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Breast Augmentation Orange CountyBreast Augmentation

Orange County breast augmentation involves using implants to create fuller breasts or to restore breasts that never fully developed or may have lost volume due to weight loss or from pregnancy. Few things can make a woman feel more self conscious than a perceived inadequate breast size and few things can make a woman feel more attractive and sexier than receiving a breast size she perceives as perfect!

Breast augmentation can increase the fullness and projection of a woman’s breasts, improve the balance and proportions of her figure and improve her self-image and self-confidence. The following information has been prepared to familiarize you with facts about breast enlargement. 

You may visit your surgeon at Orange County Plastic Surgery as many times as you wish to have all of your questions answered. At your final preoperative visit, which will take at least an hour, your final questions will be answered and you will confirm that you have understand the procedure to be performed, that this material has been explained to you, that you have read and understand these information sheets, and that you accept the risks by signing the informed consent forms. You may request a copy of the consents contained in this packet. You will be given prescriptions for surgical soap, pain pills and antibiotics along with instructions for their use. Certain laboratory tests will also be required within two weeks of surgery. If you are over the age of 50 or any history of cardiac problems, you will have to obtain a cardiogram, and this will have to be performed at any doctor’s office or laboratory about two weeks before surgery. You may have blood drawn by our office nurse during your final preoperative visit, or, if you prefer, at your family doctor's office or any state licensed laboratory (e.g. Kaiser Hospital, etc.). All patients will be asked to stop smoking at least a month prior to surgery in an effort to maximize your body's ability to heal the incisions following the operation. 

A deep sedative or light general anesthetic will be used. An anesthesiologist will be present at all times to insure your comfort and safety. The operative time is approximately an hour and a half. A small incision is placed in the fold beneath the breast, around the areola or in the armpit. A pocket, which will accommodate the implant, is created beneath the breast tissue, either above or below your chest muscles. The location of your incision, as well as options relating to implant types, sizes and location of the pocket will be discussed with you at length pre-operatively. Implants vary greatly in type (and cost!), but basically all have a silicone rubber shell. Implants used today are filled with either silicone gel or saline (salt water) solution. Implant surfaces may consist of traditional smooth rubber or a textured rubber surface. In addition to the traditional implants, your surgeon has the option of choosing different profile or anatomic shaped implants for you. With so many implants available, it is obvious that no single implant is ideal for all circumstances. Your surgeon will review the latest controversies regarding breast implants, FDA regulations and your options. 

On your day of surgery you can expect to feel sleepy. Even if a pain relief pump is used, there may be a severe feeling of tightness and discomfort throughout the chest area, perhaps radiating into your arms or back area, for which pain medication will be prescribed. The pain relief pump infused local anesthetics automatically and very slowly in the surgical field – you will not notice any medication flowing in the tubes and you cannot adjust the flow rate! Each day thereafter, you will notice an improvement, and should take less pain medication.

The human body's natural reaction to implants, regardless of type, is to surround them with a layer of scar tissue. This happens each and every time. Scar tissue has a natural tendency to contract and compress the implant, which may cause the external breast to appear unnaturally firm (such scar tissue may cause one or both breasts to be painful and to look uneven). In addition, particularly in patients with a small volume of breast tissue initially, surface wrinkling may be evident, especially in patients who choose to have textured surface, saline filled implants, and in those with implants placed above the pectoral muscles.

The surgeon always places each breast implant in a pocket or space, which is larger than the implant itself; as long as this pocket stays larger than the implant, your breasts should remain soft and look natural. 

Every activity in life, whether driving automobiles or having surgery, is associated with risk. The following inherent risks must be understood and assumed by the patient if we are to proceed with this operation. Although most patients have a very satisfactory result, complications may occur following any surgical procedure. Complications requiring reoperation are probably higher following breast implant surgery than any other type of aesthetic operation, and when including implant replacement, close to 100% of patients end up requiring at least one more operation during their life times. Problems which can arise include those already mentioned associated with the implants (including ruptures and capsular contractures) and the following: infection, hemorrhage into the breast pocket, chronic pain, increased breast asymmetry, an enlarged pocket with the implants too close to each other over the sternum (i.e. symmastia), an abnormal "double fold" along the bottom part of your breast, an abnormal lowering of the breast fold, breast flattening or indentation upon tightening of the pectoral muscles, unsightly scars at the site of the incision or untoward reactions to anesthetic administration.

All fees will be discussed freely in advance by the office staff. Not only do insurance companies not cover the cost of such cosmetic surgery, but they may place exclusion for breast disease on your future policies. In compliance with suggestions adopted by the American Society of Plastic Surgeons®, it is customary for the patient to pay all fees for cosmetic surgery prior to the desired operation. This insures that the patient is sincere in her motivation and can afford the surgery, thus creating a better patient/physician relationship. A non-refundable deposit will be required to secure your desired surgery date. The remainder of the fees must be paid prior to the surgery, usually at the time of the preoperative visit, but no later than two weeks before surgery. Additional fees are also required for laboratory tests, surgical facility fees, the anesthesiologist, and if necessary, mammography. If additional surgical procedures become necessary, additional facility, laboratory, anesthesia, implant costs and professional fees will be incurred. The surgical facility and anesthesiologist fees quoted will be based on our best faith estimate; the final fee may vary as these fees are based on surgical time, and it is not always possible to predict.

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