CONSULTATION WITH DR ALI HUSSAIN
The first step is to arrange an appointment with Dr Ali Hussain. In your first visit, Dr Ali Hussain will listen to your concerns, explain the procedure, will try to understand your expectations and perform a physical examination to assess and advise you on your options, taking into consideration your desires and expectations. You’ll also get the opportunity to discuss with Dr Ali Hussain any questions you have in relation to your breast augmentation procedure.
AM i a good candidate for a breast augmentation?
In the eyes of Dr Hussain, the best candidates for breast augmentation are women who are looking for improvement, not perfection, in the way they look. If you’re physically healthy and realistic in your expectations, you might be a good candidate for a breast augmentation procedure.
Breast augmentation is designed to increase the size of small or underdeveloped breasts. Breast surgery can also restore and enhance your breast volume if it has decreased as a result of pregnancy and breast-feeding. In addition, breast implants can serve one or more of a number of purposes; breast cancer patients can use breast implants for reconstructive purposes after mastectomy, or women with asymmetrical breasts may use a single breast implant to balance the difference in size.
The availability of TGA and FDA-approved silicone gel implants have created new options for women considering breast surgery for the first time and for those who have had previous surgeries but are seeking new replacements or revision.
What should I consider when planning my breast surgery?
In your initial consultation, Dr Ali Hussain will evaluate your health and explain which surgical techniques are most appropriate for you, based on the condition of your breasts and skin tone. If your breasts are saggy, you may be advised to have a lift based on the measurements Dr Ali Hussain will do on the day of the consultation.
What happens after my first consultation?
You will meet Dr Ali Hussain to discuss the pros and cons of your procedure. In this consultation it is very important that you feel you have time to adequately explain your aims from breast enlargement surgery. Aims will vary from person to person and will depend very much on your type of physique, the clothes you would like to wear and the aesthetic outcome you would like following your operation. You will be provided with information following your consultation, it is important that you read through all of the documentation and complete any forms required. Dr Ali Hussain will offer you a second complimentary consultation to ensure you have a thorough understanding of the procedure. It can be helpful to write down or make a note of any questions you have while reading through the paperwork. Following the second consultation, you can speak with the clinic to organise a surgical date.
What support can I expect when making the decision to have surgery?
You can expect ongoing support and access to our team. Dr Hussain is happy for his patients to contact him even after the consultation and before the surgery to answer any queries or concerns you may have.
What preparation IS REQUIRED for breast augmentation surgery
In some instances, Dr Ali Hussain may recommend a baseline mammogram before surgery and another mammographic examination some months after surgery. This will help to detect any future changes in your breast tissue. Following breast augmentation, you will still be able to perform breast self-examination.
If you are a smoker, you will be asked to stop smoking well in advance of surgery. Aspirin and certain anti-inflammatory drugs can cause increased bleeding, so you should avoid taking these medications for a period of time before surgery. Dr Ali Hussain will provide you with additional pre-operative instructions.
Breast augmentation is usually performed on an outpatient basis. If this is the case, be sure to arrange for someone to drive you home after surgery and to stay with you at least the first night following surgery.
What will the day of breast implant surgery be like?
Your breast augmentation surgery will be performed in a hospital under general anaesthesia. Medications are administered for your comfort during the surgical procedure, which should take about 45 minutes. When surgery is completed, you will be taken into a recovery area where you will continue to be closely monitored. Your breasts will be wrapped in gauze dressings or a surgical bra. You will be permitted to go home after a few hours.
How will my breasts look and feel after the breast implants have been placed?
Your breasts will be swollen and firm immediately after your surgery. They will soften over the coming weeks and may occasionally firm up again before really softening. This can take several weeks. You may be able to feel the edge of an implant, this is normal.
Dissolving sutures/skin glue and a soft micropore tape dressing are used to help you achieve a well-healed scar. Dr Hussain will remove these tapes at your post-operative visit after two weeks, it is important that you leave all dressings as they are unless advised by clinic staff. While your dressings will be waterproof, we do not recommend removing the bra at any stage during the first 48 hours; after this time you may shower. It is important that your dressings remain dry, so if you feel that water may have entered your dressings you must notify the clinic and arrange for them to be changed. It is very rare for any surgical drains to be used. Most patients go home the same day and do not require an overnight stay.
The breast skin may initially feel and look tight /shiny but this will settle within a few days. Some discoloration and swelling will occur initially, but this will disappear quickly. Most residual swelling will resolve within a month.
What type of breast implants can be used for breast augmentation?
