Breast Augmentation Questions

“How Soon after breast augmentation can I . . .”: 20 of your questions answered

Because breast augmentation is one of the more popular cosmetic operations in plastic surgery, women who are considering the procedure come to us with questions – and not just a few.

We understand this step for aesthetic correction or reconstruction is significant and requires the patient to be well-informed before making her decision. Many of the questions we hear are about recovery. Women want to know how long the surgery will affect their daily routine. If you are researching breast implants and breast augmentation surgery, here are 20 of the most common questions we hear.

 

AFTER BREAST AUGMENTATION…

 

HOW LONG BEFORE I CAN BATHE OR SHOWER?

We ask our patients to avoid getting their incision wet for at least 48 to 72 hours. You can sponge carefully in those first 72 hours, but keep those incisions dry. You should not submerge in a warm bath for at least two weeks.

HOW SOON CAN I GO BACK TO WORK?

Although returning to work after breast augmentation depends on each patient’s unique ability to heal, there is a benchmark you can refer to when making your decision. We suggest you plan to be away from work for at least one week. This timeframe will allow your incisions to heal to the point where you can move around with minimal discomfort. If possible always take a little extra time off. If your job involves strenuous lifting, you will need to avoid that for 6 weeks so you may need to talk to your work about doing light duties over that time period.

HOW SOON CAN I DRIVE?

Driving after breast augmentation will depend on whether you are still taking prescription pain medication. Most patients can resume driving after one week because they no longer require taking their pain medication. If you feel the need to use prescription drugs to reduce discomfort, don’t drive until you can stop these medications.

HOW SOON WILL MY IMPLANTS DROP INTO PLACE?

Your breasts may look slightly higher than you expected after surgery because the implants have yet to drop into position. After surgery, the lower half of the breasts are tight, causing the implants to remain high and look swollen. When you choose to have your implants placed under the muscle, it will take some time for them to drop into the correct position. Your implants should settle the first 1-2 months but we always say the final outcome is best judged at 3 months.

HOW SOON CAN I WEAR A NORMAL BRA?

After the surgery, you will go home with a surgical bra/compression garment to help support your implants and encourage your incisions to heal quickly. These help control swelling and also take the weight of the breast implant preventing them from dropping too low or towards the outside of the chest while the capsule (scar tissue) around the implant develops. Underwire bras may irritate the incision site if they are in the natural breast crease and therefore interfere with wound healing.

We recommend wearing a surgical bra or a comfortable sports bra (no underwires) for the first 6 to 8 weeks. After this time you may wear an underwire bra.

HOW SOON AFTER BREAST AUGMENTATION CAN I HAVE SEX?

The answer to this question may rely more on you and your comfort level. One thing is for certain: You must wait until your breasts have healed enough before resuming intimate activities. We recommend waiting at least two weeks before having sex. Make sure your partner is gentle, especially with your breasts. If you had a breast lift at the same time as your breast augmentation, your waiting period might be longer.

HOW SOON AFTER SURGERY CAN I RESUME EXERCISING?

Although we will ask you to move around as soon as the same day of your surgery, a workout regimen is different. It’s essential not to elevate your heart rate for at least one week after breast augmentation. Then, you may do low-impact exercises like using an elliptical machine or stationary bike, but no jogging or running.

For runners, start slowly from 4 weeks with short distances before gradually increasing each week. If you are resuming chest exercises like push-ups, wait six to eight weeks, starting slowly and working your way up. You can continue to consult with us during recovery about when you should start easing back into your workout regimen. If lifting weights is part of your exercise routine, you should not resume heavy lifting for at least 12 weeks.

HOW SOON CAN I SWIM AFTER BREAST AUGMENTATION?

There are two things to keep in mind when you go swimming after breast augmentation. The first is the water’s ability to penetrate the incisions and cause infection, and the next is excessive stretching in the treatment site.

