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.

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.

Breast Implant Size

Recently in Adelaide 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 Adelaide 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.

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 in Adelaide. For more information visit www.bareaesthetics.com.au or contact for all appointments in Sydney, Port Macquarie and Adelaide today on (02) 9571 4850 or 0430 491 009.

Click on link below to find out more about a Breast Augmentation Consultation in Sydney, Port Macquarie or Adelaide 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

These are the most common questions asked by women in Sydney, Adelaide and Port Macquarie who are considering Breast Augmentation Surgery:

1. How long does Breast Augmentation surgery take?

Breast Augmentation surgery in total takes between 1.5 and 2 hours

2. Under what type of anaesthetic is Breast Augmentation performed?

Breast Augmentation can be performed under either sedation anaesthesia or general anaesthesia; general anaesthesia is more common.

3.  How do I know what size implants to choose?

At the time of your consultation, you will have the opportunity to view different types of breast implants and “try” them for size. You need to make sure you are wearing a bra that will tolerate the breast implants being placed in the cup and wearing a plain t-shirt top helps to give you the best impression of sizing.

Every woman is different with regard to choosing breast implant size – the size of breast implant in one woman may give a significantly different result in another woman. This is one reason why viewing images of breast augmentation before and after photos should be done bearing in mind that each woman’s result is individual to her.

When choosing breast implant size, there are several factors to take into account, such as existing breast tissue, chest diameter, height and weight, overall body proportions and position of the breasts on the chest wall. The Cosmetic Surgeon will be able to recommend an appropriate breast implant size for you depending on the above factors and your goals and desired result.

Breast Implant Size

4. What happens in a consultation with the Cosmetic Surgeon Dr. Bobby Kumar?

On arrival for your consultation, you will be required to complete a questionnaire asking you information about your medical history and reasons for considering Cosmetic Breast Augmentation Surgery. In your consultation, the Cosmetic Surgeon will discuss your medical history, conduct a thorough medical examination, take measurements and photos of the chest area and discuss in detail breast augmentation surgery. The Cosmetic Surgeon will also discuss what types of breast implants are available and make recommendations as to what type and size of breast implant will achieve the results you desire. As previously mentioned, you will be able to view and try a range of breast implants.

5. How long is recovery time from Breast Augmentation?

Most women take between 1 and 2 weeks off work (depending on the type of work they do) to recover from Breast Augmentation surgery. Any upper body activity, including exercise, lifting or bending over, needs to be avoided for at least 6 weeks to allow for the tissues to heal, swelling to resolve and the breast implants to settle into position. Driving needs to be avoided for 2 weeks after breast augmentation and flying should be avoided for approximately 6-8 weeks due to the breast surgery’s proximity to the chest wall and therefore the lungs.

6. What preparation do I need to do for Breast Augmentation surgery?

The first step is to have a consultation with a fully qualified and experienced Cosmetic Surgeon. From there you are in a position to schedule breast augmentation surgery. Once your surgery is booked, you may want to have a second sizing of breast implants to be sure of the size you want. Prior to your surgery, you will be required to undergo a range of routine blood tests to provide the Cosmetic Surgeon with information necessary about your health status. You will also be required to take antibiotics for approxiamtley 7-10 days after your surgery; this will help to reduce the risk of infection.

Payment for your breast augmentation surgery is usually required in full prior to your surgery.

7. Where is the incision made for the breast implants?

The most common incision site for insertion of breast implants is in the crease under the breast where the scar can be hidden. Other less common locations for the incision are either around the nipples or under the armpits both of which are more complicated and carry more risks.

8. Do you recommend saline or silicone breast implants?

There are two main types of breast implants; saline and silicone. Saline breast implants are essentially an outer silicone shell filled with a saline fluid. These used to be the most common type of breast implant used but have become less liked due to the literal feeling of a “bag of water” rather than natural breast tissue. Silicone breast implants consist of an outer silicone shell containing a silicone gel; these are now more common due to their natural feel similar to breast tissue. In the uncommon event that a silicone breast implant ruptures, the silicone gel stays intact rather than spilling into the surrounding breast tissue.

