Cosmetic Procedures/Photos
- Breast Augmentation -
 
Click any image for a larger view.
Before After
Age: 21
Implants: 270 cc
(inflated to 310 cc)
Before After
Age: 19
Implants: 390 cc
(inflated to 400 cc)
Before After
Age: 19
Implants: 330 cc
(inflated to 380 cc)
Before After
Age: 30
Implants: 350 cc
(inflated to 380 cc)
Before After
Age: 38
Implants: 275 cc
(inflated to 300 cc)
Before After
Age: 23
Implants: 300 cc
(inflated to 330 cc)
Before After
Age: 29
Implants: 375 cc
(inflated to 400 cc)
Before After
Age: 33
Implants: 325 cc
(inflated to 345 cc)
Before After
Age: 33
Implants: 390 cc
(inflated to 440 cc)
Before After
Age: 34
Implants: 375 cc
(inflated to 420 cc)
Before After
Age: 22
Implants: 360 cc
(inflated to 390 cc)
Before After
Age: 44
Implants: 330 cc
(inflated to 350 cc)
Before After
Age: 19
Implant: 330cc
Inflation: 360cc
Before After
Age: 22
Implant: 330cc
Inflation: 370cc
Before After
Age: 23
Implant: 300cc
Inflation: 320cc
Before After
Age: 30
Implant: 360cc
Inflation: 375cc
 
vdg Description: Breast Augmentation

Breast augmentation is a surgical procedure performed to enlarge the breasts for a number of reasons:

· To enhance the body contour of a women who feels that her breasts are too small.
· To correct a loss in breast volume after pregnancy.
· To balance the breast size when the breasts are different sizes.
· As a reconstructive technique for various conditions.
· To replace breast implants for medical or cosmetic reasons.

From 1992 to 2006, saline implants were the only FDA-permitted devices for breast enlargement. In November 2006, the FDA approved use of silicone gel. Saline implants have the advantages of smaller incision (because they are not inflated until after placement), a lower rate of capsular contracture (implant firmness due to excessive scarring), and a substantially lower cost. Silicone gel implants have the advantages of a more natural feel and a lower risk of rippling.

Dr. Friedman performs breast augmentation as an outpatient procedure. The surgery usually takes about 2 hours, though an additional 30 - 60 minutes of operating room time is necessary for anesthesia, and dressings. The procedure is performed under general anesthesia to minimize discomfort.

Dr. Friedman typically makes a 3 cm (about 1.25 inch) incision near the fold on the underside of each breast for saline implants. A larger (about 5 cm) incision is required for silicone gel. He generally places the implants below muscle (rather than over) to maximize the chances of a natural appearing result, as the implants are generally less obvious to sight and feel. After implant inflation, the incisions are closed with internal absorbable sutures and dressed with gauze and tape. There are no external stitches to be removed. There is no need for surgical bras or ACE wraps.

Patients usually go home about 1½ hours after surgery. Pain is usually mild and well controlled with prescription pain medication. Most patients return to light activities within 3 to 5 days. Heavy lifting and chest work outs should be avoided for 6 weeks. There is no need to wear a bra for the first few weeks after surgery (though a bra can be worn, if desired).

When you visit our office, we will show you how a breast implant looks and feels. We will also show you multiple “before and after” photos of breast augmentation performed by Dr. Friedman. If you wish to speak to other women who have undergone the procedure, we will be happy to provide you with phone numbers.

Please feel free to contact us at (469) 467-0100 if we may provide additional information.



Pre- & Post-operative Instructions

One week before surgery:

  1. Do not take aspirin-containing products, as these may increase your risk of bleeding. Use extra-strength Tylenol for any headaches or other minor pains.
  2. Please notify Dr. Friedman's staff if you become sick with a fever, significant cough, etc. If necessary, your surgery can be rescheduled to a time when you are feeling better.
  3. Do not smoke at all or use a nicotine patch for at least two weeks (and preferably 4 weeks) prior to surgery and 4 weeks after surgery. Smoking interferes with wound healing and increases your risk for anesthetic and surgical complications.
  4. Arrange to have a relative or friend drive you home after surgery and stay with you for the evening. You cannot drive yourself home.

The evening before surgery:

  1. Do not eat or drink anything for at least 8 hours prior to your scheduled surgery time.
  2. Make some jello and/or soup for after surgery. Have some juice in your refrigerator.
  3. The anesthesiologist will contact you by phone to discuss your medical history and to answer any questions. Day of surgery:

before you leave home

  1. Remember not to eat, drink, or smoke. This includes no chewing gum, mints, etc.
  2. Make sure someone is available to drive you home. Put a pillow and blanket in the car.
  3. Wear loose, comfortable clothing. Avoid heavy make-up, jewelry, or contact lenses. Please do not use any lotion, baby oil, perfume or powder. LEAVE ALL VALUABLES AT HOME!

Day of surgery: at the facility before surgery

  1. Dr. Friedman will talk to you before surgery to answer any last-minute questions. He will place drawings on your chest to help him accurately plan your surgery.
  2. You will meet the anesthesiologist and surgical nurses.

Day of surgery: at the facility after surgery

  1. You will be taken to the recovery area to wake up after surgery. Dr. Friedman will go to the waiting room to speak to your family/friends.
  2. Approximately 1 hour later, your family can visit you. Once you are feeling well enough, you may go home.

At home after surgery:

  1. Have someone stay with you for the first night. You may be weak and drowsy.
  2. Take the antibiotics (3 times daily), pain medication (as needed), and anti-nausea medicine (as needed) that Dr. Friedman has prescribed for you.
  3. Sleep with your head elevated. Sleep on your back (not your stomach or side).
  4. Keep your dressings (gauze and tape) clean and dry. Do not remove the dressings. You may shower only from the waist down. You may wish to sponge bathe.
  5. If you experience a prolonged fever (oral temperature greater than 101), contact Dr. Friedman.
  6. Call Dr. Friedman's office to arrange your first follow-up visit.

Your first follow-up visit (about 1 week after surgery):

  1. The dressings will be removed. Dr. Friedman will examine the incisions. Please leave the tape strips alone (as they will help reduce scarring) until they come off on their own. You may begin light showering. Avoid immersing the breasts under water.
  2. Your breasts may look too high and tight at this time. Over the next several months, your breasts will become softer and more natural in appearance. To facilitate softening of the tissues, you should avoid tight bras. Instead, wear a camisole or a loose cotton sports bra. Do not wear an under wire bra for at least 3 months following surgery unless instructed to do so by Dr. Friedman.
  3. You may walk as much as you like following surgery. You may begin jogging and light aerobic exercise about 2 to 3 weeks after surgery (while wearing a sports bra). You should avoid chest, arm, and abdominal exercise for 6 weeks after surgery. Do not lift, push, or pull anything greater than 5 pounds (or a grocery bag) for 6 weeks after surgery. It is normal to feel "stretching" or "pulling" sensations in the chest for a few months after surgery.
  4. You may not drive while you are taking the prescription pain medication. You may begin driving (preferably an automatic transmission) about 7 to 10 days after surgery. Please avoid freeways and tollways until you feel comfortable with city driving.
  5. The incisions may become increasingly firm and red for 4 to 6 weeks after surgery. After this, they will gradually soften and fade. Final results are at about 1 year after surgery. Avoid direct exposure of the incisions to the sun or tanning booths for 6 months.

Please feel free to ask Dr. Friedman or his staff about any additional questions or concerns.

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