Breast augmentation increases the size of small or asymmetrical breasts with the placement of silicone or saline breast implants. Implants come in many different sizes and shapes, and can be inserted through a variety of incisions, to produce the desired outcomes. They are often used to compensate for naturally small breasts or reduced breast fullness after pregnancy or weight loss, or to correct a congenital breast deformity or asymmetry.
Breast Augmentation Consultation
Breast augmentation is not a one size fits all procedure. Dr. Yap will evaluate you on an individual basis during the consultation process. He will inquire about your needs, goals, and motivation for surgery to select the optimum treatment plan for you. He will take a detailed medical history and perform a comprehensive physical examination to look at your body type and frame to achieve a natural and aesthetically pleasing result that meets your specifications.
Breast Implant Choices
Silicone Gel Breast Implants
Silicone implants are filled with a cohesive gel material. The majority of Dr. Yap’s patients opt for silicone implants because they look and feel most like natural breast tissue. The silicone is less likely to ripple or wrinkle within the implant pocket. They are pre-filled by the manufacturer so they require a slightly longer incision. If the implant were to rupture or leak, the filling material would stay largely intact within or close to the implant pocket, which makes it more subtle to detect.
Having a breast augmentation or breast lift will not prevent changes in the breast that can occur after future pregnancies, weight gain or loss, or the force of gravity over time. Implants may need to be removed or replaced if a rupture, change in shape or position occurs. Most women can expect to have a second surgery at some point after having breast implants placed.
Saline Breast Implants
Saline implants have a silicone outer shell filled with a sterile saltwater solution. They generally have a less satisfactory feel and have a higher leakage rate, therefore Dr. Yap tends not to use them.
Implants come in either a round or teardrop shape. Round implants are circular and provide more fullness in the upper portion of the breasts. Teardrop implants are also known as anatomical or contoured implants, and have a downward slope similar to natural breasts.
Implants can be filled to various capacities, depending on the desired cosmetic outcome. Most women choose conservatively sized implants that provide natural-looking enhancement, while others desire more noticeable results. Implants are measured in cubic centimetres (cc’s), instead of cup sizes. Dr. Yap offers an implant sizer kit so you can “try on” different sized implants to make the right decision. Most women tend to go up by 1 or 2 cup sizes for a more natural outcome.
Breast Implants Placement Options
Implants can be placed either in front of or behind the pectoralis (chest) muscle. Placing the implant underneath the muscle (sub-muscular) reduces implant visibility and capsular contracture. Although it has been said that sub-muscular implants are more uncomfortable, this is not the case with Dr. Yap’s patients, who have very reasonable recovery patterns. Placing the implant in front of the muscle (sub-glandular) helps for those patients who have larger amounts of loose skin, but may have a higher risk of rotation. During your consultation, Dr. Yap will review both options and recommend the approach that he feels will work best for you.
Breast implants are placed through incisions made in an inconspicuous location to minimise post-operative scars. There are three primary incision patterns used for breast implant placement:
- Inframammary – underneath the natural breast fold
- Periareolar – around the areola
- Transaxillary – within the armpit
Dr. Yap makes the incision either in the crease of the breast (inframammary fold), around the areola or in the armpit. Through the incision, Dr. Yap carefully makes a pocket to hold the implant either in front of or behind the pectoralis (chest) muscle. He places the implant inside the pocket and positions it carefully. When he is finished, he closes the incisions with dissolvable sutures and places a sterile dressing over the area. Dr. Yap also places a special garment around the breasts to apply slight compression on the tissues as they heal.
Recovering from Breast Augmentation
Dr. Yap’s patients find that the recovery after breast augmentation surgery is relatively straightforward. Range of motion is limited at first, as your breasts will be mildly swollen with a modest ache. However, these feelings are temporary and will subside within a few days. Most patients can return to work within a week.
During the initial recovery, you are advised to avoid any vigorous or strenuous activity, especially heavy lifting and aerobics, running or strenuous exercise. Pain medication can be taken as prescribed, if necessary.
Dr. Yap’s staff will schedule follow-up visits to check on your healing progress, answer questions and advise when it is safe to return to work, school and exercise.
Breast implants are designed to be long-lasting devices. As long as you are pleased with your breast shape and size, and the implants continue to feel soft, you may not need to have your implants removed or replaced. Dr. Yap prefers to follow each patient as needed to monitor their post-surgical experience.
Why Choose Dr. Yap?
Dr. Yap takes a very customised approach to breast augmentation. Every woman has a different body type and idea of what looks good. He understands that what may work for one woman may not necessarily work for her best friend or sister. Dr. Yap takes pride in delivering optimal results from breast augmentation to meet each patient’s personal goals.
Schedule a Consultation
Interested in Breast Augmentation? Contact us today to schedule a consultation with Dr Yap.