Breast Augmentation | Breast Implants at Absolute Cosmetic Perth, WA
History of Breast Augmentation and Implants
It is important to be aware of the history of breast implants as this can help with the understanding of this procedure.
In the US, a manufacturer of breast implants allegedly produced a lower quality implant that leaked. Silicone in these implants was of a liquid nature, which could spread into the body. As such, due to vigorous lobbying by lawyers looking for compensation, silicone implants were banned from America.
New cohesive silicone gel has now been developed which is not of a liquid form and does not generally spread into the body. It is much like a Turkish delight gel, which retains shape and does not turn into a liquid.
When silicone implants were banned, this led to saline implants being extensively used in America. The method of insertion of saline implants can be different to that of silicone implants.
Most agree that silicone breast implants or silicone cohesive gel models are the preferred breast implant for multiple reasons. This is controversial, and some doctors do not agree on this, but the overall opinion is that cohesive gel implants have a more natural feel.
The US has now allowed cohesive gel implants to be re-introduced to the market where they have quickly become the predominant implant of choice. It is interesting to know that many of the US surgeons that give advice online are now actually behind in their experience. They are only familiar with the saline implant and the sub muscular insertion. There are many excellent US surgeons who are quickly catching up on this although patients must be cautious taking online advice from anyone, especially doctors who are behind in certain aspects of the field.
|Also known as:||Breast enhancement, breast enlargement, breast implants, boob job and enlargement of the breasts|
|Useful for:||Increasing the size of the breasts, enhancing breast shape, correcting uneven breasts and correction of slight sagging. Please read all of below before attending your consultation and to assist you in understanding the procedure:|
Please read all of below before attending your consultation and to assist you in understanding the procedure:
- MUST read before consultation – Breast Implant FAQ TGA Pamphlet (199 KB)
- MUST read before consultation – FDA pamphlet -Breast Implants (692 KB)
- Breast Augmentation Article About Dr Murray (179 KB)
- Breast Augmentation Consent Form (2.6 MB)
- Breast Augmentation DVD Consent From (262 KB)
Facts about Breast Augmentation and Implant Choice
When considering breast augmentation, consider the advantages and disadvantages of each type, brand and insertion method.
Breast Implant Placement
Below the muscle was an extremely popular method of implanting although now has reduced in popularity as many feel the complications can be higher and the recovery slower.
The dual plane technique, which is simply placing the implant half above the muscle and half below the muscle has taken over in popularity and in clinics. This method can take longer and some of the discount clinics do not offer this as they are time poor and perform the implants in a production line method.
Above the muscle has made a major recovery in popularity and some surgeons only offer this method as it is less painful, has less complications and with the newer implants some of the concerns previously expressed are now less significant.
Advantages of Above the Muscle
This procedure can often be less painful than other methods. The recovery can also be quicker as the muscle is not interfered with. Any of the complications such as ‘double bubble’ and implant displacement occurs less. The treatment for ‘double bubble’ is often considered replacing the implant above the muscle. Some surgeons consider this less destructive to the muscle as the muscle may wither and lose strength in some cases. With the event of the polyurethane sticky implants, some advantages in correcting floppiness or ptosis are seen as well.
The Dual Plane Procedure
The dual plane procedure in our opinion has overtaken the sub muscular procedure. It has the benefits of below the muscle with less of the concerns. In a very slim or petite patient with no breast tissue at all, this is the preferred position.
Problems such as ‘double bubble’ and bottoming out are less seen with this procedure as the muscle does not exert as much pressure on the implant. Also the problem of wide cleavage is seen less often.
There are three grades of dual plane with grade three being more effective in the floppier breast. Opinions vary on the above and it is wise to be fully informed so that the best choice is made to fit your specific circumstances.
Other Important Points about Breast Augmentation and Implants
Breast Implant Entry Points
There are three entry points for breast implants and all have advantages and disadvantages.
Via the armpit was a very popular method, although many surgeons have abandoned this. If done blindly, the sternum muscle can be torn giving ‘uniboob’ or ‘symmastia’. Generally, it is found that incorrect positioning of the implants occurs more frequently with this method.
