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.