Swimming is not bathing, so you should wait at least three weeks before returning to the water. This period will allow your incisions to heal enough, so there will be no penetration. When you do go back, don’t go overboard (no pun, really), but limit your swimming to hanging out in the water with possibly a light lap or two. If your swimming involves serious training, you should delay for at least three months.

HOW SOON CAN I GO POOLSIDE OR TO THE BEACH?

OK, we’ve already addressed swimming and getting your incisions wet, but going to the beach doesn’t necessarily mean getting into the water. One of the issues with returning to the beach is sun exposure. Healing tissue does not endure the sun’s UV rays very well. To make sure your scarring is minimal, you should protect your incisions from the sun until they fade to a pale color and are soft and flat. This recovery may take several months to a year, depending on how fast you heal. We therefore recommend taping scars in the first 6 to 12 months- taping alone helps flatten scars but it also protects them from the harsh UV rays which can turn the scars darker.

HOW SOON WILL I BE ABLE TO SLEEP ON MY BELLY?

We recommend you sleep on your back during recovery after breast surgery, but this is temporary for our patients who usually prefer to sleep on their side or tummy. You can resume sleeping on your side after about 2 weeks but you need to wear your bra during sleep. Sleeping on your chest though needs to be postponed to the 6 week mark.

HOW SOON WILL I SEE THE RESULTS?

Although you will notice a change in your breast contours immediately after surgery, your complete results will take some time. You can expect some level of swelling after surgery, which may take several weeks to subside entirely. Your implants will also take some time to drop into their optimal position and settle. Rarely do both implants do this at the same time, so be aware one implant may drop before the other.

If you take care of your incisions and follow your surgeon’s post-operative instructions to the letter, you should enjoy complete results after about three  months.

HOW OFTEN SHOULD I GET IMAGING AFTER BREAST AUGMENTATION?

If you have silicone implants, its recommended that you continue your regular breast cancer surveillance which is recommended every 2 years for women aged over 50, and earlier if there is strong family history.

For monitoring the breast implants themselves we recommend getting a yearly ultrasound once the implants reach 10 years of age. If the ultrasound is reported as clear of any problems you can be rest assured everything is okay. However if the ultrasound suggests a rupture this may not be accurate and in that case a MRI scan is recommended. Usually if this is the case our patients would return to see us to get this organised and we encourage them to seek our opinion.

HOW SOON CAN I TRAVEL AFTER BREAST AUGMENTATION?

Given the time you will need to recover, traveling after surgery will be unique to each patient’s pain tolerance and the details of your trip. In most cases, you should be able to travel wherever you want after two weeks. If the trip is a minor day trip in a car, perhaps sooner. If you plan to fly, you should wait at least two weeks. If you already have a trip planned after surgery, you can talk it over with your surgeon during your consultation as perhaps the most important thing is that you are not far away for your aftercare and follow-up with the surgeon.

CAN I MASSAGE MY BREASTS AFTER SURGERY?

We ask our patients to wait until your postoperative visit before you start any massage. In fact massage after breast augmentation is not recommended like it used to be with old silicone implants. By pressing the breasts too soon, you may increase the risk of implants moving out of position.

However we encourage scar massage to improve the final scar outcome and this is usually commenced at the two to three week mark.

WHEN WILL I BE ABLE TO GET OFF PAIN MEDICATION?

All patients tolerate pain differently, but we feel you should try to limit your dependence on pain meds soon after breast augmentation. Although we recommend you stay ahead of your discomfort on the day of surgery and the day after, you should look to limit your intake within three days and stop taking them altogether after five days to a week. The sooner you get off your pain meds, the quicker you will be able to drive and start to focus fully on your healing. We will usually provide written instructions regarding how you should taper your pain relief medications in line with your recovery.

HOW SOON CAN I GET PREGNANT AFTER BREAST AUGMENTATION?

