Silicone Breast Implants, everything you need to know

How long do silicone breast implants last

Breast implants are made of silicone gel and just like any foreign body placed inside your body these have a finite life span meaning that they do not last forever – usually these last for 10-15 years, but possibly longer.

It is likely that slow deterioration occurs every year the foreign device is in your body and once you get to 10 years we recommend yearly imaging such as an ultrasound, and should a tear or rupture be detected we would suggest replacement. If on the other hand yearly clinical exam and ultrasound are clear, the implants can be maintained until there is evidence of the need for replacement.

Can you breastfeed with breast implants

Absolutely. Breast Implants are placed behind the breast gland, and often behind the breast gland and the underlying pectoralis major muscle. This means the breast gland itself, functions completely normally as it lies in front of the implant, and no damage should have been caused by implant insertion.

How much are breast implants

Depending on the manufacturer breast implants cost around $1,200 each. This means for a set of 2 the cost is around $2,000-$2,400. However given that breast augmentation is considered a cosmetic procedure, and is usually performed under a general anaesthetic in a hospital there are surgeon fees, anaesthetic fees, and hospital and theatre fees payable. The total cost is around $10,990 including GST and there is no rebate from Medicare or health funds.

How much do breast implants cost

Implants cost around $1,200 each – we use the ones from Mentor or Motiva. Since breast augmentation is usually done for cosmetic reasons there is no rebate from Medicare or health funds. The patient therefore has to pay the total of implant costs, surgeon fees, anaesthetic fees, and hospital and theatre fees, and there is GST added to the whole figure. The total cost is around $10,990 including GST.

Is there a Medicare rebate for breast augmentation

There is no rebate for cosmetic surgery and since most breast augmentation is done for cosmetic reasons the answer is no. This also means there is GST payable and we offer breast augmentation for $10,990 including GST. However in the setting of a breast deformity where there is significant asymmetry of the breasts, and in the setting of breast cancer, there is a Medicare item number applicable and the health funds and Medicare will pay all hospital/theatre fees, and provide a rebate for doctors’ fees substantially reducing the out of pocket cost (to around $6,000).

Can breast implants feel natural

Implants vary in how they feel. Many can feel quite natural but it depends on the size of implant, the cohesivity of the gel (how stiff the silicone gel inside the implant is), and the size of the implant relative to the native breast. For example less cohesive (less stiff) gel round implants feel very natural, especially when covered by a reasonable amount of breast tissue, however they are more prone to rippling which you could feel and sometimes even see depending on how thin you are. The more cohesive gel implants are less prone to rippling but feel stiffer. In particular tear drop (anatomical) implants have a high cohesivity as they give shape to the breast but can feel firmer than the native breast tissue.

Can guys tell if you have breast implants

Natural looking breast augmentation where your breast hides most of the breast implant, they don’t produce an exaggerated cleavage, can look very natural to the point that no one can tell you have had breast implants. At Mode Plastic Surgery, most of our patients want to look fuller, restore shape, and wear figure hugging clothing without people being able to notice breast implants have been inserted. For those who want to look like they have had breast augmentation, sway towards larger, rounder implants that create a fuller cleavage. In these cases it can be easier to tell a breast implant has been placed under the breast.

Can silicone breast implants cause cancer

Textured silicone implants have been associated with a rare form of lymphoma called ALCL or Anaplastic Large Cell Lymphoma. The rate is still very low and there are millions of women around the world with implants without any issue. At this stage it is thought to be a combination of textured device, in a susceptible patients, possible contamination of the implant at the time of insertion, and 8-10 years lag time.

While there is an association, because it is so low we still use implants for breast augmentation and breast reconstruction – however patients need to be aware that the current risk of this disease is around 1/60,000-1/80,000 with Mentor implants and currently zero with Motiva implants. In most cases if the disease develops it is cured by removal of the implants and the capsule, however some deaths have been reported around the world.

Visit our page on breast augmentation and click on the ALCL box to learn more.

Can you breastfeed after silicone breast implants?

Absolutely – there is no change in your capacity to breast feed after having breast implants as these are placed behind the gland meaning the function of the gland is unchanged. It does not matter if the breast implant is placed directly behind the gland (subglandular) and in front of the muscle, or if it is placed behind the muscle (subpectoral) as in both cases the implant is sitting behind the breast gland itself and it has not interfered with the function of the milk ducts in the breast itself. However you should remember that in women who have not had any surgery on their breast – up to one third cannot breast feed at all and another one third need formula to supplement their milk supply when feeding an infant.

Can you squeeze breast implants

Yes breast implants can be squeezed and moved about without any issue. In the initial 6 to 8 weeks after surgery we recommend no upper body exercise to allow the capsule to mature and the implants to settle in their space as when they are under the muscle they can move out of position in the early healing period.

Do breast implants get bigger after surgery

Breast implants remain unchanged in size after surgery but the size of the breast can change – initially there will be some swelling and tightness and it can take up to 3 months for the implants to settle, and the final breast shape to be appreciated. Longer term changes in breast size can occur from natural changes such as pregnancy, breast feeding and aging.

Do you need implants for a breast lift

No you do not need implants for a breast lift. The most common way of achieving a breast lift is via surgery which repositions the nipple higher and tightens the lower part of the breast. The trade off is scars on the breast – often around the nipple and areola, down to the fold under the breast (the IMF). Some women with minor breast drooping (or ptosis) who want to avoid scars on their breast can achieve a lift in their nipple position via increasing the volume through an implant. Women with very droopy breasts will need a surgical breast lift regardless of whether they choose to have an implant or not

How to pay for breast implants

We charge $10990 for standard breast augmentation, and as for all our cosmetic procedures the full payment is due 2 weeks prior to surgery using any credit card or bank transfer. If you choose to look into finance, you are welcome to look into these options, but we do not have any association with finance providers, nor recommend one over another.

What do size b breast implants look like

This is an example of a patient with deflated breasts, who wanted to have a breast augmentation to fill out her breast envelope without looking like she had implants. The size achieved is probably a large B, small C cup.

What is it like to have breast implants

Breast implants feel like having a foreign body sitting on the chest. They can sometimes feel cold, and there is obviously the weight of the implants noticeable especially when lying down. For the most part, women get used to this sensation, and it depends on the size of the implants – the larger the implants, the more ‘foreign’ they will feel.

When were the first breast implants put in

The first breast augmentation using silicone breast implants was performed in America in 1961 by surgeons Cronin & Gerow.

Why get breast implants

Breast Augmentation or Enlargement (‘Boob job’) is performed using breast implants to improve not only the size but to provide a natural, beautiful shape. Women seek breast augmentation for a variety of reasons but common to all is to feel feminine, sensual, and regain or improve confidence:

• Improve the size of a breast that already has good shape
• Improve cleavage and upper pole fullness
• Improve the size of breasts that did not develop during puberty
• Restore breast volume and shape after breastfeeding or significant weight loss – this sometimes needs to be combined with a breast lift.
• Correct breast asymmetry
• Correct tuberous breast deformity (also known as ‘snoopy breasts’)

Can breast implants cause cysts

Old generation implants such as those used in the 70s and 80s have a very liquid form of silicone inside. When these ruptures or break, the silicone leaks within the capsule formed around the implant by your body. If the silicone leaks out of this capsule then the body tries to wall off the liquid silicone forming silicone cysts. These silicone cysts can migrate to the axilla (the armpit).

