Breast Lift Surgery Explained | Sydney Plastic Surgeon

Breast Lift Surgery Explained | Sydney Plastic Surgeon

Breast surgery is all about achieving the ideal cup size for the patient, in combination with a shapely breast. 

At times, the breast tissue and particularly the height of the nipple, may need to be altered and re-elevated in the form of a breast lift to achieve these goals. A breast lift alone isn’t always adequate to achieve a patients desired look. In these circumstances, it  can be combined with a breast reduction to decrease cup size or a breast implant to increase the cup size. It is not uncommon for patients to have other procedures performed at the same time, such as a tummy tuck

This patient had a breast lift with 300cc round high profile implants. After photo taken 3 months post surgery.

Breast lifts are used to ensure that the nipple is located on the apex of the created breast mound and are often required when there has been significant sagging, impacting the breast shape and firmness. This can be a result of  pregnancy and breastfeeding or weight loss. There are also conditions where the nipple will be located particularly low on the breast mound and these patients are also candidates for a breast lift.

Patient lost 80 kilos of weight over a 1.5 year period. Dr Hunt performed a breast lift, tummy tuck and lower body lift.

The type of incision required depends on the degree of lift needed. A minimal lift involves an incision around the nipple or the areola. While a larger lift, may need a vertical incision down the front of the breast and this is what is commonly referred to as a “lollipop scar”. If a particularly large lift is needed and there is excess skin underneath the breast, an incision is added in the fold under the breast.

This patient had a breast lift and breast augmentation.

If the objective of breast surgery is the most aesthetic breast mound possible, and more volume is desired by the patient, then achieving that will require an individualised approach that may involve a breast reduction, a breast augmentation and one of a number of different breast lifts to locate the nipple on the top of the breast mound.

This patient had a breast lift and augmentation with a tummy tuck. After photo taken 4 months post surgery.

Patients are often concerned about scarring but always feel at ease when I assure them scarring is minimal and share photos of past patient results. Most patients are so happy with the overall improvement in the breast size and shape and the scar seems insignificant in comparison. 

Book your consultation with Dr Hunt

If a breast lift is something you’re considering, Dr Hunt can thoroughly explain all the options to you in a one-on-one consultation.

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Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health professional.

Breast Cancer Awareness Month

Breast Cancer Awareness Month

October is breast cancer awareness month in Australia. Breast cancer remains the most common cancer among Australian women, excluding non-melanoma skin cancer, but the good news is, survival rates continue to improve! Finding breast cancer early is imperative as it gives you the best chance of beating the disease, so we wanted to talk about breast health and share a few tips from Dr Hunt we hope you find helpful.

Know Your Breasts

Knowing your breasts is key! Get familiar with how they feel throughout the month by checking them at different times, as there will be changes during your cycle. If you check them on a regular basis, you are will be aware of any subtle changes.

If you notice a change, it is important to seek medical advice as soon as possible.

It’s common for your breasts to change during the menopause and it is recommended for women over the age of 50 to have regular breast examinations. In fact, Australian women aged between 50-74 can have free mammograms every 2 years via the BreastScreen Australia program.

Breast Cancer Symptoms

In most cases, changes to your breasts are unlikely to be a result of breast cancer, but here are some of the changes you want to look out for:

  • A new lump, or lumpiness particularly if it’s only in one breast
  • A change in shape or size of your breasts
  • Pain that doesn’t go away
  • Changes to the nipple, such as redness, inversion, ulcers or crusting
  • Nipple discharge that occurs without squeezing
  • Change to the skin, such as dimpling or redness

Here are some additional links we love:

The Cancer Council – Learn more about breast cancer symptoms, diagnosis and treatment
Pink Ribbon – Giveback by hosting a morning tea, a trivia night, doing something fun and wild to your hair

Breast Reconstruction

If you have had breast surgery to treat breast cancer, then you may be considering breast reconstruction surgery. Reconstructive surgery is complex and must be tailored to your specific needs. The type of surgery you have – lumpectomy, mastectomy, node removal – will have a big influence on the type of reconstructive procedure you require.