The Cosmetic Surgeon will discuss both types of breast implants with you, outlining the advantages and disadvantages of each to allow you to make an informed decision.

9. I’ve heard of “furry Brazilian” breast implants – what are these?

The shell of silicone breast implants come in two types; smooth or textured. “Furry Brazilian” or P-URE for PolyUREthane breast implants originated from Brazil and are a textured layer on the outer surface of the breast implant. Breast implants are not a one type suits all; for some women a smooth breast implant will be the best option, for other women a textured breast implant will be the more suitable option. Again, this is something the Cosmetic Surgeon will discuss with you in detail so you can make an informed choice.

10. Will I still be able to breast feed after breast augmentation surgery?

Breast feeding can vary from female to female, irrespective of whether you have surgery for Breast augmentation or not. The instances where breast feeding may be affected is if the Incision is through the armpit or around the nipple areolar complex. Otherwise if the Incision is under the crease of the breast there is no Impact on the breast ductal structures or nerves supplying the, therefore most women should have the same chances of breast feeding as those women not having had the surgery.

11.Can breast cancer still be detected after breast augmentation surgery?

Yes. Various studies have been conducted and no evidence has been found that breast implants increase a woman’s risk of developing breast cancer. However, as the breast tissue volume thins under the influence of the breast Implant it has been found that breast cancer detection may be delayed by about 3 months. This does not change the overall prognosis of breast cancer once detected compared with women never having had breast augmentation surgery.

Whilst MRI scans are recommended in the USA every 2 years for women having had breast Implant surgery, this is not the case for women in Australia. Women are advised to perform routine self breast examinations, and carry out the required radiological investigations such as MRI, mammogram or ultrasound of their breasts. Any unusual lumps or findings should be brought to the attention of your cosmetic surgeon or at the least your family doctor for further Investigation.

Breast Augmentation Bare Aesthetics Video ( Requires Real Player media player)

Consultations with experienced breast augmentation specialist Cosmetic Surgeon Dr. Bobby Kumar in Sydney, Adelaide or Port Macquarie; contact us on (02) 9571 4850 or 0430 491 009.

One of the first questions I am frequently asked in a phone enquiry is what happens in an initial consultation regarding Breast Augmentation with Dr. Bobby Kumar, Cosmetic Surgeon.

1.            Questionnaire; on arrival for your Breast Augmentation consultation, you will be asked to complete a patient questionnaire incorporating biographical information, medical history and lifestyle information.

2.            Meet and consult with Dr. Bobby Kumar, Cosmetic Surgeon; Dr. Kumar will have a comprehensive discussion with you regarding the following:

• what you are seeking to achieve with Breast Augmentation surgery, including your reasons for pursuing surgery and what size and shape you are aiming to achieve
• how Breast Augmentation surgery is performed; different techniques, length of the procedure, planes of dissection
• risks and complications of Breast Augmentation surgery
• recovery from Breast Augmentation surgery and how to optimise results
• choices to make regarding incision site
• choices to make regarding the type of breast implants available (such as smooth vs textured breast implants, saline vs silicone breast implants, the size of breast implant and profile of breast implant)

3.            Medical Examination; Dr. Bobby Kumar will perform a medical examination, discussing with you the current appearance of your breasts and your chest anatomy.

4.            Physical measurements; Dr. Bobby Kumar will take several chest measurements (such as your chest diameter and diameter of your existing breast tissue) in order to provide                 information that aids the decision of what type, size and shape of breast implant will suit your overall size and body proportion, in addition to the appearance you are aiming  to achieve

5.            Sample breast implants; Dr. Bobby Kumar will show you a range of different types of breast implants and discuss what size, shape and profile will suit both your physique and what you are aiming to achieve. You will have the opportunity to place various sizes of breast implants into your bra to give you an idea of what size you would like if you were to pursue breast augmentation surgery.

