Breast Implants, Textured Breast Implants & Anaplastic Large Cell Lymphoma (ALCL): A Rare form of Non-Hodgkins Lymphoma (NHL).

A Scientific Guide for patients.

Many patients in Australia and across the world have recently become aware of the risks associated with a specific make of Breast Implant, called Poly Implant Prosthese (PIP), Polyurethane Breast Implants (Furry Brazilian) or Textured Implants.

Dr. Bobby Kumar (Cosmetic Surgeon) has never used PIP Breast Implants and does not recommend textured breast Implants. He has chosen only to use breast Implants with a proven and trusted safety record, and breast Implants that are recognised and approved by the major medical authorities around the world, such as FDA (Food and drug authority of the US), TGA and NHMRC of Australia as well as UK’s Medicines and Healthcare products Regulatory Agency (MHRA).

Breast Implants that are recommended at the Bare Aesthetics Cosmetic clinics and by Dr. Bobby Kumar are Eurosilicone (It has one of the lowest rates of all breast Implants for rupture) and Mentor Breast Implants. These Implant companies provide guarantees for their Implants; Eurosilicone Implants are Insured for life to all my patients and the company will exchange for free any on their Implants that develop a spontaneous rupture and or capsular contracture.

Dr. Bobby Kumar (Cosmetic Surgeon) in his opinion has recommended that the PIP Implants be removed especially if they have ruptured; this is contrary to the recent advice provided by the TGA  and their advisors.

1. What are the concerns regarding Breast Implants and the rare ALCL tumour?

Depending on the source of scientific literature and information there are a slightly varying number of ALCL cases in women having undergone breast Implantation.

After a careful review of literature published from January 1997 through May 2010, the FDA identified 34(one study identified only 27) unique cases of ALCL in women with breast implants worldwide. In addition, the FDA has received information from other international regulatory agencies, scientific experts and breast implant manufacturers. Altogether, the agency is aware of approximately 60 cases of ALCL in women with breast implants. Most of these women are mainly in Europe and some in the USA.

However, based on all the evidence available to us at this time, the FDA believes that women with certain types of breast implants may have a very low but increased risk of developing ALCL.

Since initially publishing this article it has been recognised and established that there is a link between Textured Breast Implants, the formation of capsular contracture and ALCL by Australian researchers (Click on the following link for details: )

2. What is Anaplastic Large Cell Lymphoma (ALCL)?

ALCL is not breast cancer. According to the National Cancer Institute (USA), ALCL is a rare malignant tumor (non-Hodgkin lymphoma) that may appear in several parts of the body including the lymph nodes, skin, bones, soft tissue, lungs or liver.

Also according to the National Cancer Institute, an estimated 1 in 500,000 women per year in the U.S. are diagnosed with ALCL. ALCL in the breast is even rarer. Approximately 3 in 100 million women per year in the U.S. are diagnosed with ALCL in the breast (with or without breast Implants).

Even though ALCL has been found in the breasts of some women with breast implants, it is not breast cancer. ALCL is a type of lymphoma, a cancer of the cells of the immune system.

In fact the type of ALCL that forms in association with some breast Implants, that is, ALCL Kinase negative, is an even rarer form of all the subtypes of ALCL.

ALCL comprises only 2% of all newly diagnosed NHL worldwide. Lymphomas occurring in the breast are even rarer, comprising only 0.04 to 0.5% of all breast cancers and approximately 1-2% of all extranodal (outside of lymph nodes) lymphomas.

The absolute risk of developing ALCL following breast augmentation is extremely small. It is estimated by de Jong et al. to have an incidence of 0.1 to 0.3 per 100,000 women with breast Implants per year.

It has been propsed that the link is associated with a bacterial infection in contact with the textured surface of the breast Implant. The infection creates a chronic inflammatory state and activates the patients Immune system and lymphocytes causing a transformation into what is now referred to as BIA-ALCL (Breast Implant Associated ALCL)

3. Symptoms associated with development of ALCL and women with Breast Implants

The main symptoms of ALCL in women with breast implants were persistent swelling or pain in the vicinity of the breast implant. These symptoms were noted to occur well after the surgical incision had healed, often years after implant placement (published articles estimate 6 months to several years after breast augmentation).

Upon evaluation, evidence of fluid collection around the breast implant (seroma) was observed. Some patient reports indicated that a palpable mass or capsular contracture (thick and noticeable scar capsule around the implant) were present.

