Breast Surgery

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Breast Augmentation

What Is Breast Augmentation?

Breast augmentation, also referred to as breast enlargement, is an aesthetic treatment that utilises breast implants to increase the volume and improve the contour of the breasts. In addition to these enhancements, breast augmentation can also correct noticeable breast asymmetry, as well as enhance one’s overall body proportions. Breast enlargement is one of the most commonly performed plastic surgery procedures in Australia, and the end result can improve your self-image and confidence.

In recent years, there has been much advancement in breast enlargement surgery. Procedures are easier than ever, achieving wonderful results with minimal scarring and reduced downtime.

Attaining an optimal breast augmentation outcome requires an individualised approach that takes into account each patient’s specific needs and cosmetic goals—there is not a universal technique that is ideal for all women. After carefully listening to your concerns and desires, our experienced plastic surgeons will guide you through the implant selection process and formulate a personalised surgical plan that can create the look you are envisioning. With this customised approach to augmentation, you can expect to achieve improved breast shape and fullness with beautiful, natural-looking results.

What Are the Benefits of Breast Augmentation?

Breast enlargement (“augmentation”) enhances the size and shape of your breasts, using breast implants, making your breasts larger and fuller. Benefits for you may include:

  • Improved breast appearance due to small, under developed or volume loss following pregnancy, weight loss or aging
  • Improved breast symmetry and body proportions
  • Improved self-image and body confidence, increasing femininity

What Can I Expect in the Breast Augmentation Consultation?

During the initial consultation, your plastic surgeon will talk with you about what you hope to achieve with breast augmentation. It is important to note that this procedure, as with any aesthetic surgery, is intended to enhance one’s appearance, not provide perfect results. To determine if you are eligible for the procedure, your surgeon will ask about your expectations as well as go over your medical history.

The first consultation is the time to talk in detail about the new shape and size of your breasts. It can be helpful to bring in pictures of breasts that you admire, as this can give your surgeon a better idea of your desired outcome. During this visit, your surgeon will perform a physical examination, taking a variety of measurements of your breasts. Since breast augmentation goes beyond just an increase in size, these measurements will assist your surgeon in the planning process. From the slope of the upper breast and lower breast, to the placement of your nipple on the enlarged breast, your surgeon will consider how each detail factors into the final look.You and your surgeon will go through pictures of past patients, allowing you to point out qualities you like and those you don’t. You may also wish to try different implants by placing them inside your bra, helping you see them on your body frame. Your surgeon will go over your different options and offer recommendations based on your ideal outcome. They will also explain what you can expect in the recovery process and possible complications that can occur. You are encouraged to ask questions at any point.

As the date of your surgery gets closer, you will return for a second consultation with your surgeon to make any final decisions about your procedure.

Crisalix 3D Imaging

With Crisalix 3D breast simulation software, our breast augmentation patients are able to virtually “try on” their results ahead of time. This is an extremely valuable tool our team uses during the initial consultation process, which helps patients visualize their results and allows our surgeons to better understand their aesthetic goals.

When suitable, we will take a series of photos to do 3D morphing simulations using Crisalix technology, 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 for your body and how to achieve the desired results with minimal scarring.

To see your simulated results, the process requires you to create your profile, send a series of three pictures, and request a consultation.

What Are My Breast Implant Options?

Silicone vs. Saline Breast Implants

Our Pure Aesthetics surgeons routinely perform breast augmentation using cohesive gel silicone implants, and are 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.

Anatomic vs. Round Breast Implants

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.

Pure Aesthetics surgeons individualise the implant choice to each patient, depending on your breast characteristics and desired outcome.

Placing Breast Implants Above vs. Under the Muscle

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 as 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 also has additional benefits, including a lower rate of capsular contracture and better visibility of the breast tissues for breast cancer screening.

What Can I Expect During Breast Augmentation Surgery?

The implant is inserted through a small incision either under the breast, around the nipple or in the armpit. Please watch our video animation to see what happens in a Breast Enlargement procedure.

What Is the Breast Augmentation Recovery Like?

Immediately after your breast augmentation, you may feel tired as the anaesthetic gradually wears off. You may also be slightly sore and experience discomfort, but this is typically well-tolerated. Since breast augmentation is considered a “day surgery,” you will be able to return home within a few hours of your operation.At the beginning of your recovery you will be wrapped in surgical tape. This will be replaced after the first week with a special compression bra, to be worn during the day and at night for 3 to 6 weeks.

The stitches used during surgery are typically dissolving, eliminating the need to have them removed later on. Should your surgeon choose to place traditional sutures, these are typically removed after two weeks.

For the average woman doing non-strenuous clerical-type work, it is generally three to five days after surgery before you may be able to return to work. For other types of jobs, however, which may require heavy lifting, it may be longer.

