Breast Augmentation Fresno

Breast augmentation is one of the most frequently performed plastic or cosmetic procedures performed on women aged 18 to 45 in Fresno and the California central valley area. It is performed to enlarge the breasts and improve its overall shape.

Am I a good candidate for breast augmentation?

How will Dr. Sian evaluate me for breast augmentation surgery?

How should I prepare for breast augmentation surgery?

How is the procedure performed?

What do I need to do after surgery? How will my breasts look and feel after the surgery?

Am I a good candidate for breast augmentation?

One or more of the following feelings or conditions may indicate that you are a good candidate for breast augmentation in Fresno if:

  • you are bothered by the feeling that your breasts are too small
  • clothes that fit well around your hips are often too large at the bustline
  • you feel self-conscious wearing a swimsuit or form-fitting top
  • your breasts have become smaller and lost their firmness after having children
  • weight loss has changed the size and shape of your breasts
  • one of your breasts is noticeably smaller than the other

How will Dr. Sian evaluate me for breast augmentation surgery?

Dr. Sian will examine your breasts and take photographs and measurements for your medical record. He will consider such factors as the size and shape of your breasts, the quality of your skin and the placement of your nipples and areolas (the pigmented skin surrounding the nipples). If your breasts are sagging, a breast lift may be recommended in conjunction with augmentation.

You should come to the consultation prepared to discuss your medical history. This will include information about any medical conditions, drug allergies, medical treatments you have received, previous surgeries including breast biopsies, and medications that you currently take. You will be asked whether you have a family history of breast cancer and about results of any mammograms. It is important for you to provide complete information.

There is no scientific evidence that breast augmentation increases the risk of breast cancer. however, there is a very recent advisory from the FDA linking breast implants to a rare condition called Anaplastic Large Cell Lymphoma (ALCL). Please click on the link below to read more about this condition:

Click Here for FDA advisory on ALCL & Breast Implants

The presence of breast implants may make it more technically difficult to take and read mammograms. This may be a special consideration for women who perhaps are at higher risk for breast cancer because of their family history or other reasons. Placement of the implant underneath the pectoral muscle may interfere less with mammographic examination, but other factors may also need to be considered with regard to implant placement. Dr. Sian will discuss this with you.

If you are planning to lose a significant amount of weight, be sure to tell Dr. Sian. He may recommend that you stabilize your weight prior to undergoing surgery.

If you think that you may want to become pregnant in the future, you should mention this to Dr. Sian. Pregnancy can alter breast size in an unpredictable way and could affect the long-term results of your breast augmentation. There is no evidence that breast implants will affect pregnancy or your ability to breast-feed, but if you have questions about these matters, you should ask Dr. Sian.

How should I prepare for breast augmentation surgery?

In some instances, Dr. Sian may recommend a baseline mammogram before surgery and another mammographic examination some months after surgery. This will help to detect any future changes in your breast tissue. Following breast augmentation, you will still be able to perform breast self-examination.

If you are a smoker, you should stop smoking well in advance of surgery. Aspirin and certain anti-inflammatory drugs can cause increased bleeding, so you should avoid taking these medications at least 10 days before surgery. Your surgeon will provide you with additional preoperative instructions.

Breast augmentation is usually performed on an outpatient basis. Be sure to arrange for someone to drive you home after surgery and to stay with you at least the first night following surgery.

How is the procedure performed?

Breast implants can be inserted through incisions under the breast (inframammary fold), around the areola (periareolar), or through the armpit (transaxillary). The type of implant used, the placement of incision and the size of the implant are influenced by individual physical characteristics and the patient’s preference. These factors will be evaluated during your initial consultation and the information gathered will be used in choosing the optimal implant size and style for you.

Patients have a choice of saline or silicone implants with varying diameters, shapes and profiles. The implants can be placed in a pocket created above or below the pectoralis major muscle.

A saline implant is a silicone shell filled with sterile salt water. Silicone gel implants are filled with an elastic gel. Silicone gel implants are available only to women who are 22 years or older.

Dr. Sian’s preferred technique is the use of a smooth round implant (saline or silicone gel) that is inserted via the inframammary fold and placed in a pocket created beneath the pectoralis muscle. This incision heals very well in most women and is hardly noticeable when fully healed. The placement of the implant underneath the pectoralis muscle minimizes the visibility of the implant edge and its ripples. In some cases, the implant may need to be placed above the pectoralis muscle. There are situations when a periareolar or transaxillary incision may be used. Dr. Sian can elaborate further on this matter at the time of your consultation.

More information regarding silicone implants can be obtained from the following web sites:

Breast augmentation surgery usually takes about 1.5 to 2 hours and is done by Dr. Sian under general anesthesia. This is an outpatient procedure and patients rarely stay overnight. Recovery time is approximately 2 to 3 weeks.

What do I need to do after surgery? How will my breasts look and feel after the surgery?

You should be walking with or without assistance immediately after your breast augmentation surgery. It is very important that you walk a few minutes every few hours to reduce the risk of blood clot formation in your legs.

The first 5 days following your breast augmentation surgery, you may feel stiff and sore in the chest region. Your breasts may feel tight and sensitive to the touch. Your skin may feel warm or itchy. You may experience difficulty raising your arms. You should not lift, push or pull anything, or engage in any strenuous activity or twisting of the upper body. Some discoloration and swelling will occur initially, but this will disappear over the next few days or weeks. Most of the residual swelling will resolve within a month.

It is recommended that all dressings will be removed or changed within two days. You can shower 48 hours after surgery as long as the incisions are intact and healing well. Tub baths and/or swimming are not recommended. It is recommended that the patient wear a support bra 24/7 for at least 4 to 6 weeks after the procedure. Patients should avoid push-up bras or bras with underwire. Sutures will be removed in about one to two weeks.

While it may take several days to return to more normal activities after your breast augmentation, it is important that you get up and move around to minimize the risk of deep vein thrombosis (DVT) and pulmonary embolism (PE). After breast augmentation, it is often possible to return to work within just a few days or a week, depending on the type of activities that are required at your job.

Physical activity should be avoided for at least the first couple of weeks following surgery. After that, care must be taken to be extremely gentle with your breasts for at least the next month.

Click Here for FDA advisory on “The Link Between” ALCL & Breast Implants

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