6.            Photographs; Dr. Bobby Kumar will request your permission to take photographs of your chest area in order for a record of your existing appearance, size and shape and to provide him information necessary in planning your individual breast augmentation surgery.

7.            Answer questions; Dr. Bobby Kumar will be happy to answer any of your questions throughout the consultation and at the end after you have heard all the information. It can  be helpful to come with a list of questions you’ve prepared.

Following your consultation for Breast Augmentation surgery, you will be provided with further information for you to take home and read at your leisure and time to consider all the information you have received.

If you then decide that pursuing Breast Augmentation surgery is right for you, you can contact the Practice Manager and discuss how and when you would like to proceed.

For an experienced Cosmetic Surgeon performing Breast Augmentation in Sydney, Adelaide or Port Macquarie contact us on (02) 9571 4850 or 0430 491 009 for all appointments.

Breast Augmentation has not had any significant advances for a number of years. The techniques in performing Breast Enlargement surgery may vary slightly, yet the essence of creating a Breast pocket in which to insert an Implant is very much the same across the world.

Breast Enlargement by Cosmetic Surgeon Dr Bobby Kumar

There are potentially regional differences in surgical technique in trying to reduce complications such as Capsular Contracture rates, bleeding, haematoma’s and seromas. In Australia the capsular contracture rates are estimated to be around 3-5%. Whereas worldwide they may be as high as 14-16% as disclosed by recent studies by Allergan® in submission to the FDA.

Cleary there are specific cosmetic surgical nuances in Sydney and Adelaide that have helped reduce the Capsular contracture rates. Recent use of polyurethane breast Implants (“Furry Brazilian”) have for specific patients helped reduce capsular contracture rates down to an estimated 1%.

There is however a new revolution in performing breast augmentation or breast enlargement surgery. A device known as the “Keller Funnel” invented by Dr. Kevin Keller a board certified Cosmetic Plastic Surgeon has been released and used in the USA. It is currently awaiting TGA approval and maybe distributed by Medical Vision Australia.

Keller Funnel used for Breast Augmentation

The Keller Funnel is a cone shaped device similar in appearance and design as the icing sleeve used when preparing a cake. The funnel is designed to facilitate and help cosmetic surgeons insert a Silicone breast Implant into the prepared breast pocket.

The advantages of using the Keller Funnel are that it allows cosmetic surgeons to perform the breast Implantation through smaller incisions, perhaps as small as 3 centimetres. Currently Dr. Bobby Kumar is able to perform most breast augmentations through a 4 centimetre incisions.

The other advantages of this revolutionary device are that the breast Implant can be placed directly into the neck of the funnel without touching the breast Implant. Despite the surgical team working in a sterile environment and wearing sterile gloves, the “No touch” technique in performing breast Implantation with a Keller funnel reduces further any possibility of introducing an Infection into the breast pocket. This will help reduce the risk of Capsular contracture by reducing possibility of bacterial contamination.

No touch technique of Breast Augmentation

Additionally the funnel reduces the stress and trauma to both the patient and the breast Implant during breast enlargement surgery. During Implantation the breast Implant is encouraged into the breast pocket by using a finger to prod and push the Implant into the breast pocket. The potential risk of such an approach is unexpected rupture of the breast Implant or weakening of the Implant shell such that the Implant could rupture within the breast pocket at a later stage.

Also given the difficulty when Implanting certain breast Implants stress maybe placed on the tissues surrounding the Incision and the Cosmetic Surgeon maybe compelled to make the Incision larger to minimise the stress on the breast tissues and the Implant.

The funnel lowers these risks and has been recognised to have lowered the overall risks in breast augmentation surgery and therefore improved the success rates of the Cosmetic Surgeons utilising the Keller Funnel in the US.

