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隆胸 BREAST

手术 IMPLANTS

The Doctors' Studio 在墨尔本和布里斯班的诊所提供隆胸手术咨询。你的乳房手术将由大卫·托普钦医生完成,他曾为数千名女性做过类似的手术。

预约面诊

The Doctors’ Studio offers breast implant consultations in our Melbourne and Brisbane clinics. Your breast surgery will be performed by Dr David Topchian, who has performed similar procedures for thousands of women.

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隆胸 BREAST

手术 IMPLANTS

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We use American-made Mentor implants which look and feel natural. They are safe and have a lifetime warranty. We use American-made Mentor implants which look and feel natural. They are safe and have a lifetime warranty.

We also use an internal bra technique (a permanent suture that prevents implants from slipping down) and the Keller Funnel implant system to ensure a smaller incision and reduced complications.

We also use an internal bra technique (a permanent suture that prevents implants from slipping down) and the Keller Funnel implant system to ensure a smaller incision and reduced complications.

breast lift illustration

Working with you Working with you

When you meet with Dr Topchian, he will discuss what you want to achieve and the available options. Our approach is open, caring and kind. Your questions will all be answered.

Dr David Topchian is also a contributor to the Australian Breast Registry (ABDR). This is a Commonwealth Government health initiative that records surgeries involving breast devices, such as breast implants.

When you meet with Dr Topchian, he will discuss what you want to achieve and the available options. Our approach is open, caring and kind. Your questions will all be answered.

Dr David Topchian is also a contributor to the Australian Breast Registry (ABDR). This is a Commonwealth Government health initiative that records surgeries involving breast devices, such as breast implants.

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Q & A Q & A

01

What type of breast implant should I get? What type of breast implant should I get?

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There are two basic filling materials for breast implants – silicone and saline. These are the inner substance and both types are covered by a silicone outer shell. This shell can be smooth or textured (more on this later).

There is significant scientific information to support the safety of silicone as a safe substance for breast augmentation and in fact many other body implants. The newer types of silicone gel are cohesive (meaning that the implant holds together even without its shell) and are not liquid like the first generation of implants. In the unlikely event of shell failure, there would most likely be no noticeable or significant issues with the feel or appearance of your breasts, or general health. Saline implants contain a type of salty water that causes no reaction if they leak. The problem with this type of implant is that if they do leak, they rapidly deflate and need to be replaced at another operation. The rate of deflation or leakage is higher than silicone-containing implants. They do not feel as natural as silicone and are also more prone to ‘rippling’ – a problem that can be seen or felt at the sides of the implant.

Silicone implants are a soft gel so they can be manufactured into a range of shapes that can be chosen for the particular result that a woman desires. They can be round or anatomical (teardrop/asymmetrical) in shape and are made in a wide range of sizes which vary in how far they protrude from the chest wall (projection). With saline implants, there is a much smaller selection. All types of implants can develop a problem called ‘capsular contracture’; this is when the normally soft membrane that forms around an implant hardens, making the breast feel firmer and sometimes distorting the shape of the breast. It is not known exactly why this occurs in some patients and not in others.

Book a consultation

There are two basic filling materials for breast implants – silicone and saline. These are the inner substance and both types are covered by a silicone outer shell. This shell can be smooth or textured (more on this later).

There is significant scientific information to support the safety of silicone as a safe substance for breast augmentation and in fact many other body implants. The newer types of silicone gel are cohesive (meaning that the implant holds together even without its shell) and are not liquid like the first generation of implants. In the unlikely event of shell failure, there would most likely be no noticeable or significant issues with the feel or appearance of your breasts, or general health. Saline implants contain a type of salty water that causes no reaction if they leak. The problem with this type of implant is that if they do leak, they rapidly deflate and need to be replaced at another operation. The rate of deflation or leakage is higher than silicone-containing implants. They do not feel as natural as silicone and are also more prone to ‘rippling’ – a problem that can be seen or felt at the sides of the implant.

