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Augmentation Mammoplasty – Breast Enlargement

augmentationBreast Augmentation, technically known as augmentation mammoplasty, commonly called breast enlargement, or “boob job” in Australia, is a surgical procedure performed to create larger breasts.

Breast implants and breast surgery in general have been around for a very long time (we’re taking 50 years!). In the past 10 years, the good old “boob job” has become more common than any other cosmetic procedure. Guaranteed you will know many women who have a breast implants inserted.

Even though this is common-place, there are a few common misconceptions about breast enlargement that should be discussed before you look any further;

  • Breast implants do not lift breast tissue and therefore do not avoid the need for breast lift surgery (mastopexy). The only exception is if you have very little breast tissue. See the Mastopexy section of our website if you have a low nipple position or sagging breasts.
  • Breast implants will not change the shape of your breasts. By using the very best implants available, we can give you the most natural look possible. However you will always have your unique breast shape.
  • Breast implant will not change the position of your breasts. If your breasts are wide set, they will always be wide-set. If your nipples point in different directions, they will always do this. Implants only make your breasts larger.

Therefore if you are happy with your breasts and you just want them to be bigger, then breast augmentation is perfect for you!

Breast Implant/ Breast Augmentation Photos:

We’ve tried to address all of the concerns and questions that you may have before embarking on the road to making appointments for breast implant surgery, in this website.

We understand that information is one thing, but results speaker louder than words.

That is why we have included LOADS of PHOTOS of Dr McGovern’s breast augmentation results, not just one or two.

Any doctor can have a couple of good results. You want to feel confidant knowing that the surgeon you choose, has loads and loads of consistently excellent results.

We have tried to include photos of women of all ages, nationality, shapes and sizes, so you get a good indication of the excellent work that Dr McGovern does.

How old do I have to be to have breast enlargement?

Queensland law actually prevents us from doing cosmetic surgery on a minor (under 18 years in Queensland).
Regardless, there is no reason to do this surgery on a minor.

Once you have turned 18, it is your decision what you do with your body.

Some people will say that you still have developing to do at 18 years of age, but that is quite untrue.

Should I wait until after I’ve had kids to have my breasts enlarged?

If you are thinking of having kids in the next year, absolutely await.

If however, kids are planned for a few years’ time, why wait?

Pregnancy and breast feeding take their toll on breasts and can cause sagging and all sorts of other problems. The fact that you have breast implants during pregnancy and breast feeding is not going to increase, or decrease your risk of these problems.

Having breast implants does not interfere at all with breast feeding. The implants are well behind the milk ducts etc.

Actual patientMy breasts are different sizes ..

Many women actually have asymmetric breasts – which means that one breast is larger or smaller than the other.
When your breasts are very small, this may not be obvious, and many females have not noticed this difference until it has seen pointed out to them by a qualified surgeon.

Most doctors ignore this fact, as they figure you have had it all your life.

Dr McGovern does not! He places almost as many asymmetric breast implants as he does symmetrical breast implants.
The reason for this being – as your breast size increases, so does the fact that your breasts are different sizes.
By places different sized implants, or different height or projection, he can get you much more symmetric than you would have been.

If your breasts are considerably asymmetric – eg an A cup on one side and a C cup on the other, you may require a lift or reduction on one side and an implant on the other.

As we are dealing with humans, we know that no-one is perfect or completely even on both sides.

However Dr McGovern does a lot of surgery to correct asymmetric breasts.

Are all implants the same?

The answer is no. Like everything in life- you get what you pay for.

If you don’t have a lot of money, its fine to buy a cheap pair of shoes for example, until you can afford something better. When you’re implanting something into your body, this is NOT the time to scrimp!

This is when you really want to go out of your way to pay for the best.

If you can’t afford the best, then it is in your best interest to wait until you can.

Cheap breast implants are more likely to have problems occur and give an unnatural result.

What do I need to know about breast implants?

It is in your best interest to understand about the many types of implants available these days. What’s good and why. What’s not and why – don’t just believe what some Joe tells you!

We provide an hour long, free consultation with our nurse educator.

She will take you through all the implants available today- you can see them and feel them and ask all the questions you want. From here, you can make an informed decision about exactly what type of implant you want implanted into your body.

What should I look for in a breast implant ?

For a natural result, you need a tear-drop implant, or one that mimics that natural shape of the breast.

You want a cohesive gel implant for longevity and reduced risk of leakage

You want a reputable brand, not a “made in China” version

What should I look for in a surgeon?