4. Where in the breast has ALCL been found in women with breast implants?

In the case studies reported in the literature, the ALCL was found near the textured breast implant, and contained within the fibrous scar capsule. However, it was not in the breast tissue itself. The illustration below shows the location of the ALCL in these reports. In most cases, the ALCL cells were found in the effusion fluid (seroma) surrounding the implant or contained within the fibrous scar capsule.

Breast Implants and ALCL tumours

5. Prognosis

ALCL disease occurring in women with breast Implants is a clinically indolent disease with a favourable prognosis, as distinct from the systemic ALCL disease type.

Management consists of removal of the involved breast Implant and capsule, which likely on current evidence will prevent local reoccurrence (evaluation for other disease sites needs to be performed).

With capsule confined disease, adjuvant chemotherapy and radiotherapy is not necessarily required; however this decision is made by a medical oncology team.

6. Conclusion

Whilst ALCL of the breast and in particular in women with breast Implants is rare, it is recognosed now that there is a positive association between BIA-ALCL and textured breast Implants. There is a causal link  between textured breast Implants , bacterial infection and developing BIA-ALCL.

Textured Implant range include PIP Implants, Micro textured breast Implants & Poly Urethane breast Implants (Commonly referred to as ‘PURE’ or ‘Furry Brazilian’).

The scientists have suggested that smooth breast Implant surfaces potentially have a lower or no risk of developing ALCL. 

The expert panel also believes that there is evidence of an increased risk of developing ALCL in women that have breast augmentation in the Subglandular plane (under the breast) compared to those women with Subpectoral breast augmentation (under the pectoral muscle).

The treatment is removal of the textured breast Implant and fibrous capsule. It is not clear whether there is still a long term risk of developing ALCL despite removal of the affected breast Implant and capsule.

7. So what are the issues with the PIP breast Implants?

The media and the PIP manufacturing company have released a statement suggesting that PIP Implants have a higher than expected spontaneous rupture rate, at least approximately 4x greater than other types of breast Implants. There is a greater risk of Capsular Contracture and now a suggestion that this particular breast Implant is implicated in the formation of a rare form of NHL tumour (BIA-ALCL) of the scar tissue(Capsule) surrounding the Implant.

Of particular concern are textured PIP breast Implants as well as textured titanium coated breast Implants.

8. Consequently Poly Implant Prosthese(PIP) has advised that patients should consider removal of their PIP breast Implants.

This has caused significant concern amongst patients with PIP Implants or in fact with any breast Implant, as evidenced by the number of calls received at Bare Aesthetics Cosmetic Surgery Clinics. In Australia PIP breast Implants were used largely by Surgeons in South Australia (State where the parent Importing Company of PIP breast Implants resided) and Queensland.

PIP breast Implants were banned for use in Breast Augmentation in the USA by the FDA in the year 2000 when it became evident that there were significant spontaneous rupture rates and capsular contractures. It was also recognised that PIP manufacturing company were using Industrial strength Silicone, not authorised or appropriate for use in medical breast augmentation.

Despite the FDA findings the Australian TGA only banned PIP breast Implants in approximately 2010, when similar concerns were raised by Australian patients reporting adverse outcomes.

To reiterate Bare Aesthetics Cosmetic Surgery Clinics and Dr. Bobby Kumar have received many enquiries regarding what to do from patients having had PIP breast Implants by another surgeon. Dr. Bobby Kumar (Cosmetic Surgeon) in his opinion has recommended that the PIP Implants be removed especially if they have ruptured; this is contrary to the recent TGA advice.

Patients with PIP breast Implants are naturally distressed and anxious about developing ALCL and removal of the affected breast Implants which then entails increased risk or morbidity of having further surgery and anaesthesia, especially as it will take longer than a standard breast augmentation. Also there is consideration of cost; it is unclear who will finance further surgery for the removal of the affected PIP Implants.

At this stage patients are expected to finance further surgery, although international authorities are suggesting the government finance patients in cases where breast augmentation with PIP Implants followed corrective surgery for breast cancer; or it be financed by the private clinics and or Surgeons that performed the breast augmentation with PIP breast Implants.

Dr. Bobby Kumar is a Cosmetic Surgeon, experienced and qualified to perform Breast Augmentation or Breast Enlargement surgery. For advice regarding Breast Implants and PIP Implant related issues, please contact us at or call 1300 676 003 or 0430 491 009.

Written by Dr. Bobby Arun Kumar on Monday the 7th of September, 2015. Currently No Comments »

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How does Dr. Bobby Kumar, Cosmetic Surgeon, decide which Breast Implants are best suited to you?

