What are the potential risks and complications of breast augmentation?

Some possible complications and risks associated with breast augmentation may include:

  • Risks involved with any surgery such as bleeding or infection
  • Fluid accumulation, which is called a seroma, around the implant after surgery
  • Changes in nipple sensitivity
  • Temporary or permanent areas of numbness around the scars
  • Wrinkling of the skin over the implant
  • Keloid or hypertrophic scarring, especially if you have a history of poor scarring
  • Capsular contracture, where firm scar tissue forms around the implant causing it to lose shape and softness. Occasionally a capsule contracture around an implant can be painful.
  • Inappropriate implant size
  • Implant rupture
  • All breasts are uneven; after an augmentation this slight difference will be more noticeable. If there is a significant difference pre-operatively then I might need to put different sized implants in. A formal assessment of breast volume is performed when I take your 3D image.
  • Lumps in local lymph node tissue formed by leaking silicone. This does not pose a health risk to you.
  • Small reduction in the effectiveness of breast cancer screening as the implant could hide breast tissue and tumours. Modern imaging has made this far less of a concern.
  • Implants moving from their original position
  • Revisional surgery to treat complications

Frequently Asked Questions about Breast Augmentation

Do I need to replace my implants every couple of years?

One of the most common misconceptions about breast implants is that they need to be lifted or replaced every few years, which in turn is a major deterrent for many women considering the implant option. Their concern about the need for future surgeries as well as the costs involved prevents them from choosing augmentation. In reality, you should only require one to two follow up surgeries as the average lifespan of implants is 20 years (some have been known to last up to 40 years!) On average, only about 20% of women who have undergone breast augmentation opt to have their implants replaced or repaired within the first 10 years of their initial surgery.

Creating cleavage is like a subspecialty interest Dr Moradi cleavage is an important aesthetic to women at the end of the day. Many patients like side boob but their main focus is always on braless cleavage. Women who have had a breast augmentation want to be able to state upright with their hands by their sides, not wearing a bra or bikini or posing for a selfie - and have perfect cleavage.

Creating cleavage is similar to building a house. If the chest wall is 400cc and the patient opts for 200cc implants, there will be a gap between the breasts because the volumes aren't as important as the width of the implant compared to your body. The gap between the tops of the breasts is not as important as the gap at the bottom which requires that the breasts be as close together as possible. If the patient's breasts sit perfectly on their chest wall, then simple implants of the correct size will create the ideal cleavage they are looking for. The more complex cases are those where women have a wide gap to start with as they will need the implants to be placed closer together to create the ideal aesthetic. For women who have angulated chest walls, a hybrid augmentation where back is injected into the cleavage area along with the implant is the right solution.

Dr Moradi prefers to place the incision below the breast (inframammary). Using mathematical calculations combining the dimensions of the implant and the current breast tissue, the incision should be well concealed within the breast crease.

The inframammary incision is also the only incision which allows complete exposure of all the important anatomical landmarks, allowing for the most predictable long-term results. This is because breast augmentation isn't as simple as inserting the implant. It requires the careful shaping of the breast in a reproducible manner, making inframammary incisions the most ideal for the best results.

Breast augmentation is a surgery that is performed under general anaesthetic but if there are no complications, it is unlikely that the patient will need to stay overnight in the hospital. It will, however, be necessary to take time off work for your recovery so that your body can begin the healing process properly. The time off work required will be roughly one week, as long as you are following all recovery instructions given by Dr Moradi. Thereafter, you will be able to return to work and you will be able to resume vigorous exercise after six weeks.

In order to be an ideal candidate for this procedure, you need to have a healthy lifestyle and have the understanding that the implants will dramatically change the appearance of your body. We want all potential patients to go into this decision knowing that it is not just a quick fix or something that should be taken lightly. Other ideal candidates can include women whose breasts have been altered due to breastfeeding. There is no particular type of women who is preferable for this surgery as many of our candidates are regular women living regular lifestyles who are in seek of their dream breasts.

If you are considering getting a breast augmentation in order to please a partner or significant other rather than seeking the surgery for yourself, we ask that you take some time to thoroughly question the reasons behind getting this procedure done. If you are truly unhappy with your breasts, we would love to assist you in obtaining your ideal breast size and shape as long as the decision is yours. We also advise that women who are still planning on giving birth wait until after the breastfeeding period. Although the implants will not hinder your ability to breastfeed, breasts often lose volume and fall after childbirth and breastfeeding. It is ideal to wait until after these changes have potentially occurred before undergoing surgery.

Unfortunately, breast implants do have the potential to interfere with mammography readings in certain patients. More often than not it is in those whose implants have been placed above the muscle (sub-glandular). Those who have implants placed behind the muscle (sub-muscular) are less likely to encounter problems with mammogram readings. This is a particularly important consideration for women who have a family history of breast cancer as they will want to ensure that any potential mammogram readings are as clear and hassle-free as possible.

