Your plastic surgeon performs breast augmentation using implants made of medical grade, biocompatible, textured or smooth silicone shells filled with sterile saline solution. Should the implant rupture or leak, the saline is safely absorbed by the body and poses no health hazzard. Implants may be pre-filled prior to placement, or slowly filled at the time of surgery through a self-sealing valve. Implant placement, type and size will be determined based on your breast anatomy, body type and desired increase in size, as well as your plastic surgeon's judgment. Implant manufacturers occasionally introduce new styles and types of implants; there may be additional options available to you.

Your plastic surgeon will carefully explain your breast augmentation procedure. Prior to surgery, you will be given specific instructions that may include:

• Pre-surgical considerations, diagnostic testing and medications
• Day of surgery instructions and medications
• Specific information related to the use of anesthesia
• Postoperative care and follow-up

Possible risks of breast augmentation include bleeding, infection or poor healing of incisions and changes in nipple or breast sensation. Capsular contracture, implant leakage, or rupture, or wrinkling of the skin over the implant is also possible and may require a second procedure. All surgery carries risks associated with anesthesia. These and additional risks will be discussed prior to your consent.

It is important to have all your questions answered and it is natural to feel some anxiety about surgery. Discuss these feelings with your plastic surgeon.

Breast augmentation may be performed in Smith Cosmetic Surgery's accredited office-based surgical facility. The decision for anesthesia will be based on the requirements of your specific procedure and considerations of patient and surgeon preference. Your plastic surgeon and the assisting staff will fully attend to your comfort and safety.

A mammogram may be recommended prior to your procedure to ensure breast health and serve as a baseline for future comparison. Following the procedure, mammography is technically more difficult. Obtaining the best possible results requires specialized techniques and additional views. You must be candid about your implants when undergoing any diagnostic breast exam.

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