Breast enhancement, breast enlargement, breast augmentation (aka mammoplasty and colloquially known as a “boob job”) is plastic surgery designed to increase size, change shape, or alter the texture of a woman’s breasts.
Breast enhancement surgeries are the most popular cosmetic procedures among women. Have the effects of gravity, age, or childbirth taken their toll on your figure? Have you always wanted larger, fuller breasts? If so, you are not alone! But, our doctors and staff can help you get the figure you’ve always wanted or reclaim your youthful figure.
Generally, breast augmentation surgery requires about an hour. The procedure is done under general anesthesia or deep intravenous sedation with local anesthetic. In a healthy patient, there is no significant difference in terms of recovery or risks.
Surgical incisions most commonly used are made just above the lower breast crease or fold (submammary), along the margin of the areola (periareolar) or in the arm pit (axillary). A small percentage of plastic surgeons may use the belly button (transumbilical) incision for remote placement of a saline implant, but this has some limitations.
Following surgery you can be up and about within a day. In about 3 to 5 days, you may be ready to return to normal but non-strenuous activities or work. During recovery, avoid strenuous activities and heavy lifting for 4 to 5 weeks. In the first 3 to 4 days, pain medication is prescribed to relieve discomfort. The submuscular procedure with placement of the implant below the chest muscle normally causes more discomfort than the subglandular procedure during the first week. Usually, after 4 to 6 weeks those with very physically active lifestyles will have no restrictions.
After breast enhancement surgery, there will be some swelling, possibly bruising. It is likely the breasts will have varying degrees of firmness or tightness. The implants may appear to ride high on the chest and appear somewhat top heavy, therefore, it is important to understand the augmented breasts change in shape over time. In addition, the appearance of the breasts soon after surgery will be different than at 1, 3 or 6 months after the operation.
Breast skin, breast tissue, and the chest muscle (if the implants are submuscular) require time to relax, stretch and conform to the presence and contour of the implant. As the swelling decreases and the tissues relax, the implants settle and usually drop some to result in a more natural appearance.
Depending on the patient, the end appearance of the breasts may not be reached until 4 to 6 months after surgery. Normally, the breast will also soften to have a more natural feel and texture over time. Most of the time, change is typically seen in the first three to four months.