FAQ - BREAST AUGMENTATION
Most breast implant surgeries are completed in 1 hour and women are able to return to their normal activities (with certain restrictions) after a few days. At Cosmetic Surgery Montreal, breast augmentation procedures are performed on ambulatory outpatients under general anesthesia.
It is natural to have concerns and questions regarding breast implant safety. Dr. Chen Lee is committed to helping you understand the risks to make an informed decision about breast augmentation.
Many women desire an increase in the size of their breasts. If you are one of those women and are 18-years-old or older, physically healthy, emotionally stable, and have realistic expectations of what plastic surgery can accomplish, you are probably a good candidate for breast augmentation.
The best way to determine with certainty if a breast augmentation is appropriate for you is to meet with a reputable board-certified plastic surgeon.
Your plastic surgeon will guide you through the preparation. You will need to decide several important breast implant (type, size, incision, placement) decisions. Once these decisions are finalized, a surgery date is reserved at the surgery center. Preoperative laboratory tests are also ordered to ensure that you are fit to have surgery under general anesthesia. You will also be provided pre-surgical instructions on medications, smoking cessation, alcohol use, etc.
The best method to choose your implants starts by having a thorough discussion with your plastic surgeon. Your body type and desired objectives are important considerations in choosing breast implants to use for your breast augmentation. In our plastic surgery practice, the plastic surgeon uses your unique body shape and “in-office” sizing to assist in the selection of breast implants to better achieve your breast augmentation goals.
While the anticipated change expected with breast augmentation is exciting, it is important to be aware of risks and potential complications. Surgery and general anesthesia are always accompanied by some risk to your general health. Although rare, there even exists the possibility of death.
A partial list of potential complications associated specifically with breast augmentation includes asymmetry, deformation, infection, bleeding, delayed healing, reoperation, implant visibility, implant palpability, pain, loss of sensation, scars, capsular contracture, implant rupture, implant malposition, and no guarantee to the final size.
Following breast augmentation, patients often experience temporary loss of erotic and general sensitivity to the breasts and nipples. In most instances, normal sensation returns spontaneously and naturally over time.
Modern techniques of breast augmentation do not harm the breast tissue and will not alter your ability to lactate and produce breast milk. Your ability to breastfeed following surgical placement of breast implants should not be affected.
We recommend a minimum 2-week work stoppage. Recovery is different for everyone. In general, most women can get up and walk alone the day after surgery. However, it is important to avoid most of your usual activities such as cooking, cleaning, carrying weight (groceries or children) and driving for 7 to 14 days. You will be advised to wait several weeks before resuming exercise.
Modern breast implants are expected to last for many years. However, the actual long term durability has not been scientifically defined. While many patients believe that their breasts are permanently augmented with a single surgery, implantable synthetic prostheses should not be considered lifetime medical devices. All synthetic implantable medical devices (such as heart valves, brain shunts, orthopedic joints, and breast implants) can malfunction and fail.
While the risk of breast cancer is not elevated following breast augmentation, screening is still necessary and encouraged. Common methods for detecting breast cancer include mammography, ultrasound, and magnetic resonance imaging (MRI). Mammograms can still be performed, however, modified techniques such as breast compression to enhance the view of the breast tissue is often necessary for an effective breast mammogram. To better plan your breast investigations, the physician managing your breast cancer prevention routine should be made aware of your breast augmentation.
In 2017, Health Canada initiated a review of Canadian cases of a rare cancer associated with textured surface breast implants. This entity is known as breast implant associated – anaplastic large cell lymphoma (BIA-ALCL). It is lymphoma and not breast cancer. BIA-ALCL develops in the scar tissue around a breast implant. The incidence is low. The majority of cases have been associated with textured surface breast implants. To date, scientific reports indicate favorable outcomes when affected patients are treated by breast implant explantation with surgical excision of the surrounding capsule. As of 2019, the national consensus on treatment is to surgically remove the implant and its surrounding scar without delay in any woman developing BIA-ALCL.
Textured surface breast implants were removed from the Canadian market in May 2019.