Breast augmentation remains highly relevant today for several reasons:

1. 1. Popularity and Demand: Breast augmentation continues to be one of the most popular cosmetic surgical procedures worldwide and in Australia. According to the American Society of Plastic Surgeons (ASPS), it consistently ranks among the top cosmetic surgeries performed each year.
   2. Advancements in Techniques and Materials: There have been significant advancements in surgical techniques and implant materials, which have improved the overall safety, effectiveness, and outcomes of breast augmentation. Modern implants are designed to look and feel more natural, and surgical methods have become less invasive, reducing recovery times and complications. It is important to note that Breast Augmentation is a Surgical procedure and caries certain risks and complication which should be thoroughly discussed with your surgical practitioner.

3. Personal and Psychological Benefits: Patients seek breast augmentation for a number of personal reasons, which could include enhancing body image and self-confidence. A breast augmentation procedure can assist women who have experienced changes in breast shape or size due to physical changes that occur with pregnancy, weight loss, or aging.

4. Reconstructive Purposes: Beyond cosmetic reasons, breast augmentation plays a critical role in reconstructive surgery, particularly for breast cancer survivors who have undergone mastectomy. It helps in restoring the breast’s appearance, which can be an important part of the recovery and emotional healing process for those women that elect to undergo reconstructive breast surgery.

5. Customization and Personalization: Modern and current breast augmentation procedures offer a high degree of customisation. Patients can choose from various implant types, sizes, and shapes to achieve their desired look, making the procedure accessible to a broader group of patients.

In summary, breast augmentation is still very relevant today due to ongoing demand, advancements in medical technology, its psychological benefits, its role in reconstruction, and cultural influences.

A consultation with Dr. Bobby Kumar will thoroughly address these issues and if appropriate a customised plan to achieve your goals in performing Breast Augmentation is designed.

Breast reduction surgery (Reduction Mammoplasty) is a surgical procedure designed to reduce the size of large uncomfortable breasts while also reshaping and lifting them. There are several techniques used in breast reduction surgery. The best or ideal technique for each individual depends on a number of factors such as breast size, shape, and the desired outcome. Here are some of the most common and effective breast reduction techniques:

1. Vertical or “Lollipop” Technique: This technique involves creating an incision around the areola and down the vertical lower pole of the breast to the breast crease. The resulting shape resembles a “lollipop”.  This technique is suitable for women with moderate to severe breast droop (Sagging or Ptosis) and size, and it allows for significant reshaping and lifting of the breast tissue. This technique usually results in minimal scarring and a more natural and better shape compared to other breast reduction methods.
2. Anchor or “Wise Pattern” Technique: This is one of the earliest breast reduction techniques described. Incisions are made around the areola, vertically down to the breast crease, and horizontally along the crease, creating an anchor-shaped pattern. It is ideal for larger reductions with significant droop. It provides the Cosmetic Surgical Fellow with more access to remove excess breast tissue and reshape the breast. However, it tends to leave more noticeable scarring compared to the vertical technique.

3. Scar less or Liposuction Technique: This technique is suitable for women with good skin elasticity and minimal sagging. Liposuction is used to remove excess fat from the breasts through small well placed and hidden incisions, resulting in minimal scarring. However, it is important to note that this technique is not suitable for all patients, particularly those with significant ptosis (sagging) or excess skin.

4. Pedicle Techniques: Pedicle techniques involve keeping a portion of the breast tissue attached to its original blood supply to preserve nipple sensation and potential for breastfeeding function. There are a number of different types of pedicle techniques, including the inferior pedicle, central pedicle, and superior medial pedicle (preferred by the author). The choice of pedicle technique depends on factors such as breast size, shape, and the amount of tissue to be removed.

5. Free Nipple Graft Technique: In cases where a significant amount of tissue needs to be removed, or if the nipple-areola complex needs to be repositioned higher on the breast, a free nipple graft technique may be used. This involves completely detaching the nipple-areola complex and reattaching it at a higher position on the breast as a graft. While this technique can achieve substantial reduction, it may result in loss of nipple sensation and the inability to breastfeed.

It’s important to consult with a trained and qualified Cosmetic Surgical Fellow who has experience in breast reduction surgery to determine the most appropriate technique for your individual needs and goals. During your consultation the practitioner will evaluate your breast anatomy, discuss your expectations, and recommend the best approach to achieve optimal results while minimizing scarring and preserving nipple sensation and function.

