Axillary Augmentation Mammaplasty / Endoscopic Assisted Augmentation Mammaplasty
2 - 3 hours
The operation is performed under a general anaesthetic. Dr. Boonchai utilizes an endoscope, which is an instrument that contains two basic parts:
During an endoscopic breast augmentation, Dr. Boonchai is able to work easier in positioning breast implants within the patient’s chest wall. Utilizing the same basic techniques incorporated in a regular breast augmentation, the patient benefits from an endoscopic breast augmentation by having fewer scars. Your surgeon may place temporary drains in the incision prior to closing it to prevent fluid or blood accumulation. The drains or catheters would be removed during a follow-up visit after surgery.
Our team will evaluate your medical history to check for conditions that may delay the surgery or the healing process. Some of the common conditions are:
Please avoid aspirin and brufen-containing medication for two weeks prior to surgery to eliminate the chance of post op bleeding. Generally it is best to continue any blood pressure or blood sugar medications. These may safely be taken with a sip of water on the morning of surgery. Women should ensure negative pregnancy test before surgery.
Protect your health prior to surgery. Even a simple cold could cause complications with the anesthesia. If you do develop an illness right before your surgery, let your surgeon know. You may need to postpone your endoscopic breast augmentation until you feel better. On the day of your procedure, do not wear any skin care products, makeup, deodorant, perfume, nail polish or powder.
The recovery is very similar with traditional breast augmentation. The post-surgical pain is similar. The majority of the pain after breast augmentation is from the manipulation of the muscle and creation of the space for the implant. This maneuver for creating the space for the breast implant are nearly identical with traditional breast augmentation. With the axillary approach there is additional pain under the arm, of course. But this is not severe and overall does not affect the recovery much compared to the breast fold and areolar augmentation approaches. So, we do not think post-op underarm pain should be a deterrent for women desiring axillary breast augmentation.
After the surgery the surgeon will place waterproof plasters over your incision sites. Keep your incisions/suture line dry. If the plaster should get wet or start to peel off we recommend that you contact the Dr. Boonchai’s office to make an appointment to have the wounds cleaned and redressed. You will be able to shower but not swim until your incisions are closed and your sutures have been removed.
Walk around as soon as you are able while recovering from endoscopic breast augmentation surgery. This will help prevent blood clots and can also help relieve swelling. Do not engage in strenuous activities, or exercise, for at least three to four weeks after your surgery. You should plan to avoid activities which require much raising of the arms above the level of the head for 10 days after surgery. With great care, you can drive about 7 days after surgery.
You may be swollen for three or four months following endoscopic breast implant surgery. Drinking water, cutting back on salt and engaging in light exercise can help reduce this swelling (edema). Do not take any over-the-counter or herbal diuretics unless advised to do so by your surgeon. If you experience sudden swelling in the days after your surgery, call your surgeon.
You will probably have some bruising after your endoscopic breast implant surgery, but this will fade. Certain herbal remedies such as arnica or bromelain may help. Ask your surgeon what he recommends. If you still have some discolorations after several months, talk to your surgeon.
All breast augmentation techniques will leave a permanent scar behind, which is meant to be as inconspicuous as possible after healing. Scars will fade gradually but nipple numbness may take up to 12 months before sensation returns.