Do you feel like your breast size is small and doesn’t match your body frame? You may have researched boob job surgery and even had a consultation with a Plastic Surgeon or two.

But while you’ve asked questions and done a lot of reading, you may still be unsure about what breast augmentation surgery is really like.

You’re not alone feeling unhappy and dissatisfied with the size and shape of your breasts. Shani Grimmond also felt like this and consulted with Dr Kourosh Tavakoli  Her boob job video blog gives patient insights into what happens when you have a boob job.

Women have breast augmentation (boob job) surgery to:

• Reconstruct a breast after an injury or mastectomy
• Increase the size of the breasts and achieve a more symmetrical look and proportionate shape
• Reduce breast size because the weight or size has caused posture and other health related issues
• Restore or replace volume and aesthetic appeal after weight loss, pregnancy, breast feeding, general ageing and health related issues such as breast cancer
• Lift sagging or drooping breasts caused by volume loss, genetics, loss of skin elasticity or general ageing
• Correct previous breast surgery and
• Remove and replace breast implants

It’s important to note that a boob job will not correct sagging breasts. You will need to have a breast lift (mastopexy) operation which corrects sagging breasts and involves removing excess skin and shifting the nipple position.

How to choose the size, type and shape of your breast implants

The day before her boob job Shani visited the Plastic Surgeon’s office to confirm the size, type and shape of breast she desired.

During this consultation, she wore a larger bra size and placed the breast implant samples over her breast tissue.

At this pre-surgery consultation they will also re-measure:

• Your chest wall diameter and shoulder to hip ratio,
• The breast width and nipple position on your chest wall, and
• Your height.

As part of this pre-surgery planning, your Plastic Surgeon will also discuss in detail where the incisions will be placed, your sutures and the placement of the breast implants.

Breast implant size

It’s important to note that knowing what bra size you desire is a useful, it is more helpful to think about the breast implant size you want. This is measured in cubic centimetres (cc’s). At Shani’s pre-surgery consultation, she tried out the 350cc and 375cc breast implants and decided 375cc would give her the desired results.

Breast implant shape

Breast implants are available in round and teardrop shapes. Teardrop implants (sometimes called ‘gummy bear’ or ‘form stable’ implants) are tapered at the top and thicker at the bottom. This implant is ideal for women who don’t want to risk looking “fake.

The advantages of teardrop breast implants include:

• A reduced risk of ‘wrinkling’ due to the type of gel used,
• Natural looking breasts with fullness at the bottom of the breast, and
• A reduced risk of developing capsular contracture.

Round breast implants are the same shape all over and make the breasts appear fuller.

The advantages of round breast implants include:

• A fuller upper breast,
• Less likelihood of implant rippling, and
• A smooth, soft implant shell can be used.

Type of breast implants

Breast implants are made from either saline or silicone gel. If you choose to have saline filled breast implants, you will have a smaller incision for their placement.

Once your Plastic Surgeon is happy with the placement, the implants are filled with saline.

Since silicone gel filled breast implants are pre-filled, they require a longer incision for implantation. Many patients prefer silicone implants because they look softer and more natural.

You can read more about the types of breast implants here.

Cleavage shape and size

When you’re considering your cleavage shape and size, it is vital to consider that as the breasts increase in size, the amount of cleavage gets larger.

If your breasts have a wide space between them, the breast implants will have less impact on your cleavage.

(Above is only an example before and after by Dr Tavakoli)

What happens during breast augmentation surgery?

Your breast implants will be inserted either behind the breast tissue, or partially or completely under the chest muscles. Incisions are made to keep scars as inconspicuous as possible, usually under the breast, around the lower part of the areola, or in the armpit.

The breast implant can be placed either over the muscle or under the muscle. The advantage of “over the muscle” is that pectoral muscle activity or strength will not negatively influence the position or movement of the implant. While pain tolerance varies, “over the muscle” breast augmentation operation is generally less painful for the patient.

Generally, placing an implant above the muscle results in excellent breast implant results and a high level of patient satisfaction.

The advantage of the under the muscle approach is that it will disguise and cover up the upper part of the breast implant. In some chest and breast shapes, this option will deliver a better look than “over the muscle”. The disadvantage of “under the muscle” is that some patients may experience movement or flattening of their breasts when they use their pectoral muscle.

When the breast implants are inserted, tissue expanders are used to stretch your skin to provide coverage for a breast implant. The surgical approach for inserting and positioning breast implants will depend on your preferences, your anatomy and your Plastic Surgeon’s recommendation.

The shape and size of your breasts prior to the boob job surgery will influence both the recommended treatment and the final results. It is important to note that if your breasts are not the same size or shape before surgery, it is unlikely that they will be completely symmetrical afterwards.

While millions of breast augmentation surgeries are successfully carried out every year, it’s important to know there are potential risks and complications.

While detailed and careful surgical planning aims to minimise risks and complications, they can include:

• Breast implant rupture: This can occur as a result of everyday activities that repetitively flex, fold, and place pressure on the implant wall. While the average expected life of breast implant is around 20 years, ruptures can occur sooner or later. If a silicone breast implant ruptures, it’s usually not detected by the patient (a silent rupture).
• Scars: After your boob job there will be a small scar that is usually under your breast through which the breast implant has been inserted. These scars generally fade over time, but will never disappear completely.
• Future surgeries: Most women who have had their breasts enhanced will need to have a further operation at some point in their life. This surgery is necessary to revise, replace or remove the breast implants.

What happens straight after boob job surgery?

Immediately after Shani’s boob job surgery she was fitted with support bra and taken into a recovery area for close monitoring.

Before she left the hospital she received postoperative instructions and prescription pain. These instructions will vary from patient to patient but will usually include sleeping on a 60-degree angle, how often to take medication and the amount of rest you must have.

It’s very important for your recovery process that you wear your support garment (a bra or elastic band, called a bandeau).

What to expect as you recover from boob job surgery

After Shani was given the all clear, she was discharged from hospital. During the first night she was in some pain and suffered nausea as a result of the anaesthesia, but sleeping, resting and taking the pain medication relieved this.

She commented that, “While breathing can feel hard sitting up, when I lean back and relax on the pillows I don’t feel any pain and feel really good.”

It’s important to note that the timelines for recovery from boob job surgery vary from patient to patient and will depend on the type of surgical technique used.

Here’s an example of a typical timeline for boob job recovery:

• 8-10 hours after surgery: the numbing solution will start to wear off and you will need to start taking pain-relieving medication.
• 5 days after surgery: the amount of pain relief you need to take will be decreasing.
• 10 days after surgery: the stitches will be removed and you’ll be able to have full body showers and baths. Most patients return to work, but only if their work duties are light.
• 3 weeks after surgery: gentle walking and lower body exercises are usually permitted.
• 6-8 weeks after surgery: once you have been given the ‘all clear’ you can resume upper body gym work and resume running.
• 3 months after surgery: you can start wearing an underwire bra
• 4 months after surgery: you can lie on your stomach
• 6 months after surgery: your boob job recovery should be complete

To avoid complications during your recovery process, before you undertake any exercise or daily activity you must follow your Plastic Surgeon’s guidelines.

Find the best Australian Cosmetic Plastic Surgeons specialising in breast augmentation

Breast augmentation (boob job) surgery can give you fuller, more shapely and larger breasts.

To get the best result possible, it is important that you have this procedure performed in a reputable medical clinic or hospital with highly trained, qualified and experienced Plastic Surgeons and Cosmetic Nurses.

Every successful breast augmentation surgery begins with a successful consultation with the Plastic Surgeon. Taking your time to research and consult with quality Breast Surgeons will help you achieve the breast enhancement result you want.

Find the best Australian Breast Surgeons here.

Find out more about Shani’s and her boob job journey

WEBSITE – www.sgthelabel.com

INSTAGRAM – shanigrimmond

TWITTER – shani grimmond

FACEBOOK – https://www.facebook.com/xokashani

The post Diary of a breast augmentation patient – Shani Grimmond appeared first on Cosmetic Journey | Blog.

Are you considering getting breast augmentation surgery?

Or maybe you’ve been researching boob job surgery and want to know more information from a patient point of view?

