I saw the hype on “flash recovery” breast augmentation in Los Angeles when a certain pop star went “public” about being back on stage and performing a concert three days later after undergoing breast augmentation. I began reading more about the technique and realized that the concepts published by Drs. John Tebbetts and Bill Adams in Dallas were reportedly similar techniques used by the pop star’s physician, and they are the same techniques I have been using in my practice since 2005.
I was honored to be invited to work with Dr. Adams when I started my practice in 2005, and I have incorporated many of his and Dr. Tebbetts’ published techniques on smaller incisions and rapid recovery. This involves precise pocket dissection (creating the space for the breast implant), “prospective” or “proactive” hemostasis (directly cauterizing muscle attachments and vessels before they have a chance to even bleed at all) to create a virtually bloodless pocket, and utilizing a minimal-incision approach, which has also been revolutionized by the use of the Keller funnel to place silicone gel breast implants through a smaller incision. I reliably feel that the majority (over 90 percent) of my patients are pain-free in three days – very similar to what I have heard about the “flash recovery” that is currently popular in the media. Whatever we want to call it, I believe we plastic surgeons all owe a great debt to Drs. Tebbetts and Adams for their work on minimal-incision approach and rapid recovery after breast augmentation that I believe does achieve faster recovery and better results. I am proud I had the chance to learn from them directly at the beginning of my practice.
In selected patients as well as some revision cases, I sometimes utilize the form-stable cohesive anatomic style silicone gel implants. I think they are fantastic implants, and they can do some things that other implants are not able to do. They are great because they stay pretty much where you put them, and they typically do not drift or bottom-out in the long run. One trade-off with these form-stable cohesive implants is that because they are anatomic and also slightly more firm, they require a larger incision to place them in a “hand-in-glove” pocket. Compared to my “minimal-incision” approach, I have found that the recuperation is definitely longer, which gives further evidence to me that the “minimal-incision” approach is a faster recovery.
Ultimately, in many instances, patients who need complex revision are not always absolute about a “quick recovery” – they just want to be better than they were before. However, I do think that the vast majority of first time breast augmentation patients want a fast, three day recovery that gets them back to their normal routines “in a flash”, and my “minimal-incision” approach can often help do this.
– Dr. James F. Boynton, Board Certified Plastic Surgeon
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