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BREAST AUGMENTATION SURGERY

Breast augmentation surgery may be chosen for both functional and aesthetic reasons. This type of plastic surgery may be suitable if you are looking to increase the volume and fullness of your breasts.

What is Breast
Augmentation Surgery?

Breast augmentation is a surgical procedure designed to enlarge or enhance the breasts using implants.

Today there are many different types of breast implants available. Depending upon your individual circumstances, the implants may be placed behind your breast or beneath your pectoral muscles.

This surgery may be used to increase breast size or improve loss of support and shape due to age-related changes. It may also be beneficial for post-implantation descent or capsule formation that has resulted in distortion or loss of shape.
Leading surgeon performing

Comprehensive Guide to Breast Implant surgery

Your journey to breast augmentation at Plastic Surgery Queensland begins with understanding key choices that will shape your results: from implant options (shape, profile, texture, size) to placement methods and incision locations. We'll help you find the perfect match for your body type, skin elasticity, and natural breast structure. Together, we'll create a customised plan that honours your vision while complementing your unique physical features.

Breast implants come in two main shapes: round and teardrop (anatomical). Your choice affects your final look and should be based on your anatomy and goals.

Round Implants:
Add volume throughout the breast, including the upper area. Ideal if you want more pronounced cleavage, upper fullness, and lift. Their symmetrical design means rotation isn't visually problematic.

Teardrop Implants:
Follow natural breast contours with more volume at the bottom. Create a more natural-looking slope and are particularly suitable for patients with minimal tissue, mild sagging, or specific shape concerns like tuberous breasts.

Both shapes offer various profiles and projections to customise your results.

Implant profile determines how far your implants project from your chest wall relative to their base width. Options range from moderate plus to high and ultra-high profiles.

Two implants with identical volume (measured in cc) but different base widths will create different projections—narrower implants project further forward than wider ones of the same volume.

Lower-profile implants typically create a more natural appearance. During your consultation, we'll discuss your desired look and take precise chest measurements to determine the ideal width and height for your implants.

Breast implants come with either smooth or textured outer shells, each offering different benefits.

Smooth Implants:
Feature a glossy, slick surface allowing natural movement within the breast capsule. They move freely with your breast tissue for a dynamic feel.

Textured Implants:
Have a rough, irregular surface that adheres to surrounding tissue, helping maintain position over time. They're less likely to shift or rotate compared to smooth implants.

Your choice depends on your anatomy, lifestyle, and desired outcome.

When selecting implant size, we consider your measurements, desired appearance, and lifestyle. Our clinic offers a wide range of sizes from 125cc to 1060cc.

Remember that the same implant size produces different results on different bodies. Your unique natural breast tissue and soft tissue characteristics significantly influence the final outcome. Breast augmentation works with your existing features to complement your natural proportions.

During your consultation, we'll evaluate your measurements, frame, current cup size, and aesthetic goals before suggesting suitable implant sizes. While we provide expert guidance, the final size decision remains yours.

Your lifestyle is also important—if you're active in sports or high-impact activities, we'll recommend sizes that accommodate your physical routine and minimise potential impact on your body.

Two primary materials are used in breast implants, each offering distinct characteristics:

Saline Implants:
Filled with sterile saltwater solution after placement in the breast pocket. If rupture occurs, the saline is safely absorbed by your body, and the breast visibly deflates—making detection straightforward. These implants typically require smaller incisions as they're inserted empty and filled during surgery.

Silicone Implants:
Contain cohesive silicone gel that closely resembles the feel of natural breast tissue. If rupture occurs, the gel usually remains within the implant shell or breast pocket, making detection more difficult—sometimes requiring an MRI for confirmation. Silicone implants generally provide a more natural look and feel compared to saline alternatives.

Your choice between these options will depend on your aesthetic goals, body type, and personal preferences. During your consultation, we'll thoroughly discuss the advantages and considerations of each type to help you make an informed decision.

Breast augmentation requires an incision to insert the implant. Three common approaches include:

Inframammary Fold:
The most frequently used technique, involving a small incision (approximately five centimetres) placed in the natural crease beneath your breast. This approach provides excellent access for precise implant positioning while resulting in a well-concealed scar that typically heals favourably. The location in the natural fold helps keep scarring discreet.

Periareolar:
This technique places the incision along the lower half of the areola, just within the pigmented skin border. The transition between areolar and breast skin helps camouflage the resulting scar.

Transaxillary:
With this approach, the incision is hidden within a natural skin fold in the armpit. This technique leaves no scarring on the breast itself.

Each incision type offers different advantages regarding scar visibility, surgical access, and potential impact on future breastfeeding. During your consultation, we'll discuss which approach best suits your anatomy and goals.

The position of your breast implants relative to your chest muscles significantly impacts your results. Three main placement options include:

Subglandular:
Implants are positioned beneath your breast tissue but above your chest muscles. This approach often results in shorter recovery time and less post-operative discomfort. It may provide more pronounced upper pole fullness and is particularly suitable for those with adequate natural breast tissue for coverage.

Partial Submuscular (Dual Plane):
Implants are placed partially beneath the pectoral muscle at the top while the lower portion sits directly under breast tissue. This hybrid technique combines the natural upper slope of submuscular placement with the fuller projection of subglandular placement, creating a balanced result that works well for many body types.

Submuscular:
Implants are positioned completely beneath the chest muscles. This placement typically provides more natural-looking results with smoother transitions at the upper pole, reduces the risk of visible rippling, and may interfere less with mammography. Recovery may involve more initial discomfort as the muscle adjusts to the implant.

