CANDIDATES FOR BREAST AUGMENTATION

You may choose to have breast augmentation to improve the look and fullness of your breast
and give you a larger cup size. Your breasts may not have developed to a size you are
comfortable with or your breasts may be unequal sizes. Often times, women notice a decrease in
breast size or a change in shape after pregnancy and nursing, or after losing weight. Breast
augmentation may enhance your breast size and shape while giving you the more proportional
figure you always wanted.

The implant used for breast augmentation may be filled with saline (dilute salt water) or
silicone
which may be inserted through a small incision on the edge of the areola or under your breast.
Breast augmentation is an outpatient procedure. You should expect between two to three weeks
of recovery time after the procedure.

By inserting an implant behind each breast, Dr. Baroody is able to increase your bustline by one
or more bra cup sizes. If you're considering breast augmentation, the following information will
give you a basic understanding of the procedure.


IMPLANTS TYPES

A breast implant is a silicone shell filled with either silicone gel or a sterile salt-water solution
called saline.

The Food & Drug Administration (FDA) has determined that new gel-filled implants are safe and
may be used for primary breast augmentation.  
Click here to learn the latest most up-to-date
information about Inamed silicone implants.


RISKS AND POTENTIAL COMPLICATIONS OF BREAST AUGMENTATION SURGERY

All surgeries no matter how common carry intrinsic risks and potential complications.  Whenever
a foreign body is placed in the body, such as a breast implant, scar forms.  The scar forms the
pocket which keeps the implant in a favorable position. Capsular contracture, occurs if the scar
or capsule around the implant begins to tighten. This squeezing of the soft implant can cause the
breast to feel hard. Capsular contracture can be treated in several ways, and sometimes
requires either removal of the scar tissue and perhaps removal or replacement of the implant.

As with any surgical procedure, excessive bleeding following the operation may cause some
swelling and pain. If excessive bleeding continues, another operation may be needed to control
the bleeding and remove the accumulated blood.

A small percentage of women develop an infection around an implant. This may occur at any
time, but is most often seen within a week after surgery. In some cases, the implant may need to
be removed for several months until the infection clears. A new implant can then be inserted.

Some women report that their nipples become oversensitive, undersensitive, or even numb. You
may also notice small patches of numbness near your incisions. These symptoms usually
disappear within time, but may be permanent in some patients.

Occasionally, breast implants may break or leak. Rupture can occur as a result of injury or even
from the normal compression and movement of your breast and implant, causing the shell to
leak. If a saline-filled implant breaks, the implant will deflate in a few hours and the salt water will
be harmlessly absorbed by the body.

If a break occurs in a gel-filled implant, however, one of two things may occur. If the shell breaks
but the scar capsule around the implant does not, you may not detect any change. If the scar
also breaks or tears, especially following extreme pressure, silicone gel may move into
surrounding tissue. The gel may collect in the breast and cause a new scar to form around it, or
it may migrate to another area of the body. There may be a change in the shape or firmness of
the breast. Both types of breaks may require a second operation and replacement of the leaking
implant. In some cases, it may not be possible to remove all of the silicone gel in the breast tissue
if a rupture should occur.

While there is no evidence that breast implants cause breast cancer, they may change the way
mammography is done to detect cancer. When you request a routine mammogram, be sure to go
to a radiology center where technicians are experienced in the special techniques required to get
a reliable x-ray of a breast with an implant. Additional views will be required. Ultrasound
examinations may be of benefit in some women with implants to detect breast lumps or to
evaluate the implant.

While the majority of women do not experience these complications, you should discuss each of
them with Dr. Baroody to make sure you understand the risks and consequences of breast
augmentation.


PLANNING YOUR SURGERY

In your initial consultation, Dr. Baroody will evaluate your general health and explain which
surgical techniques are most appropriate for you, based on the condition of your breasts and
skin quality. Be sure to mention all medications you are taking including any that are
over-the-counter.  If your breasts are sagging, Dr. Baroody may also recommend a breast lift.

Dr. Baroody will explain the type of anesthesia to be used, the type of facility where the surgery
will be performed, and the costs involved. Because most insurance companies do not consider
breast augmentation to be medically necessary, carriers generally do not cover the cost of this
procedure.