Modern-day silicone implants are nicknamed gummy bear implants because they have a highly cohesive silicone gel. This means that if they are sliced in half the silicone maintains its shape and does not ‘leak’ everywhere like the old generation implants. In modern-day implants, silicone cysts are therefore rare, and in fact, rupture is often detected on breast imaging rather than noticing any issues with the implants themselves.

Can I have a mammogram with breast implants

Yes, it is possible to have a mammogram with breast implants – easier if the implants are placed behind the muscle (subpectoral) than if they are placed directly under the breast gland (sub-glandular).

Radiographers who perform mammograms, use breast implant displacement techniques to move the breast implant out of the way and squeeze the breast tissue in front of the implant to take a mammogram. Our recommendation to all our patients is to engage in the standard breast cancer screening protocol, given that 1 in 8 women will get breast cancer in their lifetime.

Can you lay on your stomach with breast implants

Yes, long term it is fine to lie on your stomach, however in the first 6 to 8 weeks after surgery while the body is forming a capsule around the implant we suggest patients do not lie on their stomach, and nor do they do any upper body exercise in the early postoperative period.

Hair Loss Treatment with PRP

What is PRP hair treatment?

Platelet Rich Plasma (PRP) injections are a popular new and non-surgical method of hair loss treatment and hair restoration for women and men. Hair loss treatment with PRP uses your own blood supply in a way that only the enriched cells that contain various types of proteins remain. During PRP injection treatment, a standard blood draw occurs. The blood is spun in a centrifuge in which the highly concentrated PRP is separated from the other components of the blood (such as red blood cells).

This platelet-rich plasma, which contains helpful white blood cells and platelets rich in growth factors, can then be injected into areas of the scalp that are experiencing hair loss, extreme hair shedding, or thinning hair. Our nurse applies a topical anesthetic to the scalp an hour before the procedure, to minimize any minor discomfort from the injections. The procedure takes approximately 30 minutes from the time your blood is drawn until the PRP is injected into your scalp, and no downtime is required post-treatment.

What is Platelet-Rich Plasma?

Platelet-rich plasma is a concentration of platelets that is 3x the normal blood value, and contains many growth factors that stimulate hair follicles and can safely be performed up to every month, based on how much hair growth is required. PRP is a great solution for hair loss in both men and women, especially when hair transplant surgery is not an option. PRP injections can stimulate new hair growth in men who suffer from androgenetic alopecia (known as male pattern baldness) and women who suffer from female pattern baldness.

What are the benefits of PRP therapy?

The Platelets in the PRP contain proteins that are needed in order to promote the rate of tissue healing and regeneration within inactive hair follicles. Inside these platelets are a variety of intracellular structures such as glycogen (a form of glucose), lysosomes (which break down the proteins), and alpha granules (which contain clotting and growth factors that get released during the cell repair process). Platelet-rich plasma-derived growth factors can also play a part in stem cell differentiation within the wound healing process of the musculoskeletal system.

Hair loss treatment with PRP is a very modern procedure that has been used elsewhere as a method of healing injuries. It is often also used as a cosmetic treatment for the face too, and of course as a popular hair procedure for men and women.

Do PRP injections work for hair loss?

In multiple studies through the Journal of Cosmetic Dermatology and Aesthetic Plastic Surgery, patients suffering from hair loss were found to benefit from PRP injections. The PRP hair restoration treatment led to a significant local increase in hair number, extended growth phase, and improved hair thickness.  The science behind PRP uses proven benefits of PRP to naturally promote new cellular growth. PRP is directly involved in regenerative healing within the body.  PRP growth factors can thus influence hair growth and can in fact restore hair follicles, in turn improving the look and feel of a patient’s hair.

How does PRP hair restoration work?

PRP hair rejuvenation treatment involves the injection of platelets into the area of the body in which hair loss is occurring, for example the crown of the head. Platelets are taken from the patients own body via a blood draw that occurs at the start of the appointment. After the blood has been drawn, it is placed in a centrifuge, which is a machine that separates the platelet-rich plasma from the red blood cells. When isolated, the platelet-rich plasma is then injected into the treatment area. The platelets release growth factors, which stimulates the dermal papilla cells that are crucial in the hair growth process. For that reason, a series of PRP injections help to trigger hair regrowth to restore lost hair.

How many PRP treatments are needed?

Though of course the number of PRP treatments varies depending on the hair condition and aesthetic goals of the individual patient, a typical patient will do three sessions of PRP therapy. Further treatments will be evaluated at the end of the fourth month (after the third PRP treatment).The sessions are typically spaced 4-6 weeks apart. PRP treatments can also be used in tandem with hair transplantation to help accelerate hair growth.

Does PRP hair treatment work for frontal hair loss?

In recent studies in the journals Dermatologic Surgery and International Journal of Women’s Dermatology, PRP has been indicated as an effective treatment for hair loss. This hair growth and improvement has been demonstrated with patients who experience both androgenetic alopecia and alopecia areata, which is defined as unpredictable hair loss in patches all over the scalp. Based on these significant studies, as well as those in Journal of Cosmetic Dermatology, Aesthetic Plastic Surgery, and Men’s Journal, PRP is considered an effective treatment for hair loss throughout the scalp.

How much is PRP hair treatment?

Costs vary based on your need. Typically, PRP procedures are once a month for an average of three sessions, and the price is dependent on the amount of injections needed to cover the areas of the scalp that are demonstrating hair loss. This cost can also range per treatment.

What to expect after PRP hair treatment?

There is minimal downtime necessary following the PRP treatment and patients can quickly return to their regularly scheduled activities. There are certain activities that we recommend avoiding in the day or days following the treatment in order to ensure that the healing process goes as planned. First,  avoid washing your hair on the day of the treatment, though you can use shampoo on your hair the following day as normal. Second, do not exercise on the day following the treatment though you can resume regular exercise the next day. Finally, avoid alcohol and smoking for at least two days after the procedure.

How long to see results from PRP hair loss treatment?

Of course, any results will vary depending on the nature of hair loss and desired results of each patient. However, the majority of patients see initial improved hair thickness and hair growth several weeks after treatment. Optimal results from PRP injections are apparent, on average, about 5-6 months after treatment.

How Long Does PRP last for hair loss?

This varies per patient too, but typically patients will engage with maintenance treatments if they respond well to the initial PRP treatment plan.

Is PRP hair treatment permanent?

PRP treatment can be repeated as necessary depending on the patient’s response to treatment. We recommend that patients return every 3-4 months for another series of injections or even once a year. The permanence of the treatment also depends on the condition that is being treated. For example, if a patient is suffering from telogen effluvium, PRP treatment can help in the hair regrowth process, which occurs over 3-6 months. After that, most patients will not need any further treatment if the condition has subsided.

Are there any potential side effects to PRP Treatment?

PRP has been used to restore skin and tissue in patients for several years. However, the hair restoration procedure is relatively new. Within the published studies that have reported improvement in hair growth, recovery from all procedures is easily tolerated. Common side effects include mild soreness and/or discomfort at the injection sites. Additionally, patients who are currently on any kind of blood thinner cannot undergo PRP treatment.

Does PRP hair treatment hurt?

PRP hair treatment involves the injection of Platelet-rich plasma into the scalp where the hair loss is occurring. Prior to the injections, our nurse can apply a topical numbing cream to minimize any potential discomfort during the treatment itself. Following the procedure, patients may experience soreness, redness, or bruising at the injection site but these side effects are generally common and mild and will go away on their own shortly following the treatment.

Can PRP stop hair loss?

