Christina, age 26, developed breast sagging after having two children. She was referred by her mother-in-law, a former patient. Christina wished to have a similar breast volume, just repositioned, like she was before her pregnancies. She decided to have a breast lift with implants to correct the sagging and restore fullness to the upper poles of her breasts.
Two weeks before surgery, she attended her preoperative appointment. Her blood test was performed. She received prescriptions for painkillers and antibiotics. She was given preoperative instructions. She knew not to eat or drink anything the morning of surgery.
Day of Surgery
Christina and her husband arrive at the surgery center 1 hour before her scheduled surgery time. She is met by the circulating nurse, also a former patient, and changes into a gown. The nurse checks her vital signs. Dr. Swanson takes photographs and marks the breasts.
Next, the anesthetist meets with Christina and starts the I.V.
Christina walks to the operating room, her I.V. already started. The operating nurse has already prepared the table with sterile instruments.
In the operating room, Christina lies down on the operating table. The anesthetist puts on a blood pressure cuff and applies the EKG leads and an oxygen monitor.
At the head of the table, the anesthetist opens a vial of a milky substance (propofol) and loads it into an infusion pump. The medication makes its way through the I.V. tubing. The anesthetist tells her to pick out a nice dream and Christina falls asleep. The anesthetist inserts an airway and administers oxygen.
Christina is now asleep, but breathing on her own. Dr. Swanson injects local anesthetic and proceeds with the surgery.
Two hours later the surgery is over. The nurses apply the dressings and Christina is transferred to the recovery room. The recovery room nurse will be looking after her as she wakes up.
Within 10 minutes, Christina is wide awake. Dr. Swanson checks in on her. She’s smiling. She feels better than she had anticipated and is not having pain. The local anesthetic used in surgery and the I.V. medications are working well. The nurse checks her breasts—no unusual swelling.
Her husband joins her in the recovery room. The nurse checks her vital signs one more time and helps her to the bathroom. She gets dressed and ready to go. The nurse gives her husband the postoperative instructions. A short wheelchair ride and she gets in her car. She’ll be back tomorrow for her follow-up office visit.