Breast Augmentation Sydney

With particular knowledge and experience in breast augmentation mammoplasty, patients travel interstate to undergo surgery with Dr. Tavakoli. With over 10,000 breast implant surgery procedures performed, Dr. Tavakoli’s applies his experience to help patients.

Dr. Tavakoli has sound knowledge in treating breast ptosis or tuberous breast shapes. These conditions may require complex mastopexy procedures in order to provide the desired results.

Breast sizing is an integral part of Dr. Tavakoli’s consultation methodology. Precise sizing will take place in the consultation rooms throughout your pre-operative process. Dr. Tavakoli exclusively offers intra-operative (during surgery) implant sizing to ensure all patients receive the most suitable implant for each individual’s body. This method of sizing eliminates human error in the consulting room which does not take into account the skin’s ability to expand plus chest wall-rib curvature. As a result, Dr. Tavakoli’s re-augmentation mammoplasty rate for upsizing patients is very low.

Disclaimer: The outcomes shown are only relevant for this patient and do not necessarily reflect the results other patients may experience, as results may vary due to many factors including the individual’s genetics, diet and exercise.

Dr Tavakoli has come up with the six following broad categories of patients seeking Breast augmentation mammoplasty in Australia. Most breast patients will generally fall into one of the categories:

There are six main clinical parameters for breast implants on initial consultation:

An obligation and cost-free consultation will be necessary prior to your procedure, to discuss your goals and develop the best treatment plan for you to achieve the results you want.

During your consultation, your surgeon will explain the surgical techniques involved in breast augmentation mammoplasty, as well as any potential risks and complications associated with the procedure. The consultation is an opportunity for you to ask questions and discuss any concerns that you may have, and to make an informed decision about whether or not to proceed with the surgery.

You will also be provided with preparation and aftercare instructions, and thorough advice you can follow to ensure the best results and prevent complications.

Dr Tavakoli approaches his breast augmentation mammoplasty, postpartum surgery, and other procedures with a focus on individual care and patient support. With experience in multiple techniques, he can combine them to provide individual results to his patients. With extensive experience in multiple techniques, he can combine them to deliver specific results for his patients.

Dr Tavakoli has a rigorous protocol for choosing which shaped implants. He has extensive experience in both shapes and has no personal preference as long as it fits the patients breast template. The choice of breast implants varies from round to teardrop (anatomical (teardrop)) shapes. Both the round and teardrop breast implants come in both low and high-profile varieties. The shape variation is in the width and projection of the breast implants for any given size.

In the round range, there are five profiles or projections:

– Low Profile
– Medium or Moderate Profile
– High Profile
– Extra High Profile
– Ultra High Profile

In the anatomical (teardrop) range, there are three main bases and five profiles (projections) like above:

– Short Oval Base
– Long Oval Base
– Round Base

The spectrum of breast implants available to the surgeon can therefore provide much greater versatility in achieving a more natural look. The majority (60%) of patients in Dr Tavakoli’s practice elect to have anatomical (teardrop)/Tear drop shaped.

Since Dr Tavakoli prefer’s placing the implant in a submuscular pocket in most patients, implant edge visibility in the upper pole of the breast can be avoided even in the round implants.

The round implant tends to be ideal for those patients with well-shaped natural breasts who desire a straightforward enlargement in all dimensions but specially in the upper pole.

Use of the teardrop (anatomical (teardrop)) shape depends on the patient’s desire, as well as her breast shape. In general, there are two groups of women who elect teardrop-shaped breast implants. It can be a suitable choice for women who have mild ptosis and/or tuberous breasts. Mild elevation of the nipple in relation to the breast mound can be achieved without the need for extra scars on the actual breast (unlike breast mastopexy scars). In these cases, the implants may be inserted in a subglandular or subfascial pocket (under the breast tissue) or Dual Plane Submuscular Pocket.

In moderate to severe cases, breast mastopexy must be performed at the same time as breast augmentation mammoplasty in order to alter aesthetic shape. Please read the section on this website on Breast Lift (mastopexy) procedures if you suffer from breast ptosis. Patients that undergo a Breast Lift (mastopexy) and go to a surgeon that uses large Implants instead of performing mastopexy surgery will end up with enlarged and lax breasts that may cause a lot of neck and back pain.

Secondly, some patients specifically want less fullness in the upper quadrant. Teardrop breast implants offer a gentle slope in the upper pole region.

