Breast enlargement, enhancement or augmentation is a surgical procedure that increases fullness to the breasts using implants. As one of the most requested plastic surgery procedures for women, it is very efficient in improving the contours of your body and helping you feel more confident in your appearance. Augmentation is a highly customisable procedure that Dr Ritz will tailor to your concerns, individual body proportions and aesthetic goals.
Women who have breasts that are naturally small or flat, or those who have seen changes in their breasts since pregnancy and breastfeeding, may see the benefits of breast augmentation. Numerous options are available in implant shapes and sizes to ensure a natural, beautiful result from your procedure. Dr Ritz can also select from different implant placement options, either over or under the pectoral (chest) muscle to find the look that suits your body best.
Your initial consultation with Dr Ritz is the perfect opportunity to explore your options with breast augmentation. In addition to choosing how large you would like to go, Dr Ritz will help you select the shape, material and texture of your implants with the goal of producing a result that you are satisfied with and that meets your expectations. The decision-making process in anticipation of breast augmentation can be overwhelming, but rest assured Dr Ritz will guide you through each choice you need to make to ensure you are comfortable with your final selection.
Saline and silicone implants can both enhance the breasts, and you can make your selection based on the current size of your breasts, the size you would like to achieve and your budget. Options within these two categories include round or contoured implants, as well as those with a smooth or coarse texture. All these choices have their unique benefits and drawbacks, which Dr Ritz will explain to you at this meeting, so you can tailor your breast augmentation to produce the best possible outcome.
In addition to his support and willingness to share the information you need to prepare for your breast augmentation, Dr Ritz also uses 3D Vectra imaging to help his patients “see” their results before surgery. This advanced technology allows you to view 3-dimensional photorealistic renderings of your body with your new breasts, so you have a better expectation of what you will look like after your body heals from surgery.
You can also view samples of implants in our office to gain a better understanding of the different shapes and textures that are currently available. You may see a benefit in trying on “sizers” in a bra to give you an idea of not only how your larger breasts might look, but also how they might feel.
Dr Ritz will use this appointment to collect information from you as well. He will take a full medical history to determine whether you are healthy enough for surgery. He will also measure your breasts since one of the most critical components to your consultation is assessing the current size and shape of your breasts to provide you with a realistic expectation of what your implants might offer.
Two weeks before your surgery, you will come in for a second consultation to review the treatment plan you created with Dr Ritz and to go over any questions or concerns you might have about your procedure.
During the surgery
You should arrive 30 minutes to two hours before your surgery to meet with Dr Ritz, so he has time to mark your incisions and review the techniques he plans to use. Your anaesthetist will also visit with you to discuss what will happen as you go under the anaesthesia for your surgery.
Your breast augmentation will take place under general anaesthesia, which means you will be comfortably asleep throughout your procedure. Dr Ritz will make your incision in the pre-determined location and create a pocket within the chest that allows him to place the implant. Using an inflatable sizer, Dr Ritz will expand the pocket to the appropriate size so that he can put your implants into place.
Once your implants are settled, Dr Ritz will check your breasts for symmetry before closing your incisions with sutures. Drains will also be placed into the incisions to collect fluids during the initial part of the recovery process.
Your breasts will be wrapped in dressings to contain any swelling and support the tissues while they heal. After an optional overnight stay in a private hospital room, where you will be cared for by attentive nursing staff, your drains will be removed, and you will be able to go home. If you head home the same day as your procedure, you will return to our office in a day or two to have the drains removed there. Dr Ritz will have you fitted for a specialised bra that you will wear day and night for six weeks. You will also be scheduled for follow-up appointments in our office so that he can assess the progress of your surgery.
Post operative care
As you recover, it is essential to limit rigorous activity such as strenuous exercise or heavy lifting for at least six weeks or at the discretion of Dr Ritz. You will also be prohibited from driving for the first two weeks, due to the pain medication you will be taking to keep you comfortable during that time. It can be beneficial to have a friend or family member assist you during the early days of the recovery process to limit the amount of lifting and activity you feel compelled to perform.
How long does the surgery take?
Breast augmentation may take just about an hour to complete. The amount of time needed will vary based on where the implants will be placed and whether other procedures might occur at the same time as the augmentation.
Can I do it just as a day case?
Yes, breast augmentation is often done as a day case, which means you go home a few hours after surgery. Patients also have the option to stay overnight in a private hospital room if they prefer. The choice can be discussed at your consultation.
How long do I have to take off work?
Most patients take off about two weeks after breast augmentation, depending on how much activity is involved in their jobs. If your occupation is particularly strenuous, you may need more time to recover before you can return. Dr Ritz will discuss the amount of time you might need for your recovery at your consultation.
When can I drive?
This is a common question from patients since driving is a sign they can be independent once again. We would advise you to avoid driving for the two weeks immediately following surgery.
How long until I can exercise?
Light exercise like walking can usually be resumed within a couple of weeks. However, more strenuous aerobic activity and strength training should be avoided for at least six weeks post-operatively. Mr Ritz will advise you further at your follow-up appointments as to precisely when you will be able to get back to your workouts.
Can I choose what implant and size I want?
Yes, with the help of Dr Ritz at your initial consultation. Dr Ritz will advise you on these choices based on your current breast proportions and the results you are hoping to achieve. Rest assured there are plenty of options to provide you with a natural, beautiful appearance after your breast augmentation procedure.
Where is the best place to have the incision?
There are different incision options for breast augmentation, including around the areola and underneath the breast in the crease. Dr Ritz will tell you which placement he feels will be best for you. Rest assured no matter where your incision is placed, Dr Ritz will take care to ensure the visible scarring after surgery is minimal.
Can I breastfeed after surgery?
In most cases, the answer is yes, since the implant does not interfere with the process. However, there is a risk of losing nipple sensation after breast augmentation, which could impact your ability to nurse. It is important to note that some women are unable to breastfeed even if they never have breast surgery.
Will I loose nipple sensation?
The nerves are stretched during surgery, which may result in temporary loss of sensation. In rare cases, the nerve is actually damaged, which may result in permanent loss of sensation. This is not a common occurrence, particularly when your procedure is performed by an experienced surgeon like Dr Ritz.
Are the implants in there permanently?
Because the implants are synthetic, they usually have to be changed after many years. Most last around 10-15 years before they begin to cause complications. However, if you are not experiencing problems with your implants, you do not have to have them replaced even if you have had them this long.
How much does the surgery cost?
Breast augmentation costs vary considerably, based on the type of implants used, the anaesthesia used and whether the patient spends an overnight in the hospital or goes home the same day as their procedure. We are happy to provide you with a rough estimate of breast augmentation cost over the phone and a more detailed quote at your initial consultation.