Platelet-rich plasma therapy works to trigger and maintain natural hair growth by strengthening the hair follicle and increasing the thickness of the hair shaft. As such, in addition to promoting hair growth, the treatment helps stop future hair loss from occurring in the treatment area. Multiple treatments may be required in order to see optimal results.

Can PRP regrow hair?

PRP Treatment can be very helpful in the hair regrowth process. The injections of PRP into the treatment area can lead to an elongated hair growth phase and thickening of the hair shaft for thick, dense hair. For patients who have experienced hair loss as a result of conditions such as androgenic alopecia, telogen effluvium, or alopecia areata, PRP treatment can help to strengthen hair and promote further growth during the regrow process.

Am I a Candidate for PRP Hair Treatment?

A good candidate for PRP hair restoration is a patient who is showing signs of thinning hair or hair loss. Typically, candidates who have experienced hair loss more recently, or who are dealing with early hair loss, respond best to PRP hair treatment. Those with hair follicles that have been dormant for longer on the scalp are less likely to be improved by PRP therapy. It’s good to note that if you are diagnosed with a underlying disorder such as lupus or thyroid disease, you are unlikely to benefit form PRP injections, as these conditions will continue to worsen hair loss over time. Additionally, patients should not take blood thinners during PRP hair restoration treatment, as the procedure will be significantly less effective.

PRP Injections for Regeneration

What are PRP Injections?

Platelet-rich plasma (PRP) therapy is fantastic treatment which involves our practice nurse injecting a concentration of a patient’s own platelets in order to improve skin texture and tone and refine wrinkles.

What are plasma and platelets?

Plasma is the largest part of your blood, making up more than half of its overall content. It is composed largely of water and proteins, and is responsible for allowing your red blood cells, white blood cells and platelets to circulate through the body. Platelets are the blood cells that you have which cause blood clots when a blood vessel breaks and other necessary healing functions. Activating these Platelets is key in the body’s natural healing process.

How do PRP Injections work? 

PRP injections tap into a patient’s own biological healing system to improve their skin or hair health by releasing growth factors and regenerative molecules. 

The injections are prepared by taking a tube or two (between 11 and 22mls) of your own blood and running it through a machine called a centrifuge in order to concentrate the platelets. The PRP is a beautiful gold colour, and after anaesthetic cream is applied to the skin, very tiny needles inject the PRP back into the areas of concern such as: the under eye, mouth area, full face, neck, décolletage or hands. The downtime for PRP can include bruising and swelling, which is worst at 2-3 days, and could last up to 7-10 days. 

These activated platelets are then injected into the desired skin area, releasing growth factors that increase collagen and elastin formation as well as cellular growth and skin remodeling. The quality of the plasma affects the  results, which are normally visible at around 3 – 4 weeks. As such, results may  vary per patient. 

What is the difference between PRP and dermal fillers?

Dermal filler is a synthetic material used to fill a wrinkle or to add volume to an area, whereas PRP is an autologous natural substance used to address skin laxity, fine lines and improve skin complexion. Therefore patients who are unkeen on fillers, may find PRP more appealing. However PRP aims to improve skin quality and texture, whereas dermal fillers produce a volume effect that is long lasting (varying from 9-12 months). They can be used together or separately to achieve different results.

How many treatments of PRP are required?

This will vary between a patient’s skin situation and goals. PRP is often performed in a series of three to four sessions, 4 to 6 weeks apart. We also recommend maintenance treatments every 6-12 months for optimal long lasting results. In order to figure out your PRP treatment plan, talk to us about your goals and we will be able to assess your skin’s requirement and talk you through our recommendation to get you closer to the results you are looking for. It is important to note that results vary between patients. Patients with a good healthy regime, appropriate skin care, and those who do not smoke will generally achieve superior outcomes.

How much does PRP cost? 

The pricing for PRP treatments at Mode Medispa is as follows:

1 Vial for $495, or 2 Vials for $990

These costs also include your full consultation prior to the PRP treatment and follow up.  

Hydrafacial Sydney Clinic

For Quick & Lasting Results

At Mode Medispa we are a Hydrafacial Sydney Clinic; the only clinic north of Chatswood and one of the only clinics in northern Sydney to offer this treatment.

What is Hydrafacial?

Hydrafacial is an innovative technology that delivers the results of an advanced facial in under 30 minutes. It is an experience that is unlike any conventional facial treatment, using a patented technology which is a hydra dermabrasion procedure that can simultaneously cleanse, exfoliate, clear congested pores and deliver nourishing serums to your skin. In addition to instantly noticeable results after each treatment, you will also experience longer lasting results with a short series of Hydra treatments.

What are the steps of a Hydrafacial?

• Cleanse + Peel – Uncover a new layer of skin with gentle exfoliation and relaxing resurfacing.
• Extract + Hydrate – Remove debris from pores with painless suction. Nourish with intense moisturisers that quench skin.
• Fuse + Protect – Saturate the skin’s surface with antioxidants and peptides to maximise your glow.

What are the benefits?

A Hydrafacial is for everyone – it offers a vigorous exfoliation that removes dead cells and extracts impurities from the skin while restoring hydration. This leaves the skin more supple and vibrant. During treatment, a gentle chemical peel is used to further exfoliate and improve skin tone and texture. There is also the option to use different serums during treatment to target individual concerns, to achieve the most optimal skin hydration and rejuvenation. By unclogging pores, it achieves brighter, cleaner and clearer skin. Furthermore, we can combine our Signature or Deluxe treatments with our Medifacials that offer the best of both, leaving your skin glowing and feeling like it has never felt before.

Who is it for?

HydraFacial MD® is suitable for all skin types and is not only highly effective at improving overall skin health but also excellent for remedying:

• Fine Lines and Wrinkles
• Elasticity and Firmness
• Skin Tone Evenness and Vibrancy
• Superficial Skin Tone
• Skin Texture
• Hyperpigmentation/Photo Damage
• Oily/Congested Skin
• Enlarged Pores
• Advanced Signs of Aging

I am darker skinned, and concerned that this treatment is not suitable for my skin type?

This treatment is designed for all skin types. Even the most sensitive skin easily tolerates the HydraFacial treatment.

We will endeavor to choose only the superficial chemical peels during treatment which are safe to use with darker skin types, and choose specific treatment serums and/or customize the treatment for your unique skin conditions and needs. Please come in and consult with our practice nurse for more information.

Is the treatment painful?

Hydrafacial treatment is not uncomfortable or painful. During the exfoliation steps, as the handpiece is passed over the skin, it feels rough like gentle sandpaper passing over the skin. Some clients prefer a more abrasive facial and therefore the strength can be turned up on the machine, and more pressure applied – this is usually necessary for men especially with facial hair to achieve the appropriate exfoliation and hydration. In women, less abrasion and pressure is required. We always adjust the pressure to the exfoliation needed by our patient and to what you prefer during treatment.

What can I expect after hydrafacial treatment?

You may experience slight redness for up to 30 minutes following the treatment. Otherwise, you will notice instantly fresher, dewy, clear and glowing skin.

How can Hydrafacial be used for Acne Treatment?

It can be extremely effective for treating acne scars as well as oily skin, which is a major cause of acne breakouts.

Which is better – Microdermabrasion or Hydrafacial?

Hydrafacial is better than microdermabrasion as it is more lenient on the skin during the exfoliation process. The shedding of dead skin cells is gentler and much more pleasant than microdermabrasion. Microdermabrasion can feel abrasive and result in reddened irritated skin post-treatment. Some patients have even noticed more acne and the appearance of blotchy skin after microdermabrasion.

