Procedures

Sydney Plastic Surgery

Breast Surgery


Breast Augmentation


Wondering what to except from breast augmentation surgery? You have come to the right place! From your first breast augmentation consultation to the healing time, here is anything and everything that you need to know about transforming your body. As one of Sydney’s most sought after plastic surgeons, Dr Turner will work with you and your body to achieve the most attractive and natural-looking results possible.

While you might not realise it, breast augmentation is the most popular plastic surgery in Australia and around the world. Why do so many women get breast augmentation in Sydney and around the globe? Because they can! Women today are in control of their lives and bodies. Whether it’s a post-baby “mummy makeover” or just a lifelong dream being realised, breast augmentation allows women to embrace their bodies and feel like the best versions of themselves.

Benefits of Breast Augmentation Surgery

As a highly desired cosmetic surgery procedure, women choose to get breast augmentations for many reasons. This safe and effective procedure can address a range of cosmetic concerns and instantly boost your level of self-esteem and confidence.

If you have any of the following issues, breast augmentation could be a good long-term solution for you.

  • Are your breasts disproportionate to the rest of your body?
  • Are you no longer happy with the shape of your breasts due to ageing, breastfeeding, weight loss, or weight gain?
  • Do you want to improve your overall self-esteem without enduring a long recovery process?
  • Would you like a more symmetry breast shape to enhance your body?

Specialised in natural-looking breast implants, Dr Turner focuses on creating the best possible shape, size, and position to match your unique body and give you the shape you’ve always wanted.

Are You an Ideal Candidate?

Interested in getting a breast augmentation but not sure if you are a good candidate for the procedure? Here’s what you should know.

Breast augmentation is a great option for any healthy woman. The first step to determining if you are a good candidate is to go for a consultation for breast augmentation with Dr Turner at his Sydney clinic. Dr Turner will ask you about your medical history and explain the procedure so can decide if it’s right for you.

One important aspect of getting breast implants is to look at your emotional health and expectations. Of course, it is important to have realistic expectations and a clear understanding of how breast augmentation works. Dr Turner will have an open and honest conversation with you to ensure that you are confident in your decision and ready to move forward with getting breast implants.

What to Expect from Breast Augmentation Surgery?

The classic ‘boob job’ has come a long way, allowing for the most natural results possible. Dr Turner focuses on each individual in terms of their exact needs and desires. Naturally, breasts are composed of three key components — skin, fat and glandular tissue. Working with your body, Dr Turner will assess these factors during your consultation to ensure the safest, most reliable procedure is performed.

So, what can you expect on the day of your surgery?

  • Before your procedure, Dr Turner will make sure that you are comfortable and don’t have any last minute questions. Dr Turner will draw on your breast to plan the ideal placement of the breast implant, as well as the intended incision used to place the breast implant.
  • The breast augmentation is performed under general anaesthesia in a fully accredited private hospital; you will be in surgery for 1-2 hours.
  • When you wake up, you may feel slightly woozy due to the general anaesthetic. Although some swelling, discomfort, or soreness may occur, these are all completely natural post-operative symptoms that you’d experience after any surgery. Following Dr Tuner’s instructions, the average women is back at work around seven days after surgery.

How do I Choose the Right Breast Implant?

Prior to your breast augmentation, it’s essential that you have a clear understanding of the procedure and are confident in your decision. Meeting with Dr Turner gives you the opportunity to get a better understanding of every aspect of breast augmentation.

Before having a breast augmentation, you’ll need to consider the following factors.

Breast Implant Incision Location

Choosing the optimal breast implant incision location is a key factor in creating beautiful breasts. Based on your body type and preferences, Dr Turner will make a recommendation for the best location of your breast implants.

The incision options for breast augmentation are:

• Inframammary — This incision is in the breast fold. While standing, this crease can easily be hidden, but may be visible when you are lying down.

• Periareolar — This incision takes place around the nipple, allowing scars to often be concealed by the shape and colour of your areola.

• Transaxillary — This incision will be through the armpit, which means no physical scaring will take place on the breast itself. However, the scar will be visible when your arm is elevated.

