BREAST AUGMENTATION WITH IMPLANTS
Breast augmentation is a commonly performed procedure that involves increasing breast volume through the use of implants. The approach taken depends on the individual's anatomy, preferences, and clinical indications, and is tailored in con
What is Breast Augmentation?
Breast augmentation is a surgical procedure that involves the placement of implants to increase breast volume. It may be considered by individuals who have experienced changes in breast size or shape due to factors such as weight loss, pregnancy, or ageing, or by those with noticeable differences in breast size between sides (asymmetry).
Personalised Consultation & Anatomical Assessment
Before undergoing any breast augmentation procedure, a detailed consultation is undertaken. During this consultation, the surgeon will:
- Review your medical history and health status
- Assess your breast anatomy, including tissue characteristics and skin condition
- Discuss your preferences and expectations
- Explain possible options and limitations
3D Imaging System
We use a 3D imaging system during consultation to create detailed visual models of your chest and breasts. These models assist in surgical planning by helping the surgeon and patient visualise anatomical features from multiple angles. However, images are tools for discussion only; they do not guarantee a specific outcome.
Implant Options
You may be offered different implant types, such as:
- Round silicone implants
- Anatomical (“teardrop”) implants
The implant choice depends on your body structure, tissue characteristics, and what your surgeon considers medically appropriate.
Dual‑Plane Placement
One surgical placement option is the dual‑plane technique, where part of the implant is placed under the chest muscle and part under breast tissue. Different variants (Dual‑Plane I, II, III) may be considered depending on skin and tissue condition. For patients with more tissue laxity, other surgical techniques (such as breast lift) may be more appropriate.
Combining Procedures with Breast Augmentation
In some cases, breast augmentation may be combined with additional surgical procedures to address more than one concern in a single operation. The suitability of combinations depends on your anatomy, health status, and the extent of change desired.
Common Procedure Combinations
- Breast Lift (Mastopexy) with Augmentation: When breast tissue and skin have shifted downward over time, performing a mastopexy and augmentation together may help reposition the nipple‑areolar complex and add volume. In some cases, a two‑stage approach (lift first, followed by implant placement later) may be discussed.
- Composite Augmentation (Implant + Fat Grafting): This method involves using both implants and transferred fat (lipofilling) to adjust breast shape or volume in more customised ways. Fat may be harvested from donor areas such as the abdomen, thighs or hips, processed, and then placed strategically in or around the breast.
What to Consider
- Patient Selection: Not everyone is suitable for combined procedures. Factors such as skin elasticity, donor fat availability, overall health, and previous surgeries are evaluated.
- Recovery & Aftercare: Combining procedures typically extends recovery time. You may experience swelling, bruising, and discomfort at both the breast site and donor site(s) for fat grafting. Detailed aftercare instructions will be provided.
Aftercare Tips and Guidelines
Essential Aftercare Tips for Breast Augmentation Surgery
Here are some essential aftercare tips and guidelines to follow after breast augmentation surgery:
- Follow Your Surgeon's Instructions. Your plastic surgeon will provide you with detailed post-operative instructions tailored to your specific procedure and individual needs. It is crucial to follow these instructions carefully to support the healing process and achieve the desired outcome.
- Wear a Supportive Bra. Your surgeon will recommend wearing a supportive surgical bra or compression garment for a specified period after surgery. This helps reduce swelling, provide support to the breasts, and promote proper healing.
- Manage Pain and Discomfort. Some pain and discomfort are expected after breast augmentation. Your surgeon will prescribe pain medication to help manage any post-operative pain. Take the medication as directed and inform your surgeon if you experience any unexpected or severe pain.
- Monitor Incision Sites. Keep a close eye on the incision sites for any signs of infection or complications. Follow your surgeon's guidelines for wound care and keep the incision areas clean and dry.
- Avoid Strenuous Activities. Avoid heavy lifting, vigorous exercise, and any strenuous activities that could strain the chest muscles for the first 12 weeks following surgery. Gradually ease back into physical activities as advised by your surgeon.
- Sleeping Position. Sleep in a slightly elevated position, with pillows supporting your upper body, to help reduce swelling and discomfort.
- Hydration and Nutrition. Drink plenty of water to stay hydrated, as it aids in the healing process. Follow a balanced diet rich in nutrients to support your body's recovery.
- Avoid Smoking and Alcohol. Refrain from smoking and limit alcohol consumption during the healing period, as these can impede the healing process and increase the risk of complications.
- Avoid Sun Exposure. Protect your incision scars from sun exposure, as UV rays can cause pigmentation changes and delay the healing process. Use sunscreen and keep the incisions covered when exposed to the sun.
- Attend Follow-Up Appointments. Attend all scheduled follow-up appointments with your surgeon to monitor your progress and ensure that your breasts are healing properly.
- Be Patient. It's essential to remember that the final results of breast augmentation may take several weeks or months to fully manifest. Be patient and allow your body the necessary time to heal and settle into its new shape.
At The Swan Clinic, we recognise that breast augmentation is a personal decision that requires thoughtful consideration. Our registered plastic surgeons provide individualised assessments and evidence-based information to support informed decision-making. From your initial consultation through to post-operative care, our team is committed to providing a professional and respectful clinical experience tailored to your specific needs and circumstances.
If you are considering breast augmentation or have any questions about our procedures, please contact us to schedule a consultation.
Risks, Recovery and Limitations of Breast Augmentation Surgery
Risks and Complications
All surgical procedures carry risks. It’s important to be aware of the potential risks associated with breast augmentation. These may include:
- Infection
- Bleeding or haematoma (collection of blood)
- Adverse reaction to anaesthesia
- Delayed wound healing
- Changes in nipple or breast sensation (which may be temporary or permanent)
- Capsular contracture (firmness or hardening around the implant)
- Implant rupture or leakage
- Implant displacement or asymmetry
- Scarring, which may be more prominent in some individuals
These risks will be discussed in detail during your consultation, and any questions you have can be addressed by your treating surgeon.
Recovery Considerations
- Breast augmentation is typically performed as day surgery or with an overnight hospital stay, depending on your individual needs.
- Recovery times can vary. Most patients return to normal daily activities within 1 to 2 weeks, but strenuous activity and heavy lifting should be avoided for 4 to 6 weeks.
- Wearing a post-operative surgical bra or compression garment may be recommended to support healing.
- Swelling, bruising, and mild discomfort are expected in the early recovery period and should gradually improve.
Limitations of the Procedure
- Breast augmentation does not correct significant skin laxity. In such cases, a breast lift (mastopexy) may be recommended in combination with or instead of implants.
- The outcome of surgery can be influenced by individual factors such as skin elasticity, existing breast tissue, body proportions, and healing response.
- Implants are not lifetime devices and may require revision or replacement in the future.
- Surgical outcomes vary from person to person. While many individuals are satisfied with the result, no outcome can be guaranteed.