Book your consultation with Dr Hunt

If reconstructive surgery is something you’re considering, Dr Hunt can thoroughly explain all the options to you and support you on your journey in a one-on-one consultation.

Book now

Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health professional.

 

 

Mummy Makeover Common Myths

Mummy Makeover Common Myths

Myth Busting: Mummy Makeovers

There are often myths associated with different types of surgical procedures and they can be accepted as the truth. Dr Hunt addresses some of the most common myths associated with mummy makeover surgery.

Only mums can have a mummy makeover

The term mummy makeover was coined to describe the combination of surgeries that correct changes to the body after pregnancy and breastfeeding. However, you don’t have to have had children to be considered for this procedure. Any patient who is considering a combination of abdominal and breast surgery is a candidate for a mummy makeover.

A mummy makeover is a cosmetic procedure

In many cases a mummy makeover will be a purely elective and cosmetic. However, in some cases there will be a medical need to correct functional changes due to excess skin and limitations potentially due to large and heavy pendulous breasts.

In cases such as these where there are functional medical issues, the procedure is not cosmetic and may be covered by Medicare item numbers.

I’m too old for a mummy makeover

A mummy makeover that corrects changes in the abdomen and breasts following pregnancy and childbirth is often addressed soon after pregnancy. However, this is not always the case and many patients choose to undergo this procedure many years later.

Many mums find they are very busy with their young children and often only find time to address their personal concerns when their children are much older or have left home.

There is no age limit to when a person can consider getting a mummy makeover. Dr Hunt’s mummy makeover patients range from new mums to grandmothers with young grandchildren.

Book your consultation with Dr Hunt

If you are considering a mummy makeover, book your one-on-one consultation with Dr Hunt today to see how he could help you.

Book now

Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health professional.

Mummy Makeover FAQs

Mummy Makeover FAQs

Mummy Makeover Frequently Asked Questions

Women who are considering mummy makeover surgery will naturally have a lots of questions about the procedure. What are the different surgical options? What recovery time can they expect? Is the procedure covered by Medicare or private health? It is completely normal to have a long list of questions while researching a surgical procedure. Dr Hunt has answered some of the main questions he is often asked by his mummy makeover patients.

What is a mummy makeover?

The mummy makeover is a surgical procedure that involves a combination of surgery, usually on the breasts and the abdomen.

The abdominal contouring procedures that may be used include liposuction as well as a series of tummy tucks and are often used to correct changes after pregnancy and childbirth.

When the abdominal contouring procedure is combined with a form of breast surgery, be it a breast lift, breast reduction or breast augmentation, this combination is often termed a mummy makeover.

Am I a candidate for a mummy makeover? 

As a mummy makeover involves a combination of procedures, the key to success is to seek the opinion of a fully qualified plastic surgeon who can guide you to the most appropriate procedure.

The abdominal component of a mummy makeover may involve liposuction, mini-tummy tuck, full tummy tuck or an expanded tummy tuck to address and correct excess skin, lax muscles and disproportionate deposition of fat.

The combination of any of these abdominal procedures with breast surgery in the form of a breast reduction, breast lift or breast augmentation would make a mummy makeover.

As each patient is different it is key is to be assessed by a fully qualified plastic surgeon who can create an individualised treatment plan to be carried out in a fully qualified surgical facility.

Does Medicare cover mummy makeovers?

Medicare was brought into place in Australia to provide a categorisation for medically necessary procedures where the costs are covered by the government. Medicare does not cover cosmetic procedures, only those deemed to be medically necessary.

Medicare and Breast Surgery

In terms of breast surgery, procedures that cause functional limitations such as excessively large breasts can be covered by a Medicare item number.

Operations that involve breast implants are rarely covered by Medicare. If the procedure addresses a functional limitation, such as significant breast asymmetry, then this will be covered by a Medicare item number.

In relation to mummy makeovers Medicare item numbers can sometimes be applied to these procedures if certain criteria are met. These procedures would include breast reduction, correction of congenital breast disease and of course, breast reconstruction after cancer treatment.