Brittney Lee Saunders explains why she decided to get a boob job , what the recovery after breast augmentation surgery was like and reveals her look 6 months after the boob job.

Brittney Lee Saunders explains that she decided to get a boob job because she was unhappy with her naturally small breasts (between an A and B cup).

She chose to get breast augmentation surgery to increase the size of her breasts and to increase her confidence.

What I considered before I chose the shape, size and type of breast implants

At Brittney Lee Saunders consultation with her Plastic Surgeon she told him that she wanted, “something natural that didn’t look fake or too big.”

When you choose a breast implant you need to consider the cup size, choose between a round or teardrop shape breast implant, choose a textured or smooth implant and decide how many cc’s you want.

Because she wanted a natural look, she chose a 375 cc teardrop shape textured implant.

How I chose my Plastic Surgeon

Researching and selecting a Plastic Surgeon to perform your breast augmentation is very important.

Brittney Lee Saunders recommends that you “don’t go somewhere because it’s cheap or because they can do your boob job next week. When it comes to selecting your Plastic Surgeon my advice would be to do your research and read real reviews from girls who have had their boobs done with the Surgeon you’re considering.”

(Dr Nicholas Moncrieff)

While she originally researched Sydney based Plastic Surgeons she decided to choose a local Plastic Surgeon close to her home, Dr Nicholas Moncrieff from Hunter Plastic Surgery.

The cost of my breast augmentation surgery

While Brittney Lee Saunders acknowledges many people choose to have breast augmentation surgery overseas, it was important to her to be close to home and to have a highly trained and experienced Australian Plastic Surgeon perform the surgery.

Her out of pocket expense was just over $10,000 and included follow up appointments.

How I recovered after my boob job surgery

On the day of her surgery, Brittney Lee Saunders was excited but not nervous. In recovery she felt drowsy and slightly nauseous but had no pain.

The day after surgery her chest felt a bit sore, like she had done a big chest workout at the gym. During the first 4 days after surgery she slept a lot and rested.

For the first 6 weeks she wore a compression bra 24/7. This helps to support the breast implants and assists with the healing process.

What I look like 6 months after my breast augmentation surgery

After her 6-month check up with her Plastic Surgeon Brittney Lee Saunders notes that, “my boobs are doing great, they just feel like they’re a part of me now”

Since her breast augmentation surgery, the breast implants have softened and dropped into place more. The scars sit perfectly in the crease of her breasts and are “not a big deal”.

Brittney Lee Saunders highlights the importance of choosing a Plastic Surgeon in her local city instead of her capital city.

“I felt trust from the first time I sat down with him. When you’re doing something like this to your body, you’re changing something on your body. You must trust that person because they are going to be doing things to your body.”

Find the best Australian Plastic Surgeons specialising in breast augmentation

Every successful boob job surgery begins with a successful consultation with the Plastic Surgeon.

Taking your time to research and consult with several Breast Surgeons will help you achieve the breast enhancement result you want. Find the best Australian Breast Surgeons here.

To get the best result possible, it is important that you have this procedure performed in a reputable medical clinic or hospital with highly trained, qualified and experienced Plastic Surgeons and Cosmetic Nurses.

More about Brittney Lee Saunders and her boob job journey

Brittney Lee Saunders YouTube Channel

CLOTHING LABEL:

IG: http://www.instagram.com/faytlabel

WEB: http://www.faytthelabel.com

LET’S BE FRIENDS!

FACEBOOK: https://www.facebook.com/BRITTNEYLEESAUNDERS

INSTAGRAM: https://www.instagram.com/brittney_saunders

TWITTER: http://www.twitter.com/britt_saunders

The post Why I got a boob job and what I look like now – Brittney Lee Saunders appeared first on Cosmetic Journey | Blog.

While many patients who get breast augmentation surgery do so for aesthetic purposes, some patients get breast augmentation to compensate for a deformity to the shape of the chest and breast.

Pectus carinatum (pigeon chest deformity) is a congenital condition that affects approximately one in 400 women where the chest and sternum bow outward, like a pigeon’s chest.

Breast augmentation surgery can help minimise the appearance of deformities and create more natural looking breasts.

How does breast augmentation correct pigeon chest deformity?

For patients with pigeon chest deformity, the goal of breast augmentation is to reduce the appearance of the sternum’s prominence while increasing the size of the breasts.

It’s important to note that breast augmentation will only disguise pigeon chest deformity, not correct it. With severe cases of pigeon chest deformity, surgical correction may be necessary to reposition the sternum with rods or wires.

Plastic Surgeons who specialise in pigeon chest deformity usually use high profile breast implants. Implants with a high profile have more projection and less diameter, resulting in a fuller cleavage. Using this type of breast implant helps to cover the full width of the chest while disguising the protruding sternum.

A protruding sternum will be further disguised if the breast implants are place behind the chest muscles. Breast implants that have a low profile have more width than height and will emphasise the outward bowing of the chest wall.

During the consultation with your Plastic Surgeon you will need to make some choices about breast size, shape and the type of breast implant.

To achieve a natural looking breast augmentation, consult with a highly skilled and trained Breast Surgeon with experience in pigeon chest deformity.

1 Size of your breast implant

The size of your breasts after breast augmentation surgery will depend on the size of the implant chosen. Breast size will also depend on the size of your breasts pre-surgery. Detailed measurements at the consultation include your:

• Chest wall diameter and shoulder to hip ratio,
• Breast width and nipple position on the chest wall, and
• Height.

2 Shape of your breast implants

Breast implants are available in round and teardrop shapes. Round breast implants are the same shape all over and make the breasts appear fuller. The advantages of round breast implants include:

• A fuller upper breast,
• Less likelihood of implant rippling, and
• A smooth, soft implant shell can be used.

Teardrop implants (sometimes called ‘gummy bear’ or ‘form stable’ implants) are tapered at the top and thicker at the bottom. This implant is ideal for women who don’t want to risk looking “fake. The advantages of teardrop breast implants include:

• A reduced risk of ‘wrinkling’ due to the type of gel used,
• Natural looking breasts with fullness at the bottom of the breast, and
• A reduced risk of developing capsular contracture.

3 Type of breast implants

Breast implants are made from silicone gel or saline. A smaller incision for breast implant placement is required with saline filled breast implants. After the Breast Surgeon is happy with the placement, the implants are filled with saline. Compared to silicone filled implants, saline breast implants can look less natural.

Because silicone gel filled breast implants are pre-filled, they require a longer incision for implantation. Many patients prefer silicone implants because they look softer and more natural. You can read more about the types of breast implants here.

4 Breast implant position

For patients with pigeon chest deformity generally have the breast implants placed under the muscles. This approach is taken to disguise and cover up the upper part of the implant.

What happens during breast augmentation surgery for pigeon chest deformity?

Dr Kourosh Tavakoli is a Sydney based Cosmetic Plastic Surgeon that has performed over 6,000 breast augmentation procedures.

Watch Dr Kourosh Tavakoli perform a dual plane breast augmentation on a young female with slight asymmetry and mild pigeon chest.

Get more information about post surgery care here.

Are there any complications with breast augmentation surgery?

While detailed and careful surgical planning aims to minimise the risks of breast augmentation surgery, it’s important to know that complications can occur. Because of the nature of pigeon chest deformity, due to the rigidity of the sternum in some cases the breast implants can become displaced laterally. To provide the breasts with the right amount of support and to maintain the appearance of the cleavage, some Plastic Surgeons recommend wearing a supportive bra as much as possible including when sleeping.

Other risks and complications of breast augmentation surgery include:

1 Breast implant rupture

Breast implants rupture because of normal life activities that repetitively flex, fold, and place pressure on the implant wall. While the average expected life of breast implant is around 20 years, ruptures can occur sooner or later. If a silicone breast implant ruptures, it’s usually not detected by the patient (a silent rupture).

2 Breast enhancement scars

After your breast augmentation surgery, there will be a small scar that is usually under your breast (in the fold) through which the breast implant has been inserted. These scars generally fade over time, but will never disappear completely.

3 Further surgery over life

Most women who have had their breasts enhanced will need to have a further operation at some point in their life. This surgery is needed to revise, replace or remove the breast implants.

Where to find the best Australian Breast Augmentation Plastic Surgeons

While breast augmentation can help your pigeon chest deformity, it is important to note that there are potential risks and complications.

