Breast Augmentation: Pain and fatigue management

The postoperative course can sometimes be painful the first few days, especially when the implants are large volumes. Breast augmentation…

RE-DOING MY BREAST IMPLANTS | BREAST IMPLANT REMOVAL, BREAST AUGMENTATION, IMPLANT EXCHANGE | TX 2022

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Normal consequences of a breast augmentation by prosthesis

Duration of dressings

A modeling dressing is made with an elastic bandage. The first dressing is removed after a few days. It is replaced by a lighter dressing.

Pain and fatigue management

The postoperative course can sometimes be painful the first few days, especially when the implants are large volumes. An analgesic treatment depending on the intensity of the pain will be prescribed for a few days. Swelling, bruising and discomfort when raising the arms are common after the operation.

A convalescence with interruption of activity of five to ten days should be envisaged. It is advisable to wait one to two months to resume a sporting activity.

Delay before final result(s)

A period of two to three months is necessary to assess the final result. It is necessary to allow time for the breasts to regain their flexibility as well as for the prostheses to stabilize.

Over time, augmented breasts will experience the natural effects of gravity and aging, depending on age, the supporting qualities of the skin, but also the volume of the implants.

The possible risks the hours and days following the operation for a breast augmentation by prosthesis

Like any surgical procedure, breast augmentation with prostheses involves risks, however minimal. By choosing Archimed, you choose a qualified and competent plastic surgeon, thus limiting the risks. Your practice informs you of possible complications:

• Hematoma: linked to the accumulation of blood around the prosthesis.
• Serous effusion: accumulation of lymphatic fluid, often associated with edema.
• Infection: they are rare after this type of surgery. It requires a surgical revision. There are three particular forms of infection. Late infection which presents few symptoms, without obvious translation on examination. The micro-abscess which is more frequent, because it develops on a stitch and is resorbed quickly after the removal of the incriminated thread. And finally, staphylococcal toxic shock, which is an extremely rare infectious case.
• Skin necrosis: lack of tissue oxygenation due to localized insufficient blood supply. It is particularly favored by heavy smoking in the patient.
• Healing abnormalities: Healing involves random phenomena. Eventually, the scars may not be as discreet as expected.
• Alteration of sensitivity: are frequent in the first months, but eventually regress. Rarely, they may persist in the areola and nipple.
• Galactorrhea: very rare, in case of unexplained postoperative hormonal stimulation.
• Pneumothorax: rare, requires specific treatment.

We must distinguish between the risks associated with implants:

• Formation of folds or appearance of “waves”: due to the flexibility of the implants, their envelope can wrinkle. These folds can be visible under the skin in certain positions. This phenomenon is more frequent with physiological serum than with silicone gel.
• Shells: the physiological, normal and constant reaction of the human organism in the presence of a foreign body, is to isolate it from the surrounding tissues by constituting an airtight membrane which will surround the implant, which is called “periprosthetic capsule” . It happens that the reaction is amplified and that the capsule thickens, becomes fibrous and retracts by compressing the implant, then taking the name of “shell”.
• Rupture: implants are not permanent. They have an average lifespan of 10 years. A loss of leaktightness of the envelope may therefore occur over time. This can very rarely be the consequence of a violent trauma, or an accidental puncture, and often the result of progressive wear of the wall due to age. Depending on the possible filling, the outcome is different.
• Malposition, displacement.
• Rotation: relatively rare.
• Deformation of the chest wall.
• Late peri-prosthetic seroma: in very rare cases, fluid accumulation may occur late around the prosthesis. A senological assessment will have to be made, with a specialized radiologist to carry out a puncture under ultrasound.

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