Breast Augmentation

5 Essential things to consider when planning your breast augmentation surgery

Dr Alex Phoon discusses the essential things to consider when planning your breast augmentation surgery. Dr Phoon will take you through some decision making questions to ask yourself when considering this surgery.

Patients rarely decide on a whim to have surgery. On average, patients take almost one and half years to build up the courage to have their first appointment with a surgeon. This time is crucial however. I like to call it the research or homework phase. In this time, you are researching the best implant type, size, incision and placement that are ideal for the look you want to achieve. It is important that you use this time to study as much information as possible.

What do I need to consider?

You want to consider the overall look you want to achieve. For some people that could be a more athletic, natural look and others may want a more boosted look. Other individuals may seek restoration of their breast shape, commonly after having children or weight loss.

Be cautious of the internet and the procedures your friends may have had because everyone’s surgery is different. Whatever you decide to have should be catered to your individual needs. You need to make sure that your surgeon takes into account what look you want, as well as the implant size that suits your body type. An individual with wider shoulders and a fuller frame can easily have larger implants. For those with a smaller, more athletic frame need to be careful that the implants do not exceed what would look normal for their frame.

Your existing breast shape is also something to consider as everyone is different. This should be accompanied with your breast augmentation desires and body shape in your decision making of implant size.

Choosing your surgeon –

When choosing your surgeon, it is critical that they have full surgical qualifications with the Royal Australian College of Surgeons and ideally be a part of the Royal Australian College of Plastic Surgeons.

If you have any questions in regards to your breast augmentation surgery or would like to discuss your options for surgery please do not hesitate to contact us.

Natural or Athletic Breast Augmentation

Dr Alex Phoon discusses breast implant essentials, taking us through what it means to have a natural breast augmentation.

What is natural or athletic breast augmentation?

This is one of the most common procedures requested by patients. The term ‘natural’ means different things to different people, but classically it means an implant that proportions an individual’s body to a better balance.

One of our mottos is ‘confidence is beautiful,’ so when we are talking about a natural breast augmentation, it is usually a lower size implant that improves balance to the patients figure. Typically, it can be an implant that is an anatomical shape. This usually means an implant that is shaped with more fullness at the bottom and less at the top – closer to the natural breast size and shape. Sometimes they are called a ‘teardrop’ implant. The other option here is a round implant which, as the name would suggest, is round. Round implants are as tall as they are wide but can have varying degrees of projection or fullness.

Often there is not a lot of difference between these two implants, particularly in the size of natural breast augmentation. A typical natural or athletic style implant size would be in the range of 250-350cc, depending on the existing breast shape and the overall shape of your body.

If an individual does not have a lot of breast shape, they should consider an anatomical breast implant as the surgeons can tailor it specifically to you and make it wider, taller or have more projection. A round implant typically give patients more fullness in the top part of their breasts and is a good implant option for those that have existing breast shape and just want more volume.

One of the unique things we offer at our clinic is a Vectra machine, which allows patients to digitally view their final result and try various different implant sizes and shapes. The doctors at Park Clinic will take photographs using the Vectra camera, digitize you in 3D and use the simulator to try on different implants. This gives you a visual idea of what the round and anatomical implants will look like.

Using this kind of technology make good communication with your surgeon possible. It also means you can have a real say in the decision making process. This helps you get to the point where you and your doctor know exactly what you want. Using a professional breast sizing kit is the final confirmation where you can try the sizer in your bra to get a physical idea of the size of implant you are considering. These steps give you the peace of mind knowing you are going to have the perfect implant for your individual shape.

If you have any question in regards to your breast augmentation surgery or would like to discuss your options for surgery please do not hesitate to contact us.

The fuller look Breast Augmentation

What is involved with the fuller look?

Desiring a fuller breast shape is also a very common patient request. It really comes down to picking the right implant for your shape. Some things to consider however: Just because you liked a picture on Instagram or in a magazine doesn’t necessarily mean it will be appropriate for you. The same can be said for friends and families who have had breast procedures. The advice is always helpful to a point but at the end of the day it is all about your individual situation.

It is important that the surgeon you choose for your breast augmentation listens to all your questions, understands what you want and tailors the perfect implants specifically to you.

One of the things we use is our Vectra Machine, which we find to be exceptionally accurate. This provides you with a digitalized view of your breasts with various implants and the assurance to the type of size and shape you will achieve after your surgery.

Classically, when we are talking about a fuller or boosted look, we are talking about a round implant. A round implant is round in all directions and commonly used for patients that desire more fullness in the top of their breasts. There is a subset of anatomical or tear drop shaped implants that can also look full in shape. They are called high projection anatomical implants and they can also achieve a similar look to a round implant.

Implants can have various degrees of projection, and this refers to the degree the implant will come off the chest wall. A high or extra high projected implant will have added volume pushing outwards. When you have a more projected implant, you are getting a fuller look and a step away from the natural look.

A fuller look is a great procedure to have. The decision comes down to personal preference essentially.

View our Breast Augmentation Gallery

If you have any question in regards to your breast augmentation surgery or would like to discuss your options for surgery please do not hesitate to contact us.

Do I need a breast lift with an implant or just an implant alone?

Dr Alex Phoon discusses a very common question patients have which is “Can I have a breast implant alone or do I need a lift?”

This question is often asked by women who might have lost a lot of weight, had children, or have a lower position of the nipple relative to the fold under the breast. The breast sometimes has lost volume and can look deflated.

The medical word for having a lower nipple position is called ptosis (pronounced toe-sis). Sometimes if one chooses an implant that has a bit more boost in it we can elevate the nipple to a high position just with the implant alone and therefore avoid having the lift. Using a much larger implant to create a lift will not always work and can sometime make the droopiness even worse sometimes

There is no substitute for having a physical examination.

