Breast augmentation in Melbourne

Choosing an implant starts with your anatomy

Breast augmentation can increase breast volume and alter shape using an implant. Patients consider it for naturally small breasts, volume loss after pregnancy or weight change, or asymmetry. An implant choice is not simply a number of cubic centimetres: width, projection, breast footprint, existing tissue, skin elasticity and your preferred proportions all matter.

At consultation, I examine these features and ask what you want to change and what you want to avoid. We discuss realistic options for implant size and shape, the visibility or feel of an implant in someone with limited tissue coverage, and whether a change in volume alone will address your concern.

Implant placement and when a lift is needed

I use silicone gel implants. Implant placement can be above or below the pectoral muscle, or in a dual-plane position; the choice depends on tissue coverage, breast movement, existing shape and the trade-offs you prefer. In some cases I use a subfascial/prepectoral position; in others an under-muscle approach is more suitable. I may use temporary sizers during surgery where they help confirm a choice made through preoperative planning.

An implant adds volume, but it does not reliably correct significant skin excess or a low nipple position. When these are the main issues, I will discuss mastopexy, with or without an implant, including whether it would be more sensible to stage the procedures. Pre-existing asymmetry may remain or become more noticeable after augmentation.

Recovery and living with implants

Augmentation is performed under general anaesthesia. Expect discomfort, swelling and limits on lifting and exercise while the incision and implant pocket heal. You may need a support bra. Early appearance changes as swelling resolves and tissues settle; your own recovery plan will depend on implant position and your work and activities.

Risks include bleeding, infection, wound problems, altered sensation, asymmetry, implant malposition, visible or palpable edges, rippling, capsular contracture, implant rupture and the possibility of further surgery. Rare implant-associated cancers, including breast implant-associated anaplastic large cell lymphoma, are part of the discussion when selecting an implant. Implant risks and surveillance recommendations can change as evidence develops. Implants are not lifetime, maintenance-free devices, and future assessment, removal or replacement may become necessary.

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