Anesthesia

The surgery is performed under anesthesia for patient comfort. Options include intravenous sedation or general anesthesia, tailored to the patient’s health and surgeon’s recommendation.

Incision

The surgeon makes an incision in a discreet location to minimize visible scarring. Common incision sites include:

• Along the edge of the areola (peri-areolar)
• In the fold beneath the breast (inframammary fold)
• In the armpit (axillary)

The incision choice depends on implant type, desired breast size, anatomy, and patient preference. A transumbilical (belly button) approach is less common and associated with higher complication rates.

Implant Placement

After the incision, the implant is inserted into a pocket either:

• Underneath the pectoral muscle (submuscular placement)
• Directly behind the breast tissue but above the muscle (subglandular or submammary placement)

The placement method depends on the implant type, body type, and surgeon’s recommendation.

Implant Types

Implants are typically filled with either sterile saline or silicone gel. Both have distinct characteristics affecting feel, risk of rupture, and appearance. Fat transfer is an alternative technique using the patient’s own fat to augment breast volume.

Immediate Post-Op Care

• Arrange for someone to drive you home and assist for 1-2 days post-surgery.
• Rest well and maintain a balanced diet; increase fluids and fiber to prevent constipation.
• Avoid aspirin or blood-thinning medications unless approved by your surgeon.
• No alcohol for at least 3 weeks to avoid fluid retention.
• Smoking is strongly discouraged as it delays healing and increases complications.

Activity Restrictions

• Begin gentle walking soon after surgery to reduce swelling and risk of blood clots.
• Avoid driving until full arm mobility returns.
• Refrain from vigorous physical activity and heavy lifting for 6 weeks.
• No lifting arms above the head for 2 weeks.
• Avoid physical contact with breasts and body contact sports for 6-8 weeks.
• Most patients can return to work within 2 weeks, depending on job demands.

Incision Care

• Keep incisions clean and dry; monitor for signs of infection.
• Steri-strips or skin glue used for closure will naturally fall off over 1-2 weeks.
• Avoid soaking in tubs or swimming until sutures/drains are removed.
• Wear supportive garments as directed; avoid underwire bras initially.
• Avoid sleeping on the stomach for 8 weeks.
• Protect scars from sun exposure for at least 12 months using SPF 30+ sunscreen.

Pain and Sensations

• Expect some discomfort, tightness, swelling, bruising, and numbness around nipples and breasts.
• Pain peaks in the first few days and gradually improves.
• Burning sensations or sensitivity may last for a couple of weeks.
• Pain medication will be prescribed and adjusted during follow-up visits.

Immediate Recovery (First 1–7 Days)

• Mild swelling, bruising, and discomfort are expected.
• Pain is managed with prescribed medications.
• Wear a post-surgical bra or compression garment to support healing.
• Avoid lifting, reaching overhead, or strenuous movement.

Short-Term Recovery (Weeks 2–4)

• Resume light daily activities after 3–5 days.
• Most patients return to work within 1 week, depending on their occupation.
• No gym or high-impact activities until cleared by Dr. Sayani.

Mid-Term Recovery (Weeks 4–8)

• Gradually return to exercise after 4 weeks, excluding chest-focused workouts.
• Continue wearing support bras and following scar-care recommendations.
• Swelling continues to decrease, and implants begin to 'settle.'

Long-Term Recovery (3+ Months)

• Full results are typically visible after 3–6 months.
• Scars fade significantly and become nearly invisible with proper care.
• Regular follow-ups with Dr. Sayani to monitor implant positioning and overall results.