Breast augmentation continues to be the most popular plastic surgery procedure in Australia, and throughout the world. There are various, unique reasons why women around Australia seek out breast augmentation surgery. However, some of the common reasons include:
- Wanting to feel more confident
- Creating better looking cleavage
- Enhancing smaller breasts
If you would like to enhance or improve your natural breasts, then a breast augmentation with a qualified Australian plastic surgeon might be the procedure for you.
Breast Augmentation or Boob Job
Many patients are confused by the two terms, breast augmentation and boob job. It is important to know that “boob job” is the colloquial, or “slang” term for breast augmentation. While Dr Rubinstein and all qualified plastic surgeons generally dislike the term “boob job” many patients often refer to their procedure by that name. However, this procedure is better known by its official term, breast augmentation.
Breast Implant Options
While breast augmentation can be performed using fat grafting techniques, the most common way to perform an augmentation is using breast implants. There are also several types of breast implant available including:
If you choose breast augmentation using breast implants, Dr Craig Rubinstein can discuss with you, during your consultation, the best implant options, size, and locations for you. For further information on implants, please visit our breast implants page.
How Long do Breast Implants Last?
The life span of breast implants varies from patient to patient. However, many patients replace their implants around 10 years after surgery. Another operation may be required at some stage based on a number of factors including:
- Weight loss
- Implant durability
Breast Augmentation Techniques
There are several incision techniques popular for breast augmentation procedures.
This incision is made under the breast, in the breast crease.
This incision is made under the lower half of the areola.
Also known as the “Lollipop” incision, this encompasses a circle around the nipple and then down the breast in a lollipop shape allowing greater manoeuvrability of the implant and relocation of the areola nipple complex area if required. This is also the preferred method of Dr Rubinstein.
Also known as the “Armpit” incision, this is a technique in which the incision is not made on the chest or breast tissue but under the armpit for those prone to keloid scarring.
Where are Breast Implants Placed?
There are three different placements for breast implants: under the muscle, over the muscle and dual plane. Under the muscle is the preferred location for the implant as it generally results in more stable implant that is less likely to cause complications like ptosis. It is also associated with more natural look surgical results.
Breast Augmentation Procedure
Dr Rubinstein only performs this surgery with patients under a general anaesthetic in a safe, sterile hospital environment. After the incision is made, he then inserts the implant using a Kellar Funnel.
A Kellar Funnel is a medical device that allows the insertion of an implant into the breast pocket without handling, helping prevent implant rupture.
Once Dr Rubinstein has inserted the implant he closes with dissolvable stitches and the incisions are covered with a water proof dressing. You will also be fitted with an appropriate, soft, crop top bra.
A normal breast augmentation procedure can take from 1-2 hours, though the length of time can be dependant on the skill of the surgeon.
Does Breast Augmentation Hurt?
Pain is subjective and all patients are different. However there is generally an element of pain with all invasive surgeries, regardless of whether they are general or plastic surgery procedures. Dr Rubinstein will use a range of methods to help reduce or limit patient discomfort including general anaesthetic, numbing anaesthetic, and pain blocks for post-surgical discomfort.
Breast Augmentation Scarring
All surgery leaves scars, including plastic surgery procedures like breast augmentation. However experienced surgeons like Dr Rubinstein are extremely careful about scar placement and minimisation, with surgical scars generally fading over time.
Dr Rubinstein also conducts follow-up treatments using a Fraxel Laser and Healite II to minimise your scars, with most scars being barely visible after 12 months.
Breast Augmentation Recovery
Most patients spend 1-2 weeks initially recovering before graduating to modified activities or easy exercise. This does not include heavy lifting or competitive sports.
Many patients can return to work, depending on their occupation, within a few weeks. This is a general recovery outline, though, and differs from patient to patient. It is best to discuss your specific recovery outline, based on your health and lifestyle, during your consultation.
Breast Augmentation and Breast Feeding
It is important to remember that many women are unable to breast feed, regardless of whether they have undergone a breast augmentation procedure or not. However, a breast augmentation may affect your ability to breast feed, especially if you decide to have an incision around the nipple.
It is also possible that you may experience a slight loss of nipple sensation, however these side effects are rare when using “under the muscle” implants.
