I have more than twenty years’ experience of Breast Augmentation, in NZ, Britain and Canada. Over that period of time I have seen the development of breast implants from the original thin walled Dow Corning implants – which caused many post-operative complications – to the modern cohesive gel implants, which are thick walled and textured, the so called gummy bear.
These implants available from a number of reputable sources are much safer, and less likely to cause problems. Over that period of time I have become firmly convinced that the huge majority of patients are best treated with sub mammary placement of implant – in front of the muscle – approaching through an infra mammary incision which is easily hidden under a bra.
This approach produces little post-operative pain, and results in a pleasing post-operative appearance.
The incidence of capsular contracture which is the body’s vigorous response to the presence of an implant and can result in distortion of shape of the implanted breast is, in our experience, less than 5% - comparable to under muscle placement.
We see patients for one or two consultations preoperatively, to discuss the procedure in detail, point out the benefits and risks, and decide upon implant size.
Suitable candidates are in two groups. Those who do not have much breast development, or feel themselves to be small and those who have lost breast mass, as a result of breast feeding, weight loss or ageing.
Sometimes those who have marked droop of the breasts are suitable, but generally require a Mastopexy or breast lift operation. People with very little breast tissue – fat grafting to enhance your natural breast tissue may be desirable.
Surgery is carried out as a day stay under light general anaesthesia; and takes less than two hours.
Immediate post-operative complications like bleeding or infections are rare – occurs in less than 1% of patients.
An overnight stay in our onsite boutique hospital is an option.
Recovery is straight forward, there is little post-operative pain, and it’s controllable with Panadol and anti-inflammatories.
A support bra is worn for six weeks and heavy upper body exercise is to be avoided for six weeks.
Many people are able to return to work within a day or two.
We provide 24/7 post op on call and post-operative care indefinitely.
We will review you several times in the immediate post-operative period, and then every few months for at least 1 year.