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Cosmetic Surgery Manuka
Canberra
Suite 14, Manuka Court
11 Bougainville Street
Manuka ACT 2603
Brisbane
121, Wickham Terrace
Ballow Chambers
Springhill QLD 4000
Sydney
21 Spring Street, Level 1
Bondi Junction NSW 2022
T 1300-ESTEEM / 1300-378336
F 6162 1047 |
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BREAST ENLARGEMENT |
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What should I know if I am considering
breast enlargement?
Breast
enlargement, technically known as
enlargement mammoplasty, is a surgical
procedure to enhance the size and shape
of a woman's breast for a number of
reasons:
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To enhance the body contour of a
woman who, for personal reasons,
feels her breast size is too small. |
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To correct a reduction in breast
volume after pregnancy. |
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To balance a difference in breast
size. |
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As a
reconstructive technique following
breast surgery.  |
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By inserting an implant behind each
breast, surgeons are able to increase a
woman's bustline by one or more bra cup
sizes. |
Will I be a good candidate for
breast enlargement?
Breast enlargement can enhance your
appearance and your self-confidence,
but it won't necessarily change your
looks to match your ideal, or cause
other people to treat you
differently.
Before you decide to have surgery,
think carefully about your
expectations and discuss them with
our surgeon.
The best candidates for breast
enlargement are women who are
looking for improvement, not
perfection, in the way they look.
If you're physically healthy and
realistic in your expectations, you
might be a good candidate. |
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What are the types of Implants?
A breast implant is a silicone shell
filled with either silicone gel or a
salt-water solution known as saline.
Because of concerns that there is
insufficient information
demonstrating the safety of silicone
gel-filled breast implants, the Food
& Drug Administration (FDA) has
determined that new gel-filled
implants, at the present time,
should be available only to women
participating in approved studies.
Some women requiring replacement of
the implants may also be eligible to
participate in the study.
Saline-filled implants continue to
be available to breast enlargement
patients on an unrestricted basis,
pending further FDA review.
You should ask our surgeon more about the specifics of the FDA decisions. |
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Are there any risks?
Breast enlargement is
relatively straightforward. But
as with any operation, there are
risks associated with surgery
and specific complications
associated with this procedure.
The most common problem,
capsular contracture, occurs if
the scar or capsule around the
implant begins to tighten. This
squeezing of the soft implant
can cause the breast to feel
hard. Capsular contracture can
be treated in several ways, and
sometimes requires either
removal or "scoring" of the scar
tissue, or perhaps removal or
replacement of the implant.
As with any surgical procedure,
excessive bleeding following the
operation may cause some
swelling and pain. If excessive
bleeding continues, another
operation may be needed to
control the bleeding and remove
the accumulated blood.
A small percentage of women
develop an infection around an
implant. This may occur at any
time, but is most often seen
within a week after surgery. In
some cases, the implant may need
to be removed for several months
until the infection clears. A
new implant can then be
inserted.
Some women report that their
nipples become oversensitive,
undersensitive, or even numb.
You may also notice small
patches of numbness near your
incisions. These symptoms
usually disappear within time,
but may be permanent in some
patients.
There is no evidence that breast
implants will affect fertility,
pregnancy, or your ability to
nurse. If, however, you have
nursed a baby within the year
before enlargement, you may
produce milk for a few days
after surgery. This may cause
some discomfort, but can be
treated with medication
prescribed by your doctor.
Occasionally, breast implants
may break or leak. Rupture can
occur as a result of injury or
even from the normal compression
and movement of your breast and
implant, causing the man-made
shell to leak. If a
saline-filled implant breaks,
the implant will deflate in a
few hours and the salt water
will be harmlessly absorbed by
the body.
If a break occurs in a
gel-filled implant, however, one
of two things may occur. If the
shell breaks but the scar
capsule around the implant does
not, you may not detect any
change. If the scar also breaks
or tears, especially following
extreme pressure, silicone gel
may move into surrounding
tissue. The gel may collect in
the breast and cause a new scar
to form around it, or it may
migrate to another area of the
body. There may be a change in
the shape or firmness of the
breast. Both types of breaks may
require a second operation and
replacement of the leaking
implant. In some cases, it may
not be possible to remove all of
the silicone gel in the breast
tissue if a rupture should
occur.
A few women with breast implants
have reported symptoms similar
to diseases of the immune
system, such as scleroderma and
other arthritis-like conditions.
These symptoms may include joint
pain or swelling, fever,
fatigue, or breast pain.
Research has found no clear link
between silicone breast implants
and the symptoms of what doctors
refer to as "connective-tissue
disorders," but the FDA has
requested further study.
While there is no evidence that
breast implants cause breast
cancer, they may change the way
mammography is done to detect
cancer. When you request a
routine mammogram, be sure to go
to a radiology center where
technicians are experienced in
the special techniques required
to get a reliable x-ray of a
breast with an implant.
Additional views will be
required. Ultrasound
examinations may be of benefit
in some women with implants to
detect breast lumps or to
evaluate the implant.
While the majority of women do
not experience these
complications, you should
discuss each of them with our
physician to make sure you
understand the risks and
consequences of breast
enlargement. |
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What should I consider when
planning my surgery?
In your initial consultation, our
qualified and experienced surgeon
will evaluate your health and
explain which surgical techniques
are most appropriate for you, based
on the condition of your breasts and
skin tone. If your breasts are
sagging, your doctor may also
recommend a breast lift.
