Dr. Steve Merten FRACS
Restore & Rejuvenate
pureaesthetics – cosmetic plastic & reconstructive surgery

Macquarie University

Suite 301, 2 Technology Pl
Macquarie University, NSW 2109
02 9812 3890

Sydney City

Level 6, 149 Macquarie St
Sydney, NSW 2000
02 9252 9262

Breast Enlargement

Information vidIcon  Photos  FAQs

Breast enlargement (“augmentation”) is a cosmetic plastic surgery procedure to enhance the size and shape of your breasts, using breast implants. As well as making your breast larger and fuller, breast enlargement can improve the appearance of your breasts by improving symmetry and body proportions, to improve self-image and confidence.


Breast enlargement is one of the most commonly performed plastic surgery procedures in Australia. By individualising the procedure to each individual, and by careful selection of the appropriate implant, specific deficiencies and concerns can be addressed. There is no one technique or breast implant that is best for all women. Dr. Merten will tailor the surgical choices to give you the best possible result.

Your Breast Implant Consultation with Dr. Merten

Finding out what you hope to achieve with breast augmentation is the key to getting the best possible result. We feel it is very important to spend enough time in the first consultation to establish what you consider to be your ideal breast size and shape. We do this by studying your own physique and going through photographs of previous patients, talking over what you do and don’t like about each one. Trying the look of different implants inside your bra can also help show us what you hope to achieve.

There is more to a beautiful augmentation than just size. While planning the procedure Dr. Merten will consider all the features of a beautiful breast, such as the slope down to the nipple, the curve from the nipple to the base of the breast, placement of the nipple, and the overall proportions of your body. Achieving minimal scarring is always a priority.

During your first consultation with Dr. Merten, which will take about 45 minutes, we will discuss your ideal breast shape and size. Dr. Merten will check examine your own physique and body proportions to see whether the size you envision will look natural on you. You will be shown photographs of our previous patients and let you try implants of different sizes inside your bra. When suitable, Dr. Merten will take a series of photos to do 3D morphing simulations, which can then be used to show you what breast implants of different size and shape will look like on you. The key is to determine the breast shape and size that would be perfect for you.

In your consultation, Dr. Merten will examine you and discuss the surgical technique and the recovery. We feel it is very important that you are clear on all the issues associated with your surgery, and we encourage you to ask us about anything you are unsure of or would like clarified. Dr. Merten will also discuss the possible risks of surgery, and how these would be managed; this allows you to make an informed decision. A second consultation is done closer to the surgery date, to ensure the right choices have been made for you.

Dr. Merten performs breast augmentation surgery in fully accredited hospitals, with the assistance of a consultant anaesthetist. The surgery is usually done as “day surgery” and you go home within a few hours of the surgery.

How Much Does Breast Augmentation Cost?

The price for breast augmentation depends on a number of variable:

  • Choice of breast implants – in general, round breast implants are less expensive than anatomical shaped implants.
  • What hospital or day surgery you choose (please note, Dr. Merten only uses accredited hospitals and day surgeries. If another doctor offers you surgery in an “office surgery” or similar, you should be very concerned; there may be a reason why they don’t use a proper facility and you should question their credentials).
  • Whether you have the surgery as day surgery or stay overnight. We generally recommend day surgery.
  • As standard breast augmentation is a cosmetic procedure, there are no rebates from Medicare or health insurance, except in special circumstances, such as major breast asymmetry, constricted or tuberous breast, where Medicare and Health insurance may be applicable.

Our current fee for breast augmentation (as of 1/4/2013) is from $8,700
(inclusive of GST, conditions apply):

  • “Standard” procedure, no significant breast asymmetry, ptosis, skin laxity, etc
  • Textured, Round implants; we only use the highest quality breast implants (please note, total fee for anatomical breast implants is from $9,700 all inclusive)
  • All medical fees, including Dr. Merten, his anaesthetist and his surgical assistant
  • Hospital day surgery fees (note, this varies between different locations where Dr. Merten operates)
  • Includes 12 month follow-up visits

*Please note, these fees are subject to change without notification, and each individual’s quote may differ, following your consultation with Dr. Merten.