All of these methods have their own advantages and disadvantages, but an inframammary fold tends to be the optimal choice. The inframammary crease incision has the lowest rate of complications and revision rates and, for the vast majority of patients, scaring from the final incision is no longer visible six months post-op.

Breast Implant Size

As one of Sydney’s leading breast implant Plastic Surgeons, Dr Turner has the expertise and knowledge to help you make the right decision on the size of your breast implants. There are several factors to consider when deciding on breast implant size. To help you choose, you can get hands-on to touch and feel the breast implants so you have a better of idea of what they will be like on your body.

Your body type guides your breast implant options. It is not recommended to go from an AA cup to a DD-E cup in a single breast augmentation surgery. It’s not safe and it is highly unlikely that such a dramatic transformation will look natural. Considering your starting size and your frame, Dr Turner will recommend a range of safe and attractive options.

To learn more about breast implant size selection, click here

Breast Implant Placement

Another factor to consider is the breast implant location. The exact placement will be determined by your body shape and natural breast size. When you come to discuss breast implants at our Sydney clinic, Dr Turner will discuss the options with you.
The breast implant placement options for breast augmentation are:

• Subglandular — Also known as subfascial, if you have enough soft tissue coverage around your cleavage area, this placement will likely be the best option. The breast implant will be placed between the breast tissue and the pectoralis muscle. Women tend to prefer this placement because it has the fastest recovery; offers enhanced breast cleavage; reduces lateral malposition; and no risk of breast implant animation.

• Submuscular — Also known as subpectoral, this involves the breast implant being placed between the rib cage and pectoralis muscle. This is the ideal choice when women have thin or very little breast tissue, as the muscle enhances coverage of the upper area of the breast implant. Women tend to prefer this method because it results in a more natural upper portion of one’s breast; reduces inferior malposition; creates less interference with breast imaging; and reduces palpability/rippling concerns.

A new technique that has become popular is a ‘dual plane technique’ for breast implant placement. In a dual plane placement, it can be separated into three subtypes (I-III) depending on how high the breast tissue is separated of the underlying pectoralis muscle. In this technique the upper half of the breast implant to be placed behind the pectoralis muscle while the lower half of the implant is placed behind the breast tissue. This combines the benefits from both subglandular and submuscular techniques, this option can be ideal for women with mild breast ptosis, acting as an alternative to a breast lift.

Breast Implant Shape

Women come in all shapes and sizes and so do their breasts. With this in mind, it only makes sense to have different breast implant shapes. When you come to look at breast implants in our Sydney clinic, we will show you both teardrop and round breast implants. Dr Turner will examine your breast shape and make a recommendation on the best options for you.

• Round — A popular option for many years, the classic round breast implants are available in both silicone and saline. Round implants will naturally conform to your existing breast tissue and, for those looking to achieve greater fullness in the upper part of the breast, this is an ideal option.

• Anatomical — This new, textured option is quickly gaining popularity based on its natural-looking teardrop shape. Resembling a natural breast, this highly cohesive silicone option is generally recommended for those who are looking to achieve greater fullness in the lower breast or those with breast asymmetry.

Breast Implant Surface

Although all breast implants have a silicone shell, the outer wall can be smooth, textured, or polyurethane. Dr Turner will make recommendations and explain the possible risks and benefits of each.

Smooth Breast Implants – the implant surface is smooth. They are generally softer and feel more natural while requiring a smaller incision than textured breast implants. These implants, however, are only available in a round shape. The smooth surface does not adhere to the capsule that forms around the breast tissue so they have the lower risk of rippling than similar textured breast implant. Smooth round implants are still the most frequently used breast implant worldwide because the results are consistent.

Textured Breast Implants – the implant surface is rough like sand paper. They were designed to adhere to the surrounding breast tissue and minimise the risk associated with capsular contraction. Modern studies haven shown, however, that the risks associated with capsular contraction are no different than those with smooth implants. The use of textured implants is generally limited now to when an anatomical breast implant is chosen to minimise the risk of breast implant rotation. The implant shell in textured breast implants is often thicker than smooth breast implants and so can often feel slightly firmer to touch.

