PATIENT RESOURCES / DR’s Blog

Recovery Series Vol.2: What to Expect Following a Breast Augmentation

by | Breast Augmentation, Breast Implants, Breast Lift, Recovery Series

Previously, I wrote about the Mommy Makeover and what the recovery process entails. Today I am going to do the same for breast augmentation. Breast augmentation is one of the most satisfying surgeries to perform as a surgeon. It gives women a fuller, beautiful breast with minimal recovery time. It is a surgery that has a high satisfaction rate for patients, but it is important to make sure that you are getting the right breast implant for you. I take a lot of time with patients to make sure that they choose the perfect size. There are four key steps that I use to ensure that the perfect breast implant is chosen. It takes a little extra time, but it is well worth it. To date, I have never had to change any implants on my own patients. (Unfortunately that is not always true when I have patients come to me from other offices where they were “told” what size they will get, or rushed to pick an implant and sign on the dotted line.) I believe in taking time over a couple visits to help ensure my patients get beautiful results that exceed their expectations.

Here are some of the common questions that I get when people see me for a breast augmentation:

Q: What is recovery like?

A: It is really not too bad. I give my patients prescription medication but it would be rare that they would ever need a second prescription. If the implants are placed below your muscle, it will be a bit more tender, but nothing that can be easily managed with medicine. I do like people moving right away and walking. I don’t like running or other chest activities for 6 weeks. The reason for this is that you form a scar around the implant (known as a capsule). This can grow into the implant to help keep it in an ideal position for years to come. It takes a bit of time for this to happen. So although you feel up to it, I modify the activities that people do in the early recovery phase.

Q: How long will I be off work?

A: You should be able to return to office work in a week or so, and a more active job in two to three weeks, depending on what it is that you do. Some people return to office work sooner; for those that can work from home this is especially true. For extremely physical jobs, you will need a bit more time to make sure everything is fully healed before you over do it.

Q. Can I have other surgery at the same time?

A: It is very common to have other surgery at the same time. The most common procedures done at the time of your breast augmentation would be a breast lift (mastopexy), liposuction or a tummy tuck.

Q: How do I know if I need a breast lift?

A: Your surgeon will help you to decide what is the best surgery for you. Essentially, if your nipples are at a good position or a little low you may not need one. If they are very low, then you would most likely look nicer with a breast lift. Your surgeon’s advice is most helpful, when you are uncertain if you may or may not need one. They will help you to consider your choices carefully, to ensure you make the one that is best for you.

Q. What kind of help will I need?

A: If you have small children, then having some support at home for the first few days is helpful, but not imperative. If your children are over 5 years, then you will be pretty good early on. I suggest people get things done ahead of time so they don’t have to do it after surgery. This includes getting your prescriptions, preparing meals, and laundry, etc. If you have kids that need to be driven around to different activities, then find people to help with that. You can drive after coming off your medications, but that could mean you need some help with that for the first few days. Sort out who at work will be covering you, so you aren’t taking phone calls and emails when you should be resting and recovering.

Q: Will there be a drain?

A: I virtually never use a drain in this type of surgery. Most surgeons do not use drains but there are some that may.

Q: Do I have to wear a special garment?

A: A bra that provides support while you heal is important over the first 6 weeks. I spend a lot of time in surgery creating the perfect pocket for the implant. I want the implant to create a beautiful breast shape and I want it to stay like that for years to come. By supporting the breast in the first 6 weeks, it helps secure its position.

Q: Is there bruising?

A: All surgeries produce some bruising. I take meticulous care to prevent bleeding in surgery and to make sure that the implant pocket is quite dry prior to closing the incision. However, some bruising is possible.

Q: When can I shower? Or go swimming?

A: Showering can be done a few days after surgery. I use a water proof dressing, but just to be safe, I recommend against showering for a couple days. Some patients like a dry shampoo for the days that they cannot shower. I do suggest waiting closer to 2 weeks for swimming, to really allow incisions to seal over to prevent infection risk.

Q: Can I go out in public?

A: All your surgery will be well concealed with clothing. Other than the first few days when you are may be a touch tender, people should not notice that you had anything done. Some patients having a breast augmentation, may start to wear a fuller padded bra weeks in advance of their surgery so that it is less noticeable afterwards.

Q: What are the risks?

A: There are risks with all surgeries from the biggest case to the smallest. I spend a lot of time going over the common and severe problems that could arise during the consultation. I feel very strongly that my patients are well informed, so that they can make the right decision for them; so that they can help prevent problems from arising; and, if there are any problems that they understood how they came about. With that being said, complications are very rare. Some typical concerns could include bruising or bleeding, infection, poor scar or cosmesis, slow healing, and tenderness. These are usually easily dealt with. Asymmetries can be present especially if present prior to surgery. More severe things could include blood clots, heart attack or stroke and anaesthetic concerns. These are extremely uncommon! With that being said, the only way to not take on risk is to not have surgery at all. More long-term risks include tightening of the capsule and an extremely remote chance of ALCL of the breast. I spend a lot of time going over these risks in detail when I see patients in consultation.

