Breast Augmentation (Breast Enlargement)

Breast Augmentation Package - only $9,400 + gst

(Applies to All new bookings from 31st Oct 2008  to 31st December 2008)

 

Call 1300 368 107 today!

The Package Includes:

  1. Surgeon's Fee (Dr Tavakoli, Cosmetic Plastic Surgeon) and his Assistant Fee
  2. Anaesthetic Doctor's Fee
  3. Theatre Fee (Only Prestigious Fully licensed facilities)
  4. Day Bed Fee
  5. 12 month post-op visits
  6. Implant Cost: Pair of Round, Cohesive Gel, Textured or Smooth, Any Size
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.

IMPORTANT NOTICE

Breast Augmentation Before & After Images

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.

 

If you are thinking about Breast Augmentation (Breast Implants), Sydney Cosmetic Plastic Surgeon Dr Tavakoli should be your only choice, as the Breast Augmentation Procedure is his speciality.

Breast Augmentation Sydney Breast Enlargement Sydney Breast Augmentation Pictures Completed Breast Augmentation

Below are some some common questions and answers asked about Breast Augmentation. If you would like to find out more about Breast Augmentation contact Dr Tavakoli.

DR TAVAKOLI'S GENERAL APPROACH IS DETAILED BELOW:

Sydney plastic surgeon Dr Kourosh Tavakoli Explains the key elements of a natural-looking breast augmentation, 2008 version.

The number of breast enlargement operations is on the increase, and the demand for natural-looking breasts is even more apparent. As a plastic surgeon specialising in breast augmentation and lifting procedures, I have been privileged to treat a large number of patients every year in my Sydney clinics. Therefore, I have drawn from this wide experience to perfect the formula for successful and attractive breast augmentation.

A well-augmented breast has a natural fullness, with gentle sloping off the chest wall. There should be natural cleavage without webbing between the breasts and only a certain amount of perkiness.

Breast augmentation is amongst the plastic surgery procedures with the highest patient satisfaction ratings. It is also the most common procedure performed by Dr Tavakoli, and it is his practice specialty. In fact, Dr Tavakoli has one of Australia's busiest breast implant practices.

Breast augmentation is a procedure that is often assumed to be simple in nature and execution but is actually quite complex. Proper surgical technique and attention to detail are essential to good results, and too often these are overlooked. In his opinion, this is why Dr Tavakoli sees patients who are dissatisfied with their augmentation or have developed one or more complications. There is no such thing as a simple breast augmentation, and an attitude of "seen one, seen them all," simply will not suffice when dealing with the subtle complexities and intricacies of breast augmentation.

Telltale signs

There are three main telltale signs of unnatural-looking breast augmentation:

  1. Breast implant margin: This should be soft and imperceptible, as obvious implant edge visibility, especially in the midline, will resemble the Tori Spelling or Posh Spice look.
  2. Breast implant size: An implant that is too large for a small frame is usually an obvious giveaway that a patient has had a breast augmentation. The best example of this is Pamela Anderson-style breasts. Women wanting to go from an A cup to a full D cup need to understand this point.
  3. Perkiness: An augmented breast that is too perky will tend to look fake, as a small amount of droop is natural. When a patient lies on her back, the breast implants should roll to the side like natural breast tissue and not sit up like rigid peaks.

Before undergoing surgery, it is beneficial for the patient to review photographic examples of the breasts they would like and to convey their wants to the surgeon so there is a clear, visual understanding of the desired result.

Clinical parameters and key considerations

There are six main clinical parameters for breast implants on initial consultation:

  1. Patient's body build and height
  2. Natural breast size, shape and symmetry
  3. Nipple position in relation to the breast
  4. The quality of breast skin
  5. Chest wall shape and dimension
  6. Patient's desire for new cup size and shape

After establishing the crucial parameters in the clinical examination, the process of tailor-making the 'right' breast augmentation begins.

I believe there are six key considerations for a surgeon when customising a breast augmentation to gain a natural-looking result:

What are the benefits of breast augmentation with implants?

This operation is performed to enhance or restore the size and shape of a woman's breasts. Breasts may be small because of lack of development or changes following pregnancy, weight loss or congenital abnormalities. Sometimes a woman's breasts are very asymmetric (uneven). This operation can improve a woman's self esteem and quality of life. Studies have shown over 90% of women are satisfied with their results.