Polyurethane Breast Implants – these are a smooth implant with a polyurethane coating applied to the surface of the breast implant. In the past, these implants were popular due to the very low risk of capsular contraction. However, the the polyurethane coating of these implants gets degraded by the body over about 5 years. This means that they stay quite firm and unnatural during this period. For these reasons, they are a second line breast implant used only in patients who have had recurrent capsular contraction.

What’s changed in Modern Breast Augmentation Surgery?

If you have been reading about breast augmentation surgery, you have probably read about possible complications. While it is a safe procedure and issues are rare, it is critical to follow essential safety procedures. Dr Turner is dedicated to following the highest standards and creating the safest possible environment.

There is a rare tumour, breast implant associated Anaplastic Large Cell Lymphoma (ALCL), that has been linked to breast implants in breast augmentation surgery. While this topic has only recently been identified over the last five years, it has had significant implications in the way we perform modern breast augmentation surgery.

To minimise the risk of this tumour occurring in our breast augmentation patients, Dr Turner takes the following precautions.

• Eliminate Bacterial Contamination

o Because contamination of breast implants during surgery and the subsequent development of capsular contraction has been implicated as a causative agent in developing ALCL, Dr Turner uses cutting edge methods to eliminate the risk.

o The 14-point plan was developed in 2013 by the worlds leading plastic surgeons. This guideline outlines a series of steps to eliminate bacteria at every stage of the breast augmentation surgery from perioperative antibiotics, nipple shields, and breast pocket irrigation.

• Keller Funnel

o This no touch technique allows breast implants to be inserted in the safest and least invasive manner possible.

o It has been one of the most effective methods of eliminating bacterial contamination as the breast implant does not touch the breast skin or surgeon’s gloves.

o Use of the Keller Funnel allows for a smaller incision, reduced stress on the implant, lower complications, and quicker recovery.

• Eliminate Macro Textured Implants

o Breast implant related ALCL has been strongly associated with textured breast implants. This condition has never been found in any patient who has only had a smooth implant. It is most frequently diagnosed in patients who have a macro-textured breast implant (salt loss reduction textured and polyurethane breast implants). While it can still occur with the use of micro textured breast implants, its risk is significantly lower.

Dr Turned is dedicated to using 14 Point Plan, with a Keller Funnel for all breast augmentation surgeries to ensure a safe produce with the fewest risks possible. We now predominantly use the latest nano-textured breast implants (Motiva) as well to give the safest procedure possible.

Your Consultation with Dr Turner

The first step to getting breast augmentation surgery is coming in for a consultation. We understand that this is a big step for many women and we aim to make the process as simple and comfortable as possible. When you are ready to talk about breast implants, our Sydney office will schedule a breast augmentation consultation to discuss every detail of the procedure. It is a no-commitment, informal conversation that will leave you informed and ready to make a decision about moving forward.

To begin your consultation, Dr Turner will examine you to determine if you are a good candidate for breast augmentation surgery. Every woman has very different aspirations so discussing your desired body shape is essential. Dr Turner will expertly guide you through the selection of your breast implant options. He will discuss shape, size, and placement to ensure that you have will have the exact look you that you want.

Dr Turner and his staff will:

• Review the breast augmentation procedure with you
• Discuss the potential risks involved with this specific procedure and surgery
• Provide insight into how the surgery will be performed, step-by-step
• Provide an explanation regarding what you can expect before, during, and after
• Offer all cost and payment details
• Address any questions you may have

Frequently Asked Questions

When can I exercise again?

As long as everything is healing well, most women can perform light exercises after two weeks. In terms of lifting or more strenuous exercise, you may be restricted for several weeks. Always remember the golden rule: if it hurts, don’t do it.

Will I have any scars?

Depending on the location of the incision, you will likely experience slight scarring, however, these scars are generally hidden and will fade with time.

How should I prepare?