Breast Augmentation surgery is the most common Cosmetic Surgery sought by women in Australia today. Planning for breast augmentation surgery requires choices about breast implants, including,

saline vs silicone

size/volume of breast implant

shape of breast implant (round vs anatomical)

projection of  implant (eg high vs very high)

the outer layer of the implant (textured vs smooth)

placement of the implant (Subglandular or Subpectoral)

So how do you know which type of  implant is best for you and will achieve the results you desire?

When planning Breast Augmentation surgery, Dr. Bobby Kumar does not take a “one type suits all” approach when recommending breast implants. There are several factors that he considers when evaluating which breast implants to recommend to any given patient, including:

Existing features:

Volume of existing breast tissue (ie the amount of breast tissue/size of breasts)

Skin thickness, quality, quantity and elasticity – these features affect the placement of the breast implants of above or below the muscle (Subglandular or Subpectoral) and potentially the size of breast implant. For example, a woman with thin skin seeking a natural result may be best suited to breast implant placement below the muscle to allow for coverage of the implant and to avoid the edges of the implant showing through the skin. The quantity of skin is also taken into consideration as the desired outcome is to fill the skin adequately with the breast implant. An implant that is too small to adequately fill the skin results in an unnatural appearance.

Chest diameter – the width of the chest and breast diameter affect the width of breast implants that can be accommodated. For example, a large breast implant may not be able to be accommodated by a small diameter breast, or conversely a smaller breast implant in a breast with a large diameter may result in poor breast augmentation.

Shape/position of existing breasts – for some women, their breasts have developed a degree of droop with age, changes in weight, and/or pregnancy and breastfeeding. A mild degree of droop can be addressed with certain types of breast implants. Most women seek upper pole fullness and the ability to create cleavage. This, for example, cannot be achieved with anatomical breast implants that are teardrop shaped.

Desired result/outcome:

                The result that each woman wants to achieve with breast augmentation surgery can differ. For example, some women seek an implanted look whilst others want a natural fullness. Some women seek to be a couple of “sizes” bigger, whilst others want to be significantly larger. Trends have changed when it comes to what is considered desirable – currently the most popular look amongst women seeking breast augmentation surgery is full, natural breasts with upper pole fullness and cleavage. Typically women who seek breast augmentation surgery after having children are aiming to restore their breasts to their pre children appearance, seeking to restore volume, shape and proportion to their body shape. 

Other factors:

      Size and development of pectoral muscles



      Pregnancies/breast feeding, weight gain/loss – these factors results in changes over time in the size and shape of the breasts and the stretch of the skin, for example.

The manufacturer and supplier of the breast implants:

               Dr. Bobby Kumar actively stays informed regarding the breast implants available on the market and ongoing research into continued product development in order to maximise the safety and wellbeing of every woman who is seeking breast augmentation surgery. For example, Dr. Bobby Kumar chose not to ever use the now very well publicised PIP implants due to his knowledge of the history and concerns regarding the implants and the manufacturers themselves.

These are all factors that Dr. Bobby Kumar, Cosmetic Surgeon, considers comprehensively in a consultation when discussing the types of breast implants available and which breast implants would be best suited to any given woman seeking breast augmentation surgery.

Make an apointment today for a consultation by calling 1300 676 003 or contacting Wendy on 0430 491 009. Alternatively visit our website at


Written by Dr. Bobby Arun Kumar on Monday the 22nd of April, 2013. Currently No Comments »

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       Women Considering a Mummy Makeover:

“I just want my body back…I’ve had my kids and now I want something just for me, to get my body back to something like the way it was…I maybe considering Breast Implants or a Tummy Tuck ?”

This is the most common phrase I hear from women seeking breast augmentation surgery, abdominoplasty (tummy tuck sydney) surgery, or both together.  Typically these women have had children and see the lasting effects on their bodies every day; loss of volume and shape in their breasts and residual excess skin and tissue on their tummy that doesn’t respond to diet or exercise.  So what are their Cosmetic Surgery options?

Breast Augmentation Surgery:

Breast Augmentation surgery involves the insertion of breast implants into the breasts to increase and/or restore their size. Many women seek breast augmentation surgery to enhance their overall body shape, contours and proportions.  For women who have breast fed their children or lost weight, sometimes a breast lift will be combined with breast augmentation in order to address sagginess or droop of the breasts.

Usually women seeking breast augmentation seek to achieve larger breasts, but retain a natural appearance. Most women don’t want to look “implanted”. A natural look can be easily achieved with the right advice from your Cosmetic Surgeon as to what size, style, shape, projection and volume suits your shape and body type and will achieve the look you are seeking.

