Q. How is breast enlargement surgery performed?

Breast enlargement surgery, also known as breast augmentation or augmentation mammoplasty, is a surgical procedure performed to increase the size, shape, or fullness of the breasts. The specific surgical approach can vary depending on individual factors, such as the patient's goals, anatomy, and the surgeon's recommendations. However, here is a general overview of how breast enlargement surgery is typically performed:

1. Consultation: Before the surgery, you will have a consultation with a board-certified plastic surgeon. During this consultation, you will discuss your goals, preferences, and any questions or concerns you may have. The surgeon will evaluate your medical history, perform a physical examination, and help you make informed decisions about implant type, size, and surgical technique.

2. Anesthesia: On the day of the surgery, you will be given anesthesia to ensure you are comfortable and pain-free during the procedure. The choice of anesthesia can be general anesthesia (you are unconscious) or local anesthesia with sedation (you are relaxed but awake).

3. Incision Placement: There are several options for the placement of incisions during breast enlargement surgery. The most common incision sites are:

   - Inframammary: The incision is made in the fold under the breast.
   - Periareolar: The incision is made around the edge of the areola (the dark skin surrounding the nipple).
   - Transaxillary: The incision is made in the armpit.
   - Transumbilical (TUBA): The incision is made near the belly button (this is less common).

The choice of incision location depends on the surgeon's technique and your individual anatomy and preferences.

4. Implant Placement: Once the incision is made, the surgeon creates a pocket either behind the breast tissue (subglandular) or behind the chest muscle (submuscular). The choice of implant placement depends on factors like the patient's anatomy, body type, and the surgeon's recommendations.

5. Implant Insertion: The breast implants, either saline or silicone gel-filled, are inserted into the created pocket. They can be filled to the desired size (in the case of saline implants) or come pre-filled (in the case of silicone gel implants).

6. Incision Closure: After the implants are securely placed, the incisions are closed with sutures, and the surgeon may apply skin adhesive or surgical tape to aid in the healing process.

7. Recovery and Monitoring: Following surgery, you will be moved to a recovery area to wake up from anesthesia. You may need to wear a special surgical bra to support your breasts during the initial healing phase. Your surgeon will provide instructions on post-operative care, including limitations on physical activity and monitoring for any signs of complications.

Breast enlargement surgery is typically an outpatient procedure, and most patients can return home the same day, although recovery times can vary. It's important to follow your surgeon's post-operative instructions carefully to ensure a safe and successful recovery.