It’s critical to follow your pre-op instructions. You should stop taking aspirin-containing products two weeks before surgery, as well as supplements such as ginger, garlic, St. John’s wort, and gingko biloba. For those who smoke, it’s recommended that you quit before surgery. In addition to the long-term effects, smoking restricts blood flow and increases your risk of complications.

How long will I have to wear a special bra after surgery?

After your breast augmentation surgery, a surgical bra will be used to enhance your recovery. It’s important to wear this bra for the first six weeks, only removing it to shower and change. Following this period, you can transition to a soft sports bra. After three months, your breast will be settled and healed. At this point, you can start wearing fitted bras with underwire again.

How long will my implants last?

Based on studies done in labs and real-life scenarios, experts agree that the modern breast implants should last a lifetime. While modern silicone breast implants all come with a lifetime warranty against rupture, it is highly unlikely that they will last a lifetime. Generally, around 30 to 40 percent of patients will require some form of revision breast implant surgery within 10 years.

Does it hurt to have breast augmentation surgery?

Post operation, every woman has a different experience. Some women have a woozy feeling after the anaesthetic wears off. If you have had anaesthesia before, this will be a familiar feeling. Physically, you can expect some soreness, swelling, fatigue, or discomfort. The symptoms are short lived and don’t feel sharp or overwhelming. Not unlike having the flu, you will basically just want to have a week available to rest at home and put your feet up.

Will I be covered for this surgery?

Breast implants are not typically covered by medical insurance. In some cases, however, a benefit for the operation and the implant may be provided if an individual suffers from severe breast hypoplasia (underdevelopment); significant asymmetry; or tuberous breast anomaly. If Dr Turner believes you may qualify, he will advise you on how to proceed.

How long will I need to take off of work?

The average woman doing office work returns to work within five to seven days of having a breast augmentation surgery. For other types of jobs, especially those that require heavy lifting, it may be longer. When you come in for a consultation on breast augmentation in our Sydney office, Dr Turner will give you a personalised recommendation, depending on the specifics of your daily routine.

What are the risks of breast augmentation surgery?

Any operation involves some risk. While the vast majority of breast augmentation surgeries are done with zero problems, there are potential complications. Here are all of the possible risks involved:

• Loss of sensation to the nipple
• Wound breakdown and delayed healing
• Infections
• Bleeding or haematoma
• Poor scarring including keloid scars
• Inability to breastfeed
• Breast implant malposition or rotation
• Implant palpability or rippling
• Breast implant animation deformities
• Breast implant rupture
• Capsular contraction
• Breast asymmetry
• Interference with breast imaging
• ALCL
• Need for revision surgery to correct or improve outcome

How do implants affect breast exams?

After the breast augmentation, you’ll need to familiarise yourself with your new body. Breasts with implants feel different during breast self-examinations and look different on a mammogram.

It’s good to get into the habit of doing monthly breast self-examinations. You’ll want to create a schedule and know how to go about an exam. The best time for your breast self-examinations is one week after your period begins. Simply setting a monthly reminder on your phone can be a lifesaver.

To examine your breasts, look in the mirror with your arms raised and then lowered with your hands on your hips. Turn from side to side while checking for dimples, lumps and discharge from the nipple.

It’s important to get comfortable feeling your breasts. You’ll want to inspect them using using three degrees of pressure: light, medium, and firm. Avoid lifting your fingers during the exam. Your goal is to create constant, steady pressure. One easy method is to use lotion while you are lying down. You can also use soapy water in the shower. Both options will help your hands glide around more easily.

In addition to your monthly breast self examinations, you should have a professional breast examination from your local doctor on a yearly basis. If you are over 50 years you can resume mammograms after 12 months.

Can I still breast feed after getting breast implants?

Your breast implants won’t affect your ability to breast feed. Because breast implants are placed behind your breast glands, they don’t interfere with your breast tissue. Even if you choose to have the incision around your nipple, it won’t impact the flow of breast milk. Women with breast implants produce the same quality and quantity of breast milk as those without implants.

Breast Lift

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Nipple Correction

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Breast Implant Revision

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