If you are interested in learning more or having a private consultation please click here or telephone 905-849-4282

Dr Rodger Shortt strives to be the best plastic surgeon in breast surgery, tummy tuck surgery and mommy makeover procedures. He is committed to providing high quality patient care and achieving excellent results. He is considered one of the top plastic surgeons and one of the few plastic surgeons in Canada that has the top rating of five stars in Realself, Rate MD, and Ontario Doctor review. Dr Rodger Shortt is a specialist plastic surgeon who graduated from Queen’s Medical School in 2004 and became certified by the Royal College of Physicians and Surgeons of Canada in 2009. He received further sub-specialty fellowship training with international plastic surgeons in micro-vascular breast reconstruction, cosmetic plastic surgery, and body contouring after bariatric (gastric banding) surgery, significant weight loss or post-pregnancy.

Reviews

Fabulous Doctor, Extremely smart ( like Mensa IQ ) with attention to detail.

Fabulous Doctor, Extremely smart ( like Mensa IQ) with attention to detail. Confident, clear, and precise in conversations. Hand surgery was done extremely well with 4 breaks in one shattered bone. Bone was wrapped and pinned in titanium chain links and micro screwed. Recover has been excellent I have 100% of mobility in my hand and work in home renovation. The scar is small pin sized line, not noticeable; no extra bumps or blemishes. Truly a five star surgeon. I am hoping he does face surgery.

I was so pleased that my GP referred me to Dr Shortt

I was so pleased that my GP referred me to Dr Shortt, for knee surgery. Excellent caring Doctor, if you need plastic surgery place Dr. Shortt, at the top of your list. Great experience, great results, this Doc, is a 10!

I simply cannot find enough superlatives to express my gratitude

I simply cannot find enough superlatives to express my gratitude to Dr. Short for his wonderful work.
I have, for many years now, had numerous black moles and dark spots on my face and they seemed to be multiplying. Dr. Short removed over 40 of these and when I left his office, I have to admit, I was worried. I looked pretty rough. But there are no crevices or dips in my skin (of which I thought there’d be many) and most incredibly there is no visible scarring at all. It’s hard for me to say how much better I feel now. I have a refreshed, natural look. I am a career musician and in the public eye so, needless to say, I feel so much more confident about my appearance.
Dr. Short was honest with me from the beginning. He clearly explained options to me but never made me feel that he was up selling other services. I was fearful and had huge reservations about having anybody touch my face but everything about my experience with Dr. Short and his staff was positive and I would have absolutely no hesitation to recommend him. He has my sincere thanks.

You can tell the enthusiasm and passion Dr.Shortt has for his work

From the get go the professionalism and expertise I had received far surpassed those from other consultations I had done. I had gone in for a breast augmentation and am amazed from the results. You can tell the enthusiasm and passion Dr.Shortt has for his work. He had stated that afterwards my breast would look “perfect”, I figured anything would be better then what I had. Unbelieving then, here I am now absolutely thrilled with the results. I had a tattoo where the implant incision would be, to my surprise Dr. Shortt was able to work around it as well.

Breast Augmentation – What an Amazing Doctor !

From the get go the professionalism and expertise I had received far surpassed those from other consultations I had done. I had gone in for a breast augmentation and am amazed from the results. You can tell the enthusiasm and passion Dr.Shortt has for his work. He had stated that afterwards my breast would look “perfect”, I figured anything would be better then what I had. Unbelieving then, here I am now absolutely thrilled with the results.

I had a tattoo where the implant insission would be, to my surprise Dr. Shortt was able to work around it as well.

The day of my surgery Dr. Shortt and his team made me feel very comfortable and well taken care of. Thank you again !

Dr. Shortt has a great eye and is a creative visionary

Everyone reacts differently to a diagnosis / treatment of breast cancer. For me, after the mastectomy, I no longer felt whole. I decided reconstructive surgery was the answer which was very intense – but no regrets. The results were good but I still felt a little mismatched. My surgeon referred me to Dr. Shortt. Like so many others on this site, I felt like he knew exactly what I was looking for and how to get there. Dr. Shortt has a great eye and is a creative visionary that can determine what need to be done, coupled with the skill to do it. What really differentiates him from the rest though, is his empathy and understanding. You don’t often find doctors who are good at combining the science with compassion. This was a surprising and greatly appreciated aspect of my care. I am 4 weeks post op now and I have to say the results are spectacular. I feel like the sisters have been reunited and I am whole again. If you have had reconstructive surgery and feel you need a little more finessing, take my advice and make it happen. You will be glad you did. I would highly recommend Dr. Shortt to my closest friends and family and to anyone looking for cosmetic improvements.

Thank you again,

Susan

Amazing plastic surgeon

Amazing plastic surgeon who was initially referred to me by another plastic surgeon. From my first consultation, Dr Shortt immediately knew what surgical procedures were the best option for my situation. No hesitation in diagnosis and recommended plan of action. I’m a breast cancer survivor and I thought a breast reconstruction was a lost cause for me due to my extension radiation treatments and consequential skin damage. Dr Shortt was very methodical and professional throughout the entire 18 month process. Before each surgery, I witnessed assertiveness and confidence with a sure hand mapping my body with his sharpie pen. He made me feel at ease with his good sense of humour and music.
My breast cancer journey is at long last over and I am quite happy with the final results. I feel rejuvenated and have gained my confidence back. I am so glad that I didn’t hesitate with my initial decision to go forward with the breast reconstruction. Thank you so much Dr. Shortt.

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