Breast Augmentation (Augmentation Mammoplasty) with a Specialist Surgeon in Newcastle NSW
Breast augmentation (augmentation mammoplasty) uses breast implants to increase breast size and fullness.
The hardest part of the decision is usually the size and the shape, and what it will actually look like on you. I plan every augmentation mammoplasty around the individual, so before you commit to anything you can see a 3D simulation of a possible result and try different implant sizes for yourself. The implant, its placement and the surgical approach are all matched to your anatomy and your goals.
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What to expect, step by step
1. Consultation
We talk through what you are looking for. I examine your breasts, take measurements, and go through the options that suit you. A GP referral is needed before this appointment.
2. Planning and sizing
You see a 3D simulation and try different implant sizes for yourself, so the size and shape are worked out with you rather than guessed.
3. Surgery
Your operation is carried out at Maitland Private Hospital under general anaesthetic, as a day stay for most patients.
4. Recovery
You go home with clear aftercare instructions and personal support if you need it. I set out the full recovery timeline on the recovery page.
5. Follow-up
I review you over your first year.
Planning your size and shape
Choosing a size is the part most people find hardest, so I spend time on it and give you more than one way to picture things before you decide.
At your consultation I use Crisalix 3D imaging. It takes your measurements and photographs and builds a three-dimensional model of your breasts, so you can see how different implants might look on your own frame rather than on someone else. You can view it from different angles and compare options side by side.
You also try implant sizers for yourself. You place different implants inside a bra and see and feel the difference in the mirror, which connects the numbers to what they actually mean on you.
3D imaging is a visualisation aid used to support discussion during your consultation. It is a general guide only. It does not predict or guarantee your actual surgical result, and results vary between patients. All surgery has complications, get a 2nd opinion
Choosing your implant
No single implant suits everyone, so I choose yours with you at your consultation, based on your measurements, your tissue, and the size and shape you are after.
A few characteristics decide how an implant looks and feels, and we go through each one together:
- Fill. I use cohesive silicone gel implants, which hold their shape.
- Shell surface. Implants have a smooth or a textured shell. I can use both.
- Profile and projection. How far the implant sits out from the chest, which shapes the final look.
- Size. Matched to your frame during sizing, using the 3D imaging and try-on sizers.
Shell surface comes up often because of BIA-ALCL, a rare condition linked mainly to textured implants. The risk is much lower with smooth-surface implants. It is not zero, and I go through what the current evidence means for you at your consultation.
The specific implant is chosen once I have examined you and we have worked through sizing together.
Tailoring the operation
The operation is not one fixed technique. I adjust the approach to suit your anatomy, and this is decided with you once I have assessed you. Three of the main choices are:
Where the implant sits. An implant can be placed under the breast tissue, under the muscle, or in a dual plane that uses both. The right plane depends on your tissue cover, your anatomy and the implant, and I explain which I recommend for you and why.
Extra soft-tissue support. In some cases I use an internal support technique, sometimes called an internal bra, to help hold the implant in position. It uses a mesh or suture support inside the breast. Whether it is needed depends on your tissue, and I use it only where it adds something for you.
Fat injections alongside the implant. In some patients I combine the implant with fat injections, using fat harvested from another area of the body by liposuction (suction-assisted lipectomy). The harvested fat is filtered and prepared for grafting, then injected in the same operation to add soft-tissue cover over the implant, most often along the upper breast and cleavage lines where the implant edge might otherwise be seen or felt. The implant provides the volume; the fat refines the cover over it. A proportion of injected fat is reabsorbed in the months after surgery, and whether this combination adds anything for you depends on your tissue cover, which I assess at consultation.
I go through the approach that suits you at your consultation.
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What’s included
Your surgical fee covers more than the operation on the day.
- Follow-up care through your first year. I review you personally at four weeks, three months, six months and twelve months after surgery, and these visits are part of your surgical fee.
- A day-stay procedure. Most patients go home the same day.
Your surgeon
I have more than 15 years of surgical experience and have completed additional training in cosmetic surgery.
Breast surgery is a core part of my practice, and I am involved in every stage of yours. I carry out your assessment and examination myself, I take the measurements, and I plan the operation with you at consultation. On the day, I perform your surgery. No part of your operation is delegated to another doctor.
I operate at Maitland Private Hospital, an accredited private hospital in the Hunter Valley with an intensive care unit on site. My consulting rooms are in Lorn, and the same team you meet at consultation looks after you through your recovery.
After surgery, my nurse and I share your follow-up, with reviews two to three times a week for the first two weeks, then milestone reviews at four weeks, three months, six months and twelve months. Your GP receives a formal handover at the four-week review and is kept informed throughout. If a concern comes up between visits, you are dealing with people who know your operation, because the surgeon who planned it is the one following your recovery.
Your consultation
Every breast augmentation (augmentation mammoplasty) starts with a consultation, and you need a GP referral before we meet.
At that appointment I examine your breasts, take measurements, go through your medical history, and talk through what you are looking for. From there, I can tell you whether augmentation mammoplasty is a reasonable option for you, and what it would and would not do.
Results vary from one person to the next. Your anatomy, your tissue and how you heal all affect the outcome, so I assess suitability individually rather than promising a set result.
If you are planning a family, a later pregnancy and breastfeeding can change your breasts and affect your result, and augmentation mammoplasty can affect your ability to breastfeed. I go through timing with you at your consultation.