Breast Implants Image - Dr Tavakoli's actual patient

Actual Patient

Currently, silicone (cohesive gel) and saline implants (silastic bags filled with salt water) are placed either behind the pectoralis major muscle and breast tissue or in front of the muscle. This is done through an incision (4.0 to 5.0cm) placed either under the breast, around the areola, or in the armpit.

1. Incision placement

There are three choices about where to make the skin incisions for breast enlargement. They can be in the breast fold (inframammary), around the nipple (periareolar) or underneath the arm (transaxillary). These incisions can all produce scarring ranging from excellent to poor. Although patients may voice some initial concerns about the location of their scars, they are ultimately far more concerned with the final shape and size of their breasts.

Generally, a great majority of patients in my practice opt for the inframammary incision (breast fold). I also find this incision has the least amount of interference with breastfeeding and nipple sensation and it generally heals very well.

I find the periareolar incision particularly useful in some Asian patients with higher risk of keloid scarring but the nipple-areola must be at least 4.0 cm in diameter. Furthermore, the periareolar incision also allows one to perform the full Benelli breast lift or nipple lift where this may be indicated in mildly droopy breasts.

2. Breast Implant Shape

The choice of implant varies from round to teardrop shapes. The round implant comes in both low and high-profile varieties. The shape variation is in the width and projection of the implant for any given size.

What are the differences between various breast implants in the Breast Augmentation Procedure?

There are a number of questions you need to ask Dr Tavakoli in regards to the breast implants that you will have.

1. Which company has manufactured the Breast Implant prostheses?
2. Is the Breast implant Silicone gel vs. Saline?
3. Is the Breast implant Round or Anatomical (teardrop)?
4. Is the Breast implant surface Smooth or Textured (rough)?
5. Which incisions are you going to have for getting the Breast implant in?
6. Where is the Breast implant going to be located in relation to the pec muscle (in front or behind)? Why?

The spectrum of breast implants available to the surgeon can therefore provide great versatility in achieving a more natural look.

The majority of patients in my practice elect to have round-shaped implants. Since I prefer placing the implant in a submuscular pocket in most patients, implant edge visibility in the upper pole of the breast can be avoided. The round implant tends to be ideal for those patients with well-shaped natural breasts who desire a straightforward enlargement.

Use of the teardrop (anatomical) shape depends on the patient's desire, as well as her breast shape. In general, there are two groups of women who benefit from teardrop-shaped breast implants. It can be the ideal choice for women who have droopy or tuberous breasts. Mild elevation of the nipple in relation to the breast mound can be achieved without the need for extra scars on the actual breast (unlike breast lift scars). In these cases, the implants will be inserted in a subglandular or subfascial pocket (under the breast tissue). In moderate to severe cases of droopiness, breast lift MUST be performed in order to restore aesthetic shape at the same time as breast augmentation.

Secondly, some patients specifically want less fullness in the upper quadrant. Teardrop breast implants certainly offer less fullness in these particular situations. It should be noted, however, that this request tends to be very personal, as most women are seeking breast augmentations in order to obtain upper pole fullness. It should be noted that teardrop or anatomical implants do have tendency, estimated at about 5 percent, to rotate. Unfortunately, this problem can only be corrected by secondary surgery.

3. Breast implant fill

I use very commonly the cohesive silicone-gel and sometime the saline-filled breast implants. The new generation silicone-gel breast implant is very safe and generally feels and looks more like a natural breast. The Mcghan- Allergan gel is always my first preference.

Most breast augmentation operations in Australia are performed with silicone-gel breast implants. In December 2006, the United States Food and Drug Administration approved the use of gel implants in the US market. The decision was based on a great amount of scientific research into the safety of silicone-gel implants.

The gel usually comes in low and high cohesiveness (soft touch or firm), and you should ask your plastic surgeon for different samples at the time of the consultation so that you can make the most informed choice possible.

Generally speaking the firmer gel implants are “form responsive” like the tear-drop variety. The round implants can be soft (80% fill) or firm (100% fill) depending on the manufacturer.

There have been much discussion recently about “titanium” coated implants in Australia. Unfortunately, they have not eliminated capsular contracture as they had promised in the Australian Studies. However the polyurethane coated implants from the manufacturer Silimed (Brazil) are proving to be very effective in prevention and treatment of capsular contracture. Currently I prefer to use the latter only in selected revisional cases of capsular contracture.