This question is subjective to both patient and surgeon. If you are planning to get pregnant soon after surgery, you should perhaps wait, as pregnancy may have some impact on your final results. However, it is not unsafe to conceive after breast augmentation, so the answer is anytime. This conversation is good to bring up during your consultation, so you can plan accordingly.

HOW LONG SHOULD I WAIT AFTER HAVING CHILDREN TO HAVE BREAST AUGMENTATION?

Again, the answer to this question will depend on your breast augmentation recovery as well as your weight. Because some mothers require more time to get back down to healthy body weight, it will take longer to be ready for surgery. Also, if you are breastfeeding, you should wait for at least three to six months after you stop lactating.

If you are not breastfeeding, you should wait at least three months after delivering your child before having breast augmentation.

WHEN WILL I RECOVER NORMAL SENSATIONS IN MY BREASTS AFTER SURGERY?

The pressure as a result of swelling as well as the surgery itself may cause some numbness of the nipple or breast skin. Your normal breast sensation should return but this can take six months to a year. There is however a small chance that the sensation does not return to normal and you should discuss this with your surgeon during the preoperative consultation.

HOW SOON CAN I HAVE A REVISION IF I AM NOT HAPPY WITH MY RESULTS?

First, if you are not happy with your results, it may be because you have yet to realize them. If you find your breasts not the size you expected after surgery, it’s probably because the implants have yet to drop and the swelling yet to settle. However, if it has been several months since your surgery and you are still not happy with the results, you can seek a revision after one year. Obviously discuss your concerns with your surgeon to make sure what you are after is in fact achievable and where the shortfall in expectations occurred.

WHEN SHOULD I SCHEDULE A BREAST SURGERY CONSULTATION TO DISCUSS NEXT STEPS?

If you are considering breast augmentation, but have many questions you would like to have answered in person by a board-certified plastic surgeon, don’t wait any longer. Schedule a consultation with Dr. Aggarwal today and schedule a consultation.

 

 

What Is Microneedling?

Microneedling  is a collagen induction therapy, a treatment that is designed to promote skin rejuvenation.

Needles are used to create small punctures on the top layer of the skin which would cause the body to create new collagen and elastin.

To be exact, the tool uses 11 super-tiny needles in the very tip, which can be adjusted by your professional between 0.5 and 2.5 millimeters.

Body treats a small wound the same way as a large wound, and sends fibroblasts to create more collagen in the affected area.

The treatment can also help reduce pore size and heal acne scars.

What Happens During Microneedling Treatment?

The treatment begins by first cleansing the face, then applying a topical numbing cream. Once that takes effect (typically about 10 to 20 minutes), nurse will apply a serum that promotes skin repair and healing.

A microneedling pen is then passed back and forth all over your face — at this point, the needles are moving up and down — in order to “needle in” the serum.

Once the procedure is completed, another layer of serum is applied.

Does Microneedling Hurt?

If the idea of tiny needles piercing your skin sounds like it would bring with a serious ouch factor, you don’t need to worry. Not only does the numbing cream help take away what experts agree is minimal pain during the procedure, but what you can expect post-procedure is a bit of pinkness, kind of like a sunburn. At the very worst, a few tiny punctate scabs may pop up, only to fade in a few days.

Who Should Try Microneedling?

It’s great for acne scarring, and because it doesn’t use heat and is totally mechanical, it’s safe for all skin colors and types. The treatment is wonderful for smoothing out the skin and filling in acne scars, but if you have those small bumps from clogged pores, it can help to clear all of that up as well. You should also steer clear of microneedling if you have eczema, rosacea, or very sensitive skin, Dr. Jaliman says.

You should also skip the procedure if you are on blood thinners or a frequent alcohol drinker, which causes dehydration and can render the procedure ineffective.

Can You Microneedle Your Body, Too?

Yes! Microneedling isn’t exclusive to just the face. While it’s the area of skin that is most often treated, the procedure can be done anywhere the skin on the body needs a collagen boost, particularly those that have stretch marks, like the legs, chest, or butt.