Abdominoplasty Surgery (Tummy tuck):

Many women who have had children are unhappy with the residual excess skin and tissue at the base of their tummy that is unresponsive to diet and exercise. (This is also common in both men and women who have achieved significant weight loss). Tummy tuck surgery involves the excision of the excess skin and tissue on the tummy, often with tightening of the underlying tummy muscles, to achieve a smooth and defined tummy. This should in no way be considered a means of weight loss; your Cosmetic Surgeon will advise you to be within your optimal weight range prior to surgery to achieve the best and most lasting result. Tummy tuck surgery is often combined with Liposuction or Liposculpture, where fat is removed through incisions will a metal tube and suction device, in order to achieve a smoother, contoured and natural appearance.

Performing Breast Augmentation and Abdominoplasty surgery (Tummy Tuck Sydney) at the same time is appropriate for some women. The priority of the Cosmetic Surgeon is your safety and minimising your surgical risks; this may mean that the surgeries should be performed on separate occasions if by performing them together your operating time is at a length of operating time that poses increased risk to your safety. This is obviously something that you should discuss in consultation with your Cosmetic Surgeon.

Cosmetic Surgery offers options to women who have reached a point in their life where they want to do something for themselves, take steps to restore and rejuvenate their body’s appearance and re-gain a sense of self confidence. For an appointment for Breast Implants and/or Tummy Tuck Sydney today, contact an accredited and experienced  Cosmetic Surgeon Dr. Bobby Kumar on 1300 676 003 or 0430 491 006.

Written by Dr. Bobby Arun Kumar on Wednesday the 27th of February, 2013. Currently No Comments »

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For many women, feeling confident, happy and sexy goes hand in hand with looking their best.

For thousands of women, achieving such confidence and pride in their appearance has been enhanced by their choice to pursue breast augmentation.

Following their procedure, many women describe a transformation in how they feel about themselves and their bodies.

There are many reasons women choose breast augmentation. Some of them include:

  • Increasing the size of their breasts to create more proportional contours
  • Restoring volume and reshaping breasts that have lost their volume and shape due to breast feeding or weight loss 
  • Addressing asymmetrical breasts or breasts that have not formed or developed correctly  

Each woman’s reasons for pursuing breast augmentation surgery are personal and individual, and decisions about surgery should be discussed with your Cosmetic Surgeon based on your personal needs, goals and expectations.

Today, there are many choices available for women who decide breast augmentation is right for them. This blog is designed to help you understand more about breast augmentation and provide you with information regarding all the options available. This does not replace having a face to face consultation with a Cosmetic Surgeon, but seeks to provide you with background information.

Anatomy of the Breast
The breast consists of fatty, glandular and fibrous tissues. Under the breast is the pectoralis major, which is a large muscle that assists in arm movement.

Breast anatomy during breast augmentation

Incision and Placement Choices

Incisions:  Breast implants are usually inserted using one of three common incision sites: around the nipple (periareolar), within the breast fold (inframammary) or under the arm (transaxillary).

Inframammary-This incision is very popular because it is concealed in the skin fold below the breast and carries the least risks and complications.

Periareolar– This incision offers the benefit of being the most concealed. However, risks include potential interference with breast feeding, infection and bleeding.

Transaxillary– This incision is less concealed, but it might be a good option for women who do not want any scars on their breasts. However, the surgery itself is more complicated and lengthy due to the difficult access.

Your Cosmetic Surgeon will explain each incision choice to you in greater detail including the advantages and disadvantages, and help you make a decision that is right for you.

Placement :

During a breast augmentation procedure, the implants will either be placed under the chest muscle (submuscular) or on top of the muscle and under the breast glands (subglandular).

Submuscular placement
may reduce the chances of your implants being felt through your skin, and it may help reduce the chance of scar tissue hardening around your implants. It also will make it easier to image your breast during a mammogram. Potential disadvantages of this placement choice could be a longer surgery and recovery period.

Subglandular placement
can make your augmentation surgery shorter and reduce your recovery time. A possible disadvantage could be having your implant edges more visibly noticeable under your skin, however this also comes down to what kind of breast implant and what size you choose, along with your existing breast tissue and anatomy. Imaging during a mammogram can also be more difficult when your implants are placed subglandularly, however other tests can be performed instead.

Your Cosmetic Surgeon will discuss with you your placement options in relation to your individual needs and goals, so that you can make a decision about which option is right for you.

Transaxillary,periareolar and inframammary incisions

Breast implant incision sites


Types of Breast Implants

There are two basic types of breast implants: silicone gel filled breast implants and saline filled breast implants.