Dr. Bobby Kumar is an experienced and trained Cosmetic Surgical Fellow of the Australasian College of Cosmetic Surgery & Medicine (ACCSM) He has extensive experience in performing breast reduction and lift surgery over the last 16 years.

Can Breast Implants look natural?

Yes – the majority of women seeking Breast Augmentation want naturally full and shapely breasts. Dr. Bobby Kumar achieves a natural look with careful selection of breast implant type, size, shape and volume, together with the placement of the breast implant dependent on an individual’s characteristics and goals.

I’ve had 2 kids and breastfed both – now my breasts feel empty and saggy…what can I do?

Many women who seek breast surgery are in this position, wanting to restore their breast volume and shape.  Breast surgery can encompass one or a combination of

• Breast augmentation (use of breast implants to address volume and shape),
• Breast lift surgery (to address position and shape of breasts) and
• Breast reduction (to address size, shape and position of breasts).

Why would I pay more to have breast augmentation surgery in Australia when I can go overseas?

• Access to post operative care and follow up to facilitate recovery and an optimal outcome
• Ability to ascertain the qualifications, training and experience of the Cosmetic Surgical Fellow and meet with them face to face well in advance of scheduling surgery to plan and prepare for surgery
• Use of recognized and registered breast implants by the TGA and FDA (each breast implant has a registered number that can be traced and is identified with the individual patient)
• Very low rate of complications in Australia (compared with risk of complications overseas of up to 50-60%)

Can a Face lift look natural?

Yes – the days of the ‘windswept’ or ‘moonface’ look are history. Dr. Bobby Kumar uses a particular technique that results in a rejuvenated, refreshed appearance with long lasting results that still maintains an individual’s natural features and appearance. No one need know you have had face lift surgery, and yet you can achieve long lasting results that can take years off your appearance.

Is the use of Protein Rich Plasma (PRP) effective?

This procedure should only ever be performed by an appropriately trained and qualified Doctor. It should also only ever be performed in a completely sterile environment (technically referred to as a ‘closed system’) to avoid infection. The spun down plasma needs to be specially activated by specific compounds, compounds which are schedule drugs only prescribed and accessible by a Doctor. This procedure is often performed by experienced or unqualified practitioners.

More importantly, research has not demonstrated worthwhile or long lasting effects. As a typically expensive procedure, patients are usually dissatisfied with the minimal to no results.

Are threads a viable alternative to face lift surgery?

The use of threads to “lift” facial tissues is heavily promoted as minimally invasive with a quick recovery in contrast to face lift surgery. Unfortunately this is a procedure commonly performed by inexperienced and unqualified practitioners with a lack of understanding of the facial anatomy, underlying facial tissues, facial musculature and facial nerves.

Patients are often dissatisfied with common complications such as uneven pulling of skin tissue, track marks where the threads have been placed, nerve damage affecting muscle movement and perforation of the parotid gland/duct and disappointment with the minimal and short term results. Not surprisingly these patients then turn to face lift surgery to achieve the outcome they originally wanted, surgery that is then complicated by having to remove the threads.

I’ve had 3 kids and have skin and fat on my tummy I can’t shift with diet and exercise – what can I do?

Abdominoplasty surgery (also referred to as Tummy Tuck surgery) removes excess skin and fat from around the tummy, typically after pregnancy and/or weight loss to restore a flat, tight tummy. This can also include liposuction to create contoured and tightening of the underlying tummy muscles.

How do I know if a Doctor is qualified to do Cosmetic Surgery?

Qualifications should include a Medical Degree and then specific training in surgery and post graduate training in Cosmetic Surgery provided through the Australasian College of Cosmetic Surgery & Medicine (ACCSM). Unfortunately there is currently no regulation in this area, so anyone can call themselves a Cosmetic Surgeon without any training or experience, so asking for this information is in your best interest. The ACCSM College are in the process of applying for accreditation as being the foremost college that provides specific training in Cosmetic Surgery & Medicine. No other surgical college have an equivalent Cosmetic surgical program.

Dr. Bobby Kumar is a Cosmetic Surgical Fellow of the ACCSM college and has extensive experience and training in Cosmetic Surgery.

Can Breast Implants look natural?

Yes – the majority of women seeking Breast Augmentation want naturally full and shapely breasts. Dr. Bobby Kumar achieves a natural look with careful selection of breast implant type, size, shape and volume, together with the placement of the breast implant dependent on an individual’s characteristics and goals.

I’ve had 2 kids and breastfed both – now my breasts feel empty and saggy…what can I do?

