Breast augmentation with implants can be done under general anesthesia or under local anesthesia combined with sedation.
Both requires the same precautions and a certified operating room that general anesthesia requires in order to provide a safe environment. Because of this, and the extra time that local takes, the costs are about the same. According to a questionnaire among surgeons and scrub nurses %86 percent of them prefer local anesthesia combined with sedation instead of general anesthesia.
Whether breast augmentation surgery is done under general anesthesia or local anesthesia with intravenous (IV) sedation this is what happens once the surgery has started:
About 250 ml of saline solution with local anesthesia will be inserted into each breast tissue in order to achieve les bleeding. One or more incisions will be made in areas that will not be obvious after surgery. These incisions may be under the breast, under the arm, or around the nipple. The implant will be inserted through an incision and placed under the chest muscle or directly under the breast. The incision or incisions may be closed using stitches, skin adhesive, or surgical tape. In some cases a plastic drain may be left in place.
After the procedure you will be taken from the operating room to the recovery area, where nurses will monitor you until you have recovered from the anesthesia. You may have a bulky dressing over your breasts, or you may be wearing a surgical bra. Once you can take fluids well by mouth, the IV will be removed. It will be important to get up and start walking as soon as possible to prevent the complication of blood clot formation in the legs.
Once you get home, it’s important to follow all your surgeon's instructions and keep all your follow-up appointments. Take all the medications that your surgeon prescribes as directed. These may be included in home-care instructions:
During the first few days after surgery you should expect to feel sore. You should avoid lifting, pulling, or pushing until your surgeon says it is safe. Dressings and drains may be removed by your surgeon within a few days. You may be given a special support bra to wear after the dressings are removed. Stitches or adhesive tapes may be removed in about seven days.
You will gradually be able to return to normal activities over several days. You may need to wait a few weeks before returning to physical activities. Please ask us when it is safe to return to work or to specific activities.