Insertion via the nipple can be very difficult for silicone implants of any significant size. It was a very convenient method for the smaller implant or saline implants that were filled in situ.
The incision under the breast has been accepted by many as being the most accurate with less complication and more precise placement.
Breast Implant Texture: Smooth vs Polyurethane Implants
In Australia and the UK, the polyurethane implant has won over surgeons with its many benefits. The polyurethane covering the implant is like foam and prevents capsular contracture or hardening of the implant.
At Absolute Cosmetic Medicine, our rate in capsular contracture is less than 1 per cent and equal to the polyurethane even with smooth implants. We do use the polyurethane implants if the patient suffers capsular contracture, but do not routinely use it as a first choice. We have found it to be successful for patients with less elastic breasts and some degree of floppiness. We have found that generally the implant adheres to the position and holds the breast in position for longer.
There are also some newer shapes of implant that polyurethane makers have invented. These are a cone shape with a very long radius that are good for women with floppier breasts.
Textured implants have been shown to cause some local swelling and lymphoma cells, although this will resolve on removal of these implants. As such, we do not generally use textured implants in our clinic.
Our preference is for smooth implants in those with a little floppiness in the breast and polyurethane for those with more of this condition or a family history or past history of capsular contracture. Once again opinions differ on all the above.
Crisalix- Virtual Reality Before and Afters of your Breast Augmentation Surgery
Crisalix is a new software that allows you to ‘try on’ different implant shapes, sizes and placements before surgery. The Crisalix scans you to get a current measurement then you select the implant sizes and placements that you are considering, the system will then show you a virtual image of what that would look like post surgery. This is a great option for anyone who is struggling to decide which implant and placement to choose. More information is available in the below video.
Crisalix consultations are available to those who have had their initial consultation with the nurse. If you have any questions please don’t hesitate to contact us.
Dr Murray’s Past Patients
Before Your Breast Augmentation Procedure
The patient must be extensively evaluated both physically and psychologically by our Perth medical team.
We offer FRACS and non FRACS doctors depending on the requirements for the specific patient. An extensive questionnaire that assesses family history of breast cancer and ovarian cancer is required to be completed.
Psychological emotional stress may make the patient unsuitable for a breast augmentation procedure. It is best to leave at least six months between any emotional stress and the procedure. A divorce or separation should not be a factor in the decision-making. The patient should be performing the procedure for themselves, and not for any other external reasons.
A full physical examination is carried out and the breast extensively measured to assess the correct implant to be used.
Many patients are concerned over breast implant size, but it is actually the general fit of the implant that is important. Sizing is preformed and the patient selects the size usually in a small range to allow the doctor some flexibility in providing the best choice.
It is wise to bring a partner or a carer along to appointments so they are aware of all details associated with the breast augmentation procedure. The patient will see an international DVD by a well-known plastic surgeon who explains many of the risks and limitations of the procedure.
The patient must be realistic and realise that breast augmentation will improve the size of the breasts, but the shape and the condition of the breast pre-operatively will affect the general outcome. This procedure does not create perfect breasts.
The patient must be in good health and refrain from smoking and illicit drug use prior to the operation. They must be aware of the cancellation policy if they break this agreement.
Blood thinning medication such as aspirin, anti inflammatory medications and blood thinners must be avoided for 10-14 days before the procedure if possible. An accurate medical history must be given. The patient will commence antibiotics and closely follow all pre-operative instructions that have been given by the medical team. Blood tests and any other tests deemed necessary must be performed well before the procedure.
The Day of the Procedure
The patient must be on time for the admission as the medical team need to perform an extensive check-up before the procedure.
The patient will be seen by the nurse, the doctor and the anaesthetist before the procedure commences. The patient will be placed in a surgical gown and will be escorted to a fully licensed and credentialed theatre.
The patient will be hooked up to monitoring equipment and the anaesthetist will administer sedation to a level that the patient will feel no discomfort or recall any events.
The area will also be made numb by tumescent local anaesthesia and many patients report this to be an especially beneficial adjunct as they will awaken completely numb. The procedure will take between one and three hours and two hours for recovery. A responsible carer must drop off, pick up and take care of the patient for the first night.