To achieve the breast enhancement result you want, take your time to research and consult with highly trained and experienced Plastic Surgeons.

Being realistic about your own situation and anatomy is essential to achieving satisfaction with your breast augmentation outcome. Find the best Australian Breast Plastic Surgeons here.

The post I have pigeon chest deformity. Will breast augmentation help? appeared first on Cosmetic Journey | Blog.

When Jade Spooner and Amal Wakim friends, entrepreneurs and body transformation experts both experienced issues with their breast size and shape, they decided to do something about it together and pursued their boob journey.

When she was 19 years old Jade had breast reduction surgery that resulted in her breast size going from a double F cup to a D cup.

Over a 3-year period due to weight fluctuation from body shaping competition, her breasts grew in size then shrank again.

When Jade lost nearly 20 kilograms, her breasts looked like ‘an empty pocket’. While she still had breast fullness, she felt like her breasts weren’t sitting where she wanted them to be.

When Amal lost 30 kilograms, her breast size shrank dramatically. In hindsight she realises that she did not do research breast augmentation surgery properly and chose a cheap option.

While Amal chose to have 320 cc tear drop implants that she was happy with, over a period of 3 years her breast size increased.

Because Amal competes and has weight fluctuations, she shrugged this off. When her friend got 450cc breast implants and her 320cc implants were larger, and she couldn’t lie down on her stomach to have a massage, she knew there was something seriously wrong.

How they chose a Plastic Surgeon that specialises in breast surgery

Taking the time to research and consult with several Plastic Surgeons is very important. Jade’s original breast reduction surgery was performed by Dr Kourosh Tavakoli

Because she was very happy with his service and the results, Jade and Amal decided to consult with him.

It is important to note that when selecting a Plastic Surgeon you are not guided by the cost of surgery. We suggest you look at their before and after pictures, read real reviews and ask them how many breast surgeries they perform every year.

What is capsular contracture?

According to Dr Kourosh Tavakoli Amal had one of the worst cases of capsular contractures he’d ever seen as both breasts were affected.

Because Amal’s capsular contracture was caused by the breast implant inside the breast pocket, it had to be fixed urgently.

Patients that have had capsular contracture are not able to get breast implants for another 12 months. For this reason, after Amal had the breast implants removed, Dr Kourosh Tavakoli performed fat grafting.

The fat grafting process involves the Plastic Surgeon selecting areas of the body and harvesting fat from them with a fine cannula.

The most common areas of the body where fat is harvested from include the inner and outer thigh and lower abdomen. It is important to note that the breast fullness from fat grafting compared to breast implants is completely different.

Dr Kourosh Tavakoli notes that it’s not known, “why some people get capsular contracture and others don’t. Some people get it in one breast and not the other breast or both breasts.”

He notes that consulting with an experienced Plastic Surgeon who uses reputable breast implants could prevent the risk of capsular contracture. It is also important to see your Plastic Surgeon for regular check ups, MRI’s and monitor the way your breast implants feel.

To prevent the progression of capsular contraction, if your breast implant is getting harder it is vital that you seek treatment immediately.

Breast surgery scarring: what can I expect?

While scars will always be present after breast augmentation surgery they can be managed with massage and scar gels.

It is a common misconception that small scars heal and fade quicker than larger scars. While this is the case with facelift scars Dr Kourosh Tavakoli notes that, “having a larger scar that can be concealed under the bra is far superior to having a short inverted T-scar and still having saggy boobs.”

Breast surgery results revealed and the advice you must read

Amal and Jade are very happy with the results from their breast augmentation and breast implant removal surgery. After having her breast implants successfully removed, Amal has wise advice she strongly advises to consult with a Plastic Surgeon who has extensive training, experience and gives you confidence.

Amal also notes you “must do your research and don’t settle. It may be a cheaper procedure now, but you will be paying a lot more down the track if you need revision surgery.”

Jade advises that, “it’s not something you should ever compromise on, from an aesthetic and medical point of view.”

Find the best Australian Plastic Surgeons specialising in Breast Surgery

To get the best result possible, it is important that you have this procedure performed in a reputable medical clinic or hospital with highly trained, qualified and experienced Plastic Surgeons and Cosmetic Nurses.

Every successful breast augmentation, breast revision and implant removal surgery begins with a successful consultation with the Plastic Surgeon. Taking your time to research and consult with several Breast Surgeons will help you achieve the breast enhancement result you want.

Find the best Australian Breast Surgeons here.

The post Our boob journey: from breast augmentation to breast implant removal appeared first on Cosmetic Journey | Blog.

When Bonnie Bellucci decided to change the shape of her butt with Brazilian Butt Lift surgery she wanted to have it performed by a Plastic Surgeon in Australia.

A Brazilian Butt Lift aims to enhance the shape, size, and aesthetic appeal of the butt. This type of butt augmentation is a variation of butt lift surgery that has become popular in predominantly Latin and African American patients who value fuller, larger butts.

The Brazilian Butt Lift augments your butt by removing fat with liposuction from the waist, lower stomach area and thighs

As a former gymnast Bonnie is naturally muscular, but despite hours of workouts found it hard to change the shape of her butt. She wanted the Brazilian Butt Lift “to create a more rounded peachy sexy curvaceous look.”

It’s important to note that to be a suitable candidate for Brazilian Butt Lift surgery your overall health must be good. Good candidates for Brazilian butt lift surgery are generally close to their ideal weight with enough fat in the abdomen, waist, back and thighs for liposuction.

In some cases Plastic Surgeons may recommend putting on weight before the surgery.

How I chose my Brazilian Butt Lift Plastic Surgeon in Australia

Bonnie Bellucci invested a lot a time and energy into looking for a Plastic Surgeon in Australia that specialises in Brazilian Butt Lifts. She researched online forums and Australian Plastic Surgeon websites

When she found Dr Kourosh Tavakoli and arranged an initial consultation she felt immediately comfortable and confident that he was the Plastic Surgeon for her Brazilian Butt Lift surgery.

She chose this Plastic Surgeon because of:

• his extensive experience with performing Brazilian Butt Lift surgery regularly,
• the good patient reviews and
• the excellent results she saw from the before and after photos.

She notes that it’s important to feel good with the entire team of the Plastic Surgeon’s staff,

“I was just blown away it was the best experience I have ever had. Everyone was so friendly and helpful. They made me feel comfortable and confident.”

How is Brazilian butt lift surgery performed?

Brazilian Butt Lift surgery requires a general anaesthetic with most patients electing to stay overnight in hospital. While Brazilian Butt Lift surgery techniques can vary between Plastic Surgeons, the process of collecting, processing and reinjection of the body fat is the same. After the body fat is extracted via liposuction, processed through centrifugation and purified, only the best donor fat cells are reinjected into the butt.

Because your body naturally eliminates and reabsorbs the fat that has been injected, only 60-80% of the injected fat will remain. It is important to note that the reinjected fat cells are susceptible to weight changes. To achieve long lasting results, it’s important to keep your weight stable.

Find out more about Brazilian Butt Lift surgery here.

It’s important to note that any surgery has risks and complications. Your Plastic Surgeon and Anaesthetist will advise you of these.

The questions I asked at the consultation with my Brazilian Butt Lift Plastic Surgeon

Bonnie Bellucci notes that it can feel overwhelming to plan and budget for the Brazilian Butt Lift surgery.

She suggests before you make a decision and commit to it you ask the Plastic Surgeon questions about:

• Cost of surgery
• Cost of Anaesthetist
• Cost of hospital stay
• Cost of follow up appointments
• Cost of compression garments

In many cases Plastic Surgeons choose not to itemise these. It’s also vital to check if the Plastic Surgeon is an active member of the Australian Society of Plastic Surgeons (ASPS) and Australian Society of Aesthetic Plastic Surgeons (ASAPS).

Other questions to consider asking your Plastic Surgeon include:

• How many Brazilian Butt Lift procedures have you performed?
• What makes your technique safe?
• Where will the surgery be performed?
• What can I expect during the recovery period?

How I felt on the day of my Brazilian Butt Lift surgery and my recovery after it

Bonnie Bellucci’s Brazilian Butt Lift Surgery was performed by Dr Tavakoli.

