On the day of the procedure, you will arrive fasted. The anaesthetist will see you. Then I will make my markings. These include:
The anaesthetist will then give you a full general anaesthetic and intravenous antibiotics.
I will then prep and drape to create a sterile field and infiltrate the breast and muscle if needed with local anaesthetic, allowing you to wake up at the end with the least possible pain: without being too graphic.
I then commence the operation through the chosen incision down to muscle and then dissect on top of muscle for a short distance to release the lower part of the breast.
Then, depending on the chosen placement in your particular case, I create a pocket either subpectorally or prepectorally as planned, using sharp dissection to the middle to define your cleavage but blunt dissection to the sides to sweep away and protect the nerve.
Once I’m happy with the pocket, I sterilise it and insert the implant. The position is then checked and the wound then closed only with deep sutures and no outside sutures.
The wound is taped and these tapes stay on for 3 to 4 weeks.
Strapping and a sports bra are applied which stay on 6 days and then cotton wool and a binder are applied which stay on for 3 days. You will then be woken up.
I will see you prior to discharge and will give you
I will give you a short courtesy call that evening and go over a few reminders with you.