Breast augmentation or breast enlargement can enhance your appearance and your self-confidence, enlarging your breasts and making them more proportional with the rest of your body. Implants can also be used to correct a small amount of breast sag which can occur after pregnancy and breast-feeding.
There are many choices and options, which require careful planning to work out which is the best option for you. All of these choices have advantages and disadvantages, which you should understand before you make the decision.
Dr Charles Cope is one of only a few surgeons offering breast augmentation in Sydney to have the exciting VECTRA XT 3D imaging system, which is the latest 3D technology that allows you to see the expected result during your consultation.
The VECTRA takes a 3D image of your breasts then allows you to see what your breasts would look like with different size implants, helping you to make a more informed decision about your implant size. You can see what your breasts will look like before you even have the surgery!
In a recent article (Oct 2013) of Plastic & Reconstructive Surgery Journal (Plast. Reconstr. Surg. 132: 810, 2013.), the main Plastic Surgery Journal worldwide, the 3D imaging VECTRA machine was found to be beneficial for patients considering breast augmentation surgery. The article concluded that patients prefer a center that offers three-dimensional imaging technology; they feel that the simulation is very accurate and helps them greatly in choosing the implant; and that if they could go back in time, they would choose the same implant again. See some examples of how reliable the Vectra can be for predicting the postoperative results of breast augmentation here.
Some of the choices and options with breast implants and breast enlargement are the following:
There are two options for the placement of breast implants: they are placed either behind the breast tissue or under the muscle on the chest wall (pectoralis muscle). Breast implants placed underneath the muscle have a more natural shape, a lower chance of capsular contracture (hardening), and it is easier for mammography. However, if you do a lot of upper limb gym work then implants are best placed under the breast. The implant can be slid into place three ways; through an incision under the areola, in the crease under the breast or via the armpit. It is important to understand that minor differences in the size and shape of your breasts will not change and may even be more obvious after the surgery.
Most patients choose silicone breast implants rather than saline breast implants, which can be associated with rippling that can be seen through the skin. Modern silicone implants are substantially different from the old type of silicone implants used in the 1970s and 80s. The casing of the implant is much thicker and has a textured surface, which reduces the chance of hardening of the implant. Cohesive Silicone Gel implants contain a gel that is similar in consistency to a set jelly, which retains its shape and does not run like a liquid, as the old silicone gel did. Another advantage of the Cohesive Gel implants is that they can be made breast shaped.
Cohesive Silicone Gel implants are safe. In June 1999 The Institute of Medicine at the National Academy of Sciences in the U.S.A. released a report which confirmed that there is no increased risk of the development of cancer, immunologic or neurological problems associated with the use of silicone breast implants.
Breast augmentation surgery requires a general anaesthetic, with the operation taking 1-2 hours, and is usually performed as a day-stay or overnight-stay procedure. Following the surgery it is important to have restricted light activities, with no lifting or heavy duties for 7-10 days. *Most patients may drive again and return to work within 10 days after the surgery. Heavy activities and sport should not be undertaken for one month following breast enlargement surgery.
More information on breast augmentation and modern cohesive silicone gel implants are in the brochures below: