FAQ in Plano, TX
This section features frequently asked questions for the following procedures:
Will I have scars? If so, where will they be?
The incision can be made under the breast, under the arm, or around the areola, where scarring is least visible.
Can I still wear an underwire bra?
It was traditionally taught that underwire bras could potentially injure the implant; however, common sense indicates that if the underwire bra does not hurt the overlying skin, there is no reason to think it would ever hurt the underlying implant. Therefore, there is no restriction on wearing underwire bras.
How long will I need to be off work?
This depends greatly upon the type of work you do, as well as placement of the breast implants. In general, most patients who have a desk job can be back at work in three days, whereas a woman who works as a nurse or flight attendant, and has to lift heavy things, may need to wait two weeks to return to work.
What type of anesthesia will be used?
General anesthesia is performed by a Certified Registered Nurse Anesthetist or a Doctor specializing in anesthesiology.
I’m not sure what size of breast implant would be appropriate for me. How do I decide?
You and Dr. Wilcox should make this decision together based on your size preference and what best suits your body.
Will I still be able to breastfeed?
Although there is no guarantee, the majority of women that undergo breast augmentation prior to the birth of their last child do still breastfeed. When the incision is made underneath the breast or under the arm, 95% of the breast gland as a whole is not interrupted in any manner, so there would be no influence on the ability to breastfeed.
I’ve heard implants can be placed behind, or in front of, the muscle. How is this decision made?
This is best decided with the help of Dr. Wilcox. It depends upon the amount of breast tissue you presently have, as well as other factors particular to your body.
I work out three times a week. How long before I can resume exercise?
Strenuous exercise such as aerobics should be postponed for two weeks. High impact sports such as skiing or water skiing should be postponed for four to six weeks. If the implants are placed under the muscle, no chest muscle exercises such as bench presses or pushups should be allowed for two months.
Is the procedure expensive?
The cost varies by the type of implant used. We offer CareCredit as a financing option; we also accept Visa, Mastercard, American Express, and Discover Card as payment.
How long will I have bruising and swelling?
There will be moderate bruising and swelling for at least one week.
How long will I have pain?
Mild to moderate discomfort will last for at least 2 – 3 days.
Will I have numbness?
The sensation gradually returns, usually within 2 – 3 months as the nerve endings heal.
Will my scars be red? How long will I be scarred?
Scars on the face usually fade within 3 – 6 months.
Will I have dry eyes?
After eye surgery, your eyes will probably feel more dry than usual. We suggest using artificial tears.
How long before I can wear makeup?
You can wear make-up after one week.
How long before I can return to work?
You can return to work after one week.
How long will I have my sutures?
Sutures on the face come out after 5 days.
Can I do heavy lifting or aerobic exercise?
Do not do heavy lifting or straining for at least 3 weeks. Also wait 3 weeks after surgery for exercise.
What helps the swelling?
Ice packs or ice sponges for at least 1 – 2 days after surgery help to keep the swelling down. Sleep with two or three pillows to help reduce swelling.
Do I need to wear sunscreen?
Use a sunscreen with a SPF of at least 15 when outside. Continue for at least 6 months.
Can I drive?
You may resume driving once you are off all pain medications.
How soon may I start exercising?
You may begin exercising in 4 – 6 weeks, as cleared by Dr. Wilcox. When resuming your workout regimen, start out in moderation.
When can I wear make-up?
You may wear make-up in 2 weeks. You just do not want to massage the face too much at the beginning so as to prevent bleeding.
How much will I bruise?
Each patient’s bruising level varies; however, it usually is resolved in 2 – 3 weeks.
When can I wash my hair?
You may wash your hair in 5 days. When washing your hair, you must be very gentle and lightly massage the scalp.
When will the bruising go away?
The bruising will greatly diminish in approximately 14 days.
When will the swelling go away?
90% of the swelling will be gone in 6 – 8 weeks. The remainder will decrease over the next 3 months.
How long will the surgery take?
Depends on how many areas of liposuction are done. Typically 1 – 2 ½ hours.
How long will I need to be off work?
3 – 5 days after your liposuction procedure.
