Enhance and reshape my breasts

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Having breasts that aren’t what you want can affect so many facets of your life and your confidence. Whether you have naturally small breasts or have discovered that your breasts have not recovered after pregnancy and breastfeeding, you may be considering breast augmentation with breast implants. The implant needs to be the right size for your chest and figure, and inserted with the highest standard of safety and care.

The right implant, put in the right place the right way, minimises the risks and has been our recipe for success for over 20 years.

Dr Alastair Taylor FRACS

Tell me about...

  • What is involved in breast augmentation?
  • What can you tell me about enlarging small breasts?
  • Can breast implants help me restore shape after breastfeeding?
  • What about removing and replacing breast implants?

What is involved in breast augmentation?

Breast augmentation mammoplasty can be a cosmetic procedure, or a reconstructive procedure in the case of breast reconstruction surgery. It involves artificial implants being inserted beneath the breasts to enlarge them. The implant type and size depends on factors such as your breast anatomy, skin thickness and elasticity, body type, and how much bigger you want your breasts to be.

Breast augmentation mastopexy involves inserting breast implants and performing a breast lift.

Implants are placed behind the breast, not within the breast tissue. Implants can be inserted either between the breast tissue and the chest muscle, or behind the large chest muscle called the pectoralis major. Dr Taylor will discuss the advantages and disadvantage of each position, and which position is likely to be most suitable for you

Breast augmentation looks like an easy operation and that is why there are so many unqualified practitioners performing the operation. However, there is actually a lot to think about before putting in an implant and a lot of technical details to the operation required to produce a safe, long term result.

Dr Taylor prefers to use teardrop implants as they are generally lighter than round implants of the same width and projection and weight matters over time. They also look better in a bra and clothing. Dr Taylor aims for a natural looking breast.

Preoperative sizing is very important and we take time getting that right at CAPS Clinic. Using external sizers provides you with the opportunity to see what an augmentation will both look and feel like on their own body.

The breast augmentation takes 1 1/2 hours under general anaesthetic and requires an overnight stay. The surgery takes place in Sole’vita Surgery where infection control processes are strictly adhered to, significantly reducing the risks of bacterial contamination and we always keep you in overnight for antibiotics and pain relief.

You will require 1 to 2 weeks off work and up to 6 weeks before returning to normal activity. You will also wear a compression garment after your operation.

What can you tell me about enlarging small breasts?

In some women breast tissue simply does not develop. As a result these women will have much smaller breasts, possibly towards the ‘A’ or ‘AA’ cup sizes. If this is your situation, you may feel that for aesthetic purposes, a feminine feel or to balance out your body shape, that larger breasts are desirable.

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Can breast implants help me restore shape after breastfeeding?

Breastfeeding develops a beautiful bond between you and your baby, but it can take its toll on your body. The resulting changes to breast shape and size often come as a shock to some women. Breast augmentation is one of the options available to restore breast fullness.

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What about removing and replacing breast implants?

Breast augmentation has been around since the mid 1960s. In our practice, we have seen many women who have had the very first breast augmentations in Australia and their implants have lasted them 20 to 30 years.

Compared to modern implants, the original implants used were not fantastic and have often left women with very hard, deformed balls for breasts. Newer styles of breast implants are designed to provide years of soft, natural shape.

However, there are no guarantees they will last forever and there are reasons women will need to have surgery again in the future to replace them.

Implants can rupture, become hard and uncomfortable (capsular contracture), displace or suffer sudden fluid collections (seroma) and need to be removed and replaced.

This operation is performed through the original scar made slightly longer. It may be necessary to support the new implant internally with suturing or even scaffolding.

A breast lift may also be required if the implants were in place prior to pregnancy and breast feeding.

Whatever the reason for replacement, remember every time your breasts are operated on it becomes harder for the surgeon to achieve a natural look.

It is very important to note if your initial surgery was performed for cosmetic reasons, removing and replacing the implants for any medical reason is no longer rebatable on Medicare or a private health fund.