Breast Augmentation and Breast Screening
In general, breast implants cause very little, if any, interference with a mammography. However, it is important that you discuss your risk of breast cancer with your plastic surgeon and GP, especially if you have a first degree relative with a history of cancer.
All women who have had breast implants should inform their radiographer so tests can be adjusted as needed.
Are You A Good Breast Augmentation Candidate
Choosing breast augmentation surgery is a deeply personal decision. It is important to have a private consultation with a qualified plastic surgeon, like Dr Craig Rubinstein, to determine if this is the right procedure for you. However, you can consider the following questions before your consultation:
- Do you dislike having small breasts or feel they are out of proportion with the rest of your physique?
- Would you prefer better cleavage?
- Are you unhappy with changes to your breasts post-pregnancy or post-weight loss, including sagging?
- Do you feel you have asymmetrical breasts?
- Are you seeking a breast augmentation to boost your confidence or reduce self-confidence?
- Do you want a breast augmentation to feel more comfortable in different kinds of clothing?
- Would you like to improve your figure and overall body proportions?
What is the Minimum Age for Breast Implants?
The minimum age for breast augmentation surgery in Australia is 18 years old.
The majority of women who seek out this surgery fall in the age range of 20 to 50 years old, with the most popular age group being 22 to 38.
How Much Does Breast Augmentation Cost?
The cost of breast augmentation surgery can vary across Australia and Melbourne. It depends entirely on the surgeon you choose, where you have your operation, the quality of your breast implant, etc.
Often sites that post the estimated cost of a breast augmentation surgery do not include all the related and necessary expenses. As a result, you may end up paying more than you expected. Dr Rubinstein never recommends shopping for low cost surgery as it is unlikely that a FRACS level plastic surgeon will be performing the procedure. It is important to do your research before deciding on a plastic surgeon for your chosen procedure. Further, revision surgery is costly and is not guaranteed to fix the issue you experienced with your initial surgery, if you chose to explore cheaper surgical options.
It is always important to pursue plastic surgery based on skill, not cost.
Will Medicare Cover Breast Augmentation?
No, Medicare will not cover most breast augmentation procedures as they are classified as a cosmetic procedure.
Will Private Health Insurance Cover Breast Augmentation?
In cases where breast augmentation procedures are reconstructive, then your private health insurance may cover some of your procedure. However, most breast surgeries are classified as cosmetic and are not eligible for rebates. It is best to discuss this with your plastic surgeon or doctor.
Breast Surgery Risks
Please visit our Plastic Surgery Risks page to find out more information on general surgical risks and plastic surgery risks.
Breast Augmentation Before and After Gallery
To view some of Dr Rubinstein’s previous breast augmentation patients, please click the image below. This will direct you to the breast augmentation before and after gallery.
The Next Steps
- Visit the FAQs pages and patient reviews to learn more about your intended procedure.
How to Book your Initial Consultation
- Email us or call on (03) 8849 1444 to arrange your consultation with Dr Rubinstein
- A referral from your GP or from your specialist is helpful but not essential
What to Bring to your Surgeon Consultation
- You are more than welcome to bring a friend or relative to help discuss the information and your choices
- Ensure you also take a lot of notes and thoroughly examine the documents provided
- Please be aware you may need to undress for a physical exam so wear simple clothes
ISAPS. November 2018. Breast Augmentation [online]. Available from: https://www.isaps.org/procedures/breasts/breast-augmentation/ [accessed 16 November 2018]
American Society of Plastic Surgeons. November 2018. What types of breast implants are available? [online] Available from: https://www.plasticsurgery.org/cosmetic-procedures/breast-augmentation/implants [accessed 16 November 2018]
US National Library of Medicine National Institutes of Health. November 2018. Minimal inframammary incision for breast augmentation [online]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2690624/ [accessed 16 November 2018]
US National Library of Medicine National Institutes of Health. November 2018. The Impact of cosmetic breast implants on breastfeeding: a systematic review and meta-analysis [online]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4203468/ [accessed 16 November 2018]
US National Library of Medicine National Institutes of Health. November 2018. Breast implants and breast cancer screening [online]. Available from: https://www.ncbi.nlm.nih.gov/pubmed/14526346 [accessed 16 November 2018]