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    Day of Breast Surgery

    Breast Implants | Breast Augmentation Beverly Hills | Los Angeles

    Pre-Operative Marking Prior to your surgery, you will have the opportunity to speak with Dr Motykie about any part of your surgical procedure and/or recovery process. You will be asked to change into a surgical gown and Dr Motykie will place surgical markings on your chest. All markings are performed in the standing position to ensure proper reference points such as your current nipple height and breast fold location. Lastly, wear loose fitting clothing the day of your surgery that is easy to get in and out of such as sweat pants and a shirt that zippers in the front.
    Anesthesia and Operating Facility For almost all breast augmentation techniques you most likely will receive general anesthesia for your own personal comfort, safety and surgical ease. It is Dr Motykie’s opinion that the safest and most effective way to perform breast augmentation is under general anesthesia since it allows for ease of breast pocket creation, relaxation of the chest muscles, additional comfort as well as allowing you to be sat up during surgery to assess final breast volume, symmetry and shape. It is not in your best interest to undergo breast augmentation using awake anesthesia.
    Dr. Motykie uses only Board Certified Anesthesiologists to administer anesthesia and monitor your safety during your surgery. You may be given medication before reaching the operating room so you will feel relaxed before surgery. The surgery takes approximately one hour to perform in its entirety. Every surgery is performed in a fully accredited, state of the art (AAAASF) surgical facility where your safety, comfort and privacy are of the utmost importance. Deep vein thrombosis (blood clots) precautions are taken with every patient and include a minimum of anti-embolic stockings and sequential compression devices (SCDs) on the lower extremities during the entire length of your procedure.


    After general anesthesia is administered, an incision is made in the location that was decided upon prior to surgery (areola, axillary, inframammary or transumbilical).  After the incision, a pocket is created for the breast implant that can either be in the subglandular, submuscular or dual plain position. A breast implant sizer is then inserted into the breast pocket and centered behind the nipple. Most times the best result, least pain and least risk of complications comes from traversing the least amount of tissue on the way to inserting the breast implant which is why the periareolar technique is often preferred by experienced surgeons.

    After the breast implant sizer has been inserted into the breast pocket, you will be placed in an upright position in order for Dr. Motykie to better evaluate your final breast shape and symmetry by allowing gravity to act upon the implants’ position. Once the final size and shape of your implants has been determined, the implant sizers will be removed and the permanent breast implants are placed into the breast pockets. After the procedure is completed, small surgical tapes will be placed over your incision sites and you will be fitted into a surgical brassiere and compression ACE wrap in order to support your new breasts and help decrease swelling and bruising after the procedure.

    Recovery Room

    After surgery, you will be transferred to the recovery room where you will be allowed to rest and the effects of anesthesia wear off. Nurses will be at your bedside to monitor your vital signs, provide you with pain medications, and small amounts of water and/or ice chips as the effects of the anesthesia wear off.  After you have fully recovered from anesthesia, you may be released to home with a responsible adult or you may choose to stay overnight in an outpatient recovery retreat that is staffed with nurses around-the-clock who will assist you with post-operative care and medications.

    To find out more about breast augmentation please contact us at 310-246-2355

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