Your ideal placement depends on your body type, existing breast tissue, lifestyle, and aesthetic goals.

The internal bra refers to various surgical techniques that provide additional structural support for breast implants or tissue during breast procedures. This approach creates a supportive framework that helps maintain implant position and breast shape over time.

When implemented, an internal bra strengthens the lower breast area and reinforces the inframammary fold (the natural crease beneath your breast). This supportive foundation helps prevent complications like "bottoming out," where implants descend too low on the chest.

The barbed suture technique is one effective method used to create this internal support system. This approach uses specialised sutures with tiny barbs that grip surrounding tissue, providing stronger, more distributed support than traditional smooth sutures. The technique helps secure implant position while allowing for natural movement and feel.

By incorporating an internal bra during your breast augmentation, we can help ensure more predictable, longer-lasting results with improved implant stability and breast shape maintenance.

Plastic Surgery Brisbane Queensland
Breast Augmentation:

Are You an Ideal Candidate?

If you are fit, healthy and capable of undergoing a general anaesthetic, this surgery may be suitable for you. Our experienced team will work with you to understand your unique goals and needs to ensure this surgery is suitable for you.

Before and after

Interested in finding out more?

How it Works

1. REFERRAL

We require a GP referral for all surgical procedures. Please book in with your GP to discuss and obtain a referral.

2.CONSULTATION

After referral, you will have two consultations with our team prior to booking in your procedure. The first consultation will be with the surgeon who will be performing your procedure and will be in-person – this is a great time to discuss the specifics of your situation, the outcomes you are hoping to achieve, your personal health and lifestyle concerns and attributes, along with all possible treatment options, the recovery process and any risks involved. Your second consultation may be with your surgeon again, or could be with another of our team who is qualified to consult on your treatment. At least one consultation must be in-person at one of our practices.

The size and shape of your breasts before surgery may influence the choice of which surgical procedure is best for you. This will all be explained simply and clearly during your first consultation.

After your two consultation appointments, you can provide signed consent for the decided upon treatment and your procedure will be booked in. There is a 7 day cooling off period from the day of your signed consent.

If you are under the age of 18 years, please contact us directly to discuss your consultation process as it will differ to the process for adult patients.

3. THE PROCEDURE

Your breast augmentation surgery will be undertaken by Plastic Surgery Queensland in a hospital. An incision directly under the breast is the technique usually used for breast enlargement surgery. This is because the breast implant can be positioned most accurately into its pocket.

The breast implant itself may be placed under the pectoralis muscle, under the breast tissue or a combination of both in the ‘dual plane’ technique.

4. POST
PROCEDURE
CARE

Swelling and soreness are common after surgery. An overnight hospital stay is recommended to ensure close monitoring by medical staff. A garment is fitted and that will stay in place until your post-operative appointment 7 days after your surgery.

A fitted bra is recommended to wear for 6 weeks.

A strict post operative regime is required when undertaking Breast Augmentation surgery. Exercise and heavy lifting is limited in the 4-6 weeks post procedure. Driving is also not recommended for the first few weeks.

Post Operative Appointments are offered at the practice where you had your initial consultations. 

RISKS AND COMPLICATIONS

Potential risks associated with the procedure comprise bleeding and infection (<5%).

Should significant bleeding occur, it may require a return to the operating room for necessary repair. Conversely, an infection within the implant may require the removal of the implant for a four-month duration before considering a subsequent procedure.

Additional important considerations:

You should expect to observe a scar after the surgery, although it typically fades over time.
The implant will naturally develop a capsule around it, which might require adjustment. In most patients, this occurs over a span of 5-10 years, although individual cases may vary.

There is also a rare complication known as ALCL (anaplastic large cell lymphoma) associated with textured implant usage, both in Australia and globally. This condition typically becomes apparent over 8-10 years. It's important to note that ALCL is not breast cancer but rather an immune cancer linked to the formation of a capsule around the implant. The estimated risk of developing ALCL is between 1 in 10,000 to 1 in 50,000. This condition will be thoroughly discussed during your consultation.

FAQs

For those women seeking a more subtle boost in their breast size, an alternative option to consider is "autologous breast augmentation." This approach harnesses your body's own fat cells to elevate your breast tissue. By utilising liposuction to extract fat from different areas of your body, we can create the desired enhancement. This procedure is also commonly referred to as "fat transfer breast augmentation."

In the past, implants may be replacing after 10 years. We are now we are seeing greater longevity in implants over time. 

The ideal preparation is to stay fit and healthy by maintaining a good diet, with good sleep, minimising alcohol intake and not smoking. 

We believe in finding the best treatment option to match a patient’s requirements and their financial circumstances. Please make an appointment to discuss costs in detail.

There are many low-cost options both in Australia and overseas and great care should be taken when dealing with a surgeon who is not an ASPS / AHPRA / FRACS recognised Plastic Surgeon. Unfortunately, many patients confuse plastic surgeons with cosmetic surgeons (as recently mentioned in the ABC Four Corners report) and the training varies significantly.

Always ask your surgeon about their experience. We recommend that you ensure your plastic surgeon has undertaken over 12 years of post-medical specialist training. It’s also recommended to always seek second opinions if you have concerns. Ultimately you should feel comfortable with the surgeon you are seeing. 

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Plastic Surgery Queensland advocates the National Law and Australian Health Practitioner Regulation Agency (AHPRA) guidelines that any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.
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