Guide to Breast Augmentation

Australian Skin Clinics’ Guide to Breast Augmentation Once upon a time… Women lived with the breasts they developed naturally, whether they were happ...
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Australian Skin Clinics’

Guide to Breast Augmentation Once upon a time… Women lived with the breasts they developed naturally, whether they were happy with them or not. Short of wearing a padded bra, there was not much they could do to make up for a deficiency in that department... Those days are over.

Copyright ASC IP Holdings Pty Ltd 2012

Australian Skin Clinics

Cosmetic Medical, Laser & Re juvenation

TM

The Quest for Better Breasts… Breast augmentation is one of the most commonly performed cosmetic procedures and can dramatically improve a woman’s natural body contour. Surgical breast augmentation, using implants, makes it possible for women to choose virtually any cup size they desire.

Many assume that bigger is better. But is it? That depends on your individual taste, your body frame and the "look" you want to achieve. Online breast augmentation chat rooms are full of posts from women who, having had the procedure, are suffering either from "boob greed" who wish they had gone bigger, or “boob over-load” and wished they had not gone quite so large! Think about TV personalities such as Jordan (who had large then larger implants, before having her breasts reduced again) and Victoria Beckham, who started out with round implants and now has softer, more natural looking tear shaped implants. For many women, the decision to have a breast augmentation is the easiest part of the process, but at Australian Skin Clinics we want you to understand every aspect of the decision you are making so that you can make an informed choice about your surgery. In this booklet we aim to inform you about breast augmentation and provide you with the information you need to be aware of when considering surgery. If you are planning breast surgery, you should take the time to be sure about your decision. Research and planning on your part will go a long way to making sure that when your breast augmentation experience is over, you will be happy with the results. An experienced practitioner, like Dr Simon Rosenbaum, specialising in breast augmentation will be invaluable in helping you decide the best size and shape of your implants for your frame and assist you in understanding a number of other factors that need to be taken into consideration when selecting your implants.

Deb

Deb Farnworth-Wood CEO

It’s All About You It is crucial that this surgery is for YOU. Choose a size that makes YOU happy - not your spouse, partner, family member or best friend. After all, you are the one who will be living with this decision. You must however, listen to advice from your breast specialist as he/she will also be considering your body’s natural shape and the amount of loose skin you have to place the implant behind. Ultimately these will affect how the implant looks, feels and sits.

Beware of Well Meaning Friends It is strange how many unqualified people think they know just what you need! Unless your family and friends are doctors that specialise in breast implants, tell them to ‘zip it’ and seek professional advice. What is right for them may not be right for you.

Deb

Am I a good candidate for breast implants? One or more of the following may indicate that you are a good candidate for breast implants: • You feel that your breasts are too small • Clothing that fits well around your hips is often too large on the bust • You feel self-conscious wearing fitted clothing or a swimsuit • Your breasts have become smaller in size and lost their firmness after having children • Fluctuation in weight has changed the size and shape of your breasts • Asymmetry exists where one of your breasts is noticeably smaller than the other • Your breasts have sagged but the nipples are still sitting at or above the level of the breast fold

What cup size should I choose? While bra cups are sized A, B, C and up, breast implants are measured in cubic centimetres (cc’s). Implant sizes range from 120cc to 850cc but, the breast size you start out with will influence the implant size you choose. If you start as an A cup, you'll need more cc's to take you to a C cup than a woman who starts as a B cup. The experiment on the following page will help you to understand cc’s vs cup size...

Take the Rice Test Using a sock and rice, you can get an idea of implant sizes and the difference they will make to your breast size. • Take a long sock or stocking, an elastic band and a bag of uncooked rice. • Start with 300cc (300 grams approx) of rice. Using a measuring cup, pour the rice, into the stocking/sock and use an elastic band to close the end. If you are thin with very small breasts, you may like to start with 190cc (190 grams). • Place the stocking inside a non-padded, non-wired bra and try it on for size. • Add or remove rice until you are happy with the size. • Try on clothes with the rice substitutes in place to get an idea of how you'll look with larger breasts. Pay particular attention to how the fuller bustline looks compared to the rest of your figure. Is it in proportion? Add more rice if it appears too small. • If your breasts appear to overwhelm the rest of your body, be realistic about whether you will want to live with this shape for the rest of your life.

Creating Cleavage Cleavage is defined as the cleft between a woman's breasts lying over the sternum (breast bone). We all know it as that valley peeking out from a casually unbuttoned blouse or on full view under a low-cut top. It's important to note that larger breasts don't necessarily translate to more cleavage. As breasts get larger, the amount of cleavage usually increases, but the wider the space between your breasts, the less of an impact implants will have on your cleavage. Keep this in mind when choosing an implant size.

