NorthEast Plastic Surgery offer bespoke breast augmentation (mammoplasty) procedures at our Melbourne Practice.
Breast augmentation is a technique used to increase size and optimise the shape of the breasts using either silicone breast implants, or where appropriate and possible, your own fat tissue. The surgery can restore proportion to patients who have under-developed breasts or who have lost breast volume following pregnancy, lactation, weight loss or hormonal fluctuations. Breast augmentation can also address asymmetry of breast volume in those who have developmental or post-mastectomy deformity.
The decision to undergo breast augmentation surgery is significant and adjustment to change in appearance needs be considered in addition to the process of post-operative recovery.
At our Melbourne Practice, a consultation will be undertaken to determine your desired outcome. The surgeon will identify potential limitations to breast augmentation surgery which can include; skin quality, breast ptosis (sagginess), breast volume, and chest wall soft tissue cover.
During the consultation, the Surgeon will cover issues which need to be considered before undergoing surgery. These may include:
It is important that the Surgeon is made aware of previous surgery and history of scarring, along with significant medical history including breast cancers history, past or future planned pregnancies, breastfeeding history and breast imaging with mammography and ultrasound studies.
In addition, you should also disclose any tendencies for easy bruising and excessive bleeding, deep venous clots involving the legs, your history of all prescription and non-prescription medication, allergies to anaesthetic agents, antibiotics and dressings, history of smoking and psychological or psychiatric issues. These issues are important to raise with the surgeon, as they have the potential to affect the surgery, anaesthesia, and recovery.
The goal of the pre-operative process is to minimise the risk of complications during the procedure and recovery process.
Further medical consultation may be required in preparation for surgery, including further blood tests and adjustment of certain medications (such as blood thinning agents). This will assist your surgeon to gain a complete picture of your physical health and further minimise any risks during surgery.
Your surgeon may also advise you to cease certain medication two weeks before and after your surgery, including:
All smokers will be advised to cease smoking six weeks prior to and after surgery to reduce the risk of surgical wound complications and anaesthesia. The use of products containing nicotine, such as patches and gum should also stop two weeks prior to and after surgery.
The breast augmentation procedure carries some specific risks, including but not limited to:
Risks common to all surgical operations include:
Problem scarring such as;
Wound complications such as;
Further medical treatment (including further surgery) may be required to address complications.
Consent to breast augmentation surgery should only be given at the end of the consultation process, when you have had the opportunity to raise any questions or concerns with your surgeon. At this stage, you will also be able to discuss the cost of your procedure.
In line with the Guidelines for advertising of regulated health services by the Australian Medical Board, we do not include a cost per procedure on our website.
Part of your consultation will be to discuss the cost of breast augmentation. We can provide approximate costs for out of pocket costs before your initial consultation including any applicable Medicare rebate. We are happy to provide these by phone on 03 9088 5000 or via enquiry through our website.
There is a cost for an initial consultation at our Melbourne clinic, with the potential to receive a portion of this back via Medicare where eligible for rebate, provided you have a referral from your GP.
The procedure is performed through an inframammary incision under general anaesthetic administered by Specialist Anaesthetists in an accredited hospital. The surgeon will discuss the nature of the incisions and subsequent scars required during your consultation.
NorthEast Plastic Surgery does not administer twilight sedation, which has been associated with adverse clinical outcomes.
The wounds are repaired with internal dissolving stitches which do not require removal. Drainage tubes may be required to drain tissue fluid and blood.
At the completion of surgery a waterproof dressing is applied which is suited to showering and a tubigrip (boob tube) or post-surgical brassiere is applied to minimise soft tissue swelling.
It is important that access to medical attention is available by telephone once you have been discharged. Issues about which your surgeon needs to be made aware urgently include pain uncontrolled by medication, bleeding to the extent that the dressings soak through with blood, temperatures exceeding 38 degrees Celsius, redness of the skin or any concerns related to the surgery.
Patients are usually discharged on the same day to the care of an adult. Before you go home, you’ll be given appropriate pain medication and antibiotics to reduce the risk of infection and minimise your discomfort.
The surgeon needs to be made urgently aware of post-operative issues including:
Swelling and bruising usually increase three to five days post-surgery and then improves between five to ten days. In some instances, soft tissue swelling may take several months to subside completely. As such, the aesthetic result of breast augmentation surgery may not be appreciated for many months.
Normal sensation of the breast and nipples usually returns over a few months, although permanent loss of nipple sensation can occur in approximately one to two percent of patients.
If required, dressings will be changed during post-operative visits. Wounds will take approximately two weeks to heal.
During this time, you should move with care to assist the wound healing process. Resumptions of physical activity such as walking for exercise can commence three weeks after surgery, progressing to normal exercise including running and swimming at six weeks. It is important to avoid breast trauma from being knocked or hit accidentally for six weeks after surgery. Return to work can be anticipated after two weeks.
During your post-operative consultations, you’ll also be given instructions on swelling and scar management strategies to help you achieve an optimal result in an efficient and safe manner. While your surgeon will make every attempt to minimize the extent of your scarring, scar formation is an individual phenomenon and will vary according to the patient and the extent of the procedure.
Mr Patrick Tansley MD FRCS (Plast) and Dr Sugitha Seneviratne FRACS (Plast) provide second opinion to patients seeking to address previous cosmetic plastic surgery problems and revisions for already ‘botched’ surgery. If you would like a second opinion on previously undertaken surgery, book a consultation to discuss this with one or both of our surgeons.
Out of respect for our patients’ privacy, before and after photos of our procedures are only available to view during your consultation and are not published online. We invite you to contact the clinic today to make an appointment with one of our highly trained and experienced surgeons.