Breasts – PCLS Coffs Harbour

Breast Augmentation with Fat Grafting and Transfer

Thu, 03 Jun 2021 14:06:33 +0000

Does a fat transfer work for a breast augmentation?

Yes! You can achieve a more natural yet improved look for your breasts via the process that transfers fat from other areas of the body. This two-in-one procedure is suitable for women who are uncomfortable with the idea of implants. Achieve a more desirable breast shape while also slimming down another section of the body.

The fat removal part of the surgery will be performed during the breast augmentation so there is no need for two separate procedures. Read on to learn more about this method and whether or not it may be suitable for your needs.

The more natural nature of this procedure means that the breasts may decrease slightly post-procedure; however, a large amount of the new fat will last indefinitely. The grafted fat will respond just like any other fat in your body if you lose a large amount of weight.

How much fat do you need for fat transfer breast augmentation?

This varies per patient based on their current situation and goals; however, the amount of fat required is relatively small. The most common places the fat is removed from are the thighs, inner knees, hips or abdomen. This will also vary per patient based on fat availability.

Why would I choose Breast Augmentation with Fat Transfer?

This procedure is favoured by women who wish for improved but natural breasts in terms of look and feel. The procedure can create a greater balance and symmetry in the breasts, with improved fullness in the upper pole.

At the same time, we can tone other sections of the body which are chosen as the donor site. It is common for this procedure to be performed in conjunction with a breast lift to create a preferred look for your chest.

How do I know if breast augmentation with fat transfer is the right procedure for me?

The first step to answer this question is a consultation with the PCLS. They will provide you with more info about the breast augmentation and determine whether or not it will adequately correct your specific problem.

During this consultation, you should be prepared to discuss the following:

Your medical history, conditions and medications
Any previous cosmetic procedures
The quality of your skin
Your expectations for the procedure
The potential risks

This procedure will be performed under general anaesthesia at the Baringa Private Hospital.

Why choose PCLS for the fat transfer breast augmentation?

Dr Arianayagam is a Specialist Plastic Surgeon with significant experience operating and observing around the world. Having worked in Canada, Malaysia, India, the United Kingdom, the United States and Australia, he has been running PCLS in Coffs Harbour since 1995.

With many successful outcomes for the breast augmentation procedure, Dr Arianayagam and the PCLS team can be trusted to ensure a positive outcome for you. The doctor’s qualifications include:

A Bachelor of Surgery and a Bachelor of Medicine
A Fellow of the Royal College of Surgeons of Edinburgh
Specialist status in Plastic Surgery in the Commonwealth of Australia
A Corresponding Member of the American Society of Plastic Surgeons and American Society for Aesthetic Plastic Surgery

What is the recovery process for a breast augmentation with fat transfer?

The recovery process for a breast augmentation with fat transfer will feature some pain and swelling, but this can be controlled with pain relievers and will settle over time. It can take anywhere between 3 - 6 months for the new look of your breasts to be evident.

The first three weeks is the critical healing period during which activities will need to be restricted with time off work if you have a strenuous job role. Exercise should remain light for around three months and surgical dressings will be required for two weeks. After this, a post-surgery compression garment will need to be worn for three months.

A second procedure may be required after assessment at 6 months after the first surgery.

Will there be any scarring?

Scarring is inevitable in the breast augmentation fat transfer, however, all efforts will be made to ensure it is as inconspicuous as possible. Fine stitches and strategic positioning of incisions help to make any scarring difficult to see. With the right skin care routine, scars will fade over time.

Will the fat grafting surgery affect my nipple sensation?

This method leaves the nerves in the nipple untouched, however, some tingling in the nipples is to be expected for a few weeks after surgery.

Can I have the fat transfer procedure if I am yet to have children?

The fat transfer procedure can be performed before or after pregnancy; however, if you have recently given birth, we recommend that you wait six months until you undergo the fat grafting procedure. There is no evidence to suggest that this procedure has a negative effect on breast-feeding.

Are there any risks associated with the breast augmentation with fat transfer?

The primary risks associated with any fat transfer procedure can be post-surgery bleeding, allergic reactions, or infection. There can also be the chance of breast asymmetry, altered nipple sensation, or nipple necrosis, but these risks are significantly lessened thanks to the skills and experience of the PCLS team. No previous patients of PCLS have experienced any adverse effects as a result of surgery.

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Upper and Lower Back Liposuction

Mon, 19 Oct 2020 11:23:16 +0000

Restore your tone with back liposuction from PCLS, an effective body contouring procedure with minimal downtime.

Many of our plastic surgery procedures work to help people who struggle with specific areas of fat such as on the flanks (on the back above the waist), the bra strap areas, the "love handles" (at the waist) and the "saddle bags" (at the upper outer part of the thigh) and the posterior part of the thigh and buttock.

