WHAT it is:

A Breast Augmentation is a surgical procedure that uses breast implants to increase the size of your breasts, restore breast volume lost after weight reduction or pregnancy, achieve a more rounded breast shape and/or improve natural breast size asymmetry.

HOW it’s done:

This procedure is done in the OR under general anesthesia. Dr. Politis starts by making an incision in the inframammary fold (fold under the breast). After creating space for the implant, she then inserts the implant through a touch-less funnel either under the pectoral muscle or over the pectoral muscle (directly behind the breast tissue).

Please Note:
Incisions and implant placement vary based on the type of breast implant, degree of enlargement desired and your particular anatomy.

WHAT to expect:

You may experience temporary pain, soreness, and numbness of breast skin and/or incision discomfort. Maximum discomfort will occur the first few days but may last several weeks.

You will leave the operation with an ACE bandage around your chest or a bra.

Your implants may sit high on your chest for 4-6 weeks.

You may not have sensation in the nipples, but this usually returns over time.

Your first menstruation following surgery may cause breast swelling and pain.

You may feel tired for several weeks or months.


Take a nap with general anesthesia


You can expect to be fully recovered in 4-6 weeks.

Although implants can last for 20 years and more, there is no set clock on when implants should be replaced. It is recommended to listen to your body. It will tell you when it might be time for a change.

PRE-OP instructions:

Have all prescriptions filled prior to your surgery. Do not take any Aspirin, Plavix, Ibuprofen, Vitamin E, Fish Oil, Coenzyme Q10 or medications containing these compounds for 14 days before your procedure.

Begin your stool softener on the day prior to surgery to avoid constipation.

If you have implants: You will need to shower twice daily using antibacterial soap for the three days leading up to your procedure and the morning of your surgery for a total of 6 showers.

If you do not have implants: Wash with Hibiclens or antibacterial soap the night before surgery, as directed. Cleanse your belly button area with a Qtip and the antibacterial soap while showering.

Do not shave the surgical site within 2 days of surgery. This includes under arms for breast procedures and the pubic area for abdominal procedures. Hair may be trimmed with an electric clipper.

Avoid using body lotions, deodorants or perfumes on the day of surgery.

Do not wear any jewelry, piercings or contact lenses.

Refrain from vigorous exercise on the day before your surgery.

Have a regular meal on the evening before surgery, and drink plenty of water. Avoid alcoholic beverages on the evening before surgery. Do no eat or drink anything after midnight the night before your surgery.

POST-OP instructions:

You may shower 24-48 hours after your operation, but no soaking in a bathtub. Lukewarm water.

Perform arm raises 5 times every hour while awake for 3-5 days.

Do not remove steri-strips (or bolsters if free nipple graft)

Wear ACE Bandage for the first 48 hours (if used) and then switch to a support/sports bra.

Keep incisions clean and inspect daily for signs of infection.

May pad incision with dressings for comfort.

Avoid exposing scars to sun for at least 12 months.

Always use a strong sunblock, if sun exposure is unavoidable (SPF 30 or greater).

Begin scar therapy approximately 2 weeks after your operation

Start walking as soon as possible, as this helps to reduce swelling and lowers the chance of blood clots.

Do not drive until you are no longer taking any pain medications (narcotics).

No lifting greater than 8 lbs. for 6 weeks.

Sleep in a recliner or with multiple pillows

Avoid strenuous exercise and activities for approximately 4-6 weeks.

Return to work in 2-4 weeks.


24 Hour Rapid Recovery

Traditional Surgery

Surgical Instruments Electrocautery forceps An "L Shaped" breast blunt dissector
Surgical Technique
  • Atraumatic dissection
  • 14 point plan to minimize bacterial load
  • Precise and gentle systematic dissection with instruments using prospective hemostasis
  • No drainage tubes
  • No bulky dressing post-operatively (no bands, no massaging breasts)
  • Blunt dissection without clear visualization of pocket which may lead to injury to the muscle and ribs
  • Blood vessels not sealed before they bleed
  • Patient may have drainage tubes
  • Large, bulky compression dressings usually used
Post Op Routine Arm exercises performed frequently after surgery, including ambulation and showering that night Arm movement limited for two weeks
Incisions Under the Breast (IMF) Usually under the breast can be axillary or peri-areolar
Possible Risks Same as traditional but significantly reduces due to precise operative dissection and prospective hemostasis Capsular contracture, bleeding, implant malposition, implant pocket asymmetry
Anesthesia General with ERAS recovery pathways initiated preoperatively General with local blocks
Recovery Time 24 hours 2 weeks
Price Slightly less give less operative time spent intraoperative on implant selection and stepwise dissection process Same ($8000-$8500)
Implant Selection Narrow implant range chosen preoperatively using tissue based planning Narrow implant range chosen preoperatively using tissue based planning
Implant Position Subsfacial or Dual Plane Either Subpectoral, Dual Plane, or Subglandular
Revision Rate <5% 10-15%
Capsular Contracture minimized <5% 10-15%


Screenshot 2024 01 18 At 9.53.38

THE RESULTS are real

Breast Augmentation with Lift

40 years old, 5’3″, 147lbs

Breast Augmentation and Circumferential Body Lift

57 years old

Breast Implant Exchange and Mastopexy

33 years old, 5’3″, 150lbs


Breast Augmentation

5’6″, 111lbs

View more before and after results!