Medicare and Abdominal Surgery

Medicare item numbers are designed to be applied to medical problems that require medical correction. In terms of abdominal surgery, Medicare item numbers do apply if there has been a significant weight loss that has resulted in excess skin that creates functional problems, such as skin chafing.

This is assessed by the degree of drop in a patient’s BMI or body mass index which is the ratio of their weight to their height.

If there has been a significant drop in the BMI that has created laxity of skin, then Medicare item numbers could potentially apply.

If a Medicare item number does apply to a surgical procedure, it means that private health care (depending on the level of cover) will potentially cover hospital and operating theatre costs.

Where does mummy makeover surgery happen?

As these are large surgical procedures, Dr Hunt always performs mummy makeovers in a fully accredited hospital under general anaesthetic.

What is the recovery from a mummy makeover?

The recovery time from surgery will be determined by the extensiveness of the surgical procedure.

For example, a mini-tummy tuck may involve a 1 or 2 night stay in hospital with 1 to 2 weeks of recovery. Whereas a full abdominoplasty would require a longer stay in hospital, potentially 4 or 5 days and then 3 to 4 weeks of recovery.

Similarly, larger breast surgery will require longer recovery periods. It would be reasonable to consider a 1 week recovery for a breast augmentation and potentially 2 weeks recovery for a breast reduction.

What are the benefits of combining procedures in a mummy makeover?

It is possible to combine multiple surgical procedures safely and the decision to do so will be based on the patient’s health, age and a discretionary choice of the surgeon involved.

Patients often choose this option as it is more cost effective, includes only one visit to hospital and one recovery period.

Book your consultation with Dr Hunt

If you are considering a mummy makeover, book your one-on-one consultation with Dr Hunt today to see how he could help you.

Book now

Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health professional.

What is a Mummy Makeover?

What is a Mummy Makeover?

What is a Mummy Makeover?

The term mummy makeover has been applied to the combined surgical procedures of abdominal contouring surgery and breast enhancement surgery used to address some of the changes in a woman’s body after pregnancy and breast feeding.

With changes in body shape through pregnancy, the “pre-pregnancy” body is not always going to be possible unless surgical correction is undertaken. The areas of greatest change are going to be:

  • Around the abdomen with stretching of the muscles
  • Excess skin possibly effected by stretch marks
  • Increased breast volume that can lead to laxity of skin and a drop in the position of the breast tissue and the nipple.

A “mummy makeover” is combined breast and abdominal surgery to correct these two areas during the same procedure.

Abdominoplasty

The size of the growing baby needs the tissues of the tummy to stretch to make room during pregnancy.  After giving birth the tissue will spring back to a certain extent, but sometimes this isn’t the same as pre-pregnancy resulting in stretched or split abdominal muscles and excess loose skin. An abdominoplasty or tummy tuck will tighten stretched and split muscles, remove excess fat, and tighten the skin by removing loose skin below the belly button.

What are the options?

Mini abdominoplasty – a smaller abdominoplasty addresses excess skin below the belly button but will not allow tightening of the muscles. The advantage of this surgery is a shorter scar.

Endoscopic abdominoplasty – allows skin to be tightened below the belly button as well as tightening the muscles. This is often done through a shorter incision.

Abdominoplasty – a full abdominoplasty will involve all of the skin below the belly button being removed and the muscles being tightened.  It can be combined with liposuction of the abdomen to remove fat and achieves the maximum tightening of the abdominal tissue. The scar usually runs from hip to hip.

Breast enhancement    

Changes in breast volume during pregnancy and breast feeding can leave the skin deflated and drooping. The solution may be a breast implant to restore volume, or a lift to elevate the nipple position, or a combination of the two.

What are the options?

Breast Augmentation – uses a breast implant, either silicone or saline, to restore lost breast volume. Replacing the volume will also give a degree of lift to the nipple.

Breast Lift (Mastopexy) – usually done through the “lollipop scar” the nipple is elevated, and the loose skin of the breast is tightened.

Augementaion mastopexy – uses a breast implant to restore volume in combination with a breast lift.

A Mummy Makeover is a procedure that addresses concerns in the contour of the abdomen and breast after pregnancy and breast feeding.  Any of the above procedures can be combined to achieve a patients desired result.  Each person is an individual with specific needs and Dr Hunt ensures each procedure is tailored to address the individual patients concerns.

