Breast Augmentation/Breast Implants
Breast Augmentation Melbourne
Breast Augmentation Surgery involves placing a breast implant under the breast tissue or muscle of the chest wall.
A breast augmentation procedure, also known by some as breast enlargement surgery, breast implants or even a “boob job” is a form of cosmetic surgery which aims to increase breast size, improve shape and/or restore symmetry to the breasts. It is sometimes combined with a breast lift Melbourne (mastopexy) procedure.
A statement on breast implant safety by the Australian Society of Plastic Surgeons
(written 26th November 2018)
Common reasons why women consider having breast augmentation surgery
There are many reasons women may consider breast augmentation surgery. These include:
- Appearance – Wanting bigger or improved breast projection/desire for cleavage.
- Bring overall body shape into proportion.
- After children or having lost a significant amount of weight the breasts may be particularly droopy or “empty”.
- Breast asymmetry – Breasts of different size/shape. This may be congenital/developmental or result from trauma or cancer management.
- Post-surgery as part of breast reconstruction.
What is involved with breast augmentation surgery?
Recovery After Surgery
This surgery is generally completed with an overnight stay in hospital. In certain circumstances it may be possible to do the surgical procedure as a day case.
- Most patients may generally feel a little uncomfortable for a few days – more so if the implant is placed under the muscle.
- A gradual increase in mobility and activity; patients are generally back to most normal day to day activities at two weeks.
- Most women allow approximately two weeks off work. However, you may require additional time if your job is more physically demanding. This can be discussed with A/Prof White.
- Able to drive when feeling comfortable to do so.
- No heavy lifting/exercise for 6 weeks e.g. avoid gym, aerobics, running.
- A supportive bra without an underwire is recommended for the post-operative period. (Note: Do not wear a crop type bra as these tend to flatten the breasts.)
- A suitable bra will be provided by A/Prof White’s rooms and fitted at the time of surgery. This is to be worn for 6 weeks after the surgery.
Post-Operative Care and Review Appointments
Post-operative visits with A/Prof White:
Much the same as any other plastic surgery procedure or cosmetic procedure, breast augmentation surgery has a range of goals, which include:
- YOUR SAFETY.
- Address the individual issues you will have discussed with A/Prof White related to your decision to have this particular surgery.
- Achieve good projection/“perkiness”.
- Achieve good cleavage area.
- Minimise scars.
- Durable, long term pleasing shape.
Considerations before breast augmentation surgery
Before deciding to have breast enhancement/augmentation surgery you should consider the following:
- Desire for any further children.
- Stable, healthy weight.
- If you are a smoker: STOP Smoking.
- Generally otherwise fit and healthy.
- Breast screening up to date: In women over 50 and/or where regular breast screening and mammograms has been recommended.
- Patients need to be at least over 18 years old and have finished breast development.
These considerations will be discussed at your initial consultation.
Implant Types and Materials
The implant shell or outer layer of all breast implants is made of silicone. The fill or inner substance is either a silicone gel or saline (salt water).
Older implants had a very low viscosity of silicone (very runny). This meant that when an implant leaked the silicone spilled through the breast tissue and was very difficult to remove. It could lead to lumps (granulomas) in the breast and surrounding soft tissues.
Current implants are made from “cohesive gels” which means that dispersion of a ruptured implant is not generally a problem (they are like turkish delight in consistency).
Silicone products have not been shown to cause connective tissue diseases. There was some concern about silicone implants in the 1990’s but long term studies have not shown any link. A/Prof White generally uses silicone filled implants as he feels that they have a more natural feel.
Saline filled implants
If saline implants break, they will deflate almost instantaneously. They generally have more palpable and even visible rippling of the shell.
Anatomical or Tear drop shaped
It is currently thought that textured implants increase the rate of ALCL (Anaplastic Large Cell Lymphoma). This is a very rare complication associated with breast implants. Macro-textured implants (Very rough surface) have been withdrawn from the market. Microtextured (Lesser degree of roughness) have a relatively lower rate (Approximately 1 in 50000).
To help you and A/Prof White determine what look you are after, it may be helpful to think about it in terms of four groups.
- Grade 1 – No one can really tell you’ve had an implant. May be useful to refill the soft tissue after breast feeding, pregnancy or weight loss.
- Grade 2 – Your friends may notice that there has been a change.
- Grade 3 – Starting to look more obvious. There is more prominent cleavage. Some people will probably know or suspect that you have had breast implant surgery.
- Grade 4 – Look very artificial – not natural. A/Prof White generally does not perform very large implants or try to achieve Grade 4 look. The complications both in the short and long-term increase with the larger size implants.
Alternatives to surgery
Risks To Consider
All surgical or invasive procedures carry risks. Breast augmentations are no different, though A/Prof Dean White will aim to deliver you the best results in a safe manner, and only perform breast augmentation procedures on suitable candidates to reduce the risk of breast augmentation complications.
Frequently Asked Questions
Anaesthesia is used during the procedure. After the surgery, you will have some tenderness and discomfort. This is usually adequately improved by over-the-counter pain relief and should improve within a few weeks.
Most implants generally last for more than a decade, and in some cases, this may extend to two.
Breast augmentation involves the insertion of implants to change the shape and volume of the breast. A breast lift is a surgical procedure involving removal of skin and fat, the elevation of the breast and nipple, and the reduction of the areola size if required.
It is best to be at a healthy weight prior to this procedure. If you lose or gain weight after getting implants inserted, your breast size may no longer be proportionate with your body.
Most people can still breastfeed with breast implants.
Numbness can occur for a few weeks after the procedure. However, this is temporary for most people.
Breast Implant Illness
Changes over time
Muscle implant movement
Breast shape can change over time
Breast implant register
No Surgery Is Risk Free.
Breast augmentations in Melbourne
Associate Professor Dean White is a specialist plastic surgeon located in Melbourne who is an expert in breast augmentations among other plastic surgical treatments. Contact him today to book in for a consultation and see what breast implants you may be suitable for.
Breast Surgery Resources
If you’re looking into getting breast implants, you may have come across the term Breast Implant Illness before. For some women, this risk is a