Breast Implants (Breast Augmentation)

You need a caring breast augmentation specialist

If you’ve been searching around for information about breast augmentation and breast implants, but still have trouble separating fact from fiction, you are not alone. With all the “experts” offering different opinions, it is easy to become overwhelmed.

What you need is a caring specialist to sit down with you. Someone with training and experience in these procedures, who can give you a clear understanding of the options that are available, and which type of breast enhancement will best suit your individual needs.

Before & After

The common methodology

Over the past fifteen years, I have operated on hundreds of patients, consulted with dozens of fellow specialists, and studied every major publication of medical literature regarding breast augmentation.

In that time, I’ve learned that, though every patient is different, there is a common methodology to choosing the size of the implant, planning the incision, and deciding on the least invasive treatment option.

You have the final choice

In other words, I have the experience to help you make the most informed decision. This is a journey that we will take together. You will have the final choice of what type of implant you would like, the size of the implant, and where you would like the incision to be.

My role will be to guide you to a complete understanding of your goals and concerns prior to the surgery. You and I will be a team and in the end, we’ll both be satisfied with the results.

You deserve the closest attention

Again, my role prior to the operation is that of an advisor. I will listen and offer guidance until we are both comfortable that we have developed a plan that will deliver the results you are looking for. Our relationship will be based on trust and respect; when you visit my office, you will never have to speak to my nurse instead of me. As my patient, your wellbeing is my personal responsibility, and you deserve the closest attention.

Together, we will work out a breast augmentation plan that is tailored specifically for you.

Below are a few of the topics we will discuss together:

The incision site

There are three choices for incisions: under the fold of the breast (the infra mammary fold), around the nipple, or through the armpit. Each of these incision sites have advantages and disadvantages in terms of how well the scar is hidden. Since everyone is different, you will likely prefer one incision site over the other.  It is your choice where the incision is placed. I will explain the pros and cons of each site and answer any questions you may have.

Location of the implant

An implant can be placed in front of or behind the muscle. Generally speaking, in front of the muscle will create a more mobile breast and will give you more upper pole fullness. Placing the implant behind the muscle (in the subpectoral plane) will create a smoother transition from the chest onto the upper pole of the breast with a more natural ramp leading down to the nipple.

The implant type

There are many types and brands of implants available and, while you may have a preference for one particular type of implant, this is a complex decision to make. I will provide you with information on each type of implant and provide my opinion on which would best suit your needs. I will help you to decide whether your implant is going to be silicone or saline, textured or smooth, tear-drop shape or round, and which manufacturer you would prefer.

More on the varieties of implants available to you:

• Silicone or saline. Silicone implants have been shown to be safe; saline implants are also safe but can have problems with deflation.  The most popular implants are cohesive silicone gel implants. This is because they offer better survival of the implant and a superior, more natural appearance and feel. 
• Textured or smooth. Most implants used today are textured. This is because they have a lower rate of capsular contracture. Textured implants, however, are less mobile than smooth implants. We will discuss each option in detail to help you come to the right decision for you. 
• Round or teardrop. Just as every woman has their own unique personality, each breast has its own shape and size.  The decision may be difficult for you to make unless you are an expert in breast augmentation. Both shapes will achieve a natural appearance but it ultimately depends on your frame and your desired result.  
• Size. My practice employs a unique sizing system where you stand in front of a mirror wearing your preferred bra cup size; this will help us to make in informed decision on what breast implant is best for your desired outcome.  

Considering Breast Augmentation?

There are some common questions that many people who are contemplating breast augmentation surgery ask, such as:

Types of implants

Breast implants come in many shapes and sizes, and are made with a range of materials. The outer, pliable shell of an implant is thin, solid silicone and the surface may be either smooth or textured. A textured surface lessens the formation of scar tissue around the implant, while smooth-surface implants have a slightly softer shell and are less likely to be felt through the skin and tissue.

Breast implant shells are filled with either saline or silicon. Saline naturally comprises most of the human body, so if the implant should leak (this occurs in less than 5% of implants) its fluid can be easily and safely absorbed. Silicone is one of the most intensively researched materials used in medicine and has been subjected to extensive safety testing. It has been scientifically proven that silicone gel implants carry no increased risk of:

• breast cancer
• autoimmune diseases
• risks when breast-feeding

Is it for me?

Breast augmentation can achieve many different goals; your desires are a very personal matter, and ultimately only you can decide if it is right for you. Dr Hunt is a very experienced surgeon and can provide you with relevant advice that can assist your decision.