During your consultation your surgeon will look at your existing breast shape and feel the tissue to make sure it’s not too stretchy and the nipple position isn’t too low.

If having a larger type implant is something you don’t want or you desire a more athletic look then you need to be thinking about other procedures that will achieve that look. This classically means undergoing a breast lift with an implant. The medical term for this is called an Augmentation Mastopexy.

What is an Augmentation Mastopexy

Historically, this procedure was performed in two stages which involved the lift surgery then returning at a second stage to have the implant placed in.

Dr Moradi and Dr Phoon perform this procedure in a single stage unless there is a reason such as massive weight loss. Performing the operation in one stage involves placing the implant then lifting the nipple in a higher position, now perfectly located over the implant. Augmentation mastopexy is not without risk however and there is approximately a 35% chance that there might be some kind of secondary procedure to alter the nipple position once the swelling goes down.

Unfortunately, when lifting the nipple to a better position there will always be additional scarring over a simple implant alone.

A traditional implant procedure alone will result a small scar in the breast crease. With an Augmentation Mastopexy the scarring will include a scar around the nipple and then straight down to the crease. This is often referred as a lollipop incision.

The slight variation on this lollipop incision is called the anchor incision. This incision is reserved for those that have some skin laxity between the nipple and the IMF breast crease. The additional incision is only performed when required and is tolerated exceptionally well.

What is the best option for you?

This really needs to be discussed with your surgeon when your personal situation is fully considered.

Choose a surgeon that has a fair amount of experience with Augmentation Mastopexy as it is a more technically demanding procedure than traditional Breast Augmentation alone.

If you would like more information or would like to find out whether a Breast Augmentation, Breast Lift or Augmentation Mastopexy is best for you do not hesitate to contact us to arrange a consultation.

How painful is Breast Augmentation surgery?

Dr Alex Phoon from Park Clinic Plastic Surgery discusses pain relief and the pain associated with Breast Augmentation surgery.

Considering a pain scale of 0 to 10 and comparing Breast Augmentation to all possible surgeries you could undergo in your life we position Breast Augmentation in the middle – but only for a couple of days.

This really does vary by person though, you may feel more or less depending on your personal pain threshold.

We’ll do everything we can to provide you with everything you need to keep yourself comfortable. This begins in the surgical procedure itself where we provide you with local anaesthesia which provides good pain relief for the first 6-12 hours after which time the oral medication will start to work.

We typically provide use Panadiene Forte (a combination of Paracetemol and Codeine) regularly for the first few days as well as a non-steroidal anti-inflammatory drug such as Voltaren. This combination of medication and a nice supportive bra and possibly a muscle relaxant, good relief can almost always be achieved.

Additonal post-operative advice

Minimise any unnecessary shoulder movements for the first few days. Try to complete tasks such as picking things up by bending at the hips, knees and elbows – try keeping your elbows by your side to avoid movement in the shoulder can help with this.

Why do this? Most implants are placed in a dual plane approach, this means that part of the implant is placed underneath the chest muscle and the other part is placed under the breast gland. As the implant needs to fit underneath the chest muscle, the muscle needs to be released.

This can be a little uncomfortable for around a week however after a few days this will reduce and those with a job with little movement can go back to work after 3-4 days. Around the 4-6 week mark you will feel as though you can do more and more, this is when you can start to reintroduce more upper body type exercises into your day to day life. Remember not to go too hard with training early on. A general level of gentle exercise is recommended such as riding on a stationary bike or walking.

If you have any further questions in regards to Breast Augmentation surgery, the pain, the procedure or suitability please do not hesitate to contact us.

How safe is Breast Augmentation Surgery?

Having a breast augmentation is similar to any other surgical procedure. There are always inherent risks and potential complications for every patient having a surgical procedure. That is why it is critically important that you chose your surgeon carefully so that they are fully qualified with the Australian Society of Plastic Surgeons and the Royal Australian College of Surgeons. Fully qualified plastic surgeons are highly trained specialists with in excess of 14 years of training and experience before they are allowed to call themselves plastic surgeons. If you do have a complication you can be reassured knowing that you will be looked after by someone who is qualified to do so.

There is no regulation in NSW that can stop a doctor calling themselves a cosmetic surgeon even if they have no formal qualifications whatsoever.

A good start is to look up your doctor on the national database to check their qualifications. You can find this here. The registration of your doctor should be a specialist qualification in plastic surgery.

Dr Moradi and Dr Phoon are both fully qualified plastic surgeons and our clinic is dedicated to giving you the most beautiful natural results in the safest possible environment. All of our surgery is performed in fully accredited hospitals and day surgical facilities with specialist anaesthetists.

Surgery is just the start of your journey. All post-operative consultations are included in the fee as well as all of your nursing care. Should you have a complication that involves a return to the operating theatre we waive our surgical fee. This is all part of standing behind the quality of our work.

There has been a huge amount of interest in the safety of breast augmentation recently. Whilst we are not at liberty to discuss what may or may not have occurred in other cases, we can assure you that we have never performed breast augmentation under twilight sedation and never will. A link to an earlier blog posting about this issue (in Feb 2012) can be found here.  

There is no substitute for good care and safe surgery. At Park Clinic Plastic Surgery you can be confident you will receive the excellence in surgical care to give you the very best possible results.

View our Breast Augmentation Gallery

If you have any question in regards to your breast augmentation surgery or would like to discuss options for surgery please do not hesitate to contact us.

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*There is no guarantee of specific results, your results can vary

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