This situation can cause people to be uncomfortable in clothing or self-conscious about their bodies. The expert team at PCLS can help rectify this via the simple and safe back liposuction procedure which can change your aesthetic by firming and toning your body.

If you are looking to sculpt and tone your body shape as your healthy lifestyle doesn't seem to be helping you to reach your goals, back fat lipo may be able to help. This surgical technique will permanently remove any unwanted excess fat deposits, which when combined with an ongoing healthy diet and exercise routine, will maintain the new look of your upper and lower back areas.

The procedure is best suited to those who are healthy, both physically and mentally with a stable weight within 30% of their expected body fat percentage being maintained for at least six months.

If you have realistic expectations this procedure will be of benefit for those who:

Have a significant amount of fat around the abdomen, trunk/chest and thighs
Are at their ideal weight
Do not experience extreme fluctuations in weight or are overweight
Are not on any blood-thinning medication
Are a non- smoker

As an internationally trained Specialist Plastic Surgeon, Dr Chandran Arianayagam is extremely capable of performing a range of liposuction techniques. Liposuction is a standard procedure that Dr Arianayagam has performed successfully many times from his clinic in Coffs Harbour since January 1995.

His long career includes operating and observing in Australia, India, Canada, Malaysia, the United Kingdom and the United States, while also holding the following qualifications:

A Bachelor of Surgery
A Bachelor of Medicine
A Fellow of the Royal College of Surgeons of Edinburgh
Specialist status in Plastic Surgery in the Commonwealth of Australia
A Corresponding Member of the American Society of Plastic Surgeons and the American Society for Aesthetic Plastic Surgery

One of the reasons why PCLS Coffs Harbour is such a highly regarded clinic is Dr Arianayagam's focus on ensuring successful outcomes evidenced by the two standard consultations prior to treatment which is uncommon in the industry. This, combined with the team’s outstanding levels of care, lead to truly positive life changes for all patients.

How long until I am fully recovered?

One of the main benefits of this procedure is fast recovery times, with just some swelling and bruising expected. The results will be evident when the swelling goes down, often within a few weeks. It is your choice whether or not you want to take a week off work but will need to avoid strenuous exercise for roughly three weeks and use a compression garment supplied for 3 months.

How long will results last and will the fat return?

Fat cells that have been removed during liposuction will not come back. It is important to note, however, that the remaining fat cells can get bigger if you put on weight. With this in mind, maintaining a healthy diet and lifestyle should see the results of your liposuction last indefinitely.

What will I look like after the procedure?

The results mean a smoother body contour and a more defined shape.

What does back liposuction cost?

The specific cost will vary based on the work required, which is why an accurate quote will be provided after your personal assessment by the surgeon.

Are there any possible complications?

This procedure is very safe, with the most significant risk occurring when too much fat is taken. This will not be an issue at PCLS who are experts in this treatment, significantly lowering any risks. By choosing an experienced surgeon, your procedure is far safer. We will determine how much fat needs to be removed prior to treatment, ensuring high-levels of safety.

The information on the website is for general guidance only and cannot be used as a basis to make a surgical decision, an initial consultation with our surgeon is required to help patients make an informed decision before proceeding with any surgical procedure.

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Breast Reduction +/- Implants

Wed, 14 Oct 2020 14:16:23 +0000

Feel more comfortable and confident with a breast reduction with or without implants, which can reduce size while improving shape and positioning.

Make a positive change in your life with a breast reduction without implants, or the procedure with implants to improve the youthful appearance and positioning of your breasts. Both options are available with the expert team at PCLS.

Breast reduction with implant surgery can alleviate back and shoulder pain while also decreasing levels of unwanted attention. This commonly performed plastic surgery procedure, when handled by a specialist like Dr Arianayagam involves minimal scarring and reduced downtime and is a great way to boost confidence and comfort.

While positively affecting the way you look, this procedure can also create an improved change in how you feel
A good correction for oversized breasts that cause pain in the neck, shoulders, and back
Freedom from any restricted mobility or exercise
Correction of disproportionate breasts
More comfortable fitting clothing
An improved self-image and confidence
Smaller, firmer breasts more proportionate to the rest of your body
Combine with a breast lift to correct drooping and restore shape for perkier breasts

Patients often choose PCLS as they feel safer in the hands of an internationally trained Specialist Plastic Surgeon with many years of experience in a range of procedures. Dr Chandran Arianayagam has performed many breast-focussed procedures from his Coffs Harbour clinic since 1995 and has experience operating and observing in India, Canada, Malaysia, the United Kingdom, Australia and the United States.

