David B. Reath, MD
Knoxville, TN (865) 450-9253
HKB Knoxville Staff

What Not To Do The Night Before Your Breast Augmentation

night-before-breast-augElective plastic surgery differs from almost any other type of medical care that you will receive. Because ultimately you, as the patient, get to decide what to do, or at the very least be pivotal in the decision making process, especially when it comes to breast augmentation. As a surgeon, this is a part of my daily life and work. But most patients are not so accustomed to making these types of decisions. This can lead to a lot or rethinking or overthinking of the surgical plan. And, of course, when does this happen the most? The night before surgery. Or even the day of surgery.

And it seems that this happens most in dealing with breast implants, specifically the size of breast implants. Of course it’s normal to rethink things and to worry about the outcome. So if you find yourself going back and forth about your breast implant size the closer you get to your surgery, here’s what to keep in mind.

The internet is and is not your friend when it comes to plastic surgery.
Part of the problem here – if indeed it is a problem – is the internet. It is really great to have so much information at the click of a mouse. But there is no guarantee that what you read is good and accurate information. Forums and discussion groups are great places to discuss and exchange ideas, but what is talked about may not apply to you, or to your concern. It’s like looking at before and after photos. If you are not looking at someone who is your height, weight, body shape, and beginning breast shape and size, the photos don’t really give you a good idea of what you would look like with a certain size implant, or certain type of lift.

One of the best aspects of the internet is the availability of other people’s experience going through a certain procedure like breast augmentation. Tips about what to expect, things that might be helpful during recovery, and the like are fabulous. But making a decision about what you should be doing, on the basis of another person’s experience is not the best plan.

When in doubt, stick with the original plan
The final minutes and hours before surgery is not the best time to rethink, redo, or redevelop the surgical plan. This should be done well in advance. And generally this is the case. When it comes to breast implant size, we discuss and determine this in the office while working sizers. Frequently patients will do this more than once, but well in advance of surgery. This is really the best time to do this before the preoperative nervousness and jitters sets in.

Another thing that I have seen a lot is that patient having an augmentation will worry that they are going too big with their implant size and question at the time of surgery if they should go smaller. Generally this normal and just a case of nerves, so we will go with the size that we choose during our office consultation. This seems to me to be almost a “pre-buyer’s remorse.” Rest assured that I have yet to have a complaint about sticking with the size we chose rather than going smaller.

Probably the best way to deal with this very real phenomenon is to turn your brain off – when it comes to thinking about your surgery – a day or so prior to surgery. Have confidence in the process you and your surgeon have gone through to develop your surgical plan. And just remember that overthinking is normal and that the internet is not always your best friend.

All the best,

David B.
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