Firstly, that they are a qualified surgeon!

You would assume that to call yourself a surgeon or say that you “specialise in cosmetic/ breast surgery” , that you would be qualified. Unfortunately not so in Australia!

Look for the initials FRACS (Fellow of the Royal Australian College of Surgeons) behind their name. This is the only surgical qualification recognised in Australia.

Look for someone that doesn’t travel – if you are a great surgeon, people come to you and you don’t need to move from town to town! This also means that they are there for you after surgery- always.

Ask your GP for recommendations. Not just what they have heard, but the results they have seen.

Are there many problems with breast implant surgery?

If performed by a qualified surgeon in a hospital or day surgery’s operating theatre, with your anaesthetic performed by a qualified anaesthetist – then the answer is “No”.

Unfortunately, many people doing these procedures and claiming to be qualified, simply are NOT! This is where we see the many problems that can occur and read about them in the news.

Don’t become a statistic – do your research and chose qualifications over price.

We hope the above has helped you understand breast implants and breast augmentation a little better.

We encourage you to take advantage of our complimentary consultation with our nurse educator. This appointment is an hour in duration and well worth the time invested. You will know absolutely everything about breast implants and breast augmentation surgery.

Just call us on our free-call 18000 80001 or 54792922.

In your initial consultation, Dr McGovern will evaluate your health and explain which surgical techniques are most appropriate for you, based on the condition of your breasts and skin tone. If your breasts are sagging, he may also recommend a breast lift.(For more information on this procedure, click Breast Lift or Mastopexy).

Dr McGovern will give you instructions to prepare for surgery, including guidelines on eating and drinking, smoking and taking or avoiding certain vitamins and medications. While making preparations, be sure to arrange for someone to drive you home after your surgery and to help you out for a few days, if needed.

Dr McGovern performs breast augmentation in a dedicated operating theatre at the Sunshine Coast Day Surgery at Maroochydore.  Most ladies choose day surgery. Occasionally, those with little support or little children at home choose to stay a day or two, in this case, the procedure will be performed at the Sunshine Coast Private Hospital located in Buderim.

Breast augmentation is usually performed under general anesthesia, so you’ll sleep through the entire operation. Some surgeons may use local anesthesia, combined with a sedative, to make you drowsy. However significant discomfort during the procedure is then frequent. Dr McGovern’s anaesthetist will recommend general anaesthesia for this procedure for your comfort.

cnv00039The method of inserting and positioning your implant will depend on your anatomy and Dr McGovern’s recommendation as well as your own preferences. The incision can be made either just above the crease where the breast meets the chest or around the areola (the dark skin surrounding the nipple). Armpit and belly-button incisions carry additional risks, generally give an unsatisfactory and poorly controlled position to the breast implant, and are not recommended.

Every effort will be made to ensure that the incision is placed so resulting scars will be as inconspicuous as possible. Working through the incision, Dr McGovern will lift your breast tissue and skin to create a pocket, either directly behind the breast tissue or more commonly underneath your chest wall muscle (the pectoral muscle).

Putting the implants behind your chest muscle may reduce the potential for capsular contracture.

The implants are then centered beneath your nipples. To ensure accurate placement of implants and symmetry we will be sitting you up and adjusting implant position whilst you are under the anaesthetic. This is not commonly done by other surgeon’s as it adds considerable time to the operation, but Dr McGovern is meticulous, and wants your breast implant position to be exact.

Subpectoral implant placement may also interfere less with breast examination by mammogram than if the implant is placed directly behind the breast tissue. Placement behind the muscle however, may be more painful for a few days after surgery than placement directly under the breast tissue.

The surgery usually takes approximately one hour to complete. Absorbable stitches are used to close the incisions, which will also be taped for greater support. These modalities ensure your scar will be fine.

Breast Anatomy - Submuscular

Breast Anatomy – Submuscular

Breast Anatomy - Subglandular

Breast Anatomy – Subglandular

Breast Anatomy - Dual Plane

Breast Anatomy – Dual Plane

Natrelle-smallYou’re likely to feel tired and sore for a few days following your surgery, but you’ll be up and about in 24 to 48 hours. Most of your discomfort can be controlled by medication prescribed by your surgeon.

You may also experience a burning sensation in your nipples for about two weeks, but this will subside as bruising fades. Your stitches will not need removal, as they are placed under the skin and will dissolve in time. Swelling in your breasts may take three to five weeks to disappear. You should not have new bras fitted or wear any bra for 6 weeks after surgery.

