Breast Augmentation FAQ

New breast augmentation clients have many questions when they begin their cosmetic journey towards a more youthful and attractive silhouette. It’s normal to get excited and want to know everything you can about the process. For your convenience, Dr. Capizzi has collected the most common of these inquiries below, although this should never prohibit you from calling the office or scheduling a confidential consultation to fully address all of your concerns.

Does Dr. Capizzi have a signature “look”?

Dr. Capizzi does not believe one look fits all. Since no two women are alike, each deserves a highly customized approach. The doctor strives to achieve the most natural and authentic outcome for the individual, with results expressly tailored to the client’s unique parameters. These include the woman’s desired appearance, her anatomy, medical history, previous surgeries, and number of pregnancies. The best result is one that is integrated with a patient’s total aesthetic, projecting harmony and symmetry throughout all contours.

As a double board-certified plastic surgeon, Dr. Capizzi has performed thousands of breast augmentations over a prestigious career spanning almost two decades. His expert training at the esteemed Mayo Clinic, as well as his innate artistic skill, provide patients with the most outstanding care in North Carolina. You will find that the personal attention you receive at Dr. Capizzi’s practice truly sets him apart from others with similar credentials.

What kind of recovery time can I expect with Dr. Capizzi?

One of the most important predictors of recovery time is surgical skill. Dr. Capizzi’s meticulously efficient approach dictates that he never over operates. As a result, the surgical site is kept as compact as possible. The incisions made are perfectly matched to the size of the implant, for a fit that is snug and sustainable, as well as highly conducive to healing. The small surgical site also predicts a lower risk of infection. In fact, in almost 20 years that Dr. Capizzi has been successfully performing breast augmentations, the number of patient complications is almost negligible. Dr. Capizzi also tries to take a holistic approach when it comes to aftercare, so many patients also don’t even need pain medication due to his surgical skill, and are fine just taking Tylenol or Ibuprofen for pain.

Clients typically resume normal activities within around 48 hours, including childcare, showering and reasonable job duties. Sutures dissolve over time, and surgical tape is removed after about 7 days. In general, Dr. Capizzi’s clients enjoy a far more rapid recovery than they would at other practices, where healing can drag on for as long as six months.

What kind of special wraps, dressing or garments are needed after surgery?

With Dr. Capizzi’s precise, strategic technique, cumbersome postoperative bandages are not necessary. The reason is that over the years, the doctor has cultivated a very refined, streamlined incision process that creates a secure, glove-like pocket, eliminating implant shifting. The implant stays perfectly stable, and does not need to be “held in place” with exterior garments.

Before & After

Take a gander at Dr. Capizzi’s before and after photos, giving you a visual representation of his stunning results.

How much pain is associated with breast augmentation?

Although an array of pain medications are available, many of Dr. Capizzi’s patients find they can manage their discomfort with ibuprofen rather than narcotics. As stated before, this benefit can be traced back to Dr. Capizzi’s economic and exacting surgical approach, which focuses on conservative incision making. The pocket to accommodate the implant is created with a minimally invasive technique that eludes most other surgeons, who tend to over operate. Most breast augmentations at Dr. Capizzi’s office are completed within 45 minutes, setting the client on a path to rapid healing.

What kind of implants does Dr. Capizzi recommend?

As an overview, there are two implant types available today: saline and silicone. Both are safe, time-tested and FDA-approved. Saline implants are inserted empty and then inflated with sterile saline once in place. Silicone implants are pre-filled with silicone gel, a cohesive fluid that mimics natural breast tissue.

For over ten years, Dr. Capizzi served as an FDA co-investigator for Allergan’s Gummy Bear, the only physician chosen to do so in North Carolina. Although he is highly skilled in augmenting the breast with all types of implants, clients choose Dr. Capizzi because he is the region’s best Gummy Bear expert. That being said, the choice of implant is an important one, and can be discussed at length with the doctor during consultation to find the ideal solution for each patient’s goals and desires.

Does Dr. Capizzi charge for a consultation?

The cost of the consultation is applied to the procedure, so for patients choosing to work with Dr. Capizzi, the consultation is complimentary. Those that do not end up completing their surgery with Dr. Capizzi pay for their consultation, but find its value well-justified. They are far better informed and educated than before, with many of their most pressing concerns and questions answered.

The one-hour consultation is an in-depth one-on-one medical exam and interview where each client receives the doctor’s full, undivided attention, along with the assistance of an experienced, registered nurse. During this time, the doctor will address your expectations, review before and after photos with you of similar body shapes and results, learn about your medical history, take your measurements and outline a detailed, individualized plan for success. Patients leave the consultation feeling informed, energized and empowered, ready to take the next step with confidence. Additionally, the consultation includes a discussion with our Patient Care Coordinator. She’ll go over your surgical quote, upcoming surgery dates, and answer any additional questions you may have regarding your procedure. If you’re coming in from out of town, she’ll also be able to give you a list of hotels and restaurants nearby, and things to do in the city.

Patient Stories

Having been through the Capizzi experience, these patients can help you understand the smoothness of the journey.

Why is it important for a cosmetic breast surgeon to be active in breast reconstruction surgery?

Although many people don’t know this, most of the advances in cosmetic breast surgery originate in the world of reconstructive surgery, which involves the full rebuilding of the breast mound, areola and nipple, usually following mastectomy. If surgeons are not active in reconstructive surgery, they may not be aware of the latest advances that can be appropriated for cosmetic use. Because reconstructive surgery is an important part of Dr. Capizzi’s practice, he remains at the forefront of cutting edge breakthroughs and developments in the industry. Dr. Capizzi has previously been part of NOVO, an Allergan Breast Surgeon consulting group and currently remains actively involved in implant research. This continued participation allows his patients to benefit directly from his expertise, research, and new upcoming products and techniques.

Secondly, Dr. Capizzi and other surgeons specializing in reconstruction are part of a larger medical team. Hospital privileges are required and, as you would suspect, the surgeries are more complicated and challenging. Reconstructive work undergoes rigorous peer review, and a high level of competency and performance is mandated. Dr. Capizzi is one the most trusted names in this circle, and his reconstruction patients are often referred by local oncologists. The bottom line is that demonstrated expertise in reconstructive breast surgery is a leading indicator as to the quality of the plastic surgeon’s cosmetic outcomes.

What kind of experience does Dr. Capizzi have with breast revisions?

Many patients choose Dr. Capizzi to improve previous outcomes that are not up to their standards. Subpar breast augmentations performed by other less competent surgeons require special skills and advanced techniques to create revisions that look 100% natural. For example, Dr. Capizzi is expertly adept at incorporating Acellular Dermal Matrix (ADM), a sophisticated and delicate skin-grafting method adapted for revision patients to hold the implants securely in place, as well as the first in the area to use SERI (a silk mesh) and Galaflex (a reusable mesh). Dr. Capizzi’s almost 20 years of successful surgical outcomes dictate that regardless of what problems the doctor may encounter during a revision, he is up for the challenge. With over 2,000 implant reconstructions there are not many that cannot be addressed.

Is it safe to breastfeed after the procedure?

Dr. Capizzi’s technique is “nipple-sparing,” meaning sensation in the nipple/areola is preserved, along with breastfeeding capabilities. Instead of an incision at the areola, an alternative incision is performed at the breast crease, or under the armpit. There is no interference with nursing, so clients can look forward to getting pregnant either immediately or in the future.

Is it safe to be intimate after the procedure?

Many patients ask this question and Dr. Capizzi usually strongly recommends intimacy after 3-4 weeks with breast augmentation, and 4-6 weeks if a breast lift has been incorporated.

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