1. How are the breast implants put in?

There are three primary incision choices. Under the breast (crease), around the nipple, and in the armpit. I prefer the first two for accuracy purposes. An implant pocket is created (usually beneath the pectoral muscle) and the implants are placed through this incision into the pocket.


2. What is a "drain" and when is one used?

A drain is a small tube placed through the skin used to drain fluid or blood. Generally I never use a drain for breast augmentation


3. What about doing other operations at the same time?

Certainly combined procedures can be more convenient to the patient. There is often increased risks if significant procedures are combined with a breast augmentation. I generally prefer to separate procedures, even if only by a couple of days.


4. Why must I have an adult stay with me the first night?

Although rare, complications can arise. Having a responsible adult care for you and monitor pain medication usage is important to recognize anesthetic complications or medication reactions.


5. What measures can be taken to prevent capsular contracture?

The two most common culprits are bleeding and infection. During the operation, avoiding hematomas, evacuating hematomas if they do arise, and appropriate antibiotics and sterility help to reduce the risks of capsular contracture. I give antibiotics before, during and after surgery.


6. What is the "Band" or "Strap" that everyone talks about wearing after operation?

It helps to "check" the implant from rising too high after surgery. Until the soft tissue relaxes, the implant will tend to settle high and this band help to push it down.


7. What is meant by the Rapid Recovery method?

How much swelling is there after operation? The idea is that "gentle" and "precise" surgery without tearing tissue bluntly results in less pain and an easier recovery. Patients are asked to return to non-strenuous activities within the first 24 hours.