You should be able to return to work within a few days to a week after surgery, depending on the activity level required for your job. Follow your surgeon’s advice on when to begin exercises and normal activities. Your pectoral muscles will be sore when you contract or stretch them, for about one month. Your breasts will be sensitive to direct stimulation for two to three weeks, so you should avoid firm physical contact.

After that, breast contact is fine once your breasts are no longer tender, usually three to four weeks after surgery. Your scars will be firm and pink for at least six weeks. After several months, your scars will begin to fade, although they will never disappear completely.

Routine mammograms should be continued after breast augmentation for women who are in the appropriate age groups, although the mammographic technician should use a special technique to assure that you get a reliable reading, as discussed earlier. (See All surgery carries some uncertainty and risk.). You must inform the technician that you have breast implants before your mammogram.

For many women, the result of breast augmentation can be satisfying, even exhilarating, as they learn to appreciate their fuller appearance. Your decision to have breast augmentation is a highly personal one that not everyone will understand. The important thing is how you feel about it. If you’ve met your goals, then your surgery is a success.

If you have further questions, write them down and ask Dr McGovern and his friendly staff at your consultation.

If you have a problem of hardening around your breast implant, this is called capsular contracture. We hope you find the following information helpful.

What is capsular contracture?

  • When anything foreign is implanted into the body (whether deliberately or otherwise), scar tissue will form around this foreign object. This scar tissue, or capsule, is formed by your body as a protective measure.
  • When we place a breast implant, the body’s natural reaction is to form this capsule, or scar tissue around it. So every implant has a level of capsular contracture which is considered normal
  • In some instances, and for reasons that no one truly understands, occasionally this capsule can contract and become hard.
  • If left for many years this contracture can actually involve breast tissue and the breast may become very firm and painful.
  • Capsular contracture used to be the most common complication of breast augmentation surgery, but with new technology and textured implant surfaces, this has reduced the number of problems occurring.
  • In the past rates of capsular contracture have been quite high (up to 60% with older smooth shelled implants). But with the advent of more sophisticated textured outer shell, this rate has reduced to almost nothing (1 – 1.7% shown in most studies )
  • Capsular contracture can happen at any time, but seems to be more common in the first few months after surgery.
  • Dr McGovern likes to follow you up at around 3 – 4 months following breast implant surgery to check that you’re healing well, without problems of capsular contracture.
  • If there seemed to be a problem of capsular contracture at this early stage, we can instigate a regime of massage to prevent the problem becoming long-term.
  • These follow up visits are free of charge to you.

What causes capsular contracture?

Currently, the exact causes for capsule contracture are still unclear. The following are thought to put you at greater risk for developing capsule contracture:

  1. Transient germ contamination.
    Bacterial contamination of the implant shell can cause an inflammatory reaction which in turn leads to the capsule shrinking.
  1. Placement of the implant in front of the pectoral muscle.
    There seems to be a higher rate of a hardened capsule forming if the implant is placed on top of the pectoral muscle rather than underneath it. This could be because the implant has more space to move when placed on top of the muscle and therefore the body tightens the capsule surrounding it to prevent this movement.
  1. Seroma or hematoma following surgery
    It seems that a capsule is likely to form if you have suffered a post-surgery seroma (build-up of fluid around the implant) or hematoma (build-up of blood around the implant).
  1. Smoking..

We know that smoking causes delayed healing. Nicotine is a vaso-constrictor, which means it causes the vessels to contract and restricts blood flow. Reduced blood flow to a healing wound results in a slower healing process and in some cases, the death of the tissue. If this occurs where an implant has been placed, it very well may result in more scar tissue forming than normal, and a problematic capsular contracture.

What is the Baker Grading system?

You may hear Dr McGovern talking to you about the Baker grading of your capsular contracture. Here is how the grading system works.

Baker Grade I: The breasts are normally soft and natural looking as a normal capsule has formed around the implant. This is considered normal.

Baker Grade II: The breasts are firm but appear natural looking. This is considered normal after breast augmentation

Baker Grade III: The breasts are firm and now beginning to distort in shape.

Baker Grade IV: The breasts are now very hard to the touch and appear much distorted. One breast may be contracted either higher or lower than the other causing obvious asymmetry. There may be pain and discomfort associated with this degree of contracture.

Some women, regardless of what type of implant is used, have a predisposition to producing a contracted capsule, for reasons that no one can tell. If a problem of capsular contracture occurs and requires removal of the implant.

If you have any problems with hardening of your implants, please call and we will make an appointment for a complimentary consultation with one of our nurses.