Be sure to discuss your expectations
frankly with your surgeon and be
assured that our qualified and
experienced surgeon will be equally
frank with you, describing your
alternatives and the risks and
limitations of each. You may want to
ask our surgeon for a copy of the
manufacturer's insert that comes
with the implant he or she will use
-- just so you are fully informed
about it. And, be sure to tell your
surgeon if you smoke, and if you're
taking any medications, vitamins, or
other drugs.
Our qualified and experienced
surgeon will also explain the type
of anesthesia to be used, the type
of facility where the surgery will
be performed, and the costs
involved. Because most insurance
companies do not consider breast
enlargement to be medically
necessary, carriers generally do not
cover the cost of this procedure. |
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What should I do when preparing
for my surgery?
Our qualified and experienced
surgeon will give you instructions
to prepare for surgery, including
guidelines on eating and drinking,
smoking, and taking or avoiding
certain vitamins and medications.
While making preparations, be sure
to arrange for someone to drive you
home after your surgery and to help
you out for a few days, if needed. |
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What types of anesthesia will be
used?
Breast enlargement can be performed
with a general anesthesia, so you'll
sleep through the entire operation.
Sometimes depending on the patient
our surgeon might use a local
anesthesia, combined with a sedative
to make you drowsy, so you'll be
relaxed but awake, and may feel some
discomfort. |
What happens in the surgery?
The method of inserting and
positioning your implant will depend
on your anatomy and our qualified
and experienced surgeon's
recommendation. The incision can be
made either in the crease where the
breast meets the chest, around the
areola (the dark skin surrounding
the nipple), or in the armpit. Every
effort will be made to assure that
the incision is placed so resulting
scars will be as inconspicuous as
possible.
Working through the incision, our
surgeon will lift your breast tissue
and skin to create a pocket, either
directly behind the breast tissue or
underneath your chest wall muscle
(the pectoral muscle). The implants
are then centered beneath your
nipples.
Sometimes depending on the patient
our qualified and experienced
surgeon might put the implants
behind your chest muscle as this may
reduce the potential for capsular
contracture. Drainage tubes may be
used for several days following the
surgery. This placement may also
interfere less with breast
examination by mammogram than if the
implant is placed directly behind
the breast tissue. Placement behind
the muscle however, may be more
painful for a few days after surgery
than placement directly under the
breast tissue.
You'll want to discuss the pros and
cons of these alternatives with our
surgeon before surgery to make sure
you fully understand the
implications of the procedure our
surgeon recommends for you.
The surgery usually takes one to two
hours to complete. Stitches are used
to close the incisions, which may
also be taped for greater support. A
gauze bandage may be applied over
your breasts to help with healing. |
What happens after my surgery?
You're likely to feel tired and sore
for a few days following your
surgery, but you'll be up and around
in 24 to 48 hours. Most of your
discomfort can be controlled by
medication prescribed by your
doctor.
Within several days, the gauze
dressings, if you have them, will be
removed, and you may be given a
surgical bra. You should wear it as
directed by your surgeon. You may
also experience a burning sensation
in your nipples for about two weeks,
but this will subside as bruising
fades.
Your stitches will come out in a
week to 10 days, but the swelling in
your breasts may take three to five
weeks to disappear. |
How long before I get back to
feeling normal?
You should be able to return to work
within a few days, depending on the
level of activity required for your
job.
Follow your surgeon's advice on when
to begin exercises and normal
activities. Your breasts will
probably be sensitive to direct
stimulation for two to three weeks,
so you should avoid much physical
contact. After that, breast contact
is fine once your breasts are no
longer sore, usually three to four
weeks after surgery.
Your scars will be firm and pink for
at least six weeks. Then they may
remain the same size for several
months, or even appear to widen.
After several months, your scars
will begin to fade, although they
will never disappear completely.
Routine mammograms should be
continued after breast enlargement
for women who are in the appropriate
age group, although the mammographic
technician should use a special
technique to assure that you get a
reliable reading, as discussed
earlier.). |
What will my new look be?
For many women, the result of breast
enlargement can be satisfying, even
exhilarating, as they learn to
appreciate their fuller appearance.
Regular examination by your plastic
surgeon and routine mammograms for
those in the appropriate age groups
at prescribed intervals will help
assure that any complications, if
they occur, can be detected early
and treated.
Your decision to have breast
enlargement is a highly personal
one that not everyone will
understand. The important thing is
how you feel about it. If you've met
your goals, then your surgery is a
success.
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What is the cost of breast enlargement surgery?
Sydney: $9500
Fee includes:
- Surgeon's Fee
- Kingsgrove Day Hospital Theatre and Bed Fee (based on 1.5 hour estimate surgical duration)
- Anesthetist based on 1.5 hour theatre duration
- Breast Implants x 2 (Round Cohesive Gel Implants, please add $1500 should Anatomical Breast Implants and $1920 if Silimed furry brazillian implants are selected)
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4 Post Surgery Consultations
Brisbane: $9500
Fee includes:
- Surgeon's Fee
- Monstserrat Day Hospital Theatre and Bed Fee (based on 1.5 hour estimate surgical duration)
- Anesthetist based on 1.5 hour theatre duration
- Breast Implants x 2 (Round Cohesive Gel Implants, please add $1500 should Anatomical Breast Implants and $1920 if Silimed furry brazillian implants are selected)
- 4 Post Surgery Consultations
Canberra:
Canberra patients will have thier consultation and post surgery care at the Canberra Clinic. The surgery itself will be performed in Sydney.
Cost of Consultation
Canberra and Sydney: $150/-
Brisbane: $100/-
As we allocate an exclusively reserve an hour in consultation time with surgeon, it is practice policy that we obtain your credit card details when booking and confirming your consultation. All payments are processed 5 working days prior to date of consultations. This policy has been implemented to discourage no shows and last minute cancellations.
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