The Package Includes:
| Note: | Add an extra $1,500 + gst for anatomical (tear drop) implants |
| Note: | If you are booked in for a Breast Augmentation consultation could you please bring a white/coloured semi-fitted singlet in to your appointment. |
Dr Tavakoli is widely renowned in Australia for his Breast Enhancement Work. Dr Tavakoli performs the most number of breast implant augmentations in Sydney, NSW. He not only performs on simple breast enlargement cases but also specialises in very difficult droopy and tuberous breasts shapes. Dr Tavakoli also regularly is involved in corrective surgery on "botched boob jobs" from non-surgical practitioners and patients returning from cheap "tourism surgery" countries such as Thailand . Dr Tavakoli has "super-specialised" in plastic surgery of the Breasts. Therefore please be assured in Dr Tavakoli you are dealing with a Cosmetic Plastic Surgeon you can trust with the right experience for your breast implant/ augmentation surgery.
Dr Tavakoli is a Cosmetic Plastic Surgeon with qualifications received from the highest Surgical Colleges (FRACS & ASPS) in Australia. Please be aware that any doctor with basic medical qualifications is allowed to perform Breast Augmentation in Australia. Ensure you choose a Plastic Surgeon for this intricate operation.
Many women considering this type of surgery will no doubt have heard of frightening stories about silicone toxicity or autoimmune/ connective tissue disease, due to gel "bleed" or migration. As a result, breast augmentation has, in the last 13 years, received much unfavourable publicity mainly through the irresponsible actions of the media whereby, regardless of the facts, claims have been made with respect to silicone safety.
Undoubtedly, most of these stories began to attract attention after the American Food and Drug Administration (FDA) in January 1992 imposed a ban on the use of silicone gel breast implants. The FDA concluded, "there was no evidence that silicone gel filled breast implants are unsafe, but there was insufficient evidence to prove safety". All the above was a result of pending law suits against the manufacturers of breast implants from women who had breast implants and were now allegedly suffering from a whole host of symptoms from a disease process arbitrarily termed "silicone related autoimmune disease". In fact a search of court records in America has revealed that no less than 216 separate complaints or symptoms have been filed in association with gel filled devices.
Since this time there has been much activity and debate within the medical community to try to ascertain whether silicone gel breast implants are safe. To this end there have been many numerous statements issued and conclusions deduced. In summary some of these are:
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A general anaesthetic is used when the breast implant is placed under the pectoral muscle. Dr Tavakoli works with a skilful group of anaesthetists that perform both general and "twilight-sedation" anaesthesia. Dr Tavakoli only operates at fully accredited operating facilities where administration of both types of anaesthesia are permitted.
Some surgeons perform breast augmentation surgery in their consulting rooms under so called "twilight-sedation" without having the appropriate license for full general anaesthetic. Beware of clever marketing ploys that promote the use of sedation for breast augmentation surgery. Simply ask your surgeon if the choice of different anaesthesia is available to you.
In addition to general anaesthesia, Dr Tavakoli uses plenty of local anaesthetic around the surgical site in order to make the immediate recovery period very comfortable.
Click here to download Dr Tavakoli's Practical Guide to Breast Augmentation
Click here to download this Breast Implant Booklet (4mbs)
Your breasts will be somewhat swollen and bruised postoperatively. This usually settles in about two to three weeks. Sometimes swelling may be slightly different between the two sides. This is normal and settles with time. However if a great difference develops between the two sides then you must contact us for advice.
Following a Breast Augmentation, the breasts may appear to be placed quite high up. This is also normal. During the first two months postoperatively the breast implants will gradually lower and settle from the effects of gravity into a more natural position. Do not be alarmed if one side settles quicker than the other, as this sometimes occurs.
Following the operation you will have a light dressing in place which will need to be kept dry until your follow-up appointment. At this time the wound inspected and lightly cleaned. There are no stitches to remove, as these are internal and dissolvable. Always remember to read and follow the postoperative instructions that will be given to you.
You should plan to avoid activities which require much raising of the arms above the level of the head for 10 days after surgery. With great care, you can drive about 10 days after surgery. Patients can usually return to work in 7 days unless their occupation requires particularly strenuous movements and lifting. In such cases, 2-3 weeks should be allowed.
1. In January 1992 the Chief Medical Officer informed surgeons and doctors that the Department of Health felt no reason existed to withdraw implants from use based on scares in the USA.
2. In April 1994 a Specialist Committee set up by the Department of Health, concluded that no scientific evidence existed which connected silicone implants with either connective tissue or autoimmune disease.
3. There have been claims that silicone causes a totally new syndrome. These have been based on anecdotal reports and therefore no studies exist to substantiate this. In response to these the American College of Rheumatology (ACR) issued a statement in October 1995 based on research studies involving over 87,000 women. This read "silicone implants expose patients to no demonstrable additional risk for connective tissue or rheumatic disease" and " there is no reason to discourage women from considering breast implant surgery on the basis of acquiring or worsening a connective tissue disorder.