If you are considering a mummy makeover, book your one-on-one consultation with Dr Hunt today to see how he could help you.

Book Now

Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health professional.

Breast Enlargement with Fat Graft

Breast Enlargement with Fat Graft

It is an appealing concept to achieve a breast enhancement by using fat taken from elsewhere on your body, such as from the buttocks or thighs.

The concept is that your own fat will ultimately be the best implant to achieve a fuller breast. A silicone implant has usually been the first choice for breast enlargements, however those implants can sometimes have problems associated with them in the short and longer term.

The technique of fat transfer for breast augmentation involves the application of a special form of suction bra for a number of weeks to increase the laxity in the skin. This bra is known as a Brava.

Following this, fat can be harvested by liposuction and transferred to the breast to increase the breast augmentation.

The benefit of having a fat graft for a breast enlargement is that your own tissue is used. However, there a quite a few disadvantage related to this type of procedure. Multiple fat transfers are required to achieve a noticeable size difference, and the increased volume can only be moderate. Multiple transfer also means multiple procedures, each of which will have their own costs. People who are very thin or flat chested are also not good candidates for this procedure.

The results of a fat graft for a breast enlargement can only achieve a moderate increase in breast size, perhaps one cup size or half a cup size, and multiple surgical procedures are required.

Breast augmentation, using a breast implant made of cohesive silicone gel, is still the gold standard for breast augmentation at this stage though the future holds hope for fat transfers.

If you are considering a breast augmentation, click here to book your consultation.

Breast Augmentation Recovery Process

Breast Augmentation Recovery Process

Recovering From a Breast Augmentation 

What can I expect from recovery after a breast augmentation?

Any plastic surgery procedure is going to require a recovery period. The good news is that the recovery from breast augmentation surgery is usually mild.

What to expect in week 1

Tight skin – Immediately following the surgery, the skin will feel very tight, this is because the skin is not used to having to accommodate the volume of the implant. Over time, the skin will stretch and loosen, allowing the breast mound to be more mobile.

Swelling – There will be some swelling after surgery and a surgical garment will compress the breasts and combat swelling. The breasts will be quite firm straight after the surgery due to the swelling, and you will appear up to a cup size larger for the first few weeks. This swelling usually resolves after about 6 weeks.

Bruising – You may experience a fair degree of bruising of the breasts in the early stages of the breast augmentation recovery, this is normal and nothing to worry about and it will fade in the first two to three weeks.

Pain and Soreness – The breasts may be quite sore for the first few days. You will begin to increase the activities you do over the first week. Most people will be back at work after one week, though lifting heavy objects should not be attempted in the first week. You will be able to resume contact sport after 6 weeks.

Stitches/Sutures – Dr Jeremy Hunt uses dissolving stitches. The wound will be covered with a waterproof dressing so you can shower the day after surgery. 

Sleep – The first few days after surgery, you will be required to sleep on your back with your head elevated to help with swelling

Scars – The breast augmentation scars will be pink and tender to touch. Over time they will fade, and scar management including silicone therapy, keeping them out of direct sun light, and massages will ensure that they fade well over time.

What to expect in week 2 to 4

After the first week of the breast augmentation recovery, your life will be returning to normal.

There will be less pain, swelling, and tenderness. The breasts will become softer and more mobile. About 50% of the swelling will have resolved, but you need to be patient and wait for all the swelling to go down before going bra shopping.

You should be able to return to work after just a week off (usually less), and can resume light exercise after two to three weeks. Walking is good but jogging, especially without a tight sports bra, may cause more swelling.  Push-ups and chin ups are allowed after 6 weeks

Nipple sensation will likely be altered after surgery and can range from a decrease to hypersensitivity, this is all perfectly normal. As your progress through the later stages of the breast augmentation recovery, numbness is often replaced by hypersensitivity and then your normal sensation returns. This process can take a number of weeks. Permanent loss of sensation in the nipple area is an extremely rare side effect.