Hydrafacial is the best solution for plump and firm skin with less downtime and long-term results you can see and feel instantly.

How long is the treatment?

The standard Signature Hydrafacial treatment takes approximately 30-40 minutes.

Our Deluxe Hydrafacial and more specialized treatments can extend for a longer period with lymphatic massage, customized skin boosters, and LED light therapy. This takes 60 minutes.

How much does it cost?

The signature Hydrafacial costs $250. A package of three can be purchased for $600 (reducing the cost to $200 each).

The deluxe Hydrafacial costs $350. A package of three can be purchased for $850 (reducing the cost to $283 each).

Our introductory offer is on now for Signature Hydrafacial for $150 and Deluxe Hydrafacial for $210.Please confirm this with the client.

Subscribe to our email newsletter, which is delivered monthly, to keep up to date on any specials that we have running.

For a full list of complementary treatments see our price list in the non-surgical procedures section of our website.

How often should you get a Hydrafacial?

Ideally, you should get a treatment once every two weeks. Once your skin is in a good place, you could then go on a maintenance program of once a month.

How long do the effects of a Hydrafacial last?

The smooth results and hydration may last up to 5-7 days or even longer. We don’t believe in quick fixes, so one treatment per month is recommended for improving the appearance of fine lines, wrinkles, brown spots, oily and congested skin.

Is there a before and after gallery?

Explore the gallery here.

Is there any downtime?

There is no downtime. You may put on makeup and return to your normal activities right after the treatment.

Are there any precautions before the treatment?

You should not have had anti-wrinkle or filler injections in the 1-2 weeks prior to the treatment. You also need to not be pregnant or breastfeeding. Other contraindications (reasons why you cannot have a Hydrafacial include): herpetic rashes, skin cancers on the face especially if they are ulcerated, inflammation of the skin of the face, or severe forms of acne. You also cannot have it if you are allergic to shellfish. See the full list of preparing for a Hydrafacial in this blog further below.

Can I have Hydrafacial while I am pregnant or breastfeeding?

Unfortunately, it seems that most active ingredients are not safe for use during pregnancy or breastfeeding and therefore you cannot have it whilst you are pregnant or breastfeeding. You can also not have the treatment if you are allergic to shellfish.

Do I have to change my skincare routine when I am pregnant?

It is essential to know that there are several products commonly used in skin care and skin care treatments like Hydrafacial, that are not suitable for when you are pregnant or breastfeeding. The following products should be avoided:

(a)  Retinoids

• Retinol is commonly used in anti-ageing and skin treatments.
• Unfortunately due to its strength, it is not suitable for pregnant women.
• It can be listed as a Retinoid, Retinol or Retin-A on some products.

(b)  Hydroquinone

• Hydroquinone is most common in skin lightening treatments and occasionally some stronger acne treatments.
• Hydroquinone is absorbed deep into the skin making it unsuitable for pregnant or breastfeeding women.

(c)  Salicylic Acid

• Salicylic Acid is commonly used in acne treatment and also in many skin care products and skin care treatments. Unfortunately, it is not suitable for use in pregnancy.
• The oral form of Salicylic Acid is said to cause birth defects. Though the topical form that is generally used in skin treatments is unlikely to cause problems it is still best to be safe and stay away particularly from products with a higher strength than those sold over the counter.

(d)  Benzoyl Peroxide

• Benzoyl Peroxide is also used against acne.
• It is controversial whether or not it is safe for use in pregnancy.

(e)  Tetracycline

• Tetracycline is an antibiotic commonly used to kill bacteria to fight Acne.
• Not advised during pregnancy.

Are there any risks associated with this treatment?

Some clients can experience redness or pinkish colour to their skin from the suction and exfoliation during treatment – in most cases, this subsides within 15 to 30 minutes.

Can I have Hydrafacial after antiwrinkle injections?

You should not have an anti-wrinkle injection first and then this treatment soon after. This is because Hydrafacial increases blood flow to the area where the injections were performed – this means that before the anti-wrinkle product is fully absorbed and active, it will cause unwanted “drift” or spread. However, you could have the facial first and then the injections soon after (even on the same day).

What other treatments can be combined with a Hydrafacial?

Come see our practice nurse at Mode Plastic Surgery for a skin care consultation, during which we will take a thorough history and examination and work out what is best for your skin.

A Hydrafacial treatment can be conducted on the same day as your skin consultation, provided there are no contraindications such as pregnancy, breastfeeding or other medications that you may be taking.

During treatment, you will receive a gentle chemical peel and infusion of standard antioxidants and moisturizing agents. This standard treatment can be modified in many ways:

(a)  Addition of serums to target specific concerns – this is done in our Deluxe Hydrafacial

(b)  Addition of LED light therapy (Healite) which is part of our Deluxe Hydrafacial and can be added to our Standard HydraFacial treatment. For best results, you will need a series of LED light treatments which can be purchased as packages at a discount from our clinic.

(c)  The combination with a Medifacial treatment – a medical combines facial massage, with the Skincare company range of chemical peels, and skin products to produce the ultimate in relaxation, skin exfoliation and hydration that will leave your skin feeling amazing.

(d)  A trial of our medical grade skin care – at the conclusion of your treatment when the pores of the skin are cleaned and open we can employ the use of specialty serums and facial moisturizers that will enhance the effects of your treatment. You can receive some sample/tester pots of these products or even purchase them to take home at the time of treatment, to enhance the results from the treatment.

We can also make Hydrafacial one component of your facial rejuvenation journey. During your skin consultation with our practice nurse, enquire about our fillers, anti-wrinkle injections, and other surgical treatments that can produce the results that you may be after.

What should I do before the treatment? (Pre-hydrafacial care)

Before your treatment:

1.    Discontinue use of Isotretinoin for 6 months (e.g. Accutane).

2.    Discontinue use of topical prescription medications for 48 hrs. (e.g. Retin-A)

3.    Refrain from any type of exfoliating treatment(s) (glycolic, enzymes) to the area of treatment for 48 hrs.

4.    Refrain from any Medium/ Deep chemical resurfacing and laser treatments for 1 month.

5.    Refrain from waxing and use of depilatories for 48 hrs.

6.    Discontinue use of over the counter acne medications (Benzoyl Peroxide, Salicylic) for 48 hrs.

7.    If you are prone to cold sores, Hydrafacial may cause a break out; you may need a prescription for prophylactic treatment such as Valacyclovir. Please use medication 2 days before, during and 2 days after.

8.    Avoid sun tanning or tanning creams/sprays for at least 72 hrs.

9.    We recommend waiting at least 2 weeks for filler or anti-wrinkle injections, or if you have had these recently wait at least 2 weeks to have treatment.

10. For Gentlemen’s Hydrafacial treatment shaving is not recommended on the day of treatment. If you choose to shave, please shave at least 3-4 hours prior to your treatment.

11. The day of your appointment a full consultation will be provided. If you have any special health considerations, allergies, pregnant, etc., be sure to notify us when you make your appointment.

12. However, feel free to contact us with your concerns if in doubt about whether you are a candidate for this.

What should I do after the treatment?

1.    It is recommended to not sweat for 24 hours after the treatment (no exercise, sauna, swimming pools or hot tubs).

2.    Avoid sunbathing for at least 48 hrs (although, we recommend this indefinitely) to prevent UV rays from damaging your skin which slows down the benefits of Hydrafacial. Patients who absolutely cannot avoid sun exposure should use a broad-spectrum sunscreen with an SPF of 30 or higher to maintain your improved skin. We recommend the Skincare Company sunscreen which is SPF50+ and can be purchased for $26 from our rooms.