Unfortunately, as with all surgical procedures, there are risks involved. Dr Moradi is a highly qualified and renowned doctor who takes every precaution to avoid any sort of complications. He will also consult with you to ensure that you are fully educated on the whole process as well as to make sure that he can work towards giving you the results that are attainable for your body. As long as you stick by any post-operative care most of the complications can be avoided. If you do notice anything unusual we suggest contacting us immediately and if in the off chance there are complication, we do also offer any revisional surgery that may be required.

Above all else, we warn all patients against cheap breast augmentations that are found online or from not so reputable sources. For an augmentation to be cheap, whoever is offering it, will have to cut some sort of costs whether it be the quality of the implant, the safety of the anaesthetic or even the state of the operating facilities. Worse still is that most people are unhappy with their results from these cheaper options either because of botched surgeries or poor execution, requiring extensive and costly surgeries to get the breasts back to normal. Our breast augmentation costs $10,990 which includes the anaesthetist's fee, safe general anaesthetic, post-operative garments, the surgical assistant's fee and finally unlimited follow ups. Choose great care with Dr Moradi.

It is important to ensure that your surgeon is reputable and ethical. The production and implantation of breast implants is regulated to ensure that products are safe to use. The safety of your implants largely depends on where you got them. If they are legal and approved and if your surgeon is qualified to perform breast implants.

Both silicone and saline implants are equally safe. Both have a silicone shell and only the fluid inside differs. They offer different shape and texture options. The choice between the two will depend on the results you are looking for. During a consultation your surgeon will give advice on which implant type best suits your needs and body.

The main thing to take into consideration when you are having a breast augmentation or breast lift and augmentation, is your goals. Everyone is different and has different ideas and desires when it comes to their ideal breasts. Often, women who have had children come in wanting their breasts to look how they did when their breastfeeding milk came in, others want their breasts to look exactly as they appear in a push-up bra, some want them to appear natural and then there are some women who want their breasts to look fake. Each set of goals helps Dr Moradi get an idea of what each patient is after. Once those precise desires have been discussed, Dr Moradi can move on to choosing between the type of implant to use. The choices are generally between anatomical and round implants. Round implants have the benefit that if they rotate, there will be no issues with the appearance. However, if a teardrop rotates, they can look a little odd. Each patient is different and will require different things in order to achieve their dream breasts.

The choice between round and teardrop implants is not as important as the choice between profiles. Dr Moradi will help to build your breast according to your body type and personality. The process begins with measurements of the patient. The exact height and width will determine the ideal implant to use is.  From there, volume can be created with projections. Projections and profiles are the same thing. The simplest way to imagine profiles, is in terms of a structure like a house. The moderate profile is like a one story house, moderate plus is like a two story house and a high profile is like a three story house. The bigger the profile, the more fake you are going to look. A high profile round also has the tendency to look fake no matter how it is inserted.

Whether you go above or below the muscle with your implant is dependent on your anatomy and your goals. Below the muscle looks more natural than above, because the pec major camouflages the top of the implant. Above tend to look faker because the pec major is not there to disguise the implant. The same stands for if you are extremely lean and have no breast tissue and decide to go above the muscle, it will look super fake because you are going to see the outline of the implant. The majority of the implants that Dr Moradi and his team put in are below the muscle because it offers a more natural aesthetic along with the ability to cover the top half of the implant. It is interesting to note that in the moderate profile range, round and teardrop implants look very similar. So, if you are getting the moderate profile, the round implant underneath the muscle can look like a teardrop implant, making them almost interchanging within that moderate profile range.

Patients can choose to have a very natural look or an unnatural look. Rounded implants can appear more natural than teardrop implants, as round implants are filled with saline or silicone that allows for natural breast movements.

Yes, Motiva implants are considered safe and have many safety features, including the BluSeal which allows surgeons to ensure the entire implant is intact before insertion. Motiva implants also feature the TrueMonobloc which is a system that allows for easier insertion and the implants also include Qid Safety Technology that allows implant information to be verified with non-invasive means.

There have been numerous studies confirming that Motiva round implants are safe and have very low rates of early complications or late complications

Anatomical implants are also known as teardrop implants as they take on the shape of a teardrop. Anatomical implants offer great lower pole fullness and a natural contour. They also remain in the teardrop shape as they are made from a firmer cohesive gel.

Round implants, such as Motiva use either saline or silicone, which gives them a smooth, natural appearance and a soft touch. These implants offer good upper pole fullness.

Whereas teardrop implants provide a firmer gel consistency, as they usually use cohesive silicone gel that mimics the natural breast. This implant has a thinner upper area which slopes downwards into a full and rounded base. They generally remain in shape in all positions due to the non-fluid filler.

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Think of breast augmentation like building a house. If you've got 200 square metre of land, you can't put a 400 square metre house on it.

Dr Pouria Moradi

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