How Often Should I Get Microneedling Done?

If your skin is generally fine and you take care of it, you can microneedle every three to six months.

After that,  you should plan on coming in once a year for touch-ups, especially if you feel like your skin needs a reboot. When it comes to other areas of the body, you can expect about four to six sessions to do the trick.

What Does the Microneedling Aftercare Involve?

Microneedling leaves you red and sensitive, so you should use broad-spectrum,with at least SPF 50 during the weeks following your treatment.

You should also avoid retinol and acids, such as glycolic and salicylic.

Make sure you also keep skin hydrated by applying a mild hydrating serum and use a mild cleanser, taking care to avoid exfoliating scrubs in the days immediately following the treatment.

Abdominoplasty Medicare

Positive News For Women- Medicare funding confirmed for Abdominoplasty

After reaching out to the community and to its Members in October 2021, The Australian Society of Plastic Surgeons (ASPS) campaigned to secure important support for their application to create a new MBS item number for abdominoplasty with repair of rectus diastasis after pregnancy.

Having this procedure added to the MBS is a welcome change, and one that will positively impact many women at a vulnerable time in their lives. This Medicare benefit is available to mothers who fit the criteria for reconstruction of abdominal separation that physio, diet or exercise can’t impact. This benefit may also be available if back pain and incontinence becomes a chronic problem.

The item number 30175 will be available on the MBS from the 1st of July 2022

What is the eligibility criteria in order to receive the Medicare subsidy?

The descriptor includes the following criteria:

  • Cause. The rectus diastasis (tummy muscle split) was caused by pregnancy
  • Timing. The patient must be at least 12 months post-partum at the time of receiving the surgery
  •  Gap measurement. The gap between abdominal muscles must be at least 3cm as evidenced by an ultrasound
  • Symptoms. The patient must have documented symptoms of pain or discomfort at the site and/or low back pain or urinary symptoms
  •  Other treatment failed. The patient must have tried and failed to respond to nonsurgical treatment options such as physiotherapy.
  • Other examples of non-surgical treatment may be: symptomatic management with pain medication, lower back braces, lifestyle changes, physiotherapy and/or exercise.

Who decides if I’m eligible?

To qualify for the procedure under Medicare, the decision ultimately sits with the Specialist Plastic Surgeon you see to determine whether you meet the criteria. However, ASPS expect the following medical practitioners would have also been consulted with. ASPS would also expect those practitioners would provide the operating surgeon with confirmation of whether each patient may be eligible.

1. GP would have been seen for non-surgical management and treatment options. GPs would also need to make the referral to the Specialist Plastic Surgeon who will perform the surgery.

2. Physiotherapist or other Allied Health practitioner such as an Exercise Physiologist may be seen if the patient tried physiotherapy or exercise programs

3. Radiologist must have conducted an ultrasound to measure and

 

Top 5 Lip Filler Myths

“Lip filler will give me duck lips“

This is a really common myth! With the correct product, volume, technique, and placement and experienced injector, it is possible to create beautiful lips that go undetected.

“Lip fillers are excruciatingly painful“

Lip fillers are an injectable treatment which are uncomfortable, however, it does not have to be excruciating. Pain is very subjective and everyone has a different pain tolerance however, we provide ice and topical numbing cream for patient comfort. For those who are extra sensitive to pain, happy gas is an option.

“Any product can be used in the lips“

Unfortunately, this is not true. Permanent fillers, fat transfer and collagen stimulators are best avoided in the lips. The best products in the lips should be reversible fillers, which makes the procedure safer.

A product that delivers a natural result at rest and on animation is the preferred choice.

“My lips will look weird, stretched and deflated if I stop treating them“

Lip fillers are made from a naturally occurring substance in our bodies. It is a gel which is metabolized by our bodies over time. If you choose to stop having temporary fillers then your lips should eventually return to their original shape and size. Our lips will lose volume and definition over time, however, this is a result of ageing and not a consequence of lip fillers.