Currently there are five main Implant manufacturers in the world:

4. Breast implant size

Breast implant size is one of the most important decisions in a breast augmentation procedure. Because of this, a good surgeon will take several approaches to help the patient make the best decision based on their anatomy, personal preferences and the appearance they wish to achieve. In general, attractive breast augmentation should be in proportion or slightly out of proportion to the woman's overall body shape.

In a recent survey, over 80 percent of patients undergoing breast augmentation stated an average to full C-cup was their desired postoperative goal. D-cup was the second most popular request. Small C-cup is the third commonest followed by full-D and Double D cups.

Final breast implant size is a complex function of the elasticity of patient's skin envelope., chest wall diameter and implant dimensions but most importantly preexisting breast volume.

For this consideration, I always begin by showing the patient numerous photos of actual patients who have had breast augmentation. By finding someone who has a similar preoperative appearance and evaluating their results with the size of implant they chose, the patient can get an idea of her own final result and increase or decrease the implant size according to her wishes.

I will also measure the patient's breast and chest shape, paying particular attention to the base and projection of the breasts. This gives me an idea of what size breast implant will help achieve the patient's desired size postoperatively.

As breast implant size increases, so does the diameter of the breast implant. In most cases, there is a breast implant that will be an ideal match for the diameter of the patient's natural breast, and I find this is a good starting point for discussion.

Choosing a breast implant smaller than the patient's natural breast shape will not provide the proper cleavage and shape following the procedure. Similarly, choosing a breast implant too large for the patient's natural chest shape is more likely to give an unnatural appearance.

Unfortunately, breast implants do not come in cup sizes. Rather, they are categorised by the volume of gel that they are designed to hold. There are several reasons for this. First, the final cup size will be partially determined by the preoperative breast size, and every patient is different in this regard. Second, a C-cup from one bra manufacturer is not necessarily the same as a C-cup from another manufacturer.
Although every woman is built differently and bras are not manufactured to a set standard, it can be expected that a B-cup implant size is approximately 250g (cc) or C-cup is 330cc in a woman of average height and average build. That number will ordinarily be higher if the woman is tall or has broad shoulders. Similarly, if the patient is shorter than average or has a narrower chest, that number can be expected to be slightly lower. Although a desire for a certain cup size is helpful in guiding the patient in the selection of the proper breast implants, I find it is more helpful to focus on the desired shape and appearance that patient wishes to achieve.

5. Breast implant position

The next consideration is where to place the breast implant - on top of or behind the muscle. In general, I prefer to place breast implants behind the muscle so they are partially covered. I find the pectoralis muscle allows a smooth takeoff from the chest wall. If put directly on top of the muscle the breasts can look like rounded balls on the chest, which is another definite giveaway. It is also my opinion that placing the implant under the muscle will, in the long run will have impact on breast droopiness. Also for older women that need breast screening, it seems behind muscle placement is superior from a mammogram and ultrasound imaging point of view.

In women with mild droopy (ptotic) breasts, I use the dual-pocket technique of dissecting both on top of and underneath the pectoral muscle, but inserting the breast implant behind the muscle. This new technique popularized by Texan Plastic Surgeon Dr John Tebbett is proving very successful with most types of breast augmentation that I see in my practice.

In rare cases of moderate droopy breasts where the patient does not wish to undergo a breast lift procedure for fear of scaring, I will consider full placement of implant on top of the muscle. This pocket is referred to in the plastic surgery literature as ‘Subglandular” or “subfacial”. Generally speaking is a relativity painless pocket with excellent short term benefits but in my opinion far less long-term advantages compared to the “Submuscular” or “Subpectoral” pocket placement.

6. Smooth vs textured Implants

This issue is controversial. This is because, generally speaking, textured or rough surface implants are said to reduce the rate of capsular hardening or contracture, but they also are known to create more wrinkling issues down the track, especially in thinner patients that I often see in my Sydney practices. This wrinkling is normally felt in the lower edge of the breast where the implant is closest to the skin surface.

Smooth implants may give a smoother look and feel in many cases, particularly in thinner patients, but the downside is that the patient needs to massage the implants for at least one year to help prevent capsular hardening.

Please be aware that there are many different combinations of the above breast implant considerations. To attain a natural-looking breast augmentation, your chosen plastic surgeon must be skilled in deciding the best options for each individual patient as well as carrying out the surgery not to mention very meticulous and regular follow up for at least 12 months.

