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The breasts have always been a symbol of femininity and they come in all shapes and sizes. However, women are now given the opportunity to enhance the way their curves look through artificial breast enlargement. This paved the way for breast implants and it’s worldwide popularity around the world.
Patients that are interested in finding out more information about this breast enhancing procedure, we encourage them to contact our Sydney clinic and schedule a consultation with breast augmentation surgeon, Dr. Pedro Valente.
About Breast Augmentation
Breast augmentation is one of the most commonly requested cosmetic procedures throughout Australia. Breast augmentation is a surgical procedure where the size and shape of the breasts are enhanced using natural (fats) or artificial (implants) means. It has gained significant improvement, in technique and materials used, after it has been practised for several years. However, it is not in every instance that it leaves a person with the desired outcome. Therefore, we advise patients to read and seek professional guidance through a personalised consultation. These are all essential in safely achieving the desired results.
Breast Augmentation Implant Types
2.1 Saline Implant
Saline breast implants are made up of a silicone outer shell and is filled with sterile saltwater solution that is similar to the fluid found in the body. It is either pre-filled or it is only filled to its predetermined size once inserted and positioned in place. The volume can be adjusted during surgery to achieve any of the three different breast projections – moderate, moderate plus and high profile.
2.2 Silicone Implant
Silicone implants are filled with silicone gel which makes it look and feel like natural breast tissue. They come in a variety of shapes and sizes and are already pre-filled when placed within the breast.
The shells of both Saline and Silicone implants come in different textures, shapes, and sizes. These variations allow surgeons to achieve the aesthetic goals of each patient.
3.1 Periareolar Incision
The areola is the pigmented area that surrounds the nipple. A peri-areolar incision is made along its bottom edge,with its length guided by the diameter of the areola. This allows better access to the breast tissue. However,not all women can be a candidate for this type of incision especially if the diameter is too small or the implant used will need a larger opening.
The main advantage with this incision is that any scarring can become nearly invisible. It can appear less obvious as it blends in with the pigmented skin. This incision can also be reopened if ever you need any subsequent surgeries.
The disadvantage with periareolar incisions is the risk of loss of nipple sensitivity. It may also put your ability to breastfeed at risk as milk ducts can be transected. These potential effects must be considered in patients who are still planning to have children.
3.2 Inframammary Incision
An inframmary incision is created along the lower crease of the breast. It is considered as the most versatile incision because it allows the best access to the surgical site. It allows direct placement of the implants, whether if it has to be inserted below or above the muscle. While a peri-areolar incisions are limited to the size of the patient’s areola, an inframmary incision can be made as long as necessary to accommodate larger implants. The same with peri-areolar incisions, the same site of incision can also be opened for future surgeries, if necessary.
A common concern with inframmary incisions is that the scars can be more obvious in patients whose tissues are not mature or does not have any overhang. It also limits a woman from changing her breast size because doing so may move her scar up so that lies on the breast itself. Meanwhile, breast reduction can move the scar down that it becomes visible below the breast fold.
3.3 Transaxillary Incision
This type of incision is made in the natural fold of the armpit. After the incision is made, the surgeon creates a channel to the breast. Sometimes this procedure is done with an endoscope to allow the surgeon to better visualise the internal structure while inserting and positioning the implants.
One of the advantages of a transaxillary incision is that the scar is not on the breast. It is also appealing to women who are still planning to have children and plans to breastfeed because it has lesser chances of damaging the mammary gland compared to the other two incisions.
However, a major drawback with this type of incision is that it can only be used once. If ever you need a breast implant revision down the line, a new incision may have to be done.
Breast Implant Placement
4.1 Sub-Glandular Placement (Over-the-muscle placement)
This technique places the implant in between the breast tissue and the chest (pectoralis major) muscle. This placement creates a natural look and movement of the implants. Since the incision is made only on the skin and fat while sparing the muscles, it minimizes the risk for pain and bleeding after the surgery. Generally it also has a lower surgical and recovery time.
While it may be a good implant placement for some patients, it also has drawbacks that must be considered. For example, it has a higher risk for capsular contractures. In case of implant ruptures, any flaw is more obvious.
4.2 Sub-Muscular Placement (Under-the-muscle placement)
This is where the breast implants are partially or wholly placed under chest muscle. It reduces any wear to the skin because the muscle supports the placement of the implants. It may also result in less palpable implants. This is appropriate for thinner women because it adds padding over the upper edge of the implant.