Many women who seek breast surgery are in this position, wanting to restore their breast volume and shape.  Breast surgery can encompass one or a combination of :

• Breast augmentation (use of breast implants to address volume and shape),
• Breast lift surgery (to address position and shape of breasts) and
• Breast reduction (to address size, shape and position of breasts).

Why would I pay more to have breast augmentation surgery in Australia when I can go overseas? The primary reasons are as follows;

1. Access to post-operative care and follow up to facilitate recovery and an optimal outcome
2. Ability to ascertain the qualifications, training and experience of the Cosmetic Surgical Fellow  and meet with them face to face well in advance of scheduling surgery to plan and prepare for surgery
3. Use of recognized and registered breast implants by the TGA and FDA (each breast implant has a registered number that can be traced and is identified with the individual patient)
4. Very low rate of complications in Australia (compared with risk of complications overseas of up to 50-60%)

Is breast augmentation safe?

Breast augmentation, like all surgical procedure, carries inherent risks and complications. It can be safe when performed by a trained, qualified and experienced Cosmetic Surgical Fellow in an accredited medical facility. It’s important for individuals considering breast augmentation to thoroughly research the procedure, understand the potential risks and complications, and discuss them with their Cosmetic practitioner.

Potential risks and complications of breast augmentation surgery include:

1. Infection: Any surgical procedure carries a risk of infection. Proper preoperative preparation, sterile technique during surgery, and postoperative care can help minimize this risk.
2. Capsular contracture: This occurs when scar tissue forms around the breast implant and tightens. This causes the breast to feel hard, painful or become misshapen. It may require additional surgery to correct the effects of capsular contracture. A significant number of patients experience this complication when they have had cheap surgery overseas.
3. Changes in breast sensation: Some women can experience temporary or permanent changes in nipple or breast sensation after breast augmentation surgery. Especially if the procedure was performed by making an incision around the nipple areolar complex.
4. Implant rupture or leakage: Implants can rupture or leak, leading to deflation or silicone gel migration. This may necessitate implant removal or replacement. The new Implant gel structure is such that this complication is less common and typically occurs following accidents or blunt force trauma.
5. Scarring: All surgical procedures result in some degree of scarring. The extent of scarring can vary depending on factors such as incision technique and individual healing ability.
6. Anaesthesia risks: Anaesthesia carries its own risks, including allergic reactions and adverse effects on breathing and heart function. This will be discussed by a qualified anaesthetist.
7. Cosmetic dissatisfaction: Despite careful planning and communication during the initial consultations, some patients may be dissatisfied with the aesthetic outcome of their breast augmentation surgery.

It’s essential for individuals considering breast augmentation to have a thorough consultation with a qualified, trained and experience Cosmetic Surgical Fellow. The practitioner can assess their suitability for the procedure, discuss potential risks and complications, and help them set realistic expectations regarding the outcomes.

Ultimately, while breast augmentation can be safe and effective for many individuals, it’s not without risks, and each person should carefully weigh the potential benefits and drawbacks before making a decision.

Comprehensive Thigh Lift which is also known as Thighplasty, involves various surgical techniques to address specific concerns and achieve the desired results of rejuvenation the thighs. The particular choice of technique depends on a number of factors such as the extent of excess skin and fat, the patient’s anatomy, and their aesthetic goals. The following is a detailed overview of a comprehensive thigh lift:

1. Preoperative Consultation & Evaluation:

• The Cosmetic Medical Practitioner assesses the patient’s medical history, current health status, and aesthetic goals. All patients require a referral from their GP prior to the consultation.
• Discussions about the specific areas of concern, including inner thighs, outer thighs, or a combination.
• Photography for documentation and planning is performed during the consultation.

2. Anaesthesia:

• The procedure is typically performed under general anaesthesia to ensure patient comfort and safety during the surgery.

3. Incision Planning:

• The Cosmetic Practitioner plans the incisions based on the type of thigh lift to be performed (inner, outer, or combined) and the amount of surgical correction required to achieve the planned goals.
• Incisions are strategically placed to minimize visible scarring, often within natural skin creases. However, this is not possible for vertical inner thigh lifts.

4. Inner Thigh Lift (Medial Thigh Lift):

• Incision: Placed In the groin area or inguinal crease. This technique utilises the natural inguinal tissues to reduce the visibility of the scar and to prevent scar migration.
• Tissue Removal: Excess skin and fat are excised following initial Liposuction. The remaining skin is lifted and tightened by suturing techniques.
• Muscle Tightening: Depending on the patient’s needs, underlying muscles may be tightened for enhanced contour.

