What is the difference between cosmetic and plastic surgeons?
Both cosmetic and plastic surgeons are qualified to perform elective cosmetic surgery. All the procedures offered at Cosmetic Evolution are elective procedures.
Plastic surgeons have additional qualifications required to perform certain non-elective surgical procedures. These procedures are designed to treat the body’s abnormal structures, such as those caused by burns, trauma, disease or cancer.
Each of our cosmetic surgeons undergo additional specialty training with Plastic & Reconstructive Surgeons and continue with ongoing oversight and review.
What should I discuss during my consultation?
You should discuss your desired look and lifestyle with your surgeon. He or she can then inform you of all the available surgical options to best suit your body type and proportions. Your surgeon will take your medical history, conduct some routine examinations and take measurements to determine whether you are a suitable candidate for your desired procedure.
How long is the consultation?
Your consultation will last approximately 45 minutes. If you require additional time or a secondary consult, please let one of our friendly Cosmetic Consultants know. Additional fees may apply.
What do I bring to the consultation?
If you are having a breast augmentation, please bring a sports bra with no padding or underwire and a tight singlet so that your measurements can be taken.
For all procedures, please also bring photos that you like or dislike the look of.
Can I book my surgery in at any time?
Our surgeons can sometimes be booked out months in advance. To secure your date of surgery, you may wish to book in your date of surgery prior to booking your consultation. Many of our patients prefer this option as it assists in planning work, leave and child care arrangements.
Are my medical records kept private and confidential?
Yes, we keep all your medical records in the strictest confidence.
Am I a good candidate for breast augmentation?
Our surgeons evaluate each of our patients on a case-by-case basis. The best candidates for breast augmentations are typically in good physical health but want to improve the size or shape of their breasts. Good skin tone and firm, elastic skin also helps to achieve the best results.
How much time do I need to take off work?
We recommend a week of rest and recuperation following your breast augmentation surgery. Patients that have normal desk jobs can return to work slightly earlier (within 3 – 5 days) but should expect to feel fatigued and swollen for several days.
How do I know what I’ll look like after my Breast Augmentation?
Once you have a firm idea about your desired look, your surgeon will go through the different surgical options with you to determine the best way to get your desired cosmetic result for your lifestyle.
There are many factors that affect what your breasts will look like after surgery. These include your natural anatomy, the location of the incisions and the type, size, shape, texture and placement of your implants.
We’ve had many happy patients who are happy to share their pre and post op photos. You can find feedback and photos from past patients on our Facebook page and also online at plastic and cosmetic surgery forums such as The Plastic Surgery Forum.
How is the breast augmentation procedure performed?
There are three major incision choices in breast augmentations. These are within the fold of the breast (inframammary), around the nipple, or underneath the arm. Each type of incision has its advantages and disadvantages, according to the shape and the size of your desired implant and your clothing and lifestyle preferences.
Our preferred method of incision is inframammary. This is made in the fold where the breasts naturally drop. The incision line is approximately 3-4cm long and over time, will fade out to a nearly invisible line if treated correctly.
Under the muscle or over the muscle?
Following your incision, breast implants are placed in two main ways. This can be either sub-muscular, known as ‘under the muscle’, or sub-glandular, known as ‘over the muscle’.
Each method of placement depends upon the shape of your breast and the amount of available breast tissue. Over the muscle placement may be more suitable to women who have a lot of breast tissue, but this method of placement also comes with an increased risk of capsular contracture.
Our preferred method of placement is under the muscle. This greatly reduces the chance of ‘bubbling’ and gives the breast a more natural look and feel. Because ‘under the muscle’ implants are away from the mammary glands, there is a reduced chance of bacterial infection and capsular contracture.
Which is better, silicone or saline implants?
There are two main types of implants: silicone gel implants and saline implants. Both implants have a silicone shell, but saline implants are filled with salt water rather than elastic gel. If a saline implant shell leaks, the body reabsorbs the saline, causing the implant to deflate and collapse. This doesn’t occur with silicone breast implants.
The most popular type of implant and our preferred choice is the cohesive textured gel implant. This leads to better survival of the implant, reduces the chance of ‘puckering’ and ‘rippling’ associated with saline implants, and gives a more natural appearance and feel.