The Final Result

By three to six months after surgery, you should have recovered from all aspects of the procedure. Swelling and bruising should have slowly subsided to almost nothing, your breasts should look even and symmetrical, and the scars should have faded quite nicely, although the scars will continue to fade even more over time.

What To Expect: Breast Augmentation

What To Expect: Breast Augmentation

What to Expect From Breast Surgery

Having a breast augmentation is a big decision and patients often spend many months researching the procedure before booking their initial consultation. Once you have made the decision to have breast surgery, you may be interested to understand what steps you’ll have to take before and after the procedure.

No matter what surgery you’re having, all patients need to have an initial consultation to discuss exactly what procedure they want and what they expect to achieve from the surgery. Dr Hunt considers the initial consultation as a very personal experience and it involves sitting down with the patient to ascertain exactly what their desired outcome is. Following this, Dr Hunt will formulate a surgical plan to achieve the patient’s desired result.

The procedure will be performed in a fully accredited hospital under an anaesthetic given by a fully accredited anaesthetist. In most instances, the surgery will be a day surgery procedure with the patient returning home the same day.

Once back at home, patients will be given clear instructions on what to do and what not to do and we anticipate they will probably need a week off work. Following this, they will need a postoperative appointment to asses how they’re healing, and they may be able to return to work depending how physical / manual their job may be.

6 weeks after surgery, the majority of patients will be back to full activities, including physical exercise, and be able to enjoy the results of their breast augmentation.

Follow-up does need to be maintained and we do recommend that the implants are reviewed at the 10-year mark to make sure they are functioning as they should and that the patient is still happy with the result.

How do I test my breast implants?

Implants do have a life and they do need to be observed to ensure that they are functioning properly.

For Dr Hunt’s patients he suggests that self-examination is the first step and if you note a change in the size, shape or position of the implant, you should seek a surgical opinion.

Following this, an ultrasound is a simple test to assess whether an implant is leaking or is ruptured, though it is not as sensitive or specific as an MRI scan.

MRI scans remains the gold standard for assessing whether an implant is ruptured or leaking and is quite often the test of choice for patients who are trying to assess whether their implants removal or not.

Breast Implant Myths

Breast Implant Myths

Myth Busting: 5 Common Breast Implant Myths

There are often myths associated with different types of surgical procedures and they can be accepted as the truth. Dr Hunt addresses some of the most common myths associated with breast implants and breast surgery.

Breast implants need to be changed every 10 years

Many people have the impression that breast implants need to be changed after 10 years, but this is not necessarily the case.

Like all products, there will be a life on the breast implant. After 10 years, it is advised that the implants are reviewed by a professional to check they are still intact and that the results of the breast augmentation are still the best they can be.

If there are no problem with the implants at 10 years then they do not need to be changed and further monitoring can be undertaken.

You can’t breastfeed after breast implants

When a breast implant is inserted, it does not disrupt the connections between the breast tissue and the nipple, ensuring the milk ducts can still function.

This means that people with breast implants should be able to breastfeed as freely as those who do not have breast implants.

However, the incision used to insert the breast implant, particularly incisions around the nipple can decrease the ability to breastfeed to some degree.

Implants behind the muscle have a longer recovery time

A breast implant can be placed in front of or behind the pectoralis (pec) muscle.

If the implant is placed in front of the muscle, it is more visible and this can create a certain look that some patients find desirable. If the upper part of the implant is to be more subtle, it can be hidden underneath the pectoralis muscle.

Placement under the muscle involves dividing some muscle fibers. This can be more uncomfortable in the first 2 weeks following the procedure, but the long-term benefits are worthwhile for patients who choose this option.

Breast implant associated illness (BIA) occurs in all breast implants

Recently, a number of women have experienced symptoms ranging from tiredness to rashes and a feeling of un-wellness that has then been related to their breast implants.

At this stage, there is no scientific link between breast implant illness and breast implants. However, it has been found that women who have some symptoms, can be relieved by the removal of their implants.

Further investigation needs to be done to clarify exactly what the association is between these symptoms and implants, and we hope to be able to provide a clearer picture in the short-term.

Saline implants are better than silicone implants

When it comes to choosing an implant, a saline implant or a silicone implant offer options.