On the day of her surgery the medical team went through the pre-surgery checklist that included:

• Confirming personal details and payment
• Checking allergies and noting any medications being taken
• Taking blood pressure and checking temperature

Bonnie then got changed into a gown, hat and compression stockings before she met the Anaesthetist who asked questions about previous surgeries and any reactions she may have had during them.

Dr Tavakoli then marked Bonnie’s body to indicate where he was going to harvest the fat.

Post surgery Bonnie stayed in hospital overnight where she was monitored every hour by the medical team. On the way home in the car, Bonnie had to sit on a butt pillow so her butt wasn’t touching the seat.

Bonnie’s post surgery medication included antibiotics, anti-nausea tablet and pain relievers.

During the first few days of recovery, Bonnie notes she slept a lot, drank water and ate small meals. The swelling she experienced wasn’t painful and at day 3 she could see a definite difference in her body shape.

Recovery from Brazilian butt lift surgery varies from patient to patient but most people take at least 7 days to recover. After your Brazilian Butt Lift surgery, you may be surprised with how swollen and big your butt is. Your Cosmetic Surgeon will inject slightly more fat than required, because not all of the fat will ‘take’.

You must not sit directly on your butt for at least 2 weeks. To minimise bruising and swelling you will need to wear compression garments for at least 6 weeks. You need to avoid rigorous exercise for at least 4 weeks after your Brazilian butt lift surgery. Gentle movement including walking is usually encouraged to promote your circulation.

You can see how Bonnie Bellucci’s felt 10 days after her Brazilian Butt Lift surgery here

Also how she looks and feels 4 weeks after surgery here

How to find the best Brazilian Butt Lift Plastic Surgeons in Australia

While Brazilian butt lift surgery is usually effective and safe, it is a major cosmetic procedure that has risks and complications associated with it. Before you book your Brazilian butt lift surgery in, we suggest you consult with several Plastic Surgeons.

It is important to understand that it may not be possible to create your ‘perfect butt shape’. Your Cosmetic Surgeon will discuss whether your expectations are realistic.

You can find the best Australian Butt Lift Surgeons here.

The post My journey of having a Brazilian Butt Lift performed in Australia – Bonnie Bellucci appeared first on Cosmetic Journey | Blog.

When Amal Wakim decided to have rhinoplasty surgery  to shave down the bump on her nose, lift the nose tip and thin out the top of her nose she decided to make a video about her journey.

Amal fitness entrepreneur and co-owner of an online business with Jade Spooner notes, “I’ve always been really self-conscious with my side profile and I would hide it in a lot of ways in social media photos by using filters.”

With no internal breathing issues, Amal’s nose surgery was performed for purely cosmetic reasons.

What is nose job surgery?

Nose job surgery (rhinoplasty) is undertaken to change the shape and size of the nose. In some cases it is performed to correct breathing problems.

Plastic Surgeons can correct any asymmetries and alter parts of your nose including:

• The appearance of depressions and/or humps
• The position of the nasal tip
• The width of the bridge
• The size of the nostrils

Types of rhinoplasty surgery include closed and open rhinoplasty. During closed rhinoplasty surgery the Plastic Surgeon makes any changes to the nose via incisions inside the nose.

During open rhinoplasty surgery, incisions are made inside each nostril and externally across the thin the thin bridge of tissue at the bottom of the nose between your nostrils.

Find out more about other types of nose operations here.

What it’s really like to have nose job surgery

To prepare for her nose job surgery Amal had to fast for 12 hours with no food or water permitted. At hospital the supportive medical team confirmed her details and prepared her for nose job surgery by keeping her warm under heated blankets.

Immediately after her surgery, Amal felt no pain in her face but felt slightly nauseous with a headache. As expected, she was swollen and bruised and unable to breather through her nose at all.

She explains that, “I found it hard to eat and had a bit of jelly and mashed potato and some soup. At night I had a small bowl of oats.”

The morning after Amal’s nose job surgery her nausea had reduced and even though she was very swollen Amal managed to eat small meals.

To encourage her swelling to reduce, she drank fresh pineapple juice and water.

By day 3 Amal’s swelling had increased so much she could hardly open her eyes. She explains that she felt very tired all the time.

As instructed by her Plastic Surgeon, Amal started to use the nasal sprays and apply ointment to her stitches 4 times as day. The pain relieving medication ensured Amal felt minimal pain.

By day 5 Amal’s swelling had reduced significantly, especially around her eyes where the bruises had now turned yellow.

At day 6 Amal’s lower face swelling had nearly gone and she started to reduce the amount of pain relieving medication she was taking.

At day 8 of Amal’s rhinoplasty surgery recovery she visited the Plastic Surgeon to have the cast removed. She noted that she was nervous and excited about seeing what her new nose looked like. Amal made the important point that at day 8 there was still significant swelling evident and that she may not see the final result until 6 or 12 months after her surgery.

At 6 weeks after her nose job surgery, Amal was excited to show off her new nose.

What is the recovery process like after having nose job surgery?

Patients who have nose job surgery comment that it’s more uncomfortable than painful.

Amal made the point that, “it was more mentally challenging than physically because you see yourself in mirror and you’re an entirely different person. Your whole face is swollen and bruised and you just have to wait it out.”

It’s important that during the recovery process at home, that you keep your head elevated and supported. Bruising and swelling on your face is normal and in most patients will fade over a 2 week period.

Most Plastic Surgeons recommend that rhinoplasty patients take 2 weeks off work. Because you will be taking strong pain relieving medication, it is important not to drive.

How do you choose a Rhinoplasty Plastic Surgeon?

Amal chose her Plastic Surgeon, Dr Shahram Shahidi because her sister and friends had their rhinoplasty performed by him.

Amal notes that, “I liked how he gave them a more natural-looking nose that suited their face.” At her initial consultation with him she felt comfortable and liked the way Dr Shahram Shahidi designed her new nose on the computer.

Because your nose is the most prominent part of your face, it’s very important to take your time when researching Plastic Surgeons who specialise in rhinoplasty. While nose job surgery is typically safe and effective, there are risks and complications to be aware of.

You can find the best Australian Rhinoplasty Plastic Surgeons here.

The post Rhinoplasty patient shares their nose job journey – Amal Wakim appeared first on Cosmetic Journey | Blog.

After losing an incredible 90kgs Daniel found that the excess on his body got more and more visible.
“You think that after losing all the weight your going to be normal after the weightloss, then hitting the weight loss and your not normal, you think what am i going to do now”

Daniel made an appointment with specialist Plastic Surgeon Dr Jeremy Hunt to see what options were available to surgically remove the excess skin.

Upon assessment, Dr Hunt noted that Daniel was a “young fit man, trapped in excess skin” and the goal for massive weight loss patients such as Daniel. is to “unlock the person from the skin they are trapped in”.

Dr Hunt performed Gynecomastia  surgery to address what people call man bobs and a lower body lift to remove and tighten the skin on Daniel’s lower body.

PSF would like to thank Dr. Jeremy Hunt for his input into this blog post.

The post Trapped in excess skin. How plastic surgery after weight loss changed Daniel’s life. appeared first on Cosmetic Journey | Blog.

Breast Implant Associated Anaplastic Large Cell Lymphoma

Dr Alan Breidahl 

The appearance of  Breast Implant Associated Anaplastic Large Cell Lymphoma (BIA-ALCL) has been a great shock to many caring plastic surgeons who are most concerned for their patients welfare.
The TGA in Australia and the FDA in America are being kept appraised of the development of this new disease, and both of these government organisations are currently advising that the condition is very rare, and that women who already have breast implants should be vigilant for unusual swelling and have regular checkups of their breast implants, but otherwise not seek to have their  implants removed.

Even within the textured implants, the vast majority of cases of BIA-ALCL are with implants of the ‘course textured’ type, particularly those that have been manufactured with the ‘salt-eluting’ technique. There have been  some, but fewer cases of BIA-ALCL with the ‘fine textured’ implants.

A newer brand of very fine textured implants have recorded no cases of BIA-ALCL so far. However it is known that it takes 7-10 years after surgery for the BIA-ALCL to develop, and these implants have only been used for 6 years, so it is too early to tell if they will be affected or not.

