The breasts are enlarged by putting in artificial implants. The procedure is suitable for women of all ages as long as their general health is good.
A woman may be dissatisfied with the size and shape of her breasts due to a number of causes including failure of development, disease, trauma or post-pregnancy changes with decreased volume. The best candidates for breast augmentation surgery are women without a large degree of drooping of the breasts. If there is a large degree of breast drooping then breast augmentation is usually combined with a breast lift (mastopexy).
The breast is a glandular structure with the majority of the gland located behind and above the nipple areola complex within each breast. The breast tissue itself sits in front of one of the chest muscles (pectoralis major). Between the muscle and the breast tissue is a potential space that can be exploited to position the breast implants in. Similarly, there is another natural plane which can be developed into a pocket for accepting an implant immediately behind the pectoralis major muscle.
The Anaesthetic Used
Mr Masters always uses general anaesthetic for breast augmentation. This is supplemented with local anaesthetic during the procedure to ensure a smooth and essentially pain-free breast implants transition from the general anaesthetic to the recovery room.
Where is the Surgery Performed
Breast augmentation is performed in a fully staffed specialist operating facility.
Mr Masters will provide you with precise instructions well in advance of your surgery to allow you a smooth and stress-free preparation for the procedure. Take the time to read your consent form thoroughly, along with any other written information Mr Masters has provided for you with regard to your surgery. This will allow you to have all of your questions answered prior to having the procedure, and ensure there are no unexpected surprises during the post-operative period.
If you are the main domestic executive in your home, or you live alone, you should plan ahead with regard to housework and meal preparation. Do your grocery shopping, cleaning, etc the day before your surgery and plan to have meals that require minimal preparation and/or cooking time.
If you are a smoker, stop smoking at least one month pre-operatively. Do not take any aspirin or aspirin-containing products for at least one week prior to the surgery. If you are on any other medications, ensure that Mr Masters is aware of the medications (including homoeopathic remedies) so that any other medications which require cessation during the pre-operative period can be discontinued.
Breast augmentation is performed as a day case procedure (the patient goes home the same day). The patient normally has a general anaesthetic (the patient is asleep). There are three different locations that the implant can be placed from: under the breast, at the lower edge of the nipple areola complex or in the armpit. Each of these locations has a different set of advantages and disadvantages, the majority of women choose under the breast, where it meets the chest wall. Your surgeon will thoroughly discuss these three options with you at your pre-operative consultation.
The natural plane between the breast and muscle or under the muscle is then developed and enlarged into a pocket that the breast implant can be placed within. Once both of the implants have been placed, the patient is sat upright on the operating table and the symmetry of the breast augmentation is checked. When the surgeon is happy that implants are located in the best possible position, the incision is closed with multiple layers of dissolving stitches under the surface.
At the completion of the procedure, a surgical garment or bra is applied prior to the patient waking up.
At the completion of the surgery, small dressings will cover the incision locations. These dressings should remain on for as long as possible. They will be shower proof from the day following surgery. A surgical bra will be fitted at the completion of the surgery. Mr Masters recommends a quiet post-operative period and a return to gentle activities over 2-3 days. Most patients are able to return to office-type work on Day 3. Low-impact cardiovascular exercise (eg stationary bicycle) may be recommenced from Day 4. High-impact cardiovascular exercise (eg running, aerobics classes, etc) is not recommended for at least 2 weeks.
Breast augmentation does not cause a lot of post-operative pain. Most patients stop taking their pain relief tablets within 3 days of the surgery. You will, however, be aware of some generalised muscular discomfort for 1-2 weeks.
Initially, there may be areas of numbness on the breast including the nipple areola complex. Usually this resolves over a number of weeks.
When appropriately positioned and sized implants are used, you can expect a predictable increase in the size of each breast. This increase in size will be permanent with regard to the implants; however, the breast tissues themselves will continue to mature with time. As such, it may be necessary, some years later, to adjust the position of the implant or its size to ensure that it is correctly aligned with the breast tissue.
Any asymmetry in the size of the breast pre-operatively will still be present post-operatively. This is most obvious if the nipple areola complexes are at different heights on the chest wall pre-operatively.
Risks and Complications
Complications (general) Before deciding to proceed with surgery for breast implants, every patient needs to thoroughly consider the risks, as well as the benefits, of surgery. During your pre-operative consultation(s), Mr Masters will openly discuss the risks with you so that you can consider them. A full listing of all the potential complications and risks of this procedure is beyond the scope of this website. There are two broad groupings of surgical risks: those that pertain to surgery in general; and those specific to the procedure being performed.
Generalised surgical risks include:
- Bleeding – usually occurs within the first 24-48 hours of the procedure and may require a return to the operating room. A quiet, restful post-operative period will help to avoid this problem.
- Bruising – whenever possible, Mr Masters uses medications and techniques that help to avoid post-operative bruising. The appropriate use of Arnica may help to speed the resolution of bruising.
- Infection – surgical incisions, even though created in ideal circumstances, can become infected.
- When appropriate, antibiotics will be prescribed to lower this risk.
- Unfavourable scarring – every surgical incision results in a scar. It is Mr Masters’ role to maximise the quality of your scars and, whenever possible, to hide them in natural skin creases.
- Risks and complications specific to breast augmentation include:
- Implant malposition and rotation.
- Infection around the implants requiring their removal.
- Implant exposure through the surgical wound.
- Capsular contracture.
- Loss of nipple areola sensation.
- Implant rupture.
The cost of the procedure varies depending on the exact nature of the implants selected, your medical history and the complexity of the case. Including the operating theatre charges, consumable items used, post-operative garment, implants, anaesthetist and surgeon’s fees, the cost of the procedure usually varies between $9,800 and $11,500. Mr Masters will give you a written quote along with your post-consultation letter.