3.    Avoid anti-wrinkle and filler injections for 2 weeks

4.    Waxing and depilatories can be resumed in 48 hrs.

5.    If you do not need make-up for the evening of treatment, wait until the next morning.

6.    Topical prescription medications can be resumed in 48 hrs.

7.    Over the counter acne medications may be resumed in 48 hrs.

10 Most Common Signs of Gynaecomastia

Gynaecomastia, often playfully referred to as “man boobs,” is something that many Australian males face at some point in their lives. Gynecomastia describes the condition in which a man has oversized breasts. This is a scientifically recognised condition that can be identified by several key characteristics and can be treated with surgery. In this article we share the 10 most common signs of gynaecomastia that you should be aware of.

What causes gynecomastia?

An imbalance between estrogen and androgen hormones typically causes gynecomastia. Men’s bodies usually produce small amounts of estrogen, the hormone that controls breast growth. If your body produces too much estrogen, or you have low testosterone (hypogonadism), your breasts may enlarge.

Sometimes people with obesity develop enlarged breasts due to excess fatty tissue. This condition is known as pseudogynecomastia.
While it’s usually not a big health concern, knowing how to spot it early can help you manage it better.

Here we provide 10 tips for men who believe they may have gynaecomastia and what to do next.

1. Give Your Chest a Feel (How do you do a pinch test for gynecomastia?)

Self-examination: Start by gently touching your chest around the nipple area. Gynaecomastia often feels like a firm, rubbery lump beneath the nipple.
A gynecomastia pinch test is performed by pinching the deep tissue under the nipple in the male breasts. Gynecomastia breast tissue feels like firm tissue but the excess fat is soft and spongy. The gynecomastia pinch test is a gynecomastia physical exam to diagnose gynecomastia from excess fat or pseudogynecomastia.

However, a more accurate gynecomastia diagnosis is performed by a plastic surgeon to evaluate the breast size and its contents.

Compare sides: Check if one side seems different from the other. It’s common for gynaecomastia to affect one breast more than the other.

2. Do Your Nipples Feel Sensitive (Does gynecomastia hurt when you touch it?)

Men who experience gynecomastia can have breast pain and discomfort. This is true for men who have glandular gynecomastia and not pseudogynecomastia. Gynecomastia or manboobs caused by fat build up is not painful.

3. Nipple Watch

Nipple prominence: Puffy Nipples differ from Classic Gynecomastia in that the nipple and areola are cone shaped causing the areola to appear “Puffy”. On an ideal chest, the areola is even with the surrounding chest skin. When there is a case of “Puffy Nipples”, the areola projects outward. This is especially true in warmer or hot temperatures. Many men routinely complain that their nipples are too visible in thin clothing during hot weather.

4. Emotional Check-In

Gynecomastia can have a profound effect on mental health and self-esteem. Many men feel embarrassed or ashamed of their condition, leading to feelings of insecurity or low self-worth. This may lead to depression or anxiety, which can further exacerbate existing mental health issues.

In addition, men with gynecomastia often experience social isolation due to embarrassment about their appearance. They may avoid social situations or refrain from engaging in activities they once enjoyed due to fear of judgement from others. This can lead to loneliness and a decreased quality of life.

5. Hormonal Rollercoaster

Other hormone-related issues: Keep an eye out for other signs of hormonal imbalance, like fatigue, mood swings, or changes in your interest in things you usually enjoy. These can sometimes come alongside gynaecomastia.

6. Age Matters

Teen years: Some breast enlargement is common in boys while they are going through puberty. It is a normal part of growing up. However, some boys find this hard to deal with and can be upset and embarrassed. Boys who are overweight are more likely to develop gynaecomastia, as cells that store fat can also make estrogens. Breast tissues are sensitive to estrogen in boys (as it is in girls). Even small amounts of estrogen can cause breast development. Although for most boys gynaecomastia is part of normal puberty it is important to exclude some medical conditions that are known to cause this. Gynaecomastia may not be easily noticeable. If the boy is overweight, it can sometimes be difficult to tell whether it is breast or fat tissue. In this case pressing the area around the nipple with thumb and forefinger may confirm a circle of rubbery or firm breast tissue.

As you get older: Male testosterone production drops one to two percent each year after age 30, leaving less testosterone available to balance out his estrogen (every man possesses low levels of estrogen to regulate sperm production, bone density, and mood) as he ages. Testosterone can convert into estrogen in the body—therefore, in essence, you are left with higher estrogen levels in your body, and estrogen is the hormone responsible for breast growth. A dip in testosterone also contributes to weight gain, and added fat stimulates the body to produce more estrogen. Make sure to monitor any breast changes as you grow up.

7. Watch Out for Risk Factors

Gynecomastia can be caused by a variety of factors, including hormonal imbalance, certain medications, and medical conditions such as liver disease or kidney failure. Other risk factors include obesity, use of anabolic steroids, anti-androgens, certain antidepressants or other drugs, excessive alcohol consumption. If you’re taking any, keep an eye on your chest. Avoid using anabolic steroids or recreational drugs because they can up your gynaecomastia risk.

8. Stay Active and Eat Right

Keep it healthy: Staying active releases endorphins. Endorphins keep your stress levels at bay and give you a surge of confidence. Endorphins also help you feel happy, which is vital to enjoying “bikini season” when you have gynecomastia. In other words, whether you’re playing volleyball or swimming, make sure you stay active. Exercising may also reduce your breast size.
A well-balanced diet can reduce the symptoms of gynecomastia. A poorly-balanced diet adds excess weight to our bodies in general. The extra weight can go to your chest, making your enlarged breasts more pronounced and droopy.

9. Family Clues

Genetics at play: If gynaecomastia runs in your family, you might be more prone to it. So, make sure to stay vigilant about your chest for any changes.

10. Talk to an expert

Seek medical advice: If you spot any of the signs mentioned or if you’re just worried about your chest, don’t hesitate to reach out to a healthcare pro.

Get checked: A doctor can do a thorough check-up, review your medical history, and even order some tests if needed to confirm if it’s gynaecomastia and rule out other issues.

Before & After Gynaecomastia Surgery

This patient of Dr Aggarwal had mild gynaecomastia which he was very self conscious about. This before and after result is shown 3 months after surgery which included liposuction and direct gland excision through a concealed scar around the nipple. The aim of surgery is to allow this patient to have the confidence to take his shirt off when swimming or at the beach, with scars that are difficult to see.

Gynaecomastia is something that plenty of Australian men face. While it’s usually not a big deal, knowing how to spot the common signs of gynaecomastia early can make it easier to deal with. If you think you might have gynaecomastia or notice any of the signs we talked about, have a chat with a healthcare pro. Getting the right advice early on can help you manage it well and keep your peace of mind about your health.

Remember, you’re not alone in this, and there are solutions available to help you handle it.

Excessive Sweating Treatment

What is Hyperhidrosis (Excessive Sweating)?

Sweating is an important bodily function that is performed to keep your body cool and prevent you from overheating. However, some people experience a condition called hyperhidrosis which is marked by an overactive sweat mechanism. This can occur at anytime, even when your body doesn’t need to cool off, so excessive sweating treatment is a good option.

