SURGEONS


+ What is the difference between plastic surgeons and cosmetic surgeons?

It is very common for the terms plastic surgery and cosmetic surgery to be used interchangeably, however these two terms are very different.

Plastic Surgeons

  • Medical school (6 years) Graduate with MBBS ‘Bachelor medicine and Bachelor of surgery’
  • Complete their internship and residency
  • Gain acceptance into FRACS ‘Fellow of Royal Australasian College of Surgeons (5 years specialist training in cosmetic and reconstructive surgery) or its international equivalent.

Cosmetic Surgeons

  • Medical School (6 years)
  • Is a GP ‘General Practitioner’
  • Chooses to enter the field of Cosmetic Surgery (without the FRACS training - or its international equivalent - that a plastic surgeon completes).

+ Are Junior Surgeons fresh out of school?

No, our junior surgeons who perform the breast augmentations are not fresh out of medical school. They have had extensive medical and surgical training with a minimum of 12 years of training and education. They are classified as a junior for 10 years before they can become a senior plastic and reconstructive surgeon.


PROCEDURE


+ HOW IS THE IMPLANT PLACED?

Breast Academy practice a Partial Submuscular “dual plane” technique. This placement is where the top 2/3 of the implant is covered by pectoralis muscle.

Dual plane decrease the risk of capsular contracture, decreases risk of visible/palpable ripples and implant edges.

It also provides a more natural shape to the upper poles and a natural slope to the breasts, instead of the “upper roundness” that is more common with implants placed completely over the muscle.

+ WHAT SURGICAL APPROACH IS USED?

Breast Academy uses an Inframammary incision (In the fold of skin under the breast) approach.

The inframammary approach is popular with surgeons because it delivers good access to the pocket created, giving your surgeon precise access to where your breast implant will sit. These incisions are closed with dissolvable sutures, there is no need to come back and get your sutures removed.

+ IS GENERAL ANAESTHESIA USED?

General Anaesthetic is used in all of our breast augmentations. General Anaesthetic provides a state of unconsciousness, making you oblivious to what is happening. Numerous drugs/gases can be used in combination or alone. This type of anaesthetic also erases memory of the time spent “under” general anaesthetic.

All of your vital signs will be continuously monitored throughout the procedure, including; Oxygen saturation, heart rhythm and rate, respiratory rate and blood pressure.

If you have had general anaesthetic before, you may be aware of the feeling it can produce when waking up. This feeling can be equated to feeling intoxicated and very sleepy, making it hard for you to stay awake.

Nausea and vomiting are possible side effects, however majority of anaesthetists give anti-nausea medications intra-venously, which helps prevent these side effects.


implants


+ TEXTURED OR SMOOTH?

First of all, Teardrop implants are always textured. This is because textured implants adhere to the chest and that is exactly what is needed with this type of implant. Because teardrop implants have a top and a bottom no movement is wanted at all.

However, round implants come in both smooth and textured implants (although we only use textured implants at the Breast Academy). A textured round implant is often appropriate in the perky, youthful breast where little movement is required or wanted.

+ ROUND OR TEARDROP?

This will depend on the shape of the breast and the desired result. Teardrops may be suitable in patients with breast droop, as these implants can correct the appearance of a drooping without the need for a surgical breast lift. Conversely, when the breast shape is normal and the nipples are in the correct position a round implant will usually be the implant of choice.

+ WHAT ARE CC'S? CAN I HAVE ANY SIZE?

Breast implants are measured by volume (cubic centimetres – cc’s or grams) and do not correlate to cup size. The size of the implant is really dictated by the dimensions of your existing breast and chest wall. The surgeons will take careful measurements of your breasts and chest to make an appropriate recommendation of implant choices based on those measurements and the use of the 3D Vectra simulator to see what implant shape may be suitable. Therefore, it is not possible to have any size, as there are many steps that are taken to determine what is suitable for you.

+ DO I NEED TO MASSAGE MY IMPLANTS?

No, you do not need to massage your implants, as the implants are textured. It is preferred by our surgeons that you do not massage your implants as the breast tissue needs to adhere to the textured surface to keep the implant in its position. This is different for smooth implants as the breast tissue does not have a textured surface to bind to, so massaging is required in order to get the breast tissue to adhere to the smooth surface.

+ What if I require a breast lift/reduction?

At the Breast Academy, we currently only perform primary breast augmentation surgeries rather than breast lifts.


POST OP CARE


+ DO I NEED TIME OFF WORK?

We encourage patients to take 1 – 2 weeks off work. If your work involves heavy lifting or pushing, we strongly encourage you to take more time off to rest.

+ CAN I DRIVE?

We encourage patients to avoid driving for 1 – 2 weeks.

+ CAN I LIFT SMALL CHILDREN?

Lifting small children should be restricted until two weeks post-op. Some patients may take longer than two weeks, while others feel comfortable doing so at that stage. It really is trial and error depending on how you are feeling.

+ DO I NEED TO FOLLOW UP?

Your recovery and post-op care is very important to us. Our patients are required to return to the Breast Academy 5/6 days after their procedure for a follow up appointment with our registered nurse.


VECTRA 3D IMAGING


+ WILL I BE ABLE TO SEE WHAT DIFFERENT IMPLANTS ARE BEST FOR ME?

Yes. You will be able to see how you would like with different size and types of implants.

+ HOW CLOSE WILL THE SIMULATED RESULT BE TO THE ACTUAL RESULT?

Actual results will be very similar to the simulations. VECTRA simulations are based on the actual implants that your surgeon will use.

+ WILL THIS SOFTWARE HELP MY SURGEON TO SEE THAT MY BREASTS ARE DIFFERENT SIZES?

VECTRA software includes special tools to show the size and position of each breast. Breast “asymmetry” is very common, and VECTRA analysis helps your doctor develop a surgical plan which will compensate for it if necessary.

+ AM I A GOOD CANDIDATE FOR BREAST AUGMENTATION SURGERY?

That is a decision you will make with your surgeon. VECTRA 3D can show you the possibilities of the procedure, but is not intended as a substitute for a medical consultation.