6. Shape and style of breast implants
Implants are available as round of teardrop in shape. Also different profiles (the amount of projection compared with the diameter of the implant) can be chosen. The best shape for you depends on the look you want to achieve and your existing shape. For example, a patient who has lost upper breast fullness after breast feeding would probably not do best with tear-drop implant. A patient with small, high breasts who does not want the round “Baywatch” look, would be better suited to a medium profile or a tear drop shaped implant. There is an extra risk with tear drop implants; they can rotate giving a vary unnatural appearance. Dr Fleming has presented a paper at an academic conference on this subject. The risk of rotation with tear drop implants is 15-20%. Once rotated they have to be removed and replaced with round implants since, if they are merely straightened, they will rotate again. Patients worry that a round implant will look "like a ball". Round implants come in 6 different profiles or degrees of roundness (see grid). A wider flatter implant will look very like a tear drop implant once in the patient, whereas a very high profile (or very sticky out) implants will tend to give the Baywatch look. Click Here to view an article written by Dr Fleming in the Cosmetic Surgery Magazine which explains more about profiles.
7. Textured or Smooth Implants
This refers to the implant covering. Originally, implants had a smooth surface like a plastic bag. Today the surface can be smooth or slightly textured rather like velvet. It has been shown that there is no difference in capsular contracture rates between smooth and textured implants. However, textured implants are more likely to cause visible or palpable rippling than smooth implants and so many surgeons prefer to use smooth surfaced implants.
8. General Anaesthetic or Sedation
We offer both types of anaesthetic and it is always given by the specialist anaesthetic whose fee is included in our all up cost. In the case of general anaesthetic puts the patient “to sleep” using drugs to induce a comatose state, and will usually provide artificial breathing by means of a tube placed in the windpipe. With sedation intravenous drugs are used to sedate the patient and then local anaesthesia (similar to dental anaesthesia) is used to numb the breast area. Both methods are safe and effective with the patient remembering little or nothing of the procedure.
9. Day Surgery or Hospital Stay
We preform all our breast implant surgery in an accredited hospital or licensed day surgery. Most breast implant surgery is done as a day procedure. Drain tubes or bandaging are rarely needed. It is not usually necessary to stay overnight in hospital provided you have a responsible adult to take you home and stay with you for at least the first 24 hours.
10. Post operative care
Usually we contact patients daily for the first few days after their operation. Dr Fleming is contactable 24 hours a day if you need him. There will be pain and discomfort after breast implant surgery. This varies from the patient to patient and is relieved by the pain killers we will prescribe for you. Typically patients take up to one week off work and two to four weeks off upper body exercise. Click here to read an article written by Dr Fleming about a new surgical technique that shortens recovery times.
11. Cost of Breast Implants
We charge an all-up cost which not only includes the surgical fee but also the associated costs such as theatre fees, assistants fees, anaesthetist’s fees, day surgery or hospital costs, aftercare, GST and of course the implants themselves. All sizes cost the same. Currently the total cost for breast implant surgery is $ 11,990 INC everything even GST! (Brazilian, Saline or silicone round implants) Financing is available.