Breast Augmentation

Question 1

What is Breast Augmentation?

Answer 1

Cosmetic procedure to increase the fullness of the breast using an implant

Question 2

True or False: A patient does not have to pay out of pocket for a Breast Augmentation.

Answer 2

False

-Patients pay out of pocket (except in cases of breast cancer)

Question 3

What are the two types of Breast Implant material?

Answer 3

• Saline filled (filled on site)

- Silicon filled (more natural look/feel)

Question 4

What is Patient Positioning for a Breast Augmentation?

Answer 4

• Supine with Arms in Arm Boards at 90 degrees

- Patient’s hip aligned with hinge part of OR bed

Question 5

Why is important to make sure the patient’s arms are secured tightly?

Answer 5

We need to sit the patient up at 90 degrees to make sure the breast look normal from a standing position

Question 6

What are the three types of incisions used for Breast Augmentations?

Answer 6

• Circumareolar incision
• Axillary incision
• Inframammary incision

Question 7

What is the drawback of the Circumareolar incision?

Answer 7

• Limited by size of the areola

- Nipple is prone to bacterial infection

Question 8

Where is the implant placed during a Breast Augmentation?

Answer 8

Under the Pectoralis Major muscle

Question 9

What retractors are used during a Breast Augmentation?

Answer 9

• Army-Navy (Skin)

- Deaver (Pectoralis Major)

Question 10

What suture is used to close the Deep Dermis/Dermis during a Breast Augmentation?

Answer 10

3-0 Vicryl (CT1 Needle)

Question 11

What suture is used to close the Skin during a Breast Augmentation?

Answer 11

4-0 Monocryl (PS2 Needle)

Question 12

What dressings are used after a Breast Augmentation?

Answer 12

• Steristrips
• ABDs
• Bra (or 6 in. ACE wrap- AVOID COMPRESSION)