The funnel is a cone shaped design; it is lined with a hydrophilic polymer coating which when wet the funnel becomes slippery such that the breast Implant is inserted into the widened neck of the device and by gently squeezing the funnel towards the narrow end which has been inserted into the breast incision the breast Implant squeezes out of the narrow end of the funnel into the breast pocket. This action results in a continuous and evenly distributed compressive force on the breast Implant, one which will not stress or damage the breast Implant itself.

Like Dr. Keller new and younger generation Cosmetic Surgeons like Dr. Bobby Kumar are used to using small incisions to perform breast enlargement surgery. The Keller funnel holds great hope for patients and Cosmetic surgeons alike that it will further improve the Aesthetic outcomes of breast augmentation surgery; minimise complications and long term risks such as capsular contracture and reduce the time taken to perform the breast Implantation.

Click here to watch Dr Kevin Keller talk about the Keller Funnel on YouTube

Patients in Sydney and Adelaide will have to wait till the TGA approves the use of the Keller Funnel. For more information contact us today on (02) 9571 4850 or 0430 491 009 or visit our site at www.bareaesthetics.com.au .

Once a woman has decided to undergo Breast Augmentation, there are several decisions she needs to make. First is selecting a Cosmetic Surgeon with the appropriate qualifications, training and experience. Next is choosing the right size and type of Breast Implant. The main decision regarding Breast Implants has previously been saline vs silicone, however now there are many other options to consider regarding shape and size. Your Cosmetic Surgeon is the best person to work with you to select the Breast Implant that suits your goals, body type and medical history. However, it is always sensible to be an educated consumer, research Breast Augmentation and go to your consultation ready with the questions you need answered. Here is some information to get you started on your research.

Breast Augmentation and Breast Enlargement

Components of a Breast Implant

The main components of a Breast Implant are the shell, the filler and the patch. The shell, also known as the lumen or the envelope, is made of silicone. The filler is the material contained in the shell and may be either saline or silicone. The patch covers where the filler was inserted in the shell.

Silicone Breast Implant - Round

Saline vs Silicone Breast Implants

Saline is sterile saltwater solution similar to the fluid that is naturally present in the body. Saline implants are generally known for being filled during surgery. This means the initial incision can be smaller, and some implants even allow for the volume to be adjusted after surgery through a valve in the implant. In other cases, saline implants come pre-filled at a given size from the manufacturer.

Criticism of saline Breast Implants includes the unnatural feel like a ‘bag of water’ and in some instances the ‘sloshing’ noise once it becomes a part of the body.

Silicone is an organic polymer that has a variety of medical uses including as Breast Implants. Silicone Breast Implants have become increasingly popular due to their resemblance in feel to natural breast tissue. The newer generations of silicone Breast Implants contain silicone that is designed to retain its integrity if the shell ruptures, therefore having less risk of spilling into surrounding tissue.

Polyurethane Breast Implants are also Silicone Implants except they have an outer “furry” coating made of polyurethane which helps with reducing capsular contractures.

Shape

Breast Implants vary in their size, shape and profile. Your Cosmetic Surgeon will discuss with you your goals and expectations, take measurements of your chest and bust, and make recommendations as to what type of Breast Implant will best meet your needs. For women with a smaller frame, Breast Implants with a narrower base may be most appropriate, as opposed to a wider base implant that would be appropriate for a woman with a wider chest. The profile of a Breast Implant impacts on projection and overall shape. You may also have heard of anatomical or teardrop shaped Breast Implants – these are designed to have more volume in the lower portion of the breast like a natural breast. Whilst a textured outside surface is designed to keep an anatomical implant in the right position, they often rotate and then require corrective surgery. Round implants are as they sound, with the same appearance from any angle even if their position changes. However; round Breast Implants can have a tear drop shape if placed under the muscle.

This is just some brief information about Breast Implants. For more thorough information, see our website at www.bareaesthetics.com.au or contact us to make a consultation on (02) 9571 4850 or 0430 491 009.

Dr. Bobby A Kumar is an experienced Cosmetic Surgeon who is experienced in performing Breast Augmentations or Breast Enlargement surgery.

