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What is breast augmentation?

Breast augmentation, colloquially known as a ‘breast aug’, ‘boob job’ or ‘breast enlargement’ involves the use of breast implants or fat transfer techniques to increase breast size and enhance shape. Women may seek these procedures to address various concerns, including increasing breast volume, restoring lost volume after weight loss or pregnancy, achieving a more rounded breast shape, or correcting natural asymmetries. Results are long lasting but not permanent because the body changes over time.

Modern breast implants are made from silicone, and have been improving over many iterations to minimise potential complications. Fat transfer techniques are also well established,and use fat from another part of your body to increase breast volume. The amount of fat that can be transferred is generally more modest than the volume increase that can be achieved with an implant and may need to be repeated to reach your goals.

It is important to understand what breast augmentation surgery can and can’t achieve. Placement of implants can increase breast fullness and projection, enhance the proportions between breast and hip contours, and boost self-image and confidence. However, breast augmentation alone cannot address severely drooping breasts. In cases of significant breast ptosis (droop or sagging), a breast lift (“mastopexy”) will be necessary to achieve a fuller, lifted appearance. Breast lifting can sometimes be performed simultaneously with augmentation or as a separate procedure, depending on individual needs.

Who is a Suitable Candidate for Breast Augmentation?

Breast augmentation is a highly personal decision, and it’s essential that individuals pursue it for themselves rather than external pressures or influences. Potential candidates for breast augmentation may include those who:

  • Are in good physical health and not pregnant or breastfeeding.
  • Have realistic expectations about the outcomes of the procedure.
  • Have fully developed breasts.
  • Feel dissatisfied with the size or shape of their breasts.
  • Experience loss of breast volume due to pregnancy, weight loss, or aging.
  • Are bothered by asymmetrical breasts or other developmental concerns.

Preparing for surgery involves reviewing breast augmentation photos and educating oneself about the procedure and recovery process to establish reasonable expectations and ensure a smooth recovery.

What can I expect during my consultation?

During your consultation for breast augmentation, you should be prepared to discuss various aspects of the procedure, including:

  • Your motivations for seeking breast augmentation and desired outcomes.
  • Medical history, including conditions, allergies, and prior treatments.
  • Current medications, supplements, lifestyle habits, and family history of breast cancer.
  • General health status and any preexisting health conditions or risk factors.
  • Detailed examination and measurements of breast size, shape, skin quality, nipple placement, and areola size.

Your plastic surgeon will:

  • Conduct a thorough evaluation and examination.
  • Take photographs for documentation.
  • Discuss treatment options and recommend a suitable course of action.
  • Address potential outcomes, risks, and complications associated with breast augmentation.
  • Request a mammogram if appropriate.

The consultation provides an opportunity to ask questions and express any concerns about the procedure. It’s normal to experience a range of emotions, from excitement to preoperative stress, and your plastic surgeon’s team is there to support you throughout the process.

What questions should I ask my plastic surgeon about Breast Augmentation surgery?

  • Are you vocationally registered with the Medical Council of New Zealand as a specialist plastic surgeon?

  • Are you a member of the New Zealand Association of Plastic Surgeons?

  • Will the procedure be conducted in a hospital or office-based setting, and is the facility accredited for this type of surgery?

  • What type of anaesthesia is needed for this procedure?

  • Based on my medical history and condition, is surgery the best option for me? If so, am I a suitable candidate for this surgery?

  • Which surgical technique do you recommend for my case, and why?

  • What are the realistic expectations for the outcome of this procedure in my case?

  • What steps or lifestyle changes are necessary for me to get the best result from my surgery?

  • What is the anticipated duration of recovery, and what assistance will I need during this period?

  • What potential risks and complications are associated with this procedure? How would you manage these should they arise?

  • How will my results change over time?

  • If I’m unhappy with the outcome, what recourse options are available?

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