Breast Augmentation Surgery Sydney

Breast augmentation in Sydney is an operation that can give women the breast size and shape they wish for.

Breast augmentation is a very popular procedure in Sydney. There are many reasons why women consider a breast augmentation including

  • You would prefer your breasts to be a larger cup size
  • Your breasts have shrunk or sagged (become “ptotic”) after pregnancy or breast feeding
  • The sizes of your breasts are uneven

Who should not have breast augmentation surgery?

Any surgery on your body has permanent and long term consequences. The decision to have breast implants should not be taken lightly and should not be done for a short term goal such as improving how one looks for a function coming up or a holiday you are planning.

What to expect at your first consultation

Dr Sanki and Dr Kotronakis will first meet you for your breast augmentation consultation at Kogarah or Miranda. During your consultation, our surgeons will listen to your concerns and goals. While breast implant surgery is a safe and commonly performed operation in Sydney, the consultation will be performed with sensitivity to your opinions and thoughtfulness to your concerns. Any additional health problems that might affect your treatment will be identified. An examination of your breasts with measurements and sometime photos, will follow.

We will then discuss the best course of action to address your concerns. Breast augmentation surgery in Sydney involves making many decisions about the brand, type, plane and size of implant that will be used.  Our surgeons take a collaborative approach about these decisions with their patients so that you have a full understanding about your options. You will be educated about-

  • Breast implant shells
  • Breast implant fill
  • Breast implant shape
  • Breast implant brands
  • Breast implant short and long term risks and expectations
  • Incision options
  • Breast implant plane of insertion

Written information will be provided to you, so that you can consider your options. Breast augmentation in Sydney is a significant operation, so a second consultation to discuss the advice you are given will be arranged once you book in your surgical date. The ultimate decision about the size of implant and style of operation you will have will be determined at your second consultation when you get an opportunity to try on implant sizers under your clothing.

What the procedure involves

Most breast augmentations surgery in Sydney is performed as day surgery. This means that you can go home on the same day as your procedure with a member of family or a friend who must stay with you for the rest of the day and night. The operation is performed in an accredited Sydney hospital facility under a full general anaesthetic so that you are completely protected from pain or awareness during the procedure. Dr Sanki or Dr Kotronakis will also use local anaesthetic in your wound to help minimise your pain after the surgery. A five centimetre incision is placed in or adjacent to the inframammary fold of your breast. A pocket under the skin and possibly, under the pectoralis major muscles is made for an implant sizer (temporary implant) to be inserted.

Your anaesthetist will the sit you up, while you are still sleeping, to check the position and shape of the implant sizer. You are then laid back down, and the sizer is removed. Your skin is cleaned again with betadine, the surgeon will change to a new pair of surgical gloves and the breast implant will be carefully slipped into your body. This is done with the utmost care and the highest standards of sterility to avoid long term problems such as capsular contracture, infection and anaplastic large cell lymphoma.

The wound is then closed with three layers of dissolving stitches which do not need to be removed after the surgery.  A waterproof bandage is applied to the wound so that you can shower the next day. You will wake up with a supportive sports bra on which you will wear for the next two weeks. A comfort protocol will be designed by your anaesthetist and explained to you prior to leaving hospital

How long will I stay in hospital?

Breast augmentation surgery is a significant procedure that is best performed as day surgery in a hospital. If you cannot organise for someone to take you home and care for you for in the first day, then it is best to plan to spend one night in hospital

How long will it be before I can drive, return to work and exercise after tummy tuck surgery?

Most people having breast implant surgery in Sydney are able to drive one week after surgery, can return to work and gently start exercising after one week. You cannot perform any exercise that involve your elbows moving outwardly away from your body for six weeks.

Which hospitals do Dr Sanki and Dr Kotronakis operate in?

Dr Sanki and Dr Kotronakis are Sydney breast augmentation specialists, and perform their surgery at major hospital facilities including St George, Hurstville, Bondi Junction and St Luke’s private hospitals. We select our hospitals based on their high standards of peri-operative care and their outstanding surgical equipment.

Do breast implants last forever?

Breast augmentation surgery can give a highly satisfying result, by instantly improving in your appearance and self-esteem. While we use the highest quality breast implants available and meticulous surgical technique, it is still possible for problems such as capsular contracture, infection, malposition and leaks to occur. These problems can vary from minor to significant enough to require further surgery and even replacement or removal of your implants. Scientific studies have estimated that 25% of women will require revisional implant surgery within ten years of their primary breast augmentation.

Is it possible to have an all female surgical team?

Dr Sanki has an all female surgical team available weekly. Surgery can be a vulnerable time for women, and having the security of an all female surgical team can be comforting and reassuring. Dr Sanki’s team are not picked upon their gender, but are picked for their experience, dedication and skill.

Can private health insurance be used?

Breast augmentation surgery in Sydney is considered cosmetic surgery and is not covered by Medicare or private health insurance. Breast augmentation for the purpose of correcting tuberous breast deformity, breast asymmetry and breast cancer deformities are covered by Medicare item numbers and some private health insurance policies.

Who should perform breast augmentation surgery in Sydney?