In the past, saline implants were the only implants available until silicone implants were developed. Silicone implants are now on the fifth generation and in many surgeons’ hands provide a superior product, achieving superior results.

For patients who are concerned about the use of silicone, they do need to be mindful that the shell of the saline implant is in fact made of silicone.

6 Things to Consider Before A Breast Augmentation

6 Things to Consider Before A Breast Augmentation

Six big decisions before a breast augmentation

Having a breast augmentation is a big decision and most patients spend up to 18 months researching the procedure before seeking a surgical opinion.

Patients are often very well-informed before they even get to their first consultation. This can be very helpful for their chosen surgeon when it comes to planning the surgical procedure, as the patient is already aware of what they want from the surgery.

There are usually 6 big decisions that need to be made before a patient has a breast augmentation and each has its own pros and cons.

Decision #1:  The final cup size

Patients will have an idea of what cup size they would like to achieve and it is often helpful to bring photographs to the consultation to convey this idea to the surgeon.

Decision #2:  Silicone versus saline

There will be advantages to silicone and advantages to saline implants in different patients, and this discussion needs to be had on an individual basis so patients achieve the best results.

Decision #3:  Round versus teardrop shaped

Breast implants come in a series of different shapes, ranging from round to teardrop, and each variation will achieve slightly different results.

Different patients’ tissue will respond differently to the shape of the implant and it is helpful to have an expert opinion to guide you as to which implant shape will achieve the result you desire.

Decision #4:  Implant in front of the muscle or behind the muscle

The breast implant can be placed in front of, or behind, the pectoralis muscle and it will achieve a slightly different result in each case.

During the consultation, it is helpful to review a series of before and after images to understand which location will achieve what result to ensure you achieve the look you desire.

Decision #5:  Implant incision

To insert the breast implant an incision of approximately 5 cm will be needed and it can be placed through the armpit, in the fold under the breast or around the nipple.

Each has advantages and disadvantages, and this decision needs to be made with the patient and the surgeon performing the procedure.

Decision #6:  Implant volume

Deciding whether a 300 cc implant or a 350 cc implant meets your needs is often challenging and different surgeons will use different techniques to estimate the final results of a breast augmentation in a particular patient.

Dr Hunt prefers to get patients to try different implant sizes inserted into a bra worn under a T-shirt. This gives the patient an idea of what result each size implant will achieve if a particular volume is added to a particular bra cup.

Considering Breast Surgery?

Book your one-on-one consultation with Dr Hunt to see how he could help you!

Case Study: Breast Augmentation

Case Study: Breast Augmentation

Breast Augmentation: The Patient

The patient was a 29-year-old mother of three children with twins aged four and a 14-month-old baby.

She lived a healthy life but had experienced changes in the volume and shape of her breasts following breastfeeding that were causing her concerns.

She consulted with Dr Hunt with a view to increasing her preoperative A-cup to the C/D-cup she desired via bilateral breast augmentation.

Breast Augmentation: The Procedure

 On examination, the patient was a valid candidate for a bilateral breast augmentation.

During the consultation process, Dr Hunt and the patient chose to use a cohesive silicone gel anatomic or tear drop shaped implant inserted underneath the pectoralis muscle via an incision in the inframammary fold so as to hide the scar.

Her surgery was performed as a day only procedure.

Breast Augmentation: The Results

before-after-front

before-after-front

before-after-front

Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health professional.

Breast Surgery – What are my Options?

Breast Surgery – What are my Options?

Breast surgery is one of Australia’s most popular cosmetic surgery procedures and it is also one of Dr Hunt’s most commonly preformed surgery. There are many reasons why women decided to undergo breast surgery; they may feel their breast are too small, too large, uneven or need a lift after pregnancy and breast feeding. Whatever the reason, Dr Hunt is here to help! During your initial consultation Dr Hunt will discuss what you want to achieve and decide which procedure will be right for you, to get the best results possible!

There are numerous breast surgery options to consider in order to achieve the desired results. Dr Hunt describes each procedure and the results you can expect from each.

