Breast Augmentation Surgery in Adelaide

Breast augmentation, or augmentation mammoplasty, is a procedure performed to increase breast size or alter breast shape using implants or, in some cases, fat transfer. It may be considered for individual aesthetic purposes or to restore breast volume lost after pregnancy, weight changes, or surgery.

What the Breast Augmentation Procedure Involves

Breast augmentation is typically performed as a day procedure under general anaesthesia. The surgical process usually involves:

• Incisions made in inconspicuous locations such as under the breast fold, around the areola, or in the armpit.
• The breast tissue is separated from the underlying muscle and connective tissue, creating a pocket for the implant.
• The implant (saline or silicone) is carefully placed in the pocket that has been created. Placement will depend on which technique is utilised by the plastic surgeon. The decision is based on anatomy, desired outcome, and plastic surgeon recommendation.
• Breast implant positioning based on your anatomy and aesthetic goals.
• The incision is closed using sutures, skin adhesive, or surgical tape.

Patients should be aware that the existing shape and size of their breasts will influence the surgical outcome. Breast augmentation does not correct breast ptosis (sagging); a breast lift (mastopexy) may also be required. Breast implants are not guaranteed to last a lifetime, and future surgery will be necessary to replace one or both implants. 

During your consultation, your surgeon will discuss breast implant types, sizes, and placement options with you.

Breast Implant Size and Shape

Breast implants used in breast augmentation come in a variety of sizes, shapes, and styles to suit individual goals and body types. Sizes are measured in cubic centimetres (cc), typically ranging from around 100 cc for small implants up to 800 cc or more for very large sizes. The most common implant sizes fall between 300 to 500 cc. 

Implant shape options generally include round and anatomical (teardrop) shapes, with the round implants providing more upper breast fullness and the anatomical ones offering a more natural slope. The implant profile—how much the implant projects from the chest—also varies from low to ultra-high, influencing the final breast silhouette. 

Choosing the right implant involves considering the volume, diameter (base width), shape, and your plastic surgeon will help select the best combination tailored to the individual.

What to Expect During the Procedure

Breast augmentation is a well-established procedure with a clearly defined process. Most patients find the experience manageable with proper preparation, support, and adherence to their surgeon’s instructions.

• Anesthesia: Most breast augmentations are performed under general anesthesia. In some cases, intravenous sedation or local anesthesia may be used, depending on your surgeon’s advice.
• Incision: The surgeon makes an incision in one of several locations:
  • In the crease under the breast (inframammary)
  • Around the nipple (periareolar)
  • In the armpit (transaxillary)
• Implant Placement: The surgeon creates a pocket either:
  • Under the pectoral (chest) muscle (submuscular)
  • Directly behind the breast tissue but above the muscle (subglandular/ submammary).
  • Under the fascia overlying the pectoral muscle (subfascial)
  • A combination of both submuscular and subglandular placements, known as the "dual-plane technique"
  • The implant is inserted and positioned for symmetry and appearance.
• Closing Incisions: The incisions are closed with sutures, skin adhesive, or surgical tape. Dressings or a surgical bra are applied for support.
• Duration: The procedure typically takes 1–2 hours. After surgery, you’ll be monitored in a recovery area for a few hours before being discharged home the same day

The choice depends on your anatomy, implant type, and surgeon’s recommendation.

Potential Benefits of Breast Augmentation

Outcomes of breast augmentation vary from individual to individual. Some commonly reported benefits may include:

• Increased breast volume or shape
• Restoration of breast symmetry or fullness
• Adjusted self-perception of breast appearance

Individual results and outcomes depend on factors such as healing, implant selection, and surgical technique.

Breast Augmentation Risks and Considerations 

Modern surgery is generally safe, but as with any surgical procedure, breast augmentation carries risks. These include fluid accumulation around the implant after surgery and calcium deposits in the scar capsule around the implant. Rare complications may involve changes in breast and nipple sensation. Working with a certified and experienced plastic surgeon significantly minimises these risks. For a list of general and specific risks and complications associated with plastic surgery and breast augmentation, please click here to download.

During your consultation, your ASPC surgeon will talk about possible risks and complications. It's essential to grasp these factors before making a decision to proceed with any surgical procedure. Any concerns should be communicated to the team at ASPC.

Breast Augmentation Recovery and Aftercare

Recovery experiences may vary, but general stages include:

• First Week: Mild to moderate discomfort, swelling, and tightness. Support garments may be used.
• 2–6 Weeks: Gradual return to light activities. Avoiding chest strain is advised.
• 3–6 Months: Settling of implants. Swelling reduces.
• 12 Months: The final outcome is typically achieved.

Your surgeon will provide detailed instructions for care and activity. These instructions may include:

• How to care for your surgical site(s) following surgery
• Medications to apply or take orally to aid healing and reduce the risk of infection
• Specific concerns to look for at the surgical site(s) or in your general health
• When to schedule follow-up appointments with your plastic surgeon

Who Might Be Suitable for Breast Augmentation?

Suitable candidates for breast augmentation typically:

• Are in good general health
• Have fully developed breasts
• Have realistic expectations

Consultation with a qualified plastic surgeon is required to assess individual suitability. The decision to undergo breast augmentation should be based on a thorough consultation with a registered specialist plastic surgeon who can assess your individual needs and explain potential outcomes and risks.

Important Note

Surgical outcomes can vary significantly between individuals. Any before-and-after images or descriptions of outcomes (not included here) are not indicative of what every patient may achieve. Only a consultation with an RACS Certified plastic surgeon can determine whether breast augmentation surgery is suitable for you.

Deciding on breast augmentation surgery is a personal choice that’s best made with a full understanding of the potential benefits, limitations, and risks. Our surgeons at Advanced Plastic & Cosmetic Surgery provide evidence-based guidance and a transparent consultation process to help you make an informed decision. If you would like to explore whether breast augmentation surgery is suitable for you, we encourage you to arrange a consultation with our team.