BREAST

Breast

Breast Augemntation and Other Procedures for San Angelo, TX & Beyond

Whether you are looking to increase your breasts in size for aesthetic purposes, decrease them in size to alleviate back pain, or any other breast procedure, Dr. Lewis and his staff can help you with the right procedure in a safe environment. We will make sure to consult with you throughout the process so you know exactly what to expect. Please click the links below for more information about our specific procedures.

Breast Augmentation

The breast augmentation procedure will fulfill your wishes for fuller breasts or restored volume after weight reduction or pregnancy by using either saline or silicone breast implants. Saline implants are silicone shells filled with saline (sterile salt water) whereas silicone implants have a silicone shell filled with a plastic gel (silicone). While many women feel that silicone implants feel more natural than saline, silicone poses a greater health risk in the event that the implants leak.

Although the FDA halted the sale of silicone implants in 1992 due to safety concerns, they allowed them back on the market in 2006 after reviewing more research.

There are possible complications to breast implant surgery, including:
  • Breast Pain
  • Scarring
  • Bleeding
  • Infection
  • Scar Tissue Forming or Hardening Around the Implant
  • Sensation Changes in the Nipple and/or Breast
  • Size and Shape of Implants (e.g. Asymmetrical Breasts)
It is also possible for implants to rupture and leak. If saline implants rupture, the saline will be safely absorbed by the body. A silicone leak may stay inside the implant shell or leak outside of the shell. When a saline implant ruptures, it will deflate. But silicone breast implants may cause no obvious symptoms when they rupture. This is called silent rupture. Call Dr. Lewis as soon as possible if you suspect you have a leak or rupture in your implants.
Breast Lift
If you notice droopiness or laxity in your breast, then a breast lift or a “mastopexy” could be the right procedure for you. A breast lift could also elevate the nipple position and even reshape and tighten the breast skin. With this procedure, an implant may also be needed for greater breast fullness.
Breast Reduction
Many people don’t consider that extremely large breasts can cause women significant pain in the back, neck, and/or shoulders for women. There are also women who don’t like the appearance of large breasts, which can also make finding well-fitting clothes difficult. Dr. Lewis can perform a reduction mammoplasty to remove excess skin, fat, and glandular tissue from the breast to alleviate pain and improve the aesthetic appearance of your breasts.
Breast Reconstruction
Breast reconstruction is used to restore a breast to a near-normal shape, size, and appearance after a mastectomy procedure. You should know your options by consulting with Dr. Lewis before a mastectomy or lumpectomy so you can get all of your concerns or questions about reconstruction addressed, allowing you to make an informed decision.

While a breast reconstruction procedure can rebuild your breast, the results are highly variable:
  • A reconstructed breast will not have the same sensation and feel as the breast it replaces.
  • Visible incision lines will always be present on the breast, either from reconstruction or the mastectomy.
  • Certain surgical techniques will leave incision lines at the donor site, commonly located in less exposed areas of the body, such as the back, abdomen, or buttocks.
If only one breast is affected, it alone may be reconstructed. In addition to reconstruction, a breast lift, breast reduction or breast augmentation may be recommended for the other breast to improve the symmetry of the size and position of both breasts.
Male Breast Reduction or Gynecomastia
Breast reduction isn’t just for females. Men who have developed excessive fullness in the breast area commonly have a benign condition called gynecomastia. Dr. Lewis can remove the breast fullness and restore your pectoral area to its normal shape through male breast reduction surgery.
How do I Prepare for Breast Surgery?
Preparing for Your Surgery Day

Before your breast implant surgery, you will need a full medical evaluation with Dr. Lewis. This allows you to talk about the procedure and get feedback from the doctor. You may also be advised to stop taking certain medications days or even weeks before your surgical procedure.

Breast Augmentation Surgeries are done as an outpatient procedure. 

The surgical procedure will only take one to two hours, before which you will likely be given general anesthesia to make you sleep for a pain-free experience. Dr. Lewis will make an incision under your breasts or arms or around your nipples depending on your body, the type of implant, and/or how much enlargement is being done. Dr. Lewis will then put the breast implant into a pocket above or below your chest muscle, closing the incisions with sutures or surgical tape after the implants are in position. 

You will be in the recovery room for approximately one hour before being discharged, after which most patients will spend the rest of the day sleeping or relaxing. 

Recovery After Your Breast Surgery

After surgery, your incisions will be covered with gauze, and you may have drainage tubes, which will be removed in a few days. Dr. Lewis recommends wearing a surgical bra as you heal. You'll need to take it easy for a few days after your surgical procedure. For instance, you shouldn't do any heavy lifting for up to six weeks after getting your implants.

Over-the-counter pain relievers like acetaminophen or ibuprofen may help relieve discomfort. Your doctor may also prescribe a stronger pain medication for you. You will probably have some swelling in the area where the surgery was done, though the swelling should ease and the scars will fade over time.

Post Op Maintenance

Breast implants are not designed to last a lifetime. Typically, they can last between 10 to 15 years, so you may need to have the implants replaced if you have complications, or if the size and shape of your breasts change over time.

Women who have silicone implants will need to get an MRI scan three years after the implant surgery and then MRI scans about every two years to check for silent rupture. If your implants rupture, you will need to have them removed or replaced. Please notify Dr. Lewis if you have any problems with your implants.

Having breast implants may make it more difficult to get a mammogram, but special X-ray views can be done. There is a chance breast implants may make you more likely to get breast cancer. Breast implants may also make it harder for you to breastfeed.  

MAKING PERSONAL ARRANGEMENTS

You should have someone drive you to and from your procedure, as well as a friend or relative who can stay with you for the first 24 hours after your breast augmentation procedure.

If you have small children, you may want to make arrangements for their care, as well. Prepare extra food ahead of time and have plenty of fluids and crackers available. Minimize your responsibilities at work and at home so that you can have a few relaxing days to recover.

Make sure any prescription medications have been filled and are in a convenient location. Have an extra roll of gauze and antibiotic cream on hand, as instructed by Dr. Lewis.  

On the day of your surgery, you should have your identification and a small bag to carry medication and paperwork.
Important Tips
  • If you smoke, it is essential that you reduce or stop smoking before your procedure and for some time afterward. 
  • Make sure Dr. Lewis is aware of any medications, supplements, and herbs you are currently taking. For instance, certain medications such as aspirin or ibuprofen can cause bleeding problems during and after the procedure. Carefully follow instructions before and after your procedure.
  • Eat a healthy diet and avoid drinking alcohol a few days prior to your procedure.
  • Exercise is generally good for your overall health; however, refrain from extremely vigorous exercise the day before your breast augmentation procedure.
  • Do not eat or drink anything, including water, after midnight the night before the procedure.
  • The night before your procedure, shower and wash your surgical areas with antimicrobial soap. After your shower do not wear any makeup, moisturizers, oils, creams, or lotions — including deodorant.
  • Remove nail polish from at least one fingernail and toenail to help the anesthesiologist monitor your blood circulation during your procedure.
  • The morning of your breast augmentation procedure you may brush your teeth, but do not swallow more than a sip of water. If Dr. Lewis allows you to take any prescribed medication, swallow it with a minimal amount of water.
  • The morning of the surgery, wear loose-fitting clothes that open in the front and comfortable slip-on flat shoes.
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