PREPARING FOR YOUR SURGERY

Dr. Baroody will give you detailed instructions to prepare for surgery, including guidelines on
eating and drinking, smoking, and taking or avoiding certain vitamins and medications.

While making preparations, be sure to arrange for someone to drive you home after your surgery
and to help you out for a few days, if needed.


WHERE YOUR SURGERY WILL BE PERFORMED

Dr. Baroody performs the operation in Ridgefield Surgery Center in Ridegefield, CT and
Naguatuck Valley Surgery Center in Naguatuck, CT.  Rarely, the surgery may be done as an
inpatient in a hospital, in which case you can plan on staying for a day.


TYPES OF ANESTHESIA

Breast augmentation is performed under general anesthesia. You will be asleep through the
entire operation.


THE SURGERY

The method of inserting and positioning your implant will depend on your anatomy and Dr.
Baroody's recommendation. The incision can be made either in the crease where the breast
meets the chest or around the areola (the dark skin surrounding the nipple). Every effort will be
made to assure that the incision is placed so resulting scars will be as inconspicuous as possible.

Working through the incision, Dr. Baroody will lift your breast tissue and skin to create a pocket,
either directly behind the breast tissue or underneath your chest wall muscle (the pectoralis
muscle). The implants are then centered beneath your breast mound.

Placing the implants behind your chest muscle may reduce the potential for capsular contracture
which is abnormal scar formation around the implant.  This placement may also interfere less with
breast examination by mammogram than if the implant is placed directly behind the breast tissue.
Placement behind the muscle however, may be more uncomfortable for a few days after surgery
than placement directly under the breast tissue.

During your consultation with Dr. Baroody the pros and cons of these alternatives will be
discussed in detail before surgery to make sure you fully understand the implications of the
procedure recommended to you.

The surgery usually takes one to two hours to complete.  The stitches used to close the incisions
will dissolve. A gauze bandage may be applied over your breasts to help with healing.


AFTER YOUR SURGERY

You will likely feel tired and sore for a few days following your surgery, but you will be up and
around in 24 to 48 hours. Most of your discomfort can be controlled by medication prescribed by
Dr. Baroody.

Within several days, the gauze dressings, if you have them, will be removed, and you may be
given a surgical bra. You may also experience a burning sensation in your nipples for about two
weeks, but this will likely subside as bruising fades.

The swelling in your breasts may take three to five weeks to disappear.


GETTING BACK TO NORMAL

You should be able to return to work within a few days, depending on the level of activity required
for your job.

Follow Dr. Baroody's advice on when to begin exercises and normal activities. Your breasts will
probably be sensitive to direct stimulation for two to three weeks, so avoid physical contact. After
that, breast contact is fine once your breasts are no longer sore, usually three to four weeks
after surgery.

Your scars will be firm and pink for at least six weeks. Then they may remain the same size for
several months, or even appear to widen. After several months, your scars will begin to fade,
although they will never disappear completely.

Routine mammograms should be continued after breast augmentation for women who are in the
appropriate age group, although the mammographic technician should use a special technique
to assure that you get a reliable reading, as discussed earlier.


YOUR NEW LOOK

For many women, the result of breast augmentation can be satisfying, even exhilarating, as they
learn to appreciate their fuller appearance.

Regular examination by your plastic surgeon and routine mammograms for those in the
appropriate age groups at prescribed intervals will help assure that any complications, if they
occur, can be detected early and treated.

Your decision to have breast augmentation is a highly personal one that not everyone will
understand. The important thing is how you feel about it. If you've met your goals, then your
surgery is a success.
BREAST AUGMENTATION
CONSENT, INSTRUCTIONS
10 South Street . Suite 204 . Ridgefield, CT
46 Federal Road . Danbury, CT
203.790.5700
Plastic surgeon Michael Baroody, MD offers a variety of plastic surgery
procedures. Dr. Baroody's practice is located in Danbury, and Ridgfefield, CT and
serves both Fairfield and Litchfield Counties. The doctor specializes in
forehead
lift, eyelid surgery, rhinoplasty, facelift, neck liposculpture, liposuction, breast
augmentation, breast lift, tummy tuck, and others as well as a variety of
reconstructive procedures. Examine the website and learn more about Dr. Baroody
and the various services provided.
Financing options available.

10 South Street . #204 . Ridgefield, CT 06877
46 Federal Road . Danbury, CT 06810 . Phone: (203) 790-5700