No cases have been found so far in women who have only had smooth breast implants.

This is very reassuring for most of Dr Alan Breidahl’s patient as nearly all the breast augmentations that he has performed have been with smooth breast implants.

If you have had breast implants performed, Dr Breidahl recommends contacting your plastic surgeon to find out whether they are smooth or textured, and having your implants checked by your surgeon or your local doctor no matter what implants you have, but particularly if you have textured implants.

The Australian Society of Plastic Surgeons and the Australasian Society of Aesthetic Plastic Surgeons have  issued the following information statement of  BIA-ALCL:

Facts associated with BIA-ALCL

1. It is a cancer of lymphatic cells and a form of Non-Hodgkin’s Lymphoma

2. It is not a breast cancer

3. It occurs in association with breast implants and to date exclusively with exposure to textured implants (i.e. No case has been reported with exposure to smooth implants alone).

4. It occurs in women who have had implants for both cosmetic and reconstructive indications

5. It takes an average of 7-10 years after implant insertion before it develops.

6. The commonest presentation is a fluid swelling around the breast implant and in the space between the implant and breast implant capsule – late seroma. The diagnosis of the tumour is made by examination of the seroma fluid.

7. Early stage disease is curative with surgery alone.

8. Disease which has spread through the capsule, forming a mass or which has spread to local lymph glands carries a worse prognosis.

Risk

The most accurate risk published to date is from a detailed study of numerator and denominator in Australia and New Zealand. This showed that the risk for implants with high surface area texture (biocell, Alllergan and polyurethane, Silimed) were around 10 times higher (1 in 4,000 to 1 in 7,000) compared with implants with lower surface area texture (1 in 60000 for siltex Mentor). The risk was calculated only for companies that complied with a request for provision of sales data.

We did see ALCL arising from other implant manufacturers, but were not able to calculate risk due to their refusal to supply data for analysis.

The study also identified clusters of multiple cases arising from the same practice. These clusters are currently under investigation, with the consent of the centre and/or surgeon, and there is insufficient evidence presently to comment as to likely causative factors.

Causation

Previously the News Corp Network released an article suggesting that there is a link with cut-price providers. There is no such link that has been established to date by analysis of evidence.

A unifying theory was proposed by the ANZ epidemiology paper and has become widely accepted worldwide as the best explanation for factors that cause BIA-ALCL.

The unifying theory cites four inter-related factors

1. Textured implants (with a higher risk for high surface area textures)

2. Bacterial contamination at the time of surgery to reach a threshold to cause inflammation

3. Patient genetic predisposition

4. Time – for the process to develop

Bacteria have been identified in association with these tumours, similar to the association between gastric lymphoma and Helicobacter pylori.

Breast implant surgery in Australia

The exact numbers of breast implants in women is hard to define however last year about 1.5 million were inserted worldwide (International Society of Aesthetic Plastic Surgery, ISAPS) and about 150,000 had implants removed.

Implants are not life devices and all will need revision in due course.

The commonest reasons for revision are capsular contracture, implant migration, poor aesthetic result, size change and rupture.

Different types of implants perform differently, give different outcomes and have different relative risks of these complications.

Conservatively there are 30 million women (60 million implants) in the world with textured implants. There are 388 independent confirmed case of BIA-ALCL. 55 confirmed cases in Australia. There are only 12 deaths worldwide with many of these occurring before treatment principles were better understood. 3 of these deaths were in Australia.

The risk for Australian women of breast cancer is about 1:8. These are separate diseases.

We support the maturing of the Australian Breast Device Registry as the best way to prospectively collect outcome data following breast implant surgery.

Recommendations

All patients undergoing breast implant surgery must provide informed consent that includes a discussion of risks of BIA-ALCL

Implant selection should take into account what the patient already has, what the goals are, the patient’s lifestyle and the risks relative to various implant options.

Implant specific risk should be discussed in the context of overall benefits of a particular implant type and/or texture.

Routine implant removal is not indicated for asymptomatic women with breast implants including textured implants.

All women with implants who note changes in their breasts should seek advice. The overwhelming majority will not have BIA-ALCL.

We recommend the use of anti-bacterial strategies (the 14 point plan) to mitigate against the risk of bacterial contamination of implants at the time of implant insertion. These steps have been shown to reduce the risk of capsular contracture and re-operation. They may also (as supported by the unifying hypothesis) reduce the risk of developing BIA-ALCL.

Cosmetic Journey would like to thank Dr. Alan Breidahl, specialist Plastic Surgeon, for his input into this blog post.

The post BIA-ALCL appeared first on Cosmetic Journey | Blog.

Small implants have always been popular amongst some circles. Models, TV personalities and increasingly Instagram models have been a fan of the “has she or hasn’t she look”, however Dr Tavakoli explains that the trend towards a small implant is becoming more and more mainstream.

*Actual patient of Dr Tavakoli.

Popular amongst models, actresses and those in the public eye, the “mini boob job” is the fastest growing trend in breast augmentation surgery today.

What is a mini boob job?

Dr Kourosh Tavakoli is Australia’s leading breast implant surgeon, having performed over 6000 breast augmentation procedures. In Dr Tavakoli’s expert hands, a mini boob job does not just mean a small implant or breast size, rather, the crucial element is selecting an implant that fits the patient’s chest and breast perfectly without any element of enhancement.

*Actual patient of Dr Tavakoli

How is this achieved?

During your consultation with Dr Tavakoli, precise measurements of your breasts will be taken to indicate a range of possible implant choices. the real implant sizing and selection however, takes place in the operating room during your procedure with the use of intra-operative sizers. 

Dr Tavakoli exclusively uses unlimited intra-operative implant sizers to determine the best possible implant for the patient’s breast and chest footprint. This method of sizing takes into account rib wall curvature and the skin’s ability to expand ensuring the most natural looking implant is chosen.

In most patients, the incision is located in the Inframammary breast crease (IMF) and over time usually becomes imperceptible.

In some patients with chest wall deformity or low tissue coverage, fat grafting may also be used to provide implant coverage, disguise irregularities, or to add volume to a part of the breast.
Find more about fat grafting during breast augmentation here.

What is the recovery like for a mini boob job?

Most patients are able to return to work within 7 days of breast augmentation surgery and can drive after 10 days
Neck and arm stretches may begin immediately
Walking can commence within 7 days
Light jogging within 3 weeks
Gym and Pilates after 4-6 weeks
Upper body weights 6-9 weeks
Contact sports / Martial arts/ Boxing / Soccer after 12 weeks

To arrange a complimentary consultation for breast augmentation surgery with our practice manager Jennifer, get in contact now.

Cosmetic Journey would like to thank Dr Kourosh Tavakoli, specialist Cosmetic Plastic Surgeon for his input into this blog post.

The post What is a “Mini Boob Job” appeared first on Cosmetic Journey | Blog.

Sydney Plastic, Reconstructive and Cosmetic Surgeon, Dr Alex Phoon invites us into the operating room to get a front row seat for this patients final chapter in her weight loss journey.

After losing an incredible amount of weight, this patient was left with unsightly and uncomfortable excess skin that prevented her from being able to enjoy life to the fullests. As part of her surgery, Dr Alex Phoon performed a body lift, breast lift, brachioplasty and breast augmentation.

What is a body lift?

Sometimes referred to as body contouring surgery, a body lift is a surgical procedure that removes excess skin and fatty tissue from the abdomen, hips, outer thighs, back and buttocks after extreme weight loss. It can also tighten the muscle of the abdominal wall.

Learn more about body lift surgery and find qualified plastic surgeons who perform this procedure here.

Cosmetic Journey would like to thank Dr. Alex Phoon for his input into this blog post.

The post In theatre with Dr Alex Phoon: Body Lift Surgery appeared first on Cosmetic Journey | Blog.

Leading Plastic Surgeon and breast specialist, Dr Kourosh Tavakoli along with two of his patients appeared on the Morning Show to discuss reshaping the breasts with fat only.

Dr Tavakoli demonstrates how fat grafting combined with breast reduction and/or mastopexy in the right patient can be used create upper pole fullness to the breast that previously would have only been possible with a breast implant.

By using the patients own fat, Dr Tavakoli explains that it provides a more natural solution to those who may not be suitable for a breast implant or who do not wish to have a breast implant for personal reasons.