Silicone Breast Implants

Silicone breast implants have improved significantly over the last several years. They are the most commonly used breast implants now, due to their ability to feel like natural breast tissue. Silicone breast implants consist of an outer silicone shell filled with a cohesive silicone gel. This gel is designed to retain its integrity in the case of the outer shell splitting or rupturing, so that the silicone does not disperse within the breast.

Saline breast implants
Saline breast implants consist of an outer silicone shell filled with a saltwater solution called saline, similar to the fluid that naturally occurs in the human body. These have declined in popularity due to their tendency to feel literally like a bag of water rather than simulate the feeling of natural breast tissue.

Implant Shapes
Depending on your current breast size and shape and the breast size and shape you are hoping to achieve, you and your Cosmetic Surgeon may choose either a round or contoured implant. Contoured implants have a teardrop shape that is aimed at providing patients with a more natural looking breast. However, many women seek to have volume and fill at the top of their
breast, which a teardrop shape will not provide. Anatomical implants also have a tendency to rotate within the breast, requiring further surgery to correct their orientation. Round breast implants are the most common choice for women seeking breast augmentation. Breast implants come in different degrees of projection; moderate, high and very high. Your Cosmetic Surgeon will discuss with you the shape and projection of breast implant that will best suit your existing breast tissue and chest size and meet your goals and expectations. 

Implant Surfaces
Breast implants come with either a smooth or a textured surface, now commonly known as “furry brazillian”. Breast implants with a smooth surface have a slightly softer shell, are less likely to be felt through the skin and are able to move naturally within the breast tissue. Textured breast implants tend to adhere like Velcro to the tissue inside the breast and can be used to achieve a small of degree of lift.

Breast Augmentation Surgery
Breast augmentation surgery is performed in a private hospital. You normally can go home the same day as your surgery, with a friend or family member staying with you for 24-48 hours. General anesthesia is typically used, so you will be asleep during your procedure.

The surgery usually takes between one and two hours. Your Cosmetic Surgeon will make an incision and create a pocket in the breast tissue in which the breast implant is placed. Once the Surgeon is satisfied with the position of the breast implant, the incision will be closed with layers of stitches.

Your Recovery

Every woman’s recovery is different. You may expect to feel a little sore for the first 24 – 72 hours but any pain or discomfort is usually alleviated by mild pain relief, such as paracetamol. Your breasts may be swollen and tender to touch. Although every woman’s recovery is different, you should be able to resume light activities after about one week. However, it is really important to avoid any upper body activity, including exercise, lifting or bending for at least 6 weeks in order to allow the underlying muscles to settle and the breast tissue to start healing around the breast implants.

Initially you will be strapped with bandages and taping after surgery by the Cosmetic Surgeon. From about the 2nd day, you will be required to wear a supportive bra with no underwire.

Your Cosmetic Surgeon will have other specific recommendations for you to follow while you recover. If any issues arise after your breast augmentation surgery, you need to contact your Cosmetic Surgeon immediately.

Question To Ask Your Cosmetic Surgeon

  • What training has the surgeon received in performing breast augmentation surgery?
  • How many years experience does the surgeon have in performing breast augmentation surgery?
  • How many breast augmentation implantation procedures does the surgeon perform each year?
  • What are the potential risks and complications associated with breast implant surgery?
  • What shape, size, surface texturing, incision site and placement site is recommended for me?
  • How will my ability to breast-feed be affected?
  • How can I expect my implanted breasts to look over time?
  • Do you have before-and-after photos that I can look it?

Contact us on 1300 676 003 for an appointment today with your Breast Implant Surgeon Sydney.


Written by Dr. Bobby Arun Kumar on Friday the 8th of February, 2013. Currently No Comments »

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Tummy Tuck otherwise Known as an Abdominoplasty

Tummy Tuck is surgically known as Abdominoplasty surgery. The surgery is performed for Cosmetic and legitimate medical and surgical reasons. In Sydney and Port Macquarie . Women following child birth and if they have had a caesarian section can be left with an overhanging lower abdomen. These patients decide to have Tummy Tuck surgery to address the hanging “Pannus” of redundant skin and soft tissues.This is the case for those patients that have succeeded in losing a significant amount of weight. Consequently these patients are left with a large redundant apron of skin and subcutaneous fat and tissues which in themselves are a problem; causing skin fungal infections, aesthetically undesirable lower torso and the patient is left with having to hide the redundant mound in clothing.

Tummy Tuck Surgery or Abdominoplasty at Bare Aesthetics Clinics

Who makes the best candidate for a Tummy Tuck?

