Breast Augmentation

Breast augmentation enhances the size and shape of your breasts using implants. As well as making your breasts larger and fuller, implants can also improve symmetry and overall appearance. It is one of the most commonly performed plastic surgery procedures in Australia and there have been significant advances in recent years. The procedure has become easier than ever, achieving excellent results with minimal scarring and reduced downtime.

How can this procedure help me?

We all want to look and feel our best, and breast augmentation helps to boost confidence when breast shape and size does not enhance our natural body shape.

If your breasts are underdeveloped, or have lost volume after pregnancy, weight loss or aging, augmentation will make your breasts larger and fuller.

Breast implants can also be used to correct various breast developmental conditions or breast asymmetry.

When is the right time?

A breast augmentation can be done at any time after your breasts have fully developed.

What types of implant should I choose?

Silicone or Saline?

Silicone implants have a silicone outer shell and are then filled with silicone. Saline have the outer silicone shell but are filled with saline.

Dr. Arianayagam recommends use of cohesive gel silicone implants. Most plastic surgeons and patients find that the silicone implants have a more natural feel, are less likely to rippling than saline implants and do not deflate.

Saline implants were originally developed due to concerns about silicone migration following an implant rupture. These concerns are now allayed, with the development of newer, high cohesive silicone gel implants

Round or Biodimensional?

Breast implants come in different shapes to create different body contours. A biodimensional or “teardrop” shaped implant is fuller in the lower half, creating a more natural shape. Round implants are more evenly shaped and tend to provide greater fullness in the upper breast.

Profile?

Both types of implants come in a range of profiles, referring to how much the implant projects forward from the chest. Dr. Arianayagam will help you to determine which profile type is most suitable for your body figure and chest and implant size.

What can I expect in the consultation process?

The first step when you are considering breast augmentation is a consultation with Dr. Arianayagam. You should frankly discuss your goals and expectations at this meeting. Bring in any pictures of breasts that you like and be ready to discuss your ideal breast size and shape.

Dr. Arianayagam will ask you a variety of questions about your current health situation, medications, allergies and any past medical treatments. He will carefully examine your breasts and take measurements. He will then discuss the options available and his recommendations.

There will be a second consultation closer to the date of your surgery to make sure you are satisfied with the choices you have made and are comfortable to proceed with the surgery.

What does the procedure involve?

Augmentation surgery is usually done under general anaesthetic at Coffs Harbour Day Surgery. The procedure takes 1-2 hours in total, and you should expect to go home the same day.

The surgery itself is quite straightforward. The implant is inserted through a small incision either under the breast, around the nipple or in the armpit.   It is then positioned either under the breast (subglandular) or under a large muscle on the front of the chest (subpectoral).

What is recovery like?

You may feel “woozy” as the anaesthetic wears off. As you awake you may start to feel soreness, swelling or discomfort but this is usually easily managed. You may also feel tired post surgery. All of these symptoms are completely normal and should only last for a short period.

Immediately following surgery you will have surgical dressings to support the breasts. In the second week this is changed to a post-operative compression garment that must be worn for 3 months.

Will I have scars?

Any surgery will leave scars. But we make an enormous effort to make them as inconspicuous as possible, using fine stitches and positioning the incisions so the scars will be difficult to see once they fade.

Can I breastfeed after having a breast augmentation?

The ability to breastfeed is only confirmed when breast feeding is attempted. Breast augmentation does not interfere with the ability to breast feed.

How long do breast implants last?

Breast implants do not last forever and may eventually need replacing. However, no plans are made unless there is a problem.

Will the implants leak?

All implants have a slight risk of rupturing. The chance of your implant leaking increases over time, and most implants that have been in place for 10 to 15 years will have some minor leakage. With high cohesive silicone gel implants the leakage is usually very small and not a problem.

Will my risk of Cancer or Connective Tissue Disease (CTD) be increased?

There is a great deal of anxiety that breast implants may cause an increased incidence of CTD or breast cancer. A number of major studies have now allayed these concerns, producing no evidence of increased risk of either disease with breast implants.

What complications can arise from this procedure?

As with all surgical procedures, there will always be risks such as post-operative bleeding, allergic reactions, infection, deep vein thrombosis and haemotoma.

There are also some risks and complications that are specific to breast augmentation.

Capsular contracture

When an implant is place in the breast, the body recognises it as a foreign substance and walls it off with a scar wall know as a “capsule”. In most women, these capsules are soft or slightly firm. In a small percentage of women the capsule becomes thickened and firm, causing distortion of the breast shape and discomfort. Further surgery may be needed to correct this condition.

Altered nipple sensation

Most women having implant surgery will experience no change in nipple sensation. However, approximately 10% of patients experience permanent reduction or loss of nipple sensation

Implant rotation

Round implants have no right or wrong positioning, but teardrop shaped biodimensional implants must be correctly oriented. Implant rotation, where the implant changes its orientation, is a risk with biodimensional implants and may sometimes require revision surgery.

Dynamic distortion

In extremely fit and strong women, the implants are placed above the muscles to avoid distortion due to muscle activity.

Pain around the implant

Some women feel pain from the implant or scar tissue putting pressure on a nerve. You may be prescribed a program of exercise, stretching and massage, and possibly anti-inflammatory medicines.

Tissue Breakdown

Sometimes the tissue in the breast area doesn’t heal properly because of pressure from the implant. This could happen because the network of vessels supplying blood to the tissue has been damaged during surgery or as a result of blood vessel damage from smoking or diabetes. If this occurs then the dead tissue will need to be removed and the implant may also have to be removed.

Mammograms

Mammograms are to be avoided with breast implants as the examination is incomplete. An MRI (Magnetic Resonance Imaging) is used instead.

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