Watch the video to find out more.

Cosmetic Journey would like to thank Dr Kourosh Tavakoli, specialist Cosmetic Plastic Surgeon for his input into this blog post.

The post Dr Tavakoli: Avoiding a breast implant by using your own fat appeared first on Cosmetic Journey | Blog.

If you have undergone breast augmentation or are considering breast implants then there is no doubt that you would have been privy to at least some of the media storm surrounding the suggested breast implant and cancer link.

In 2017, Professor Anand Deva along with Associate Professor Mark Magnusson published world leading data on the topic of Anaplastic Large Cell Lymphoma (ALCL).

Recently, the  Sunday Telegraph published an article by Sue Dublevy that included statements that challenged the data and made a number of inaccurate and unsubstantiated claims about Breast Implant Associated ALCL.

In response to the article, The Australian Society of Aesthetic Plastic Surgeons (ASAPS) have realeased the following statement to help separate fact from fiction in relation to link between breast implants and cancer.

…………………………

These comments by Associate Professor Mark Magnusson, President of the Australasian Society of Aesthetic Plastic Surgeons are all supported by data from peer reviewed publications, actual data that has been scrutinised by strict and blinded statistical analysis, the World Health Organisation (WHO) and from national regulatory agencies such as the Food and Drug Administration (FDA) in the United States and the Therapeutic Goods Administration (TGA) in Australia.

The facts

• Breast Implant Associated-Anaplastic Large Cell Lymphoma (BIA-ALCL) is a rare form of Non-Hodgkins Lymphoma of the breast in women with breast implants. It is associated with textured breast implants, bacteria, time and there appear to be genetic factors as well putting some at greater risk.
• The risk of any lymphoma in an Australian women living to the age of 85 is 1:50.
• BIA-ALCL is a rare disease. Of 35 million women around the world with textured breast implants there are just over 500 confirmed cases and 16 documented deaths. The most accurate data at present shows that risk of this rare type of lymphoma varies from 1:2700 up to 1:80000 depending upon the type of textured surface. Smooth breast implants on their own have not been associated with this disease.
• There is also published evidence that suggests applying bacterial mitigation strategies at the time of surgery in the form of the 14-Point-Plan reduces the incidence of this disease.
• BIA-ALCL usually presents with a swelling of the affected breast or less frequently with a lump (or both) for no apparent reason from two to 14 years after the original implant surgery (average over seven years). However most delayed breast swelling after breast implants are not related to BIA-ALCL.
• As with all cancers there are those who present in an early stage and those who present with more advanced disease. The disease has an indolent/slow course with most women diagnosed and treated in an early stage (>85%) with symptoms for eight months on average. At this stage the disease is cured with surgery alone without the need for chemotherapy, radiotherapy and with no recurrence when performed properly. To date, all patients with early stage disease who receive appropriate treatment are cured with surgery alone.
• In contrast, patients who present with more advanced stage disease (<15%) have had symptoms on average for 22 months (almost two years) before definitive treatment. If symptoms are not investigated and left untreated the likelihood of more advanced disease increases as with other cancers.

Assoc Prof Magnusson said with greater understanding of the disease and standardisation of treatment protocols patient outcomes are improving even further including for advanced incidents of the disease.

There are inaccuracies in the published article by Sue Dunlevy.

It is stated that data published by Prof Anand Deva from Macquarie University and Assoc Prof Magnusson with others in a multidisciplinary task force has been challenged.

Since its publication the data has been acknowledged by the FDA in the US and the TGA in Australia as the best estimate of risk and incidence for BIA-ALCL in the literature to date. The data is supported by global BIA-ALCL research groups.

The TGA has received a full data set of the research which was verified by independent statistical analysis.

Although the Australia and New Zealand (ANZ) data was the first in the literature, there are similar studies now appearing in the peer reviewed literature from other countries that are confirming the ANZ figures in their own population.

There is no published analysis of the ANZ data in an academic peer reviewed forum questioning the original findings.

Assoc Prof Magnusson and Prof Deva have recently submitted an update of the ANZ experience for peer review and publication.

Dr Tansley is reported as indicating his group has performed detailed analysis of the ANZ data. His group have never had access to that data so there is no evidence to support his statement.

Reference is made to the report of two cases of BIA-ALCL with a suggestion that one resolved and the other regressed.

The validity of that paper has been questioned in the academic peer reviewed literature.

In one of the cases the original pathology was checked at an external laboratory (MD Anderson Cancer Centre in Houston, Texas) and found that the original diagnosis of no residual disease was in fact incorrect as cancer was still present. This wasn’t reported in the final paper. The second pathologist had to write a report to the journal outlining the actual findings which have subsequently been published.

The accurate diagnosis of regression and resolution have very precise oncological criteria to avoid inaccurate comments. The paper does not meet these criteria which is pointed out in a second letter to the editor by Assoc Prof Magnusson and Prof Deva which has also been published after peer review.

By contrast most recent update to the ANZ data by Assoc Prof Magnusson and Prof Deva looks at 81 patients and shows that 85% of women are treated in the early stage and our data also demonstrates 60% have no residual disease at definitive surgery. This does not represent regression but reflects the indolent nature of this disease for most patients, which we already know.

The WHO outlined the diagnostic criteria for this disease in 2016.

At present there is no evidence that supports the diagnosis of two separate types of this disease as opposed to different stages of the same entity which presents at a more advanced stage when symptoms are present for longer duration’s, just like other cancers.

It is a dangerous message to suggest that this disease will resolve on its own without definitive evidence as it may lead to patients refusing treatment because they believe it will spontaneously regress. What we do know from examining 500 worldwide patients is that even in an early stage, incomplete or inappropriate treatment of this disease has led to disease recurrence and even death. For a disease where death is such an uncommon event, it would be an absolute tragedy for this to occur because the illness wasn’t treated properly on the basis of unsupported comments.

Scientific investigation is ongoing in several Australian Academic Institutions with Australian Plastic Surgeons and Haematologoists well represented among the world leaders for this disease. This includes the cause, risk factors, risk mitigation strategies and treatment protocols.

Patient safety and best outcomes must always remain the main focus regardless of what field of medicine we discuss.

Content supplied by aestheticplasticsurgeons.org.au and has been published with permission.

The post FACT FROM FICTION: Do breast implants cause cancer? appeared first on Cosmetic Journey | Blog.

If you have breast implants or are considering them, then you have no doubt come across the term ‘breast implant related illness’.
Vocal groups have formed online claiming that breast implants are responsible for a number of physical symptoms in the recipient including unexplained weight gain, lethargy, sudden food intolerances and allergies, lyme disease, fybromyalgia, anxiety, depression and more.

With such an array of claimed symptoms and increasing media attention on the proposed illness, Cosmetic Journey sat down with Renowned Plastic Surgeon and President of the Australian Society of Plastic Surgeons, Professor Mark Ashton to help separate fact from fiction.

Is breast implant illness real?

Whilst patients with implants do develop rheumatoid arthritis, scleroderma, polymyalgia rheumatica, Sjogren’s disease, hair loss and chronic fatigue, there is no scientific evidence at all that this is related to their breast implants.

Numerous studies conducted both within Australia, America and Europe have directly compared populations of female patients with and without breast implants and have found that the incidents of rheumatoid arthritis and other illnesses associated with breast implant illness are exactly the same in the cohort of patients with implants and those without.

 Should women have their implants removed?

As there is no evidence of any association at all between connective tissue disease, chronic fatigue, polymyalgia rheumatica or alopecia and implants, patients do not need to have their implants removed.

Is saline safer than silicone?

The silicone within a silicone breast implant is contained within a silicone polymer outside casing.  This silicone polymer outside casing is exactly the same whether the internal filling is saline or silicone and hence it makes no sense to choose saline or silicone if one is concerned about breast implant illness. 

The newer implants are composed of a cohesive or form stable gel in which the silicone chains are cross linked to provide a silicone which has a gelatinous or jelly baby type consistency.  The silicone filling in these implants, even when the implant is completely cut in half, does not spill out in to the surrounding tissues and remains confined to the implant casing.

Can we mitigate the risks of future complications?

