About Breast Augmentation
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Frequently Asked Questions
Should I get SMALL BREAST IMPLANTS? Also known as ‘Mini-breast Augmentation mammoplasty’
This may be an ideal option for someone who has a petite frame, or has never really had much volume in the breasts and would like to have a fuller look. This implant will provide more volume in the upper half of your chest and result in a more feminine form.
For some patients a conservative sized implant is one step on the journey to additional procedures down the track, to achieve more fullness as the soft tissue adjusts to having an implant in place.
Two step procedures also give patients the opportunity to get used to having more volume, and then they can gradually increase and adjust their implants over time, without the need for any dramatic changes along the way.
Should I get a MEDIUM SIZED OR LARGE IMPLANTS? /Large Augmentation mammoplast
The majority of patients in Australia desire a medium sized implant for their frame. This implant will enable them to have a fuller bust, but not look out of proportion. Most patients describe this look as ‘ Not fake’.
On the other hand, you may wish to look a lot fuller and more ‘busty’ you may wish to make a statement by having larger breasts and make them an eye catching feature. This is possible if you choose a large size implant.
Whatever your size preference is, Dr Wetton will consult with you to find a size that you are comfortable with and that can be accommodated by your body and your proportions.
What should I choose? Saline or Silicone ?
The Fill of the Implant
Your implant will have a silicone wall or capsule, inside the implant there is the choice of either silicone gel, or saline. Dr Wetton will guide you through the advantages and disadvantages of either option, with your safety, comfort and preferences her foremost priority.
An advantage of a saline breast-implant is that if it ruptures your body will just absorb the water and there is no possibility that silicone could enter the breast pocket. This is also a disadvantage however, because if your saline implant were to rupture, your entire implant would deflate in a matter of minutes. This may leave your breasts looking asymmetrical and you would need to have another surgery to replace the ruptured implant fairly soon.
If you wish to have silicone implants, we have available for use in Australia a new generation of implants, which are cohesive. This means that the silicone implant is less likely to rupture and even if it does, the contents do not disperse or leak out easily.
What shape of Implant should I choose?
Shape of the Implant
The two main shapes of implants are round or tear drop. A round implant will generally give you more upper pole fullness and more of a round shape to the breast, whilst a tear drop shape will give you more of a sloping upper pole and create more lower pole volume.
Your desired aesthetic shape may be a big part of your implant choice, however it is not the only consideration. Your anatomy and anatomical measurements will determine which shape will likely look better on you. No two chests or breasts are the same, so while a round implant may look aesthetically pleasing on your friend, your anatomy may be better suited to a tear drop implant.
Should I get smooth or textured implants?
Your implant could be either smooth-walled or micro-textured.
Micro-textured means that the capsule’s outer skin is rough, like ultra fine sandpaper. Tear drop implants are micro-textured, which helps them to adhere, or stick to the inside of your tissues. This is useful for tear drop implants, because it helps to prevent them from rotating. As you can imagine, if tear drop implants rotate, the shape of your breast would become distorted.
Round implants could be smooth walled or micro-textured.
There are advantages and disadvantages to both smooth and textured surfaces, however it is important to mention that micro-textured implants have been associated with a small risk of a disease process known as Breast Implant Associated Anaplastic Large Cell Lymphoma(BIA-ALCL) . According to the Australian Government Therapeutic Goods Administration (TGA) as updated on 15th September 2023 “:The chance of getting this disease with micro-textured implants have an estimated risk of 1 in 18,000”. “In Australia there are no confirmed cases of BIA-ALCL with only smooth walled implants”.
If you were to get this disease, the most likely sign would be a fluid collection in your breast pocket years down the track. The treatment for this disease process is most commonly than not, a total removal of the implant and the scar tissue capsule around the implant. For this reason Dr Wetton recommends that all patients who have any kind of implant should get a yearly ultrasound and an MRI every 2 years.
Where should I choose to have the scar for by Breast Implants?
Incision Placement
Over the years, many different incisions have been used as an entry point to insert a breast implant. The most common type of incisions have been peri-umbilical (around the umbilicus), trans-axillary (through the armpit), peri-areolar (around the areolar of the nipple) and infra- mammary (under the breast crease). The first three mentioned entry points have been associated with poor scarring, more risk of adverse events, such as nerve damage and infections and a longer recovery time. Since safety and your smooth recovery are Dr Wetton’s primary focus, she prefers to use the infra- mammary incision to insert your breast implants. The incision is usually quite small, around 4-5cm, because Dr Wetton uses a Keller Funnel, which looks like a sterile icing bag (into which your implant slides) which enables her to make a reasonably small incision. Once your implant is inserted the incision is usually hidden and lies underneath your breast mound. For this reason too, aesthetically this is the incision of choice.
Where should my implant be placed? What is the Dual Plane?
Implant Placement and Plane of dissection
The plane describes where the implant is placed in your tissue layers. The implant can be placed either under the gland, which is the most superficial, or under the muscle fascia, which is the next layer below, or finally under the pectoralis major muscle itself. This third option, usually ends up being in the plane which is often described as ‘the dual plane’ because a little bit of the implant is visible peeping out from under the muscle.
Where the implant is placed, will depend on your preference, your lifestyle, your measurements and the overall ‘look’ that you are hoping to achieve. In your consultation with Dr Wetton you can have a detailed discussion about the placement of your implant and where your implant will sit in relation to your tissue planes and what your preference might be.
How is the procedure performed?
In order to place an implant into your breast pocket, Dr Wetton needs to make an incision in your skin, and then dissect carefully through the deeper layers, to create a pocket within your tissues to accomodate the implant.
