Breast Augmentation (augmentation mammoplasty) Dr Bernard Beldholm FRACS

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Dr Bernard Beldholm FRACS is a Specialist Surgeon who performs breast augmentation (augmentation mammoplasty) surgery with silicone breast implants for suitable patients at Maitland Private Hospital in the Hunter Valley, NSW.
Dr Bernard at 30 Belmore Rd, Lorn

What is Breast Augmentation (augmentation mammoplasty)?

Breast augmentation (also known as augmentation mammoplasty) is a surgical procedure in which a breast implant is placed either over or under the chest muscle to increase breast volume and change breast shape. It can be performed on one or both breasts.

Key points

  • It is a surgical procedure performed under general anaesthesia.
  • It uses silicone breast implants (augmentation mammoplasty) (or saline implants in select cases).
  • It may be combined with a breast lift (mastopexy) when breast ptosis is present.

Implant Options with Dr Beldholm

Dr Beldholm uses high‑quality silicone implants from reputable manufacturers.

Motiva Breast Implants

Guide to Motiva Breast Implants
Guide to Motiva Breast Implants

Motiva breast implants are a modern generation of silicone gel implants designed with several features that may benefit suitable patients. While no breast implant is risk‑free, Motiva devices incorporate technologies intended to improve softness, durability, and consistency. Key characteristics include:

  • Progressive Gel™ silicone technology designed for a soft, natural feel while maintaining shape
  • SmoothSilk®/SilkSurface® nano‑surface technology created to minimise friction against surrounding breast tissues
  • A wide range of shapes, projections and base widths to better match different chest anatomies
  • Ergonomic implant options intended to adapt more naturally to movement and position changes
  • Enhanced shell elasticity for more controlled implant behaviour under pressure

These features may help some patients achieve breast shape and feel, but outcomes vary significantly between individuals. All silicone implants, including Motiva, carry risks such as capsular contracture, malposition, implant rupture, and the potential need for revision surgery. Choice of implant type, profile and placement is tailored during your consultation based on your anatomy, goals and medical considerations. implants feature:

  • Highly cohesive silicone gel
  • Smooth/nano-textured surfaces
  • Wide range of shapes and profiles

Polytech Silicone Breast Implants

Breast Implant Structure
Breast Implant Structure

Polytech silicone breast implants are considered a reliable, established option and are similar in design philosophy to traditional Mentor-style silicone implants. They are generally viewed as a more cost‑effective implant choice, which can be appealing for patients who want a high‑quality silicone device without the higher price point associated with next‑generation implants such as Motiva.

Polytech implants provide:

  • Multiple shapes and projections
  • Various surface options
  • European‑made silicone technology

While Polytech implants are dependable and widely used, they do not include some of the advanced features found in Motiva implants, such as nano‑surface technology or ergonomic gel behaviour. For patients prioritising lower cost, Polytech may be suitable; however, those seeking the specific benefits offered by Motiva may prefer the latter option. Choice of implant is individualised during consultation based on anatomy, goals, and budget considerations.

Silicone vs Saline

  • Silicone implants: Most commonly used in Australia.
  • Saline implants: Less common but available for specific indications.

Implant Placement: Over, Under or Dual Plane

Over the Muscle

  • Implant sits above pectoral muscle
  • Suits patients with adequate natural tissue coverage

Under the Muscle

  • Implant sits below the pectoral muscle
  • Useful for thin patients or those wanting more upper‑pole coverage

Dual Plane

  • Combines benefits of over and under
  • Commonly used for natural shaping

When is a Breast Lift (Mastopexy) Needed?

Patients with breast ptosis may need a breast lift (mastopexy) either before or in combination with augmentation.

A breast lift (Mastopexy) repositions the nipple and tightens the breast envelope; augmentation adds volume.

How Breast Augmentation (augmentation mammoplasty) Surgery Is Performed

  1. General anaesthesia in an accredited hospital
  2. Inframammary fold incision (most common)
  3. Creation of implant pocket (over, under or dual plane)
  4. Placement of silicone implant (Motiva or Polytech)
  5. Layered closure and dressings

Recovery After Breast Augmentation (augmentation mammoplasty)

Recovery After Breast Augmentation

Immediately After Surgery

  • Recovery room monitoring
  • Surgical bra in place
  • Chest tightness and discomfort expected

First Week

  • Pain medication as prescribed
  • Swelling and bruising common
  • Avoid lifting and strenuous arm movement

Weeks 2–6

  • Gradual return to daily activity
  • Light work may be resumed when comfortable

Long‑Term

  • Implants settle over several months
  • Regular follow‑up at 1, 3, 6, and 12 months

Breast implants are not lifetime devices.

Risks and Complications

All surgery carries risks, including:

  • Bleeding, haematoma
  • Infection or delayed healing
  • Scarring issues
  • Sensation changes
  • Implant malposition
  • Capsular contracture
  • Implant rupture (silicone or saline)
  • Need for further surgery

Implant‑Related Conditions

  • BIA‑ALCL (rare type of lymphoma associated with some textured implants)
  • Breast implant illness (reported symptoms; evidence evolving)
  • Mammography interference (inform radiographer before scans)

How Long Do Implants Last?

There is no guaranteed lifespan. Many patients require revision or replacement within 10–15 years, although some may keep implants longer.

Dr Bernard Beldholm - The Consultation Process

Consultation with Dr Beldholm

A GP referral is required.

During a 1‑hour consultation, Dr Beldholm will:

  • Review medical history
  • Assess breast anatomy
  • Discuss goals and implant options
  • Explain risks, alternatives, recovery
  • Take standardised medical photographs (with consent)

A second consultation is recommended before booking surgery.

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Costs and Quoting

Accurate quotes require in‑person assessment. Costs depend on:

  • Cosmetic vs reconstructive indications
  • Implant choice
  • Surgical time
  • Hospital and anaesthetic fees
  • Medical factors affecting complexity

Cosmetic cases attract GST.

Is Breast Augmentation (augmentation mammoplasty) Right for You?

You may be suitable if you:

  • Want increased breast volume or symmetry
  • Understand risks and long‑term maintenance

You may not be suitable if you have uncontrolled medical issues or unrealistic expectations.

Location

30 Belmore Rd
Lorn NSW 2320

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This website contains adult content. You must be 18 years or over to read. All surgery carries risks. You should seek a second opinion before proceeding. Results vary from patient to patient. See our disclaimer.
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