What is breast augmentation?

Breast augmentation is a surgical procedure that can be used to increase the size of the breasts, enhance breast shape, correct uneven breasts and correct slight sagging. When considering breast augmentation, you should consider the advantages and disadvantages of each type of implant, the brand and the insertion method.

A common question asked by patients is how long their breast implants will last. This varies depending on the quality and type of breast implant, but generally you can expect at least 10 years.

Common names

Breast enhancement,
breast enlargement, breast implants, boob job, or enlargement of the breasts

Targeted areas

Breasts

Procedure Information

Procedure Type

Surgical

Cost

from $7999

Recovery Time

2 weeks

Treatable Area's

Breast

Information about Breast Augmentation and Implant Choices

Breast Implant Placement

Below the muscle was an extremely popular method of insertion 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 procedure 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 fewer complications and with the newer implants, some of the concerns previously expressed are now less significant.

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 of the complications such as ‘double bubble’ and implant displacement occur 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 use of the polyurethane sticky implants, some advantages in correcting floppiness or ptosis are seen as well.

Why Choose the Dual Plane Placement for Breast Implants

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 reduced.

There are three grades of dual plane 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 best choice is made to fit your specific circumstances.

 

Dr Glenn Murray

Cosmetic Surgeon 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 with the Australasian College of Cosmetic Surgery (ACCS); 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 around the world. He is the past president of the Cosmetic Physicians of Australasia (CPSA) and has attended many advanced breast workshops throughout his career. Dr Murray has a special interest in repairing botched oversees surgery and more information on this can we found here.

Dr Murray, our Medical Director, at Absolute Cosmetic Medicine is committed to providing exceptional care to every patient.  His full resume can be seen here.

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, known as inframammary, has been accepted by many as being the most accurate with less complication and more precise placement.

Breast Implant Texture: Smooth vs. Polyurethane

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 of the above.

Dr Murray’s Breast Augmentation Patients

 

Crisalix- Virtual Reality Before and Afters of your Breast Augmentation

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 this could 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.

Online 3d simulations by Crisalix

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.

“How would you look with Breast Implants?”– blog post by Rayne Embley.

What happens before your procedure?

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

Psychological emotional stress may make you unsuitable for a breast augmentation procedure. It’s best to leave at least 6 months between any emotional stress and the procedure. A divorce or separation should not be a factor in your decision-making. You should be performing the procedure for yourself, not for any other external reasons.

We’ll require an accurate medical history from you. An extensive questionnaire that assesses family history of breast cancer and ovarian cancer also needs to be completed before your procedure.

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

It’s wise to bring a partner or a carer along to appointments so they are aware of all details associated with the breast augmentation procedure. You’ll also watch an international 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 prior to the operation. You must also be aware of our cancellation policy if you break this agreement.

If possible, blood thinning medication such as aspirin, anti-inflammatory medications and blood thinners must be avoided for 10-14 days before the procedure. You’ll 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 the procedure?

You must be on time as the medical team need to perform an extensive check-up before the procedure.

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

You’ll then be hooked up to monitoring equipment and the anaesthetist will administer sedation to a level that you’ll 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 two hours for recovery.

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

What happens after the procedure?

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’ll be reviewed by the medical team and given a bed bath. You should not shower for the first day. On the second day, you’ll be reviewed by the medical team and 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, stepping or rowing 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.

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’ll 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 don’t 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 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’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.

 

Important: Breast augmentation will improve 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.

Why choose Absolute Cosmetic for this procedure?

  • Absolute was one of the first full-time cosmetic clinics in WA.
  • We’ve performed hundreds of breast implant procedures and it is one of our main specialties.
  • We’ve been trained by some of the world’s leading experts.
  • Good physiological care and assessment is a high priority in our clinic.
  • We have a 24-hour on-call service to assist you with any concerns.
  • We have a team of doctors including FRACS and non-FRACS that can be involved in your care.
  • We offer a wide range of quality implants, including polyurethane 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.

Breast Implants

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 from the FDA at FDA Breast Implant Complication Information

"Dr Murray has performed hundreds of breast augmentations with a very low rate of complication. He is also a member of the International Breast Advisory Group."

More information

Breast Implants and the Risk of Lymphoma

Read More

11 Things I Wish I Had Known Before My Botched Thailand Breast Surgery

Read More

What to Consider When Choosing Your Breast Implants

Read More

How can we help?

Whether you have a treatment in mind, or you have a condition that you’d like to discuss with one of our professionals, please make an enquiry using this form. Be sure to include your ideal date and time for your appointment

No form found with ID 9