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.
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).
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The insertion of breast implants usually under the pectoralis major muscle via an incision in the lower breast fold (IMF).
Removal of breast implants via an IMF incision. If there is no capsular contracture there is potentially no need for a partial capsulectomy.
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).
An operation to lift the nipple and breast to a more youthful position. The breast volume does not change.
Removal of part of the breast gland, preserving the nipple and areola.
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.
Males develop persistent breast tissue.
Liposuction or direct excision of breast tissue, preserving the nipple and skin.
A congenital abnormality of breast development. There is a constricting ring of tissue causing the breast shape and areola to be distorted.
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.
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)
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.
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.
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.
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.
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.
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.
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.