Breast Augmentation

(Augmentation Mammaplasty)

If you are tired of having to use wonder bras, push-up bras, padded bras and/or falsies to temporarily improve the size and shape of your breasts, and wish to improve and enlarge your breasts permanently, then you are a perfect candidate for Breast Augmentation Surgery.

Breast implants are available in a wide variety of shapes and sizes. Shapes include round and teardrop or oval, with profiles ranging from low to high. The profile of the implant, which is determined by its diameter, will have an effect on the forward projection of the breast. Implants are also available with smooth or textured surfaces, with smooth being the most commonly used. Textured implants are more expensive, with the most expensive having an anatomical and biodimensional silicone texture that will never loose its contour. Others are made of silicone gel, silicone cohesive gel, saline, etc.

Women can usually breast feed and have mammograms performed normally six to twelve months after the surgery.

This procedure is also commonly used for breast reconstruction surgery after breast cancer removal.


  • Schedule an appointment with Dr. Fournier at his office. During this visit you may ask him any questions you might have about the surgery.
  • Have a complete medical check up, an electrocardiogram and laboratory blood and urine tests; including a complete blood count, partial thromboplastin time, prothrombin time, platelets, and HIV. 
  • Take antibiotics such as Augmentin 500mg (one capsule three times a day with each meal), Cipro or Ceclor 500mg (one capsule twice a day with a full breakfast and dinner) two days before, the day of, and seven days after the surgery.
  • Inform Dr. Fournier of your daily vitamin and medication intake.
  • Notify Dr. Fournier if you have developed a cold or the flu a week prior to your surgery date.
  • Please avoid: aspirin, more than 500mg of Vitamin E, ginkgo (ginkgo biloba), ginseng, or any blood thinners two weeks prior to your surgery. Also avoid alcohol intake, and passive or active smoking for a month before and a month after the surgery. Remember that nicotine and alcohol delay and might even complicate your healing process.


  • You may rinse and brush your teeth, but do not eat or drink coffee or tea.
  • Please do not wear make-up, remove your contact lenses and dentures before the surgery. Do not apply any moisturizer on the areas where you are having your procedure.
  • Please remove your nail polish.
  • The evening and the morning before your surgery, clean the area to be operated on with soap and water.
  • Please do not bring any jewelry or valuables to the Hospital. 
  • Please wear a robe, housecoat or warm up suit that buttons or zips in the front and flat shoes after the surgery.  No tight-fitting clothes.
  • Someone will have to drive you home, to your Hotel or Recovery Home.

* Post-operative instructions regarding activity, medications and office visits will be given to you after your surgery.


The surgery is performed under local anesthesia with Dr. Arnoldo Fournier, his assistants, an anesthesiologist and surgical nurses. The implants are placed in contact with the chest cage, over the ribs, behind and protected by the Pectoralis Major muscles. Therefore, the implants are in contact with the ribs and muscle to avoid contact with the breast tissue. Sub-muscular implants are placed under the pectoral muscles, allowing the normal texture of the breast tissue to be felt over the implants.

When the implants are placed above the Pectoralis Major muscles, around 20% of the patients will experience what is called capsule formation, where the scar tissue that develops around the implants tightens and hardens to the point that they may require replacement. This percentage drops to 5% when the implants are placed under the muscle and over the ribs. To reduce the risk of this happening the patient should perform specific breast exercises and massage the breasts starting two to three weeks after the surgery and continuing for a period of at least six months.


The well hidden transversal incision scar near the mammary fold will measure around two inches.

The stitches will be removed during the first week after the surgery. There may be a hot sensation in and around the areas involved that might last for around three weeks. Soreness and swelling are part of the healing process and might last for a month or two after the surgery.

Please avoid driving and any physical exertion with your upper body for the first two to three weeks. Two to three weeks after the surgery the patient must massage the breasts in a circular motion, from the outside to the inside, in order to soften them. This will allow the implants to maintain their natural position. Every patient must refrain from exercising for at least one month, and should consult the doctor before they start working out again. Remember that you have to wait for your muscles and tendons to recover fully.

During the first 3 to 6 months, the mammary implant is felt mostly in the upper half of the breasts.  With time and the proper massaging, the pectorals stretch, the swelling goes down and the implant slowly descends to a more central position, resulting in the desired breast volume, size and shape. A year is a prudent time period for the human body to heal completely and show the surgery’s final results.

In some cases when the breasts are very droopy, the areola is repositioned during the procedure and another scar will be hidden around part of the areola. This procedure is known as a Crescent Mastopexy.

Arnoldo Fournier M.D., F.A.C.S. ©

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