5. Outer Thigh Lift (Lateral or Extended Thigh Lift):

• Incision: The surgical technique involves making an Incision extending along the outer hip and extending toward the buttock crease.
• Tissue Removal: Removal of excess redundant skin and fat, combined with liposuction as needed to effect a contoured thigh.
• Muscle Tightening: Adjustments may be made to the underlying muscles for optimal shaping.

6. Vertical Thigh Lift:

• Incision: A vertical incision starting from the groin and extending down the inner thigh. This type of surgical approach allows for significant correction.
• Tissue Removal: The excess and redundant skin and fat is excised, and remaining skin is repositioned.
• Muscle Tightening: If required for improved contour.

7. Combined Thigh and Body Lift:

• Incision: Strategically placed incisions for a comprehensive approach to effect a complete body lifting procedure. This is often performed in stages at two separate operations for patient safety.
• Tissue Removal: Redundant and excess skin and fat is removed from the thighs, abdomen, and buttocks regions.
• Muscle Tightening: Addressing muscles in multiple areas for a harmonious result.

8. Closure and Dressing:

• All incisions are meticulously closed with sutures and or staples dependant on the type of surgical procedure or approach performed.
• Dressings and compression garments are applied to support the healing process and minimize swelling.

9. Postoperative Care:

• Patients will receive detailed instructions on postoperative care, including wound care and activity restrictions.
• Follow-up appointments are scheduled to monitor healing and address any concerns. These are mandatory visits to ensure safe and rapid recovery of the patient.

10. Recovery:

• Recovery time varies, but patients are typically advised to avoid strenuous activities during the initial weeks.
• Gradual return to normal activities is guided by the Cosmetic Practitioner.

11. Scar Management:

• Scar care recommendations, such as silicone gel or sheets will be recommended to minimize scarring.

It’s crucial for individuals considering a thigh lift to consult with a qualified and trained Cosmetic Practitioner to discuss their specific goals and determine the most appropriate surgical plan tailored to their unique anatomy and needs. Thorough discussions about potential risks, benefits, and expected outcomes are essential for informed decision-making.

Dr. Bobby Kumar is a trained and experienced Cosmetic Surgical Fellow of the Australasian College of Cosmetic Surgery & Medicine (ACCSM).

A Thigh Lift or Thighplasty is considered by patients for a number of legitimate medical reasons to often address associated symptoms.

The common factors are related to aesthetic or functional concerns.Common reasons why individuals might choose to undergo a thigh lift:

1. Excess Skin and Sagging: Following significant weight loss, ageing, or other genetic factors patients can develop loose or sagging skin around the thighs. A thigh lift can help remove the excess skin and tighten the remaining skin for a smoother and more toned appearance.
2. Weight Loss Achievements: Patients who have undergone substantial weight loss, either through diet, exercise or bariatric surgery, are often left with excess skin on or around their thighs. A thigh lift can be part of the overall body contouring process following significant weight loss.
3. Body Contouring: Thighplasty is often considered in a comprehensive body contouring plan to improve the overall shape and proportion of the lower body. It can complement other procedures such as abdominoplasty (tummy tuck).

4. Improved Self-Esteem: Loose or sagging skin of the thighs can be a source of self-consciousness and low self-esteem for some patients. A thigh lift for some patients can improve their body confidence and contribute to an improved self-image.

5. Chafing and Discomfort: Excessive sagging skin of the thighs can lead to medical issues of the skin such rubbing and chafing, which can cause discomfort and irritation. Patients can experience infections of the thigh creases and folds. A thigh lift can help to alleviate these issues by removing the excess skin and creating a smoother skin surface.

6. Aging Effects: The natural and chronological aging process can lead to a loss of skin elasticity and muscle tone. Thighplasty is aimed at addressing these age-related changes by removing excess skin and tightening the remaining tissue.

7. Cosmetic Preferences: Some individuals may simply desire an aesthetically pleasing appearance for their thighs. Thighplasty allows for the customization of the procedure to meet the patient’s cosmetic goals.

It is important for individuals considering a thigh lift to have realistic expectations and goals with regards to the surgery itself, long term outcomes and risks and/or complications associated with the surgery. It is important to consult with a qualified and appropriately trained Cosmetic Practitioner.

Dr. Bobby Kumar has received such training and experience and is a Cosmetic Surgical Fellow of the Australasian College of Cosmetic Surgery. The decision to undergo any cosmetic procedure should be based on a thorough understanding of the potential benefits, risks, and recovery process.