Breast Augmentation Surgery

Breast augmentation is a sophisticated operation involving a combination of implants, fat grafting and accurate implant positioning. There are over 300 implants to choose from ranging from round to anatomical, smooth and textured. Which implant you choose depends on your body shape and chest wall size. It also depends on the look that you want to create.

How to choose the right Breast Implant for you ?
  • Different heights (how high it sits on the chest wall)
  • Different widths (depends on your chest width)
  • Different projections (how far it projects from the chest wall)
  • Smooth  vs textured implants (the outer texture of the implant)
  • Saline vs silicone implants
Where to place the Breast implant
  • There are three positions, above the muscle, below the muscle or half-half. This means that the upper part of the implant is below the muscle and the lower part of the implant is below the breast glandular tissue.
What look you want to achieve and Breast implant shape ?
  • the natural look (anatomical implants)
  • the high curve look or Baywatch look (round implants)
How to choose the right Breast Implant size for you ?

When you come to see us, you will have two consultations with Dr Hadi
This includes listening to what you want, assessment of your breast, chest and body shape.
You will then have 2-D photographs and 3-D photographs with the Vectra camera system.
Using the Vectra System allows for different implants  to be placed so you can see what surgery can achieve with different implant shapes and sizes. Your images are treated with utmost privacy and respect. They will only be used for you. Imagine the ability to simulate what you may look like after surgery.
You will also be able to see and feel examples of different implants. So you can choose the right implant for you.
You will then be able to think about your options and are welcomed back for a second consult with Dr Hadi at no extra charge to go through what you have chosen and to answer all your questions.
Once you have decided to proceed to surgery, you will be looked after by Dr Hadi every step of the way. You will have an all female theatre for your comfort.

Do I need a Mastopexy (Breast Lift) with my Breast Augmentation

So just a note about terminology. A breast lift is a mastopexy. Breast implant is an augmentation. Sometimes the two are combined to be an augmentation mastopexy. The options differ depending on what you want, but also on your body shape. Its all about where the nipples sit in relation to the breast. The ideal breast is a dome with a cherry on tip. With age and gravity and having children, the shape of the breast changes and then the cherry sits below where it needs to be. Also, most of the breast tissue slides down and sits in the lower half of the breast. And when you look at the breast from the side, it has an overhang. This is called ptosis.

Patients who benefit from a straight augmentation don’t have ptosis and they can choose from rounds implants or tear drops depending on the look they want.

What if you have a bit of ptosis. The best test for this is to raise your arms up. If the ptosis is corrected and the nipple sits in a better position and the overhang disappears, then you might be able to have an augmentation. But it would have to be a tear drop and we would have to do a few surgical manouvers to get the implant to sit in the right place and adjust the breast tissue over it.

What if you have a lot of ptosis. So, you have done the arm lift test and the breast is still sitting a big low. Then you need an augmentation mastopexy. This means we put the implants under the muscle and then arrange the breast tissue higher. This give us more control about nipple position and breast shape but does involve more scars. The implants are usually round in augmentation mastopexy. This still results in a natural breast shape due to the breast lift effect.

You can view our Breast Augmentation Mastopexy Procedure for more information

Best Practices in Plastic Surgery

The 14-Point-Plan is endorsed by the Australian society of Aesthetic plastic surgeons. It minimises the bacteria that can contaminate breast implants at the time of surgery which can cause capsular contracture.

  1. Use antibiotics
  2. Avoid incisions around the nipple and in the arm pit.
  3. Use nipple shields
  4. Perform careful atraumatic dissection
  5. Carefully stop any bleeding during surgery,
  6. Using a submuscular, dual plane or subfascial pocket
  7. Perform pocket irrigation
  8. Use an introduction sleeve such as the Keller funnel
  9. Use new instruments and drapes, and change surgical gloves prior to handling the implant.
  10. Minimise the time between opening the breast implant from its sterile packaging and placing it in the anatomical pocket.
  11. Minimise repositioning and replacement of the implant.
  12. Use a layered closure.
  13. Avoid using a drainage tube,
  14. Consider the use of antibiotic prophylaxis to cover subsequent procedures that breach skin or mucosa.
What is a Keller Funnel?

A Keller funnel is a funnel used to insert the implant with minimal contamination and shortest possible scar. It has become the new standard in Breast implant surgery to try and minimise risk of capsular contracture. You will be able to see and feel the funnel during your consultation.

Plastic surgery before and after photos

Due to the respect and privacy of our patients, we do not publish before and after photos on our website. However, many of our patients have graciously allowed their photos to be viewed by new patients considering the procedure. These photos are available to be viewed during the detailed consultation with Dr Hadi.

How can I prepare for my Breast Augmentation Surgery?
When you decide to proceed, there are a few things you can do to prepare.

