Advices to the patients



1.      Choose suitable doctors

Plastic and aesthetic surgery is a spiritual satisfaction for people in a much broader spiritual dimension with very strict requirements to the plastic surgeons. In order to get satisfactory operation effect, you have to choose a most suitable plastic surgeons for yourself by complying with the following three principles. Firstly, you need to see if this surgeon has the state-authorized qualification of plastic surgeon including Practicing Physician Qualifications of Ministry of Health, the registration status of practicing physician and so on. Secondly, you need to listen. Whether the physician is patient enough to listen attentively to your expressions on your pursue of beauty, motivation of beauty and requirements on beauty especially to his analysis and comments on your pursue and motivation of beauty and his solutions according to your requirements; whether the physician is always compliant with your will,; whether the solution is objective, scientific, feasible and credible especially whether it integrates with your practice and your demands. Thirdly, you need to analyze. Whether the implementation solutions based on your requirements on cosmetology provided by the physician is scientific. To analyze and know about the surgeons including his practical aesthetic faculty, morality of profession and practical ability to accomplish this solution.


Choose suitable products


1)Currently, silicone gel filled breast implant and normal saline breast implant are most commonly used.

 2) In terms of shape, implants include hemisphere type, cone type and anatomical type, and are selected according to personal preference, body form and age. Generally speaking, the former is suitable for young ladies and the latter is suitable for mature ladies.


 3)In terms of surface, implants include smooth surface and textured surface; textured surface implants can reduce the capsular contracture incidence.


3.      Psychological Preparation


Patients who need a breast augmentation operation may have much psychological obstacles including anxiety, nervous, melancholy, loneliness, shyness and dread during the period of being in hospital. It is very important to give some certain psychological nursing and guide to these patients to ensure a successful operation.


1) Timid Psychology


Having a good think before operation, the patients who need a breast augmentation operation always hope to talk with female doctors and pay more attention to the operation effect and the possible danger. So the nurses and surgeons need to explain to the patients patiently, sincerely and carefully and take out albums to let the patients know the process and effect of the operation so as that the patients have enough confidence. Through the talk between surgeons and patients to decide operation solution fatherly and according to the breast size, height, body type and shape of the patients to choose a suitable breast implant. Because some patients are afraid that the exposure of operation would be commented by people, we need to understand this sort of psychology of patients ,try to meet the patients¨ demand and respect the patients¨ private right.


2)Anxiety and Dread Psychology


As for some young and unmarried female, who usually haven¨t gone through the cosmetic operations in the breast augmentation operation rooms, would be too afraid of the pain of the operation and the scar left due to the fail of operations that they can not have a good rest before the operation especially the night before the operation. It is necessary to explain the importance of preparation before operations to the patients, who have some psychological problems affecting the preparation work of operation.. They might be impatient, without sufficient preparations before operation, be afraid that long time in the hospital would affect their work and ask to have operations upon arriving in the hospital. Meanwhile the routine examinations would be better taken before the patients being in the hospital to consider the practical status of patients. According to the economic conditions and health status of patients, the surgeons would select suitable anaesthesia method of breast augmentation operations. If there are patients who have experienced the breast augmentation operations living in the ward, the surgeons may let the patients who have gone through the operations help the new patients out of the unnecessary anxiety and apprehension.


3)Melancholy and Lonely


Having suffered from the abnormality of small breasts, they are affected deeply in loving, applying for a job and couple life after marriage with depressive psychology. Being afraid of being discovered by others, they usually go to visit the surgeons alone. They worry if their relatives would be satisfied at the operation and if the couple relationship would be affected by it. Because there are no one to accompany and visit, in addition to the trouble made by pain of operation, the patients usually are melancholy and lonely. The medical personal should care about the patients after operations initiatively and actively and communicate with patients in order to eliminate the patients¨ melancholy and lonely emotion. Besides, the chat among the patients in the same ward is helpful and meaningful to the life after operation and recovery of patients.


4.  Care after operation


Good care after operation can reduce pain of patient. It is very important to discover abnormal complications. Items of care after operation include observation of an patient¨s body temperature, pulse, blood pressure, etc. Proper care should be given according to some special conditions after the operation.


1) Body temperature: Antibiotics should be intramuscularly injected or intravenously dripped 3 days after a breast augmentation operation, and stancher can be used appropriately. Some patients may have a fever after the operation. If the body temperature does not exceed 38c, they just have a normal absorption reaction; If a patient has a high fever after 4-5 days (the body temperature is above 38c), infection of the operation spot or other spots should be considered (such as a cold), and check the cut or skin of breast for any inflammation when necessary. If supporting treatment takes no effect and the cut has fluctuation, the patient is identified to be infected. Open the cut, remove the implant and drain completely.


2) Body position: Patients should adopt semi-reclining position right after the breast augmentation operation, and are encouraged to move around after operation to assist recovery. Patients with prosthesis implanted to the posterior pectoralis major space should not lift the two arms, hold weights or engage in strenuous exercise with two weeks after the operation so as to prevent translocation of the implant caused by mighty contraction of pectoralis major.



3)Pain: Patients often feels pain in the breast after the operation, and sometimes ordinary painkillers have no effect. Patients with good economic conditions can ask an anesthetist to use an ease pain pump continuously to maintain a painless state within 2-3 days after the operation.


4)Observation of drainage: Patients having used a drainage-tube should observe the drainage status after operation to see if the tube is smooth and pay attention to quantity and color of drainage. If the pain persists and the drained matter is blood of cardinal red and of large quantity, hematoma may have been formed.



5)Check bonding status and replace dressings. Gauze, cotton cushion or chest strap is generally used after a breast augmentation operation for pressed fixation. Good bandage can support the breast, assist shaping of the breast, reduce pain and bleeding after the operation and prevent complications. Too small pressure is unfavorable to fixation and shaping of breast and hemostasis; too large pressure may lead to difficulty in breathing. Check the tightness of bandage frequently after the operation. If no particular situation occurs, replace dressings 3-4 days after the operation. In the case of little drainage quantity (daily drainage quantity on both sides is less than 10~30ml), pull out the drainage tube. While replacing dressings, observe of shape, position and size of two breasts are in symmetry, and adjust promptly in the case of any abnormality.


 6)Massage after operation: Since the silicone gel-filled implant is a foreign object, cell membrane contracture may be caused by rejection reaction of the body after the operation and lead to hardening of the breast. Therefore, regular breast massage is needed within 7 days after the operation to prevent cell membrane contracture and promote blood circulation and healing of the cut. Breast massage should be maintained more than 2 years after the operation.