Perhaps, you finally had the courage, and wish to grab a second chance to change your fate by cosmetic plastic surgery. But take a step back and think for a while, whether the change is actually what you wanted or arranged by your surgeon?

Choose what you love, and also love what you have chosen. This slogan is no longer meaningless, it now can be truly applied in today’s breast augmentation surgery. The traditional breast augmentation surgery totally rely on the surgeon’s judgment, particularly the size of the filling water bags and the shape of the breast after the surgury all completely depends on surgeon’s profession and personal subjective judgment when making the decision. Actually patients do not have much concrete concept to interact with the surgeon. If thorough and detailed communication were made during the consultation before the surgery, perhaps after the surgery the size will not be out of your expectations. However if both parties, doctor and the patient, over persist their own subjective judgments, satisfaction after the surgery will decrease and subsequently arguments will start. After all, nobody is willing to spend several ten-thousand dollars to suffer pain and exchange a pair of breasts that they are not satisfied with in return.

I think if consumers can decide the size of their breasts during breast augmentation surgery, this service would be an allurement to consumers. This also is the core spirit of “self decision during breast augmentation surgery” that already been executed in Japanese for a long time. During my studies in Japan, I was fortunate enough to follow Dr. Nagumo, who is the founder of “self decision during breast augmentation surgery.” From the first diagnosis to post-surgery care, I had the chance to understand and learn every detail bit by bit. The pressure and hardship during this period can be compared to the days of my first year internship after medical school. As Dr. Nagumo is very strict, I was able to return to Taiwan with full of attainment and harvest.

The simplest way to explain the method of “self decision during breast augmentation surgery” is to allow patients to decide the size and the shape of the filling water bags during the surgery! This is to be done via utilizing special anesthesia method, so that the patients can be awake during the surgery and can exchange opinions with their surgeon. The traditional breast augmentation surgery must be performed under the condition of whole body anesthesia. Patient is completely unconscious during the surgery, by the time they recover from the anesthesia effects, the surgery was already completed. They only can calmly wait for the result after they are recovered. On the other hand, the method of self decision making during breast augmentation surgery utilizes the same concept and technique of anesthesia method in painless labor. Anesthesia is applied on the outer-epidural to numb the sensations from the chest area, but patients can remain conscious and retain their movement during surgery. Therefore when your surgeon called you, you can even open your eyes and discussing with your surgeon about the size and the appearance you want for your breasts.

How do we carry out the method of self decision making during surgery? Firstly, the anesthesiologist will inject anesthesia to the outer epidural on your upper back. After the position is confirmed then the anesthesia will be injected. During this time, you must lie flatly on your back for about 15 to 20 minutes before the anesthesia can start its effects. Then we will use some vein medicines to help you fall asleep, so surgeon can then start the surgery; the surgeon will wake you up and adjust your position up after the water pumping temporary expanding tool has been inserted into the accurate position of your chest area, then you can start to discuss with your surgeon about your requests while looking at the mirror. After the adjustment of water bag filling’s volume meets your satisfaction, your surgeon will remove the expander tool, and insert the same amount (cc) of permanent water bag implant. Then this surgery is successfully completed.

There are many benefits of the method of self decision making during surgery. There are three points that are most special: first, the patient can discuss with the surgeon about what breast size they like during the surgery. Therefore, this is entirely a customer request oriented service. However, the process of this kind of surgery is more complicated compared others. Even many cosmetic plastic surgeons understand the method of this surgery, but they are reluctant to offer. Second, you can wake up many times when called by the surgeon during the process. The customer can choose the type and the material of the implant being inserted into their body. If upon request, the surgeon can open the implant material right in front of your eyes in order to make sure what has been implanted into your body are the same as the one consulted during the consultation. Third, risks associated with whole body anesthesia and discomfort occurred during recovery process can be avoided because epidural anesthesia will not numb the motor nerve. Therefore, many patients can actually walk down from the surgery table with the assistant of the nurse right after the surgery. Also symptoms like sore throat or vomiting side effects that occurred after whole body anesthesia would not appear, this is actually quite an improvement of the medical quality for patents undergoing breast augmentation surgery.

The procedure of making decision during surgery requires special attention, especially applying anesthesia to the outer epidural which is most important one can on be carried out by anesthesiologist that has been professionally trained. The reason for this is if the anesthesia can not be applied precisely onto the epidural, then the method of injecting anesthesia must be altered. In addition, patients need to pay attention to changes of blood pressure during the process of lying and standing up in order to prevent occurrence of orthostatic hyotension. Besides this, the requirement of sterile environment must be strictly meet for the surgery to be conducted so that the risk of infection in the exchanging process of expander and permanent water bag implant is not increased. Lastly, attention must be paid to post anesthesia caring period and patients must remain at the clinic for at least 2 to 4 hours for observation before they can return to their homes.

Consumers must understand that there are risks in any kind of anesthesia before accepting the surgery. This is something consumers must understand before any surgery. Epidural anesthesia which has been widely used in painless child birth is basically a high matured and safe technique. Japanese cosmetic plastic has been applying it on breast augmentation surgery for over 20 years. However, the evaluation of pre anesthesia is extremely important. If you suffered any kind of injury on you upper back or neck area, or have blood clotting issues, then you are not suitable for this kind of surgery. Also, if over dosage of anesthesia is applied, temporary breathing problems will arise then the process is altered to whole body anesthesia. Therefore, carefully choose a surgeon that is professional and a well equipped clinic can let both parties, the patient and the surgeon, gain a satisfactory results.

Overall, the method of self decision making during breast augmentation surgery needs to depend on cooperation between cosmetic plastic surgeons who are professionally trained and anesthesiologist. Paying attention to every detail can let the surgery to proceed perfectly and smoothly. Only through strict evaluation process of the surgery can let you completely take control of your own surgery and of course guarantee the satisfaction after the surgery. There are actually many different methods of breast augmentation surgery, the method of self decision making during breast augmentation surgery is just one of your choice which allows you have a chance to be in control. If you are really not suitable for this type of surgery, don’t be sad as detailed communication with the doctor other breast augmentation surgeries can also provide you confidence when you walk out and enjoy the admiration from everyone.