Breast Enlargement Sydney
Breast enlargement is a cosmetic surgical procedure to increase the size of breasts
Also known as breast augmentation, breast enlargement treatment is also used to correct slight sagging as well as increase the firmness of breasts. This treatment can assist in restoring the form of a breast after mastectomy, and for many women attractive breasts are an important part of their self-image.
When is breast enlargement desirable?
You may want breast augmentation if you feel your breasts are small, underdeveloped or out of proportion to your body. Breast augmentation is useful if your breasts are unequal in size or if they have decreased in size or emptied and sagged after having children.
A consultation with Dr Richard Sackelariou is your first step when considering breast augmentation. You should discuss your goals and expectations, and always keep in mind the desired result is improvement, not perfection.
Your first consultation with Dr Richard Sackelariou will take around an hour. This is because there is a lot of information to take on board so that you can make an informed decision on the treatment that is right for you. Most women these days come to the consultation very well informed, however the information available from the internet or other surgeons may not always be specifically relevant to you. Each woman has individual characteristics that demand an individual approach. Be wary of advice that suggests everyone can have the same operation. Once you have decided to go ahead with surgery, a second consultation is needed and again will take up to an hour. Here the most important consideration is choosing the right implant for you.
The six choices you will need to make are:
- Saline or cohesive silicone gel-filled implants
- Smooth implants or textured surface
- Round or teardrop shaped implants
- Placement of the implants: either in front or behind the pectoral muscle
- How the implant is placed: under the breast, through the armpit or around the areola
- Size, volume, projection, height and width of the implant
In breast augmentation an artificial implant is placed beneath the breast tissues. The implant varies in size according to the wishes and proportions of the patient. The implant itself contains a jacket and “filler” that is contained within the jacket.
The Jacket: silicone in its more solid form us used to create the implant’s jacket. This jacket maintains the volume of the filler.
The Filler: we no longer used the old liquid silicone. Today, the more commonly used filler is cohesive silicone gel referred to as ‘Turkish delight’ in consistency available since 1995. Saline is still available but is rarely used and largely replaced by the less problematic and far more natural feeling cohesive silicone gel. The implant shape may be round or teardrop.
Choice of implant placement
The best placement for breast implants depends on the shape and size of your breasts, breast tissue cover in the upper pole and the amount of sagging as well as your preference. Typically they are placed either partly under the chest muscle or under the breast tissue. Either method of placement can produce excellent results—the ideal placement for your treatment will be discussed with you and determined at the time of your consultation.
Choice of approach
Three different incisions exist for breast augmentation:
The first incision (inframammary) is in the inframammary fold under the breast. The second (transaxillary) is in the armpit and the third (periareolar) is through the nipple. All three approaches can achieve excellent results.
In general, the inframammary incision is the most commonly used as it is the quickest and most straightforward. Discussion at the time of consultation will determine the most appropriate approach for you.
Scars are an unavoidable result of the incisions required to place breast implants, but they generally are small and can be placed inconspicuously.
Do I need to stay in hospital?
Generally, the surgery is carried out as a day surgery under general anaesthesia. The operation takes between 90-120 minutes depending on which approach is taken. Drains are not used, the wounds are closed with dissolving sutures and tape, and your breasts are strapped in position and secured with a sports bra and binder. Intravenous antibiotics are given during the procedure, and you should be able to go home a few hours after surgery.
There will be some discomfort as a result of your breast tissues stretching, however this mostly resolves within two or three days and can be controlled with simple medication like Panadeine.
Are there complications?
Breast augmentation has a low incidence of complications. When you have your consultation with Dr Richard Sackelariou he will discuss this with you and you can ask any questions you have about the procedure.
Some of the post-operative complications can include bleeding or infection. These problems occur rarely, however in the unlikely event either one occurs it may require a second operation, or even temporary removal of your implant. Implants are a medical device, so it is possible they might fail; and while this is uncommon, it would necessitate implant replacement surgery.
Only a small number of patients develop a firm layer of scar tissue around the implant which might make the breast hard to the touch or even tender. This is known as “capsular contracture” and might cause the breast contour to be asymmetrical and require secondary procedures for improvement.
Nipple sensation might be increased or decreased by the procedure. More often than not this is temporary; on occasion this change in sensation is permanent. Patients are usually able to breast-feed following breast augmentation.
If only standard mammography scans are taken breast implants will interfere with the results. If you have breast implants it is important you inform your radiologist of your implants so the right views can be taken.
Despite the limitations, approximately three million women are estimated to have undergone breast enlargement surgery. The overwhelming majority is very happy with their results.
How important are psychological factors in relation to this procedure?
Your emotional stability is an important factor to be considered before any aesthetic surgery is performed. A “new body” will not guarantee a new life or an end to all personal problems. Your mental attitude towards the treatment will contribute to a successful outcome, and while breast augmentation can improve your appearance: the rest is entirely up to you.
If you have questions or concerns about breast augmentation, it is important to voice them all with your surgeon during your first consultation. Only your surgeon is qualified to provide you with the relevant information and can help you receive the treatment you are looking for.
Remember: there is no guarantee with any form of surgery. The aim of cosmetic and plastic surgery is improvement; not perfection.