Does insurance cover this procedure?
If the breast reduction can be proven to be medically necessary, then the insurance might very well cover the procedure.
What would be considered a medical necessity?
A medical necessity would be back and neck pain, deep shoulder grooving, or a rash under the breasts caused by oversized breasts. If there is a record of the patient being treated for any of these conditions, it can be very helpful in discussing the funding of the procedure by the insurance company.
How much discomfort is involved?
There is really not much pain involved because there are no muscles involved.
Will there be scars?
Every surgery involves scars; there is no way around that. The scars will be thin and fade within a year. Most of the incisions are made around the areola and underneath the breasts, so they are less noticeable.
How much breast tissue can be removed, and does Dr. Wilcox decide what size my breasts will be?
Dr. Wilcox will work with you to decide what would be the best size for your body.
How long would I need to be off of work, or to be on restricted activity?
You would need to be off of work for 1 week. No aerobic exercise for 4 – 6 weeks. You would also need to avoid sun exposure to the breasts for at least 3 months.
Would I be able to breast feed after a breast reduction?
Some patients are able to successfully breast feed following a breast reduction, however, some are not.
How old should a candidate be for rhinoplasty surgery?
Growth must be completed – usually 16 – 18 years old is the minimum.
How long do I wear a splint? What about bruising?
A splint is worn for 5 – 7 days after surgery and bruising is usually gone in 7 – 10 days. Most swelling will be gone in 8 – 12 weeks, but it can take up to a year to see the final results.
If I bring in a picture of a nose I like, can Dr. Wilcox make mine look just like the picture?
Dr. Wilcox may be able to achieve the look you want, but there are limitations depending on the size and anatomy of your nose, as well as your skin thickness. Your “new” nose should be in proportion to your face. The ideal result is one which gives a natural look. Dr. Wilcox offers computerized imaging to demonstrate the surgical and aesthetic goals in advance.
What is a capsule and what is a contracture?
The capsule is the normal physiologic response to a foreign body placed in the human body whether it be breast implants, a pacemaker or an artificial joint, etc. It is the patient’s own tissue. Occasionally, it can contract down causing tension and perceived hardening of the implant. That is a contracture.
What causes the contracture?
Ultimately, the answer is unknown, although most evidence implicates involvement of bacteria that is normally found on the skin or within the breast itself. This is a much less virulent bacterium that does not cause an overwhelmingly obvious infection, but causes enough of an inflammatory response to cause hardening around the implant.
Is capsular contracture common?
Capsular contracture is considered the most common complication after breast augmentation surgery. Every surgeon is going to have patients who develop capsular contracture, although the difference between surgical practices varies widely.
What can Dr. Wilcox do to reduce the chance of capsular contracture?
Many things are employed in our practice to minimize any bacterial contamination and, therefore, capsular contracture. Dr. Wilcox is the only one who handles the implant. Powder is removed from the gloves so as not to introduce any additional foreign body. The implant pockets are rinsed with antibiotic solution, as is the skin around the breast incision. The same solution is used to rinse Dr. Wilcox’s gloves. Antibiotics are given to the patient intravenously before surgery, and orally for five days after surgery. Patients are instructed in how to do breast massage to stretch the capsule one week after surgery. Strict adherence to all of these measures decreases the chances of hardening dramatically.
I was told that if hardening develops, my only option is to undergo repeat surgery.
There are things that can be employed before automatically going back to surgery, such as employing a regimen of antibiotics and vitamin E. In addition, the Aspen After Surgery Ultrasound Treatment is specifically designed for breast capsular contracture that dramatically increases the likelihood of successful non-operative treatment of hardening of the breast.
Where can I receive Aspen After Surgery Ultrasound Treatments for my hardening?
At this time, there are only four centers in North America offering this FDA-approved and patented treatment. Ours is the only treatment center west of the Mississippi River. We have found the success rate to be as high as 80% for Baker Grade III capsular contracture.
Do I have to be a patient of your practice to have the Aspen After Surgery Ultrasound Treatments?
No. We accept patients from all over, whether they had their surgery performed here initially or not. Please contact our office and visit our website for more details.