Breast implant size is one of the most important decisions in breast implant surgery. Because of this, your surgeon will take several approaches to help the patient make the best decision based on their anatomy, personal preferences and the appearance they wish to achieve. In general, breast augmentation mammoplasty should be in proportion or slightly out of proportion to the woman’s overall body shape.

In a recent survey, over 50% of patients undergoing breast augmentation mammoplasty stated an average to full C-cup was their desired postoperative goal. D-cup was the second most popular request at 35%. Small C-cup is the third most common followed by full-D and Double D cups.

The final size of breast implants is a complex function of the elasticity of a patient’s skin envelope, chest wall diameter and implant dimensions but most importantly preexisting breast volume.

For these reasons, Dr Tavakoli always begins by showing the patient numerous photos of actual patients who have had breast augmentation mammoplasty surgery – before and after breast implants photos. By finding someone who has a similar preoperative appearance and evaluating their results with the size of implant they chose, the patient can then get an idea of her own final result and increase or decrease the implant size according to her wishes.

Dr Tavakoli will also measure the patient’s breast and chest shape, paying particular attention to the base and projection of the breasts. This gives me an idea of what size breast augmentation mammoplasty will help achieve the patient’s desired size postoperatively.

As breast size increases, so does the diameter of the breast implants. In most cases, there is an implant that will be a suitable match for the diameter of the patient’s natural breast tissue, and I find this is a good starting point for discussion.

Choosing breast implants smaller than the patient’s natural breast shape will not provide the proper cleavage and shape following the procedure. Similarly, choosing breast implants too large for the patient’s natural chest shape is more likely to give an unnatural appearance. It is noteworthy that very large implants can create more issues and future complications such as stretch marks, implant migration and symmastia.

Unfortunately, breast implants do not come in cup sizes. Rather, they are categorized by the volume of gel that they are designed to hold. There are several reasons for this. First, the final cup size will be partially determined by the preoperative breast size, and every patient is different in this regard. Second, a C-cup from one bra manufacturer is not necessarily the same as a C-cup from another manufacturer.

Although every woman is built differently and bras are not manufactured to a set standard, it can be expected that a B-cup implant size is approximately 250g (cc) and a C-cup is 330cc in a woman of average height and average build. That number will be higher if the woman is tall or has broad shoulders. Similarly, if the patient is shorter than average or has a narrower chest, that number can be expected to be slightly lower. Although a desire for a certain cup size is helpful in guiding the patient in the selection of the proper breast implants, I find it is more helpful to focus on the desired shape and appearance that patient wishes to achieve.

The next consideration is where to place the breast implant – on top of or behind the muscle. In general, I prefer to place breast implants behind the muscle so that they are partially covered. I find the pectoralis muscle allows a smooth takeoff from the chest wall. If put directly on top of the muscle, the breasts can look like rounded balls on the chest which is a definite give-away. It is also my opinion that placing the implant under the muscle will, in the long run, have an impact on breast laxity. Also for older women that need breast cancer screening, it seems that behind the muscle placement is superior from a mammogram and ultrasound imaging point of view. A further advantage of the submuscular pocket is a lower rate of capsular contracture.

But it is not all perfect with the submuscular placement of implants. The negatives of the submuscular pocket is that it may create “winking” or animation and flexing of the pectoralis muscle.

In women with mild ptotic breasts, I use the dual-pocket technique of dissecting both on top of and underneath the pectoral muscle (50% over and 50% under the muscle), but inserting the breast implant behind the muscle.

In rare cases of moderate ptotic breasts where the patient does not wish to undergo a breast lift (mastopexy) procedure for fear of scaring, I will consider placement of the implant on top of the muscle. This pocket is referred to in the plastic surgery literature as subglandular or subfascial .

Generally speaking, it displays excellent short-term benefits but in my opinion far less long-term advantages compared to the submuscular or subpectoral pocket placement. Having said this please note that most types of constricted or Tuberous breast corrections are done with implants in the Subglandular or Subfascial pocket as the risks of “Double-Bubble” is considerably higher in Tuberous breasts.

This issue of different coatings is controversial. Implant surfaces can generally be Smooth, Textured or Polyurethane. The reason for the differing implant surfaces is one day there can be the “perfect” implant with a low capsular contracture rate and yet feels very soft and natural. No matter what the coating on the outside of the implants is, the inside material of all the implants are still silicone gel or Saline (salt water). The research in implant technology is ongoing and new advances are continuously emerging.

