Breast augmentation surgery, also known as augmentation mammoplasty, is one of the most common plastic surgical procedures worldwide. The operation involves the placement of breast implants or the transfer of fat from other parts of the body to the breasts and aims to increase breast volume and contour or to restore breast volume lost due to factors such as pregnancy, weight loss, or aging.

Breast implants are typically made of silicone shells filled with either saline (sterile saltwater solution) or silicone gel. Both types have been approved by regulatory bodies and are considered safe. In modern breast augmentation, silicone implants are more commonly used and vary in size and shape from anatomic (tear drop) shaped implants to round implants and can be textured or smooth. The choice of implant type, size, shape, and texture will depend on factors such as body proportions, desired outcome, and patient and surgeon preference. 

Your initial consultation for a breast augmentation will begin with a discussion regarding your goals for the operation. Be as detailed as possible and come prepared with any questions that you would like answered about the procedure. You will also have photos taken for the consultation and we will use a 3D imaging system to simulate the desired changes to allow you to gain a better idea of how your breasts will appear post operatively. Dr. Ahn will explain the procedure and possible complications in detail and you will be required to attend a secondary consultation prior to finalising your decision to allow you to ask any further questions you may have.

Breast augmentation surgery is performed under general anaesthesia in hospital. The operation typically takes between 1-2 hours and can be performed as a day surgery procedure. The incision for implant placement is placed in the infra-mammary crease in the breast fold and the implant will be placed either above or below the pectoralis major muscle depending on your chest shape and desired outcome. When you wake from the operation, you will be wearing a post operative compression bra which you will need to continue wearing full time for 2 weeks. 

All surgery carries risks and those specific to this procedure will be discussed with you during your consultation and also provided in your consent paperwork. Possible risks of a breast augmentation surgery  include:

• Bleeding
• Infection
• Scarring
• Asymmetry
• Numbness
• Contour irregularities or animation deformity
• Implant loss
• Nipple sensitivity
• Reduced ability to breast feed
• ALCL (Anaplastic large cell lymphoma)
• Capsular contracture

It is important to note that breast implants are not permanent devices. It is expected that on average a breast implant will need to be replaced after 15 years. 

In terms of recovery, it is expected that you will need 2 weeks off typical daily activities such as work and light exercise. For the first week, you are likely to require pain relief that makes you drowsy and will be unable to drive. After your 2 week review, most daily activities including a return to work are possible. You will be advised to refrain from driving for 4 weeks and contact sports or heavy lifting for 6 weeks. 

The final results for breast augmentation surgery will take a number of months to settle. There will be some initial swelling especially in the upper pole of the breasts which will reduce with time as the breast implant 'bottoms out' and reaches its natural appearing final shape. 

If you are interested in a consultation for a breast augmentation procedure, please contact us or call 1300 008 098 for your consultation.

Before and after photos of breast augmentation patient with Motiva Demi breast implants. Results shown at 6 months post op