“Most doctors are Board-certified in a medical specialty, but not “Board-certified” in plastic surgery. The only Board that certifies plastic surgeons is the American Board of Plastic Surgery. Don’t be confused by the American Academy of Cosmetic Surgery, the American Academy of Facial Plastic Surgery or other boards mentioning plastic surgery.”- David B. Reath, MD, PLLC Plastic Surgery Knoxville
Tuesday January 28, 2014 at 5:30am we were heading to Fort Sanders Center for Advanced Medicine in Knoxville,Tn. Earlier this year my wife decided to have breast implants done after years of waiting. She wanted implants that would allow her to wear the bras and tops that are not designed for smaller breast, but still looked natural. This is an overall review of my wife’s process from planning to finishing her breast augmentation surgery by Dr. Reath.
Planning and Consultation Visits to a Plastic Surgeons Office
The first step when planning a major operation is determining the amount of time needed off work and its monetary impact on your budget. Second, I would recommend with all the information out there today that you really take the time to look at before and after pictures on different body types and sizes. Dr. Reath’s website has pictures, questions, etc. that answer many of the concerns associated with plastic surgery.
My wife set her Consultation visit after calling Dr. Reath’s office for December 30, 2013. The consultation cost $100 (non-refundable), but is applied to surgery cost if you proceed. At consultation, the doctor took pictures, measurements, tried on sizers and discussed options and cost.
At consultation Dr. Reath gave her two folders and a plastic Surgery planner binder. One folder included your financing and payment options and the other information on plastic surgery risk, medications and recommendations. The binder has tips to a speedy recovery.
Pre-Op Visit and Total Cost of Breast Augmentation Surgery
After consultation you have to pay in full before setting up the pre-op visit were they discuss supplements, vitamins, post op needs and possible dates for the operation. She set her pre-op visit for January 4, 2014 after paying the cash price by taking out a vehicle equity loan on our Toyota Prius V financed with TVA Credit Union.
The three options offered were:
Care Credit – Like a Home Depot credit card for hospitals you have to apply and have great credit to get it. Care Credit offered interest free financing for one year if approved.
Care Credit, Visa, Mastercard, Discover card Price – $5865
Cash Price (5% discount) $-293.25 – $5571.75
Total Cost Break Down
Bil Breast Augmentation – Silicone -$4620
Operating Room – $830
Anesthesia – $415
Required Medications and Supplies Cost Before and After Breast Augmentation Surgery
Before the operation we purchased recommended items including milk of magnesia, Therapearl Ice Pack with Strap ($20) Antibacterial Dial Foamy Soap, Bacitracin or Polysporin Antibiotic Ointment (Neosporin can irritate skin after a couple of days) and Q-tips.
The prescriptions were mailed a few days following the pre-op visit for:
Keflex 500mg – Antibiotic (3 taken first day only)
Percoset 5/325mg – Pain medication
Soma (if sub-muscular) 350mg – Muscle Relaxant
Phenergan 25mg – Nausea medicine
Bromelain – supplements you start taking three days before surgery (this was included with visit)
Also received at the pre-op visit was a care bag containing NewGel strips, samples and included the Bromelain. We filled the prescriptions at Wal-Mart for $54. I would shop around as K-Mart quoted us $75 just for the Percoset.
Post Breast Augmentation Surgery Recommendations
After arriving at the Physicians Surgery Center we signed a few papers and waited about 30 minutes before they took her to the back to prep for surgery. The anesthesia is the longest portion of the operation starting the night before with no food or drink after midnight and prepping her to be put to sleep and woken up afterwards. I saw her right before they put her to sleep. About 30 minutes later Dr. Reath came out and said everything went well, make sure she gets up and moves around every couple of hours and not to wash until the next day. They really stressed concern about blood cloths in the legs and making sure to massage them or walk etc. We took video before and after surgery.
Also recommended after surgery is:
Positioning your head and back elevated with two or three pillows.
Using the TheraPearl ice packs (20 minutes on – 20 minutes off).
Eating light food like soup, Jello, Crackers, Yogurt for 2-3 days post-op.
Stretching, breathing, coughing, using the restroom every couple of hours.
Lots of rest in a quiet place without much stimulation.
Using all medication as prescribed.
Normal Symptoms, Common Risk and Rarer Complications of Breast Augmentation Procedures
Normal Symptoms – Redness of scars, Numbness, Swelling and bruising, Severe swelling and bruising, Discomfort, Crusting along incision, Itching
Common Risk – Infection, Thick, Wide or Depressed Scars, Would Healing Problems, Injury to Deeper Structures, Sensitivity or Allergic Reaction to Tape, Adhesives or Medications, Need for Further Correction or Revision
Rarer Complications – Any severe common risk, medical complications like pulmonary embolism, severe allergic reaction, Cardiac arrhythmias, Heart attack, Hyperthermia
Unsatisfactory Result and Need for Revisional Surgery and Cancellation Policy
Results are not always acceptable to patients or surgeon. Secondary procedures or treatments may be indicated. Rarely problems may occur that are permanent.
Poor results, asymmetry, unhappiness with result, poor healing, etc. may occur. Minimal differences are usually acceptable. Larger differences frequently require revisional surgery.
I’m sure there are different policies at different offices, but Dr. Reath’s cancellation policies are as follows:
Changing Surgery Date – at least four weeks prior, after that there is a $200 rescheduling fee.
Cancellation Policy – at least four weeks prior for full refund, between 4 weeks and 2 weeks all but a $500 surgery deposit, 2 weeks or less there is NO refund.
Pre-Op and Post-Op YouTube Videos
Pre-Op Breast Augmentation Video
Post-Op Immediately After Surgery Hospital Video
Post-Op Day Two Breast Augmentation Video
Post-Op One Week Breast Augmentation Follow-Up Video
Durability of Saline and Silicone Breast Implants Video
We both work at a seasonal job, so luckily my wife was able to get this procedure done during our seasonal unemployment in Pigeon Forge, Tn. The doctor told her after week 1 she can do cardio and lower body exercise. Week 2 she can do light arm exercises and between 3 and 4 weeks start chest and back exercises.
Health insurance will cover breast augmentation cost if breast reconstruction is a result of mastectomy or a breast reduction where the patient experiences moderate to severe chronic pain from very large breasts, but not if purely cosmetic according to an article by Natalie Kita on About.com
Please read my money saving articles and visit my website @ DIYforanyone.com