Breast Augmentation Sydney

Breast augmentation surgery is one of the most common surgical cosmetic procedures performed in Australia. The procedure not only enhances the volume of the breasts but also improves breast shape and creates a more aesthetically pleasing balance

Women choose to undergo breast augmentation for a variety of reasons. Some wish to alter the size or shape of their breasts, while others seek to correct asymmetry or restore diminished volume due to weight loss or pregnancy. Implants come a broad range of sizes, shapes and materials to tailor the results to your body type and desired outcomes. Different incision techniques are also used to reduce visible scarring and further customise your new look. When handled by an experienced, qualified specialist plastic surgeon, breast augmentation is a safe surgery with long-lasting results and high patient satisfaction.

A Word from Dr Liew

From my perspective, one of the most common breast augmentation subjects women want to discuss is size. While this is, of course, a significant part of the procedure, it is of secondary importance to me as a specialist plastic surgeon. BAM surgery achieves much more than making the breast look bigger. I look at BAM as a way to create not only an ideal size or shape for that particular woman but also as a way to enhance her entire body profile.

A nicely performed breast implant surgery should take into consideration the shape of the chest, as well as the overall shape and height of the patient. A woman who is long and lean usually looks good with a proportionate enlargement that enhances her elongated look. Just giving her a larger, rounder breast may not provide the most attractive results. On the other hand, a short woman might find that widening the upper chest with implants that add too much volume to the sides of the body intensifies her short appearance.

These are some of the nuances in BAM surgery that should be considered. Women are often presented as merely having larger breasts following breast implant surgery, but I believe this is a shortsighted view of BAM. After all, this is one of the unique and sensual parts of the female body. BAM surgery should do more than create a beautifully shaped breast -- it should enhance the upper body of the woman, and in turn, provide overall improvements to the shape of the body from head to toe.

BAM At A Glance

  • Procedure time: 1 hour
  • Downtime required: 3 - 7 days (varies according to size and placement of implants and vocational requirements)
  • Results duration: long lasting, may need a repeat surgery after 8 - 10 years

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Breast Implant Options

Breast augmentation is a highly personal experience. Different women desire different results, and different body types call for different surgical techniques. The need for customisation is why it is essential to seek out a qualified and knowledgeable specialist plastic surgeon to perform the procedure.

Implant Material

Breast implants are crafted of saline or silicone, with each type offering a myriad of benefits and potential drawbacks:

Saline-filled implants consist this is not very commonly used today by surgeons in Australia or the rest of the world. The main reason for this change is that the saline-filled Implant feels firmer and less like natural breast tissue. The greatest advantage to the saline implant is that in the event of a leak, the saline inside will be safely and naturally reabsorbed by the body.

Silicone implants are the preferred choice of most plastic surgeons worldwide. These implants feature a silicone shell with a special medical-grade silicone gel inside. They are intended to create a more natural look and feel to the breast and as such, are preferred by both patients and surgeons today. Almost all silicone inside the implant consist of a cohesive gel that sticks or adheres to itself. This characteristic ensures that even in the event of a rupture, the gel inside will remain contained within a confined space rather than spreading throughout the body

Shapes, Textures and Placement

There are also a variety of shapes and textures in breast implants today. Round implants are popular with women who want substantial lift and fullness, particularly in the upper pole of the breast. Women seeking a more conservative, natural profile tend to favour teardrop-shaped implants. However, women with sufficient breast tissue can also achieve a beautifully natural look with round implants. Your best approach is to consult with your surgeon since this professional can help you determine with implant shape will produce the outcome you want.

Implants may also feature surfaces that are smooth or slightly rough or textured. Textured implants have been of interest in the scientific world due to the diagnosis of a rare form of lymphoma known as breast implant-associated large cell lymphoma or BIA-ALCL. This extremely rare cancer is related to the scar tissue left behind after surgery and not the breast tissue. Textured implants are linked to a slightly higher risk compared to smooth implants. Please refer to the breast implant-associated lymphoma below for more information.