Silicone implants are a soft gel so they can be manufactured into a range of shapes that can be chosen for the particular result that a woman desires. They can be round or anatomical (teardrop/asymmetrical) in shape and are made in a wide range of sizes which vary in how far they protrude from the chest wall (projection). With saline implants, there is a much smaller selection. All types of implants can develop a problem called ‘capsular contracture’; this is when the normally soft membrane that forms around an implant hardens, making the breast feel firmer and sometimes distorting the shape of the breast. It is not known exactly why this occurs in some patients and not in others.

Book a consultation

02

How safe are breast implants? How safe are breast implants?

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There is significant scientific information to support the safety of silicone for breast augmentation and many other body implants. The newer types of silicone gel are cohesive (meaning that the implant holds together even without its shell) and are not liquid like the first generation of implants.

In the unlikely event of shell failure, there would most likely be no noticeable or significant issues with the feel or appearance of your breasts or general health. Saline implants contain a type of salty water that causes no reaction if they leak. The problem with this type of implant is that if they do leak, they rapidly deflate and need to be replaced at another operation. The rate of deflation or leakage is higher than silicone-containing implants. They do not feel as natural as silicone and are also more prone to “rippling” – a problem that can be seen or felt at the sides of the implant.

Book a consultation

There is significant scientific information to support the safety of silicone for breast augmentation and many other body implants. The newer types of silicone gel are cohesive (meaning that the implant holds together even without its shell) and are not liquid like the first generation of implants.

In the unlikely event of shell failure, there would most likely be no noticeable or significant issues with the feel or appearance of your breasts or general health. Saline implants contain a type of salty water that causes no reaction if they leak. The problem with this type of implant is that if they do leak, they rapidly deflate and need to be replaced at another operation. The rate of deflation or leakage is higher than silicone-containing implants. They do not feel as natural as silicone and are also more prone to “rippling” – a problem that can be seen or felt at the sides of the implant.

Book a consultation

03

What shape can the breast implants be? What shape can the breast implants be?

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Silicone implants are a soft gel manufactured into a range of shapes. They can be round or anatomical (teardrop/asymmetrical) in shape and are made in a wide range of sizes which vary in how far they protrude from the chest wall (projection).

With saline implants, there is a much smaller selection. All types of implants can develop a problem called “capsular contracture”. This is when the ordinarily soft membrane that forms around an implant hardens, making the breast feel firmer and sometimes distorting the shape of the breast. It is unknown exactly why this occurs in some patients and not in others.

Book a consultation

Silicone implants are a soft gel manufactured into a range of shapes. They can be round or anatomical (teardrop/asymmetrical) in shape and are made in a wide range of sizes which vary in how far they protrude from the chest wall (projection).

With saline implants, there is a much smaller selection. All types of implants can develop a problem called “capsular contracture”. This is when the ordinarily soft membrane that forms around an implant hardens, making the breast feel firmer and sometimes distorting the shape of the breast. It is unknown exactly why this occurs in some patients and not in others.

Book a consultation

04

Should I have the implant below or above the muscle? Should I have the implant below or above the muscle?

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It depends on the shape of your breast, the amount or thickness of tissue that you have at the upper part of the breast, and how physically active you are.

In general, it is best to place an implant on top of the muscle if there is sufficient breast tissue to cover the implant at the upper part of the breast. Patients who don’t have much tissue in the upper part of the breast will most likely get the best result by having their implant placed under the muscle so that the implant has more tissue covering it and looks more natural.

In thin patients, where the ribs at the top of the breast are visible, placing an implant behind the muscle will provide more tissue to cover the edge of the implant. This achieves a softer edge and looks more natural in terms of not seeing an obvious “cut-off” line where the chest meets the implant.

When we talk about “behind the muscle”, we mean “partially behind the muscle”, as the lower half of the muscle needs to be detached from the chest wall to allow the implant to sit optimally in the breast and achieve a natural shape. This technique is called “dual plane”. Detaching half of the muscle weakens it, so women who use their pectoralis major muscle for sport will need to weigh up the options carefully. However, most women don’t notice much difference day-to-day. The other drawbacks of dual plane are a wider cleavage, and an ‘animation effect’ when contracting the muscle.

