FAQs

Breast Augmentation

When can I resume normal activities?

Approximately four to six weeks following surgery.

Should I be at my ideal weight before I have implants?

Ideally you should be close to your normal weight, as further weight loss or gain tends to change your look.

When can I wear an underwire bra?

It is best to wait about three months to allow scar tissue to settle.

How long will the implants last?

The time period varies from woman to woman – some women need replacement surgery in only a few years, while others may go 10-20 years. General literature states that the average life expectancy is 8 – 16 years. Sometimes it is a matter of choice – such as size change or variation of implant style. Sometimes removal and replacement is necessary because of a complication such as deflation, capsular contraction or shifting of the implant.

How long does it take for the swelling to go down?

This will vary – improvements will be noticed 10-14 days after surgery, with all swelling resolved by 6 weeks.

Will my nipple sensation be the same?

There can be changes in nipple sensation. Feeling can increase or decrease or stay the same. Nerves that supply the nipple come from the lateral aspect of the breast and care is always taken to preserve them. With larger implants the possibility of nerves being stretched or damaged is more likely, as a much larger pocket is needed. Sensation may improve with time.

Will my breasts be perfectly symmetrical?

Augmentation does not correct the asymmetry of the breasts, the implants take the shape of the breasts. If there is a marked asymmetry in size, this can be partially corrected by using different implant sizes and shapes.

Will I be able to breastfeed after implants?

Your breasts will enlarge and go through all the usual changes associated with pregnancy. Current studies indicate that women with implants, (either gel or saline) do not have any higher levels of silicone in their milk than women without implants. Some women may experience mastitis (inflammation of the breast ducts) and taking antibiotics when symptoms first appear may minimise the risk of resulting capsular contraction.

What causes capsular contractions?

The body’s natural response creates a layer of scar tissue (capsule) around the entire surface of any type of implant. Ideally the scar tissue will remain thin and pliable. However if the scar tissue shrinks and thickens (contracts) it may compress the implant making the breast round and firm. Some women have no scar problems. However it is believed that the surgical method of sub muscular placement, using textured implants, minimising post operative swelling and bleeding will all assist in modifying the body’s response.

There is growing evidence to support the possibility of a link between capsular contractions and a subclinical infection. In those affected by this condition there have been significantly higher levels of the bacteria Staphylococcus Epidermidis – a 5 day course of antibiotics following surgery may also assist.

Do breast implants affect mammography?

Special displacement techniques and additional views may be required but all breast tissue can be viewed.

What do I need to consider before I undergo a breast augmentation?

Implants:

Saline:

Silicone:

  • Feel more natural
  • No rippling
  • Rupture, usually intra-capsular 0.1%-0. 5%
  • Slightly more capsular contraction
  • After swimming in cold water, maintains cold feel until warmed by circulation.

Texture:

Smooth:

  • Visible rippling may be reduced
  • Softer feel
  • Less palpable in women with thinner breast tissue
  • Greater risk of capsular contraction
  • Moves more freely in the breast pocket.

Rough:

  • Thicker shell
  • May be palpable if little breast tissue present
  • Allows some tissue adherence into the surface, reducing the risk of capsular contraction
  • Moves less freely.

SHAPE:

Round:

• Totally round
• Makes upper part of breast fuller
• Various degrees of projection available, i.e. low (3.9cm), medium and high profiles (5cm) for the same size implant.
• More universal
• A wider, flatter round implant will look like a tear-drop once in a patient
• If rotation occurs, no change in shape will be evident.

Anatomical Shape

  • Thicker shell
  • Shaped more like a tear-drop, resembling the natural shape of the breast
  • Less fullness
  • Combination of height, width and projection available. Both height and projection can be low, moderate or full. Width changes with implant size.
  • Indicated when there is little to no breast tissue and if you do not like the round look
  • Risk of rotation. Some articles quote 3-4% others, 15-20%. This gives a very unnatural appearance and will need to be removed and replaced with round implants.

Size:

For a natural look breasts need to be in proportion with the overall shape of the body. Not only bra size (i.e. from a 3A to a full 3B or C) needs to be considered, but also the width of the breasts as this will determine the cleavage and the outer curve of the breasts.

Implant size is limited by the elasticity of the skin and the amount of breast tissue present.
Sizing is done prior to surgery using sample implants of varying sizes wearing a crop top over your own breasts. This is not ideal, but does give an indication as to what look is desired. During surgery a sizer can be used to determine what size implant closely matches this look.

Taking all the above considerations into account the size chosen plus one below and one above, will be available in theatre.

What is Silicone?

Silicones are a family of chemical compounds. They are made from silicon, a naturally occurring element found in sand, quartz and rock. After oxygen, silicon is the most common element in the earths crust, and becomes silicone when it is combined with oxygen, carbon and hydrogen. Short chains are liquid, progressing to gel, foam and finally a hard resin or rubbery material, called elastomers. A silicone implant has an elastomer outer layer which can be smooth or rough (textured) and an inner gel with different consistencies. Some implants also have a protective barrier between two elastomer layers to reduce any possible gel diffusion.

