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Hobart Breast Aesthetics

Cosmetic surgery is both a physical and emotional journey and we will guide you through both. Cosmetic surgery can make a powerful positive change in your life and we strive to make you satisfied.  On average patients have been considering seeing a Specialist Plastic & Reconstructive Surgeon for 10 years prior to their first cosmetic consultation.

We understand you are taking a big leap of faith and we don’t make any judgements about your personal aims.  We commit to being honest and realistic about what surgery can achieve and what it cannot.

We encourage you to have good support systems in place and to develop the ability to tolerate the imperfections that can occur with surgery.  We work closely with our Psychologist colleagues to prepare you for surgery and to recover afterwards.

Services

What is the operation?

Nipple asymmetry may be corrected with a small skin or areola excision.  Breast asymmetry in volume may require either a differential augmentation (if increased volume is required), or breast reduction (if a smaller volume is required).

What are the main body concerns it helps to improve?
  • nipple/ areola asymmetry
  • breast volume asymmetry
What is involved?
  • nipple/areola correction – day surgery
  • breast implants/ reduction – see relevant section

For more information click here

What is the operation?

The insertion of breast implants usually under the pectoralis major muscle via an incision in the lower breast fold (IMF).

What are the main body concerns it helps to improve?
  • congenital – small breasts
  • deflation post breastfeeding
What is involved?
  • 2-hour operation
  • overnight stay in hospital
  • 6 weeks in a supportive bra with activity restrictions
  • annual surgical review for the life of the implants
  • most breast implants require revision surgery within 10-15 years

For more information click here or to watch a video click here

What is the operation?

Removal of breast implants via an IMF incision.  If there is no capsular contracture there is potentially no need for a partial capsulectomy.

What are the main body concerns it helps to improve?
  • problems with implants eg capsular contracture or rupture
  • concerns about Breast Implant Illness (BII) or Anaplastic Large Cell Lymphoma (ALCL)
What is involved?
  • capsulotomy via an IMF incision – 1-hour operation
    • day surgery
  • total capsulectomy for ALCL or BII
    • overnight stay in hospital (potentially longer)
    • drains inserted
  • The only medical indication for total capsulectomy is for ALCL. A total capsulectomy is more painful and has a higher risk of bleeding than simply removing the implants via a capsulotomy.
  • Breasts will appear deflated and ptotic (droopy) once the breast implants are removed. A mastopexy may be required to address this.
What is the operation?

The removal of breast implants and replacement with new ones.  These may be in the same plane (under the muscle), or a different plane.  Depending on the reason for revision surgery, at least half the breast implant capsule is removed (partial capsulectomy).

What are the main body concerns it helps to improve?
  • asymmetry
  • capsular contracture (implants become tight, distorted, and potentially painful)
What is involved?
  • 2-3-hour operation
  • overnight stay in hospital
  • may require drains
  • 6-weeks in a supportive bra with activity restrictions
  • annual surgical review for the life of the implants
  • most breast implants require revision surgery within 10-15 years
What is the operation?

An operation to lift the nipple and breast to a more youthful position.  The breast volume does not change.

What are the main body concerns it helps to improve?
  • nipple ptosis
  • breast ptosis (droopy breasts)
What is involved?
  • 1-2 hour operation
  • day surgery
  • 6-weeks in a supportive bra with activity restrictions

For more information on a breast lift click here, or to watch a video click here

For more information on a breast lift with implants click here, or to watch a video click here

What is the operation?

Removal of part of the breast gland, preserving the nipple and areola.

What are the main body concerns it helps to improve?
  • neck pain and back pain
  • shoulder grooving
  • intertrigo (rashes under the breast fold)
What is involved?
  • 2-hour operation
  • overnight stay
  • 6-weeks in a supportive bra with activity restrictions

For more information click here or to watch a video click here

What is the operation?

Liposuction of fat from an area of fat excess eg abdomen or outer thighs.  The fat is processed and injected to add volume to the breasts.

