Breast Augmentation Perth

Dr Glenn Murray, Perth Breast Augmentation

Cosmetic Doctor and Medical Director

Dr Glenn Murray completed his Bachelor of Medicine and Bachelor of Surgery at the University of Western Australia. He continued his training, undertaking both cosmetic medicine and cosmetic surgery training. Dr Glenn Murray has trained with some of the best Cosmetic and Plastic Surgeons in the US and worldwide. He is the past president of the cosmetic society and has attended many advanced breast workshops throughout his career. Dr Murray has a particular interest in repairing botched overseas implant surgery.

Our Perth-based Medical Director at Absolute Cosmetic Medicine, Dr Murray, is committed to providing exceptional care to every patient.

Perth’s Breast Augmentation Surgery and Breast Implant Options:

Breast Implant Placement

The subglandular technique, also known as above the muscle placement, places the implant between the breast tissue and the chest muscle. This method has increased in popularity as it is less painful for the patient and has fewer complications. Some of the concerns previously expressed with the newer implants are now less significant.

The subfascial technique involves elevating the layer covering the outer surface of the chest muscle and placing the breast implants in the space created.

Submuscular technique, also known as under the muscle placement, means implant placement below the pectoralis major chest muscle. This was an extremely popular method of implant insertion. However, it has reduced in popularity as many feel the risk of complications is higher, and the recovery can be slower.

The dual-plane technique involves both the submuscular and subglandular techniques. The upper part of the breast implant is submuscular, which is placed in a pocket underneath the chest muscle, while only the breast tissue covers the lower part of the implant. This method of insertion has become very popular. This method is not offered in many discount clinics as it takes longer to perform than a simple submuscular insertion.

Why choose the Above the Muscle Placement for Breast Implants?

This procedure can often be less painful than other methods. The recovery can also be quicker as the muscle is not interfered with. Any complications such as ‘double bubble’ and implant displacement occur less. The ‘double bubble’ treatment is often considered to replace the implant above the muscle. Some surgeons believe this is less destructive to the muscle as the muscle may wither and lose strength in some cases.

Why choose the Dual Plane Placement for Breast Implants?

The dual-plane procedure, in our opinion, has overtaken the submuscular method. It has the benefits of below the muscle with less of the concerns. This is the preferred position in a very slim or petite patient with no breast tissue at all.

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 reduced.

There are three grades of the dual-plane placement, with grade three being most effective in the floppier breast. Opinions vary on the above, and it is wise to be fully informed so that the most suitable choice is made to fit your specific circumstances.

Breast Implant Shape

At Absolute Cosmetic Medicine Perth, we prefer to use Round or Motiva Ergonomic implants. The reason we prefer round implants to teardrop implants is that if they rotate, the breast shape is not warped in the way that it is with teardrop implants.

Motiva Ergonomix implants are designed to mimic the movement of a natural breast, holding a round shape when lying down and assuming a natural-looking teardrop shape when standing.

We have samples of different shapes, textures and sizes of implants that can be seen at a consultation.

What is the cost of a Breast Augmentation procedure?

Perth Breast Augmentation costs start at $7,999. Please note that not all patients are eligible for this package; your suitability can be assessed at a consultation with Dr Murray.

Payment Options

Absolute Cosmetic offers multiple payment options including, and not limited to; Cash, Credit Cards (Visa, Mastercard etc), AfterPay, Lay-by and Payment Plans.
More information is available on our Payment Plan page.

Breast Implant Texture: Smooth, SmoothSilk, Mesmo or PolyTxt

At Absolute Cosmetic Medicine, we recommend Smooth, SmoothSilk (also known as Silksurface), Mesmo or Polytxt implants. Smooth implants have a smooth surface, mesmo have a micro texture and polytxt are moderately textured. SmoothSilk or SilkSurface has been named the 6th generation of implants. The SmoothSilk implant's nanosurface has been created without the use of sugar, salt or any other foreign substances.

Recently some implants have been banned in parts of Europe and suspended by the TGA.  It is worth noting that the implants that we use have not been banned anywhere due to the risk of BIA-ALCL.

The Mesmo and Polytxt implant has many benefits. The surface of the implant has a light or moderate texture which can help to give a slight lift to the breasts.

At Absolute Cosmetic Medicine, our rate of breast augmentation capsular contracture is less than 1 per cent. We have found the light and moderately textured implant to give good results to patients with floppier breasts and require a slight lift. Please note that these implants will not give the same result as a breast lift. We have found that generally the implant adheres to the position and holds the breast in position for longer.

Textured implants have been shown to cause some local swelling and lymphoma cells, although this will resolve on the removal of the implants. Due to these risks, and the recent suspension of Grade 4 Textured implants, we do not use these implants.

Our implant preference is for smooth implants for those with a little floppiness in the breast and memo or polytxt for those with more of this condition or family history or past history of capsular contracture. Once again opinions differ on all of the above.

We use implants filled with a cohesive silicone gel as opposed to saline implants. These silicone breast implants are cohesive to ensure that the gel will remain in the shell even in the unlikely event of a rupture.

What happens before your Perth Breast Augmentation Surgery?

To begin with, you must be extensively evaluated – both physically and psychologically – by our Perth medical team.