 The main complications of breast implants would appear to be related to:

1. The texturing or the roughness of the outside coating of the implant
2. The method by which the implant is inserted and whether any bacterial contamination of the implant occurs at the time of insertion
3. The genetic predisposition of the patient to scarring and tumour formation

It would appear that the most significant complications and risks (that is anaplastic large cell lymphoma and capsular contracture) are directly related to bacterial contamination of the implant at the time of insertion, and hence patients should choose a surgeon which follows the 14 point plan, (see attached) uses a Keller funnel and an aseptic technique within a licenced regulated facility to ensure the chances of contamination are minimised. 

Textured implants, particularly those of a grade 3 or grade 4 texturing such as a polyurethane or biocell texturing have a lower incidence of capsular contracture but their texturing predisposes them to a significantly increased risk anaplastic large cell lymphoma.  The current risk for polyurethane implants is 1:2300 and biocell texturing of 1:3600. 

In comparison, a microtextured implant such as the Siltext texturing is associated with an implant risk of 1:86500.  Smooth implants have a zero incidence of anaplastic large cell lymphoma but a significant risk of capsular contracture, particularly when placed upon the muscle and this can be as high as 10%.

The answer to the questions therefore, is for you to have a clear discussion with your surgeon, so that you can accurately assess which is the right implant choice for you.

Cosmetic Journey would like to thank Professor Mark Ashton, specialist Cosmetic Plastic Surgeon for his input into this blog post.

View Professor Mark Ashtons Profile

The post Is breast implant illness real? appeared first on Cosmetic Journey | Blog.

It might surprise you to find that one of the biggest causes of neck and shoulder pain for women is the size and weight of their breasts. Many women report a significant improvement in their back and neck pain after undergoing Breast Reduction surgery.

As a result, it is hardly a surprise that Breast Reduction surgery is considered one of the highest rated and recommended plastic surgery procedures according to consumer forums. In fact, around 97% of the women who have undergone the procedure would recommend it to others. Breast Lifts, another popular plastic surgery that is often used in conjunction with Breast Reduction surgery, also has a high customer satisfaction rating of 94%.

Why Breast Reduction?

The top five reasons women opt for Breast Reduction Surgery – also known as Reduction Mammoplasty – include:

1. Pain in their necks and shoulders causing tension headaches
2. Lower back pain
3. Difficulty exercising
4. Frustratingly limited clothing and bra options
5. Postural and skeletal issues caused by the weight of their breasts

Having large, heavy breasts means you are carrying extra weight on your chest which can cause physical discomfort and strain. It can further affect you in social and interpersonal relationships where some women find their breasts become the focus of unwanted attention and comments. Large breasts can also cause a range of other issues including frustrating skin rashes and infections, and permanent scarring of the skin on the shoulders – known as “bra strap grooves”.

It is these issues combined that cause many women to seek out Breast Reduction surgery. Chronic pain, and wishing to avoid long term pain medications, however is usually the key reason for women to enquire about breast surgery. Even celebrities – such as the much-celebrated Ariel Winter – are opting for breast reductions, citing personal comfort over outdated Hollywood ideals.

A study published in 2013 (Wolters Kluwer Health, 2013) recorded that patients who underwent Breast Reduction surgery not only had less physical pain but also found they had better quality sleep and were able to exercise more comfortably.

Considering Breast Reduction Surgery?

It is important to remember, that while Breast Reduction surgery is a fantastic way to improve the look and feel of your breasts, every surgery is different. Your results will not be the same as anyone else’s surgery. It is best to come to any breast surgery consultation with an open mind and realistic expectations of what can be achieved. This is especially true for women with asymmetrical or tuberous breasts.

Before approaching breast reduction surgery, take the time to analyse how you psychologically identify with having larger breasts and how you feel about them as part of your physique. Consider how you truly feel about the idea of having smaller breasts. While most patients feel freer and happier at a smaller cup size, some women find it a challenge to reidentify as someone WITHOUT large breasts.  Overall breast reduction surgery patients are generally the happiest in Dr Drielsma’s practice.

What is involved in Breast Reduction Surgery?

Modern breast reduction is a much smoother process than you probably think. Pain associated with breast reduction is surprisingly little with most women requiring little pain relief.  Most breast reductions in Dr Drielsma’s practice can be done using the lollipop short vertical scar technique which has greatly reduced the amount of stitch lines and improved overall shape.  The surgery can be done usually with one night hospitalisation with a return to work in one to two weeks.

What Bra Should I Wear After a Breast Reduction?

Post-Breast Reduction surgery, you will need to wear the recommended types of bras to ensure the best healing and scar minimisation of your new breasts. Your expert surgeon, Dr. Drielsma and his highly-experienced team will help advise you on the types of bras best worn after surgery.

Breast Reduction Surgery in Sydney

If you want to find out more about minimal scar breast reduction surgery, please visit our Breast Reduction page or contact Dr. Drielsma’s clinics today in Sydney, Camden, Canberra and Wagga Wagga to book a consultation. During your personalised consultation you can discuss your desires when it comes to Breast Reduction surgery, and find out more details about the procedure.

Cosmetic Joruney would like to thank the Dr. Robert Drielsma for his input into this blog post.

The post Can breast reduction improve your quality of life? appeared first on Cosmetic Journey | Blog.

Specialist Plastic Surgeon, Professor Mark Ashton explains the different implant surfaces and when and why they might be used.

Cosmetic Journey would like to thank Professor Mark Ashton, specialist Cosmetic Plastic Surgeon for his input into this blog post.

Button Text

The post Smooth, Textured, Polyurethane Implants, which one is right for you? appeared first on Cosmetic Journey | Blog.

On the first of November this year the Medicare Benefits Schedule will contain significant changes to item numbers where there may have been previous ambiguity about whether they could be used for cosmetic procedures. The Government has been concerned for some time that there is a potential to misinterpret item numbers to claim for surgery that may be construed as being cosmetic in nature. Specifically, it has been concerned about revision breast implant surgery and rhinoplasty. The Government is also concerned about the revision of overseas cosmetic surgery being performed within Australia at taxpayers’ expense.

The Australian Society of Plastic Surgery has been working closely with government to ensure that any changes align with community expectation of what is fair and reasonable, and that patients in real need are still able to be treated. We have been able to effectively advocate that patients who have congenital deformity, or deformity as a result of trauma or cancer, will continue to be eligible for treatment within the MBS.

In essence, the new changes mean that any patient who seeks to have cosmetic surgery, or repair, or revision of previous cosmetic surgery, whether performed either within or outside Australia, will be unlikely to be eligible to claim through the MBS, and therefore their Private Health Insurer.

The enforcement of these changes will be comprehensive and monitored. It is clear from our discussions with Government that they expect a variety of numbers that have up to now been used widely, to be now used only in the rarest of situations. Successful claimants will need to be able to provide clear, unequivocal, photographic evidence that the surgery performed was not for cosmetic purposes, or to correct deformity that occurred as a result of previous cosmetic surgery.

The impact of these changes means that any re-do cosmetic surgery will now need to be paid, in full, by either the patient, or the surgeon who performed the original operation. Patients need to be absolutely clear who is responsible for paying the costs of any revision surgery, should it be required. My advice would be to get this clarified, in writing, before any cosmetic surgery is considered.

The good news is that congenital deformity, cancer-related deformity and traumatic deformity will continue to be covered. It is also pleasing that we now have an item number to reflect that breast reduction surgery is most normally a bilateral procedure. This also means the “banding” in private hospitals may now change and we expect patient out of pocket expenses to decrease.

These changes to the MBS will take place from November 1^st 2018 and hence I would strongly suggest any patient who may be potentially affected by this change, particularly if they are considering revision of previous cosmetic surgery, to contact their surgeon promptly for advice and review of their result.

Now, more than ever, the adage, ‘do it once, and do it properly the first time’, has never been more pertinent. An initially cheap surgery offer may seem attractive, but it will now cost patients a lot, lot more if it goes wrong, and you seek to have it revised.

Professor Mark Ashton MBBS, MD, FRACS

Professor of Surgery, University of Melbourne

President, The Australian Society of Plastic Surgery

Cosmetic Journey would like to thank Professor Mark Ashton, specialist Cosmetic Plastic Surgeon for his input into this blog post.