What happens at the first consultation?

On your first visit, Dr Hunt will evaluate where you are starting from with regard to your breast size, shape, nipple position, skin elasticity, and chest width, and what you want the end result to be. He can explain which surgical techniques and implants are appropriate, based on the condition of your breast and skin tone.

During this consultation, Dr Hunt will evaluate your general health and take measurements of your breasts. He will describe alternatives and the potential risks and limitations of each procedure, as well as reviewing the recommended pre- and post-operative course with you. Before and after images of past best surgeries may be used as a reference point for your procedure.

Dr Hunt, will discuss in detail what size and shape you would like your breasts to be, and do volumetric implant sizing to help select the best implant for you. At the end of the consultation, you will have pictures taken for your medical record to assist Dr Hunt to give you a before and after comparison for optimal results.

After the consultation, a quote will be prepared that will include your surgical, anaesthetic, and hospital fees.

A follow up appointment will be necessary if you wish to proceed with surgery.

What's involved?

Breast surgery is performed under a general anaesthetic, given by an anaesthetist, in an accredited hospital, so you are assured of the highest standard of care.

The method used to insert and position your implant will depend on your chest size and shape, as well as Dr Hunt's recommendations and your desires. Every effort will be made to assure that the incision is placed in such a way that resulting scars will be as small as possible.

There are three common incision sites for the insertion of breast implants:

• under or in the breast fold – inframammary
• around the nipple – periareolar
• through the armpit – transaxillary.

Some sites are better suited to some patients than others. Dr Hunt will work with you to choose the best option.

Breast implants may be placed between the chest muscle and the breast tissue (sub-glandular), or below the chest muscle (sub-muscular). Dr Hunt usually places the implants below the muscle for 2 reasons:

1. It provides a more natural look.
2. The constant massaging of the implant by the muscle may help prevent build-up of thick scar tissue.

After the incision is made, Dr Hunt lifts your breast tissue and makes a pocket for the implant, either directly behind your breast tissue or underneath your chest wall muscle. The implants are then centred beneath your nipples. All sutures used are absorbable, and so will not require removal.

No drains will be used.

Breast augmentation surgery takes between 1 and 2 hours.

When can I go home?

Most patients go home on the day of surgery, although you may elect to stay in overnight. When you are discharged you will be given prescriptions for antibiotics and for pain medication to minimise your discomfort.

You will wear a surgical bra with small pieces of gauze over the incisions for 2 to 3 days after surgery to assist with recovery.

At home you will need someone to stay with you for the first 24 hours.

If you experience any problems after surgery contact Dr Hunt immediately. This is especially important if your temperature is elevated, or one of your breasts is noticeably more swollen and tender to the touch painful, red or inflamed.

Will I have to return for post-operative care?

You will return to see Dr Hunt 3 to 4 days after surgery.

You will learn how to massage and exercise your breasts and have your post-operative breast care reinforced.

How long will I be off work?

Breast surgery recovery time varies from patient to patient, but you should plan on taking 1 week off work.

When can I resume my normal activities?

Complete recovery is generally achieved after 6 weeks. You will experience the most discomfort at the beginning of your recovery period, in the 24 to 48 hours after surgery. Your breasts will be swollen and tender, although this will settle quickly. Mild bruising will fade over 5 or 6 days. A small amount of swelling may remain for 3 to 5 weeks. The gauze dressings over your incisions can be removed after 3 days and then you may shower.

You can resume light activities within 48 hours.

You can resume regular activities within a week.

Do not undertake any strenuous activities for 4 weeks.

Do not undertake chest or weights exercises for 6 weeks.

You may experience a burning sensation in your nipples for 1 to 2 weeks, but this will gradually subside.

Your breasts will probably be sensitive to direct stimulation for 2 to 3 weeks, so avoid too much physical contact.

Your scars will be firm and pink for at least 6 weeks. After several months, your scars will begin to fade, although they will never disappear completely.

Due to the personal nature of breast surgery, these recovery time frames should be used as a guide only.

Take the next step. If you're ready to learn more about breast implants, or take that step toward an improved quality of life click the button below to make an appointment to see Dr Jeremy Hunt,  offering procedures for breast implants Sydney wide.

A fuller bust may better balance your body or can add to self-confidence and self-esteem. This procedure involves enlargement of the breast through a variety of different techniques using a variety of different implants. One will suit each individuals needs and a well planned procedure will lead to improve quality of life.