Breast Enlargement (Augmentation Mammaplasty)

Breast Enlargement, sometimes referred to as Breast Augmentation or Breast Enhancement, is a surgical procedure designed to enhance the size and shape of a woman’s breast. There are many reasons why women may choose to have Breast Enlargement surgery, these may include balancing a difference in breast size, improving body contour, or as reconstructive option following previous surgery.

The Best Candidates For Breast Enlargement

Those who are looking for an improvement in body shape (not perfection) are the best candidates for Breast Enlargement surgery. This surgery can be of great benefit to you if you are physically healthy, realistic in your expectations and want to improve your body contour.

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Please contact us if you would like to make an enquiry or to book a no obligation appointment.

Planning For Breast Enlargement Surgery

Having decided you would like to learn more about the benefits of Breast Enlargement surgery, you are welcome to make an appointment with Mr Howard Klein for an in-depth discussion and evaluation regarding your suitability for this type of surgery.

This initial consultation will include taking into consideration your health and well-being as well as deciding which surgical techniques are the most appropriate for you based on your current breast condition. During this session the full procedure will be explained in detail, this will include potential risks, the limitations of this type of surgery, type of anesthesia, the facility where the surgery will be performed and the costs involved.

It is important to disclose any previous medical conditions, complications and/or issues that you are aware of during this consultation and to let the doctor know if you smoke or are taking any medications, vitamins, or other drugs. Don’t hesitate to ask any questions you may have especially those around your expectations and concerns about the final results.

*Please be aware that in most cases, health insurance policies do not cover the cost of Breast Enlargement surgery.

What Types Of Implants Are Used Here In NZ?

The breast implants we use have a smooth silicone shell and are filled with a cohesive type of silicone gel. Occasionally we will use a saline filled implant but the failure rate of these types om implants are higher. We do not use any type of textured implants for cosmetic augmentation however occasionally, microtextured implants are used for post mastectomy reconstruction.

Where Is Breast Enlargement Surgery Performed?

Mr Klein will perform the Breast Enlargement procedure in either a hospital outpatient facility or occasionally, the surgery may be done as an inpatient in a hospital, in which case you will stay in hospital for a day or two.

What Types Of Anesthesia Are Used?

Breast Enlargement surgery will be performed with general anesthesia. This means you will sleep through the entire operation.

What Are The Risks?

Breast Enlargement is relatively straightforward procedure when performed by a qualified Plastic Surgeon, but as with any operation, there are risks associated with surgery and specific complications associated with this procedure. During your consultation the procedure will be explained in detail, including the risks and limitations.

The Breast Enlargement Surgical Procedure

Breast Enlargement surgery usually takes around 1 to 1½ hrs to complete. Stitches are used to close the necessary incisions (these may also be taped for greater support).

The method of inserting and positioning your implant will depend on your anatomy and Mr Klein’s recommendation. An incision can be made either in the crease where the breast meets the chest, around the areola (the dark skin surrounding the nipple), or in the armpit. Generally speaking we use the incision in the crease beneath the breast. Every effort will be made to assure that the incision is placed so resulting scars will be as inconspicuous as possible.

Working through the incision, the surgeon will lift the breast tissue and skin to create a pocket, either directly behind the breast tissue or most often, underneath the chest wall muscle (pectoral muscle). The implants are then centred beneath the nipples.

We believe that putting the implants behind your chest muscle may help reduce the potential for capsular contracture (the contraction and hardening of scar tissue as it forms around the implant after surgery). We also think that usually the breast itself has a more natural appearance. This placement may also be less likely to interfere with breast examination by mammogram than if the implant is placed directly behind the breast tissue. Placement behind the muscle however, may be more painful for a few days after surgery than placement directly under the breast tissue.

The pros and cons of these alternatives will be discussed in detail prior to surgery to make sure you fully understand the implications of the procedure.

Procedure Details

A & B. Breast augmentation is usually done to balance a difference in breast size, to improve body contour, or as a reconstructive technique following surgery.
C. Incisions are made to keep scars as inconspicuous as possible, in the breast crease, around the nipple, or in the armpit. Breast tissue and skin is lifted to create a pocket for each implant.
D. The breast implant may be inserted directly under the breast tissue or beneath the chest wall muscle.
E. After surgery, breasts appear fuller and more natural in tone and contour. Scars will fade with time.

After Breast Enlargement Surgery

It is likely you will feel tired and sore for a few days following surgery, but expect to be up and about within 24 to 48 hours. Any discomfort will be monitored and can be controlled by prescribed medication.

As an outpatient you will be discharged the same day of the operation and sent home. You will not be able to drive, so do arrange for transport and someone to be around to look after you for the first few days.

Getting Back To Normal After Breast Enlargement Surgery

After surgery you should be able to return to work within a few days, however this will depend on the level of activity required for your job. Your breasts will continue to be sensitive to direct stimulation for two to three weeks, so avoiding any unnecessary physical contact is a good idea.

After the initial recovery period and your breasts are no longer sore breast contact is fine, this will usually be three to four weeks after surgery. Expect your scars to be firm and pink for at least six weeks after surgery and that they may remain the same size for several months, or even appear to widen. Over time the scars will begin to fade, although they will never disappear completely.

Please note: Routine mammograms should of course be continued after Breast Enlargement surgery although it may be necessary to inform the mammographic technician who will then use a special technique to assure that you get a reliable reading.

Your New Look

The results of Breast Enlargement can be quite satisfying, even exhilarating for many women as they learn to appreciate their fuller appearance. However your decision to have a Breast Enlargement is a highly personal one that not everyone will understand, the important thing is how you feel about it – if your goals are met then your surgery is a success!