Excessive sweating can be a source of embarrassment for many people. Hyperhidrosis often results in stained clothes, creates awkward moments during romantic settings and disrupts both personal and professional interactions. Fortunately, there are treatments that can help you get the relief you need if you suffer from hyperhidrosis.

You can receive customised treatment recommendations by speaking with our nurse in person.

Schedule Your Consultation

Is Hyperhidrosis Genetic?

It appears that one of the types of hyperhidrosis – primary hyperhidrosis – may be an inherited condition. You certainly may have family members who suffer from the same excessive sweating. Secondary hyperhidrosis is the other type, and it is associated with an underlying condition, such as neurologic disorders and spine injuries.

Can Hyperhidrosis be Prevented?

Prevention of excessive sweating depends on the cause so you will be able to reduce episodes of hyperhidrosis if you can identify triggers, such as excessive caffeine consumption or untreated generalized anxiety. If the condition is caused by certain medications, you may want to talk to your doctor about finding an alternative medication to see if sweating is reduced.

For most people, hyperhidrosis cannot be prevented, but it can be managed, allowing you to lead a more comfortable, fulfilling life without the constant nuisance of being too sweaty.

What Regions of the Body Are Impacted by Hyperhidrosis?

Hyperhidrosis typically causes excessive sweating in your:

• Armpits
• Palms of your hands
• Soles of your feet

Often, hyperhidrosis can interfere with routine activities. Sweaty palms can make it difficult to open a doorknob, grip a pen or shake hands. Bad armpit sweat can soak through your clothes, leaving embarrassing marks. And sweaty feet can drench your socks, leaving your feet uncomfortable all day long.

Who is a Candidate for Hyperhidrosis Treatments?

You may be a good candidate for clinical strength antiperspirant or for in clinic treatement if you experience:

• Excessive sweating on the palms, soles of your feet, and underarms
• Excessive sweating interferes with your quality of life and is a significant inconvenience
• Perspiration gets in the way of your daily life, such as when you need to shake someone’s hand, or wear a professional blouse that stays dry for the duration of a presentation

Most people with excessive sweating are good candidates for treatment.

Hyperhidrosis Treatment

Depending on the nature and severity of your condition, our nurse may recommend one of the following treatment options:

• Clinical strength antiperspirants
• In Clinic treatment

Treatment in our clinic works very well in most cases of hyperhidrosis, it helps armpit to lessen sweat gland activity. The treatment discomfort in this region is very minimal and can also be administered in the hands & feet to reduce sweating in these areas.

How Long Will My Treatment for Hyperhidrosis Results Last?

In Clinic treatment will reduce hyperhidrosis for about 4-6 months, at which point re-treatment is necessary to maintain the effect. As you receive successive treatment, you may find that the effects begin to last longer, and that more time can pass between appointments.

How Many  Sessions for Hyperhidrosis Will I Need?

Hyperhidrosis can be reduced with a single appointment at our practice. It takes about 5 days to see the initial results, with optimal results reached in 2 weeks.

Are Clinical Strength Antiperspirants Safe for Hyperhidrosis Treatments?

Most people experience minimal to no side effects or complications when using clinical strength antiperspirants. Two of the most common side effects are irritation and a burning sensation where the antiperspirant is applied. Talk to our nurse if this occurs.

Breast Reduction Surgery Cost

In this article we answer some of the most common questions, including how much does breast reduction surgery cost.

What are the benefits of breast reduction surgery?

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 results in strain and discomfort in your back, neck, and shoulders. By reducing the size of your breasts you can alleviate that tension, reduce/eliminate pain, and improve your quality of life.

2. 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.

3. 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.

4. 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.

5. 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.

Will my health insurance pay for breast reduction surgery?

Your private health insurance can cover some of the breast reduction surgery cost if it is deemed medically necessary, such as for alleviating chronic pain or skin irritation. This typically requires a referral from a GP or specialist. Coverage can include surgeon, anesthetist, and hospital fees, though out-of-pocket expenses may still apply. Policies vary, so patients should review their plans and consult with their insurers to understand the specifics of their coverage.

Does Medicare cover any of the cost?

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 Surgery?

The out of pocket cost for breast reduction, with private health fund coverage for item number 45523 (Breast reduction for medical reasons), is approximately $13,500. This is inclusive of

• Plastic Surgeon and Assistant Fees,
• Anaesthetist Fee,
• Private Hospital and theatre fees (overnight or longer if required),
• Post operative garment (including two surgical bras), and
• Post surgery follow up

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.

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).

Men’s Health at Mode

June is an important month on our health awareness calendars, as it’s time for Men’s Health Week, and the time to incite conversations around what it means for men to be healthy. 

Figures show that men are less engaged with their health and are less inclined to seek professional help for issues that they may face, which contributes to the fact that men die at disproportionately higher numbers throughout the stages of life. We as a community must reflect on how we can create positive and healthy environments for men and boys. We need to challenge perceptions – masculinity and self-maintenance are not antonyms. 

We at Mode Plastic Surgery primarily see male patients for skin health concerns (including skin cancer treatment) and cosmetic concerns. With this in mind, we believe it would be beneficial to share information on these health concerns that we treat every week. 

Skin Health- Cancers & Melanomas

Australia and New Zealand have the highest rates of melanoma in the world, and men are at higher risk of developing both non-melanoma and melanoma skin cancer than women. This could be because men are more reluctant to have their skin checked. Skin cancer risks include:

• Excessive exposure to ultraviolet (UV) radiation from the sun (or from solariums)
• Fair skin
• Blonde hair
• Multiple moles
• Having a depressed immune system: People who are immunosuppressed, such as solid organ transplant recipients, have a higher risk of non-melanoma skin cancer and melanoma.
• Family history: this is questionable but there is some higher risk amongst families of a person with melanoma – some of this could be genetic or growing up/living in a similar environment.
• Previous personal diagnosis: People who have been diagnosed and treated for melanoma or non-melanoma skin cancer have a greater risk of additional diagnoses.

Our recommendation is a 6 monthly skin check with your GP or dermatologist. Even if you are not due for a skin check, you should be vigilant and watch for:

• New moles and spots.
• Existing moles which increase in size, change colour or become irregular. 
• Any mole or spot that becomes raised, lumpy, scaly or ulcerated.
• Red moles that are firm and enlarging.
• Any mole or spot that itches, bleeds or weeps. 
• Any spot that looks different from the others.

Both GPs and dermatologists will undertake non-surgical management of simple sunspots and some skin cancers such as superficial BCCs. However, SCCs and most BCCs will require surgical excision and it is best to pick these up as early as possible to limit the size of excision and surgery needed. 

Prevention is certainly better than cure and one of our best tips for prevention is year-round use of sunscreen, making sure that you reapply when spending prolonged time periods in the sun. When in direct sun you should use a sunscreen with the highest SPF (SPF 50+). If you are staying largely indoors a moisturiser with sunscreen is ideal. Other than preventing skin cancer, this is actually the best way to have your skin looking youthful for as long as possible as the number one cause of aging is photoaging related to sun exposure. 

Cosmetic Surgery for Men – Gynecomastia and Abdominoplasty

Gynaecomastia is one of the most frequently discussed procedures with our male patients. Gynecomastia is an enlargement of breast tissue in males,  most commonly caused by hormonal imbalances. It is very common – more than half of all boys develop the condition during puberty, and it normally disappears as they grow older. About 1 in 3 older men will develop it. 

