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Finally making the decision to have a breast augmentation always takes a while. You might know friends or family who have had the procedure and have finally decided that now is the time for you. The common thread for all women who have this procedure is that they want to achieve a better balance between their bust and the rest of their figure.
Technology has come a long way since patients had to endure small bags of rice as a method of determining breast implant size. The latest and most advanced system for planning your breast augmentation is the Vectra XT. This is a high tech imaging device that instantly images you in 3D. By performing this kind of simulation in your initial consultation we can accurately see what you will look like with different shapes and sizes of implants. The whole process takes about 10 seconds and has revolutionised breast augmentation surgery. When combined with conventional measurements and a sizing bra you can see how a breast augmentation can give you the look you desire in a real and virtual way at the same time. LET ME GIVE YOU AN OVERVIEW OF THE PROCEDURE. IN MY VIDEO BELOW YOU WILL LEARN ABOUT :
Watch the video where I explain 3D Imaging and how it can help shape your journey and help up realise your amazing results.
Helping you achieve the look you want is a great starting point. Everyone is different and you’ll undoubtably want something that fits with your figure and frame but also make sure that it works with your lifestyle and day to day life. An example of some common goals women might request include the following:
The natural look is one of the most popular looks women want. The key here is to achieve balance with size and shape, with the rest of your physique and shape. The natural look compliments you in a way that doesn’t necessarily scream ‘I’ve had a breast augmentation’.
This look is sometimes also called a subtle look and is popular with models and athletic types. The name of the game here is balanced beauty for someone with a lean and strong body shape.
For patients who want to achieve a breast enlargement or fuller or more voluptuous look I like to use state-of-the-art cohesive high-profile round or anatomical implants with full or extra full projection. This look is for the woman who is not afraid to have a more visible bust or cleavage.
Your body is amazing how it adapts and changes to the challenges put to it. When the dust settles, if you long for a restored breast shape then sometimes breast surgery might be the answer. This might take the form of a simple breast augmentation or even a breast lift using your existing breast with an implant to achieve the desired shaped breast(called an augmentation mastopexy).
Not everyone needs a lift but sometimes an implant alone is not enough to lift the nipple back to where it should be. Naturally this is a more extensive procedure that often involves more incisions, but it is most powerful procedure to address sagging, droopiness and asymmetry.
I am often asked how painful is a breast Augmentation? Watch me answer this and more in my video below:
Non-textured cohesive silicone smooth implants Many years ago, I was one of the first Australian cosmetic surgeon to use Motiva implants and move away from Allergan and Mentor microtextured implants. Considering the recent news regarding ALCL and textured implants, this decision has been good for my patients.The newer implants from Motiva are softer, ripple less and do not have any issues with possible rotation. They are categorised into a smooth category technically, so the risk of developing lymphoma is theoretically zero compared to the older textured implants.
I have a huge experience with Mentor anatomical implants and will still use them for a few indications. Although Mentor anatomical implants are fantastic (and have not been recalled) they are not without their drawbacks. The implants can rotate, they can also ripple when you are thin, and they have the lowest risk of all the microtextured implants available of 1/80000. Studies have repeatedly shown that it is almost impossible to tell the difference between round and anatomical implants that are less than 350cc in size- which accounts for most implants used today. For that reason, I will mostly use a Motiva round implant that has specific gel characteristics that make it mimic an anatomical implant whilst also giving more upper pole fullness and a softer feel.
Most patients will have the implant placed behind the muscle in what is called a customised dual plane position. This means that the top of the implant is overlapped by the pectoralis muscle to help with coverage in a thin patient. This is not always the case, and in patients that have good breast coverage or are body builders the implant will be placed above the muscle (but behind the breast). Both approaches work well and the decision regarding what is best for you will be determined after your examination with Dr Phoon
Hybrid breast augmentation refers to the use of a latest generation breast implant in addition to some fat grafting to finesse the final result. You can think of it as the ultimate two-for-one as you can have liposuction to a stubborn area and use that fat to pad or soften areas of the breast you may be deficient in. Common areas where this is helpful are the cleavage areas and under the breast if you have a tuberous variation. You can expect 2/3 of the fat to remain in the long term!
Every breast augmentation has specific internal sutures that help to support the breast and implant over time. That does not mean that you never need to wear a bra again however! Technically speaking, there is only one actual internal bra solution using a titanium impregnated mesh material, but it is only used in the very rarest of scenarios.
The scar can be anywhere between 3-5cm long and hidden in the crease under your breast. The incision is placed here for several important reasons. Firstly, the best scars are always placed in creases- and the crease under your breast is one of the best ones. Secondly, we minimise long term scarring around the implant when we avoid areas that have bacterial contamination such as the nipple and the armpit. Look at the gallery and you will find it almost impossible to see any of our scars.
