Breast Implants Wollongong
A breast implant is a prosthesis used to change the size, shape, and contour of a person’s breast.
Understanding your needs
In reconstructive plastic surgery, breast implants can be placed to restore a natural looking breast following a mastectomy or to correct congenital defects and deformities of the chest wall.
Ignite Medispa has a highly qualified team of Doctors and Practitioners that are experts in their respective fields. Be confident knowing that our doctors are experts in breast implant procedures.
With years of experience, our doctors understand that your needs always come first. This is why we work with you to achieve your desired outcome but also help you understand everything involved with your procedure.
Understanding Breast Implant Surgery
The procedure involves implants being inserted beneath the breasts to enlarge them. The implant type and size depends on factors such as how much bigger you want your breasts to be, your breast anatomy, your body type and skin thickness and elasticity.
Dr Niro Sivathasan, Australia’s Leading Breast Implant Surgeon
3 Things you must know about Breast Implants
Do you recommend round or anatomical shape (“teardrop”) breast implants?
Firstly, there is no ‘standard’ specification or recommendation since there is never a one size fits all approach. Your first consultation with one of our breast implant surgeons will cover what shape will be best to achieve your desired outcome.
Secondly, breasts are round and only appear to look like a water droplet when the patient stands up.
The considerations between the two options will be affected by:
- Body shape
- Soft tissue – skin, fat, and glandular mammary tissue
- The preferred aesthetic outcome
- The patient’s lifestyle
In most cases, our leading breast surgeon, Dr Niro Sivathasan, prefers round implants for many reasons. This includes the risk of flipping or rotation and affecting the area above the nipple (upper-pole fullness). Published literature (scientific evaluation) and consensus amongst surgeons, also suggests a much stronger preference towards round implants.
Generally speaking, an exception for round implants may be made for very tall women with a narrow build. In this case, we may agree to use a teardrop-shaped implant to achieve your ideal shape.
RIPPLING OF BREAST IMPLANTS
There are many reasons why implants may ripple. It is important to note that the rippling is much more likely to be visible in very thin patients, i.e. where there isn’t enough overlying soft tissue (fat and skin), and also in those who have breast implants that are placed in front of the main chest muscle (known as antepectoral or retroglandular placement).
Saline-filled implants are known to be the worst when it comes to the risk of rippling. Firmer (more cohesive), highly filled, silicone implants are much less likely to suffer from rippling.
All breast implants develop a capsule (the scar tissue that forms all the way around); but, if that capsule contracts (tightens), then the implant shall be deformed. Hence, early stages of capsular contracture present as rippling, and there doesn’t have to be any discomfort or pain associated with this.
There are various options that may be considered to address this deformity. The first stage frequently necessitates getting an MRI scan (far better than an ultrasound scan). The surgeon shall then guide, as appropriate; for example, the use of fat grafting (lipotransfer) to mask the rippling. Some doctors recommend a change of implants; however, be aware that if a lady has capsular contracture with one set of implants, then replaced with another set shall have a higher risk of capsular contracture than baseline risk.
BREAST IMPLANTS AND SAFETY
Breast implants are the most studied medical device in the world and have been in use for around 50 years. They vary in terms of dimensions, fill (saline or silicone), shape, and surface coating.
As for medical devices, and as with all medical procedures, there are risks. The aim is to avoid the need for additional operations and to mitigate against other potential complications. Accordingly, Dr Niro has always been very particular about ensuring that breast augmentation procedures are undertaken with an anaesthetist and in an accredited surgical facility.
As implants age, the risk of them failing (leaking or rupturing), increases. Whilst breast implants are not lifetime devices, many – including types used at Ignite Medispa – have lifetime guarantees against rupture. It is impossible to predict the life of breast implants in different people, but it is reasonable to say that it is possible to not need subsequent operations to change the implants.
Of late, there has been scientific interest, with the accompanying media hype, around implant-associated non-Hodgkin’s lymphoma (BIA-ALCL = breast implant-associated anaplastic large cell lymphoma). This is not a type of breast cancer; rather, it is a disorder of the immune system. Certain types of breast implant have been more associated with BIA-ALCL, than others, and it is believed that bacterial contamination may increase the likelihood of developing this condition. However, opinions remain varied and there is nothing conclusive at the present juncture.
It is thought that the risk of developing BIA-ALCL is roughly between 1:3,000 and 1:80,000, but it is highly treatable (the mainstay being the removal of the implants). The ‘typical’ presentation is increasing swelling around 8-10 years after receiving heavily textured implants (usually Allergan Biocell implants).
A very small number of women have experienced non-specific health problems after getting breast implants. This has been loosely termed ‘breast implant illness’, but there is no evidence that demonstrates any association between breast implants and their symptoms. Some women elect to remove their breast implants if they are concerned, and whilst this is not unreasonable, it is important to note that there is no known causation the substantiates so-called breast implant illness.
It is important to logically and precisely communicate with your surgeon, both before breast enhancement surgery (for example, to discuss your body’s response to previous surgeries), and afterwards if you are concerned (for example, to discuss how your body is changing around the implants, as you age).
The topic of potential complications is discussed by the surgeons at Ignite Medispa during consultations and thoroughly reinforced during the process of consenting for surgery.
SCARLESS BREAST SURGERY
During recent years, there are many clinics, mainly in America, that offer the promise of scar-free/scarless surgery, esp. incision-less breast lifting. There is ‘no’ such thing, as it is impossible to cut skin and to not have a scar!
The correct terms are minimally visible scars (e.g. due to the size) or hidden scars (e.g. due to the location). Having clarified this point, it is also important to remember that the choice is a procedure that considers a patient’s individual circumstances, is key – the right procedure, for the right patient, at the right time!
Accordingly, for many women, a traditional breast lift operation (mastopexy), which involves a lot of cutting and therefore the potential for scarring and reduced sensation around the breasts, is not preferred. In such circumstances, if the breasts are neither overly saggy nor heavy and if the patient has realistic expectations, then it is possible to undergo a modified liposuction approach to conservatively lift the breasts.
Please note that scars mature over a period of 18 to 24 months, and in most cases, their visibility diminishes during that period. There are techniques which may be employed to minimise the visibility of scarring, and the doctors at Ignite Medispa shall discuss this with you.
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