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Breast Implant
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If you are looking for a suitable option for breast implants in Sydney, is the best to be well informed about the process, its benefits and to find answers to the most common questions patients have before breast augmentation.

What is a breast augmentation, breast implants, and an autologous fat transfer breast augmentation?

Sydney South West Breast ImplantSydney South West Breast Implant

Breast augmentation and breast implants are a cosmetic surgical procedure in which a prosthesis is either placed into a pocket under the breast tissue or the chest muscle. This procedure is done to increase the cup size giving the breasts a more desired fuller shape as well as cleavage.

What are breast implants made of? And what are the different types?

Sydney South West Silicone Implant

All breast implants have a firm silicone shell whose surface may either be smooth or textured. The content used in the implant is either cohesive gel silicone or a saline solution. In general, saline implants are inferior in comparison to cohesive gel implants. Saline implants may leak from the fitting valve and also don’t drape as well as the gel implants.

Polyurethane Coated Implants (PCI or Furry Brazilian as they are also known), are made by coating the silicone gel implant with polyurethane. PCI’s are difficult to insert and are not available in a variety of sizes and shapes.

The breast implant may either be round or anatomical in shape. The dome-shaped round implants are the most popular as they give the breasts a normal appearance when in a horizontal position and a classical appearance when in a standing position. Anatomical or tear-shaped implants are breast-shaped but they may rotate, require a larger incision, and look unnatural in a horizontal position.

Benefits of having breast implants

A breast augmentation allows you to have fuller and larger breasts, making you feel more feminine and sensuous. A breast augmentation can also restore the breast’s original shape especially after breastfeeding when breasts can be prone to sagging.

This procedure can also enhance the appearance of your breasts by making them more symmetrical, increasing confidence and improving one’s self image.

Who should have this procedure?

Breast AugmentationA breast augmentation is suitable for healthy women above the age of 18 who want to have symmetrical, more fuller and larger breasts, as well as an enhanced cleavage.
A breast augmentation is also suitable for women whose breasts have sagged due to breastfeeding and desire getting their breasts back into shape.
Some of the common reasons women share are:
“I don’t feel very feminine because of my breast size”;
“My small size prevents me from wearing the clothes I’d like to”;
“I’d like to be the same size I am when I’m wearing a padded bra”;
“I want to feel comfortable in a bikini”;
Breast augmentation will allow me to have a cleavage”;
“I want to have the breasts I had before they shrank and became saggy after breastfeeding”; and
“I don’t want to look like Pamela Anderson. I just want to be in proportion and look natural”.

Is there a minimum or maximum size I can get?

The breast size should be in proportion to your body size, the elasticity of your skin and your muscle tension. Our surgeon will guide you on the appropriate size whilst taking into consideration all of the contributing factors.

How does breast implants work?

A breast augmentation involves the insertion of an implant either under the breast chest muscle or under the breast tissue. The implant is inserted through a small incision made either in the armpit, around the nipples or under the breasts. The procedure is usually carried out under local anaesthesia with twilight sedation or, in some cases, under general anaesthesia.

Before the procedure, the area to be treated will be properly cleaned and sterilised. An incision will be made at the appropriate place which will then be opened using a retractor to have better access to the breast tissue. The breast tissue will be carefully separated using a scalpel and a cautery device to reach the area where the pocket is to be created. After creating the pocket the breast implant will be inserted into it. You may be made to sit during the procedure to ensure that the breasts are symmetrical and to see how they would look under the influence of gravity. If needed, the pocket may be adjusted to ensure that you get the desired look. The incisions will then be closed with self-dissolving sutures under the skin, there may be some skin sutures that need to be removed in 1 week.

Incision site options

Breast Implant IncisionThe incision can either be made around the nipples (along the perimeter of the areola) called a periareolar incision, under the breasts (below the crease of the lower part of the breast) called an inframammary incision or in the armpit (natural fold of the armpit) called a transaxillary incision.

The size of the incision depends on your body as well as the size and type of implants. However, the surgeon will try to make the incision as subtle as possible. Our surgeon was trained many years ago by Tom Stephenson, a Los Angeles surgeon who at that time was President-Elect of the American Society Of Cosmetic Breast Surgery. Stephenson was one of the pioneers of the transaxillary approach of breast augmentation.

This technique is the insertion of the implants through a natural crease in the armpit. This approach is more difficult for the surgeon to master, but is worth the extra training since it leaves no scar on the breast or the chest wall.

The technique is particularly sought after by Asian women because of their tendency to scar poorly.

Where is the implant placed in relation to the pectoralis major muscle?

