Breast Enlargement (Under-armpit Incision)

About the Procedure

Breast augmentation, also known as breast implant surgery, is an elective cosmetic procedure designed to enhance the size and shape of the breasts using implants. The procedure may be chosen for various reasons, such as restoring breast shape and volume after pregnancy, ageing, or weight loss, or addressing developmental asymmetry.

One surgical approach is the trans-axillary method, where the implant is inserted through a natural crease in the armpit, leaving no visible scar on the chest. Other common incision sites include the crease under the breast (infra-mammary) and around the nipple (peri-areolar). Your practitioner will discuss the most suitable option for you based on your anatomy and preferences.

Initial Consultation and Assessment

Before deciding to undergo breast augmentation, a face-to-face consultation with a qualified practitioner is required. During this appointment:

• Your medical history will be reviewed, including any pre-existing conditions, current medications, and allergies.
• Your breasts and chest will be examined and measured to assess your anatomy and determine appropriate implant options.
• The surgeon will discuss:

• The type and size of implants most suitable for your body proportions and desired aesthetic outcome.
• The placement of the implant (above or below the chest muscle).
• The incision site, which influences scar visibility and healing.
• The benefits, risks, and limitations of the procedure.

• If you are under 18 years of age, an additional psychological assessment is required to confirm suitability.
• Under the Medical Board of Australia guidelines, there is a mandatory 7-day cooling-off period after the initial consultation before surgery can take place. This ensures you have adequate time to make an informed decision.

Types of Breast Implants

There are different implant shapes, textures, and sizes available, and the choice depends on your anatomy, skin characteristics, and personal preferences.

• Shape: Round or teardrop-shaped implants are available, each creating a different breast contour.
• Filling Material: Silicone gel implants are often used as they closely resemble the feel of breast tissue.
• Surface Texture: Textured or polyurethane-coated implants are options that may reduce certain risks, such as capsular contracture.

Your practitioner will guide you through the selection process to find an implant that best aligns with your goals while taking into consideration what is medically appropriate.

Implant Placement Options

The placement of the implant can affect the final look and recovery process. There are three main options:

• Sub-glandular (above the muscle) – may provide a more natural movement but can make the implant more noticeable in people with limited natural breast tissue.
• Sub-muscular (under the muscle) – offers more coverage of the implant and may reduce certain risks, but recovery can take slightly longer.
• Dual plane – a combination of the above two methods.

The most suitable placement will be determined after a careful physical assessment.

Procedure Overview

• The procedure is typically performed under general anaesthesia.
• A small incision is made inside the natural crease of the armpit.
• The implant is carefully inserted and positioned either above or below the chest muscle.
• The incision is closed using sutures, and a dressing is applied.
• Surgery usually takes one to two hours, and most patients return home the same day.

Recovery and Aftercare

Recovery time varies depending on the individual and the surgical approach.

• Some swelling, bruising, and discomfort are normal and usually subside within a few weeks.
• Pain-relief medication and antibiotics may be prescribed.
• Light activities can typically be resumed after a few days, but strenuous exercise should be avoided for several weeks.
• Supportive garments may be recommended to aid healing.
• Regular follow-up appointments will be scheduled to monitor your recovery.

Your practitioner will provide specific aftercare instructions tailored to your needs.

Risks and Potential Complications

As with any surgery, there are risks and potential complications, which will be discussed in detail during your consultation. These may include but are not limited to:

• Infection
• Bleeding or haematoma (blood accumulation)
• Capsular contracture (scar tissue forming around the implant)
• Changes in nipple or breast sensation, which may be temporary or permanent
• Implant rupture or leakage
• Visible scarring
• Unsatisfactory cosmetic result, as outcomes cannot be guaranteed
• Asymmetry, which may require revision surgery

Understanding these risks is essential to making an informed decision.

Important Considerations

• Breast augmentation is not medically necessary and is performed purely for aesthetic reasons.
• Results vary between individuals, and specific outcomes cannot be guaranteed.
• A thorough consultation and a minimum 7-day cooling-off period are required before scheduling surgery.
• If you are under 18, additional assessments are legally required to ensure your emotional and psychological readiness.