I read about it on a breast implant forum but it sounds too good to be true. Is it just a gimmick? If not, what are the pros and cons?
What is "Rapid Recovery" Breast Augmentation Surgery? Is It Just a Gimmick?
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Rapid Recovery Breast Augmentation
I started using the Rapid Recovery Program 3 years ago. Since then I have nothing but very happy patients. Why does it work? It's simple, early motion leads to less stiffness, swelling and pain.
During the surgery cautery is used to make sure there won't be any bleeding after the augmentation. Then through the use of exercises, that put the pectoralis muscles on passive stretch, and ibuprofen, a powerful anti-inflammatory, patients are able to return to their normal routine in just 2-3 days. I've even had patients run 5 miles two days after surgery.
The old school post operative course of no movement for 6 weeks is no longer appropriate in today's breast augmentation surgery. Rapid Recovery works and you'll be happy you did it.
Rapid Recovery Breast Augmentation- Gimmick or Reality?
Understandably, many surgeons are reluctant to admit that quick recovery or rapid recovery is possible. While the name is developed for effective marketing (there has to be a way to present this breakthrough technique and philosophy to the public effectively, right?), the procedure and its merits are REAL and have been shown in peer-reviewed scientific literature published as early as 2002 by Dr. John Tebbetts. I stand by it, regardless of criticisms for the name, flash recovery breast augmentation (TM) which sounds "flashy".
I absolutely disagree with marketing for just for marketing's sake but when a procedure or philosophy is this important to bring to the public, it is important to distinguish it from the breast augmentation techniques which require drains, compression wraps and longer recovery periods. This whole thing came about for one reason, to improve patient experience for what should be a simple, elective cosmetic surgery. Everything we do as surgeons always has room for improvement. Just as we use implants that are completely different from ones used decades ago, so should the surgical techniques be today. The goals of this technique is not to be quick in the operating room but to rather perform as bloodless a dissection as possible with the theory being that less bleeding equals less pain and also may reduce capsular contracture risk (hard breasts from internal scar tissue that is excessive and thick).
While the surgical time can be less than 30 minutes, that is NOT the MAIN GOAL. I am not racing , but rather not wasting time trying to control bleeding or holding pressure on the breast because a vein popped, or being imprecise with the pocket dissection. There is no blind dissection and everything is seen clearly by the surgeon. The surgeon sees everything and performs a precise, quick dissection without blunt instruments that rip and shred like the surgeon's finger.
I have many many patients who have undergone this type of breast augmentation and would be happy to talk with prospective patients or skeptics. It is important to realize also, that not everyone is an ideal candidate. Patients with tuberous or constricted breasts, significant asymmetry, or who need a lift are not candidates. Also, patients that want to be unrealistically large are also not candidates.
Please visit the links below for more information. Good luck in your search. While some surgeons may call this procedure something else, there are some across the country that do strive to make the patient experience better with recovery and placing appropriate sized implants. The importance is not if it is called flash, rapid, or quick recovery but that the surgeon can deliver the results. I took a slight risk in performing this during a live studio audience taping on television but I am that confident in its merits and in the technique. It worked out as planned and as what is the typical case. The camera does not lie. She had surgery in the morning and was shown just hours after wards. She did not take any strong narcotic pills and I do not prescribe that for a standard breast augmentation. There was also no numbing medicine placed in the breast pocket!
Hope this was helpful and always remember to choose a plastic surgeon that is board certified by the American Board of Plastic Surgery.
The truth about 'rapid recovery' breast augmentation
The concept of a 'rapid recovery' after breast augmentation was presented by Dr. Tebbets, a gifted plastic surgeon, however also a gifted showman. The idea is that with a very careful creation of the pocket and placement of the breast implants patients could go about their business normally the day or two after breast augmentation, and even go out dancing. Well, some can though others cannot. Breast augmentation in a pocket under the muscle requires separation and stretch of the lower attachments of the chest muscle which is a muscle pull and tear. No matter who you are, or how carefully done rest and healing is required. Some patients do have a quicker recovery, and a few a slower one. Its a law of averages. Gentle and careful surgery is just sound practice and common sense, as is rest and recovery after any surgery. Breast augmentation is a real operation with predictable and wonderful results, and a reasonable recovery for the majority of patients. A rapid recovery is possible if you choose your surgeon wisely, and a promise of a rapid recovery for everyone is too good to be true.
Best of luck,
Web reference: http://www.peterejohnsonmd.com
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Rapid Recovery Breast Augmentation
While I do agree that skilled and knowledgeable plastic surgeons familiar with the principles stressed by Dr. John Tebbetts are able to have their patients achieve comfort much faster than those who do not follow the basic principles of gentle surgical technique, I would be a bit wary of someone who feels they need to use this as a means of attracting patients....
If the surgeon was simply answering a question about their technique- great, these principles are sound. But if they were ADVERTISING that they are somehow a better surgeon for you because they use these principles, I might not be as enthusiastic.
There is so much behavior of a marginally ethical nature going on in the interest of attracting more patients, that it must be quite difficult for the average patient to separate the truth from the hype... Realizing there is so much hyperbole is a good start...
There are many, many characteristics that go into being a good surgeon- someone you would send your mother to. Putting your patients safety, comfort, and happiness above all other concerns is important. As are a sound education, years of ACGME accredited training in the discipline in which you practice, Board Certification in the specialty in which you practice, and a solid experience doing the procedures you offer people.
But it is also extremely important (although more difficult to measure or identify after a brief encounter- making sites like this more valuable) to have a surgeon with integrity.