Breast Implants

Breast augmentation surgery, commonly known as a boob job, is a procedure that uses implants to increase the size of the breasts. If you are unhappy with the size of your breasts, then this is the best breast surgery option for you. During your consultation with Dr Hunt he will discuss the different implant and sizing options to achieve the best shape and size for you.

Breast Reduction

Many women who are considering breast reduction surgery suffer from back pain and discomfort due to their large breasts. A breast reduction helps to achieve smaller, firmer breasts that are in better proportion to your body.

Breast Lift

As you get older breasts can lose their shape and firmness and begin to sag. This can be due to several factors such as weight loss or weight gain, pregnancy, breastfeeding and ageing. As well as lifting the breasts, a breast lift can also firm and reshape them. Breast lift surgery can also be combined with a breast augmentation if you’d like to increase the size of your breasts, as well as lifting them.

Mummy Makeover

After pregnancy many mothers find that their bodies don’t always return to how they were before pregnancy. A mummy makeover refers to a combined surgery – usually pairing a tummy tuck with either a breast lift or breast augmentation.

Breast Implant Revision

There may be many reasons for wanting your current breast implants to be revised or changed. You may be unhappy with their shape or size, had complications with your implants such as deflation or leaking or complications after surgery. Whatever the reason, Dr Hunt can help you achieve the result you were originally hoping for.

Breast Asymmetry

Most women have one breast that is slightly bigger than the other, however in some cases it can be more extreme and noticeable than others. A breast reduction or a breast augmentation can help correct the discrepancy between uneven breasts.

Breast Reconstruction

If you have had breast surgery to treat cancer or another disease, then you may be considering a breast reconstruction. Reconstructive surgery is complex and must be tailored to your specific needs. The type of surgery you had – lumpectomy, mastectomy, node removal – will have a big influence on the type of reconstructive procedure you require. Dr Hunt will thoroughly explain all the options to you, and you will find a welcoming and supportive environment.

 

Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health professional.

The Breast Augmentation Procedure

The Breast Augmentation Procedure

Breast augmentation remains one of the most commonly performed cosmetic procedures worldwide and year after year, the number of cases performed is increasing.

Familiarity with cosmetic surgical procedures and exposure in social media has led to a rapid increase in the number of cases being performed in Australia and it is now the commonest procedure performed on an annual basis in this country.

Although it is a very common procedure, the key to success is individualising the procedure to each patient’s needs and expectations.

No two patients will be the same and in my practice, no two breast augmentations are going to be the same. The procedure needs to take into account each individuals age, the cup size they are starting from and the cup size they desire, to ensure they achieve the look and feel that they are after.

The process starts at the initial consultation where an assessment is made of the current breast tissue in terms of volume, height of nipple, skin laxity and the dimensions of the patient’s chest.

From here, a patient will need to make a decision as to the type of implant, be it silicone or saline; the shape of the implant, be it round or tear drop shaped; the location of the implant, be it under the muscle or in front of the muscle; as well as the volume of the implant. The patient will also need to consider the incision used to place the implant so that their expectations can achieve the best result for them.

There will be circumstances where a breast augmentation alone may not achieve the best result possible and a breast-lift may need to be combined with the augmentation. This procedure is known as an augmentation mastopexy and again, is a very common procedure particularly in patients who have had multiple children or lost a significant amount of weight.

Breast Incision Location

Options exist for different locations for placement of the incision to allow positioning of the breast implant.

The most commonly used incision is in the fold under the breast, known as an inframammary fold.

Other options to consider are placing the implant via an incision in the armpit, around the nipple or through the umbilicus or tummy button and each of these will have advantages and disadvantages.

The Implant Location Subpectoral/Subglandular

Placement of the implant in a subglandular position will allow for a more natural movement of the implant though there needs to be adequate tissue coverage, particularly in the upper pole, to avoid visibility of the implant. Implants placed in a subglandular appearance can create the ‘bolt-on’ look and for this reason, patients often elect to have the implant placed underneath the pectoralis muscles.
‘Dual plane’ is an implant that is placed underneath the pectoralis muscle with part of the implant placed underneath the breast tissue and is probably the most common location technique for implant placement. In my practice, this is my preferred treatment as it creates a natural breast in terms of appearance and mobility.