Dr Chandran Arianayagam’s qualifications include:

A Bachelor of Surgery and a Bachelor of Medicine
A Fellow of the Royal College of Surgeons of Edinburgh
Specialist status in Plastic Surgery in the Commonwealth of Australia
A Corresponding Member of the American Society of Plastic Surgeons
A Corresponding Member of the American Society for Aesthetic Plastic Surgery

The PCLS team ensures all patients are well-informed and comfortable before moving forward with any procedure. From here, high-quality levels of in-patient and post-operative care help to make the procedure less daunting.

Will there be a scar after my surgery?

PCLS Coffs Harbour specialises in making any scars that are a result of the procedure as minimal as possible. We do this with fine stitches and strategic incision positioning. This, coupled with the fact that scars will fade over time, especially with the correct after-treatment care, means any incisions should be difficult to see.

Will I still be able to breastfeed?

If you are considering children post-procedure, it is important to discuss this with Dr Arianayagam during your consultation as breastfeeding may be interfered with.

What if this is not the right procedure for me?

We will certainly uncover this during our in-depth consultation process if this is the case. This is why we schedule two appointments and offer our recommendations. You will have ample time to ensure this is the correct surgical path for you.

Are there any possible complications linked to this procedure?

There is a level of risk with any surgical procedure, however, this is severely minimised as a result of the skills and experience of our team.

Standard surgical risks may include:

Post-operative bleeding
Allergic reactions
Infection
Deep vein thrombosis
Haematoma

Specific risks and complications for a breast reduction may include:

Breast asymmetry
Altered nipple sensation
Skin protuberance that can form at the end of an incision (also known as “dog ears”)
Nipple areola complex loss

All risks will be discussed in-depth to ensure your complete comfort before proceeding.

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Breast Lift and Augmentation with Implants

Wed, 14 Oct 2020 14:07:46 +0000

Improve shape and position with a breast lift with and without implants, an effective way to reverse the effects of pregnancy, breastfeeding and ageing.

Breast augmentation with implants will increase the size of your breasts while also creating a lift and an improved shape. This procedure is an excellent way to rectify issues caused by drooping breasts, breast asymmetry, or tuberous breasts, creating a better appearance and improving self-confidence.

This procedure offers a range of benefits, to create a more youthful look, improving one’s self-confidence and body shape. Breast lift surgery with implants can also be of benefit to women as they age or go through pregnancy, which can negatively affect the skin and ligaments of the breasts.

The results of a breast augmentation will adequately correct your specific problem
Your medical history, conditions and medications are discussed and deemed not to pose a risk
All information about any previous cosmetic procedures is discussed and cleared
You have good quality skin
You have realistic expectations and understand the potential risks
You understand that breast implants may affect your ability to breastfeed
You understand that your breast implants are not guaranteed to last a lifetime and may be required to be replaced over time

As a Specialist Plastic Surgeon, Dr Arianayagam has a vast amount of experience operating and observing across the world including Canada, Malaysia, India, the United Kingdom, the United States and Australia. Operating from Coffs Harbour since 1995, he has performed many successful Breast Lifts, improving a range of patient’s lives. Patients travel far and wide for the level of extra personal care that Dr Arianayagam brings to each cosmetic journey.

As a trusted source for various of treatment, his qualifications include:

A Bachelor of Surgery and a Bachelor of Medicine
A Fellow of the Royal College of Surgeons of Edinburgh
A Corresponding Member of the American Society of Plastic Surgeons and American Society for Aesthetic Plastic Surgery
Specialist status in Plastic Surgery in the Commonwealth of Australia

What is the recovery process for a breast lift?

Some pain and swelling is to be expected after your breast lift surgery which can be controlled with pain relievers. This is usually minimal and will settle over time with the final shape and positioning of your new breasts taking as long as six months to settle.

The first three weeks is considered to be the critical healing period during which you will be required to significantly restrict your activities. This may include time off work depending on your role.

Avoid strenuous exercise for around three months and you should expect to have surgical dressings to provide support to your breasts for one week. These will then be changed to a post-operative compression garment which will need to be worn for three months.

Will there be any scarring?

All surgery will create scarring however our team makes every effort to ensure they are as inconspicuous as possible. We use fine stitches and a specific positioning of the incisions to make all scars difficult to see. They will also fade over time.

It can be normal for scarring to be red and raised for some months, even taking up to a year to vanish completely. Information and advice on scar management will be provided to you.

Are there any possible complications from this procedure?

All surgical procedures pose a level of risk. For the breast lift these can include post-operative bleeding, allergic reactions, infection, and in rare cases deep vein thrombosis, and haematoma.

Specific risks can also include breast asymmetry, altered nipple sensation, or nipple-areola complex necrosis.

