Our Summary

This research paper investigates whether the use of nipple shields can prevent infection after breast augmentation surgery. The researchers studied 26 patients who had this type of surgery and used nipple shields, and then followed up with them for 18 months. They also looked back at the medical records of 753 patients who had breast augmentation surgery between 2008 and 2012. They found that while some bacteria were present on the nipple shields, none of the patients in the study group developed an infection or had other complications. From the retrospective study, they found that acute infections occurred in a small number of cases and were caused by a specific type of bacteria. Late infections were also rare and seemed to be related to an existing infection in the patient. The study concluded that nipple shields didn’t make a difference in preventing infection in breast augmentation surgery. Acute infections were more likely to happen if the surgery was done through the areola, and late infections seemed to be connected to an existing infection in the patient.

FAQs

  1. What was the main focus of the research paper on breast augmentation?
  2. Did the use of nipple shields prevent infection after breast augmentation according to the study?
  3. What were the causes of acute and late infections found in the study?

Doctor’s Tip

A helpful tip a doctor might tell a patient about breast augmentation is to follow all post-operative care instructions provided by the surgeon, including proper wound care, avoiding strenuous activities, and attending all follow-up appointments. It is also important to monitor for any signs of infection, such as increased pain, redness, swelling, or discharge from the incision site, and to contact the surgeon immediately if any concerns arise. Additionally, maintaining a healthy lifestyle, including regular exercise and a balanced diet, can help promote proper healing and optimal results from the surgery.

Suitable For

Patients who are typically recommended breast augmentation include those who:

  • Desire to increase the size or fullness of their breasts
  • Have asymmetrical breasts
  • Have lost breast volume due to pregnancy, weight loss, or aging
  • Have undergone mastectomy or other breast surgery
  • Want to improve their self-confidence and body image

It is important for patients considering breast augmentation to have realistic expectations and be in good overall health. They should also have a thorough consultation with a board-certified plastic surgeon to discuss their goals, expectations, and any potential risks or complications associated with the procedure.

Timeline

Before breast augmentation surgery, a patient will typically have consultations with their plastic surgeon to discuss their goals, expectations, and options for the procedure. They may also undergo a physical examination, mammogram, and other pre-operative tests to ensure they are a suitable candidate for surgery. The patient will also discuss the type of implants they want, the location of incisions, and other details with their surgeon.

On the day of surgery, the patient will arrive at the surgical facility and undergo the procedure under general anesthesia. The surgery typically takes 1-2 hours and involves making incisions, inserting implants, and closing the incisions with sutures. After surgery, the patient will be monitored in a recovery room before being discharged home the same day.

After breast augmentation surgery, patients can expect some discomfort, swelling, and bruising in the chest area. They will need to wear a surgical bra or compression garment to support the breasts during the initial healing period. Patients are advised to avoid strenuous activities, lifting heavy objects, and sleeping on their stomach for several weeks after surgery.

Follow-up appointments with the plastic surgeon will be scheduled to monitor the healing process, remove sutures, and address any concerns or complications that may arise. Patients will gradually see the final results of their breast augmentation as swelling subsides and the implants settle into place.

Overall, the timeline for a patient before and after breast augmentation surgery involves pre-operative consultations, surgery under general anesthesia, post-operative recovery, and follow-up appointments with the plastic surgeon to ensure optimal results.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with breast augmentation surgery?

  2. How long is the recovery time after the surgery and what is the expected downtime?

  3. What type of anesthesia will be used during the surgery and what are the potential side effects?

  4. How long will the results of the surgery last and are there any long-term effects to consider?

  5. What type of implants will be used and what are the differences between saline and silicone implants?

  6. Will there be any scarring after the surgery and how can it be minimized?

  7. What is the cost of the surgery and are there any financing options available?

  8. How often will follow-up appointments be needed after the surgery?

  9. Are there any specific instructions or restrictions to follow before and after the surgery to ensure optimal results?

  10. What is the surgeon’s experience and success rate with breast augmentation surgeries, and can they provide before and after photos of previous patients?

Reference

Authors: Benito-Ruiz J. Journal: Ann Plast Surg. 2017 Apr;78(4):397-402. doi: 10.1097/SAP.0000000000000895. PMID: 28166134