Breast enlargement surgery is one of the most popular cosmetic procedures that can enhance a woman’s sense of confidence, femininity and sexuality
Why choose Ashbury for your breast augmentation
- Natural looking
- Minimal scarring
- Well hidden scar
- High success rate
- Walk in walk out
- Minimal pain post-surgery
Correct placement is key to breast augmentation. Dr Chen and Dr Boyle say that the best chance for a successful breast surgery is placing the implants correctly. Dr Chen and Dr Boyle will take care to ensure that your breast implants fit naturally and are well supported. They will measure very carefully and make the right markings on the breast before surgery. Attention to detail is crucial to natural looking implants.
Breast implants are generally available in two forms; Round and Anatomical. Round implants tend to enhance the upper part of your breast, making it rounder when implanted. They are however, prone to becoming less full and drooping after a period of time as gravity takes effect. Anatomical implants are shaped like a teardrop and named according to their natural style and shape, complimenting the line of your breast more effectively and with increased longevity.
A breast implant consists of a silicone elastomer casing or envelope which is usually filled with silicone gel or a soft cohesive silicone gel that has a shape retaining memory. Implants can also be filled with a saline solution. Silicone gel and the saline (salt-water) solution are the best-known and most extensively researched fillers. In addition to these fillers, alternative fillers such as soya oil, PVP and Hydrogel have also been experimented with. The casing in which the silicone is placed also presents a variety of options with differences in material, texture and formation being points to consider before going ahead with treatment.
The silicone gel in the implant is cohesive in nature and that minimises the risk of leakage. Dr Chen and Dr Boyle only use the best implants available.
One of the newer forms of silicone gel implants is one of the worlds safest implant – Natrelle by Allergan. These are a cohesive implant with a polyurethane foam surface that reduces the risk of capsular contracture to around 1%.
Breast implants are typically positioned in one of two ways; Sub-muscular and Sub-glandular.
Sub-muscular – breast implants are positioned behind both the breast and pectoral muscle structures which allows for less chance of capsular contraction, however, there is generally a longer period of recovery required and a greater level of post-procedure discomfort experienced. Implants of this nature are also more prone to shifting and losing shape, as they are subject to muscle and arm movement influence.
Sub-glandular -breast implants are positioned behind the breast, but over the pectoral muscles covering the chest. This allows for the implant to resist rubbing against the muscles and maintain its original shape. Sub glandular placement is less painful and has faster recovery times. Another advantage is the gap between the implant is not as wide.
Usually breast implants are surgically inserted using one of three traditional incisions:
Inframammary Incision – made through the inframammary fold, where the breast and chest meet, making it convenient and discrete. In order for the implant to fit comfortably within the breast, a pocket is created behind the breast tissue and the doctor will make an incision under the breast, through which the implant is positioned into either its sub-muscular or sub-glandular place.
Periareolar Incision – made around the edge of the nipple, where it meets the breast tissue, making the scar almost invisible to the naked eye. The implant is placed through the passage of the nipple, in a protective sleeve which is then removed before it sits in its final position either sub-muscular or sub-glandular.
Transaxillary Incision – made under the arm, the associated scarring is left unseen in the armpit area and can be very minimal. Using an endoscope to maximise accuracy and visibility, your surgeon cuts a channel from the armpit to the breast area. Placement of the implant is generally harder and therefore sometimes leads to complications post-surgery.
Through a thorough consultation and discussion with us, we can help you to decide which methods are best for your individual case.
Dr Chen and Dr Boyle use dissolvable stitches so there is no need to remove them, however the swelling in your breasts may take three to five weeks to disappear and scars will tend to remain firm and pink for at least six weeks. After this period, scars may remain the same size for several months and can potentially widen. Generally after this period, they will fade but do not disappear completely. Ashbury Clinic has special lasers to fade any surgical scars.
Typical breast implants take between one and two hours to complete with the initial recovery period being only a brief four hours on average, where the use of preferred twilight anaesthesia is used.
Returning home is generally accepted the same day, but for the initial 24 to 48 hours after surgery you are likely to experience the greatest degree of discomfort, with your breasts likely to be swollen and very tender. This discomfort can be controlled by prescribed medication from your doctor.
Slight bruising tends to occur in the post-operative period, which subsides in a matter of 5-6 days and most women are able to resume normal activities or return to work after about a week, with more strenuous activity avoided for at least a month.
Stitches are removed after between seven to ten days, however the swelling in your breasts may take three to five weeks to disappear and scars will tend to remain firm and pink for at least six weeks. After this period, scars may remain the same size for several months and can potentially widen. Generally after this period, they will fade but do not disappear completely.
Frequently Asked Questions
With a wealth of confusing information and rumour having circulated about the use of breast implants and their level of safety, it is important that you feel confident in the knowledge that you are aware of the relevant facts.
The most common complication connected to breast implant surgery, capsular contracture is where the membrane that grows around the implant, which usually cannot be felt or seen, behaves in a similar fashion to shrink wrap.
There are now breast implants available in Australia, at Ashbury Cosmetics that can reduce the risk of capsular contracture to roughly 1%.
There has been no evidence found to suggest that silicone implants can filter through to the breast milk and it remains possible for a woman to breast feed effectively and without difficulty after a breast implant has been placed, providing no surgical damage is made to the milk ducts (a risk most commonly associated with an areolar incision).
Silicone is one of the most extensively used and researched materials of the past 50 years, in cosmetic, medical and nutritional industries. As such, it has been subject to consistent levels of testing to ensure its absolute level of safety.
Products in which silicone regularly occur include:
- Heart valves, suture materials and blood bags
- Puddings, cakes and soft drinks
- Body lotions and sun cream
- Bedding, clothing and tissues
- Baby-care products
Breast implant surgery has shown no associated increase in the incidence of breast cancer and a woman’s ability to examine effectively or undergo mammograms is left possible although screening can prove more involved. It is advisable that you consult with your doctor as to the most effective way of self-examining your breast when checking for breast cancer, so that you are able to determine your implant from your natural tissue with greater clarity.
Age is not an issue when it comes to breast augmentation. It is the overall health of the person that counts most when considering suitability. Many women over the age of forty have had successful breast surgery.
Ashbury Clinic has performed thousands of breast surgeries with minimal complications. However, any surgical operation involves the risk of complications or side effects. After-effects of the anaesthetic, infection of the wound, swelling, bleeding, pain, and healing problems in the recovery process may occur. These are all things for which you should be prepared.
In addition, specific complications may occur following the insertion of breast implants, including:
- Capsular contracture.
- Folds and wrinkling in the surface of the implant. This occurs with saline-filled implants in particular. The risk of folds and wrinkling is greater with this type of implant than with gel-filled implants.
- Displacement of the implant.
- Tissue necrosis i.e. the death of tissue, often due to insufficient blood supply to the area concerned.
- Interference with mammograms. Mammographic screening for breast cancer is more difficult in the presence of a silicone breast implant and may need extra attention from the radiologist.
Finally, it is important to remember that a breast implant, whatever it is filled with, is not necessarily in place for life. There are women who have had the same breast implants in place for over thirty years without problems, but there are also women who have had to have their implants replaced within a relatively short period of time. For these reasons, you should be aware that you may need to undergo surgery on your breasts again for reasons relating to your breast implants.
If there is anything you would like to further enquire about, or if you would like to organise an appointment with any of our practitioners, please do not hesitate to contact us. Our friendly and helpful staff will always endeavour to assist you with your query.