Breast Augmentation by Dr. Bobby A Kumar Cosmetic Surgeon

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,Silicone or “Furry Brazilian”):
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. There has recently been the use of another type of Silicone Implant known as the “Furry Brazilian” or Polyurethane Implant. These Breast Implants are specifically designed for a small group of women. The decision should be made after consultation with an experienced Cosmetic surgeon.

LOCATION OF BREAST IMPLANT:
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

LOCATION OF INCISIONS:
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.

SHAPE OF THE BREAST IMPLANT:
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.

HOW LONG DO BREAST IMPLANTS LAST:
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.

2.Infection.

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"

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

RESULTS:
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 he specialises 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 Adelaide. For an appointment today contact our friendly practice manager Wendy on (02) 9571 4850 or 0430 491 009.

Bare Aesthetics Cosmetic Surgery 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.

Incisions for the breast lift and breast augmentation are typically around the Nipple, or the Nipple and down the vertical part of the lower breast.

Mastopexy augmentation, or a breast lift augmentation, tightens the breast skin, lifts the nipple to a better height and increases the size for better upper chest fullness. My preference is a partial sub pectoral implant plane so the recovery from this surgery is a bit lengthier than just a breast lift. Most patients are able to return to work after two weeks and to the gym after 6-8 weeks.

Breast Lift and Breast Enlargement

Breast Lift/ Mastopexy Surgery (No Breast Implants)

Many patients complain to me about the droopiness of their breasts. Some are happy with the overall volume or size of their breasts, but feel they tend to wrinkle and fold in a bra. Mastopexy, or breast lift surgery, can reduce the skin excess and lift the saggy nipple to a more acceptable level. No breast implant is necessary if a patient is happy with her overall size. The surgery takes about 2-3 hours to perform and the recovery is about one week off from work.

Breast Reduction Surgery

Many women complain of back, shoulder and neck discomfort due to the large size of their breasts. Most Medical Insurance companies will cover some if not most of the cost of breast reduction surgery. I use my judgment along with the patient’s request to come up with the most proportional breast size.

Reduction mammaplasty can improve the shape and size of the breasts allowing one to wear lighter bras and camisoles. I prefer the Hall Findlay modification of a vertical scar breast reduction as I feel it gives the best projection and shape of the breast. Standard anchor reduction mammaplasty procedures result in flattening (“bottoming out”) and widening of the breast with time. I have found the vertical breast reduction retains a better shape over the years.

The surgery takes me about 3 hours to perform under general anesthesia. I usually combine some liposuction of the lateral chest to reduce the width of the breasts as well. The recovery is about one to 2 weeks off from work and 6-8 weeks away from the gym. The size change is apparent immediately; however postoperative swelling can take 6-8 weeks to settle after which patients can shop for a bra appropriate to their new breast size.

Breast Reduction Hall Findlay Vertical Reduction Technique

Male Breast Reduction/ Gynaecomastia Surgery

Some boys and men are bothered by excess fat and breast tissue known as Gynaecomastia. They are frequently very self conscious and will not take off their shirts at the beach. A solution is male breast reduction surgery, or subcutaneous mastectomy, a procedure that removes extra breast tissue and fat to give a more sculpted look to the male chest.

There are several techniques used such as liposuction alone, direct areolar tissue reduction surgery with a short peri areolar scar (Scar around the Nipple only), and full breast reduction surgery with scars around the nipple and along the chest (for very droopy breasts such as those in massive weight loss patients).

The full result is usually seen in a few weeks however scars take 6-12 months to completely mature and fade with time.

Male Breast Reduction Surgery (Gynaecomastia)

Cosmetic Surgeon Dr. Bobby Kumar performs all of these procedures. For a Consultation today in Sydney, Adelaide or Port Macquarie Contact us on (02) 9571 4850 or 0430 491 009. Otherwise visit www.bareaesthetics.com.au for more details.

When a woman chooses to pursue Breast Augmentation surgery, it is a significant and personal decision. But this is just the start of many decisions to be made. First and most importantly is choosing the right Cosmetic surgeon. Then there are decisions about size, shape and projection, in addition to what type of Implant is best for you.