“Filler migration is a disaster”

Filler migration is a complication, like bruising and swelling, that we aim to prevent, using particular injecting techniques and products. If this complication occurs then we manage it until it is resolved.

Breast Reduction

What is the benefit of Breast reduction?

Many women suffer from large breasts that contribute to neck pain, back pain and difficulty finding bras or clothing that fit appropriately. When performed by a specialist plastic surgeon, breast reduction surgery can improve both appearance and function, substantially improving quality of life.

Here are some of the great benefits of having a breast reduction surgery:

  1. Alleviation of Back Pain

The weight of heavy breasts often results in strain and discomfort in your back, neck, and shoulders. When you opt to reduce your breast size, you can alleviate all of that tension, reduce/eliminate pain, and improve your quality of life.

  1. Improved Aesthetic Appearance

A breast reduction not only reduces the size into a more proportionate one that fits your body, but it also reshapes and lifts the breast, repositioning the nipple into a better position. The final result is more shapely, perkier, and youthful looking.

  1. Better Fit of Clothing

With breasts that are well proportioned for your body, you’ll be able to fit into clothing better and alleviate some of the hassle when shopping and deciding what to wear. In particular women find it much easier to select bras off the shelf rather than having custom ones made, or purchased from specialty stores – saving cost and the hassle. Breast reduction also provides relief from your bra straps digging into your shoulders, which can cause pain, marks, and even scarring.

  1. More Active Lifestyle

Women with large breasts might find it difficult to live an active lifestyle. One of the biggest benefits of breast reduction surgery is that it will improve your exercise experience. If breast, shoulder, or back discomfort keeps you from exercising, then reducing your breast size could make you more active.

  1. Improved Hygiene

When you have large breasts, the lower breast and breast fold can be susceptible to rashes or infections. A breast reduction surgery can provide relief from these rashes, and even prevent them altogether, resulting in improved hygiene and better health.

 

How can I prepare for breast reduction surgery?

After an initial consultation, a plastic surgeon may request you to do several things ahead of breast reduction surgery.

These may include:

  • Adjusting your current medication such as anti-inflammatories, aspirin, temporarily adjusting blood thinners (in consultation with your GP or cardiologist) or over the counter supplements such as fish oil.
  • Requesting blood tests (if needed)
  • Getting a current mammogram.
  • Stopping smoking and any nicotine replacement at least 8 weeks before and after surgery

 

When can I return to work after breast reduction surgery?

You can return to work after breast reduction surgery in about four weeks if your healing is progressing well. But if your job requires heavy physical exertion, you may need more recovery time at home.

 

Are the results of breast reduction surgery permanent?

After breast reduction surgery, your breasts will stay the same size unless you become pregnant or gain a lot of weight. But aging, gravity, and hormonal changes can cause your breasts to sag eventually (but usually this occurs slowly over decades).

 

Will my health insurance pay for breast reduction surgery?

There is a medicare item number 45523 which allows breast reduction surgery to be performed for medical reasons. A consultation with a plastic surgeon will determine if you are eligible, and if you have health insurance that covers this particular item number, it can make a big difference to the cost. Like all procedures we offer, you will be provided with a written quote after the initial consultation detailing total costs of surgery, and the out-of-pocket costs after all health fund and Medicare rebates are applied.

What is the Cost of Breast Reduction?

Our estimates range from $12,000 – $14,000 for the surgeon’s fee. Each patient’s presentation is unique, and you will be provided with a written estimate based on your surgical needs after the initial consultation. We will also provide you with estimates of anaesthetist, and assistant fees.

 

Is it worth having breast reduction surgery?

Patients who have previously had breast reduction state they should have ‘had it sooner’. Obviously each patient needs to balance the pros and cons of surgery, understand what it entails, and take into account the risks involved – exactly what we go through at the initial consultation. Simply put though, it’s a life changing procedure that can dramatically improve the quality of life.