The Essential Questions to Ask During Your Breast Implant Consultation By Dr Simon Rosenbaum

MB BS ACCAM

1. Dœs your doctor carr y out these procedures regularly? Just as you would like the obstetrician delivering your baby to be delivery many babies every month, your breast surgeon should also be doing many procedures every month. I suggest that at least 10 would be reasonable.

2. Is the procedure carried out in a registered facility? Breast augmentation must be carried out in a registered facility to ensure maximum comfort and safety. Typically, in a registered facility, you will have an anaesthetist, anaesthetic nurse, scrub nurse, scout nurse, and your doctor. If your doctor does not use the right facility, possibly to cut costs, then safety, comfort and recovery may be compromised.

3. Dœs your breast specialist have a par ticular interest or skill, for example in using tear-shaped implants? Implants come in different shapes, sizes, and with different coatings. Even the feel of gel can vary from soft to firm. The surgical technique is very different for tear-shaped implants, compared to round implants.

4. What are the possible complications? All surgeries carry risks. In the case of breast implants, complications can occur soon after surgery or later on. Ask your doctor what his or her complication rate is, especially with capsule contraction. Ask what the policy is for the management of, and costs associated with these potential problems.

Dr Simon Rosenbaum

5. What size implant is best for your body? Whilst you may have your own ideas about breast size, the dimensions of your body, specifically the width of the rib cage underneath the breast and your shoulders are the main determinants of the maximum size of implant that is feasible. If, for example, you are a size 10 in clothes, the “base width” may be between 10 and 11 cm. The width of the implant selected must be compatible with those measurements. If the implant is too wide, you will be likely to experience rippling, implant failure, and other problems. There is evidence that long term results are adversely affected when the implants are too big. Large implants that place too much pressure on the breast tissue will cause the tissue to thin out and waste away and accelerate sagging.

6. Silicone gel or saline? Saline implants are now considered out dated and very few people use them. They do not feel as natural as silicone ones and are prone to rippling when inflated. Some studies also show a significant leakage and failure rate after just a few years. The original safety issues with silicone gel have now been resolved, and they are fully approved by health authorities all over the world. Silicone implants feel much more natural and are more reliable. Many of the manufacturers back their implants with lifetime guarantees. At Australian Skin Clinics, we use mainly cohesive gel implants, which are by far the safest.

7. Round or shaped? If you are seeking the most natural look, then tear-shaped implants are usually the best choice. Sometimes the surgeon can use what we call an 85% fill round gel implant – this can also give a very natural shape. If you would like more fullness in the upper breast, then a round implant will provide this. Both shapes will improve your cleavage. The shaped implants can also be used to give a nice lift to the nipples, avoiding the need for a breast lift in many cases.

8. Location of Scar Implants can be inserted below the natural breast, through the nipple, through the navel and through the underarm. It is important that you discuss this with your surgeon. My preference whenever possible is beneath the breast as this causes the minimum interference with the body and the scar is concealed within a natural fold. Recent studies have shown that long term results are better with this approach.

9. What is the cost and what is included? Always confirm that the price you are quoted includes theatre, anaesthetist and procedure fees, follow up, garment, medications and after care. Verify all costs involved in the event of complications.

Choices, Choices & More Choices By now it should be clear that the decision to have breast surgery should be given careful consideration. This is not a one-size-fits-all proposition - at least not if you want to be completely happy with the final results. Make your decision a personal one, not one based on what your friend or neighbour would do (or has done). Your choice should be made in consultation with an experienced specialist, preferably one who has many breast augmentation procedures behind them and has the evidence (before and after photos) to prove it. Rely on his or her expertise, keep your expectations realistic, and your chances are excellent that you'll get the results you're seeking. Dr Simon Rosenbaum MB BS ACCAM, Cosmetic Surgery Practitioner, Australian Skin Clinics

Next Steps Once you contact Australian Skin Clinics, you can be sure that we will take care of you all the way. Your journey will look like this.

Step 1: Consultation with Dr Rosenbaum During your consultation the doctor will need to examine and measure you. He will then discuss your aspirations and goals before making recommendations for your surgery. Risks and benefits will be explained and you will be shown before and after photographs of other cases. Please feel free to bring a list of questions to the consultation – we want you to feel comfortable about your surgery. After the consultation a quote will be prepared for you. Our quote includes theatre fees, anaesthetist, procedure fees, medication and garments.

Step 2: (optional) If you are unsure about sizing after your consultation, we can arrange for you to spend time with one of our specialist nurses to try on the implants again with a crop top or tight t-shirt. It is worth spending the extra time to ensure that you are happy with the proposed size.

Step 3: Booking Our friendly team will be happy to help you find a suitable date for your surgery. We try to keep our waiting lists to a reasonable level and from time to time run catch-up days. Please let your Client Care Coordinator know if you are happy to accept an earlier appointment with short notice.

