Breast Augmentation Sydney

Breast augmentation may seem like simple surgery, but it is more than just putting an implant behind the breast gland. The era of making breasts larger without consideration for correct form and symmetry is fortunately behind us.

With form stable cohesive gel implants being the norm rather than the exception in Australia, choosing an implant becomes key in planning for the perfect augmentation.

Traditionally before and after photographs have been used to predict outcomes. However, using before and after photos alone is not only outdated but also inaccurate as each patient is different. Today, attention should be placed on understanding the patient’s surgical goals and planning the procedure together.

This is why I use 3D Breast Simulation software to help plan the operation and with the animated models attempt to predict the likely post-operative result.

During the consultation we will go through your 3D image and wear external sizers and using my simulation software plan your operation and likely post-operative result based on implant size, shape and position.

To achieve a predictable and safe outcome each woman needs a customised approach with a few key considerations.

3D Vectra technology is not only a fantastic tool in helping select the perfect implant but also in visualising the before/afters from all angles.

Incision placement

I prefer to use an incision placed below the breast (inframammary) which when mathematically calculated using the dimensions of the implant and existing breast tissue characteristics should be well concealed in the breast crease.

Except when also performing a combined augmentation mastopexy I rarely use access incisions such as axillary, periareolar or umbilical. The reason for this is simple, breast augmentation is more than adding volume to the breast it is about shaping the breast in a reproducible manner. Every woman’s chest wall is different, especially the anatomy of the pectoralis major muscle. The inframammary incision is the only incision that allows complete exposure of all the key anatomical landmarks and thus allowing for the most predictable and reproducible long term results.

Implant Placement

The breast implant can be placed below or above the pectoralis major muscle depending on the woman’s current shape and size. My preference if you have a very thin breast envelope, is a dual plane pocket for its diversity and the ability to control breast projection and shape. Dual plane refers to the position of the implant in relation to the pectoralis major muscle and the breast gland. The upper half of the implant being behind the muscle and the lower half of the implant being directly behind breast tissue.

Should your upper breast envelope be a little thicker, I prefer placing the implants above the muscle as this gives the quickest recovery and most appealing appearance.

Breast Implant

The aim of breast augmentation should be exactly that, augmenting the form of a natural breast not solely enlarging it. We are fortunate in Australia to have extremely high standards when it comes to implant quality and with the latest generation of form stable cohesive implants our results are more predictable and precise. A discussion on which implant for which patient is beyond the scope of any website, so feel free to email me your questions or even better come in for a consultation.

Recovery

The procedure is performed under general anaesthetic usually as a day case. Time off work to recover is usually around one week and vigorous exercise can usually be resumed after six weeks.

What are the potential risks and complications?

Some possible complications and risks associated with breast augmentation may include:

  • Risks involved with any surgery such as bleeding or infection
  • Fluid accumulation, which is called a seroma, around the implant after surgery
  • Changes in nipple sensitivity
  • Temporary or permanent areas of numbness around the scars
  • Wrinkling of the skin over the implant
  • Keloid or hypertrophic scarring, especially if you have a history of poor scarring
  • Capsular contracture, where firm scar tissue forms around the implant causing it to lose shape and softness. Occasionally a capsule contracture around an implant can be painful.
  • Inappropriate implant size
  • Implant rupture
  • All breasts are uneven, after an augmentation this slight difference will be more noticable. If there is a significant difference pre-operatively then I might need to put different sized implants in. A formal assessment of breast volume is performed when I take your 3D image.
  • Lumps in local lymph node tissue formed by leaking silicone. This does not pose a health risk to you
  • Slightly reduced effectiveness of breast cancer screening, since an implant may hide breast tissue and tumours during a mammogram. With modern day imaging this is less of a concern.
  • Movement of the implants from their original position
  • Revisional surgery to treat complications.

Cost

Cost for a Breast Augmentation is:

$10990 all up…for either round or anatomical

This includes:

  • Anaesthetist’s fee
  • Safe General Anaesthetic at East Sydney Private Hospital
  • Post-operative garments
  • Surgical assistant’s fee
  • Unlimited follow up

Be cautious of “Cheap Breast Augmentation” offers that are always available on the internet. Somewhere along the clinical path they will cut costs; whether it be the quality of the implant, the safety of the anaesthetic and operating facilities or the experience level of the surgeon.

Support the mantra “I want great care” and ensure you are well informed.

Please feel free to browse my site and don’t hesitate to contact me and my team with any questions.

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