Breast Augmentation

Why choose RCSS?

At RCSS, we offer breast augmentation using advanced techniques, including the trans-axillary approach, which involves placing implants through a natural crease in the armpit. This technique can help minimise visible scarring on the chest.

Our approach is:

Experienced care – Dr Xu has been performing breast augmentation procedures since 1989.
Tailored to the individual – The incision site is chosen in consultation with you, taking into account your anatomy, skin type, and personal preferences.
Multiple surgical options – Procedures may be performed using an incision beneath the breast or through the armpit, depending on what is most appropriate for you.

Note: Viewing before-and-after images can help you understand the potential outcomes of surgery but does not guarantee similar results. Each person’s outcome will differ.

What is breast augmentation?

Breast augmentation, also known as breast implant surgery, is a procedure that involves inserting implants to change the size or shape of the breasts.

People consider this procedure for various reasons, such as:

Addressing developmental or congenital differences in breast size or shape
Restoring volume and shape after changes due to pregnancy, breastfeeding, or ageing
Aligning breast size with personal preferences and body proportions

It is important to understand that while this procedure may change the appearance of the breasts, results vary for each individual, and no specific outcome can be guaranteed.

Key considerations for a balanced breast shape

While aesthetic ideals vary, certain factors are often discussed during consultations, such as:

Balance between the upper and lower portions of the breast
Position and angle of the nipple
The natural contour of the upper and lower breast tissue

Your surgical practitioner will assess your anatomy and discuss what is realistically achievable based on your individual circumstances.

Initial consultation – what to expect

During your first consultation, you will:

Discuss your goals and expectations
Have a physical assessment, including measurements of the breast, chest wall, and surrounding tissue
Learn about the types of implants, placement options, and incision sites available
Discuss potential risks, complications, and the recovery process

You will also have the opportunity to ask questions and explore whether the procedure is appropriate for you.

Options for breast augmentation

Implant selection

Breast implants vary in size, shape, and surface texture.

Options include:

Round implants – often used to add overall fullness.
Teardrop (anatomical) implants – designed to create a sloped contour.

Implants may be filled with silicone gel or other materials. At RCSS, we commonly recommend silicone gel implants as they tend to feel more similar to natural breast tissue.

The right implant for you will depend on your anatomy, aesthetic goals, and the recommendations of your surgical practitioner.

Implant placement

There are three common positions for implant placement:

Sub-glandular (above the muscle)
Sub-muscular (under the muscle)
Dual plane (a combination of above and below the muscle)

Each option has potential benefits and drawbacks. Your practitioner will discuss which placement may be most suitable for you based on your anatomy, tissue characteristics, and desired result.

Incision site

The incision site determines where scars will be located. Common options include:

Inframammary – in the crease under the breast
Trans-axillary – through a crease in the armpit
Peri-areolar – around the edge of the nipple

The choice of incision site will depend on several factors, including your skin type, personal preferences, and the surgical approach recommended by your practitioner.

Recovery process

Recovery time varies from person to person. In general:

You may return home the same day or stay overnight depending on the procedure and your health.
Swelling, bruising, and discomfort are common in the first few weeks and should gradually improve.
Most people return to light activities within 1–2 weeks, but strenuous exercise should be avoided for at least 4–6 weeks, or as advised by your practitioner.
Follow-up appointments will be scheduled to monitor healing and address any concerns.

Your practitioner will provide specific aftercare instructions to support safe recovery.

Risks and complications

All surgical procedures carry some level of risk. Potential risks of breast augmentation may include:

Bleeding or haematoma (collection of blood under the skin)
Infection
Capsular contracture (firm scar tissue forming around the implant)
Changes in nipple or breast sensation (temporary or permanent)
Implant rupture or leakage
Unsatisfactory cosmetic result, which may require revision surgery
Scarring that may vary in appearance depending on individual healing

Your practitioner will explain these risks in detail and discuss strategies to minimise them. It is important to carefully weigh the benefits and risks before deciding whether to proceed.

Important considerations

Breast augmentation does not prevent the natural ageing process, and further changes in breast appearance will occur over time.
Breast implants are not lifetime devices. Future surgeries may be required to replace or remove implants.
Regular check-ups and monitoring are essential to ensure long-term safety and health.
If you are considering this procedure, it is vital to consult with a qualified and registered health practitioner.