What are the main body concerns it helps to improve?
  • breast contour irregularities eg after breast surgery
  • to increase breast volume in specific areas eg cleavage
  • It is difficult and unreliable to enlarge the whole breast with fat grafting alone
  • Successful fat grafting is permanent. However, the proportion of fat that survives in the new location varies between patients and is unpredictable.
What is involved?
  • 1-hour operation
  • day surgery
  • activity restrictions 1-2 weeks
What is it?

Males develop persistent breast tissue.

What is the operation?

Liposuction or direct excision of breast tissue, preserving the nipple and skin.

What are the main body concerns it helps to improve?
  • create a more masculine chest contour
What is involved?
  • 1-2-hour operation
  • day surgery
  • 6-weeks in a compression garment with activity restrictions

For more information click here or to watch a video here

What is it?

A congenital abnormality of breast development.  There is a constricting ring of tissue causing the breast shape and areola to be distorted.

What is the operation?

The constricting tissue needs to be released.  In addition, the prominent areola may need to be reduced and commonly breast volume requires augmentation with breast implants.

What are the main body concerns it helps to improve?
  • abnormal breast shape (pointy instead of round)
  • prominent large areola
What is involved?
  • 2-3 hour operation
  • overnight stay in hospital
  • 6-weeks in a supportive bra with activity restrictions
  • annual surgical review for the life of the implants
  • most breast implants require revision surgery within 10-15 years

The clinic was created in 2019 to provide a service for all patients with concerns about their existing breast implants and the potential risk of breast implant associated Anaplastic Large Cell Lymphoma (BIA-ALCL)

What is breast implant associated Anaplastic Large Cell Lymphoma (BIA-ALCL)?

BIA-ALCL is a form of non-Hodgkin Lymphoma specifically occurring in the breast in the presence of breast implants. Non-Hodgkin lymphoma is a cancer of the lymphatic system.  The cause of BIA-ALCL is unknown but is thought to be related to textured breast implants and bacterial contamination.  Prior to 2019 approximately 85% of breast implants used in Australia were textured. The risk in these patients is between 1:2,500 and 1:25,000. Most cases occur between three and 14 years after insertion of the implant.

What are the signs of BIA-ALCL?

If you have new swelling in the breast (caused by fluid build-up around the implant), a lump in the breast or the armpit, you require review by a Specialist Plastic and Reconstructive Surgeon.

How will I be investigated if I have these symptoms?

If there is a concern about a build-up of fluid around the implant an US will be requested. Fluid will be sent for laboratory analysis. Most fluid collections are not due to BIA-ALCL. Further tests might include an MRI.

How will I be treated if I have BIA-ALCL?

Care is provided by a multi-disciplinary team including an Oncologist, a Haematologist, and a Plastic and Reconstructive Surgeon. In 80% of cases the disease is identified at an early stage and removal of the breast implant and surrounding capsule is curative.

Should I have my implants removed if I have no symptoms?

BIA-ALCL is rare and it is not recommended to remove your breast implants if you have no symptoms and no fluid around the implant. Even if your implants are no longer available in Australia it is safe to avoid surgery in the absence of symptoms and fluid around the implant.

Are textured breast implants safe to use now?

In 2019 the Therapeutic Goods Administration (TGA) removed from sale the textured implants styles (from multiple brands), that had the highest risk of BIA-ALCL. Textured breast implants with lower risk remain available for use and smooth and nano-textured implants are also available.

What follow-up is required after breast implant surgery?

The Australian Society of Plastic Surgeons recommends that all patients with breast implants have an annual check-up with a Specialist Plastic and Reconstructive Surgeon even if they do not have any symptoms.

For more information:

https://www.tga.gov.au/breast-implant-associated-cancer-or-bia-alcl

Dr Cameron Keating (MED0001202462) Registered Medical Practitioner, Specialist Plastic Surgeon (Specialist Registration in Surgery – Plastic Surgery). Provider Number: 262586VB
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