Book a consultation

It depends on the shape of your breast, the amount or thickness of tissue that you have at the upper part of the breast, and how physically active you are.

In general, it is best to place an implant on top of the muscle if there is sufficient breast tissue to cover the implant at the upper part of the breast. Patients who don’t have much tissue in the upper part of the breast will most likely get the best result by having their implant placed under the muscle so that the implant has more tissue covering it and looks more natural.

In thin patients, where the ribs at the top of the breast are visible, placing an implant behind the muscle will provide more tissue to cover the edge of the implant. This achieves a softer edge and looks more natural in terms of not seeing an obvious “cut-off” line where the chest meets the implant.

When we talk about “behind the muscle”, we mean “partially behind the muscle”, as the lower half of the muscle needs to be detached from the chest wall to allow the implant to sit optimally in the breast and achieve a natural shape. This technique is called “dual plane”. Detaching half of the muscle weakens it, so women who use their pectoralis major muscle for sport will need to weigh up the options carefully. However, most women don’t notice much difference day-to-day. The other drawbacks of dual plane are a wider cleavage, and an ‘animation effect’ when contracting the muscle.

Book a consultation

05

Where will the incision be? Where will the incision be?

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There are three main sites to insert an implant.

Our preferred incision site is in the breast crease (inframammary) because the scar usually heals well and is very difficult to see. It leaves no scar on the actual breast itself and does not restrict the type of clothing that can be worn even if it is still visible.

Some believe that an incision around the nipple (peri-areolar) produces the best result. This is true in some people; however, it depends on how a person heals scar tissue, as an incision can be quite noticeable in this location, and it is also a sensitive part of the breast. An incision in this area has a higher risk of reducing the sensation of the nipple and the ability to breastfeed.

Another way of inserting an implant is through an incision made in the armpit (axillary). Again, the problem with this incision occurs when the scar is prominent and thus can be seen when the woman lifts her arm. Patients with these types of scars are often unable to wear clothing that may show their armpit scar if they raise their arms – such as sleeveless items like bikinis, strapless dresses, halter neck garments and singlets.

Book a consultation

There are three main sites to insert an implant.

Our preferred incision site is in the breast crease (inframammary) because the scar usually heals well and is very difficult to see. It leaves no scar on the actual breast itself and does not restrict the type of clothing that can be worn even if it is still visible.

Some believe that an incision around the nipple (peri-areolar) produces the best result. This is true in some people; however, it depends on how a person heals scar tissue, as an incision can be quite noticeable in this location, and it is also a sensitive part of the breast. An incision in this area has a higher risk of reducing the sensation of the nipple and the ability to breastfeed.

Another way of inserting an implant is through an incision made in the armpit (axillary). Again, the problem with this incision occurs when the scar is prominent and thus can be seen when the woman lifts her arm. Patients with these types of scars are often unable to wear clothing that may show their armpit scar if they raise their arms – such as sleeveless items like bikinis, strapless dresses, halter neck garments and singlets.

Book a consultation

06

What happens after the operation? What happens after the operation?

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Breast augmentation is performed under a general anaesthetic in a day hospital. You can leave the hospital after a couple of hours in recovery and after a period of postoperative observation.

Usually, pain is manageable and can be controlled with pain relief tablets for a few days. Drains are not routinely used, and dressings are minimal so that a shower can be taken the day after surgery.

After about five to seven days, most patients can return to work provided that they do not need to raise their arms or need to do any heavy lifting as this can be uncomfortable, particularly if the implant is under the muscle.

All sutures are dissolving, so there is no need to remove them, but we do like to see patients at the one week stage to check on their recovery. A nurse will review the wounds and provide you with a scar-reducing silicone gel to use.

There is usually some swelling in the first few weeks as the tissues heal. This settles gradually and is usually minimal by about a month after the operation. The size of the breasts at the one-month stage is what they will be long term. By the two-to-three month stage, they will soften and continue to improve for about a year.

