How do they perform a breast augmentation Honolulu? I have always wondered how a breast augmentation is performed. First you pick out a plastic surgeon. Once you have a surgeon he will take you though the procedure. Your doctor will examine your breast and take pictures for your records. He will do a thorough exam of your breast. You will need to give your full medical history. Breast augmentation most of the time is done as an outpatient. You will need to have someone to take you and pick you up after your surgery. You will be giving anesthesia a local or a general. When it is over you should be able to go home within a couple of hours. You should be able to be up in a day or two. There may be some bruising and swelling but should be gone soon. You will be instructed to wear a support bra. You need to make sure you follow all the doctors instructions.