Breast implant surgery may sound simple but it is real surgery, and should be performed with sophisticated surgical technique for the safest and best results. It carries real risks, and as such should be considered carefully. Fortunately, breast augmentation surgery in Sydney is safely performed by our highly experienced surgeons.

We recommend that you carefully consider your choice of surgeon. Unfortunately doctors without surgical qualifications beyond their medical degree are allowed to perform surgery. Your surgeon should be appropriately qualified with at least a Fellowship of the Royal Australasian College of Surgeons (FRACS), which means that they have specialist surgical training. FRACS is the standard qualification required in Australia to perform surgery in private and public hospitals.

Members of the Australian Society of Plastic Surgeons have a FRACS and specialised training in Plastic and Reconstructive Surgery, including tummy tucks.

Our Sydney breast augmentation surgeons, Dr Amira Sanki and Dr Ilias Kotronakis are fully qualified Plastic Surgeons. They are both Australian University trained, having received Honours degree in their medical schools. They both have FRACS qualifications as Specialist Surgeons in Plastic and Reconstructive Surgery, and are members of the Australian Society of Plastic Surgeons. They both have extensive experience and training in breast augmentation, including the most advanced and up to date techniques. They are committed to giving their patients the safest and best treatment available.

Where to get more information

A consultation with a qualified Plastic Surgeon is the best place to get the right advice. More information on breast implant surgery is available online at the Australian Society of Plastic Surgeons and Australasian Society of Aesthetic Plastic Surgeons websites. You can view a video of the procedure there.

Plastic surgery, like any other surgical procedure, carries certain risks and potential complications. It is important for individuals considering plastic surgery to be aware of these risks before making a decision. Your plastic surgeon will explain the specific risks of your procedure and your risk profile in the context of your general health and the complexity of your procedure. Here are some of the common risks associated with plastic surgery:

1. Infection: Any surgical procedure has the risk of infection. Surgeons take precautions to minimise this risk, such as sterile operating environments and proper wound care, but infections can still occur.

2. Scarring: Scarring is an inherent risk of plastic surgery. While surgeons strive to minimise visible scarring, some procedures may result in more noticeable or keloid scars.

3. Pain and discomfort: Plastic surgery involves incisions and tissue manipulation, which can lead to post-operative pain and discomfort. The level of pain varies depending on the procedure and the individual’s pain tolerance.

4. Hematoma and seroma: Hematomas are collections of blood that can form under the skin after surgery, while seromas are collections of fluid. These fluid collections may require drainage.

5. Nerve damage: Nerves can be damaged during surgery, leading to temporary or permanent numbness, tingling, or loss of sensation in the affected area. Nerve damage can also cause muscle weakness or paralysis.

6. Blood clots: Surgical procedures carry a risk of blood clot formation, particularly in the legs. Blood clots can be serious if they travel to other parts of the body, causing complications like pulmonary embolism.

7. Anesthesia risks: Plastic surgery usually requires the use of anesthesia, which carries its own set of risks. These include adverse reactions to anesthesia, breathing difficulties, and, in rare cases, life-threatening complications.

8. Unsatisfactory results: Plastic surgery outcomes may not meet the patient’s expectations or desires. It’s important for individuals to have realistic expectations and to communicate clearly with their surgeon about their goals and desired outcomes.

9. Revision surgery: In some cases, additional surgery may be required to achieve the desired results or to correct any complications or unsatisfactory outcomes. This can increase the financial and emotional burden on the patient.

10. Psychological and emotional effects: Plastic surgery can have psychological and emotional impacts, both positive and negative. While many people experience improved self-esteem and body image after surgery, others may struggle with unrealistic expectations, body dysmorphia, or dissatisfaction with the results.

11. Breast implants do not last forever: Breast implants are made of semi solid silicone and can rupture.

12. Removal and replacement: 25% of women will require additional surgery to revise their implants within 10 years.

13. Capsular contracture: breast implants feel hard and can become uncomfortable if they develop a capsule around them. A breast implant capsule is made by your body to wall off the implant. A capsule is made around any medical device inserted into the body.

14. Malposition: breast implants are affected by gravity and will move over time. They can move or rotate in the early post operative period.

15. Breast implant illness: some women feel a constellation of symptoms such as joint aches, brain fog and skin rashes associated with their implants.

16. Breast sag/ ptosis: Breast implants will be affected by gravity and can cause breasts to sag faster than they would have if the implants were not in place.

17. Loss of nipple sensation: most people become either hypersensitive or numb after surgery. This improves after a few weeks. Some people will experience numbness that does not improve (approx. 5%).

18. Asymmetry of the breasts: No two breasts are the same. The goal of surgery is to improve symmetry but absolute symmetry cannot be achieved.

19. Cup size cannot be guaranteed: Your surgeon will speak to you about the approximate size you would like to achieve to suit your frame and body.

20. Breast shape will change over time: your breasts will continue to change shape and size if you fall pregnant, breast feed, gain or lose weight.

It’s crucial for individuals considering plastic surgery to consult with a qualified and experienced plastic surgeon who can thoroughly explain the risks and benefits specific to their desired procedure. Understanding and carefully weighing these risks against the potential benefits can help individuals make informed decisions about whether to proceed with plastic surgery.