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Breast Augmentation

Wed, 25 Mar 2020 20:02:49 +0000

What Can Breast Augmentation Do for You?

Breast augmentation surgery 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 breast enlargement surgery procedure has become easier than ever, achieving excellent results with minimal scarring and reduced downtime. We all want to look and feel our best, and breast augmentation helps to boost confidence when breast shape and size do 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.

Benefits of Breast Augmentation

Improved self-confidence with higher self-esteem due to being happier with your body as a whole after surgery
A more balanced figure as a larger chest-size can create the illusion of a smaller, slimmer waist
Ability to refresh the wardrobe with form-fitting tops and swimsuits
Improved posture for some patients

The benefits of breast augmentation procedure can be profound, however, you should discuss your goals during your consultation to ensure this is the right procedure for you.

Is Breast Augmentation Right For Me?

A breast augmentation can be done at any time after your breasts have fully developed. It may be suitable for you if:

You understand your reasons for considering this procedure as they will significantly determine your contentment with your results
You are not pregnant or nursing
You understand breast augmentations and the best treatment plan for you making sure you are ready to ask any questions you may need
You are prepared to undergo surgery as invasive surgery has risks involved that you'll need to consider
You feel comfortable and informed and have considered non-surgical options
You are ready for the commitment of the consultation, procedure, and downtime while also being prepared to be vigilant about your implants and any complications that may arise
You are in good health, a non-smoker, or planning to quit

Silicone or Saline?

Silicone implants have a silicone outer shell and are then filled with silicone. Saline has the outer silicone shell but is filled with saline. Dr. Arianayagam recommends the use of cohesive smooth, round silicone gel implants. Most plastic surgeons and patients find that the silicone implants have a more natural feel, are less likely to ripple than saline implants, and with lower deflation rates.

Saline implants were initially 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

Step 5

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 entirely normal and should only last for a short period. You will be given postoperative painkillers and antibiotics.

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 three months.

Your breast augmentation procedure is in the safe hands of an internationally trained Specialist Plastic Surgeon with Dr. Chandran Arianayagam. During his career, the doctor has performed many breast-focussed procedures from his clinic in Coffs Harbour since it opened in January, 1995. In conjunction with this, he has operated and observed all over the world, in Australia, India, Malaysia, Canada , the United Kingdom and the United States.

Dr. Chandran Arianayagam’s qualifications include a Bachelor of Surgery and a Bachelor of Medicine while also being a Fellow of the Royal College of Surgeons of Edinburgh. The doctor has been granted Specialist status in Plastic Surgery by the Minister for Health of the Commonwealth Government of Australia and is a Corresponding Member of the American Society of Plastic Surgeons and the American Society for Aesthetic Plastic Surgery.

From cosmetic and reconstructive surgery to laser and injection treatments, Dr. Arianayagam is an expert in many Plastic Surgery techniques. He places great importance on taking a detailed approach to ensure the complete comfort of all his patients. This includes plenty of discussions, adequate time and space and whatever else may be required to ensure all patients are comfortable with the decisions they make. With at least two consultations prior to treatment, all patients are well-informed about their chosen procedures.

Once you have made the decision to go ahead with the surgery and have chosen Dr. Arianayagam as your surgeon, you will also be offered the opportunity to speak to one of our patients who has the same procedure.

The whole team at PCLS Coffs Harbour are well-known for outstanding levels of in-patient and post-operative care. This not only ensures a high-quality of service, but also makes every procedure far less daunting. Nothing less than the best care from the initial steps through to a full recovery is accepted by Dr. Arianayagam and his team who are personally accessible throughout every patient journey.

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 breastfeeding is attempted. Breast augmentation does not interfere with the ability to breastfeed.

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 leaking. 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 minimal 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 significant studies have now allayed these concerns, producing no evidence of increased risk of either disease with breast implants.

Am I too old to undergo breast augmentation surgery?

It is quite common for women in their 40s and 50s to undergo breast augmentation surgery and experience excellent results. In many cases, a typical age for a patient looking for this particular surgery is a woman in her 30s, especially post-children.

If you have been considering this operation, no matter your stage of life you are currently in, you should schedule a consultation to learn more about how it will apply to your situation and to find the best path toward achieving your chosen cosmetic goals. If not breast augmentation, you may be better suited to a different procedure that will still help to increase your confidence, looks, and happiness.

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 including:

Capsular contracture

When an implant is placed in the breast, the body recognises it as a foreign substance and walls it off with a scar wall known 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 is 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 a temporary reduction or loss of nipple sensation.

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.

ALCL

Anaplastic Large Cell Lymphoma is a recently recognised problem after breast augmentation.