Tummy Tuck or abdominoplasty surgery is becoming a popular form of Cosmetic Surgery for men and women. It is considered by patients for a variety of reasons. The most obvious reasons are that patients have a significant redundancy of skin and tissues of the upper and lower abdomen.

The cosmetic considerations are based on patients who may have had previous surgery and or delivered babies via caesarian section and they are left with a flap or “Pannus” of skin and tissues which typically overhang their clothing. These patients often find it unsightly and difficult to find the right clothing to hide the overhanging skin and tissues. They are also reluctant to go to the beach during summertime for fear of embarrassment when wearing a bathing suit. Read More »

Written by Wendy on Friday the 22nd of July, 2011. Currently No Comments »

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 Breast Augmentation, Enlargement or Breast Implant Cosmetic Surgeon

Breast Implant surgery is one of the most common Cosmetic Surgery procedures performed in Australia. Many women are choosing breast augmentation to enhance their breast shape and size, body proportions and contours. Some women have always felt uncomfortable with smaller or uneven breasts; other women seek to restore their breast size and shape after pregnancies and breast feeding or significant weight loss. Whatever your motivation, it is important to research the procedure and seek the opinion of a qualified and experienced Cosmetic Surgeon.

Dr. Bobby Kumar produces natural,beautiful and aesthetics Breast Enlargement results

High Profile Breast Implants

Dr. Bobby Kumar, Cosmetic Surgeon, has been performing Breast Enlargement surgery in Sydney for many years and is now offering his considerable skills and experience to patients in Adelaide. Dr. Bobby Kumar performs patient consultations and breast enlargement surgery in Adelaide on a regular basis. He is experienced in a range of Cosmetic Surgery Procedures, including breast augmentation or breast implants cosmetic surgery; tummy tucks or abdominoplasty, face lifts, breast reduction and breast lift surgery.

Breast augmentation involves the use of implants to enhance breast size and shape. There are two main types of breast implants, saline or silicone. Silicone implants have become more popular due to their natural feel. They consist of an outer silicone shell containing silicone gel. The silicone gel stays intact in the rare event that an implant ruptures or breaks. Saline implants also have an outer silicone shell, but are filled with saline, a fluid based on water and salt similar to that naturally occurring in our bodies.

The Size Shape and Style of breast Implant selection is discussed in your Consultation with Dr. Bobby Kumar

Breast Implant Size

Recently there have been well publicised issues with a particular commonly used brand of breast implant that were manufactured in France. There were reported cases and an increased incidence of breast implants rupturing and leaking. Dr. Bobby Kumar has never used this particular type of implant due to his own concerns and research regarding their negative outcomes. The breast implants he chooses to use come from a manufacturer and supplier that is TGA approved and has the lowest incidence of complications.

Breast implants also vary in their size, shape and volume. The most suitable breast implant to achieve the results you desire will be discussed between you and Dr. Bobby Kumar based on your physical examination and measurements. A breast implant that is suitable for one woman may not be appropriate for another, depending on features such as existing breast tissue, shape or droop of the breast, size of the chest, and body proportions. These issues will all be discussed at length with you by Dr. Bobby Kumar so you are in the best position to make an informed decision about what is right for you.  Many women do not want to have an ‘implanted’ look and Dr. Bobby Kumar strives to achieve the most natural looking results.

The first step in the breast augmentation process is to have a consultation with Dr. Bobby Kumar in Sydney and Port Macquarie to discuss your options and obtain all the information you require about breast surgery. If you want to proceed with surgery, there are a few things to bear in mind. Breast surgery is usually performed as a day procedure under either twilight sedation or general anaesthetic. Most women return to work within 1 – 2 weeks depending on their type of work. Heavy lifting is to be avoided after surgery, in order to allow the chest tissues to heal and the implants to settle into position. Usually women are back into their normal routine, including exercise, at about 6 weeks after surgery.

Women who have had breast augmentation typically report a high level of satisfaction with the results including the enhancement to their overall body shape and proportions and often experience a boost in their self confidence.

Bare Aesthetics and Breast Augmentation,Breast Enlargement in Sydney,Adelaide and Port Macquarie

Natural Breast Augmentation results by Dr Bobby Kumar

Cosmetic Surgeon Dr. Bobby Kumar is an experienced and trusted Breast Augmentation and Breast Enlargement surgeon offering natural and beautiful results for women seeking Breast Implant surgery. For more information visit or contact for all appointments in Sydney, Port Macquarie today on 1300 676 003 or 0430 491 009.

