Shopping or Out to Dinner the Next Night!
with 24 Hr Recovery Breast Augmentation
24 Hour Recovery Breast Augmentation is also known as Quick Recovery Breast Augmentation or Rapid Recovery Breast Augmentation. It is not new. 24 hour recovery breast augmentation was first reported to the plastic surgery community in 2002 by Dr. John Tebbets of Dallas (see below for medical references). The protocol was known as the “no touch” technique since special instruments were used to minimize damage to the breast and chest area. Today, a variation of this surgical technique is used that includes a special implant placement device called a Keller Funnel. The entire program is designed to:
- Make your post-operative course simple. You will have:
- No drains.
- No pain pumps.
- No bandages.
- No long acting local anesthetics into the breast pocket or all around the breast.
- No binders, bandeaus, wraps or tight dressings.
- No special bras.
- No high strength narcotic pain medications.
- No muscle relaxant medications.
- No anti-anxiety or sedative medications.
- No normal activities restrictions (except aerobic activities in the first week and no shoulder work outs for 6 weeks).
- No limitation of normal sexual activity after the first evening of surgery.
- No nerve blocks of any kind (usually injects between the ribs to reduce pain).
- No massage or pushing up your implants.
- Reduce pain. It was felt that the “no touch” surgical procedure was the big contributor to why patients could be recovered in 24 hours but now we know that there are a number of factors that are responsible. These include:
- Motion. This is the number one factor. Have you ever wondered how athletes return to the playing field so fast? Although counter intuitive, motion is a great healer an, although initially it is a little sore to get moving after an injury, things feel much better a lot faster. We get you moving with special exercises within the first half hour after surgery!
- Elimination of the strong drugs that are often used in general anesthesia. By using a local anesthesia technique that will provide you with much better post-operative pain control you will need little if any post-operative narcotics or prescription pain medications. It is well known that patients who come out of surgery pain free rarely have as much pain during their recovery compared to patients who leave surgery in pain. In addition, there is less risk for memory loss from general anesthesia.
- Reduce your risks for:
- Blood clots or deep venous thrombosis.
A 24 Hour Recovery Patient of Dr. Windle’s
Here is What Our Patients Say
95% of patients are recovered to the point that they can go out to dinner the next night if they so choose. With 24 hour recovery breast augmentation you are not healed and we encourage our patients not to overdo things in the first or four days but most are back to work at three to four days!
This is not magic, 24 hour recovery breast augmentation is just good medicine using the latest thinking. Our patients say they are amazed, especially after hearing what their friends went through somewhere else or back in the day.
“People are amazed at how quickly I recovered,” said one patient the other day. “I had surgery Thursday and I was out shopping the next afternoon. I was back at work on Monday morning. I was still a little sore, but I was able to get around just fine. Ten days later it was as if I had not had any surgery….except that I now fill up my bras!”
24 Hour Recovery Breast Augmentation: After surgery
We will encourage you to move; get up walking and your arms over your head. This is the most important part of the recovery program and we will have you do a set of three arm raises every hour before going to bed. Sports medicine has taught us that stretching and walking help the muscles to recover more rapidly and this is true after surgery like a breast augmentation.
Also after surgery we do not want you to baby your breasts. There is nothing you can do to hurt or rupture your implants or rip open your incisions. The best thing that you can do it to simple resume your daily routines. You are encouraged to look at your breasts in a mirror as well as touch them and get to know them. They’re not the same as they were. They are new and different so get to know them!
With 24 hour recovery breast augmentation you get what patients want today:
- Less Pain
- Less Downtime.
- Less Invasive.
- Less Complications
- MORE NATURAL BREAST AUGMENTATION RESULTS
Tebbetts, J.B. Achieving a predictable 24-hour return to normal activities after breast augmentation Part I: Refining practices using motion and time study principles. Plast. Reconstr. Surg.109:273-290, January 2002.
Tebbetts, J.B.: Achieving a predictable 24-hour return to normal activities after breast augmentation Part II: Patient preparation, refined surgical techniques and instrumentation Plast. Reconstr. Surg.109:293-305, January, 2002.
Adams Jr, William P. “The process of breast augmentation: four sequential steps for optimizing outcomes for patients.” Plastic and reconstructive surgery 122.6 (2008): 1892-1900.
Kryger, Zol B., Neil A. Fine, and Thomas A. Mustoe. “The outcome of abdominoplasty performed under conscious sedation: six-year experience in 153 consecutive cases.” Plastic and reconstructive surgery 113.6 (2004): 1807-181
24 Hour Recover Breast Augmentation FAQS
Many patients are concerned with the length of recovery from plastic surgery and what that recovery will be like. They want to get back to work as soon as possible or be able to get back to their life without being restricted as soon as possible
The 24 hour recovery protocol allows you to be doing just about anything the next day. With a rapid 24 hour recovery breast augmentation using the natural feeling gummy bear breast implants from Sientra, you will not need any narcotics after surgery and will not be limited in any way. You are not healed so you likely be a little stiff and sore for a day or two but the 24 hour protocol makes that very tolerable. You will be able to get back to a desk job, lift children, drive and even get back to light work outs within a day or two. There are no special bras and no massage with these implants and this method.
This is a frequent concern of women who are preparing for a rapid recovery breast augmentation. As long as you follow the post-operative protocol of MEAT or motion, exercise, anti-inflammatories and treatment if required, the answer is NO. That is not quite true since anti-inflammatories are in fact a pain medication. Narcotics, commonly prescribed after surgery, are not necessary however and in fact can cause nausea, drowsiness and constipation. These problems can actually delay your recovery. In most cases, with the MEAT protocol, with just a basic over the counter anti-inflammatory medication like Aleve is all that is required. The secret is motion. We get patients moving, stretching and exercising within 2 hours of their surgery and they say when they stop moving is when they hurt a little.