Button Text

The post Changes to the Medicare Benefits Schedule announced by the Federal Government to come into effect in November 2018 appeared first on Cosmetic Journey | Blog.

Anyone who has been to a Rhinoplasty consultation knows one of the biggest messages the surgeon will try and tell you is that it can take up to 12 months before the final outcome.
One year post her Rhinoplasty surgery, Youtube sensation Aspen gives an update on the procedure, outcome and was it worth it.

Interested in Rhinoplasty surgery? Click here to find a Qualified Plastic and Reconstructive Surgeon or ENT surgeon, read verified reviews and view their before and after images

The post Rhinoplasty: One year later, was it worth it? appeared first on Cosmetic Journey | Blog.

Separating fact from fiction!

President of the Australian Society of Plastic Surgeons, Professor Mark Ashton explains the link between textured breast implants and Anaplastic Large Cell Lymphoma (ALCL) and the recent decision by the FDA to not ban these devices.

Professor Ashton explains that  when it comes to textured breast implants, not all are created equally.

In this respect, only a certain type of textured implants (macro textured) are connected to a higher risk of developing ALCL, in conjunction with other known risk factors.

“The evidence suggests that rough texturing allows bacteria to grow on the surface and over time , usually 7-10 years, this can lead to ALCL” Professor Ashton states. However, he explains that the development of ALCL is dependent on three factors:

1. Genetic predisposition (there has only been one reported case of ALCL in asian women)
2. How the implant is inserted (A critical factor is that the implant is contaminated by a particular type of bacteria, common in tap water)
3. Rough surface to the implant

So what percentage of women have these at risk implants and why haven’t they been banned?

Around 20-25% of women with implants have Allergan macro textured implants and a further 5-10% have polyurethane coated implant.

Importantly, the risk factor with these implants are 1:2300 compared to 1:57000 for Mentor brand textured implants.
Despite the increased risk, the TGA and FDA is satisfied that these implants serve a legitimate role in breast surgery, particularly reconstruction and in this respect, the pros may outweigh the cons.

If you would like more information you can visit the TGA website here

Cosmetic Journey would like to thank Professor Mark Ashton, specialist Cosmetic Plastic Surgeon for his input into this blog post.

View Professor Mark Ashtons Profile

The post ALCL: What you need to know from the experts appeared first on Cosmetic Journey | Blog.

Rogue and unregistered doctors are set to face tougher regulatory oversight with Australia’s Health Ministers agreeing to pass new legislative amendments to the Health Practitioner Regulation National Law at the last Council of Australian Governments (COAG) Health Ministers’ meeting on 31 October and 1 November.

The communique from the COAG meeting stated, ‘the use of the title “surgeon”, including by way of “cosmetic surgeon”, by medical practitioners, non-specialist surgeons or those without other appropriate specific training can cause confusion among members of the public.’

Dr Naveen Somia, President of the Australasian Society of Aesthetic Plastic Surgeons (ASAPS) said, pleasingly, Health Ministers have agreed to progress changes to restrict the use of the title “surgeon.”

“Patients need better information about the qualifications of surgeons, including those who call themselves cosmetic surgeons.

“Patients are being misled by fabricated titles that imply surgical accreditation.  These titles are being used by doctors who are not registered with AHPRA as surgeons.

“Innocent as it may sound when the truth about the accreditation and training of a doctor is withheld from the patient, their safety is put at risk,” Dr Somia said.

In aligning with the NSW Clinical Excellence Commission, ASAPS believes the principles of open disclosure should be the framework every doctor uses when consulting with a patient about their cosmetic surgery.

“Open disclosure is a core ethical obligation for doctors about how they should interact with patients following an incident, but we think this framework should be used from the outset.  If a doctor is open, honest and acts empathetically towards his or her patients, truth and transparency in their accreditation and titling should naturally follow,” Dr Somia said.

The media coverage since the death of Jean Huang in August 2017 has shown a growing number of lives destroyed by unaccredited surgeons. These are doctors who have failed to adhere to the rules and advertise themselves as per their Australian Health Practitioner Regulation Agency (AHPRA) approved title.

Following the recent surge in cosmetic surgery complications in NSW, the Committee on the Health Care Complaints Commission (HCCC) handed down a report in 2018, into cosmetic surgery that recommended banning the pseudonym ‘cosmetic surgeon’ as this would eliminate the confusion amongst the public about who is an accredited surgeon and who is not.

“A survey of our ASAPS members earlier this year showed more than 85 per cent had treated patients with complications in the last 12 months

“In the opinion of our members surveyed, close to 60 per cent of cosmetic surgery patients said if they knew their doctor was not a qualified plastic surgeon would have chosen differently,” Dr Somia said.

A RealSelf survey conducted online by The Harris Poll found that 59 per cent of women in the United States didn’t know the difference between a plastic surgeon and a cosmetic surgeon.  Further, 84 per cent of American women were unaware that doctors didn’t have to be Board-certified in plastic surgery to perform rhinoplasty or breast augmentation.

A 2019 online market research poll conducted by McNair yellowSquares on behalf of ASAPS found that 92 per cent of people surveyed agreed that patients’ safety is put at risk when a doctor performs surgery without having completed surgical training.  Ninety-three per cent of Australians agreed that it would be easier for patients to differentiate surgeons from doctors if medical professionals were required only to use their AHPRA titles.

According to the new research, it was those aged 18-24-years who are less likely to prioritise a doctor’s surgical qualifications.  Of the five questions asked, it was on four that those in the 18-24-year-old age group were significantly different from the rest of the population.

ASAPS President, Dr Naveen Somia said this trend was alarming as it was this age group that was most likely to be targeted by doctors who were marketing themselves as having surgical expertise.

“It’s no secret that those younger Australians are more heavily influenced by social media and influencers rather than by accurate information on official government websites, which is why a clear distinction between those who are and those who are not accredited to perform surgery is necessary.

“AHPRA has official titles for all sub specialities of surgery ranging from Neurosurgeon to Specialist Plastic Surgeon that is meant to represent a doctor’s accredited training.

“In the interest of patient safety, all doctors should mandatorily use only their AHPRA approved titles which is an accurate and legitimate representation of their accredited training.

“We applaud the Health Ministers for taking this step and look forward to being involved in discussions about how best ASAPS can support these reforms,” Dr Somia said.

The post Rogue and Unregistered Doctors Set to Face Tougher Penalties appeared first on Cosmetic Journey | Blog.

Following a national cabinet meeting, Prime Minister Scott Morrison has announced that restrictions on some elective surgery procedures will be lifted after the Anzac Day Long Weekend.

What does this mean for you?

On Tuesday 28th April 2020 a gradual return to elective surgery will commence with all category 2 and some category 3 procedures permitted at the discretion of treating surgeon.

Category 1 – Needing treatment within 30 days. It has the potential to deteriorate quickly to the point where the patient’s situation may become an emergency.

Category 2 – Needing treatment within 90 days. Their condition causes pain, dysfunction, or disability. Unlikely to deteriorate quickly and unlikely to become an emergency.

Category 3 –  All other surgery needing treatment at some point in the next year. Their condition causes pain, dysfunction, or disability. Unlikely to deteriorate quickly.

Who decides what category your procedure falls in?

Subject to the parameters outline above, the categorization of patients is done by the surgeon taking into account the individual circumstances of the patient, including the extent of pain and mobility loss as well as what impact of a delay in surgery is likely to have on the individuals work and education.

What are the approved category 3 procedures permitted?

Elective procedures which can proceed under the new directives include:

• Breast reconstruction after cancer treatment
• Breast implant removal for medical reasons such as rupture with pain

Additionally, dental restrictions have been lowered to level 2 allowing the following to be performed:

• fitting and removal of braces and dentures
• Non-high speed drill fillings
• Basic fillings

All other cosmetic surgery procedures including breast augmentation, lift, reduction, tummy tuck, liposuction, and other revision breast surgery are currently not permitted.

When will all other elective surgery procedures resume?

The next cabinet meeting is scheduled for May 11 2020, with the government indicating that further elective surgery restrictions may be lifted.

The post COVID-19 and Elective Surgery Update Latest government announcement on elective surgery: What this means for you! appeared first on Cosmetic Journey | Blog.