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Breast Surgery

Breast Augmentation :: Breast Reconstruction :: Breast Reduction :: Breast Lift

Breast Augmentation

Breast augmentation, also known as augmentation mammoplasty is a surgical procedure designed to enhance the size and shape of the breasts by inserting implants.

Type of Implant

There are different types of implants available. All implants are synthetic silicone rubber shells filled with a silicone gel or a saline (saltwater) solution. The outer wall of the implant may be smooth or textured (rough surfaced). Generally, rough surfaced implants do not need to be massaged post operatively. Smooth implants may need to be massaged to help prevent scar contracture.

Dr Kane will recommend the particular type of implant that he feels is most appropriate for you.

Surgical procedure:

On the day of surgery, the proposed implant site, the creases under the breast and the incision sites will be marked on your skin either in your hospital room or the pre-op area of the operating room.

The location of your incision is based on your personal preference, your body type and Dr Kane’s recommendation.

An incision placed in the inframammary fold may be hidden by the breast itself when standing, but can be seen when the patient is lying down.

A pocket is then made depending on the type of implant being used and the breast size you have selected.
The space in the pocket allows your breasts to feel soft. An implant is inserted in order to achieve the look you have chosen. Once the desired look is achieved, the pocket is closed.

The incision is closed and Dr Kane places either a surgical bra or bandage over the incision, depending on what seems best in your case. Drain tubes are frequently inserted into the pockets to eliminate any blood which may collect.

Risks and Complications

As with any surgery, breast augmentation involves some risks and potential complications. The possible risks and complications associated with breast augmentation include:

  • Infection
  • Capsular contracture (formation of firm scar tissue around the implant)
  • Changes in nipple or breast sensation
  • Implant rupture

Click on the icon shown below for more information on this procedure:

Breast Reconstruction

Breast reconstruction is a surgery performed to restore the shape of breasts after the tissue is removed during mastectomy/lumpectomy (conducted to treat or prevent breast cancer).

Breast reconstruction is performed by three methods:

  • Using a tissue expander/implant: a silicone balloon is inserted and inflated using saline
  • Tissue flap reconstruction: using your own tissue (autologous)
  • Combination of both

Nipple and Areola Reconstruction

The nipple and areola can be reconstructed at a later stage. A small elevation is made keeping the other nipple as reference. The normal pigmentation of an areola can be tattooed using a dye, which is carried out at a later date.

Symmetry in breast shape and size

A small difference may exist in the size and shape of the two breasts following reconstruction, but may not be noticeable under a bra. However, for the more noticeable ones, women may surgically reduce, enlarge or lift the remaining breast to maintain symmetry.

Conclusion

One of the above procedures can be chosen based on the following criteria:

  • your preference
  • body shape and overall build
  • current breast size and preference of new breast size
  • general health, including habits like smoking
  • extent of tissue removed
  • scars from prior surgeries
  • quality of skin that is remaining
  • requirement for radiotherapy

Dr Kane will discuss your options with you at the time of consultation. In some instances, Dr Kane will utilise computer imagining to illustrate the results that he can achieve through surgery.

Breast Implant Removal

Either for cosmetic or medical reason, such as age, damage, ruptures or capsular contracture, breast implants may need to be removed. Dr Kane can remove the prosthesis in combination with a number of other procedures to achieve the best result for your individual needs.

These additional procedures include:

  • Capsulectomy (removing granulomas or scar tissue that had formed around the rear implant)
  • Breast implant replacement - mastopexy

Breast Reduction

Breast reduction also known as reduction mammoplasty is a surgical procedure employed to remove excess fat, tissue and skin from the breasts.

Surgical Procedure

Dr Kane will draw on your breasts, marking the incision lines and making other relevant measurements decided on at the preoperative consultation. Once you are asleep and lying down the landmarks change as the breast assumes a different shape to that we observe when you are standing. The diagram demonstrates the “landmarks” Dr Kane uses to achieve the result.

Breast Reduction surgery is performed with the patient under general anaesthesia. Dr Kane will measure the height of the nipple and estimate the volume of breast to be removed. Excess breast tissue is usually removed from inner and outer areas of the breast. Skin edges will be approximated after the excess breast tissue is removed.
The nipple is elevated into the new position. It is not detached from the underlying breast tissue. At the end of the operation a firm dressing or brassiere is placed around your chest. Drainage tubes may be in place to eliminate any blood that may accumulate. These drains are removed within 2-3 days of the surgery.

Risks and Complications

As with any surgery, breast reduction involves risks and potential complications. The possible risks and complications associated with breast reduction include:

  • Infection
  • Scarring
  • Breast asymmetry
  • Loss of sensation in the nipples or breasts, which may be temporary or permanent
  • Potential inability to breastfeed
  • Haematoma (bleeding inside the breast tissue)
  • Poor wound healing

Click on the icon shown below for more information on this procedure:

Breast Lift

Sagging breasts are a real concern for many women. Loss of skin elasticity, gravity and other factors such as pregnancy and nursing can cause the breasts to lose their natural shape and firmness.

A breast lift or mastopexy is a cosmetic breast surgical procedure to lift and reshape the sagging breasts. The mastopexy may also involve repositioning the areola and nipple. Some women may have small breast or may have lost a significant amount of breast volume after pregnancy. In such cases placement of breast implants in addition to breast lift may be required to increase the size and firmness of the breasts. The implants are commonly placed under the muscle of the chest wall.

Procedure

Breast lifts are usually performed under general anaesthesia. The procedure generally takes 1.5 to 3.5 hours to perform. Dr Kane will make an anchor-shaped incision that follows the natural contour of the breast. Next, Dr Kane will remove the excess skin and move your nipple and areola to the higher position. Then the skin around the areola is brought down and drawn together to reshape the breast. After completion of the procedure, stitches are placed around the areola and nipple area, in a vertical line beneath the nipple and along the lower crease of the breast.

Another technique especially for those with small breasts and minimal sagging is the doughnut or concentric mastopexy, where circular incisions are made around the areola, and a doughnut-shaped area of skin or areola is removed.

Following the surgery your breast will be bruised, swollen, and may ache for a day or two. You may feel slight discomfort, for which medications are recommended by Dr Kane. After you have a breast lift, an elastic bandage or a surgical bra will be wrapped around your breasts over gauze dressings. These will be removed within few days and replaced with a support bra.

All sutures are usually removed within two weeks after surgery. You may expect loss of sensation around your nipple and areola areas. This is usually temporary and may take six weeks or more to return to normal.

Breast lift can enhance your breast size and shape, and restore the body contour of your breasts.

Male Breast Reduction/Gynaecomastia

Gynaecomastia surgery aims to remove excess tissue and fat from the male chest in a similar fashion to a female Breast Reduction. For more information, see the Breast Reduction tab.

Inverted Nipple Correction

Inverted nipple correction is a procedure to remedy nipples that have been pulled in by either short milk ducts or post-pregnancy or other means. The procedure entails Dr Kane making a small incision under the nipple to gain access to and cut the ducts tethering the nipple. Dr Kane utilises a ‘purse-string’ suture to keep the nipple in the desired position.