Salisbury, Maryland Breast Enlargement
Southern Delaware Breast Enlargement
With vast experience in beast enlargement surgery, Doctors' Perrotta and Pellegrino have produced a warm, friendly process for preparing a patient for breast augmentation:
CANDIDATES FOR BREAST ENLARGEMENT
• Women with small breasts who desire larger breasts
• Women with beasts that have lost volume following child bearing
• Women who have breast asymmetry (uneven breasts)
• Women who have small breasts due to significant weight loss.
• Women with mild cases of breast ptosis (droopy breasts).
THE GOALS OF BREAST ENLARGEMENT
• Breasts that are in proportion with the rest of the body
• Breasts that are shapely and symmetric
• Improvement in body contour
• More positive self image.
INITIAL CONSULTATION
It is very important for the patient and the plastic surgeon "to be on the same page," so Dr. Perrotta or Dr. Pellegrino devote as much time as necessary to discuss with each patient her individual goals and needs.
The doctor will perform a focused physical examination to provide preliminary recommendations and determine whether the patient would also benefit from a breast lift.
Once the doctor determines the surgical plan, the aesthetic coordinator produces a written quote which lists all costs of the proposed surgery: fee for the surgeon, fee for the anesthesiologist, fee for the facility and the fee for the purchase of breast implants. The patient then schedules her pre-op visit.
PRE-OP VISIT
Much is covered during the pre-op visit. First, one of our highly trained medical assistant takes the patient's pre-op photos.Next, the doctor explains the surgical technique and thoroughly informs the patient about potential complications of the surgery and the use of breast implants. To review the potential complication, please click HERE
The doctor performs a more complete history and physical examination. He measures the patient's chest for implant selection and checks her vital functions to make sure is physically fit for surgery.
For specific information on selection of breast implants, click HERE
The last topics the surgeon discusses with the patient are patient instructions leading up to the surgery as well as those immediately following it.
THE BREAST ENLARGEMENT SURGERY
Dr. Perrotta and Dr. Pellegrino routinely perform breast enlargement on an outpatient basis. Some patients prefer heavy IV sedation with local anesthesia while others require general anesthesia. Their patients have the luxury of having undergoing surgery in the most private and convenient of settings, the operating room suite located inside Peninsula Plastic Surgery's Salisbury office complex. This operating room has the distinction of being fully accredited by AAAHC and certified by Medicare.Doctors Perrotta and Pellegrino place their incisions inside or just above the inferior mammary creases (breast folds) or around the areolas. Both of these approaches provide excellent exposure for the surgeon and therefore increase the likelihood of perfect results. Some other surgeons place incisions inside the arm pits or use the belly button as the site of entry. Unfortunately, the arm pit and the belly button do not provide good exposure.
The surgeons then produces a pocket on each side of the chest to receive an implant. Both Doctors Pellegrino and Perrotta routinely form this pocket under the pectoralis major muscle, which makes for a more natural look and reduces the risk of capsular contracture. For an accentuated look, an occasional patient will request to have her pocket created above the muscle.
Doctors Pellegrino and Perrotta soak the implants in antibiotic solution, which reduces the risk of infection. Only thereafter do they insert them into the pockets. They then meticulously close the wounds in multiple layers of stitches.
The nursing staff then applies the dressings and post-op garment.
POST-OP RECOVERY
Patients go home with an elastic bra. The bra produces pressure to prevent bleeding, and provides support to reduce discomfort from the bouncy ride home.Most patients experience pain for three days and then discomfort for two weeks thereafter. Oral narcotics adequately control such pain.
Both surgeons schedule patients for follow up visits within one week after surgery, two to three weeks after surgery, six to eight weeks after surgery and then annually. These visits are complimentary.
LONGTERM MONITORING
Both doctors monitor their patients closely. They offer complimentary annual check-ups during which the breasts are assessed for capsular contracture and migration of a breast implant.Our doctors will order routine mammogram for our patients. Patient who have undergone breast enlargement surgery start obtaining mammograms at age thirty-five.
BREAST ENLARGEMENT BEFORE AND AFTER PHOTOS
We are grateful to our patients for granting us the privilege of posting their before and after photos. While we greatly value their privacy, we also salute their eagerness to share their life-changing results with other individuals considering breast augmentation. Every patient on this web site has enthusiastically provided her written consent for us to share her results.