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Breast Enlargement Surgery Using Implants — Natural-looking Augmentation in Sydney

Breast augmentation is performed to enlarge and improve the shape of underdeveloped breasts or breasts that have decreased in size after a woman has had children. For a natural-looking result in breast augmentation surgery it is essential your surgeon has an artistic eye for balancing your proportions so that your final breast size and shape compliments your body shape. You have considerable choice with the type and shape of implant, incision site and implant position, and the procedure is customised to meet your specific needs and circumstances. A breast lift can correct sagging, and may be suggested in conjunction with breast implants to enhance the results of augmentation surgery. Breast enlargement with implants and breast lift are easily combined at our Sydney practice.

Information on Breast Implants

Selecting the right implant is important for a successful outcome and there are many options available. Breast implants may comprise either saline or cohesive silicone gel and you may choose between round and anatomical/teardrop shape implants. The operation may be performed from under the breast, through the nipple or areola, or via the armpit. The implant may be placed deep in the muscle or on top of the muscle but deep into the breast gland.

Types

Breast implants are either saline filled or silicone gel filled. Saline filled implants use a medical grade saltwater solution. There are many cases where saline implants give excellent results however the newer cohesive silicone gel implants are generally thought to feel more natural. Silicon is one of the most abundant naturally occurring chemical elements.

Sizes

There is a range of implant sizes and shapes available to choose from. Generally the main goal of breast enlargement is a breast appearance that is proportional to your body size and shape. Most doctors recommend that women do not increase their breast size by more than two cup sizes.

Shapes

The most common implant shapes are round and anatomical/teardrop. Round breast implants can give a defined round shape or assume more of a teardrop form when the patient is upright. They tend to provide more upper pole fullness than anatomical implants, which are fuller in the lower pole. Anatomical or teardrop shaped implants are designed to mirror the natural shape of the breasts. These are usually used when superior pole fullness is required, that is, when patients are long chested.

Placement

Implant placement depends on many factors. Generally, saline implants are placed underneath the muscle as they have a tendency to wrinkle and putting them underneath the muscle helps to camouflage this. People who are very thin and have little breast tissue also usually have the implants placed underneath the muscle. In certain circumstances, placing the breast implants on top of the muscle can better fill the breast envelope, particularly in breast augmentation after breastfeeding.

Incisions

Incisions can be made either in the crease underneath the breast, in the area of the nipple-areola or in the armpit. There are pros and cons for each of these incisions and not everyone is suitable for each incision. For instance if you have a very small nipple-areola it is difficult to make the incision large enough to insert breast implants.

Probably the most common incision site is in the crease underneath the breast. Depending on the type of implant, this may vary between two to five centimetres. Because saline implants are not filled until after they are inserted it is usually possible to make incisions for saline implants smaller than for cohesive silicone gel implants. Incisions in the crease underneath the breast and in the nipple-areola region can be hidden by a bikini top.

Breast Size and Cleavage

Each Patient is Unique

Breast surgery can improve comfort, appearance and self-esteem. Depending on your individual needs, either a younger, perkier breast or a more mature, natural-looking breast can be created.

Different Procedures

Different procedures are required depending on each woman’s particular concerns. Women with uncomfortably large breasts find that a breast reduction operation can reduce pain in the shoulders, neck and back as well as discomfort during physical activity and can enhance posture.

The breast lift operation, on the other hand, is designed to raise and recontour loose, sagging breasts, improving both size and cleavage. Most women have this surgery after losing a significant amount of weight or losing volume and tone in the breasts after having children. Comfort and confidence are the two major benefits of breast lift surgery.

Breast Asymmetry

Breast asymmetry is another problem and can be improved through various procedures. The smaller breast can be enlarged to more closely match the larger breast, or the size of the larger breast can be reduced. If volume difference between the two breasts is not the problem, but rather difference in shape and droopiness, then a breast lift operation can be done. The ideal procedure for you will be decided after discussion with your surgeon.

 

The Breast Augmentation Procedure

Breast augmentation surgery requires a thorough evaluation of your breasts and how they relate to your overall body size and shape.

Most breast augmentation surgery is performed under general anaesthesia. Nothing is inserted or injected into the breast gland tissue itself. The breast tissue is not changed. The procedure usually takes one to two hours with a further one to two hours for recovery.

 

Recovery from Breast Enlargement Surgery

You should be up and about in a day or two, but plan on taking it easy for the first week after surgery. Most people can return to work one week after surgery. Stitches are removed after five to seven days and tape remains applied to the incisions for six weeks. Over time, the scar becomes barely noticeable.