Your Cosmetic Surgeon is best placed to work with you in selecting the type of breast Implant that best meets your needs and suits your body shape and proportion. Prior to your initial consultation, it helps to do your research on what options may be available regarding Breast Implants and prepare questions for your Cosmetic surgeon.

Saline vs Silicone Breast Implants

Saline Breast Implants consist of an outer silicone shell filled with the saline solution, typically filled in surgery once the Implant shell has been placed in the breast. Some types of saline Breast Implants allow for the volume to be adjusted after surgery through a valve in the Implant. The advantage of inserting an empty Implant and filling during surgery is that the surgeon can use a smaller incision when inserting only the shell. A disadvantage of saline Breast Implants is that they feel more like a bag of water than natural breast tissue.

Silicone Breast Implants consist of an outer silicone shell filled with cohesive silicone gel. The newer generations of silicone Implants use a silicone gel that is designed to stay intact in the case of the outer shell rupturing. The main advantage of silicone Breast Implants and the reason they are more commonly chosen by women is their natural look and feel.

Types of Breast Implants - Saline and Silicone

Incision Location

The typical location chosen by women for the incision is under the breast in the mammary fold or breast crease. A skilled Cosmetic Surgeon is able to anticipate the eventual size and shape of the breast and place the incision in the fold, thus hiding the scar from view (in experienced hands the eventual scar may creep up onto the breast). Other incision sites include around the areola or in the armpit, but these are less common and have some risks associated with them.

Implant Location

Breast Implants are usually located either in front or behind the pectoral muscle. Placement behind the muscle may be appropriate for women with minimal breast tissue, can result in a natural look and minimise sagging, but can limit projection. Placement in front of the muscle can still retain a natural look with an appropriate choice of size and can also provide projection. Under the muscle placement can result in a higher degree of pain and discomfort.

Implant Size, Shape & Texture

The size of Breast Implants comes down mainly to personal choice and the desired outcome. For most women, they are seeking an enhanced breast size and shape whilst retaining a natural look. In contrast, some women seek the largest breast Implant possible and are happy with an Implanted look. Your Cosmetic Surgeon will take a range of measurements of your bust and chest, and make suggestions as to what Implant size your chest and proportions can accommodate in light of what appearance you want to achieve. Breast Implants are described in terms of their volume, for example 300 cc’s or 400 cc’s. They are not described in terms of bra size due to the variation in bra manufacturing and brands. Breast Implants also vary according to their circumference and radius (measurement across the base of the Implant). A woman with a narrower frame and chest is suited to an Implant with a smaller circumference, whereas a larger framed and taller woman would be more suited to a wider Implant. Breast Implants also vary according to their projection and profile and again what suits one woman will differ from what suits another.

The overall shape of Implants can be round or anatomical (teardrop). Most women choose round Implants as these provide fill and volume at the top of the breast as well as in the lower breast. Anatomical Breast Implants are often assumed to provide a more natural shape, but in practice they are often found to rotate and change position, requiring surgical correction.

Much has been publicised about textured or ‘Furry’ Breast Implants or “Furry Brazilian”, some surgeons choose to use these exclusively in every Breast Augmentation. As with other aspects of Breast Implants, the Implant surface should not be a one size fits all approach. Textured Breast Implants can be suitable for some women, but not recommended for others.

Polyurethane Breast Implants - "Furry Brazilian"

Summary

Breast Implants vary considerably in their size, shape, projection, profile and texture. An experienced Cosmetic Surgeon will spend time with you to discuss the pros and cons of different types of Implants and what may be most suitable for you and your needs. You should be provided with the opportunity to make this decision over several consultations prior to surgery in order that you can have confidence in your decision. When it comes to size you will chose a range of sizes, the ultimate decision in surgery is in the hands of your Cosmetic Surgeon, but prior to surgery you will have together decided your preferred options. In light of all these decision and the information you must evaluate, it is crucial to select a Cosmetic Surgeon in whom you trust and can openly discuss your questions and concerns. A face to face consultation (as opposed to a phone or internet consultation) is essential in developing an appropriate relationship with your surgeon, to obtain all the necessary information, to have a medical examination, measurements and to discuss your medical history. Your research and relationship with the Cosmetic Surgeon provides the necessary foundation for a positive outcome.

