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Frequently Asked Questions

Breast
How do I prepare for breast surgery?

Preparing for Your Surgery Day

Before your breast implant surgery, you will meet with Dr. Lewis for a medical evaluation. You can talk about what you want and get feedback from the doctor. Your surgeon may ask you to stop taking certain medications a few days or weeks before your surgery.

Breast augmentation surgeries are done as an outpatient procedure. 

The procedure takes one to two hours. You will likely be given general anesthesia, during which you will be "asleep" and pain-free.

Dr. Lewis will make a cut under your breasts, under your arms, or around your nipples, depending on your body, the type of implant, and how much enlargement is being done. 

Dr. Lewis will put the breast implant into a pocket above or below your chest muscle. After the implant is in place, he will close the incisions with sutures or surgical tape. 

You will be in the recovery room for approximately one hour before being discharged.

Once home, most patients will spend the rest of the day sleeping or relaxing. 

Recovery After Your Breast Surgery

After surgery, your breasts incisions will be covered with gauze and you may have drainage tubes, which will be removed in a few days. 

Dr. Lewis recommends wearing a surgical bra as you heal.

You'll need to take it easy for a few days after your breast augmentation surgery. For instance, you shouldn't do any heavy lifting for up to six weeks after getting your implants.

Over-the-counter pain relievers such as acetaminophen may help relieve discomfort. Your doctor may also prescribe pain medication for you.

You will probably have some swelling in the area where the surgery was done. Over time, the swelling should ease and the scars will fade.

Post Op Maintenance

Breast implants are not designed to last a lifetime. Typically, they can last between ten to 15 years.   You may need to have the implants replaced if you have complications or if the size and shape of your breasts change over time.

Women who have silicone gel-filled implants will need to get an MRI scan three years after the implant surgery and then MRI scans about every two years to check for silent rupture. If your implants rupture, you will need to have them removed or replaced.  Please notify Dr. Lewis if you have any problems with your implants.

Having breast implants may make it more difficult to get a mammogram. but special X-ray views can be done. There is a chance breast implants may make you more likely to get breast cancer.  Breast implants also may make it harder for you to breastfeed.  

MAKING PERSONAL ARRANGEMENTS

You should have someone drive you to and from your procedure as well as a friend or relative to stay with you for the first 24 hours after your breast augmentation.

If you have small children, you may want to make arrangements for their care as well. Prepare extra food ahead of time and have plenty of fluids and crackers available. Minimize your responsibilities at work and at home so that you can have a few relaxing days to recover.

Make sure any prescription medications have been filled and are in a convenient location.  Have on hand an extra roll of gauze and antibiotic cream as instructed by Dr. Lewis.  

On the day of your surgery, you should have your identification and a small bag to carry medications and paperwork.

Important Tips

  • If you smoke, it is essential that you reduce or stop smoking before your procedure and for some time afterward. 
  • Make sure Dr. Lewis is aware of any medications, supplements, and herbs you are currently taking. For instance, certain medications such as aspirin or ibuprofen can cause bleeding problems during and after the procedure. Carefully follow instructions pre and post to your procedure.
  • Eat a healthy diet and avoid drinking alcohol a few days prior to your procedure.
  • Exercise is generally good for your overall health; however, refrain from extremely vigorous exercise the day before your breast augmentation procedure.
  • Do not eat or drink anything, including water, after midnight the night before the procedure.
  • The night before your procedure, shower and wash your surgical areas with antimicrobial soap. After your shower do not wear any makeup, moisturizers, oils, creams, or lotions — including deodorant.
  • Remove nail polish from at least one fingernail and toenail to help the anesthesia person monitor your blood circulation during your procedure.
  • The morning of your breast augmentation procedure you may brush your teeth, but do not swallow more than a sip of water. If Dr Lewis allows you to take any prescribed medication, swallow it with a minimal amount of water.
  • The morning of the surgery wear loose-fitting clothes that open in the front and comfortable flat shoes that slip on.