Breast Implant Under the Muscle Tissue
The placement of the implant depends upon the anatomy of the body. In some women, it can be placed both in the front and the back of the pectoralis major muscles.
Whilst in other women, the implant will be placed at either of the two planes also depending upon the anatomy.

Which is better, above or below the muscle?

The implant’s position depends upon factors such as the volume of the breasts, skin thickness and the amount of breast sag. Placing the implant behind the muscle (in case of a significant breast sag) can result in a double bubble effect wherein, both the natural breast and implant produce curvatures on the lower part of the breast.

However, placing the implant in front of the muscle (in the case of extremely small breast volume) can result in unnatural curvatures on the top of the breast, and the implant being visible.

Your surgeon will discuss with you regarding the best options for your desired look.

What is capsular contracture?

Macarthur Breast ImplantA capsular contracture is the most potentially common complication of a breast augmentation procedure. Up to 4-5% of cases report that this complication can spoil an otherwise good result. Minor grades are not uncommon and cause no significant problem. Fortunately, major grades are far less common.

A capsular contracture is caused when the body regards the implant as a foreign material, surrounding it with collagen and forming a thin strong layer. The capsule formed is usually thin and doesn’t cause any problems. However at times, the thickening of the capsule can be significant which may lead to undesired changes in the breast’s appearance as well as feeling unnatural.

This type of problem can be solved by removing the capsule during which implants are generally replaced. The occurrence of major grades of capsular contracture are often unpredictable. It is thought that, irritation of the capsule by any one of a number of factors including genetics can cause thickening of the capsular.

It is important to pay meticulous attention and maintain a completely sterilised operating environment e.g., a ’no touch implant’ technique, appropriate removal of any debris from the pockets (during the operation) specifically made for the implants and use of antibiotics.

A capsular contracture may take a few months or even a few years to develop.

What is the chance that I will get a capsular contracture?

The chances of you getting a capsular contracture are about 4-5%.

Why choose Skinnotion for your breast augmentation?

Our surgeon has been trained by the famous Los Angeles surgeon, Dr. Tom Stephenson, one of the surgeons who pioneered the transaxillary breast augmentation approach. In this procedure, the incision is made in the natural crease of the armpit. The procedure requires extra training to master, and our surgeon, who has over 25 years of experience in breast augmentation, has mastered it, leaving no scar on the breast or chest wall.

What outcome can I expect to have?

After your breast augmentation surgery, your breasts will be rounder, fuller, project forward and slightly higher. It will take some months before the implants descend and sit at the desire position.

Do breast implants lift sagging breasts?

Excessive drooping breasts cannot be elevated by breast implants although, they can reduce the appearance of the droop by adding volume behind the loose skin.

Will my breast augmentation sag with aging?

Your breasts will sag with ageing as the skin loses its elasticity and the amount of breast tissue reduces. Implants may increase the sagging rate as they add additional weight and impair some of the breast supporting ligaments.

How will I know if my implant has ruptured?

When silicone gel ruptures, it either remains in the shell or seeps into the surrounding tissue. A silicone gel implant rupture is difficult to detect. As the ruptured gel moves slowly, it may be necessary to have an MRI or an ultrasound scan in order to confirm detection.
It is more obvious to detect a rupture with normal saline implants because the breast volume suddenly deflates.

Do my implants have to be replaced?

Implants are not lifetime devices and may need to be replaced or removed in case of ruptures or due to a change in the volume or shape of the breasts. The lifespan of the implants varies between 10 to 15 years.

Do breast implants cause breast cancer?

There is no evidence to show that breast implants cause breast cancer.

How is breast cancer detected with implants?

Breast implants obstruct X-rays from penetrating all areas of the breast tissue, raising the chances of breast abnormalities not being detected early. Experienced radiologists can, however, easily overcome this problem.

Is breastfeeding possible after a breast implant surgery?

There is no problem in breastfeeding after a breast implant surgery. The milk ducts, responsible for delivering the milk to the nipples from the breast lobes, are not disturbed during a breast augmentation surgery (except in some cases during a periareolar approach).

Should I proceed with implants after I have children?

You can have breast augmentation surgery after having children. In fact, many women who plan on having children, postpone breast augmentation surgery, as the increase in weight gain and loss of weight tissues, breastfeeding and hormonal changes impact the breast’s appearance.

Breast augmentation cost

The cost of this cosmetic surgery in Sydney depends upon the type of the breast implants used and which approach incision method chosen.

In general:

  • $5900.00 plus GST for Inframammary approach; and
  • $9000.00 plus GST for Transaxillary approach

Want to know more about Breast Implants in Sydney?
Contact Skinnotion now on 02 4655 6638.

Pre-op care

You must inform your doctor about any major medical illnesses, allergies and medications.