Any surgical procedure is a series of decisions (sometimes small, sometimes big)...
I worry that if a doctor has demonstrated their willingness to compromise their basic integrity by advertising in a disingenuous manner (giving cute names to operations all of us do in order to make you think they have captured magic in a bottle, or showing photos of patients not treated in their practice), that they would also be willing to compromise that integrity somehow in during the course of your surgery or postoperative care...
And if this occurs, your outcome, and possibly your safety, will be at risk.
The best surgeons earn their reputations over time- not by advertising cutely named procedures.
Rapid Recovery Breast Augmentation
"Rapid Recovery Breast Augmentation" relies on certain techniques and protocols to provide patients with the best outcome possible when having breast augmentation surgery. When done with more science and less "art" the outcomes are more predictable. Therefore, excellent outcomes are repeatable. There is nothing magical about the terminology. Most patients can return to daily activities and work within 2 days. The important part is to choose an implant size that matches your body's dimensions and skin tone and thickness. Also, during surgery to respect the tissues to minimize trauma and bleeding and place the implant in an ideal pocket. Choose a board certified plastic surgeon and discuss the specifics of the surgery including asking questions about their preferences. Be mindful of the 'sizzle" that is involved sometimes in advertising. Go beyond that and choose a surgeon based on their credentials and reputation.
Rapid Recovery Breast Augmentation
Regarding : "What is "Rapid Recovery" Breast Augmentation Surgery? Is It Just a Gimmick?
I read about it on a breast implant forum but it sounds too good to be true. Is it just a gimmick? If not, what are the pros and cons?"
The term Rapid Recovery Breast Augmentation was originally coined by Dr. John Tebbetts of Dallas who I know and who I greatly admire. John is extremely liked or disliked by many Plastic surgeons because of his honesty, brashness and his way of repeatedly challenging generations of Plastic surgeons to "do better". Dr. Tebbets has shown in several live surgery demonstrations that creating the breast implant pocket by sharp cautery dissection (not by blunt finger or instrument tearing of a pocket), by carefully preventing and stopping all bleeding and avoiding contact with the rib cartilage combined with placement of reasonable implants chosen to fit the patients breast WITHOUT will result in a VERY short recovery allowing women to return to their normal activities rapidly.
The problem is that many surgeons advertising rapid recovery Breast Augmentation are NOT following Dr. Tebbetts' principles are substituting rapid surgery (involving trauma to the breast and chest wall) for the sound principles required to achieve a quick recovery. So, you are correct is wondering if this is hype. You need to interview several surgeons and see just how they approach the process before you entrust them with your body.
Dr. Peter Aldea
Rapid recovery breast augmentation
Many surgeons are promoting 'rapid recovery' breast augmentation, which is something I have always attempted to provide to patients. Over the years I have incorporated surgical techniques and instrumentation that are extremely helpful in this regard, the ultimate goal being that of creating the least possible tissue trauma that is necessary to get the implants into an aesthetically ideal position. We also incorporate the use of anti-inflammatory medication and early motion of the arm and shoulder to get patients back to their routine activities of daily living as quickly as possible. Most patients have little to no pain the night of surgery, and a bit more soreness the next day - but they can still lift and carry normal-size & -weight objects, brush their teeth, brush their hair, etc. We give patients a prescription for a narcotic pain medication 'just in case' but most never take any of it. So most of our breast augmentation patients do truly have a '24-hour' recovery, although there is inevitably some soreness for several days. Exercise is limited to walking only for two weeks and then patients can gradually resume their usual fitness routine over the next 4-6 weeks.
Some claim that there is no need for postoperative 'pain pumps' - the layman's term for the local anesthetic infusion devices that can be placed during surgery and deliver local anesthetic into the implant pockets for 2-3 days. I still use them, as they add no cost for the patient (we cover the cost) and add no significant risk of complications, and because there are some patients that - no matter what you do to prevent it - will have some significant pain postop without the local anesthetic infusion. We take the tiny catheters out usually on postop day 2, and because of this device we have many patients who describe having an essentially pain-free breast augmentation experience. You can't absolutely guarantee that outcome, but we certainly try to provide it for every patient.
Web reference: http://www.michaellawmd.com
From experience there are no cons of Rapid recovery, only pros. I am a firm believer in this method and have used it for many years following. Patients recover quicker, have less pain and require fewer narcotics. I believe the early stretching exercises in the recovery room and first few days post op decrease spasm of the chest wall muscles thus reducing pain. Although not everyone does as well some patients are out for dinner the next nigh. I had one patient attend the INDY 500 the day after her surgery.
Breast Augmentation Recovery
Breast Augmentation is outpatient surgery. After surgery, you may experience some soreness that should be easily managed with one-two pain pills every 6 hours. Usually, my patients do not require pain medications beyond 2-3 days. After surgery you will have swelling in the upper pole of your breast. This swelling resolves over 2-3 weeks. I recommend no heavy lifting or strenuous activity for 3-4 weeks after surgery. Usually, 24-48 hrs after surgery, most patients feel comfortable doing regular daily activities (minus any heavy lifting or strenuous activity). After 3-4 weeks from the date of your surgery, I clear patients to resume activity as tolerated.
Web reference: http://www.basuplasticsurgery.com
Rapid-recovery breast augmentation? Yes
Most breast augmentations should have a rapid recovery--1-3 days, typically. The only longer restriction is on chest exercises, which cannot be resumed for 6 weeks in my practice.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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