Botox… For Breast Implants?

What happens when you combine the country’s most popular plastic surgery with a wildly successful cosmetic injectable? According to a recent feature on ABC’s The Doctors, you get a better breast augmentation with less discomfort and a shorter healing time. But how does it work?

After breast augmentation surgery, the chest muscles often contract in response to the implant. For a few months after the procedure, this tightening of the muscles causes pain and forces the implant into an unnatural-looking position. Plastic surgeons like Dr. Matthew Schulman, who appears in the above video, have come to realize that Botox may be able to help with this common postoperative issue.

Dr. Schulman’s breast augmentation procedure involves injecting Botox into the pectoralis muscle. This inhibits nerve signals to the muscle and causes it to relax. The same effect is used to reduce the appearance of wrinkles in the face, as Botox injections force certain muscles to relax and allow others to stretch.

 “This is really exciting,” Dr. Schulman tells cohost Dr. Ordon, “because what I did was I took what you and I both love about Botox and applied it to the most common cosmetic surgery procedure in this country, which is breast implants.

“By adding the… Botox to the muscle, it allows the muscle to relax, it allows the implant to drop into a normal, pleasing position within a matter of weeks instead of months. It also decreases the pain.”

Dr. Ordon explains that “typically that implant rides a little high because the muscle is tight, especially in smaller women. You want to allow that muscle to be relaxed for the first 3 to 4 months of the recovery, which is the lifespan of the Botox, so the timing is perfect. When it wears off, your implant is where it’s supposed to be and everything is great.”

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