivacaine in certain ares thus is only effective where locally injected.
3) Some pumps have a "on demand" function where additional local anesthetic volume can be intermittently delivered (with a corresponding lock out period so as not overdose).

I personally perfer the pain pump for long term pain relief (3-4 days) and  perform local injection of local anesthestic on almost every surgical case. I provide a pain pump to all my abdominaloplasty patients. The pain pump is optional for all other procedures.

I trust you have chosen a experienced Plastic Surgeon who is Certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (denoting by membership as having met additional criteria and a focus on Cosmetic Plastic Surgery).

 

3. Would I be able to get a breast augmentation now and in a year or so go forward with a lift?

Nothing substitutes for a personal evaluation, a review of your medical history/medications and a face to face discussion of your options.

Unfortunately with out a exam of your tissues I can can only comment based solely your photos. However, hopefully you will find them helpful.

The timing of when to perform a mastopexy is entirely dependant on the patients needs, wants and desires. Having a breast augmentation does preclude a a future mastopexy.

Mastopexy following a breast augmentation is often done following:
1. massive weight loss
2. Pregnancy
3. Borderline pre augmentation need for a mastopexy
4. Large implant placement and normal resulting sag (ptosis)

 I recommend that you schedule several consultative appointments with Plastic Surgeons who are experienced and Certified by the American Board of Plastic Surgery. In addition ideally a members  of the American Society for Aesthetic Plastic Surgery (denoting by membership as having met additional criteria and a focus on Cosmetic Plastic Surgery).

 

R. A. Hardesty, MD, FACS

Diplomate and Certified by the American Board of Plastic Surgery

Awardee: Real Self Top 100

wwwimagineplasticsurgery.com

4646 Brockton Ave

Riverside, Ca 92506

(951) 686-7600 

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