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Essential Information

Before Surgery

Call the Clinic

Book an Appointment with Dr Taylor

Consultation and Sizing

Meet with Dr Taylor and Patient Co-ordinator, measured with external sizes

Booking Surgery

Arrange Surgery and Presurgery Appointments

Pre-surgery Appointment

Meet with Dr Taylor's Nurses regarding your hospital admission

Admission to Hospital

Surgery performed under General Anaesthetic, Overnight Stay

After Surgery

Discharge from Hospital

Pressure Garment worn 24 hours a day

1 Week

Suture removal for breast augmentation mastopexy

2 Week Suture Removal

Appointment with Sole'vita nurses, Garment worn only during the day, Return to walking

6 Weeks

Appointment with Dr Taylor, Remove Pressure Garment, Resume Normal Activities

6 Months

Final Post-op Appointment with Dr Taylor

Breast Augmentation is a major decision that like all surgery carries risks. Careful consideration and planning ensuring the right size and placement can significantly reduce the need for future surgery.

Dr Alastair Taylor

Want to Know More?

Your breast augmentation surgery will be performed at our private hospital, Sole’vita Surgery, a licensed medical hospital accredited under the National Safety and Quality Health Service (NSQHS) Standards. Sole’ vita Surgery is part of The CAPS Clinic, with all services conveniently based in the one location in Deakin, Canberra.

Our facilities include modern surgical theatres, sterilisation services and recovery areas. Our overnight rooms feature flexible privacy glass-panelling and a personal ensuite.

All of the Sole’ vita team are fully qualified and registered medical personnel, with no more than 5 patients staying at once, our patient-to-nursing-care ratio is the best in Australia.

Dr Alastair Taylor (MBBS, FRACS) is a highly qualified, leading plastic surgeon with over 20 years experience in plastic, aesthetic and reconstructive surgery, including breast, body, and facial rejuvenation surgery. Dr Taylor qualified as a Specialist Plastic Surgeon in 1998. He holds a Fellowship of the Royal Australasian College of Surgeons (FRACS). Learn more about Dr Taylor.

Dr Taylor leads a dedicated team of qualified health care professionals, including anaesthetic staff and nurses, who work in the Sole’vita Surgery private hospital. His team have built a reputation for quality and are committed to achieving results for our clients whilst providing personalised care, with your safety, privacy and comfort at the forefront of all work.

Breast augmentation surgery is considered cosmetic surgery by the Australian government and therefore is not eligible for a Medicare, health fund or tax rebate, and GST is applicable.

Fees include Dr Taylor Surgeons fee, Anaesthetist fee, Theatre and the Overnight Stay in Hospital costs, starting from $11,300 (round implants) to $12,300 (tear dropped or anatomical implants).

To receive a formal quote you are required to have a consultation with Dr Taylor. The quote for the cost of your surgery is valid for 3 months. Some fees may not be included in this quote, including medications, pathology, physiotherapy and costs arising from any complications. Further information will be provided to you during your consultation.

Dr Taylor’s fee includes:

  • All pre and post operative care for up to 6 months
  • Access to our 24 hours support line
  • Pre-surgery appointment with Dr Taylor’s nurse
  • Pre-surgery kit (information, vitamins, herbal products, surgical bag)
  • Post Surgical Kit (information, products to aid recovery)
  • Scar Management Program
  • One Surgical Garment

ANY SURGICAL OR INVASIVE PROCEDURE CARRIES RISKS. BEFORE PROCEEDING, YOU SHOULD SEEK A SECOND OPINION FROM AN APPROPRIATELY QUALIFIED HEALTH PRACTITIONER (EG. YOUR GP).

Dr Taylor will discuss the general and specific risks during your consultation, where you can ask questions and discuss any concerns you may have. Is it important that you have enough information to weigh up the benefits, risks and limitations of your surgery. You will also be provided with more information to take home and read, and discuss with your family or loved ones.

Risks specifically associated with breast augmentation surgery may include:

  • Breast Implant Associated ALCL – a rare lymphoma, please read more here Dr Taylor’s Statement on BIA-ALCL.
  • Seroma, or fluid accumulation around the implant after surgery. Seroma is a collection of serum, the thin straw coloured fluid that the body exudes when healing wounds. Preventing a seroma may involve drains and compression garments.
  • Changes in breast and nipple sensation
  • Temporary or permanent areas of numbness
  • Wrinkling of the skin over the implant
  • Capsular contracture, where firm scar tissue forms around the implant causing it to lose shape and softness
  • Inappropriate implant size
  • Implant rupture or deflation
  • Asymmetry (unevenness) of the breasts
  • Calcium deposits in the scar capsule around the implant
  • Granulomas, or lumps in local lymph node tissue formed by leaking silicone
  • Breastfeeding difficulties, including reduced milk supply
  • Reduced effectiveness of breast cancer screening, since an implant may hide breast tissue (and tumours) during a mammogram
  • Movement of the implants from their original position
  • Further surgery to treat complications