The condition causes enlarged breasts that feel rubbery or firm. It can be mild where it is easily concealed in clothing to dramatic sizes where patients feel embarrassed in social settings as they find it difficult to conceal. We normally treat gynecomastia with liposuction and direct gland removal via an incision placed around the nipple. Patients in the past have stayed in the hospital for a night, and the surgery is performed under a general anaesthetic. 

The other most common discussed procedure is Abdominoplasty and Liposuction frequently around the tummy or torso region. These procedures are best in patients who maintain a healthy lifestyle with a balanced diet, and exercise. We can then target surgical solutions – liposuction being good for difficult to move fat deposits, and abdominoplasty or body lift being the solution when there is excess skin. Dr Aggarwal would guide you through this decision making if you have had massive weight loss or wish to discuss your concerns.

What we are doing at Mode for men 

Mode Plastic Surgery is committed to engaging with men’s health and their maintenance, and this month we will be offering a variety of specials and information. 

Hydrafacial Special. 

Throughout June, we will be offering Hydrafacial Treatments for $150. HydraFacial is an amazing technology that delivers the results of an advanced facial in under 30 minutes. It uses a patented technology that can simultaneously cleanse, exfoliate, clear congested pores and deliver nourishing serums. Vouchers can also be purchased in June for the special price for use at any time over the next 12 months. 

Men’s Health Skin Care Bundle 

In this new Men’s Basic Bundle deal, we will be providing the essentials for improving skin’s overall health, giving any man a refreshed look. The pack includes three products:

• Foam Cleanser
• Moisturiser with sunscreen OR AHA/BHA Exfoliator 
• Hydrating moisturiser.

These products would normally be valued at a combined value of $310, but this new Bundle is being sold at an astounding price of $199. 

Mode Skin Protection Pack 

For all our patients who have had excisions of any moles or skin cancers, or alternatively any surgery, we suggest this pack as a way to maintain the best scar, and for general sun protection. 

The pack includes three products:

• SPF 50+ sunscreen
• Moisturiser with sunscreen 
• Silicone Gel 5g.

These products would normally be valued at a combined value of $145.95, but this new Bundle is being sold at an astounding price of $100. June only; for our regular pricing, please refer to our online store.

Contact Us

Throughout Men’s Health Month, we will be highlighting that Mode Plastic Surgery is practice for all, and that we are committed to the health and positive results of all clients, no matter their gender. We want to commit to showing men that it’s okay to seek help. If you would like to find out any more information on our offers, services or health concerns that we specialise in treating, contact us on 1300 80 9000, or email at info@modeplasticsurgery.com.au.

Common Questions about Breast Implant Revision Surgery

Women have had breast augmentation surgery for a multitude of reasons – for self confidence, to restore breast shape after having children, or to correct asymmetry. However breast implants change and deteriorate with time and can rupture, migrate or become hard (called capsular contracture). Other women have experienced pain, or other problems from the original surgery causing them to be unsatisfied with the result. Alternatively the breast shape or tissues may have changed, and the nipple position may have dropped requiring revision surgery.

• Breast implant revision surgery is therefore an effective solution to
• Change a ruptured implant
• Correct implant malposition (where it has moved to far up, down, or out to the side)
• Correct breast asymmetry
• Correct breast droop (or ptosis)
• As treatment for capsular contracture (when the implant has gone hard)
• Improve implant rippling

It should be remembered though that information pertaining to the original surgery can be very helpful in planning revision surgery – such as information about the implant size, manufacturer, shape, pocket (subpectoral or subglandular), date of insertion, and the surgeon who performed the procedure. If you have these details on hand (or as many as possible) then it is useful to bring these with you to a consultation.

1. Am I a good candidate for breast revision?

If you are suffering due to poor aesthetic outcomes of your primary breast augmentation surgery or your implant has ruptured or changed in shape over time, you are likely to be an ideal candidate for an effective breast revision cosmetic surgery procedure.
You may not be a good candidate for this revision procedure if you have certain medical problems that can negatively impact the outcomes of the surgery. These can include smoking, diabetes, being on blood thinners, or being significantly overweight. This does not necessarily mean that you cannot undergo the procedure. However, discuss your plans with the surgeon who can help you to understand what to expect from the surgery.

2. How soon after breast augmentation can you get a revision?

Most surgeons would recommend waiting at least 6 months (Ideally 12 months) before seeking a revision surgery. It can take this long for the tissues to soften and relax, allowing your implants to drop and settle. Once you have fully healed and your final results are evident, then you and your surgeon can decide whether you should have a revision procedure.

It is important to also be clear from both the surgeon and patient to agree to the reasons for revision, and the realistic goals that could be achieved from surgery, as revision surgery is often harder than the original procedure to achieve the ideal aesthetic. The challenges would be discussed with you during a preoperative consultation.

3. Will I get new implants with breast revision surgery?

In general, yes. It is imperative to not to handle implants (as in be placed in and out of the body) for reasons of contamination, infection and a rare disease called ALCL. Overall while implants contribute to additional cost it is imperative that implants are of the highest quality, are sterile when inserted, and ideally not handled further once placed inside the body. Also modern generations of implants are much more cohesive than the older generations, meaning they are unlikely to ‘leak’in the event of a rupture. They probably also last a lot longer (upwards of 15 years), and have less rates of capsular contracture.

Breast revision usually involves a combination of removing or replacing the breast implants, altering the size or type of implant, eliminating scar tissue and/or lifting the breasts. Revision surgery is usually more complex, more time consuming than the original surgery, and sometimes there can be surprises for the surgeon which are only realised during the surgery. However your surgeon will best try to anticipate these, and discuss any potential challenges with you during a preoperative consultation.

4. Does breast revision include a lift?

Breast revision doesn’t always include a breast lift by default, but the surgeries can be combined to better address any drooping of the nipple position. If you are having your implants removed, switching to a smaller size, or experiencing sagging, you may want to consider adding a lift for the best possible results.

5. Will my breast revision scars be worse than my primary surgery?

Dr Shagun Aggarwal may be able to make improvements to the appearance of the scars from the primary breast procedure. In most cases, we would utilise incisions under the breast for access to implants, but if a lift is required then additional scars would be needed around the nipple.

6. Does breast revision hurt?

Although the surgery can be more challenging for the surgeon, breast revision recovery can be quicker and more comfortable than breast augmentation recovery because the space for the implants already exists, and your body has already adjusted to having implants in place. However this of course depends on what other steps are being performed – such as capsulectomy, or lift that could add to the discomfort or introduce a need for a drain (generally avoided for most revisions). As with any procedure, we’ll provide guidance as to any medication, garments, or aftercare instructions that may enhance your comfort.

7. Is breast revision surgery recovery more complicated than my prior breast surgery?

Breast revision surgery is often more involved than the primary surgery as it involves correction of implant position, resizing them, adjusting internal pockets, and possibly doing a lift or other manoeuvres such as fat grafting.

8. Do I need to take more extensive time off work? If so, how much?

In general Dr Aggarwal will try and avoid drains if possible but these are sometimes needed especially if a lot of capsule work is being performed. If needed, we would endeavour to remove drains in 1-2 weeks from surgery but it would depend on how much fluid is being produced by the body during recovery.

If you are working in an office setting, you will likely require at least one (preferably 2) weeks of leave from work. You should not lift, strain the upper body or exercise aggressively for around six weeks after the surgery and diligently follow the surgeon’s guidelines during the recovery phase.

9. What is the recovery period after breast implant revision surgery?

The recovery period after breast implant revision surgery is often similar to your recovery after a breast augmentation, but be prepared if it turns out to be more difficult. You can discuss how your individual recovery might progress with your doctor, as well as learn about any restrictions after the operation.