 

 

 

 

 

 

 

 

  1. Eat healthily by avoid excessively fatty foods and foods high in sugar.
  2. Stop smoking as this significantly increases complications rates. You cannot smoke for 6 weeks prior and 6 weeks after surgery.
  3. Two weeks prior to surgery, stop all anticoagulants and antiplatelet medications unless previously discussed with Dr Hadi. Please stop any over the counter medications that might thin the blood, a comprehensive list will be provided during your consultation. Please check any over the counter medications to see whether they contain these ingredients.
  4. Shower the night before or the morning of surgery with anti-bacterial soap. These reduce the bacterial living on the skin and there is evidence is reduces chance of infection.
  5. Fast (do not eat anything) at least 6 hours prior to surgery. You will be given this time from Kareena Hospital.
How long will Breast Augmentation Surgery take ?
You will need to be fasted at least six hour before surgery. The operation will take around two hours. It is performed under general anaesthetic. You will be looked after by a Specialist Anesthetist throughout your operation. Our preferred hospital is Kareena hospital.
Our surgical technique
  • the 14 step plan of infection prevention
  • prevention of breast implant animation (through careful muscle dissection)
  • prevention of bleeding through Meticulous haemostasis
  • Special blocks to prevent post operative pain
  • Use of the internal bra sutures. These are used to anchor the tissues down to near the rib cage. These reinforce the inframammary fold which help prevent implant migration downwards with time.
  • Use of fat grafting as needed. This can give you fuller cleavage or help hide the upper part of the implant in very thin patients.

 

How long will I stay in hospital for my Breast Augmentation Surgery?
The surgery is usually performed as day surgery so you can go home the same day as long you are well enough to go home, around two to four hours after surgery is completed.
You will be given antibiotic tablets and pain relief tablets to take home so that you can be comfortable. You will be given Dr Hadi’s number to contact her if you have any concerns or questions post operatively.
Do I need to wear a post operative garment?

We will provide this for you. It is a soft crop top that can be zipper closed at the front for your comfort. It needs to be worn as much as possible for 4 weeks.

Breast Augmentation Sutures
Your wound is closed in layers with dissolvable sutures.
Breast Augmentation scar management?
Post operatively the wounds will be dressed with white hypafix.
This will be changed to brown tape at the two week mark. Tape needs to be applied for at least 6 weeks, but may be needed for 12 weeks. This tape is changed weekly. You can shower over the tape and blow dry if needed.
You need to protect the scar from sun exposure for at least 6 months post operatively. This can be achieved by taping or applying sunscreen.
When can I shower after Breast Augmentation Surgery?
You can shower from the next dry. The dressings can get wet, please blow dry them if needed after showering.
When can I Drive After Breast Augmentation?

You can drive as soon as it is comfortable to do so. This is generally a minimum of one week.

When can I exercise after Breast Augmentation?

Gentle walking is encouraged from the next day. Two weeks for leg exercise, Six weeks for upper arm and chest exercises. If the implants are placed under the muscle, this is especially important as the muscle can move the implant during the healing phase

When can I go back to work after Breast Augmentation?

Depending on the work you do and how physically demanding it is, you will need 1-2 weeks off before return to work.

What can you do After Breast Augmentation Surgery to Speed Recovery?

Your part in the operation is essential. You can help achieve the best possible outcome by:

  • Doing your post-operative exercises. You will be shown how to do these.
  • Doing deep breathing exercises to prevent pneumonia. Take tablet antibiotics as prescribed to avoid infection
  • Do not smoke for at least 6 weeks after surgery
  • Tape the wound to give the best possible scar for around 6 weeks (brown micropore tape). However, 12 weeks may be necessary.
  • Come back for regular review as detailed in the next section to ensure your healing is progressing at each stage.
  • Take antibiotics if having dental or medical procedure in the future to prevent implant contamination.
  • Keep your implant card. This details all the implant details.
  • Register your implants online. A pamphlet will be given to you. This needs to be done within 60 days of your surgery.
What about post operative visits?

As a minimum, you will be seen by Dr Hadi after surgery, at one week, at six weeks and twelve months after surgery. This is so that you can have the best possible outcome.

Please call the Swan Clinic on 9526-6885 following your surgery to ensure we have booked all your follow up appointments.

As our patient at the Swan Clinic, you will be well looked after and can always count on our honesty as we always have your wellbeing in mind. Please feel free to contact us if you have further questions.

Please call the Swan Clinic on 9526-6885 following your surgery to ensure we have booked all your follow up appointments.
As our patient at the The Swan Clinic, you will be well looked after and can always count on our honesty as we always have your wellbeing in mind. Please feel free to contact us if you have further questions.