Some general risks and complications of surgery may include:

  • Risks associated with general anaesthesia, including nausea. Anti-nausea medication will be administered during the operation, and as required during your recovery. Your anaesthetist will discuss specific risks related to anaesthesia with you further.
  • Pain, bruising and swelling around the incisions and operated site(s). Pain relief will be administered and steps taken to reduce bruising and swelling, including how you can manage this yourself.
  • Heavy bleeding from an operated site. In the unlikely event that blood loss during surgery has been large, a transfusion may be needed. Steps are taken during your procedure to limit bleeding. You may also be asked to reduce or stop certain medications leading up to your surgery.
  • Infection that may require treatment with antibiotics or further surgery in some cases. Antibiotics are administered during the operation to prevent this as much as possible, and wound care instructions provided before your discharge.
  • Allergic reaction to sutures, dressings, antiseptic solutions, or medications. Please notify Dr Taylor and the nursing staff of any known allergies that you may have.
  • The formation of a large blood clot, or haematoma, an accumulation of blood around the surgical site that may require drainage. It is rare that a clot can move to the lungs and become life threatening.
  • Keloids and hypertrophic scars that are raised, red and thickened scars that may form over the healed incisions. These may be itchy, annoying and unsightly but are not a threat to health. Scar management is a part of our support we offer to our patients.
  • Slow healing (often related to smoking or diabetes), separation of wound edges or areas of skin that do not heal and may require a skin graft.
  • Numbness around operated sites. While numbness typically subsides slowly over several months, some numbness may be permanent.

To help you prepare for your surgery and enhance your recovery, we offer you a pre-surgery program to start 4 to 6 weeks prior to your surgery. This includes taking a multivitamin to aid recovery and get you back on your feet faster.  We also recommend an effective herbal medication to reduce the bruising and swelling associated with your surgery. You will also need to stop certain medications leading up to your surgery and we recommend ceasing smoking six weeks prior.

Planning for your surgery and your recovery in advance is vital. Understanding what you can and cannot do will ensure you are not put in a position where you put yourself or the success of your surgery at risk.  All this will depend on your personal situation.

Dr Taylor insists you refrain from any major or minor physical duties and take two weeks off work. You will be provided with a discreet medical certificate to accommodate any time required off work.

On discharge from Sole’vita Surgery we recommend:

  • You have someone drive you home.
  • You have someone with you for the first day at home.
  • Do not drive a car for five days postoperatively.
  • Ensure you can rest for two weeks, getting as much sleep as possible.
  • Do not undertake activities including physical exercise, contact sport or sexual activities for six weeks post surgery.
  • Do not leave Canberra prior to staples or sutures being removed.
  • Do not fly internationally during the six week postoperative period.

 

After your operation, you will have dressings in place and may have drains, which are removed on the day of discharge. You will also be placed in a very tight fitting compression garment. This garment is worn 24 hours a day (excluding showering) for the first two weeks and then during the day for another 4 weeks.

You will stay overnight in our Sole’vita Surgery private hospital. Dr Taylor will check on your recovery the next day, and our nursing staff will assist with your discharge, including wound care and management of your dressings, prescriptions for medications, and follow up appointments.

Bruising and swelling from the surgery is to be expected, and there will be discomfort. Taking regular oral pain medication can assist you to be more comfortable, and steps are taken to reduce bruising and swelling.

You are encouraged to take 2 weeks off work and plan not to be back to normal routine and activity for at least 6 weeks.

For breast augmentation mastopexy, you will return after one week for your suture removal and have your wounds checked by one of our nurses. For breast augmentation mammoplasty, two weeks after your surgery, you will come to Sole’vita Surgery to have your sutures removed and your wounds checked by one of our nurses.

You will have follow up appointments with Dr Taylor at both the 6 week and 6 month stage of your journey.

All CAPS Clinic patients will receive detailed post operative instructions and handbook on ‘Taking Care of Your Breasts’ following surgery.

Book Your Personal Consultation with Dr Taylor

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