Psychological or emotional stress may make you unsuitable for breast augmentation. It is recommended to leave at least six months between emotional stress and cosmetic surgery. You should be performing the procedure for yourself, not for other external reasons.

We will require an accurate medical history from you. An extensive questionnaire that assesses the family history of breast cancer and ovarian cancer must also be completed before your procedure.

The complete physical examination includes extensive breast measurements to assess the implant. Many patients are concerned over breast implant size, but it’s actually the general fit of the implant that is important. You should select the size usually in a small range, to allow the doctor some flexibility in providing the most suitable choice.

It is advisable to bring a partner or a carer to consultation appointments so they are aware of all details associated with breast augmentation. You will also watch a DVD by a well-known plastic surgeon who explains many of the risks and limitations of the procedure.

You must be in good health and refrain from smoking and illicit drug use before the operation. You must also be aware of our cancellation policy if you break this agreement.  Smoking increases the risk of some serious complications during and after surgery.  Ideally, you should stop smoking at least 8-weeks before a procedure; cutting down does not reduce the risk of complications. However, the most significant health benefit is gained by quitting smoking for good.  More information about the possible complications and information about how to quit smoking is available here.

If possible, blood thinning medication, anti-inflammatory medications and blood thinners must be avoided for 10-14 days before the procedure. You will commence antibiotics and closely follow all pre-operative instructions given by the medical team. Blood tests and any other tests deemed necessary must be performed well before the procedure.

What happens on the day of your Breast Augmentation Surgery?

You will be seen by the nurse, the doctor and the anaesthetist before the procedure commences. You will change into a surgical gown and will be escorted to a fully-licensed and credentialed theatre.

You will then be hooked up to monitoring equipment and the anaesthetist will administer sedation to a level that you will feel no discomfort or recall any events.

The area will be made numb by tumescent local anaesthesia. Many patients report this to be especially beneficial, as they awaken completely numb. The procedure will take between one and three hours, plus 2-hours for recovery.

Note: A responsible carer must drop off, pick up and take care of you for the first night.

What happens after your Breast Augmentation Surgery?

You must rest under full supervision on the first night following surgery. Your carer must escort you to the toilet and back and observe for any light-headiness. If you become light-headed you should lay flat and elevate your legs.

Your 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 you will be reviewed by the medical team and given a bed bath. You should not shower for the first day. On the second day, you will be allowed to shower.

You should be up and moving the first day, but you must be cautious. The first 2 weeks is for strict rest – it’s not the time for travel or a holiday.

Important: You need to be close to your doctor for the first 2-6 weeks after your procedure. From 2-6 weeks you can return to work, but you must not lift anything heavier than 2.5kgs.

Exercise should be very light at 2-weeks, moderate at 4-weeks and full at 6-weeks, but with restrictions on upper body movement.

Avoid jogging for at least 3-months after surgery. Bike riding or stepping are a much better breast conservative exercise. Intercourse should be avoided for 2 weeks. Swimming and spas must be avoided until the wounds are fully healed, which is a minimum of 2-weeks.

These are guidelines, your doctor may give specific return to exercise advice depending on your healing and recovery.

Smoking and illicit drug use must be limited until the wounds are healed. If possible, make this your time for giving up.

Don’t be an impatient patient

You will need some patience for the first 6-months. Many patients will see a great change in the 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 6-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 6 weeks, and it’s recommended you do not buy expensive bras for 6-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. This is not a great idea – it will only make you hyper-vigilant and anxious. It’s recommended to check the breast closely once per week.

The post-surgery size of the breasts may be distressing for some patients. Some patients think the implants are initially too large when they’re swollen, but this will settle and often reduce in size. Other patients who have had the sub-muscular implant or the dual plane implant consider their implants to be too small, but the muscle will stretch to accommodate the implant over time. It is important to note that the full result of breast enhancement may take up to 6-months.

Important: Breast augmentation will enhance the size of your breasts, but the shape and condition of the breast before the operation will affect the general outcome. This procedure does not create perfect breasts.

Breast Augmentation Complications

There are a number of potential complications with Breast Augmentation, it is important to understand these and take them into consideration when deciding if a breast augmentation is right for you.  Information about the possible complications is available at FDA Breast Implant Complication Information.  More information about Breast Implants and Breast Augmentation is available on the TGA Breast Implant Hub.

Please also make yourself familiar with how to perform a Breast Self Examination.

Why choose Absolute Cosmetic Medicine?

• Absolute was one of the first full-time cosmetic clinics in WA
• We have performed hundreds of Breast Augmentation and it is one of our main surgical procedures
• We have been trained by some of the world’s leading plastic surgeons and experts
• Dr Murray is the current Chairman of the International Breast Advisory Committee
• Good physiological care and assessment is a high priority at Absolute Cosmetic Medicine
• We have a 24-hour on-call service to assist you with any concerns after your Breast Enhancement Surgery
• We have a team of doctors including FRACS and non-FRACS that can be involved in your augmentation
• We offer a wide range of quality implants, including Motiva Ergonomix implants
• We can perform the more difficult dual plane procedure

*Any surgical or invasive procedure carries risks.  Before proceeding you should seek a second opinion from an appropriately qualified practitioner.