The size and type of breast implant recommended for you will be determined by your goals for breast enhancement, your existing body frame, and mass, your existing breast tissue, and the preferences you and your surgeon discuss. The implant is placed in a pocket either directly behind the breast tissue over the muscle (sub-glandular) or partly underneath the pectoral muscle which is located between the breast tissue and chest wall.
Breast enlargement or augmentation is achieved by inserting an implant into the breast. All implants approved for use in Australia are made of a silicone shell filled with either silicone gel or a saline solution. The surface of the breast implants can be either smooth or textured (rough). Breast implants are manufactured under strict quality control.
Silicone is a naturally occurring element. It has been used extensively in everyday products for many decades and is regarded as one of the most compatible materials for implanting into the body.
Silicone implants have a more natural look, and feel like breast tissue. The cohesive silicone gel is semi-solid which retains its shape and does not run like liquid. Dr Ali Hussain, like the vast majority of Australian surgeons, uses only silicone implants due to their superior results when compared to saline implants.
New scientific data on the safety of breast implants is rapidly being collected. In the future, it is possible that additional types of filler materials may become available as advancements take place. Surgical techniques for breast augmentation and breast implants themselves are continually being refined, increasing the safety and reliability of the procedure. Dr Hussain will be able to provide you with the latest information.
What shapes and sizes of the breast implants are available?
Breast implants are either round or tear drop with different sized widths and projections. There are literally hundreds of different types to choose from.
Round implants have a round base with varying widths and projections. These are by far the most popular and reliable implants used. Round implants and shaped implants come in different heights. The height of an implant is how much it protrudes from your chest, known as the profile of your implant.
Tear drop implants are flatter at the upper half and fuller at the lower half with different sized bases and heights, which affect their projection. All tear drop implants are textured. A potential disadvantage of the teardrop implants is that they can rotate, causing distortion to the bust.
The selection of the breast implant to be used is dependent on the dimensions of your chest, your current breast shape and size, skin elasticity and the appearance you desire. After a careful assessment and discussion with you, Dr Ali Hussain will recommend the particular type of implant shape and size that he feels will provide you with your desired outcome.
What Breast implant will be best for me?
Dr Ali Hussain will take the detailed measurements of your breasts at your consultation. These measurements are necessary not only for narrowing down your implant choices but also to plan your surgery and ensure that the implants you eventually select are appropriate in size for your frame and that your breasts and nipples are correctly positioned over the implants and do not sit too high or too far out to the sides. Based on these measurements, Dr Ali Hussain will show you the various implants that could achieve the look you desire.
Where are the incisions made for the placement of breast implants?
There are three possible incision positions in which the breast implants can be inserted, depending on your personal preference, your body type and Dr Ali Hussain’s professional preference. All have their advantages and disadvantages. All operations cause a scar which will take time to heal and fade.
Inframammary – the most popular surgical approach. The incision lies within the natural crease along the bottom of the breast. It is approximately 4-5cm in length and the resultant scar typically fades in time. It allows excellent exposure of the space where the implant will be placed.
Periareolar – a semi-circle at the border of the areola (pigmented skin surrounding the nipple). The size of the areola limits the size of the implant that can be inserted. There is also a risk of loss of nipple sensation as well as potential distortion in this incision.
Axillary – or under the arm, means that you will not have a visible scar on the breast itself. If the eventual scar does not fade it can be obvious when the arm is elevated, preventing you from wearing short-sleeved clothing. Bruising is far more common with this incision and there are some technical disadvantages with this approach.
What Risks are associated with Breast Augmentation?
Every year, many thousands of women undergo successful breast augmentation surgery; however, anyone considering surgery should be aware of both the benefits and risks. The subject of risks and potential complications of surgery is best discussed on a personal basis during your pre-operative consultation.
Some of the potential complications that may be discussed with you include reactions to anesthesia, blood accumulation that may need to be drained surgically and infection. Although rare, an infection that does not subside with appropriate treatment may require temporary removal of the implant. Changes in nipple or breast sensation may result from breast augmentation surgery, although they usually are temporary.
When a breast implant is inserted, a scar capsule forms around it as part of the natural healing process. The capsule may sometimes tighten and compress the implant, causing the breast to feel firmer than normal. Capsular contracture can occur to varying degrees. If it is severe, it can cause discomfort or changes in the breast’s appearance. In such cases, more surgery may be needed to modify or remove the scar tissue, or perhaps remove or replace the implant.
Rupture can occur as a result of trauma to the chest, but more commonly it occurs spontaneously with no apparent cause. Surgery will be required to replace the implant, if desired.