Step 4: Pre-Op Appointment Two or three weeks prior to your procedure you will need a pre-op appointment with one of our specialist nurses. During this appointment you will have the opportunity to ask more questions. The patient consent forms are signed at this time but if you are still unsure about any aspect of your surgery, we can arrange for you to see Dr Rosenbaum again. Pre and post op care will be explained to you, measurements will be taken for your garment and your implants are ordered.

Step 5: Procedure The procedure is carried out at our day hospital and takes approximately an hour and a half. Afterwards you will have rest and recovery time, before going home the same day. You will need a responsible adult with you on the first night. There is significant evidence that patients recover faster and more comfortably in their own home and in familiar surroundings and there is no need to stay in hospital overnight. Dr Rosenbaum rarely uses drains. Most of our patients experience minimal discomfort during recovery.

Step 6: Post Operative Care When you leave the hospital we give you several contact numbers (Dr Rosenbaum, Deb and the Clinic) in case you have any concerns. We are always available for advice. We normally see you the next day for a change of dressings and again 5-6 days later. Dissolvable stitches are generally used, but if they have not dissolved at the same time we may remove them. After about 6 weeks Dr Rosenbaum likes to see you for a final check, but you may of course make an appointment at the clinic before then if you have any concerns. As a guide, you can expect to return to office work within a few days, more physical activities need a little more time.

Step 7: Client Experience Questionnaire We continually monitor our performance and ask all clients to complete a post surgery questionnaire. Your feedback is important to us and influences the way we shape and provide services. Our standards are high because we want them to be!

Why Choose Australian Skin Clinics for Your Breast Augmentation Procedure? Experience Dr Simon Rosenbaum has performed over 2500 breast augmentation procedures and has over 25 years experience in cosmetic surgery. Breast augmentation procedures are performed by Dr Simon Rosenbaum at our day surgery centre. We use a fully trained anaesthetist and combined general and local anaesthetic.

No Pressure Our policy is that this procedure must be right for you, and therefore, you should make the decision. We take great care to inform you of all risks, as well as benefits, so that you have all the information that you need, to decide whether the procedure is right for you.

Facilities Our facilities are second to none. Why not see for yourself and make an appointment to meet with our friendly and caring staff.

Fixed Price There are no surprises and no hidden extras at Australian Skin Clinics. Our quotes are guaranteed and we include implants, bra and all fees.

Post-Op Care Once your procedure is completed we maintain contact with you and ensure that your recovery is smooth. Our goal is to keep a life long relationship with all our clients, to be your clinic of choice and the clinic you recommend to your friends.

Call 07 5509 0000 for a consultation.

W e Tr u s t i n O u r Tr e a t m e n t s , A n d Yo u C a n To o Muscle relaxants forehead and glabella

“It looks like a lot of work, but this was the result of a treatment plan spread over two years to achieve ongoing subtle change”.

Deb Farnworth-Wood Clinic Owner

Eyes

Fraxel to under eyes (2 treatments) Upper eyelid surgery Cosmetic eyeliner tattoo (upper and lower) Muscle relaxants

Cheeks

Dermal filler IPL and Laser Genesis for Rosacea (2 treatments)

Nose

Dermal filler to correct ‘hook’

Mouth and Lips

Dermal filler in the lips Muscle relaxants Cosmetic lip tattoo

Before

Jaw

Thermage NXT to jawline Dermal filler to jawline

Neck

Muscle relaxants to platysma bands

After 2009, Age 45

2006

Beautiful Body Contouring

Before & After Liposuction with Dr Rosenbaum

Before & After Liposuction with Dr Rosenbaum

Using the Latest Ultrasonic Techniques Dr Simon Rosenbaum has practiced cosmetic surgery since 1988, and since then, has performed thousands of successful procedures. Breast Augmentation Liposuction/Liposculpture Abdominoplasty (Tummy Tuck) Face Lift / S Lift Brow Lift Fat Transfer Labiaplasty/Labioplasty Male Breast Reduction Trampoline Neck Lift Prominent Ear Correction Threadlift Blepharoplasty (Eyelid Reduction)

Call our experienced team now on 07 5509 0068 to book your consultation.

We have a philosophy of continual improvement and always strive to increase our services to clients. We provide as much honest information as possible to allow you, our client, to make informed decisions about treatments. Here are a few of our free downloadable e-publications, available from www.ozskin.com

Australian Skin Clinics’ Guide to Teen Acne

Step Away from the Mirror... I just want to kiss myself!

Everybody’s Doing It! Yeah Guys, Even You...

Australian Skin Clinics’ Guide to Muscle Relaxants

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Phone 1300 303 014 Australian Skin Clinics - ‘Express’ Clinics: Helensvale: Westfield Shopping Centre Robina: Robina Town Centre

Australian Skin Clinics - Ashmore: 7/151 Cotlew Street Ashmore Qld 4214

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