When Can I See My Breast Augmentation Results?

Swelling is typically mild following breast augmentation, but you may experience some fullness soon after your procedure. Over the course of the next 4 to 6 weeks, however, you should notice this fading. At about 8 weeks into your recovery, you should begin to see how your results will look. As your body continues to heal, final results can often be noticed at 3 months.

What Complications Can Arise from Breast Augmentation Surgery?

Although our plastic surgeons are highly skilled and experienced, every surgery comes with risks and can potentially lead to complications. This includes, but is not limited to:

  • Bruising and bleeding
  • Pain
  • Infection
  • Anaesthetic problems
  • Allergic reactions
  • Deep Vein Thrombosis
  • Scarring

The risks more specific to breast augmentation, which will be covered in detail during your consultation, include:

  • Capsular contracture  – hardening of the implants
  • Wound breakdown, implant infection requiring removal
  • Seroma – fluid collections around the implant
  • Implant deflation, rupture or leak of silicone material
  • Uneven results
  • Loss of nipple sensation
  • Breast Implant Related Lymphoma (ALCL)
    • this is a newly recognised and rare type of cancer related to the capsule that forms around the implant. It is similar to some blood cancers (lymphomas) and is seen very rarely in certain types of textured-surface breast implants. This condition will be discussed with you in detail at your consultation.

To learn how to identify and respond to these possible complications, should they arise, please listen to your surgeon’s advice and ask any questions you have.

Will I Have Breast Augmentation Scars?

As with any surgery, scars cannot be avoided after breast augmentation. However, our surgeons are experienced with performing advanced surgical techniques to minimise the appearance of scarring. Over time, the incision lines from your surgery should gradually lighten and become less noticeable.

How Much Does Breast Augmentation Cost?

The standard breast augmentation is a cosmetic procedure, as such there are no rebates from Medicare or health insurance, except in special circumstances, such as major breast asymmetry, and constricted or tuberous breasts. In these situations, Medicare and Health insurance may be applicable.

Out-of-pocket expenses start at $9,500 including Surgeon, Anaesthetist, Implant and hospital fees. For an accurate price, please contact us for an appointment today.

Unfortunately, all breast implants will probably need to be replaced in time, or occasionally removed. We hope this will not be necessary for many years, however problems with implants can develop at any time, such as dissatisfaction with size or shape, malposition of the implant, rupture of the implant shell, capsular contracture, infection, etc.

Costs for Potential Future Breast Implant Revision

From 1 November 2018 the Australian Government has removed Medicare cover for almost all breast implant related problems (apart from implants placed originally for reconstructive purposes), deeming all breast-implant related problems as “cosmetic”.

What does this mean for me financially?

When surgical procedures are defined as “cosmetic”, then neither Medicare nor private health insurance will pay for ANY aspect of your surgery.

If you need revision surgery, then:

  • You will need to pay hospital fees
  • You will need to pay for implant costs
  • You may be charged for any other necessary investigations, such as X-rays, pathology tests, etc.

Please understand that our surgeons will NOT pay for these ancillary costs.

  • You may be charged for any doctors’ fees, including the surgeon, anaesthetist and assistant.

How can I minimise future financial burdens?

Firstly, take time choosing your surgeon and your implants. If you have any doubts about the proposed surgery, do not proceed. Consider a second opinion.

Follow your surgeons instructions about recovery and implant care.

Some implant companies offer various levels of insurance for certain potential complications. You should apply for your chosen implants’ warrantee and consider additional or higher levels of cover if they offer this.

Plan for the future – if you don’t think you can afford to pay for future possible problems, then you should not have breast implant surgery.

Additional Breast Augmentation FAQs

What Should I Know Before Breast Augmentation Surgery?

Although breast augmentation has given many women a boost in their self-confidence, it is important to understand the surgery is an aesthetic procedure—it cannot offer a new life or a quick “fix” for unrelated problems. Your emotional stability and having realistic expectations are necessary for achieving a successful outcome.

In addition to understanding the benefits and limitations of the procedure, you may want to arrange for help throughout the beginning of your recovery. Knowing what complications can arise, and how to respond to them should they occur, can also ensure you achieve the best possible outcome.

Will I Need to Be Hospitalised for My Breast Augmentation Surgery?

Breast Augmentation is performed as a “day surgery” procedure and usually takes 1-2 hours. You get to go home that same day. All surgeries are performed in fully accredited facilities ensuring your safety.

Will My Breast Implants Need to Be Replaced in the Future?

Breast implants don’t last forever and all types will need replacing, on average, after 10 to 20 years. With careful treatment planning in the first instance, revision breast implant surgery should not be necessary before this time.

If you have any further questions about breast augmentation and implants, please contact Pure Aesthetics, and one of our team members will be happy to help you.