Breast Augmentation

About Breast Augmentation

Breast Enlargement, or Breast Augmentation, is a procedure which increases the size of one or both breasts using specially designed implants.

A very popular form of aesthetic surgery, women choose to undergo Breast Augmentation for many different reasons. Breast Augmentation can help to enlarge or enhance underdeveloped breasts; correct uneven size or shape; improve sagging or loss of 'fullness' following weight loss or breast feeding; or provide a larger, firmer and more shapely bust.

Whatever your reasons for considering Breast Augmentation, many women find their new shape can help to boost their self confidence and improve their self image. However, is is important that you have realistic expectations from any surgery and understand that results can vary significantly from patient to patient for a number of reasons.

Breast implants come in a great number of shapes, sizes and textures, so with the expert help of your surgeon, you will be able to choose which implants will best suit your individual body shape and lifestyle. The choice of implant type, excision location and positioning of the implant will also be determined with your surgeon during your consultation, and these can vary due to body shape, skin elasticity, lifestyle factors such as activity levels as well as the size of implant you wish to use.

Pre-operative Visit With Your Surgeon

During consultation with your surgeon, you will discuss your proposed Breast Augmentation, your general health, your expectations and desired outcomes from surgery, as well as undergoing an examination to determine whether you are a candidate for the procedure.

Your surgeon will proceed to show you a selection of implants and you will then 'try on' the implants with a specially designed 'sizing bra'. This bra allows different sized implants to be placed into it, thus enabling you to visualise what the final outcome may look like. It is recommended that you bring along a firm fitting t-shirt that can be placed over the sizing bra when you are trialling the different implant choices available to you. 

You will also meet with one of our nurses to have clinical images (photographs) taken for your file. These will include Vectra 3D Images, our revolutionary system for displaying a 3D representation of your surgical outcome. Using the Vectra 3D system, you will be able to virtually 'try on' various implants in consultation with your surgeon, eliminating much of the uncertainty around choosing the correct implant.

During this appointment you will also have a set of measurements taken in preparations for ordering your post-operative garments. Once a surgery date has been decided, our nurses will place your garment order. You will receive a phone call from the garment company requesting payment for the garments, which will then be dispatched to our clinic and stored for your upcoming procedure.

Approximately one week prior to surgery, you will be asked to attend the clinic to try on your garment. This is a brief appointment with one of our Clinic Nurses who will fit the garment with you to ensure that it is optimally suited to your post-operative recovery.

On the day of your surgery you will see your surgeon in the operating theatres' holding bay; here he will draw markings on your chest to guide him in his management of your Breast Augmentation. This is a great opportunity to ask any last minute questions of your surgeon.

Whilst in the holding bay, you will be fitted with TED stockings and compression sleeves (SCDs). These are worn to the operating theatre and post-operatively to assist in the prevention of Deep Vein Thrombosis (DVT).

Your Procedure

On entering the operating theatre, you will be greeted by your team of highly experienced theatre staff. Your Anaesthetist will conduct a pre-anaesthetic consultation, and shortly thereafter, your anaesthetic will be administered.

During your Breast Augmentation procedure, you will have an incision made through which the implant is inserted; this incision will be placed in an inconspicuous area to reduce the risk of visible scarring. Your incision may be placed around the nipple (peri areola), under the arm (trans axillary) or, most commonly, under the breast (infra mammary). Your surgeon will discuss these options with you during your pre-operative consultation.

Your surgeon will then create a pocket into which the implant sits; implants can be inserted either sub-muscular (under the pectoral muscle) or sub-glandular (behind the breast tissue), again this will be discussed during your pre-operative consultation.

Once your implants have been placed into this pocket, your surgeon will close the incisions with multiple sutures and cover them with a waterproof dressing.

Typically, the incision lines from your implants will heal well and become fine, white, scarcely visible scars.

Breast Augmentation surgery is performed under general anaesthetic and takes 1 to 2 hours to complete. You should expect to stay in hospital overnight following your procedure.

After Your Procedure

  • Recovery time may vary due to a number of factors such as your body's own healing process. Generally, you will be encouraged to mobilise on the day of your surgery.
  • Mobilisation encourages the circulation of the blood throughout your body and thus helps your body to heal, as well as decreasing the risks of Deep Vein Thrombosis (DVT).
  • You will stay in hospital overnight allowing you to recover from your anaesthetic and return home comfortably the following day.
  • Some pain or discomfort at your wound site can be expected. This will gradually settle and can be managed with oral pain medication.
  • Once your operation is complete, your post-operative garment will be fitted to you in theatre whilst you are still asleep. This must be worn continuously for six weeks, with the exception of showering/bathing. Your garment will keep your breasts supported whilst you are healing. You may also be required to wear a breast stabilising band; this is to prevent your implants from moving during healing.
  • You will continue to wear your TED stockings whilst in hospital, up until your discharge.
  • An appointment to see your surgeon for your post-operative review will be made for you prior to discharge from hospital.

At Home

  • When you return home, you will be encouraged to gently mobilise around your home environment, and to go about your normal daily living activities, to the extent to which you feel capable/comfortable. You should gently increase these as you feel stronger.
  • Most people can expect to return¬† to normal activities and work after 1-2 weeks of recuperation at home.
  • You may notice slight redness, swelling and bruising around the wounds - this is normal.
  • Any pain should be managed with oral pain medication.
  • A small amount of discharge from your wounds is normal.
  • You will have dressings over your wound sites. These should be left on until the two week post-operative review. These dressings are waterproof, so there is no need to cover them to shower/bathe; however, if the dressings lift before your post-op review, please contact our Clinic Nurse.
  • You must continue to wear your garment for six weeks after surgery. If you were given a breast stabilising band, this should be worn in conjunction with your garment and both items should only be removed when showering/bathing.
  • Make sure you remain mobile at home as well as going for short walks, etc.
  • Avoid driving for one to two weeks and, if necessary, drive short distances only until six weeks after surgery.
  • Post-operative lethargy is often experienced and can last for a month or more after your procedure.
  • You should eat a nutritious diet high in Vitamin C and drink plenty of water to help promote wound healing.
  • A post-operative review with the Clinic Nurse will generally be carried out two weeks after your surgery, at which time your dressings will be removed.
  • If you experience any concerns at any time during your recovery, please contact our Clinic Nurse.

Things To Look Out For

Surgery is not without its risks and we encourage all patients to be mindful of the warning signs that a complication may be developing. If you experience any of the following symptoms during your recovery, please contact us immediately.

  • Signs of infection such as; high temperature, heavy discharge from your wound site, an increase in redness or heat around your wound site, or a dramatic increase in pain that is not relieved by oral pain medication.
  • Increased swelling around your wound.
  • Nausea or vomiting which does not settle.

Outside of clinic hours, please contact your GP or closest emergency department.