10. How long do the results last?

Unless you gain or lose a significant amount of weight or become pregnant, your new breast implants should remain fairly stable. As with natural breasts, the effects of gravity and aging will eventually alter the size and shape of your breast implants but this is a slow process over 10 plus years. Breast implant revision surgery aims to restore your breasts to a more perky and youthful appearance.

11. Will insurance help cover the cost of breast implant revision surgery?

In general, because it is an elective cosmetic procedure, the cost of breast implant surgery is not covered by insurance. However, exceptions do exist under certain circumstances. If, for example, a breast implant revision surgery is needed in the context of breast cancer reconstruction then it is likely to be covered. In some cases implant removal alone due to complications such as capsular contracture or implant rupture, may be covered by Medicare and a health fund. We would discuss your costs and if there are any rebates, during consultation.

DIEP Flap Reconstruction

In this post, we focus on breast reconstruction using DIEP flap or own tissue breast reconstruction (also known as autologous).

What is DIEP flap reconstruction in Sydney? 

DIEP flap reconstruction involves reconstructing a new breast, from tissue in the lower abdomen. The surgeon removes only the fat, skin, and blood vessels, leaving behind the muscle that belongs to the abdomen (the six-pack or rectus muscle).

DIEP stands for Deep Inferior Epigastric Perforators, these are the specific blood vessels within the abdomen that supply blood to the lower abdomen or tummy area. Typically a special CT scan called a CT Angiogram will be organised prior to surgery to determine whether the blood vessels in your abdomen are of sufficient size for this type of surgery.

So, how does it all work?

First an incision is made along the bikini line, and a portion (the flap) of the lower tummy fat and skin is removed along with its blood supply. This block of tissue (the flap) is then transferred to the chest, and the patient is left with a scar similar to that of a C-section (but it is longer). It’s effectively similar to having a tummy tuck (the slight difference in the scar being that it can sit a little higher than that of a tummy tuck).

The flap is then transplanted to the chest – this is perhaps the most interesting and most crucial part of the surgery. Blood vessels in the chest are found, and then the tiny blood vessels in the flap are connected to these chest vessels under a microscope.

Think of suturing two tubes under a high magnification microscope, and placing delicate sutures that are 100 times finer than a human hair delicately around these tubes to reconnect them. The flap is then formed into a breast shape with sutures under the skin. If a patient is having a unilateral, meaning one-sided procedure, then this is done on the one side.

Any tissue that is not used is discarded. In a bilateral, meaning double side reconstruction, most of the tummy tissue is needed and split in half, with blood vessels from each side of the tummy connected to each side of the chest- this obviously means the surgery is longer than just a one-sided reconstruction.

It’s this microscopic element of the procedure which is what makes it so phenomenal and creates amazing results. Any surgeon performing this procedure requires specialty surgical training, particularly to become an expert at the microscopic element of reattaching blood vessels – this is taught to all surgeons who go through Plastic Surgery Training, but only a few surgeons choose to specialise in this area. Those who practice this area, like Dr. Aggarwal, do so after having completed rigorous overseas fellowship training in microsurgery.

What are the aims of breast reconstruction?

The aim of breast reconstruction is to:

• Create a breast mound
• Look great in clothes (even tight-fitting dresses)
• Achieve symmetry with the opposite breast (in cases of one-sided or unilateral reconstruction)
• Avoid the use of a prostheses

What are the advantages of DIEP flap reconstruction?

The patients who have successfully undergone this surgery ‘sing from the rooftop’ (hopefully!) as there are some huge benefits of this surgery which include:

• A natural look and feel to the breast
• Breasts that are in proportion to the rest of their body
• Breasts will respond to the body as normal, such as fluctuating in size depending on weight gain or loss
• No need to compromise any necessary muscle (although in some people we may need to take a small piece of muscle due to the size of their blood vessels).
• A permanent reconstruction unlike implants that need to be changed every 10-15 years
• Aesthetic appearance that is difficult to match using implants

Where do I start if I am considering DIEP Flap Reconstruction?

The best thing you can do before your DIEP flap breast reconstruction is research. If you are looking up things online use reputable websites and it is good to do some background reading before booking a consultation.

When you do book a consultation, speak to a specialist plastic surgeon who specialises in this area. When researching your surgeon, check what experience they have, have they done fellowship training in the area, is this part of their regular work, and what do patients say about them (check reviews).

During a consultation, the surgeon should explain all the details of the surgery including:

• How the surgery is performed
• What to expect after surgery
• All potential outcomes, including possible complications and their solutions
• Show you before and after photographs of their work
• Discuss relevant costs

Perhaps the most important way to judge your surgeon is how they handle complications – how will you be looked after, will you have direct access to them, and will it cost more to treat complications (it should generally not!).

Another excellent way to prepare is talking and connecting with women who have undergone the procedure and speaking to them about their experience. A fantastic resource is on our Mode Instagram platform where we have documented many past patients’ experiences.

Do I need any special scans in preparation for DIEP flap surgery?

Yes, after a consultation Dr Aggarwal will typically ask you to obtain a special CT scan called a CT Angiogram – usually, this is organised at a specific radiology practice familiar with this type of scan and also obtaining the information that Dr Aggarwal needs. This scan located the blood vessels traveling through the tummy area, and supplying the tissue that will be used for reconstruction. In short, it is used to determine whether the blood vessels in your abdomen are of sufficient size for this type of surgery.

What is the difference between a DIEP flap and msTRAM flap? Can I be guaranteed that I will have a DIEP flap?

Ultimately both surgeries involve a transplant of the tissue from the lower abdomen/tummy area to the chest to reconstruct a beautiful breast. The key part of this procedure is the surgeon finding the blood vessels in the tummy and delicately dissecting and removing them and transplanting them to the chest.

If the blood vessels in the tummy are too small to keep the blood flowing to the tissue, then doing a DIEP flap is dangerous and can result in part or all of the flap not surviving the transfer – in these situations a small amount of muscle may be harvested as this keeps more of the blood vessels traveling from the muscle to the skin and fat needed for reconstruction.

Dr Aggarwal, who is very experienced in this area, will explain during a consultation how the decision is made, but the aim is always to take the minimum or no amount of muscle during surgery, as long as the safety of the flap transfer is not compromised.

We feel it is therefore difficult for any surgeon to ‘guarantee’ that a DIEP flap will be performed, as the decision regarding muscle or no muscle harvest depends completely on the size of blood vessels found at the time of surgery.

Why should I come to Mode Plastic Surgery for my DIEP flap reconstruction?

Here at Mode, Doctor Shagun Aggarwal performs all major surgeries including DIEP flap reconstructions. Dr Aggarwal is one of few plastic surgeons who is trained in both cosmetic surgery as well as reconstructive microsurgery – DIEP flap reconstruction is one of the passions of Dr Aggarwal, who trained in Sydney, and then sub-specialised in this area through further fellowship training at the University of Pennsylvania (UPenn, Philadelphia USA), and University of Toronto (Canada).

We feel you could therefore not be in better hands! Additionally, the hand-picked nurses and support team, Dr Aggarwal works closely alongside with are what make the surgical experience seamless and successful.

Mode Plastic Surgery has a reputation for professionalism but what we hold most highly is our commitment to patient wellbeing and their desired results. We would welcome you to read our reviews on independent websites or talk to our previous patients about their results and experience.