Plastic surgery

Breast Augmentation – implants

Breast Augmentation with implants is performed both to increase the volume of the breasts and to improve their shape. The procedure may correct the changes to the breasts caused by pregnancy, nursing, weight loss or age. Also, patients with underdeveloped breasts are ideal candidates for Breast Augmentation.

The procedure is performed under general anaesthesia and lasts approximately 1.5 hours. The plastic surgeon will insert the implant in a pocket created under the pectoralis major muscle and under the mammary gland. Various types of access are used: in the inframammary fold, around the areola, or in the axilla. Implant size, its location, and choice of access are chosen in consultation with the patient.
Post surgery there may be pain, swelling and bruising. Breast swelling may persist up to a few weeks. Physical exertion should be avoided for 3 weeks following the surgery. Patients are instructed to wear a special bra for 2 months. After 3 weeks post surgery the scar should be massaged and special creams should be used.

The surgery is performed on patients who are in general good shape and have normal lab results.

Contraindications to the surgery

 

  • unrealistic expectations of the patient
  • active infectious disease
  • mental illness
  • untreated hypertension
  • untreated heart diseases
  • untreated diabetes
  • untreated hormonal imbalances
  • untreated bronchial asthma
  • venous thrombosis
  • menstrual bleeding
  • pregnancy

Lab tests required

General anaesthesia:

  • blood group
  • CBC
  • coagulation parameters (PT/INR, APTT)
  • electrolytes (Na, K)
  • glucose
  • creatinine
  • anti-HCV and anti-HIV antibodies
  • urinalysis
  • electrocardiogram
  • chest X-ray

 

Local anaesthesia:

  • blood group
  • CBC
  • coagulation parameters (PT/INR, APTT)
  • electrolytes (Na, K)

The patient must be vaccinated against hepatitis B virus.

Preparation for the surgery

Before the scheduled surgery, you have to inform the doctor about any existing medical conditions as well as about any medications you are taking or allergies you have.

  • at least 4 weeks before the scheduled surgery you have to stop taking any hormonal contraception or replacement therapy (HRT);
  • at least 3 weeks before the scheduled surgery you must refrain from smoking
  • 14 days prior to the surgery you should not take any salicylates (Aspirin, Polopiryna, etc.) or other substances affecting blood coagulation (e.g. herbs, garlic);
  • 3 days before the surgery you must refrain from taking pain medication: paracetamol, pyralgin and NSAID drugs (e.g. Ketonal, Ibuprofen, Naproxen, etc.);
  • 6 hours before the surgery you must refrain from eating, drinking or chewing gum;
  • you must take your chronic medication with a small amount of water.