After My Procedure
The patient must strictly rest the first night, under full supervision. The carer must escort the patient to the toilet and back and observe for any light headiness. If the patient becomes light headed they are to be laid flat and their legs elevated.
The carer must also administer all medications and leave their phone on for a medical team follow up. The doctor and or nurses are available to assist all night.
The following day the patient will be reviewed by the medical team and given a bed bath. The patient should not shower for the first day.
Strict aftercare instructions are given and the patient should follow this closely. On the second day, the patient will be reviewed by the medical team and a shower is allowed.
The patient should be up and moving the first day, but must be cautious. The first two weeks is for strict rest and is not time for travel or a holiday. It is very important to be close to your doctor for the first two – six weeks prior to your procedure. From two to six weeks the patient can return to work but must not lift anything greater than 2.5kgs.
Exercise is very light at two weeks, moderate at four weeks and full at six weeks with restrictions on upper body movement. It is wise to avoid jogging for at least three months after surgery, if at all due to the detrimental effect of jogging.
Bike riding, stepping or rowing are a much better breast conservative exercise. Intercourse should be avoided for two weeks. Swimming and spas must be avoided until the wounds are fully healed, which is a minimum of two weeks.
Smoking and illicit drug use must be limited until the wounds are healed. It is wise to make this your time for giving up.
It is wise to be realistic and patient for the first six months. Many patients will see a great change in shape of their breasts and the breast does not settle until the end of this period. Slight discomfort, nagging pain and tingling can occur during the first six months.
Sometimes, the implant can be felt at some edges especially if it is polyurethane. In most cases this will settle and improve. A supportive bra must be worn for six weeks and it is wise to not buy expensive bras for six months. The reason for this is the breast can change in size and shape during this period. Some patients will check their breasts many times a day and this is not advised as the patient can become hyper vigilant and anxious. It is best to check the breast closely once per week.
Size is one of the most distressing features of breast implants. Some patients think the implants are initially too large when they are swollen, but this will settle and often reduce in size. Other patients who have had the sub muscular implant or dual plane implant consider their implants to be too small but as the muscle stretches to accommodate the implant this issue is resolved.
Do Breast Implants Last?
A common question is how long will breast implants last? This varies depending on the quality and type of breast implant, although the general life is at least 10 years.
Capsular contracture and other complications can occur as quickly as one month after the surgery. Remember that breast implants are not a one off operation. If you want implants for your life, they must be replaced at some stage. It is best to do this sooner rather than later and especially at any sign of implant deterioration.
Breast augmentation and implants are not for everyone and you must make sure that you have considered this decision carefully. Some patients genetically have inelastic breasts and these may require a breast lift. The bigger the implant, the more the weight and the more risk of this.
Remember, all complications incur extra costs, as do implant replacements.
Pay Cheap, Pay Twice
Unfortunately, one third of all our breast augmentation operations involve repairing cheap work performed by fly-in fly-out clinics.
When considering surgery costs, please be aware that one third of the cost of the procedure is for extensive pre-operative assessment, one third is for the procedure and one third is for aftercare.
If you suffer a complication, 90 per cent of your fee can be in the aftercare. It is extremely important to avoid complications, as some of these can be irreversible. Many of the fly-in fly-out clinics do not see their complications or treat them, as the patient is many thousands of miles away.
If you cannot afford a full priced treatment, consider finance or save a little longer to afford quality work. There is an old saying “pay cheap, pay twice”. We’ve found that sometimes the cost is much more than money.
Why Use Absolute Cosmetic for Your Breast Augmentation Procedure?
- We have a team of doctors including FRACS and non FRACS that can be involved in your care.
- We are a full time cosmetic clinic.
- We have performed hundreds of breast implant procedures and it is one of our main specialties.
- We offer a wide range of quality implants including polyurethane implants.
- Absolute has a 24-hour on call service to assist with any concerns.
- We perform the more difficult dual plane procedure also.
- The tumescent local anaesthetic technique is especially beneficial in reducing post-operative pain.
- Good physiological care and assessment is a big priority in our clinic.
- We have been trained by some of the world’s leading experts.
Book a Breast Augmentation Consultation
Contact Absolute Cosmetic Medicine today to book a breast augmentation consultation or to find out more about any of our services.
*Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.