You will have to stop taking blood-thinning medications such as Aspirin, Warfarin, anti-inflammatories and over the counter medicines for a period of one or two weeks prior to your breast augmentation surgery. Be sure to inquire with your treating doctor that you can safely stop your medications.

You should quit smoking and avoid passive smoking for about three to four weeks before the procedure. You should not drink alcohol for about two weeks before your breast implant procedure. You must not eat or drink anything from midnight onwards on the night before the surgery. You should not use any hair gel or hairspray, perfume or body lotions on the day of the surgery.

Post-op care

You can use an ice pack to reduce pain, swelling, and bruising if needed. You should keep the dressings clean and dry. You should wear the support bra throughout the day, for about three months after your breast augmentation surgery and, during the day for about six months after the procedure. You should not wear underwire bras for a few days if the incision has been made under your breasts. You should sleep in such a way that your upper body is kept elevated for a few days after your surgery. You should avoid strenuous exercises for about six weeks during your breast augmentation recovery.

FAQs

Are there any risks?
Breast augmentation surgery does have some risks. The most common risk is that you may develop a capsular contracture which, on average is around 4-5%. An implant rupture risk is less than 1%. And, as part of any operation, although rare, infection, bleeding and anaesthesia are also associated risks.
Are there any side effects?
You will have the normal side effects such as swelling, bruising and pain which are part of the normal process of this procedure, and can be medically managed. You may experience an increased sensation in the nipples or numbness and hypersensitivity. You may experience nausea immediately after your breast augmentation surgery. You mood may feel low for a few days during your breast augmentation recovery. It is common that each breast may take different amounts of time to heal, leading to a difference in their shape during the initial few weeks.
Is hospitalisation required?
Hospitalisation is generally not required for a breast augmentation procedure.
Is there an age limit for this procedure?
Healthy women above the age of 18 can undergo the breast augmentation surgery.
Will I get stretch marks?
This will depend upon the elasticity of your skin and the size of the implant. You may develop some stretch marks if the size of the implant is quite large as compared to your original breast size.
Is it painful?
You may experience pain in your breasts and at the point of incision during your breast augmentation recovery. Both can be managed with analgesia.
How long does it take?
Breast augmentation surgery normally takes about one to two hours. You may have to stay longer until the effects of any sedation or general anesthesia wear off.
Are there any complications?
Complications are possible with any surgery. Some of complications with breast augmentation surgery are increased or decreased sensation in the nipples, capsular contracture, implant rupture, bleeding, infection and scarring.
In certain cases, implant may shift thus necessitating corrective surgery. Minor ripples are developed in most breast augmentation surgeries, but in rare cases larger ripples may lead to wrinkles. In extremely rare cases, implants may push out through the incision site.
Will I get skin irregularities?
You might develop slight skin irregularities at the incision point like with any surgical procedures, which can be treated medically.
Will there be bruising or swelling?
Swelling and bruising are common after a breast augmentation procedure, which will get resolved in a few days.
Are bandages applied?
Bandages will be applied at the point of incision and occasional non-dissolvable sutures which can be removed after a few days.
How long do I wear the support garment?
You will have to wear the support garment throughout the day for the first three months and, during the day for about six months after your breast implant surgery.
Do I need to take time off from work?
You will need to be off work for about five to seven days, however, this varies from person to person. If your work involves physical activity or lifting heavy weights, you may require a longer breast augmentation recovery period.
When can I do exercises?
After the procedure, you can start walking in seven to ten days and slowly begin strenuous exercises after about four to six weeks.
Should I follow a special diet?
No special diet is needed after your breast augmentation surgery. Reducing your sodium and carbohydrate intake will help in reducing swelling. You should take adequate amount of protein and mineral/vitamins that might help with wound healing.
Are the results permanent?
The results of breast augmentation surgery are not permanent and may require replacement usually after 10 to 15 years.
Will there be scars and, if so, how big?
Scarring can take place at the incision point, which is usually less than 3 cm. It may take 6 to 12 months to completely heal. Keloid scars are rare.
Can I drive home after my breast augmentation surgery?
You cannot drive home after your breast augmentation surgery as you will be under the influence of sedatives and anesthesia.
Will I have to return for post-operative care?
You will have to return for post-operative care about 1 week, 1 month, 6 months and 1 year after the surgery so that the doctor can monitor your progress. Otherwise, please do not hesitate to call the office earlier if you have any concerns.

Legal disclaimer:
The content provided on this website is for informational purposes only and in no way intended to substitute the professional medical advice given by a physician during an in-office consultation and examination. Any photographs/illustrations on this website cannot be copied and reprinted in any way without written permission from Skinnotion.

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