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Watch Our Breast Augmentation Animation

Before and After Gallery


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    How would this procedure help me?

    A consultation with Dr Merten is the first step when you are considering surgery. You should frankly discuss your goals and expectations about looking and feeling better after surgery. You should always keep in mind that the desired result is improvement, not perfection.

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    What breast implants should I choose?

    Dr Merten routinely performs breast augmentation using cohesive gel silicone implants, and he is actively involved in clinical research in improving the long term outcome in breast implant surgery. Although saline-filled breast implants are available, they are infrequently used in Australia, and most plastic surgeons and patients find that the cohesive silicone gel implants have a more natural feel, are less likely to rippling than saline breast implants and do not deflate.

    Breast implants come in different shapes and profiles. Anatomic or “teardrop” shaped implants were created with a more natural shape and are fuller in the lower half, similar to a natural breast. Round implants are more centrally full, and tend to provide more fullness in the upper breast. Both types of implants come in a range of “projections”, which is how much they push forward. Equally as important as the shape of the implant is the shape, tissue thickness and skin quality of the patient. Both types of implants can look excellent, and both can look more or less natural, depending on how they are used. Dr Merten individualises the implant choice to each patient, depending on their breast characteristics and desired outcome.

    Anatomical breast implant Round breast implant

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    What are my options for where the breast implant is placed?

    Breast implants may be placed either in front of the chest muscle (pectoralis muscle) or behind it. The choice depends on a number of factors, particularly how much of your own tissues are present; there needs to be enough thickness to create a natural, subtle result. Most women having breast augmentation are either naturally thin, or have lost breast tissue thickness after pregnancy and breast feeding, so placement behind the muscle is more common. This location probably also has additional benefits, including a lower rate of capsular contracture (firmness and hardening of the healing tissues around the implant) and better visibility of the breast tissues for breast cancer screening.


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    Will I be hospitalised for the procedure

    Dr Merten usually performs breast augmentation as a “day surgery” procedure, so you go the same day. If desired or necessary, it can be done with an overnight. Dr Merten does all his surgery in fully accredited facilities for your safety.
    You should discuss the details of your recovery with our staff.

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    How is the surgery performed?

    There are currently several techniques for Augmentation Mammaplasty. An implant (usually silicone “cohesive gel”) is placed either behind the breast tissue or behind the pectoral muscle. The implant is inserted through a small incision either under the breast, around the nipple or in the armpit. Dr Merten will determine which approach would be most appropriate

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    Are there any side effects of this procedure?

    You may have some bruising and swelling of the breasts for 2 or 3 weeks. Occasionally a capsule of scar tissue forms around the implant, which makes the breast feel firm. In addition an implant may become fixed in a slightly high or low position. There is no evidence that the implants currently in use cause breast cancer or other diseases, nor do breast implants interfere with breastfeeding. The potential risks and complications of the surgery will be discussed with you in detail at your preoperative consultations.

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    Will the procedure leave any scars?

    Although scars are the inevitable result of any surgery, we make every effort to keep them as inconspicuous as possible. The scars are usually just a few centimetres long and are located in such a way as to become less noticeable as they fade with time.

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    How important are psychological factors in relation to Breast Augmentation?

    Emotional stability is the primary factor to be considered before any aesthetic surgery is performed. A “bigger bust” does not guarantee a new life or an end to all personal problems. It is mostly your mental attitude that determines a successful outcome. A breast augmentation can improve your appearance and renew your self-confidence; the rest is entirely up to you.

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    What results can I expect?

    The goal of your surgery is to augment your breasts to a size that is in better proportion with your physique. Often a C to D cup size is obtained. Dr Merten will determine whether your expectations are achievable.

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    When can I resume normal activities?

    You should be able to resume your normal routine in 2-3 weeks although you may wait a little longer before undertaking strenuous exercise. Returning to work or your normal activities is an individual matter,and your Dr Merten and his staff will advise you.