An article in the NY Times Awake for Breast Implants? If You Wish reported on the controversial technique called awake breast augmentation that has recently been hyped and marketed. Dr. Caroline Glicksman an expert surgeon in New Jersey and Medical Advisory Board Member and Chair of the Breast Committee for The Plastic Surgery Channel discusses AWAKE breast augmentation and describe several potentially dangerous and concerning aspects of this technique that patients should know about.
Breast Augmentation is one of the most popular plastic surgery procedures. It is also one of the most heavily marketed procedures and one of the most misunderstood procedures. Awake breast augmentation has been promoted as being a cheaper alternative, but Dr. Glicksman explains that this is potentially a dangerous approach. Perhaps more alarming is the claims that awake breast augmentation allows the patient to participate in the selection of implant size during the procedure. This is also a fallacy and is contradictory to what the world breast experts like Dr Glicksman teach their patients everyday – including that actually measuring the breast and doing what is known as “tissue based planning” where an implant that “fits” that patient’s breast has been scientifically proven to produce better and safer patient outcomes. The notion that a patient can actually make any reliable judgment while under IV sedation and draped on an operating room table is also misleading, unproven, and dangerous.
Lastly the when seeking a breast augmentation make sure to do your homework, seek a board certified plastic surgeon who has special expertise in breast surgery and make sure your surgeon has hospital privileges to perform breast augmentation as this is another good safety measure for patients to confirm.