4. At least 22 studies have been published from all over the world in the last few years, encompassing over 500,000 women in these studies, and none could find a relationship between so called "silicone autoimmune disease" and breast implants.
5. The finding of silicone in bodily fluids should be viewed in perspective; silicone is found abundantly in our environment and indeed probably in most people. Our contact with silicone is extensive throughout all of our lives and it is used widely in medicine. Silicone is used as a lubricant in every disposable needle, syringe and intravenous tubing. Silicones are used in lipstick, suntan lotions, food processing, skin creams, hair spray, and cosmetics. Over 1000 medical products use silicone as a component or in the manufacturing process including artificial heart valves, joints, and pacemakers.
Should you become pregnant following your operation then your existing breast tissue will be subjected to the normal hormonal influences of this period and therefore your breast will enlarge and the skin will stretch accordingly. Likewise, once the pregnancy and any associated breast feeding ceases, your own breast tissue will then shrink down. It is impossible to predict to what degree these changes will occur; however, the breast implant volume will remain the same throughout these.
Breast feeding is certainly possible when implant is placed behind the muscle and the implant is not inserted through the nipple-areolar complex. Whether placement of implant behind breast tissue (in front of the muscle) has bearing on breast feeding is still debatable. Prolonged Breast feeding , however, will create possibility of stretch marks on the breasts and certainly accelerate breast droopiness (ptosis) which may or may not require surgical correction.
Dr Tavakoli's overall complication rate & re-operation rate for Breast Augmentation is less than 5% based on 2007 figures.
Surgical risks may include: infection, bleeding or haematoma, poor scarring, and capsular contracture. Palpation of the breast implants may occur in thinner women following breast augmentation. In these situations the breast implants are more likely to be felt at the lower part of the breast near the fold. Again this has no medical implications, although women who do not bear this in mind may suddenly become worried about feeling a "lump" in their breast. In any instance of uncertainty it is always best to contact your surgeon to have this examined.![]() |
| Actual Patient |
This is the most serious complication of breast implants. A capsule or capsule formation is a layer of scar tissue that normally forms around any artificial material placed in the body. It is important to realize that this is the natural response of the body to foreign material. Most times this capsule is so soft that it is virtually undetectable and therefore does not affect the breast implant in any way. Capsular contracture or hardening occurs when this layer of scar tissue shrinks around the breast implant, squeezing it so that it starts to feel firm, or in some cases, quite hard. Most capsular contractures experienced today stem from the smooth shell silicone breast implants placed some years ago. The capsule contracture rate in the past was 30-35% (in the 1980's implants).
With the onset of textured shell breast implants, the problem of capsular contracture has been significantly reduced, now being between 5%.
The cause of capsular contracture is not totally clear, but seems to be multifactorial. It is important to realize that there are degrees of contracture and that the majority of women, who do develop this hardening, develop it only to a mild extent. In the minority however, it may be severe enough to be bothersome, even painful and may cause distortion of the breast. The condition may occur in one or both breasts and to a different degree either side.
6. In July 1998, the Department of Health published its findings and conclusions following a committee review set up to investigate the safety of silicone implants. The committee which comprised mainly of scientists and academics concluded that it found no scientific evidence linking silicone implants with disease.
In conclusion to these statements, it would be fair to accept that some women who have had Breast Augmentation surgery, may have subsequently developed at some point in their lives a connective tissue or autoimmune disorder. However as these disorders arise fairly commonly in individuals in the general population anyway, regardless of whether they have had breast implant surgery or not, is it not possible that they may have become ill anyway? This type of question can only be answered by careful statistical analysis and examining groups of individuals who have had silicone breast implants and then comparing them to similar numbers and types of individuals without breast implants. If it then appears that the group of women with silicone implants suffers a higher number of individuals with autoimmune diseases then a causal link can be established.
However, at the moment, after examination of all the relevant data, it seems safe to say that there is no conclusive scientific evidence that silicone materials in breast implants increases the risk of connective tissue diseases or for that matter breast cancer.
It may develop any time, even years later although it is most likely to happen in the first 3 years after surgery. Unfortunately at this time there is no effective way to prevent capsular contracture if it is going to occur. However as mentioned previously, encapsulation is no longer the problem that it was. Having mentioned all the above, it is important to note that capsular contracture is not in itself a health risk other than its possible interference with mammography.
In Australia and Europe current sales figures show a distribution of 90% silicone, 10% saline. As modern silicone gel implants have been available since 1963, surgeons therefore have over 35 years of experience with these types of breast implants. This is more than any other type in use. Evolution has brought changes and improvements over the years with the introduction of textured surface envelopes made of newer formulations designed to minimize the "bleed" or diffusion of what is usually tiny amounts of the silicone oil fraction of the gel contents.
Importantly the standard silicone gel by most accounts, arguably "feels" the most natural of all breast implants. This is probably as a result of the inherent smoothness of the silicone gel content.
Please download the following documents prepared by Allergan-Inamed, the makers of the CUI gel breast implant range used by Dr Tavakoli: