Breast Augmentation is a personal decision and women choose to have their breasts enhanced for many different reasons. The reasons vary from breasts that have lost volume, breasts that are not equal in size (asymmetrical) or tuberous in shape, breasts that are somewhat small or underdeveloped or breasts that requires reconstruction after a mastectomy or injury.

Having greater self confidence to experience all that life has to offer is often associated with feeling proud about your overall appearance, including your body shape.

You are about to make an exciting, life affirming decision which will require expert guidance through your pre-operative to post-operative phases, by a highly qualified Plastic Surgeon, such as Dr Milovic, who has an aesthetic mindset.

Dr Milovic’s ultimate objective is to give you the breasts that you want and this will require time with you to understand your aesthetic goals.

Whether you are after the natural or augmented look, Dr Milovic’s pre-surgery consultations will help explain the procedure, whether your goals are achievable and answer your questions prior to your breast augmentation procedure at either of his Malvern, Melbourne or Deakin, Canberra practice locations. Whether you’re in Hawthorn or the ACT, breast augmentation information is available at your nearest clinic.

TRUSTED EXPERIENCE

Dr Milovic’s easy-going yet professional and straightforward manner instils confidence and trust in his patients, helping you to make an informed decision about the right procedure and breast shape for you.

Case Example : Round implants, dual plane placement by Dr Vlad Milovic

Case Example : Round implants, dual plane placement by Dr Vlad Milovic

See more case examples in the Breast Augmentation Gallery.

A personalised approach to your breast augmentation

Dr Milovic does not take a “cookie cutter” approach to breast enlargement and augmentation surgery.   Implant selection is based on your unique circumstances, not what we have in stock or the latest deal from the implant manufacturer.  It will always be based on what is right for you.

Another important factor Dr Milovic will consider is your natural anatomy including your chest wall and breast measurements.   This is important to ensure that the right implant is matched with your goals and natural body shape.   If you choose a breast implant which is too large for your tissue or frame,  the implant edges may be visible or palpable after your surgery.  This is what contributes to the “fake” look.    If this is the look that you want, you should also know that excessively large implants may speed up the effects of gravity on the breast and could contribute to drooping or sagging at an earlier age.

Implants do not replace a breast lift

It is important to realise that implants are used to make breasts larger and when used alone, will not adequately lift the breast or correct the effects on your breasts after breastfeeding, weight loss or skin stretching.    You may need to also consider whether you need to have a mastopexy (breast lift) as well to achieve improved lift and shape.

Breast Implant Shapes & Sizes

A breast implant is a sac of silicone elastomer filled with silicone gel or saline, which is implanted under your breast tissue or under your chest muscle, or both (dual plane).

Dr Milovic uses highly cohesive gel implants which are not liquid or even semi-liquid.  These implants retain the natural give that resembles breast tissue, and are either textured or smooth surface shell.

Breast implants are measured in cubic centimetres or cc’s not in cup sizes.  Cup sizes can be misleading as various bra manufacturers use different measurements.  The size of the implant used depends on the size and shape of each individual woman’s chest.

Depending on the shape you wish to achieve, Dr Milovic will discuss with you either a round or anatomical (‘tear drop’) implant as well as the degree of implant projection (low, medium, high and extra high).   Extra high profile implants provide the greatest forward projection for a more obvious silhouette and are generally designed for women with a narrower chest area.  Women with a wider frame, are often advised to have a lower profile (and wider base) implant.  But this is not a hard and fast rule, as other factors will be taken into consideration and discussed during your consultation with Dr Milovic.  So, having a personalised discussion about your breast augmentation surgery is an important step in getting the breasts you want.

In addition to size and shape, breast implants are available in different profiles ie the amount of forward projection off the chest wall.

Dr Milovic will also assess your existing breast and skin tissue to determine if you have enough to cover the breast implant you are thinking about.  In some cases, such as after pregnancy, you may have excess skin which leads to breast sagginess.

Together with Dr Milovic, you can decide which implant shape, size and profile is right for you.

Breast implants are not permanent devices

Regardless of the implants used, it’s important to know that breast implants are  are not considered to be lifetime devices.  You will likely undergo implant removal and replacement over the course of your life, ie a revision.  This could be 5 years, 10 years or 20 years down the track.

Many of the changes to your breasts after implantation are irreversible (ie cannot be undone). Problems such as rupture, capsular contracture, infection and shifting can require removal of the implants.  Many women will have their implants replaced when the time occurs, but for those women who remove them without replacement, there can be dimpling, puckering, wrinkling or other cosmetic changes of the breast.

Deposits of calcium can be seen on mammograms and can be mistaken for cancer growths, resulting in biopsy and/or removal of the implant to distinguish them from cancer.

Contraindications for breast implants

Not everyone who wants to have surgery should have it.  As you will choose Dr Milovic, he chooses his patients as well based on the consultations before surgery, and the information he has about each patient.   Dr Milovic has the right to refuse to operate on patients he considers to be unsuitable surgical candidates.

