Breast appearance and size
Everybody is different and each person wanting breast augmentation surgery will have different desires. It is very important to have discussed your specific expectations with Mr Khandwala to be able to get a realistic idea of what is possible and the pro’s and con’s associated with them. The results of breast augmentation surgery can be very different from individual to individual and so seeing the results of such surgery in others may not give an indication of how things will look in your particular case. You should spend some time confirming the size you would like to be by buying a larger bra (approximately the cup size you wish to be) and then using bags of rice of
various sizes in the bra to decide which you like best. It is essential that you measure out the rice as if it were a liquid (i.e. in millilitres) and as accurately as possible. Please make a note of the size you like best. Mr Khandwala will use this as a baseline for the size of implant to use but occasionally may use a different size if it is felt, during the operation, that it would give a better more proportioned breast size and shape. If your breasts are different sizes you should use different volumes of rice to get the breasts as equal as possible in your bra. Again during the operation Mr Khandwala may have to make adjustments to get the best result.
Before the operation
You should have had a full discussion about the procedure, its suitability, outcomes, complications and longterm effects with Mr Khandwala. You should be confident of the approximate size of implant you wish to have. You should be clear about the incisions to be used,
Usually patients have thin flat pale scars which continue to improve over time. However in a small group of people there is a tendency to produce thick, red and itchy scars. This may occur even if all goes well. These scars might need further treatment and may never fully return to normal. This may also be the case if a wound gets infected or takes a long time to heal.
whether the implants will be placed above or below the muscle, the type of implant, length of stay and the costs of the procedure.If possible you should have bought a sports bra to fit your new size as you will need to wear it straight after the operation.
The incision used for breast augmentation usually heals within two weeks. In a very small number of patients the wound may get infected and may require antibiotic treatment and dressings for a longer period. If this should occur the resulting scar may become raised, red and itchy.
After the operation
Overnight you will be checked regularly to ensure you have no problems. This will include checking your drains. As soon as it is comfortable to do so you should put on your sports bra to help support your new breasts. The following day you will be reviewed by Mr Khandwala and usually plans will be made to remove your drains after which you will be allowed to go home. Plans for follow-up will be made before you leave. You will be given painkillers to take home with you.
Follow up & Aftercare
Mr Khandwala will make arrangements for a dressing change a week after your operation and for a formal review at 2 weeks. You should keep the dressings intact until your dressing change. Although it is OK to shower you should avoid baths or soaking your wounds. It is important that you wear your sports bra/binder all the time (even when asleep) for the first two weeks. You should not drive or perform any strenuous activity until you are seen by Mr Khandwala. However should you have any concerns before or in between appointments please contact Mr Khandwala.
All women notice a change in their breasts as they get older and this may be exacerbated by pregnancies and changes in weight. It is no different for those women who have had breast implants. However the increased weight of the new breasts may accelerate this process.
Breast augmentation is not to be considered a one off operation. It is a long term commitment and you may require further operations over time. This may be to change implants, to uplift the breasts or for revision surgery (e.g. if there is a complication which has affected the breast appearance).