A soft bra (without underwire) is optional for the first four weeks, and no activities undertaken that bounce the breasts (such as aerobics or jogging). After this time, patients are free to resume normal activities gradually. Pools and spas should be avoided in the first month to reduce the risk of wound infection.

Book a consultation

Breast augmentation is performed under a general anaesthetic in a day hospital. You can leave the hospital after a couple of hours in recovery and after a period of postoperative observation.

Usually, pain is manageable and can be controlled with pain relief tablets for a few days. Drains are not routinely used, and dressings are minimal so that a shower can be taken the day after surgery.

After about five to seven days, most patients can return to work provided that they do not need to raise their arms or need to do any heavy lifting as this can be uncomfortable, particularly if the implant is under the muscle.

All sutures are dissolving, so there is no need to remove them, but we do like to see patients at the one week stage to check on their recovery. A nurse will review the wounds and provide you with a scar-reducing silicone gel to use.

There is usually some swelling in the first few weeks as the tissues heal. This settles gradually and is usually minimal by about a month after the operation. The size of the breasts at the one-month stage is what they will be long term. By the two-to-three month stage, they will soften and continue to improve for about a year.

A soft bra (without underwire) is optional for the first four weeks, and no activities undertaken that bounce the breasts (such as aerobics or jogging). After this time, patients are free to resume normal activities gradually. Pools and spas should be avoided in the first month to reduce the risk of wound infection.

Book a consultation

07

What about breastfeeding or breast screens? What about breastfeeding or breast screens?

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Breast implants should not affect breastfeeding, whether the implant is above or below the muscle.

There is no increase in breast cancer risk for implants, and mammography, ultrasound, and MRI can be performed normally. Regular breast screening recommendations apply and should be followed.

Implants should be considered permanent and do not need to be removed by a specific time or date unless for medical reasons.

 

Book a consultation

Breast implants should not affect breastfeeding, whether the implant is above or below the muscle.

There is no increase in breast cancer risk for implants, and mammography, ultrasound, and MRI can be performed normally. Regular breast screening recommendations apply and should be followed.

Implants should be considered permanent and do not need to be removed by a specific time or date unless for medical reasons.

 

Book a consultation

08

What are the risks involved? What are the risks involved?

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Making the decision to have cosmetic surgery is a serious one, and patients considering a procedure should also keep in mind that they need time to recovery, they will need support, and possibly time off work. They may also need other therapies such as massage and compression garments.

During your consultation we will discuss the range of options available to you and recommend treatments that have the best chance of achieving your desired goals. Part of this conversation will cover, in more detail, the types of complications and risks that apply to your specific circumstances. In general, the risks and complications of surgery are:

• disappointing aesthetic outcome
• infection
• bleeding
• scarring
• significant asymmetry (a large difference between sides)
• pain
• change in skin sensation (eg. numbness)
• allergic reaction
• anaesthetic complications
• prolonged recover and wound healing
• collections of fluid

All of these may result in the need for further treatment or surgery.

Making the decision to have cosmetic surgery is a serious one, and patients considering a procedure should also keep in mind that they need time to recovery, they will need support, and possibly time off work. They may also need other therapies such as massage and compression garments.

During your consultation we will discuss the range of options available to you and recommend treatments that have the best chance of achieving your desired goals. Part of this conversation will cover, in more detail, the types of complications and risks that apply to your specific circumstances. In general, the risks and complications of surgery are:

• disappointing aesthetic outcome
• infection
• bleeding
• scarring
• significant asymmetry (a large difference between sides)
• pain
• change in skin sensation (eg. numbness)
• allergic reaction
• anaesthetic complications
• prolonged recover and wound healing
• collections of fluid

All of these may result in the need for further treatment or surgery.

*Please note, all after photos are three months post procedure. Outcomes shown are only relevant for this patient and do not guarantee similar results for other patients and will vary according to genetics, diet and exercise.

Our friendly team are here
to help. Call 1800 745 536.

Our friendly team are here
to help. Call 1800 745 536.

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