Worldwide, currently about 900 women have been diagnosed with a Lymphatic Malignancy.

This presents as pain and swelling in one breast, usually a few years after surgery. There is a collection of fluid around the implant.

This fluid is removed and sent for special tests. In most women, the results do not show anything to be concerned about and only symptomatic treatment is needed.

In an occasional patient, it may confirm ALCL and will require treatment. This problem has only been seen with textured implants.

In view of the small number of patients with the problem compared to the number of implants over the years and all over the world, it is considered a very small risk.

Dr Arinayagam, to reduce the risk further, since August 2018 only uses smooth, round implants.

There are several locations offered by Dr. Arianayagam for the consultation on breast augmentation. The high-level of patient care discussed above is accessible at each one via a skilled and knowledgeable team, hand-picked by the doctor himself. The PCLS Coffs Harbour staff will ensure total care from the minute you walk through the doors to the end of your procedure and recovery process.

The PCLS team can book your consultation, coordinate a care plan, and ensure you have all the information you require to be completely prepared for your procedure.

In addition to all of this, they will stay in touch throughout your recovery process to ensure you have the follow-up care you need. The locations serviced by PCLS include:

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Breast Lift

Thu, 26 Mar 2020 12:56:42 +0000

A breast lift (or Mastopexy) aims to improve the shape of the breast, elevating the nipple position and improving the projection and position on the chest wall.

The breast lift surgery procedure is most often used to correct the effects of breast droop or ptosis. Age, childbearing, and weight changes can all stretch and elongate the ligaments that contribute to the youthful shape of your breast.

Many patients request a breast lift procedure for a range of benefits, to give a more youthful look to their breasts which helps to improve self-confidence and body shape.

Is a breast lift right for me?

To determine if the breast lift procedure is right for you, consider the following:

Undergo a consultation to determine if your breast ptosis or droop is classified as mild, moderate, or severe
Understand that for mild ptosis, bilateral breast augmentation usually is adequate to correct the problem
For moderate ptosis, surgical correction with a vertical mastopexy is required
For severe ptosis, surgical correction as above, combined with bilateral breast augmentation is often required
Your medical history, medical conditions and medications will need to be discussed during your consultation
Information about any previous cosmetic procedures will be taken into account
Our team will also inspect your skin to determine what kind of results should be expected
We will discuss your expectations, the potential risks, and how long it will take you to heal

What does the procedure involve?

The essence of ptosis correction surgery is the lifting of the nipple-areola complex to a new, raised, and better position.

A pedicle (breast tissue with its blood supply intact) is created to enable the nipple-areola complex to be shifted into its new position
A small amount of breast tissue is removed in the upward shift of the nipple-areola complex The breast tissue is then sewn together to get a good shape of the breast around the nipple-areola complex

Surgery is done under general anaesthesia at Baringa Private Hospital and takes about 3 hours. You will be required to spend one night in the hospital for post-operative care and monitoring.

Dr. Arianayagam is a Specialist Plastic Surgeon who has experience operating and observing in Malaysia, India, the United Kingdom, the United States and Australia. He has been operating from Coffs Harbour since 1995.

The doctor is a trusted source for all methods of treatment due to his range of qualifications make which include:

A Bachelor of Surgeryand a Bachelor of Medicine
A Fellow of the Royal College of Surgeons of Edinburgh
A Corresponding Member of the American Society of Plastic Surgeons and American Society for Aesthetic Plastic Surgery
Specialist status in Plastic Surgery in the Commonwealth of Australia

What is recovery like?

You are likely to experience some pain and swelling after breast lift surgery. The pain can be controlled with pain relievers. The swelling is usually minimal and should settle over three months. The final shape and positioning will continue to settle for as long as six months.

The critical healing period is the first three weeks. Over this period, you will be asked to restrict your activities significantly. Dr. Arianayagam recommends time off work during this critical recovery period, and you should plan to get help with activities.

You should avoid strenuous exercise for at least three months to allow for good healing.

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 three 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.

Scarring can remain red and raised for several months and may take up to a year to diminish completely. Dr. Arianayagam will provide you with information and advice on scar management and minimisation.

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 a breast lift.

Breast asymmetry

It is possible for uneven breasts to occur after breast lift surgery. It is vital to make sure you have fully healed, 6 to 8 months after surgery, before making this judgment. Usually, breast asymmetry can be corrected with revision surgery.

Altered nipple sensation

Most women having a breast lift will experience no change in nipple sensation. However, a small percentage of patients experience a permanent reduction or loss of nipple sensation.

Nipple necrosis

If the blood flow to the nipples is impaired during surgery, this can result in necrosis or nipple death. Symptoms include the loss of sensation and black colouration of the nipple.

However, this is an extremely rare complication.

