It’s the day of surgery for Jessica. Before she goes into the operating room, she meets with S. Larry Schlesinger, MD, FACS, award-winning, board certified plastic surgeon in Hawaii. He uses a marker to identify incisions and answers any final questions to ensure Jessica feels ready.
Dr Schlesinger; “Morning Jessica.” Jessica; “Good morning.” S. Larry Schlesinger, MD, FACS; “Ok, so today we are going to do a breast augmentation with implants through the armpit, right? Underneath the muscle.” Jessica; “Yes sir. Mmm-hmm.” S. Larry Schlesinger, MD, FACS; “So, why don’t you sit up for me and let’s see. So first, we draw the midline so that we can kind of tell where the middle of the chest is and don’t put the implants too close. And now lift this arm up and bring it down. We’re looking for a crease.
These creases are Langer’s lines and Langer’s lines are lines where there’s no tension so these scars go away. They pretty much become invisible. And it won’t be that long, I’m going to make it shorter in surgery.” Jessica; “Ok.” S. Larry Schlesinger, MD, FACS; “Ok? And we already measured your breast preoperatively but I’ll do that again. And the distance here is seven and we need just a tiny bit more than seven, seven and a half is perfect. And so, I’ll give us a little more. We’ll do the same thing. This side is seven and a half, I measured it already so we’ll go ahead and accept that as our bottom.
Ok, so here’s where we are going to put the implants in through the armpit, under the muscle no farther down than this. The nipples, both of them have a tiny outward bend and we’re going to fix that by the implant itself because we are going to use 500-550s and they ‘re high profile so they are strong enough. Instead of following the curve of the rib, they are going to extend the rib, like adding a two by four to the rib and therefore will turn your nipples straight.
Do you have any questions?” Jessica; “I don’t think so.” S. Larry Schlesinger, MD, FACS; “Ok. Let’s get this arm back in but not this one. I expect the surgery to take about an hour and a half or less, hour and a quarter, and it just depends on how quickly everything falls into place because you’re so muscular it may take us a little longer. Ok?” Jessica; “Ok. ‘ll just be hanging out.” S. Larry Schlesinger, MD, FACS; “Here, I’ll shake that hand. Ok, see you in surgery.” Jessica; “Alright, thank you.”