Sub-muscular placement may result in longer and more uncomfortable recovery compared to sub-glandular placement. It is also common in this type of placement for the implants to move when you contract your muscle, a phenomenon called an “animation deformity” or “dancing breast.”
Breast Implants Vs. Breast Fat Transfer
Breast implants are the traditional way of augmenting the breast. It can produce predictable and reliable change in breast implant size and shape.
Fat grafting uses your own body fat to augment your breast size. It is considered to be safer because it uses a natural filling material, thereby avoiding any risk for allergic reactions.
This technique requires liposuction to harvest fat usually from stubborn areas of the body. It is prepared before injected into the breast. This is a very meticulous procedure because fat is administered by drop to ensure proper distribution. If done otherwise, it would result in a sub-optimal outcome. This effort in ensuring natural-looking results can also be time-consuming.
Compared to breast implants, fat transfer is appropriate for women who don’t want to have implants and desire a smaller breast augmentation. Meanwhile, breast implants is a better choice for those who prefer a more pronounced improvement.
The result of fat grafting may be permanent, but some fats may not survive causing your body to reabsorb it. Breast implants can also last long, however, there are rare instances where they may have to be replaced or removed.
You are a good candidate for breast implants if you are:
- Generally healthy
- At least 18 years of age (for saline implants)
- Over the age of 22 (for silicone gel implants)
- Have realistic expectations about the surgery
- Well-informed about the procedures
- Someone who has asymmetric breasts
- Someone with fully developed breasts
- Aware of the risks involved
- Unhappy with how your breasts are losing shape and volume after pregnancy or weight loss
Schedule A Consultation
If you are not sure if you are the right candidate for a breast augmentation surgery, talk to our surgeon today. A consultation allows the surgeon to assess you better and determine if breast implants are suitable for your aesthetic goals. Through this the surgeon can create a personalised surgical plan for results that will suit you best.
A breast augmentation procedure is fairly straightforward. After the right implant size has been decided on and the patient is cleared for surgery, the procedure can now be started. Know that this will be done under general anaesthesia because it is considered a major surgery.
First, an incision is made and the implant is placed within. The techniques will vary depending on what has been agreed upon during the consultation (the type of implants, incisions, and placement). The incisions are then closed using layered sutures. A surgical tape or a skin adhesive is used to help the skin.
Recovery time varies for each patient, and this is based on different factors. Typically, it will take four to six weeks.This is an important consideration so you can prepare how much time you should take off from work for your body to recuperate.
The amount of downtime and the length of time needed to make a full recovery depends on the type of incision, placement and the size of the implants.
Your breasts will be sore and swollen for several days after breast augmentation surgery. You are to avoid any strenuous activity for the first three weeks to prevent bleeding, hematoma, or tearing. By the 5th week, you can gradually resume your usual activities while ensuring that your breasts get the appropriate support.
If ever you find that your healing is not progressing, and you are showing signs of infection, inform your surgeon right away for prompt treatment.
Breast Augmentation Results
The results will depend on the selection of implants that are proportional to your body. It will vary for each patient because a good outcome should complement your own form rather than sticking to a standard shape or size.
While it is only natural to show off your new curves, it is expected that your new breasts will not achieve its final form yet. Your breast implants will take time to settle and you will see these changes unravel during the first six months.
Breast implants that are placed submuscularly will sit slightly higher on the chest. It is only normal for it to feel firm to the touch weeks after surgery. The reason for this is that your muscles are initially tensed after surgery causing it to squeeze the implants tightly against your chest. But as the muscles relax the implant will eventually settle to its intended position.
Implants that are placed over the muscle will take less time to settle. It will also drop to its final position and fill out the lower portion of the breast but to a lesser extent when compared to submuscular placement.
The cost of the surgery will vary depending on the type of implants used and their placement. It will also matter if the patient prefers breast implants or fat grafts. The surgeon who will do your procedure and the place/region where you get it done will also factor in the final cost.
For Esteem Cosmetic Studio – Sydney, a breast augmentation surgery is priced at $5,800 (including GST). The fee covers the following:
- Surgeon’s Fee
- Sydney Day Hospital Theatre and Bed Fee (based on 1-1.5 hour estimate surgical duration)
- Breast Implants x 2 (Round Cohesive Gel Implants)
- 4 Post Surgery Consultations
- If you opt for Anatomical implants, please take note that these will cost more and an estimate quote will be given to you on the day.
Book your consultation now and get a personal quote today at Esteem Cosmetic Studio – Sydney.