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| Dr.
Zandi has a great deal of experience with
cosmetic surgeries performed on Asians and
has been performing them since 1974. |
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Asian Breast Enlargement (Breast
Augmentation) |
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| Breast
Augmentation or Augmentation
Mammoplasty involves placement
of an implant to increase
the volume and enhance the
shape of the breasts. This
operation is expected to make
you feel more confident about
your appearance. |
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| Who
is a Good Candidate? |
| One
or more of the following conditions may
indicate that you are a good candidate for
this operation: |
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Breasts
are smaller than desired. |
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Clothing
that fits well around the hips are
too large for the bustline. |
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You
feel self conscious wearing a swimming
suit. |
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One
of your breasts is noticeably larger
than the other. |
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| Private
Consultation: |
During
your initial consultation you will discuss
with your plastic surgeon your past and
present medical conditions and current
medications used. He needs to know if
you have hypertension, thyroid problems
or diabetes. He should also know about
your past surgeries, allergies to any
medications and personal habits, such
as smoking and drinking. You should let
him know if you are planning to lose a
significant amount of weight in the future.
A physical examination will be performed
to measure the amount of tissue to be
removed or lifted. Preoperative photographs
will be taken. You may be shown before
and after photographs. Lab tests, x-rays
or EKG may be ordered depending on your
general health. At the conclusion of the
consultation and physical examination
the fees will be discussed with you by
the doctor and his staff. |
| Preparation: |
Stop
all non-prescriptive medication, diet
pills, herbs, and garlic two weeks before
surgery.
It is advisable to stop smoking two
weeks prior to and two weeks following
surgery. Do not drink any alcoholic
beverage two days prior to and one week
following surgery.
Have your mammogram and any lab work
done at least two weeks prior to surgery.
Avoid taking aspirin
and aspirin
containing products such as Advil and
avoid garlic and garlic products two
weeks prior to surgery. These products
can prolong bleeding and increase bruising.
Tylenol may be taken during this period.
For a period of two days before surgery
you wash your upper torso from neck
to waist with Betadine soap for 15 minutes
twice per day. An additional wash should
be done right before the surgery. No
skin product should be used two days
prior to the surgery. Do not eat or
drink anything after midnight before
surgery. You may, however, take prescriptive
medication with a small amount of water
and brush your teeth the morning of
surgery. Wear a loose fitting shirt
that does not pull over your head to
the surgical suite when coming for surgery.
Loose sweats are recommended as you
will be in a compression garment after
surgery and they may be difficult to
get on. Do not wear jewelry or bring
valuables when coming for surgery.
Please plan to have someone bring you
to and take you home from surgery and
stay with you at least the first 24
hours. Notify the office staff of this
person's name and their telephone number
prior to surgery. Have all prescriptions
filled a few days before surgery, so
they will be available for you when
you arrive home from surgery.
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| The
Procedure: |
The
operation is usually performed under general
anesthesia and occasionally under local
anesthesia with conscious sedation as
an outpatient. There are different approaches
and each surgeon has his or her own choice.
I approach the breasts mostly through
an incision on the lower border of the
areola, (the dark skin around the nipple),
however it can be performed through the
under arm or under the breast as well.
The implant can be placed in front of
or behind the chest muscles. I usually
place them behind the muscles and occasionally,
in front of the muscle.
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| Surgical
Risks: |
This operation is performed on millions
of women with success, but anyone undergoing
the procedure, however, should be aware
of the benefits and risks. Potential
complications include reaction to the
anesthesia, blood collection that may
need drainage or re-surgery, infection,
which may require removal and later
replacement of the implants, change
in sensation of the nipple and surrounding
skin, which is usually temporary. The
scar is usually unnoticeable, but on
occasion it may be noticeable and may
require a minor procedure for improvement.
The capsule, which is a natural scar
formation around the implants may undergo
contracture (shrinkage) and make the
breast firm. By placing the implant
behind the muscle, this risk decreases.
It can be corrected by surgical release
of the capsule.
If the saline filled implant leaks,
it causes no harm and the saline will
be absorbed by the body within hoursThe
implant can be replaced with no difficulty.
There is no scientific evidence that
breast augmentation increases the risk
of breast cancer, however, presence
of breast implants makes it more difficult
to take and read the mammograms. Placement
of the implant beneath the chest muscle
may improve this interference.
After breast augmentation it is possible
to return to work in about a week or
so depending on your job. Vigorous activities,
especially movement of the arms may
be restricted for one to three weeks.
Recovery time varies from person to
person depending on the patient's motivation.
Most patients should be able to drive
within three to five days after surgery.
Strenuous exercise and aerobics should
resume no earlier than three to four
weeks after surgery. Sexual activity
should be avoided for at least two weeks
after surgery and one should be extremely
gentle with the breasts for the first
month or so. Self examination or examination
by your physician can be resumed approximately
one month following surgery.
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| Postoperative
Care: |
Rest
the week after surgery on your back on
one or two pillows.
You
may experience moderate pain for the first
two to three days following surgery. Pain
medication is given to reduce the pain
during your recovery period. A slight
fever is normal during the first few days
following surgery.
You
will have bandages in place for about
three days. These bandages should remain
intact without getting them wet. You may
remove them and take a shower on the third
or fourth day after surgery. You will
have sutures in place for 7 - 10 days.
You may experience bruising and swelling
for one to two weeks.
You
are encouraged to call the office if you
have any questions. |
| Fees: |
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It
is customary that the fees for surgery
to be paid two weeks prior to surgery.
This assures that the patient is sincere
in his or her motivation. The fees include
the surgeon's fee, the facility charge,
which is private and fully accredited
with high tech equipment, and anesthesiologist
or certified nurse anesthetist, if general
anesthesia is used. Also included in these
fees are any laboratory tests performed
in the office or use of special equipment.
It is very rare that insurance plans cover
cosmetic surgery. Please feel free to
ask the office staff if you have any questions
in that regard.
We
understand this is a very important decision
in your life and you would like to do
this for yourself. In your private consultation
with Dr. Zandi, who is a Board Certified
plastic surgeon, you may discuss your
needs and also obtain additional information.
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