Smooth implants generally gives a softer feel in many cases, particularly in thinner patients, but the downside is that the patient needs to massage the implants for at least 6 months to help prevent capsular hardening. The rate of hardening with smooth implants is 10-15%. Please note that implant migration is also higher with smooth implants.

Microtextured mentor implants are available in smooth and teardrop shapes. The microtexturing allows tissue integration, to keep the implant in position avoiding rotation and displacement. My recommendation based on 10,000 implant cases is to use textured implants in most patients and especially for extremely fit athletic girls who may shift the implant pocket due to overexertion. They are very reliable and have been used under TGA approval for 30 years and represent in my opinion the lowest re-operation rate. Textured implants also have a much lower rate of capsular contracture than smooth implants.

Generally speaking, textured or rough surface implants are said to reduce the rate of capsular hardening or contracture and have a lower rate of pocket migration, but they are also known to create more wrinkling or rippling issues later on in particular if patients lose a lot of weight. This wrinkling is normally felt in the lower edge of the breast where the implant is closest to the skin surface. My recommendation based on 10,000 Implant cases is to use textured implants in most patients and especially for extremely fit athletic girls who may shift the implant pocket due to overexertion. They are very reliable and have been around for 30 years and represent in my opinion the lowest re-operation rate. Textured implants also have a much lower rate of capsular contracture than smooth implants. Going forward polyurethane coated implants are a viable alternative to textured implants but the plastic surgery fraternity needs more time in order to fully study and understand them. Just remember that heavy marketing push and chit chat on the blogosphere cannot replace experience and clinical trials.

I do not believe any surgeon can use just one type of implant material. An experienced surgeon will not only use all different types of breast implants depending on the patient requirements but will also not commit to one implant manufacturer.

I almost always use the cohesive silicone implants and rarely the saline-filled breast implants. The new generation silicone-gel breast implant is very reliable and generally feels and looks more like a natural breast.

Most breast augmentation mammoplasty operations in Australia are performed with silicone-gel breast implants (98%). In December 2006, the United States Food and Drug Administration approved the use of gel implants in the US market. The decision was based on a great amount of scientific research into the reliability of silicone implants. As a result the use of gel implants worldwide is 90%.

The gel usually comes in low and high cohesiveness (soft touch or firm touch), and you should ask your plastic surgeon for different samples at the time of the consultation so that you can make the most informed choice possible. Generally speaking the firmer gel implants are form responsive like the gel found in the tear-drop implants. The round implants can be soft (80% fill) or firm (100% fill) depending on the manufacturer.

Saline implants were popular in the 1990s as they were made from salt water and they promised to revolutionise breast augmentation mammoplasty surgery. However because of the fact that they felt very unnatural to touch, rippled heavily as water has a different density to breast tissue and they almost all ruptured needing replacement at the seven year mark the saline implants are no longer used except by a few older surgeons.

Breast augmentation mammoplasty surgery recovery is a simple process. After the breast augmentation mammoplasty with implants, there will be mild discomfort and swelling. Your new breasts will gradually feel less swollen as your breast tissue heals.

The swelling usually settles in about two to three weeks. Sometimes swelling may be slightly different between the two sides. This is normal and settles with time. However if a great difference develops between the two sides then you must contact us for advice.

Following a breast augmentation mammoplasty, the breasts may appear to be placed quite high up. This is also normal. During the first two months postoperatively the breast implants will gradually lower and settle from the effects of gravity. Do not be alarmed if one side settles quicker than the other, as this sometimes occurs.

There will be a small but well-concealed scar under each breast. Over time, the scar will fade and blend with your skin tone as the stitches dissolve.

Following the operation you will have a light dressing in place which will need to be kept dry until your follow-up appointment. At this time the surgical wounds are inspected and lightly cleaned. Always remember to read and follow the postoperative instructions that will be given to you by your surgeon.

You will be asked to rest and tone down your activities for at least five to seven days. This will give time for your body to recover and heal the breast tissue and chest muscle.

You should plan to avoid activities which require much raising of the arms above the level of the head for 10 days after surgery. With great care, you can drive about 10 days after surgery. Patients can usually return to work in seven days unless their occupation requires particularly strenuous movements and lifting. In such cases, two to three weeks should be allowed.

• Neck and arm stretches may begin immediately
• Walking can commence within seven days
• Light jogging within three weeks
• Gym and Pilates after four to six weeks
• Upper body weights six to nine weeks
• Contact sports / Martial arts/ Boxing / Soccer after 12 weeks