Implants may be placed under breast tissue (subglandular) or the pectoral muscle (submuscular). This determination may be based on the amount of natural breast tissue a woman has and the size of the implant. Most surgeons refer to a dual plane when determining breast implant placement. This term refers to placing the implant underneath the pectoral muscle, with the muscle releases sequentially to a more advanced degree. Dual planing allows the surgeon to raise the pectoral muscle slightly upward, giving the lower part of breast tissue contact with the breast implant. This technique is especially effective on selective patients that have some degree of breast ptosis or slightly droopy breasts. Your surgeon will be your best resource in determining the right implants and placement for you.

Breast Augmentation Incision Options

Women who are interested in breast augmentation often express concern about the scars left by the procedure. Qualified specialist plastic surgeons are skilled in multiple incision techniques, allowing them to choose the method that makes scarring as inconspicuous as possible for each unique patient. Depending on your body proportions and your desired outcome, one of the following techniques might be used to place your breast implants:

Inframammary: These incisions are created in the crease underneath the breast, where the lower part of the breast meets the chest wall. This placement offers a broader access point for inserting the implant and leaves a thin scar that is easily concealed by clothing or by the breast itself. It also allows for more control over bleeding and precision during placement. The original incision site may be reopened for subsequent surgeries, if needed, eliminating the need for additional scarring.

Periareolar: This incision is made along the outer edge of the areola, following the curve that separates the tissue of the nipple from the rest of the breast. Because the scar is located along this natural transition in pigmentation, it is often camouflaged quite well. Proximity to the implant location makes it easier for your surgeon to conduct the procedure and provide optimal results. A periareolar incision point can be reused in the case of future surgeries on the breast.

Transumbilical: Transumbilical incisions are made on the upper inside edge of the belly button. Deflated implants are moved to the breasts and inflated once they’ve been positioned. A single incision is required instead of two, and there is no scarring on the breast itself. Patients who undergo breast augmentation using this less invasive technique tend to recover more quickly. However, it is more difficult for surgeons to place implants from an area so far from the breasts and the results may be less natural looking. The scar cannot be reopened for revisionary surgery later.

Transaxillary: This incision is made within the armpit. A channel is created to the breast, and a pocket is formed for the implant. This incision placement leaves a small scar in the armpit, but no scar on the breast itself.

Today, most surgeons use inframammary or transaxillary incisions, since these choices reduce contact with breast tissue and potential contamination. This is especially helpful around the milk ducts, where infection risk can increase. As with implant types available, each incision placement has advantages and disadvantages that will be discussed in your consultations before your surgery. No matter which placement is used, Dr. Liew will be sure to keep your residual scarring after surgery as inconspicuous as possible.

Breast Augmentation and BIA-ALCL

BIA-ALCL is a very rare form of cancer of the immune system. Because it originates in the breasts, it is known as breast implant-associated lymphoma. Experts believe it may develop due to chronic inflammation caused by bacteria. Symptoms of BIA-ALCL might include swelling, pain or a lump in the breast. When it is detected early, BIA-ALCL is highly treatable by removing the implant and surrounding scar capsule. If the cancer has spread, removal of lymph nodes, chemotherapy or radiation therapy may also be recommended.

If you are concerned about BIA-ALCL, talk to Dr. Liew before your augmentation surgery. There are options for lowering your risk, such as using smooth implants rather than those with a textured surface. Keep in mind that the incidence of BIA-ALCL is also extremely low, even in women with textured breast implants.

Breast Augmentation for Asian Women

Asian women who seek breast augmentation require a specific approach to achieve optimal results due to differences in their physical structure and the quality of the skin. Asian women are frequently shorter in stature with a long and narrow chest compared to the rest of the body. In addition, they often have suboptimal breast shape and form, and minimal soft tissue with occasional ribs visible through the skin. The overlying skin and tissue tend to be tighter and firmer than that of Caucasians.