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Frequently Asked Questions

Breast augmentation surgery can improve comfort, appearance and self-esteem. Depending on your individual needs, your surgeon can create either a younger, perkier breast or a more mature, natural-looking breast. Breast implants can be either saline filled or silicone gel filled and you may choose between round and anatomical/teardrop shape implants. The operation may be performed from under the breast, through the nipple or areola, or via the armpit. Breast implants may be placed deep in the muscle or on top of the muscle but deep into the breast gland.

Should I choose saline or silicone breast implants?

There are many pros and cons for each type of implant. There are many cases where saline breast implants give excellent results however the newer cohesive silicone gel implants are generally thought to feel more natural. You should discuss the types of implants available with your surgeon in your consultation.

Is it better to put the implant underneath or on top of the muscle?

This depends on many factors. Prior to breast enlargement surgery, each augmentation patient will discuss the placement of breast implants with one of our plastic surgeons. In general, saline implants are placed underneath the muscle as they have a tendency to wrinkle and putting them underneath the muscle helps to camouflage this. People who are very thin and have little breast tissue also usually have the breast implants placed underneath the muscle. In certain circumstances, placing the implants on top of the muscle can better fill the breast envelope, particularly in breast augmentation after breastfeeding.

Where are the cuts made for inserting breast implants, how big are these and how easily are they hidden?

Incisions can be made either in the crease underneath the breast, around the nipple-areola or in the armpit. There are pros and cons for each of these incisions and not everyone is suitable for each incision. For instance if you have a very small nipple-areola it is difficult to make the incision large enough to insert breast implants. Incisions in the crease underneath the breast are very common. Depending on the type of implant, this may vary between two to five centimetres. Because saline breast implants are not filled until after they are inserted, it is usually possible to make incisions for saline implants smaller than for cohesive silicone gel implants. Incisions in the crease underneath the breast and in the nipple-areola region can be hidden by a bikini top.

Is there any increase in breast cancer after breast implants?

No. There is no evidence that inserting breast implants has any influence on breast cancer. It is probable that the slightly lower incidence of breast cancer in patients who have breast implants is due to the fact that those seeking breast implants generally have small breasts and therefore have less breast tissue in which to develop breast cancer.

One of my breasts is much smaller than the other one. Is it possible just to make this one bigger?

Asymmetry of the breasts is very common. However, there is usually a less than 10 percent difference in the size between the breasts. It is possible to make one breast bigger using breast implants or to decrease the size of the larger breast. It is possible to do a combination of these procedures or to increase one side with a much larger implant than the other side.

Will I lose any feeling in my breasts after making them bigger?

While this is possible, it is highly unlikely, particularly if the implants are not inserted through the nipple-areola.

Can I breastfeed after breast implants?

Yes. Breast enlargement surgery will not interfere with your ability to breastfeed. Usually, the milk ducts that bring milk from the lobes and lobules of the breast to the nipple are not disturbed or cut during breast implant surgery. Breast milk of mothers who have silicone breast implants contains no more silicone than breast milk of mothers who have no breast implants.

Can I make my breasts larger with fat from my own thighs, abdomen or buttocks?

Unfortunately there is no reliable method of transferring fat from your own thighs, for instance, to your breasts. It would be great to be able to remove fat from the thighs with liposuction and replant it into the breasts thereby making them bigger, and there have been many claims by doctors over the years that they are able to do this. However none of these doctors will subject their patients to the scrutiny of mainstream cosmetic plastic surgeons. This suggests their claims are false. Unfortunately most breasts consist of a combination of breast glandular tissue and fat tissue with a relatively poor blood supply. Due to this poor blood supply, any fat that is implanted into your breasts from elsewhere in your body usually fails to establish a blood supply and therefore fades away.

After having breast implants, how long would it be before I would be able to do a full workout at the gym?

It depends to a large extent on whether the implant is placed underneath or on top of the muscle and there are pros and cons for each of these choices. If the breast implants are placed on top of the muscle there is minimal downtime and you should be able to return to a full upper body gym workout within two weeks of breast augmentation surgery. If the implants are placed underneath the muscle, the muscle is stretched and can be quite tender during strenuous activity. Everyone varies but in general a full upper body gym workout would not possible for approximately one month after placing the implant in the submuscular position.

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Interested in Breast Enlargement Surgery using Implants?

Our practice offers high-quality breast enlargement implants to women seeking augmentation surgery. Contact our Sydney-area practice today to schedule an initial consultation for breast augmentation. Review patient experiences and case studies to learn more about the breast surgery procedures, including breast reconstruction, performed at Silkwood Medical in Bondi Junction.