Breast augmentation (breast enlargement, augmentation mammoplasty, "boob job")
What is it?Breast augmentation is enlargement of the breasts with
breast implants. If you feel your breasts are too low
(such as after breast-feeding) you may need a lift as well.
See the additional information sheet on “augmentation-mastopexy”.
What about silicone? Is it safe?
All breast implants have a silicone shell or envelope. Even
the so-called saline implants have a silicone shell but
are filled with saline. Silicone gel filed implants are the
most commonly used implants today, with millions inserted
world-wide. This silicone gel is caled cohesive, which means
that even if the shell breaks (which is exceedingly rare) the
gel stays where it is. Older implants were filled with liquid
silicone and had a thin shell, so if they did break the liquid
silicone could be troublesome. Despite that, many women still
have these implants in place with no adverse effects. Modern
implants are the safest available and problems are very rare.
There is a huge body of literature supporting the safety of
silicone. Modern implants should last for many years.
Is Mr Callan experienced at this procedure?
Mr Callan has over 20 years of experience at this procedure.
He performs breast augmentation regularly and keeps up
to date with the latest techniques. You can be sure that,
as a fully trained plastic surgeon, Mr Callan performs this
procedure to the highest standard available.
Can I see photographs?
You can see photographs of people who have had this
procedure when you have your consultation. As Mr Callan
performs this procedure frequently, we have a large number of
photographs of people with a similar breast type to you who
have the size and shape of breast you want.
Who has breast augmentation?
Women aged 18 and over who want larger breasts. Smaller
breast size can occur naturally through weight loss or after
breast-feeding. Surgically enlarging breasts can help balance
a woman’s shape and figure. Occasionaly younger females
will be considered if they have significant breast asymmetry.
Am I suitable?
You need to be sensible and honest about your reasons for
wanting breast augmentation and happy with your informed
decision. You should also be as healthy as possible. A time of
personal crisis is no time to be making decisions about such
surgery. Other considerations are if you have a family history
of breast cancer or your breasts have sagged a lot after
weight loss or breast feeding which will need discussion.
What would make me unsuitable for this surgery?
Smoking, being outside the BMI (body mass index) range of
18-28, under stress when making your decision, or having a
medical condition that would make surgery unsafe.
How is it done?
Mr Callan performs all his surgery at St John of God Hospital
in Geelong, a fully accredited hospital. Breast implants are
almost always inserted under the breast these days. In
the past we used to insert them under the muscle, but new
techniques make this unnecessary. The incisions we use are
almost always under the breast.
What are the benefits?
What you get out of surgery is entirely a personal matter.
If the size of your breasts currently distresses you, larger
breasts may be the answer. However the benefits depend on
whether or not you have been properly assessed and you may
need to consider other options prior to surgery. For instance, it
may be that you just want firmer lifted breasts or more even
breasts and this will need to be discussed.
What are the risks?
All surgery carries some element of risk. You can
minimise your risk by being as healthy as possible and
as psychologically prepared as possible, by selecting an
experienced and qualified surgeon, and by giving yourself a
stress free time during which to recover. The particular risks
and complications of this surgery will be discussed at your
first consultation. The most common of these is firmness
of the implants after some time. This is known as capsule
formation and is now less commonly a problem with the
newer implants and techniques (such as the Keller Funnel,
Adams’ Solution). A few women may lose some sensation
in the breasts or nipples but most do not. Breast-feeding is
certainly possible after breast augmentation but some women
find it a little more difficult than it would be otherwise. An
uncommon form of breast cancer may rarely be associated
with some types of implant (usually textured implants, not the
smooth ones we use). There are other risks common to all
surgery and you will be made aware of these.
Will I have scars?
The incision lines for the surgery are always present but fade
over the first six to 12 months. As a rule the incision lines aer
inconspicuous unless specifically searched for or when viewed
from certain angles.
How long will I be in hospital?
Breast augmentation is almost always done as a day
procedure. Someone will need to take you home from hospital
and should stay with you the first night. Breast augmentation
is not a particularly painful procedure. You will be given
medication to keep you comfortable.
How long will I need to recover?
This usually ranges from a few days to a few weeks
depending on what you do. If your activities are sedentary
then you may only need a few days, but if you do heavy work
and lifting you may need up to three weeks. It’s a good idea
to take some time out from more strenuous activities so
you don’t prolong your recovery. The same guidelines apply
to exercise, with mild to moderate exercise allowable early
on and full aerobic activities after three weeks. You can
shower within hours of surgery as dressings are minimal. You
must not drive until you are fully recovered from both the
anaesthetic and the discomfort of surgery. If in doubt, don’t.
Can I wear a bra after surgery?
We recommend a soft, wire-free bra to be worn for the
first 3 weeks post op to support breasts and help with pos t
op discomfort. After 3 weeks we recommend you getting
professionally fitted to determine your true size.
Will I need to be seen after surgery?
Yes. We will keep in close contact with you by telephone for
the first few days and then will see you about three to four
days after surgery, then at three weeks and at three months
then a year. You are of course welcome to call or visit any
time with any concerns.