A Keller Funnel is a used by surgeons to place breast implants in the breast augmentation pocket without having to touch the implant. Using a Keller funnel has been shown to help to greatly reduce the problem of breast implant capsule contracture. This video shows exactly how a Keller funnel is used.
I’ve lost 115lbs and my breasts have gone from 44DDD to 34B
Congratulations on the weight loss. That is quite a size change. Your question about fat grafting or a fat transfer is a common one. Most women seek the fat transfer solution to augment their deflated breasts because they have areas of unwanted fat. At the same time they would to regain some of their lost breast size back. Their thinking is why not just transfer the fat to a place where they want the volume? After all it’s a natural solution. They do not understand that fat transfers to the breast, while a viable surgery will only add about 150 cc of new tissue per surgery at the most. This is because a lot of fat must be harvested. The harvested fat is then processed, and some volume is lost. When the processed fat is injected only about 30% to 85% survives depending upon the individual. This all makes fat grafting very unpredictable. There are cases in which more fat survives on one breast as compared to the other further complicating the predictability of fat grafting to the breast. In the end, if you want to bigger than 150 cc then it is another surgery with all the same inherent risks and expense.
Almost always, in your situation, we turn to breast augmentation with breast implants. The new 5th generation breast implants are not only safe but the gummy bear breast implants from Sientra feel very much like natural breast tissue after about 6 months.
This is a very common question but unfortunately there is no good answer because the bra industry does not have a size standard. What is a DD with one brand or store may be an E, a D or even a C+ in another brand or store. Ultimately what most women want to know is how they can get a breast size that they like or one that fits their frame.
Probably the best way to choose a size before breast augmentation surgery is to try on breast implants in a tight-fitting sports bra. This way you can pick a size that you will be happy with. Many surgeons do this for you because one of the main reasons for breast augmentation reoperation is dissatisfaction with the size of implant that was picked for the patient by the surgeon. This way the surgeon can avoid the problem of you not liking your size after surgery.
Sizing is also very different with the type of breast implant. With the highly cohesive, natural feeling, gummy bear implants from Sientra, we first pick the width of the breast implant based on the width of your breasts. This allows the implant to sit right under your breast tissue as close to the middle as possible without producing symmastia or “unna boob” and as far out to the side as possible without causing “side boob”. The volume or size of the implant is then determined by the projection. With Sientra breast implants, we have an algorithm that helps us decide on the best implant to suit your desires and body shape to get you the best result possible.
Sientra breast implants also work very well when placed above the muscle without increased capsule contracture or rippling which is an advantage for athletic women. When a breast implant is placed below the pectoralis muscle there is a significant risk of causing a breast implant animation deformity. Animation deformities are distortions of the breast with flexion of the pectoralis muscle. These deformities are common with submusclar breast augmentations.
If you are athletic and regular do yoga, you may also consider a 24 hour recovery breast augmentation. That way you could be back to doing yoga within days of your surgery. Sientra implants help with this as well since there is no massage or special bands that are needed with these implants.
With a 24 hour, rapid recovery breast augmentation, you will be able to return to work and doing things like go back to exercise class within a few days of your surgery. The rapid recovery protocol is designed to get you back to your normal life as quickly as possible and at the same time reduce the risks from the surgery. You will not be healed, meaning that you may still be a little sore but you can easily get back to work in 4 or 5 days and get out to the beach within a couple of days after your breast augmentation. We use the new natural feeling gummy bear implants from Sientra, which allow the placement of the implants above the muscle to not only speed your recovery but also reduce your risk of capsule contracture, implant animation and rippling.
Lateral displacement and animation deformities occur after a breast augmentation when smooth breast implants are placed below the pectoralis muscle. This is relatively common with smooth silicone and saline implants since most surgeons who use these implants will use the submuscular technique to try to avoid a breast implant capsule contracture.
A simple way to correct lateral displacement and/or animation deformities secondary to submuscular breast implant placement, is to remove the implants and then place textured implants in a new pocket above the muscle, essentially abandoning the first breast augmentation. The natural feeling gummy bear implants from Sientra are textured and are perfect for this kind of breast augmentation salvage procedure. The new breast augmentation can be done with a 24 hour rapid recovery technique so there in minimal down time.
Pregnancy and nursing can stretch out the breast skin significantly. However, your breast skin has returned to close to its original shape/size and your breasts do not have much sagging then breast augmentation will not be affected by breast implants. Most women who have nursed, have lost some shape and as a result I typically use Sientra’s natural feeling, tear drop shaped, gummy bear implant to help restore your shape.
To achieve the optimal breast augmentation result with not only good size and shape, but without any of the complications that accompany breast augmentation, including capsule contracture, breast implant animation, rupture and rippling, you need to start with a consultation with a plastic surgeon who is certified by the American Board of Plastic Surgery who does a lot of breast augmentation. In addition, hopefully that surgeon also uses Sientra breast implants since the medical studies show that these implants have the lowest incidence of capsule contracture, implant failure and rippling. In fact, Sientra just came out with their new implant warranttee that puts all other manufacturers to shame.
It is also important that you first doing some sizing with implants in a bra so that you decide what size of implants you like. Your surgeon should carefully measure your chest dimensions and then chose an implant that is appropriate for your measurements and approximates the size that you like. The new shaped, natural feeling, gummy bear implants have a flat back and sizing in the old conventional way is no longer a good method to determine implant size.
Finally, the results from the newer gummy bear implants, are much more natural looking. They also allow for the use of a rapid recovery protocol that requires no narcotics and gets you out enjoying your new look the next day.