Reply To: Breast Augmentation By Implant for Beginners

Michelle Larsen

Side Effects:

This isn’t going into the ‘good’ side effects that we have come to know and love; increased self-confidence, increased intimacy, increased feeling of attractiveness, etc., but rather the unforeseen, outlier, odd ball type of side effects.

Dental Work: I have read several postings where the discussion has centered on the required use of antibiotics before and after dental procedures subsequent to breast augmentation. From what I can find, there is nothing definitive to supports this one way or another. The best, most concise, information I can find is from ImplantInfo: “The bottom line on this issue, according to some doctors is that there is no bottom line.

Certain doctors feel that, intuitively, surgeons should obviously treat their patients with prophylactic oral antibiotics in the period directly after the placement of the breast implants. This should be done for any procedure which causes a transient bacteria, such as dental surgery, colonoscopy, urological treatment (cystoscopy), and gynecological treatment. Probably 1 dose, 1 hour prior to the treatment followed by 1 dose after the treatment should be sufficient, as long as the patient is not immunocompromised.

This should be done for the first 6 months to 1 year after the breast implant placement. There is no data to support this – in that a study was never done in this country. However intuitively surgeons should treat breast implants like any foreign body implantable medical device, like pacemakers and total joint replacements.

Concerning general dental cleaning, the issue is even more vague. We cause a bacteremia every time we brush our teeth. And a dental cleaning is only a more mechanical “brushing of the teeth”. Although superficial dental cleaning should not require antibiotics, deep cleaning and periodontal treatment should get antibiotics therapy. There however have been anecdotal reports of increased capsular contracture after infections from dental treatment. Certain doctors make it a point to not prescribe oral antibiotics prior to the above outlined treatment except for superficial cleanings or routine dental treatment (fillings), as long as the patient does not have evidence of an immunocompromised state.

Other doctors recommend antibiotic pre-medication prior to all dental work. Best bet is to follow your particular surgeon’s advice. If you wish to be more conservative, most doctors will agree that pre-medication prior to dental treatment is not going to hurtful. Call your dentist or your plastic surgeon, as you feel comfortable with, and ask for a prescription to be called in for you on the day before your treatment.

Temperature: At first glance one would assume, as I did in the beginning that implants would adjust to normal body temperature. But apparently not! The question would be, ‘what is the underlying cause’? Is it based on the type of implant product? Or is it based on how and where the implant is positioned?

Comment1: I’m over a yr post op and mine are almost always cold to the touch! Even through out summer when it was 110 out, I’d touch em and they were cold lol

Comment2: Same here, I’m almost 1.5 years post op and they are cold most of the time. I think it really depends on how much preexisting breast tissue you had, I had very little, and so I really have nothing to insulate them with hence the boobie icicles

Comment3: When I had saline they weren’t cold, when I switched to silicone they were cold all the time!

Comment 4: I know that no one wants to talk about it BUT at only 2 days PO I am so so DONE with being constipated. I’m pretty petite and I get extremely uncomfortable as soon as I bloat even a little bit (and this morning I got woken up from my stomach doing the “groaning”noises and feeling like it was about to explode), so I went and got Dulcolax suppositories and within minutes it worked, and I’ve felt so much better since. So for anyone needing quick, easy relief….try these

Allergic Reactions: Any type of allergic reaction that may be caused by anything related to the surgery, medication, or products used as part of the surgery.

Comment1: I had a reaction and it was horrible! I had giant tub of cortisone prescribed and a medication for itching. Also Tagamet can be used to help block with histamines. There is a Benadryl clear that helped, Dermaplast spray, and Rhuligel. I switched to only cotton surgical bras and that helped a lot. The bra was the biggest culprit for me.

Comment2: Take off the bra. Load up your chest with the best anti itch cream you have. See if your Dr. will call in Atarax it helps with itching – it also made me sleepy. Ask surgeon to get you a cotton bra! I know it’s the fabric in the bra, at least it was for me. Also ice bags wrapped in towel helped take the edge off the itching.

Comment 3: I had burning in my sternum but it’s almost gone at 1.5 weeks PO. My nipples are SO sensitive though! It’s incredibly annoying. I’ve been using Jenny Eden’s booby butter morning and night to prevent stretch marks – love it so far. Check the top of the October or November groups for a link to purchase.

Squeaking: weird! Yes, apparently, some women mention that in the short time after surgery, there seem to be squeaking noises coming from their chest. Are they more prone if over, or under, the muscle? Or are they more from being textured, or smooth? Or more based on size? Given that these comments are just off the cuff comments with no medical explanation; this will be a topic for discussion with the surgeon.

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