Some of the common contraindications for breast implant surgery include (not exhaustive list) women who:

  • are pregnant or breastfeeding
  • have existing malignant or pre-malignant cancer of the breast
  • have had radiation treatment to their breast
  • have an active infection anywhere in their body
  • have conditions which interfere with wound healing and blood clotting
  • have autoimmune diseases and other serious medical conditions
  • have a compromised immune system
  • have reduced blood supply to breast tissue
  • have saggy or ptotic breasts and require a breast lift together with implants

Alternatives to breast augmentation surgery

Breast augmentation surgery is elective, that is, you don’t have to have it at all.  It’s a choice and as such, you should think about it as carefully as you would any surgery.   Just because it’s a common procedure these days, doesn’t mean it doesn’t carry risks and complications like any other surgery.

You can choose to do nothing, and accept your breasts as they are.  You can also wear a padded bra or use an external prosthesis (such as a bra filler).

It’s unfortunate that there are some doctors who will operate on patients who are either deemed unsuitable by plastic surgeons.  That’s why it’s important to not do anything unless you are sure, and to do your homework about your surgeon’s qualifications as well as the surgery itself.  You should have all your questions answered to your satisfaction.  If you are unsure, or if you feel pressured, you should reconsider having breast augmentation surgery.

CASE EXAMPLE 2

Case Example : Removal of anatomical implants (surgery performed elsewhere) & replacement with round implants by Dr Milovic giving a more natural, balanced look

Case Example : Removal of anatomical implants (surgery performed elsewhere) & replacement with round implants by Dr Milovic giving a more natural, balanced look

 

Dr Milovic has performed corrective or revision surgery for breast augmentation patients who are either not happy with the final look of their breast enhancement or who have had complications. Complications can occur after any surgery, and do not necessarily reflect the skill of the surgeon.   If another surgeon has performed the original surgery, Dr Milovic will ask about the original surgery, so you will need to have as much information as you can.

Patients need to understand that it’s often harder and more costly to revise breast augmentation than it is to perform the initial surgery.  Every surgeon has their own approach to corrective surgery, and there is substantial variance depending on the training, experience and judgment of the surgeon. This applies particularly to surgeons who are not trained in the specialty of plastic, reconstructive and cosmetic surgery in the way that Plastic surgeons, like Dr Milovic, are.

  • Is it right for me?

    Breast augmentation is a highly individualised procedure and may not be suitable for everyone.

    As your Plastic & Cosmetic Surgeon, Dr Vlad will assess your condition and general health, and plan the treatment that is best suited to you.

    Before you decide on breast augmentation with implants, there are some important issues to keep in mind:

    • Breast augmentation does not correct droopy breasts. A breast lift (or mastopexy) may be required as well
    • Breast implants may affect your ability to breastfeed (individuals may vary)
    • The breast augmentation procedure and implants are not guaranteed to last a lifetime.  As you age or experience changes with your weight, decide to have children, it may be that further surgery is required. As a general rule of thumb, breast implants can be replaced after at least 10 years.  That is why it’s important to keep all the details of your breast augmentation procedure, including implant information, for at least 10 years.
    • Smokers are at increased risk of complications from any surgery. If you are serious about undergoing cosmetic surgery, you should try to quit smoking
    • There are alternatives to cosmetic surgery. These may include other treatments, wearing padded bras or accepting yourself the way you are.  You should not feel pressured by anyone to have surgery.  This is a personal decision.
  • Will I need anaesthesia?

    Breast augmentation is generally done under general anaesthesia.

    Modern anaesthesia is safe and effective, but does have some risks.   You can discuss your anaesthesia with Dr Vlad and your Anaesthetist for more information.  You can be assured that Dr Vlad will engage the services of a qualified Anaesthetist who is a Fellow of the Royal Australian and NZ College of Anaesthetists (ANZCA) to perform your sedation or general anaesthesia.

    Dr Vlad and/or anaesthetist will ask you about all the medications you are taking or have taken, and any allergies you may have. Please make sure you have an up-to-date list before the surgery.

  • Will I have scarring?

    Scars are an inevitable part of any surgery– there can be no guarantee for a perfect outcome.  Dr Vlad will endeavour to minimise scarring and to keep your scars as inconspicuous as possible by locating the incisions in easily hidden sites.  That way, scars will be along natural skin lines and creases.  Scars will fade with time and become barely noticeable.

    If scarring is a concern for you after surgery, Dr Vlad will provide you with a scar treatment plan to expedite the healing of your scars.  There are several treatment options including silicone gel and laser.

    The Palomar® Artisan laser system is used at our practice, and is proven to give excellent results for scar reduction.   Laser offers a non-invasive solution that uses fractional laser technology to deliver rapid, reliable scar removal with minimal healing time, infection risk is virtually eliminated and little to no pain is felt.