For all appointments with the board certified Cosmetic Surgeon Dr. Bobby A Kumar in Sydney, Adelaide or Port Macquarie please contact us on (02) 9571 4850 or 0430 491 009.

Bare Aesthetics Cosmetic Surgery Clinics - Sydney,Adelaide or 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.

Q:        Who are good candidates for Breast Augmentation or Breast Enlargement?

A:         Women who are dissatisfied with the size of their breasts who are generally healthy and well. It is important to discuss your medical history with your Cosmetic Surgeon, including any medical condition that may impact your recovery and healing. You should also disclose any medications, prescription or over the counter, vitamins or natural supplements you take as sometimes these may affect the outcome. The surgeon will also ask about lifestyle habits, such as smoking and drinking as these too can have an impact on your recovery and results.

Ideal Breast Enlargement or Breast Augmentation patient

Q:        What type of Breast Implants should I get?

A:         Your Cosmetic Surgeon will provide you with information regarding the variations in implants (including type, size, shape, texture, projection and profile) and discuss with you the best options in light of the outcome you desire.

Breast Implants Styles or types

Q:        What are the risks involved with Breast Augmentation or Breast Enlargement?

A:         As with any form of surgery, patient undergoing breast augmentation face risks such as infection, bleeding and a reaction to anaesthesia. After surgery, risks associated with breast augmentation include hardening of the breasts due to capsular contracture, rippling or distortion and implant rupture. Your Cosmetic Surgeon should provide thorough information on the potential risks and complications prior to surgery and advice on ways in which you can minimise your risks (such as stopping smoking).

Rippling with Saline Breast Implants

Q:        How long is the Breast Augmentation or Breast Enlargement surgery?

A:         Breast augmentation surgery typically takes between 1½ and 2 hours depending on the type of breast implant and the technique used. It is performed in a hospital under sedation or general anaesthetic, typically as a day procedure.

Q:        How long is the recovery period?

A:         Most women are returning to their normal routine and work within 1 to 2 weeks, though there may be some residual soreness and swelling. Some activities such as lifting and upper body exercise are to be avoided for 6 weeks.

Q:        What is the cost of Breast Augmentation or Breast Enlargement surgery?

A:         This information is usually provided in your consultation with the Cosmetic Surgeon. The costs involved include the surgical fee, theatre fees, anaesthetist fees and implant costs. Other additional costs to remember are medications, such as antibiotics prior to surgery and pain relief medication after surgery, and supportive bras.

Q:        Is there a payment plan available?

A:         The Department of Health has instructed medical practices to remain at arms length from financial arrangements in order that they are not seen in any way to induce patients to undergo surgery. Reputable medical practices advise seeking financial advice from your personal banking institution or financial organisations. Payments are required in full prior to surgery.

Q:        Can I have a consult over the phone or internet?

A:         In these days of technology and people’s time constraints, some medical practitioners are offering consultation via the phone or internet. This is inadvisable and an inappropriate way to prepare for surgery. A face to face consultation is the only way a surgeon can perform the necessary medical examinations and take measurements, discuss the advantages and risks of surgery and answer all your questions. A consultation also provides you with the opportunity to see and trial breast implants in order to make a decision about the best breast implants for you.

If you are serious about proceeding with breast augmentation surgery you need to make the necessary time for appropriate pre surgery consultations in order to facilitate the best outcome. Also bear in mind you will be required to attend post operative checkups to enable the Cosmetic Surgeon to monitor your recovery and outcome.

Q:        Can I travel after Breast Augmentation or Breast Enlargement surgery?

