Breast Augmentation - The operation

The operation can be done with local anesthesia and deep sedation or general anesthesia. Once the incision is made, the surgeon creates a pocket into which the implant will be inserted. This pocket is made either directly behind the breast tissue or underneath the pectoral muscle which is located between the breast tissue and chest wall. 

An incision is made either underneath the breast just above the crease, around the lower edge of the areola (the pigmented skin surrounding the nipple) or within the armpit. 

The patient usually goes home next day. The pain can be severe at times in the following two days and requires strong pain killers and muscle relaxants. Keeping the patient overnight allows for better pain control, intra-venous antibiotics and the placement of a small drain if necessary to evaluate and prevent any blood from collecting around the prosthesis which may increase the risk of breast hardening in the future (capsular contraction) 

Changes in nipple or breast sensation may result from breast augmentation surgery, although they usually are temporary.