Implant Shape – Round Versus Anatomic (tear drop)

A round implant has more fullness in the upper pole and an anatomic implant has a more tear drop shape.
When used in appropriate patients, these implants can create different results and this needs to be discussed with your surgeon.
Patients seeking volume in the upper pole will be well suited with a round implant, whereas patients who have a lack of breast shape and definition will be better suited with an anatomic or tear drop shaped implant.

Saline Versus Silicone Implants

Silicone implants are more commonly used these days than saline implants.
In the past, saline implants were used when silicone implants were being investigated, as they were thought to be associated with a number of disease conditions such as chronic fatigue syndrome.
At this stage, there is no scientific evidence to support any link of a disease to a silicone implant and given this, they have made a widespread return and are the most commonly used implant in Australia.

Breast Implant Volume

Implants come in volumes ranging from 100 cc to 700 cc and different volumes will create different results on different patients’ frames.
During the consultation, we will assess which volume of implant is best suited to you, using an implant sizing system so that you can have an understanding of what to expect from your augmentation.

Who Can Have a Breast Augmentation?

In my practice, breast augmentation really falls into three patient groups:
1. Primary breast augmentation
Primary breast augmentation will be performed in patients who lack the volume they desire in their breast tissue and are looking to achieve a fuller cup size.
2. Post pregnancy/post weight loss breast augmentation
In these patients, due to changes in the shape of the breasts and change in volume following pregnancy, breastfeeding and childbirth or weight loss, they are looking to restore potentially what they previously had.
These patients may also elect to restore more volume than they had previously to achieve the desired cup size.
In these patients, consideration needs to also be given to whether a breast-lift in combination with an augmentation will achieve the best result and in these cases, an augmentation mastopexy or breast-lift with implant will be the treatment of choice.
3. Breast asymmetry/congenital breast disease
Everybody understands that no two breasts are the same in terms of size and shape but in some instances, the differences can be clinically significant.
The patients who experience a marked different in the size and shape of the breasts may have difficulty fitting clothes and swimsuits and are unable to enjoy the things that a lot of women take for granted.
In cases such as this, their medical condition can be corrected with the use of breast implants to restore volume in a smaller breast and potentially combined with a breast-lift or reduction on the larger side to create two breast mounds that are the same size and shape and meet the patients’ desire.

Breast Implants Surgical Procedure

I offer the procedure of breast augmentation in a fully accredited hospital, under a general anaesthetic.
This ensures maximum safety and the best outcome for the patient.
The procedure is often performed as a day surgery procedure and takes approximately one to two hours.
In terms of recovery, patients will need to consider taking the remainder of a week off work to allow tissue to settle and the healing process to start. Following this, they can plan to return to normal activities with a view to returning to sporting activities at approximately six weeks.
Following the procedure, it is very important that patients return for postoperative care. We will instruct them on implant massage, pain relief and scar management to ensure they achieve the best result possible.
During the procedure, techniques will be used to ensure patients achieve the best result possible. Local anaesthetic is used to minimise postoperative pain and nerve blocks are placed at the time of the procedure to ensure patients have a rapid recovery.
Patients can expect discomfort on the first few days after the operation and then a return to light duties following this.
A postoperative compression garment will be provided at the time of the operation and is used to minimise swelling and speed the recovery process.
Adequate postoperative instructions will be provided, as will contact details to ensure if anyone has any queries following their procedure, they can easily and quickly be answered by my office.

Conclusion

Breast augmentation remains one of the most commonly performed procedures in Australia and it certainly has huge benefits in terms of quality of life for a large number of women.
The fact that it is as frequently performed as it is does not mean that it is a straightforward ‘cookie cutter’ procedure and each operation needs to be tailored to an individual.
This process begins at the time of the consultation and is carried through to the surgical procedure itself and through the postoperative period, to ensure my patients achieve the best results possible in the short term and the long term.
The goal of the procedure would be two breast mounds of the same size and shape with intact sensation that allows patients to fulfil all of their expectations.

Read more about Dr Jeremy Hunt’s breast procedure here