If you are at an age when mammographic examinations should be conducted on a periodic basis, it will be important for you inform the radiologists/radiographers who may also take slightly different views that are less likely to damage your breast implants. Dr Ali Hussain, in some instances, may recommend other types of examinations such as ultrasound or magnetic resonance imaging. Whilst it is possible, it is unproven that the presence of breast implants could delay or hinder the early detection of breast cancer.
Results of breast augmentation
Breast augmentation will make your breasts fuller and enhance their shape. You will find it easier to wear certain styles of clothing. Like many women who have had breast augmentation, you may have a boost in self-confidence.
How long will the results last after a breast augmentation?
Except in the event of implant deflation requiring surgical replacement, the results of your breast augmentation surgery will be long lasting. Gravity and the effects of ageing will eventually alter the size and shape of virtually every woman’s breasts. If, after a period of years, you become dissatisfied with the appearance of your breasts, you may choose to undergo a breast “lifting” or mastopexy to restore their more youthful contour.
What Post-operative care I will be provided?
You will return for follow-up care at prescribed intervals, at which time your progress would be evaluated. Please remember that the relationship with Dr Ali Hussain does not end when you leave the operating room. If you have questions or concerns during your recovery, or need additional information at a later time, you should contact Dr Hussain.
How long before I get back to feeling normal?
You should be able to return to work within a few days, depending on the level of activity required for your job. Dr Ali Hussain will explain that in detail in your consultation. During recovery, get lots of rest, drink plenty of fluids and eat small, healthy meals regularly. All surgery results in some swelling and bruising but should start to settle after a couple of weeks. The scar from the incision will be slightly red for a few months before it fades.
No massage should be done in the immediate two week post operative period, after this time Dr Hussain will guide you in the massages you will require. After several months, your scars will begin to fade, although they will never disappear completely.
You will be advised about when you can return to normal activities and work. However, heavy upper body activities and sports should be avoided for at least six weeks after surgery. Smoking must be avoided 8 weeks after the surgery as it increases the risk of the infection.
Goal of your Surgeon
The goal of your surgeon and the entire staff is to make your surgical experience as easy and comfortable for you as possible. Dr Ali Hussain provides ongoing and extensive follow up and after care at no further cost to you, as well as after hour’s access to his work mobile for any urgent concerns
What is the cost of surgery?
Cost of Surgery and Consultation
Consultation: $100 – Dr Ali Hussain will exclusively reserve an hour in consultation and it is a practice policy to obtain payment prior to your consultation. This policy has been implemented to discourage no shows or late minute cancellations.
A standard breast augmentation costs $7,990.
Hospital and bed fees
Breast Implants ×2 (Round Cohesive Silicon gel Implants)
All post-operative appointments
Cost is always a consideration in elective surgery, but it should not be the only consideration. You have the right to be informed about the costs you can expect, before you have your surgery.
Mammography – routine clinical or physical examinations will not be hindered by breast implants – breast cancer can still be detected in an augmented breast, in fact, any breast lump will probably be made more prominent by the breast implant. When you have your scheduled mammograms, inform the radiologists of your implants so that you are given the appropriate mammogram. Occasionally, to achieve a better examination of breast tissue, some women have additional tests such as an ultrasound or MRI.
Breastfeeding – breast implants does not affect your ability to breastfeed. However, the longer you breastfeed the more likely your breasts will droop after you stop breastfeeding due to the prolonged engorgement of your breast tissue (with or without implants).
Connective tissue and autoimmune disorders – while there have been some allegations that these conditions are associated with breast implants, extensive scientific studies have demonstrated absolutely no connection between the two.
Breast Implant Illness – There is no known medical or surgical evidence to support the existence of breast implant illness.
BIA-ALCL – Breast implant associated ALCL is a rare form of cancer. It typically involves the swelling of the breast, usually between 3 & 14 years post surgery due to an accumulation of fluid. Less commonly it may present as a lump in the breast or armpit. Based on currently available data, it is difficult to estimate a level of risk, however, TGA is estimating that the risk of ALCL is somewhere between 1-in-1,000, and 1-in-10,000. At this time the TGA is not recommending prophylactic removal of existing implants and will continue to monitor the situation.
HOW TO BOOK A CONSULTATION
You can book a consultation to discuss your suitability for this procedure by phoning us on 0420 488 105 or by emailing email@example.com. Alternatively, you can fill out the contact form on our home page and we will phone you back to organise a suitable appointment time.
Disclaimer: All surgical procedures carry risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.