Special consideration is taken in selecting the size of the implant. Since the implants come in measurements of volume [cc’s], not cup sizes, Dr. Sadati has samples/sizers available in the office so you can try several on to see which provides the best fit.
Dr. Sadati uses both saline and silicone implants. Saline implants have been FDA-approved since 1992. They can be pre-filled to a specific size or filled at the time of placement, which has the advantage of allowing smaller incisions to insert the implant and minor size adjustments are made during placement. If a saline-filled implant leaks or ruptures, it is readily noticeable because breast volume will diminish rapidly. The saline is completely absorbed by the body and naturally eliminated. Saline implants can feel firmer than natural breast tissue, particularly if they are filled to shell capacity. Silicone implants can be used in limited situations. These implants come pre-filled and require a slightly larger incision. Although FDA approval is still pending, these implants are a possibility if the patient meets certain criteria and agrees to participate in an on-going study.
There are two main incisions that Dr. Sadati uses: peri-areolar and inframmatory. The peri-areolar incision is made around the areola outside the edge of the nipple. This incision is usually made around the inferior or lower part of the areola skin where it joins with breast skin. When this incision heals there will be a fine white line that is hard to detect upon exam. The inframmatory incision is made in the fold under the breast tissue. This incision gives the best access to the breast tissue. When it heals well this incision will be a fine line that is hard to detect upon exam. It is hidden unless you show someone.
Breast augmentation is performed under general anesthesia in the ambulatory surgery center in Newport Beach. All anesthesiologists are board certified. The procedure usually takes about an hour to an hour and a half.
Recovery time for the procedure varies per patient. You will be up and walking around the day of surgery, but will need a responsible adult to care for you and monitor your condition for at least 24 hours. Generally, you can remove the dressings and go into a non-underwire sports bra several days after the procedure, as well as shower. Most people are able to return to work within a week [performing non-physical tasks] and return to light exercising after 3-4 weeks. Scars begin to fade within four to six weeks. A lot of this recovery time is based on personal comfort level.