Surgical Considerations

  • Due to the long and narrow chest, women in this category are better suited to a more elongated, rather than round, breast shape. Longer implants can assist in filling out a bony chest and complement the elongated and petite body frame.
  • It is essential not to widen and increase the volume of the breast too much. Doing so increases the risk of creating an optical illusion of shorter stature and fuller upper body. Rather than beautify the body, this can make a petite frame look plump after the procedure.
  • Asians have a higher tendency to produce darker and thicker scarring (hyperpigmentation, hypertrophied scar). Extra care is required in the post-surgery period to promote optimal scar appearance.

Post-pregnancy Breast Augmentation

The expansion and deflation of the breast tissue following pregnancy tend to cause stretching of the breast skin and loss of breast volume. Post-pregnancy breasts are often smaller, looser, and may sag. Most patients complain of loss of perkiness and loss of fullness, especially in the upper part of the breasts.

Breast augmentation can address many of these issues following pregnancy. It is advisable to wait at least six months after you have completed breastfeeding before considering breast implants. For best recovery and results, it’s recommended to wait until your hormones, weight, and energy level have returned to normal, and your lifestyle has settled into its new routine.

Procedure & Recovery

Breast augmentation is usually performed under general anesthesia in an outpatient facility. During surgery, small incisions are made to create a “pocket” in which the implant is placed. Subglandular placement requires the implant to be positioned behind the breast tissue, over the pectoral muscle. Submuscular placement goes under the pectoral muscle. After the implant is positioned, the incisions will be closed and bandaged. Patients can return home soon after the procedure is completed.

The outcome you see immediately after surgery will not be your final result. Swelling and bruising are part of recovery from most surgical procedures, and breast augmentation is no different. Swelling can take weeks to resolve, and your implants will need time to settle into their optimal position. The incision lines will also fade with time.

Going into any surgical procedure with realistic expectations is essential. Breast augmentation can improve breast fullness, correct asymmetry, improve breast shape, and create a more balanced hip-to-breast ratio. It is not intended to address severe drooping or sagging. The appropriate procedure to correct sagging breasts is a breast lift or mastopexy, which involves tightening tissues and removing any excess, as well as possibly repositioning the areolas and nipples.

While new breast implants are safe and long lasting, they are not designed to last a lifetime. Expect that your implants will eventually require replacements or may need a breast lift in addition to replacement. It’s essential to maintain a relationship with a specialist plastic surgeon, ideally the one who performed the initial surgery, for regular checkups.

Is Breast Augmentation Right For Me?

BAM is a popular procedure, but it is not right for every woman. You may be a candidate for breast augmentation if:

  • You are generally healthy
  • You have no serious medical conditions
  • Your breasts are fully developed
  • You are not pregnant or breastfeeding
  • You do not smoke
  • You are at a healthy and stable weight
  • You have realistic expectations

On a personal level, there are many reasons to consider breast augmentation. It may be the right procedure for you if:

  • You are bothered by feeling that your breasts are too small
  • You are dissatisfied that your breasts have lost shape or volume following pregnancy or weight loss
  • You are unhappy with the appearance of your breasts as you age
  • One or both breasts failed to develop normally
  • Your breasts are asymmetrical

At Shape Clinic, we aim to provide results that “everyone will notice, but no one will know.” Preparation ahead of time offers the best prognosis for a smooth recovery and a successful procedure with high patient satisfaction. During your consultation, Dr Liew will thoroughly discuss your medical history, your motivation for surgery, and your aesthetic goals, as well as the right size, shape, material, and texture for your breast implant surgery.

Visit the gallery to see before and after images of breast augmentations performed by Dr Liew, and contact our office to schedule a consultation at concierge@shapeclinic.com.au or on +61 2 8356 2888.

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