With Ergonomix® Implants, you get the look, feel and movement of a natural breast. It maintains its softness over time and has proven its efficacy after years in the market.Ergonomix®, with the state of the art ProgressiveGel Ultima™, helps you get faster recovery and easier insertion.4
Your safety and peace of mind are on the top of our list, that is why Motiva Ergonomix® Implants come with Q Inside Safety Technology™, a unique device identification technology which gives you 100% reliable verification of product features and traceability Non-invasive method for implant verification after surgery
Ergonomix® ImplantsTraditional Anatomical ImplantsTraditional Round ImplantsNatural appearance when standing upYesYesNoNatural appearance when lying downYesNoNoMovement and softness similar to breast tissueYesNoNoDifficulty of insertion5MinimalRegularRegularPrevents rotationYesNoYes
Motiva Implants® Motiva Round Implants are mammary augmentation and reconstruction devices composed of a shell, a patch, and a cohesive silicone gel fill. The Motiva Round implant shell is filled with the ProgressiveGel Plus and were designed to give a round aesthetic appearance providing the highest projection and a complete filling of the upper pole of the breast.
All Motiva Implants are covered by the Always Confident Warranty®.3 Extended Warranties By registering your implants on the MotivaImagine™ App2you get an additional 1 year of our Extended Warranty Program at no cost.With your Qid implants you can extend the warranty up to 5 years.3With your implants without Qid you can extend the warranty up to 2 years. We are more than happy to discuss implant options and anything else you would like to know about Breast Augmentation.
There are several criteria that patients should meet in order for a plastic surgeon to classify you as a good candidate for breast augmentation or cosmetic surgery.
Recovery post operatively can be thought of in two ways. Your aesthetic recovery can be seen no earlier than around 6 weeks for most patients but the final result where the breast is fully relaxed around the implant can take around 6 months. Your functional recovery is hardest in the first week after surgery. You’ll feel tight and there will be swelling and bruising. You’ll be wearing a surgical bra for a total of 6 weeks to support your breasts. Most people will try to take a week off work and then go back to work after that. Of course, meticulous dissection, pocket creation and a bloodless surgical field helps for you to return to activity faster and minimise risks of capsular contracture. Drains are no longer used for primary breast augmentation. The whole procedure takes under one hour and there are dissolvable sutures and a waterproof dressing used that does not need to be changed for 10 days. You can shower anytime after surgery. The post-surgical bra is included in your surgical fee and needs to be worn for 6 weeks after surgery to allow the implant to heal in the correct location. Most patients can return to work in under a week and also drive at that point. We advise patients not to go to the gym for upper body work for a full 6 weeks, but stationary bike or walking is okay.
Breast augmentation cost $10990 and is inclusive of: All pre and post-surgical careHospital fees Anaesthetist and assistant fees general anaesthetic Surgical garments and nursing. Should you have major asymmetry or require additional procedures such as fat grafting this might mean additional costs over and above our standard fee. Breast augmentation is not covered by your health insurer and is considered a purely cosmetic operation. If you are insured, most complications are covered by your insurance. If you are uninsured and you require revision, there will be charges incurred by you from the hospital and possibly implant company if the fault does not fall under the implant warranty. There will be no charges from the surgeon to you in this respect. Recently there have been some fairly major changes to private health fund coverage levels across the board and we suggest going through your individual situation with our patient coordinators and fund. This kind of surgery is not allowed to be performed in the NSW in the public health system.
· Areola: Pigmented skin surrounding the nipple · Augmentation mammoplasty: Breast enlargement by surgery · Breast Augmentation: Also known as augmentation mammoplasty; breast enlargement by surgery · Breast Implants: Medical devices placed in your body to enhance an existing breast size or to reconstruct your breast. Breast implants can be filled with either salt water (saline) or silicone (elastic gel) · Capsular contracture: A complication of breast implant surgery which occurs when scar tissue that normally forms around the implant tightens and squeezes the implant and becomes firm · General anaesthesia: Drugs and/or gases used during an operation to relieve pain and alter consciousness · Haematoma: Blood pooling beneath the skin · Inframammary incision: An incision made in the fold under the breast · Intravenous sedation: Sedatives administered by injection into a vein to help you relax · Local anaesthesia:A drug injected directly to the site of an incision during an operation to relieve pain · Mammogram: An x-ray image of the breast · Mastectomy: The removal of breast tissue, typically to rid the body of cancer · MRI: Magnetic Resonance Imaging: a painless test to view tissue similar to an x-ray · Periareolar incision: An incision made at the edge of the areola · Saline implants: Breast implants filled with salt water · Silicone implants: Breast implants filled with an elastic gel · Submammary or subglandular placement: Breast implants placed directly behind the breast tissue, over the pectoral muscle · Submuscular or subpectoral placement: Breast implants placed under the pectoral muscle, which is located between the breast tissue and chest wall · Sutures: Stitches used by surgeons to hold skin and tissue together · Transaxillary incision: An incision made in the underarm area · Ultrasound: A diagnostic procedure that projects high frequency sound waves into the body and records the echoes as pictures silicone gel implants Visit the Plastic Surgery Glossary for more medical terms
Choosing the right procedure and surgeon is important. I believe that helping my clients make informed decisions is key to a great result so if you have a question or would like to know more about something specific, please let me know – Regards, Alex.