Dr. Arianayagam and his patient care team are available at a range of locations. Hand-picked for their skill-level and competence, the team will ensure all patients receive the highest levels of care during every procedure.

The PCLS team will provide all the necessary information you require during consultation as it is our primary goal to ensure you are fully informed and comfortable before confirming your procedure. They will be with you every step of the way during your treatment and recovery process, making sure you have the follow-up care you need.

The locations that are serviced by the PCLS team include:

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Breast Reconstruction

Thu, 26 Mar 2020 12:57:04 +0000

When is the right time?

When you have a mastectomy you must make many important decisions during a physically and emotionally challenging time. The first decision is whether to have breast reconstruction at all. If you want to proceed then you must decide whether to have reconstruction at the time of the mastectomy or sometime afterwards.

Immediate reconstruction, done in conjunction with the mastectomy, has the advantage of avoiding a second surgery. No scar tissue has formed from the mastectomy and the remaining breast skin is still stretched to the original size and shape of your breast, so the results of reconstruction are likely to be better.

Delayed reconstruction may be recommended in cases involving intermediate or advanced breast cancer. Sometimes patients opt to wait simply because they need more time to think through their options.

Procedure

Once you have decided to have a breast reconstruction, you need to decide between having your breast replaced with an implant or an autologous tissue flap (your own body tissue). An implant is the most popular option because of the aesthetic appearance and minimal surgery time. Read our article on breast augmentation to find out more about implants.

Autologous tissue flap is a transplant of live skin, fat and muscle from another part of the body (usually the abdomen, buttock, thigh or hip). The advantage of this procedure is that the reconstructed breast remains live tissue, so the body will not reject it.

Grafting techniques are available that can create an areola and nipple. This is often done in a later operation. Once the new breast has been done, the opposite breast may need to be lifted, reduced or augmented to achieve symmetry.

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Breast Reduction

Thu, 26 Mar 2020 12:57:20 +0000

Breast reduction surgery, also called Reduction Mammaplasty, is an operation to reduce the size of a woman’s breasts while improving the shape and repositioning the nipple.

By obtaining help from a qualified breast reduction surgeon, you can alleviate back and shoulder pain caused by large breasts while also decreasing levels of unwanted attention that can often come with large breasts.

As a commonly performed plastic surgery procedure, a breast reduction specialist like Dr. Arianayagam can create excellent results with minimal scarring and reduced downtime. A breast reduction can help to boost confidence while providing a compliment to your natural body shape.

Breast reduction can have a profound effect not only on how you look but the way you feel
The procedure can correct oversized breasts that often cause pain in the neck, shoulders, and back, and restrict mobility and exercise
The procedure can correct disproportionate breasts that often make it challenging to find clothing that fits appropriately and damage your self-image and confidence
Breast reduction surgery will help you to achieve smaller, firmer, better-shaped breasts that are more proportionate to the rest of your body
This procedure also helps with droopiness, restoring shape and firmness for firmer and fuller breasts

Is a breast reduction right for me?

A breast reduction can be performed on patients of all ages and may be suitable for you if:

You experience pain or discomfort from oversized breasts
You carefully consider this procedure and the significant change the results will create
You are not pregnant or nursing
You understand the best treatment plan and are ready to ask any questions you may need
You are prepared to undergo invasive surgery and are aware of the risks involved
You feel comfortable and informed
You have considered non-surgical options
You are ready for the commitment involved for the consultation, procedure, and downtime
You are in good health
You are not a smoker, or are planning to quit

It is also important to note that this procedure will result in scars on your breasts. It is entirely safe and acceptable to have the breast reduction surgery at any age, even as a teenager; however, it is vital that your breasts are fully developed to avoid a second surgery later in life.

Other reasons that may require a postponement of your breast reduction surgery can include breastfeeding and weight loss. If you are planning or interested in losing a significant amount of weight by changing your exercise and diet program, you may wish to postpone your mammoplasty as losing weight can often affect your breast size.

Step 4

Breast reduction surgery involves the reduction of skin and breast tissue. The breast will be reshaped, and the nipple-areola complex elevated to create a youthful and aesthetic shape. There are many methods to reduce breast size.
Dr. Arianayagam’s recommended technique is the vertical mammaplasty; a technique initially popularised in Europe. This technique gives good aesthetic results, minimal scarring, and excellent long term maintenance of shape and position.

Surgery is performed under general anaesthesia at Baringa Private Hospital, where you will be admitted as an inpatient. Expect to stay in the hospital for at least one night to allow for close monitoring of drains and optimal pain control.

Step 5

In the first couple of weeks, surface healing will take place rapidly. Internal healing, including regaining your strength and restoring shape, will take as long as six months.