What is the difference between textured or smooth implants?
Because of the way that a protective lining forms around the implant, the surface texture of the implant is important. Smooth silicone implants may give a more natural feel if they are round. However, these have a higher incidence of capsular contracture than textured silicone implants, regardless of whether the textured implants are round or teardrop shaped.
The majority of implants used today have a textured shell and this is our preferred choice. Textured implants greatly reduce the incidence of capsular contracture. They also reduce implant movement as the protective lining around the breast implant develops in a more uniform way that helps keep it in place. Under the muscle placement also greatly enhances the natural feel of textured implants.
Which shape appears more natural, round or teardrop?
Both round and tear dropped shaped implants create a natural appearance. Round implants typically improve the upper fullness or projection of the breast while teardrop implants result in a lower projection.
Our preferred choice is round implants. Under the muscle placement of round implants actually provides a slight teardrop shape as well, providing you with the best of both options. Teardrop implants can lead to implant movement or rotation and may need to be corrected with revisionary surgery.
Can I have any size of implant I want?
No. Breast implants come in dozens of different sizes and profiles. We understand many women have their heart set on a particular implant size. While we provide the full range of implant sizes and profiles, not every size will be suitable to your body type. Your surgeon can advise you of your available size options according to your physiology and desired cosmetic look.
It’s important to remember that larger sized implants don’t immediately equate to a larger cup size. Your cup size will depend upon your weight, height, chest shape and the size of your existing breasts. Smaller implants can actually result in a more appealing and fuller look. It’s best to discuss sizing options with your surgeon during your consultation.
Are silicone implants safe?
Absolutely. Cosmetic Evolution uses Allergan’s Natrelle- suite of silicone gel implants for all breast augmentations. These are premium implants which are supported by over 30 years of medical research and clinical data and are considered to be the best on the market.
Allergan’s silicone gel implants are approved in Australia under the Therapeutic Goods Administration (TGA) and in the United States under the Food and Drug Administration (FDA). Each implant is manufactured in a totally sterile environment and undergoes more than 140 quality assessment checks in FDA-approved facilities in the United States.
How long will my implants last?
Every implant we use comes with certification to the highest safety standards in the US (FDA) and Australia (TGA). Our implants also come with a written lifetime guarantee against rupture and leakage.
Your lifestyle and how your body responds to the implants will affect the lifetime of the implant and its durability. As with all surgical procedures, revisionary surgery may be necessary to correct any problems or complications that arise. It’s best to discuss any concerns you have with your surgeon during your consultation.
Do implants cause cancer?
No, there is no evidence that breast implants increase the risk of breast cancer. It’s advisable that you continue to undergo regular mammograms and self-examine your breasts for any lumps after your procedure. You can continue to undertake breast screening via non-compression mammograms or ultrasounds. Just let your examiner know that you have had a breast augmentation.
Will implants affect my ability to breast feed?
No, there is no medical evidence to show that silicone implants interfere with breast-feeding. There’s also no evidence of silicone transmission to infants in breast milk. Under the muscle placement of implants ensures that there is no disruption to the nipple or milk ducts, so feeding after a breast augmentation isn’t affected. If you’re pregnant or have concerns about breast feeding, please discuss these with your surgeon during your consultation.
I’m from interstate/overseas. Can I still have a Breast Augmentation?
Yes, we regularly perform surgeries for our interstate and international patients and usually accommodate this within the same visit to Sydney or Southport. There are a number of steps you can take in advance of your procedure to help streamline the process:
• Send pictures of your desired treatment areas to our “clinics“ so that our surgeons may assess whether you’re a suitable candidate for breast augmentation. All photos will be treated confidentially.
• If you’re suitable, we’ll contact you to book your consultation. This is best organised the day before your surgery to minimise accommodation and travel costs.
For further information regarding travelling to our facilities for your procedure, please contact our clinics and one of our friendly Cosmetic Consultants will assist you.
You’ll be required to stay interstate for a further 48 hours before being able to return home. Your local GP can then assist you with general aftercare enquiries. Follow-ups can be conducted via email, but feel free to call our clinics if you have any specific concerns.