Breast Augmentation

Patients may undergo the procedure for aesthetic reasons. In addition, some patients may want the procedure to reconstruct their breasts after a mastectomy (surgical removal of one or both breasts). Additionally, if you have had breast implant surgery and want to remove or replace your implants, you may also seek breast augmentation revision.

Whatever your reasons for seeking this surgery, we will tailor the procedure to your body, health, and aesthetic goals.

What to Expect During Your Consultation

Before breast implant surgery, a consultation will help clarify whether a patient is suitable for the procedure. Generally, suitable candidates are close to their ideal weight, are non-smokers, are in good overall health, and have realistic ideas about what outcomes to expect.

During your consultation, we will assess your condition and discuss your medical history. You can express your aesthetic concerns and what you hope to gain from surgery during this time. Additionally, there are a variety of surgical options to consider when planning the procedure, which we will need to discuss. For example, you can choose the type, shape, size, and substance of your implants. Dr Richardson will explain your options and help you make a decision.

Silicone or saline
Different types of implants come with different risks and benefits. Saline implants have an outer silicone shell that is filled with sterile water once placed into the breast. In comparison, silicone implants are soft and gel-based.

Round or teardrop shape
Patients can also choose the shape of their implants. While round implants create more volume in the upper breast, the teardrop shape creates a pointed upper pole and a fuller lower pole. Therefore, you can choose your implant shape to match your desired height or projection.

Textured or smooth
Implants also have different surfaces. Textured implants are considered more stable and are less likely to rotate or migrate from their position once placed. However, smooth implants are completely slick, which allows them to move freely within the breast pocket.

The Procedure

Every breast augmentation is different, based on the patient’s preferences, health, and natural shape. It is typically performed as a day procedure under general anaesthetic. The duration will depend on the techniques used, but most patients can expect the surgery to take two to three hours. You will need to have someone there to drive you home afterwards and ensure you have support once you get home.

The surgery may involve inserting or replacing implants. Additionally, some patients may choose to combine implants with fat grafting. Fat grafts can aid in creating subtle changes.

During implant placement, Dr Richardson will make careful linear incisions to access the underlying breast tissue. These are usually placed in the fold under the breasts to hide the incision lines and reduce risks. Depending on the factors discussed in your consultation, Dr Richardson then makes a pocket either above or below the pectoral muscle. He will then position the implants and close your incisions.

Cost of Breast Augmentation Surgery

Every patient has different requirements and goals for surgery. As a result, the cost of breast augmentation will depend on several factors. We will need to consider the hospital fees, anaesthetist fees, medications, and other potential postoperative care costs. The surgery fee will include the cost of the implants. You can ask further questions about costs during your private consultation.

Aftercare

You can expect to stay in the hospital for a few hours after the procedure to begin your recovery. Dr Richardson will monitor your condition and may insert drainage tubes to prevent fluid build-up. In addition, a surgical bra will help reduce swelling and support the breasts during the healing process.

After you go home from the hospital, you will need to take care of your breasts to ensure healing. It is normal to have some pain and swelling around your incisions and minor bruising. However, these symptoms should resolve on their own as your body heals. We will ensure you receive the appropriate care to aid your recovery, including pain medication. You will receive specific at-home care instructions tailored to your case. You may need to:

• Take time to rest, lying on your back with your head elevated.
• Wear support garments to help your breasts settle into their new shape.
• Refrain from smoking, as smoking can increase your risk of healing issues.
• Have someone help you with daily tasks such as cooking and driving.
• Maintain a balanced diet and stay hydrated.
• Take time off work and avoid physical tasks.

There are certain things you can expect during your recovery, such as:

• Some pain and discomfort
• A tight, firm feeling in the breasts
• Resume mild activities after two to three weeks, but avoid bouncing movements.
• Resume your normal exercise routine after six to eight weeks.
• You can begin sleeping on your side after six weeks, but avoid sleeping on your stomach.
• Settling of implants after six months

Recovery times can vary depending on the type of breast surgery. Most patients can resume light activities, such as driving, after two weeks. It is important to avoid wearing underwire bras for at least six weeks following surgery.

Risks and Complications

If you are considering surgery, it is important to research both the risks and benefits. We will discuss the potential complications before surgery to ensure you are fully informed about the procedure.

Risks can include:

• Changes in breast sensation
• Bleeding and infection
• Reactions to anaesthesia
• Damage to underlying tissues
• Inability to breastfeed
• Implant rupture
• Capsular hardening
• Unwanted results
• Asymmetry
• Further surgery

To reduce your risks, it is necessary to take enough time to rest after the procedure and follow your recovery instructions.