A:         You need to allow time to recover from surgery. Immediately after surgery, driving is not recommended for 2 weeks due to the strain it places on the chest area. Air travel should be avoided for a minimum of 6 weeks, usually 12 weeks after chest surgery to avoid risks such as a Pneumothorax.

Q:        How do I choose a Cosmetic Surgeon?

A:         Choose a Cosmetic Surgeon that has undergone training and is specifically qualified in the area of Cosmetic Surgery. In Australia, this requires attaining a Fellowship in Cosmetic Surgery through the Australasian College of Cosmetic Surgery, demanding and thorough two year training and mentoring programme. You can check a Surgeon’s qualifications and registration with the Australasian College of Cosmetic Surgery on their website. In your consultation, you can also ask the Cosmetic Surgeon about their experience and see examples of their work. It is recommended that you seek several opinions before deciding on a surgeon, as this choice is crucial in the success of your eventual surgical outcome.

For a thorough and comprehensive consultation and appointment to discuss Breast Enlargement surgery with Cosmetic Surgeon Dr. Bobby A Kumar contact us on (02) 9571 4850 or 0430 491 009. Otherwise visit www.bareaesthetics.com.au

Dr. Bobby A Kumar Cosmetic Surgeon

How many jokes do we hear or see about women’s breasts as we get older? Whilst some people may find them amusing, for some women they represent a harsh and embarrassing personal reality they face everyday. There is only so much a bra can do to support breasts that become saggy and lengthen with age exacerbated with pregnancy and breast feeding.

Cosmetic Surgery can offer a resolution to the problem of sagging and droopy breasts in the form of breast lift. A breast lift involves removal of excess skin and tissue from the breast and reshaping of the breast, to lift the breast to its correct position and restore shape. In some cases, restoring shape and volume also requires insertion of a breast implant. In other cases, a breast reduction may be combined with a breast lift to achieve a natural shape, size and proportion.

Does a breast lift result in smaller breasts? It is possible that your breasts may become smaller, remembering that the excess skin and tissue that is removed is what was causing the sagging. However, usually changes are seen in shape and not cup size. If size is an issue, there is the option of inserting breast implants.

Breast Lift or Breast Reduction

There are different techniques for different types of breast lift. It is not a ‘one technique for everyone’ surgery. In some cases, breast lift can be in part achieved by inserting a breast implant which fills out excess skin and tissue. However, breast implants do obviously add weight to the breasts and can make them more droopy and saggy. Many women who have breast implants without a breast lift are ultimately dissatisfied with the outcome of larger breasts and not having resolved the remaining issues of shape sag and droop.

Periareolar, Vertical and Anchor scars for Breast Lift

Polyurethane Breast Implants may offer a glimmer of hope for women with minimal sag who do not wish to have scars or Incisions on the lower pole of their breasts or around their nipples.

Breast Lift only

Breast Lift and Breast Enlargement with Implant

The most important first step is to have a consultation with a Cosmetic Surgeon to discuss your surgical options. An examination is necessary (including measurements and photographs) to provide the Cosmetic Surgeon with information to evaluate what technique is most appropriate for you to achieve the desired results. How much lift and tissue removal is required will depend on how much sag/droop is present, the location of the nipple and areola in relation to the breast, the breast position on the chest and what you are aiming to accomplish.

Many women today are realising they don’t have to be defeated by age and gravity when it comes to the shape and appearance of their breasts. Even the best bras don’t prevent sagging and drooping over time. Breast lift offers women a surgical option to restore shape and proportion to their breasts, ease embarrassment and self-consciousness and improve overall confidence.

Cosmetic Surgeon Dr. Bobby A. Kumar is experienced in many forms of Breast Lift and Breast Reduction surgery. Make an appointment for a thorough review and consultation to provide you with appropriate options for Breast Lift or Breast Reduction Surgery.

Bare Aesthetic Cosmetic Surgery Clinics are located in Sydney, Adelaide and Port Macquarie.