  • ​Where will the surgery take place?

    Depending upon your general health and the extent of the procedure, breast augmentation surgery is typically performed as a day case or alternatively with an overnight hospital stay in a safe, accredited facility. You can read more here.

  • What is the recovery period after Breast Augmentation?

    It is common to have some pain a few days after surgery; however, pain medication will help to reduce the discomfort. Dr Vlad recommends that you take at least two weeks off post-surgery and avoid physical activity, which requires lifting or raising your arms. Gentle stretching can prove beneficial and exercise such as walking can commence within seven days. Most patients return to work within three to five days unless their occupation involves strenuous movements then a period of at least two to three weeks is recommended. You will be given post-surgery instructions to follow and if you have any questions, please speak to Dr Vlad and/or his Practice Nurse.

  • What are the costs?

    Cost is always a consideration in elective surgery, but it should not be the only consideration. You have the right to be informed about the costs you can expect, before you have your surgery.  This is called ‘informed financial consent’.  When choosing a surgeon for your cosmetic surgery, remember that factors such as the surgeon’s training, qualifications, experience and your comfort with him or her are just as important as the final cost of the surgery.

    Costs associated with the procedure may include:

    • Dr Vlad’s surgical  fee
    • Accredited Hospital or surgical facility costs
    • Anaesthesia fees
    • Prescriptions for medication
    • Post-surgery garments
    • Medical tests

    After your initial consultation with Dr Vlad, you will receive a written estimate of fees and an information pack to read before your second pre-surgery appointment.  The second appointment is free of charge.   Once you book your surgery, you will also see our Practice Nurse who will take your pre-operative photos and measurements for your compression bra/s.

    We welcome any questions you may have regarding fees.

  • Will it hurt?

    Every woman’s body is different and will heal at a different rate.  Pain, time away from work, bruising and tenderness will vary.  It’s important to discuss your procedure and special recovery needs with Dr Milovic.

    But, generally speaking, there are some guidelines and expectations that apply to most post-augmentation patients.  You will receive them after your first appointment with Dr Milovic.

     

  • Can you be too old for implants?

    Technically, if you are healthy and don’t have any major health concerns, there is no age limit.

  • Will my breasts still move like normal breasts?

    This depends upon a lot of things, such as the type of implants you have chosen, pocket dissection, the way your body holds the implant and whether or not there is any degree of capsular contracture.  Some women will have results which are more firmer and fixed in position.

  • What causes a silicone breast implant to rupture?

    Causes of rupture include damage by surgical instruments during surgery, capsular contracture, closed capsulectomy, stresses such as trauma or intense physical manipulation, excessive compression during mammograms, and unknown reasons.

    You should also be aware that the breast implant may wear out over time and rupture.

    Dr Milovic chooses to use high cohesive silicone gel implants, to minimise the risk of leakage during a possible rupture.

  • Will smoking affect the healing process?

    Smoking causes blood vessels to constrict, reducing the blood supply and oxygen carried to the surgical area.  Recovery tissues need good circulation and plenty of oxygen, so smoking slows down the healing process.  Ask Dr Milovic how long he would like you to refrain from smoking before and after surgery.

  • What is capsular contracture?

    Capsular contracture is a condition involving excessive scar tissue which forms around an implant.  It can leave the breast feeling hard and immobile.  Capsular contracture cannot be predicted, but new surgical techniques (which Dr Milovic also uses) can help reduce the risk.

    Your body’s response to an implanted, foreign object and the way it produces scar tissue can factor into the risk of capsular contracture.  You should discuss this with Dr Milovic if you feel concerned, so that all efforts can be made to reduce your risk.

  • Who is not eligible for breast implants?

    Contraindications for breast implants include women who are currently pregnant or breastfeeding, have an existing malignant or pre-malignant cancer of the breast without adequate treatment, or have an active infection anywhere in their body.

  • Will I need revisional surgery?

    Breast augmentation is not guaranteed to last a lifetime. Future surgery is often required to replace one or both implants, generally after 10 years.  Your breasts will change over time, with ageing or breastfeeding for instance, and this is when you may consider having revisional surgery.  You may also wish to change the shape or size of your implants over time.   Sometimes you may need revisional surgery if you develop a complication from the original surgery.

    The practice of medicine and surgery is not an exact science. Although good results are expected, there is no guarantee. In some situations, it may not be possible to achieve optimal results with a single procedure and another surgery may be necessary.

  • What are the alternatives to breast augmentation?

    You can accept your breasts as they are or wear a padded bra/prosthesis.

Who is performing your breast augmentation procedure?

Breast augmentation procedures are one of the most common procedures performed in Australia today.

Yet, breast augmentation, like all surgery, has risks and complications associated with it. Just because it's a popular cosmetic procedure nowadays, don't assume that it's a simple procedure with little or no aftercare, or that the surgery will be performed by a qualified and experienced plastic surgeon.

Read More