Primary Augmentation - Additional Breast Procedures offered by Dr Tavakoli, FRACS

In certain women simple breast augmentation will not produce desired cosmetic results. In these cases extra procedures cab be undertaken by Dr Tavakoli in order to correct simple problems at the time of breast augmentation. These conditions are detailed below:

1. Nipple or Crescentric Lift: In minor cases where nipple is pointing downwards but the breast is not droopy, this simple procedure can enhance the final breast shape. The scar is located at the top of the nipple-areolar.

2. Breast Lift. There are essentially 2 types of breast lifting that I perform at the time of implant augmentation:

a. Benelli or mini-breast lift

b. Le Jour or major- breast lift

For more information on "Combined breast lift (mastopexy) - augmentation" please click here to refer Dr Tavakoli's article on this topic:

3. The Tuberous (snoopy or cone-shaped or constricted base) breast deformity is a rare entity affecting young women bilaterally or unilaterally. There is mild, moderate and severe grades of this condition. Women have usually inherited this condition. The deformity is characterised by a constricting ring at the base of the breast, which leads to deficient horizontal and vertical development of the breast with or without herniation of the breast tissue toward the nipple-areola complex and areola enlargement.

Surgical correction is quite complex as you can imagine. Medicare item numbers exist for this condition making correction of tuberous breast a reconstructive operation. Please click here read the following article on this condition.

4. Inverted Nipple Correction:This is caused by tight and shortened breast duct tissue. The inverted nipples can be corrected surgically by the release of the foreshortened ducts, in many cases with minimally invasive technique. Correction of nipple inversion may be performed as an isolated procedure or in combination with breast augmentation. Dr Tavakoli prefers to perform this operation on women who have finished with breast feeding duties. Medicare item numbers exist for this condition making correction of nipples a reconstructive operation.

5. Nipple Height Reduction: Long "floppy" nipple condition usually occur as a result of prolonged breast feeding. More commonly is seen in Asian patients. If not corrected the nipples can be quite obvious after breast augmentation as nipples can be seen protruding in tight T-shirts etc... Dr Tavakoli prefers to perform this operation on women who have finished with breast feeding duties.

6. Breast Asymmetry (different size breasts) Correction- This is a very common problem (up to 80% of ALL women) as seldom women have identical breasts. For this problem Dr Tavakoli uses different size and type of implant for each breasts in 35% of all his cases. Generally speaking Dr Tavakoli only corrects asymmetry of more than 1/4 cup size. Very slight asymmetries are best noted but left alone.

NB/ Dr Tavakoli will advise if you need any extra procedures and explain the exact reason at the time of your initial consultation. The extra cost will also be discussed well in advance. Please note that only a properly specialised plastic surgeon can carry out these extra procedures combined with breast augmentation.

Breast Augmentation Before & After Images

Secondary Augmentation - Corrective Breast Procedures offered by Dr Tavakoli, FRACS

Corrective or Secondary Breast Implant Surgery- Dr Tavakoli has a large referral base of women with poor breast augmentation outcome from other centres in Australia. These complications or undesired outcomes are very rare in experienced hands but no plastic surgeon in the world including Dr Tavakoli has a zero complication rate.

Dr Tavakoli has experience in correcting the following post-augmentation mishaps:

a. Capsulectomy orexcision of capsule for Capsular Contracture/Hardness

b. Change of Implant Pocket for Rippling and Implant Edge Visibility

c. Pocket re-adjustment for Implant Malposition & Displacement/ Migration

d. Excessive gap between breasts creating eg "Tori Spelling" & "Posh Spice" boobs

e. Symmastia- No cleavage left as a result of overdissection centrally and massive implant usage so that the implants are left connected in the middle. Surgical treatment is possible but quite complex.

f. Scar revision for poor scarring such as Keloid

g. Exchange of Implant for size issues/ ruptured implants etc...

h. Correction of "Double-Bubble" syndrome- This is a condition where the implant and the native breast are in completely different levels. Surgical treatment is possible but quite complex.

Breast Augmentation Articles

Dr Tavakoli has appeared in various magazines discussing Breast Augmentation.

 

Please download the following documents prepared by Allergan-Inamed, the makers of the CUI gel breast implant range used by Dr Tavakoli:

  1. Patient Information:

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