There are many reasons women seek to undergo surgical breast enlargement – also known as breast augmentation – using artificial implants. In some cases, a lack of breast development could be the problem. In others, loss of volume may occur after pregnancy or breastfeeding. Excessive weight loss can also reduce the size of breasts. Unevenness in size between the two breasts can also be a reason for the procedure.
Some patients elect for breast enlargement to correct an imbalance in the size, shape, and symmetry of their breasts. This procedure can also be used as part of a reconstruction after a mastectomy or – in high-risk cases – as a preventative measure against the development of breast cancer.
The decision to undergo breast augmentation is a personal one. After a consultation with Dr Randle, you’ll be informed of all aspects of a breast augmentation and a treatment plan established.
There are currently two primary types of breast implants used in Australia:
Silicone Gel Implants: These implants are available in round or teardrop (i.e. anatomical) shapes. They closely mimic the feel of human fat tissue, which many believe means these implants look and feel much more like natural breasts.
Saline Implants: As the name implies, these implants are filled with a saline (i.e. saltwater) mixture. They are available in similar sizes to the above. The primary reason that a patient would opt for a saline implant rather than a silicone gel implant comes down to preference. In the relatively rare event that these implants rupture, the saline is absorbed by the body.
A breast enlargement procedure can be performed as a day procedure or an overnight stay in an accredited day surgery or hospital. The procedure is performed under general anaesthesia and usually takes between 1 and 2 hours. The location of the incision depends largely upon the patient’s anatomy and the nature of the operation, and Dr Randle will offer specific guidance during your consultation.
In most cases, the incisions are made in one of three places: Inframammary (in a fold of skin under the breast), Periareolar (around the bottom or outer edge of the areola), and Transaxillary (in the lower portion of the armpit).
Only one incision is required per implant, and the typical length is between four and six centimetres. Scarring may result, and often diminishes with time. The implants can be placed under or sometimes over the chest muscle. Dr Randle will talk you through the advantages/disadvantages and help you decide upon the ideal placement based on your anatomy.
After surgery a support bra is worn. There may be some pain around the incision site, as well as the skin and muscle around your breasts. Your anaesthetist will prescribe pain medication to ease you through this stage. Two to three days’ rest is typically advised, with an ongoing treatment plan to follow.
Possible complications of breast augmentation vary for each patient. After your surgery, Dr Randle will advise on the best practices for recovery and what to avoid to minimise risk and support healing.