Breast Implant FAQs - The Cosmetic Institute

Breast augmentation (or BA) is cosmetic procedure where implants are inserted into the breasts to enhance their appearance or enlarge them.

Breast augmentations take between 1 to 2 hours to complete.

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 and fitness but want to improve the size or shape of their breasts. Good skin tone and firm, elastic skin also helps to achieve the best cosmetic results.

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.

Our facilities are internationally accredited and all procedures are performed at our licensed private hospitals, which are equipped to offer general anaesthetic. Our anaesthetists are Fellows of the Australian and New Zealand College of Anaesthetists (ANZCA) and every patient has a dedicated specialist anaesthetist administering their anaesthetic for their procedure.

Using their expertise and in consultation with you and your surgeon they will decide on the best anaesthetic technique for your individual needs, safety and comfort. These anaesthetists are highly experienced and also work within some of the countries finest public and private hospitals. There is no extra cost for one type of anaesthetic compared to another, and our specialist anaesthetists are skilled at delivering all types of anaesthetic. More important than the type of anaesthetic is the presence of a fully qualified anaesthetist caring for you at all times.

Anaesthesia is a complex medical field so if you’d like more information about any of our anaesthetic practices, please contact the clinic.

No, we generally don’t use drains. This minimises additional incisions to your breasts and the additional risk of infection. Antibiotics and pain killers are also applied directly to your incisions during your procedure.

Once you have a firm idea about your desired look, your surgeon and you will go through the different surgical options 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 locational 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 plastic and cosmetic surgery forums, such as The Plastic Surgery Forum.

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.

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.

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.

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.

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.

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 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.

Absolutely. The Cosmetic Institute 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.

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.

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.

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.

If you require a breast lift or breast reduction, we are happy to arrange a referral to Dr Doyle’s rooms to perform these procedures.

Patient safety is our number one priority, which is why we strongly advise against all forms of ‘cosmetic tourism’ undertaken in third world countries. Surgery isn’t to be taken lightly, and the risks of serious infection and other complications are greatly increased in unregulated clinical settings, unhygienic medical environments, tropical conditions and the lack of adequate aftercare procedures.

Be wary of the low cost advertising of these procedures as well. Many overseas clinics have hidden costs as well as unforeseen costs associated with accommodation, flights, and meals. If there are complications with surgery and you are required to stay overseas longer, your expected cost of surgery goes up dramatically.

No, Medicare rebates currently don’t apply to 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.

Breast augmentation is an extremely safe procedure, but as with all surgical procedures, there is always some level of risk. Your surgeon will be able to advise you about any concerns you have.

Please call one of our clinics to book your consultation and one of our friendly Cosmetic Consultants will assist you.

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