The critical healing period is the first three weeks. Over this period, you will be asked to restrict your activities significantly. Dr. Arianayagam recommends time off work and time away from looking after small children during this critical recovery period.

It would be best if you protect your breasts from stretching activities for at least three months to allow for proper healing. Immediately following surgery, you will have surgical dressings to support the breasts.

In the second week, this is usually changed to a post-operative compression garment that must be worn for three months. Swelling is usually minimal after breast reduction. Expect this to settle over six weeks and entirely subside in 3 months.

Your breast reduction procedure by the internationally trained Specialist Plastic Surgeon Dr. Chandran Arianayagam will be a comfortable and safe experience. As an expert who has performed many breast-focussed procedures, the doctor has been operating from his Coffs Harbour clinic since 1995 and has also operated and observed in India, Malaysia, the United Kingdom, Australia and the United States.

Dr. Chandran Arianayagam’s qualifications include:

A Bachelor of Surgery and a Bachelor of Medicine
A Fellow of the Royal College of Surgeons of Edinburgh
Specialist status in Plastic Surgery in the Commonwealth of Australia
A Corresponding Member of the American Society of Plastic Surgeons
A Corresponding Member of the American Society for Aesthetic Plastic Surgery

As an expert in many Plastic Surgery techniques, the doctor and his team at PCLS have a primary goal for each patient, to provide a detailed approach, ensuring complete comfort for every procedure.

From early discussions to at least two consultations prior to treatment, the team ensures that all patients are well-informed about breast reduction, and comfortable to proceed. Well-known for their quality levels of in-patient and post-operative care, the PCLS team works hard to ensure every procedure is less daunting.

We will be by your side from the initial steps through to a full recovery, as Dr. Arianayagam knows the importance of a comfortable and stress-free patient journey.

Why might I need or want this procedure?

Women consider breast reduction surgery for both cosmetic and functional reasons. It is entirely fair that you would search for alterations to your breasts if you were looking to increase comfort or provide pain relief.

Some women may be embarrassed by their large breasts and the attention they receive, or they may be causing restrictions in your day to day life. This can lead to psychological and physiological issues that the breast reduction procedure may rectify.

Heavy or pendulous breasts may not suit your body frame, in which case the breast reduction procedure can help to improve your posture while providing pain relief, especially in your back, neck, or shoulders. You may also require a breast reduction if you often feel significant tension in your bra straps and have difficulty with sporting activities due to pain and discomfort.

Finally, if you are unhappy with a downward pointing of your nipples or have unequal breasts, this procedure will work to rectify that and enhance your self-esteem and self-confidence.

Will I have scars?

Any surgery will leave scars, but an enormous effort is made 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.

Dr. Arianayagam will provide you with information and advice on scar management and minimisation.

Can I breastfeed after breast reduction?

So long as the nerves and milk duct system are preserved, breastfeeding should be possible after breast reduction surgery. If you are having surgery prior to childbearing, we recommend that you discuss these risks with Dr. Arianayagam before making any decisions.

What if I require a different procedure?

The consultation process, for which there can sometimes be two scheduled appointments, is in place to ensure that the correct surgical path forward is selected for all patients.

This process will not only involve a physical examination, but an in-depth discussion of your goals and the realistic expected outcomes to ensure the best option is chosen.

No patient is booked in until they are entirely comfortable with their decision and have been given ample time to consider all factors relating to their procedure.

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 haematoma.

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

Nipple necrosis

If the blood flow to the nipples is impaired during surgery, this can result in necrosis or nipple death. Symptoms include the loss of sensation and black discolouration of the nipple.

Breast asymmetry

It is possible to have breast asymmetry after breast reduction surgery. It is essential to wait for six months to make sure you have fully healed before making this judgment. Usually, breast asymmetry can be corrected with revision surgery.

Altered nipple sensation

Most women having breast reduction surgery will experience no change in nipple sensation. However, a small percentage of patients experience a permanent reduction or loss of nipple sensation.

“Dog Ears”

A dog-ear refers to skin protuberance that can form at the end of an incision, including those along with the lateral breast after breast reduction. A persistent dog-ear may warrant minor scar revision.

Dr. Arianayagam offers the consultation for a breast reduction in a number of places, all of which offer a high-level of patient care. The skilled and knowledgeable PCLS Coffs Harbour staff are on-hand to book your consultation as a first step towards your new look.

From here, the team will coordinate a care plan, then provide you with all the information you require to ensure your comfort and knowledge levels for your procedure are completely satisfied.

They will also stay in touch throughout your recovery process as part of the total follow-up care process standard with every procedure from PCLS. Locations include:

Our team is here to offer complete support. We know that the idea of surgery can be daunting, but in the case of a breast reduction, the improvements to your daily life can be profound. We have many women who are delighted with their results, stating that it has made a significant and positive impact on their well-being and physical and mental health.

