Augmentation Mammoplasty: What to Expect Before, During and After Surgery 

March 13, 2025

Understanding Augmentation Mammoplasty in Australia

Augmentation mammoplasty is a surgical procedure that involves modifying the size, shape, or symmetry of the breasts using implants. While many individuals consider this procedure for personal or aesthetic reasons, it is important to be fully informed about the potential benefits, limitations, and associated risks.

This article provides general information about augmentation mammoplasty, from preparation and recovery to potential outcomes and complications. Please note that this information is not a substitute for professional medical advice. A consultation with a Specialist Plastic Surgeon is required to determine whether this procedure is suitable for your individual circumstances.

Before Augmentation Mammoplasty: Consultation and Preparation

Initial Consultation and Implant Selection

The first step in your surgical journey involves a detailed consultation with a Specialist Plastic Surgeon. During this appointment, your surgeon will assess your medical history, current health, and goals. This includes discussing the various implant options—such as saline or silicone, round or anatomical shapes—and identifying the most appropriate type and placement based on your body and expectations.

Having realistic expectations is critical, as outcomes vary depending on factors such as anatomy, skin quality, healing capacity, and implant type.

Pre-Surgery Preparation

Patients are usually advised to:

  • Undergo necessary tests (e.g. blood tests, imaging)

  • Stop smoking and avoid certain medications

  • Arrange post-operative support at home
    These steps help reduce risk and support a safe recovery process.

During Surgery: What to Expect

The Procedure

Augmentation mammoplasty is typically performed under general anaesthesia. Your surgeon will make incisions in areas such as the inframammary fold (under the breast), around the areola, or in the armpit, depending on the treatment plan. Implants may be placed under or above the pectoral muscle.

Duration and Monitoring

The procedure generally takes 1–2 hours. Patients are monitored in recovery before being discharged, usually on the same day, unless otherwise advised by the surgeon.

Recovery After Surgery

Immediate Recovery (First 72 Hours)

You may experience swelling, bruising, and discomfort, which can be managed with prescribed medications. Swelling between the breasts is common and typically subsides over time. Patients are advised to avoid strenuous movement and follow their surgeon’s post-operative care instructions.

Short-Term Recovery (Weeks 1–6)

  • Week 1: Rest and limited movement. Wear a post-surgical support bra as directed.

  • Weeks 2–3: Gradual return to light, non-strenuous activities.

  • Weeks 4–6: Many patients resume regular exercise and work, though heavy lifting should be avoided unless cleared by your surgeon.

Long-Term Healing (3–6 Months)

Swelling continues to resolve, and implants settle into position. Scars fade over time and can be supported with appropriate scar care as recommended by your practitioner. Regular follow-up visits are essential to monitor healing and address any concerns.

Common Questions

How long do breast implants last?

Implants are not lifetime devices. While some may last 10–15 years, others may require earlier revision depending on individual circumstances or complications. Regular follow-up and monitoring are recommended.

Will I have visible scars?

Scars are an expected part of any surgery, but your surgeon will aim to minimise and conceal them where possible. Over time, scars usually fade, especially with proper care.

When can I return to work?

Most individuals can return to light duties within 1–2 weeks. Physically demanding work may require up to 6 weeks or more of recovery.

Risks and Complications

All surgery carries risks. While many individuals recover well from augmentation mammoplasty, potential complications may include:

  • Infection

  • Bleeding or haematoma

  • Capsular contracture (scar tissue around the implant)

  • Implant rupture or asymmetry

  • Sensory changes

  • Dissatisfaction with cosmetic results

These risks and others will be discussed during your consultation with your surgeon.

Choosing a Qualified Surgeon

At Shape Clinic, all surgical procedures are performed by Specialist Plastic Surgeons:

  • Dr Steven Liew (MED0001151298, FRACS)

  • Dr Ania Smialkowski (MED0001668109, FRACS)

These practitioners are Fellows of the Royal Australasian College of Surgeons (FRACS), with extensive training and experience in both cosmetic and reconstructive surgery.

A second opinion from another appropriately qualified medical practitioner is recommended prior to proceeding with surgery.

Book a Consultation

If you are considering augmentation mammoplasty, contact Shape Clinic to arrange a consultation. Our team will guide you through your options and help you make an informed decision about whether surgery is appropriate for your goals and health needs.

Disclaimer

This article is for general information only and does not replace individual medical advice. Surgical results, risks, and recovery times vary between individuals. All medical and surgical procedures carry risks, and outcomes are not guaranteed. A consultation with a Specialist Plastic Surgeon is required to determine suitability. A second opinion from a qualified health practitioner is also recommended before undergoing any surgical procedure.