Click on link below to find out more about a Breast Augmentation Consultation in Sydney, Port Macquarie  at the Bare Aesthetics Cosmetic Surgery clinics with cosmetic surgeon Dr. Bobby Kumar.

Breast augmentation or Breast enlargement what to expect in your consultation with cosmetic surgeon Dr Bobby Kumar

Written by Dr. Bobby Arun Kumar on Wednesday the 13th of July, 2011. Currently No Comments »

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Breast Augmentation or Breast Enlargement is the most frequently performed Cosmetic surgery on women in Australia and the U.S. today. Over 300,000 women undergo breast augmentation every year, with the popularity of the procedure ever increasing, especially amongst female body builders.

Breast implants are most commonly used as an aesthetic enhancement in an individual who is lacking in natural breast tissue due to genetically predisposition or environmentally induced factors. Because breast tissue is primarily composed of fat cells, physicians in the past have attempted to inject fat (obtained through liposuction) into the breast. However, today, this is completely unacceptable due to calcification (complete hardening of the breast). Hormonal therapy may increase the natural breast size, slightly, but not enough for the majority of women.

Currently, the most common procedure to increase breast size is via breast implants. A breast implant is a sac of silicone elastomer that is either filled with saline or silicone, and is surgically implanted under the breast tissue. The proportion of the breast to body height and weight is taken into consideration, as is the chest width, location of nipple/areola complex, and cleavage. Because the concepts of aesthetics are constantly changing, there are many factors such as implant type, size, and site that should be tailored to the individuals’ specificity.

TYPE OF BREAST IMPLANT (Saline or Silicone ):
Silicone vs. saline? This discussion is going to remain for many years. The advantage of silicone implants is that it is softer and appears more natural. However, leaks may be found in secondary tissue. Generally, saline is a bit firmer, but it is without the supposed health risks because a leak is simply absorbed by the body. The decision should be made after consultation with an experienced Cosmetic surgeon.

The breast implant can be placed either under the pectoralis major muscle (sub muscular) or on top of the muscle and under the breast glands (sub glandular). Sub muscular implants are more popular because they are less palpable, have lower risk of capsular contracture, and do not inhibit mammography. However, it requires more invasive surgery and longer healing time. Bodybuilders prefer sub-glandular insertion because the heavily developed pectoralis muscle might flatten the implant and there will be less projection of the breast. Women with sagging or drooping breasts may opt for a sub glandular placement to utilise the increased projection. Disadvantages of sub glandular implants include impairment of adequate mammography and an increased risk of capsular contraction.

Subglandular or Subpectoral

Subglandular or Subpectoral

There are four areas of incision:

1. Periareolar (lower part of areola 1-1/2 inches)

2. Inframammary (on the lower breast crease)

3. Axillary (armpits)

4. Transumbilical (from the bellybutton)

Each has advantages and disadvantages but the preferred incision is Inframammary because it is less noticeable. Arguments against the other approaches are that they are harder to perform; there is decreased sensation of the areola and violation of the breast tissue when approached via the Periareolar technique, there is increased risk of rupture, Infection and Capsular contracture with these other techniques.

Most surgeons have experience with teardrop (natural implants) and with the round implants. Preference is toward the round implant because it appears more natural. Previously, there were high profile implants (which projected more) and low profile implants (less projection). Recently, medium profile implants were introduced.

There is no expiration date for implants. You should be checked by your Cosmetic Surgeon if there are any symptoms or changes that are not expected including deflation, infection, change of location, etc. Mammography, ultrasound, or MRI should be performed if any of these symptoms or signs occurs. Patients over the age of 50 years of age should have their standard Breast checks. Typically many women will consider replacing their Implants or having revisional surgery for breast changes that have occurred by 10-12 years; such as breast droop or a change in Implant size.

RISKS (not common but possible):
1. Capsular contraction: Scar tissue forms around the implant to form a hard shell. There are several steps to prevent it, such as, size and location of the implant.


3. Shifting (moving) of the implant. The pocket for the implant should be adjusted for the patient (this will usually, prevent shifting).

4. Scars: Less conspicuous in the Inframammary incision.

5. Sensation: May be initially decreased. Usually 90% of sensation will return within 1-2 years of surgery.

6. Breast Feeding: About 50% of women won’t be able to successfully breast feed, particularly those with Periareolar incision.

7. Synmastia (also known as “kissing breast”), sometimes related to technique.

Synmastia or Uni boob

Synmastia or “Uni boob”

In general complications occur less when using an experienced and certified Cosmetic surgeon.