Please do not hesitate to speak to us about how to make these improvements in your life. No woman should have to suffer as a result of heavy breasts, PCLS can help.

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Nipple Surgery

Thu, 26 Mar 2020 12:57:41 +0000

Consultation

The first step when you are considering nipple surgery is a consultation with Dr. Arianayagam. You should frankly discuss your goals and expectations at this consultation.

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.

If appropriate, he may photograph your breasts to allow for surgical planning.

Ideally, a second consultation is had a week or two later to give you the opportunity to come back with more questions and to confirm your decision.

Will I have scars?

Can I breastfeed after nipple surgery?

Your ability to breastfeed post surgery will depend on the specific type and severity of nipple problem. If the nature of the problem requires the milk ducts to be involved, then breastfeeding is unlikely to be possible in the future.

If you are having surgery prior to child bearing we recommend that you discuss these risks with Dr Arianayagam before making any decisions.

What complications can arise from the procedure?

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

There are also some risks and complications that are specific to nipple surgery.

Nipple necrosis

If the blood flow to the nipples is impaired during surgery, this can result in necrosis, or nipple death. Symptoms include the loss of sensation and black colouration of the nipple.

Altered nipple sensation

Most women having nipple surgery will experience no change in nipple sensation. However, a small percentage of patients experience permanent reduction or loss of nipple sensation.

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Breasts – PCLS Coffs Harbour

Breast Augmentation with Fat Grafting and Transfer

Does a fat transfer work for a breast augmentation?

Does the breast augmentation with fat grafting last?

How do I know if breast augmentation with fat transfer is the right procedure for me?

What’s the price for breast augmentation with fat transfer?

The PCLS process

Why choose PCLS for the fat transfer breast augmentation?

Frequently Asked Questions

Location options for consultation

Main Location

Regional Clinics

To schedule a private consultation with Dr Arianayagam please call the office or request an appointment online

Upper and Lower Back Liposuction

Restore your tone with back liposuction from PCLS, an effective body contouring procedure with minimal downtime.

The benefits of upper and lower back liposuction

Is back fat lipo right for me?

What is involved in the process for my procedure at PCLS?

Why is PCLS Coffs Harbour a good choice?

Frequently Asked Questions

Where can you have a consultation for back liposuction?

Main Location

Regional Clinics

To schedule a private consultation with Dr Arianayagam please call the office or request an appointment online

Breast Reduction +/- Implants

Feel more comfortable and confident with a breast reduction with or without implants, which can reduce size while improving shape and positioning.

The benefits of the breast reduction with implants or without

Is a breast reduction with implants or without right for me?

What is the PCLS process?

Why trust PCLS with your breast reduction?

Frequently Asked Questions

The PCLS consultation locations

Main Location

Regional Clinics

To schedule a private consultation with Dr Arianayagam please call the office or request an appointment online

Breast Lift and Augmentation with Implants

Improve shape and position with a breast lift with and without implants, an effective way to reverse the effects of pregnancy, breastfeeding and ageing.

Benefits of breast lift surgery with implants

Is a breast lift and augmentation with implants right for me?

The process for deciding on this procedure

Why is PCLS the right choice?

Frequently Asked Questions

Location options for consultation

Main Location

Regional Clinics

To schedule a private consultation with Dr Arianayagam please call the office or request an appointment online

Breast Augmentation

What Can Breast Augmentation Do for You?

Benefits of Breast Augmentation

Before And After Results

Is Breast Augmentation Right For Me?

Is There a Choice of Implants?

How It Works

Why Choose Us?

Frequently Asked Questions

Our Locations

Main Location

Regional Clinics

To schedule a private consultation with Dr Arianayagam please call the office or request an appointment online

Breast Lift

A breast lift (or Mastopexy) aims to improve the shape of the breast, elevating the nipple position and improving the projection and position on the chest wall.

Benefits of breast lift surgery

Before And After Results

Is a breast lift right for me?

What does the procedure involve?

How It Works

Why Choose Us?

Frequently Asked Questions

Our Locations

Main Location

Regional Clinics

To schedule a private consultation with Dr Arianayagam please call the office or request an appointment online

Breast Reconstruction

To schedule a private consultation with Dr Arianayagam please call the office or request an appointment online

Breast Reduction

Breast reduction surgery, also called Reduction Mammaplasty, is an operation to reduce the size of a woman’s breasts while improving the shape and repositioning the nipple.

Benefits of breast reduction procedure

Before And After Results

Is a breast reduction right for me?

Why is the breast reduction procedure performed