Cosmetic Surgery is an art form in combination with science. Each patient and surgeon has a different sense of what is aesthetically pleasing (although the basics are common). During a consultation with a Cosmetic Surgeon, the goals of both the patient and surgeon should coincide and be realistic. The results are not entirely dependent on the surgeon. It is important to understand that everybody starts with differing anatomical breasts (some patients are better candidates than others) and there are always unforeseen factors.

Dr. Bobby A Kumar is a board certified cosmetic surgeon and is experienced in Breast Augmentation surgery. He has used all types of Breast Implants and is skilled in choosing the appropriate Implant to provide the optimal and aesthetically pleasing result for each patient and therefore does not prescribe to the “one size fits all” approach.

Bare Aesthetic Cosmetic Surgery Clinics are located in Sydney,Port Macquarie and Kempsey. For an appointment today contact our friendly practice manager Wendy on 1300 676 003 or 0430 491 009.

Bare Aesthetics Cosmetic Surgery Clinics

Bare Aesthetics Cosmetic Surgery Clinics

Written by Dr. Bobby Arun Kumar on Friday the 4th of March, 2011. Currently No Comments »

Read related subjects to this article from Bare Aesthetics on breast augmentation or breast augmentation sydney or Breast Enlargement or Breast implant or Breast Implant Sydney or Breast Implants Sydney or breast lift or Breast Reduction or Cosmetic Surgery.

Breast Enlargement, Breast Lift, Breast Reduction & Gynaecomastia Surgery Sydney & Port Macquarie clinics

Breast Lift with Breast Implants

A woman’s breasts often define her femininity, and with the vast differences in shape, size, and appearance, breasts further help to define a woman’s individualism. The breasts undergo changes in response to factors such as genetics, aging, pregnancy and breast feeding, weight gain or loss, and hormonal fluctuations. All of these factors can cause the breast size and shape to change. These changes can be dissatisfying and can make women feel as if they are losing some of their femininity and youthful vitality.

Breast augmentation alone cannot restore the shape of the breasts for those women who have significantly “droopy” breasts. For those women who would like to have a breast enlargement to increase the size of their breasts as well as restore a firm, more upright position, a breast augmentation in combination with a breast lift can improve body contours and revitalize their appearance.


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Written by Dr. Bobby Arun Kumar on Monday the 24th of January, 2011. Currently No Comments »

Read related subjects to this article from Bare Aesthetics on breast augmentation or breast augmentation sydney or Breast Enlargement or Breast implant or Breast Implant Sydney or Breast Implants Sydney or breast lift or Breast Reduction or Cosmetic Surgery or Liposuction or Tummy Tuck.

Body Contouring – Tummy Tuck, Liposculpture, Arm & Thigh Lift, Male Breast Reduction

Bare Aesthetic Cosmetic Surgery Clinics in Sydney and Port Macquarie

A person’s body has become such a talked about and noticed thing. One cannot look in the mirror without thinking of something wrong with their body. Those patients considering Augmentation, enhancement, rejuvenation or correction of their body there is Cosmetic Surgery.

Cosmetic Surgery offers the ability to produce aesthetic and natural results; however, patients need to have realistic goals and expectations and to remember that it  is “Real Surgery” and by being Cosmetic Surgery in no way diminishes the seriousness of the surgery, its outcomes and potential complications.

Several Cosmetic Surgery procedures are included in the “body contouring” procedures list. These include such procedures as Liposuction or Liposculpture, Tummy Tuck or Abdominoplasty, Arm Lift or Brachioplasty, Thigh Lift, Calf and Pectoral Augmentation, and Male Breast Reduction or Male Gynaecomastia Surgery. Read More »

Written by Dr. Bobby Arun Kumar on Monday the 27th of December, 2010. Currently No Comments »

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FAQ’s about Breast Augmentation or Breast Enlargement in Sydney & Port Macquarie.

If you are considering pursuing breast augmentation surgery, you are not alone. Each year across Australia (Sydney, Adelaide & Port Macquarie clinics), thousands of women undergo surgery. Thanks to advances in technology and the surgical techniques, breast augmentation patients have more choices than ever before. Here are some frequently asked questions by women considering breast implants:

Q:        What is Breast Augmentation or Breast Enlargement?

A:         Breast augmentation is the enhancement of size and shape of breasts through the surgical insertion of breast implants.

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Written by Dr. Bobby Arun Kumar on Monday the 13th of December, 2010. Currently No Comments »

Read related subjects to this article from Bare Aesthetics on breast augmentation or breast augmentation sydney or Breast Enlargement or Breast implant or Breast Implant Sydney or Breast Implants Sydney or breast lift or Breast Reduction or Cosmetic Surgery.