Another form of silicone is dimethicone. This is found in hairsprays, suntan lotions and moisturising creams. The liquid form is for coating surgical needles and suture thread and in the interior surfaces of syringes and bottles used for storage of blood. Protective silicone coatings are used in pacemakers and heart valves. Silicones are also used in artificial joints, catheters, drainage systems, facial implants and tissue expanders.
Silicone products have been found to be biocompatible (accepted by the human body without adverse reaction), reliable, flexible and easy to sterilize. This makes them ideal for use as implants.

Tummy Tuck

What is a Tummy Tuck?

A Tummy Tuck is a surgical procedure that targets the abdominal region

If you have excess fat or skin around your midsection, a Tummy Tuck (also known as an Abdominoplasty) allows this excess tissue and fat stores to be surgically removed, whilst tightening the skin and contouring the area, resulting in a tighter and firmer stomach. Our Tummy Tuck surgical goals include:

  • Flattening of the abdomen
  • Elimination of unsightly scars, surface irregularities, wrinkling and stretch marks
  • Restoration of a waist
  • Reduction of overly full hips
  • Tightening of lax skin and muscle

Is there more than one type of Tummy Tuck?

At North Adelaide Medical Centre we utilise four different types of Tummy Tucks to give you the best options…

We are committed to giving you the ultimate in terms of service and treatment, which is why we can apply several different kinds of Tummy Tucks to give you the best result.

  1. LIPOSUCTION ONLY:  used when there is minimal skin laxity and varying accumulations of subcutaneous fat and muscle laxity.
  2. MINIPLASTY:  the excess skin and fat is limited to the lower abdomen.
  3. THE MODIFIED ABDOMINOPLASTY:  there is more significant skin excess and flaccidity that may not be confined to the lower abdomen. A greater amount of skin is excised than type 2 patients, but not the entire skin ellipse below the umbilicus.
  4. FULL ABDOMINOPLASTY WITH OR WITHOUT LIPOSUCTION:  this is for people with marked skin laxity, manifested by striae (stretch marks), thinning and diminished elasticity.  There is also considerable flaccidity of the upper and lower musculofascial system.  (ie above and below the umbilicus)  However, patients should recognise that surgery does not improve the remaining skin tone. (which is the elasticity – contractility.)

Am I a suitable candidate for a Tummy Tuck?

The decision to undergo cosmetic surgery is very personal…

Before undergoing surgery Dr Margaret Anderson will sit with you in a consultation to determine your goals and aspirations. Dr Anderson will then be able to determine if you will benefit from a Tummy Tuck, and will go over any risks or dangers associated with the procedure to ensure you make a fully informed decision.

Tummy Tucks are usually sought after for those who carry excess weight or sagging skin around their abdominal section.

How long will it take until I can exercise again after Tummy Tuck surgery?

We recommend taking it easy and resting for a week after your procedure…

If you love exercise, you must note how important it is to rest for the week following your procedure. Two to three weeks after your procedure you will be able to go on brisk walks, but rigorous exercise should be restrained until six weeks after your procedure. This will ensure that you heal properly before undertaking demanding exercise.

How long does the procedure take?

It depends on the amount of tissue to be resected, approximately 2 – 3 hours.

Is there a lot of pain afterwards?

There is a reasonable amount of discomfort in the first 1 -2 weeks. The muscle sheath is infiltrated with long lasting local anaesthetic during surgery and you can have a pain pump overnight. The abdomen will feel tight initially and ease off with time.

When can I resume normal activities?

During the first week you will need rest with minimal walking 2-3 days in a partially fixed position, (to take tension off the scar line.) Good hydration and healthy eating is advisable to avoid constipation. Take laxatives if necessary. Wear the corset day and night for 4 weeks.

How long should the wound be covered with tape?

For 4-6 weeks for an improved scar. The pressure aligns the fibroblasts and helps prevent hypertrophy – a raised scar.

Bio Oil or equivalent is massaged into the scar daily, once the tape has been removed. Usually this results in a thin scar, which will fade after a few months.

How soon after surgery can I shower?

After 24 hours you can shower and the tape can be patted dry with a towel and completely dried with a hair dryer. Note: soaking in a bath or swimming is NOT permitted.

What activities are allowed?

No vigorous or strenuous activities for the first four weeks. Gym work can normally be resumed after 6 weeks – when the tissues are well healed and stronger.

Will I have drains?

Drains are always used in public patients, or when liposuction is combined with an abdominoplasty. Thrombin Fibrinogen glue is used for patients covered by private Health Insurance. This aids the upper abdominal flap to adhere to the muscular abdominal wall.

Is abdominoplasty beneficial?

Definitely, as it tightens the abdominal wall, improving bladder function and preventing overeating, with pressure on the stomach which prevents over distension. Clothes fit more comfortably. Self esteem and confidence improves.

Liposuction

What does Liposuction target?

Liposuction is a surgical procedure that extracts fat cells straight from the body…

Liposuction is a procedure that removes localised deposits of fatty tissue anywhere in the body. It is a procedure that targets excess fatty tissue pockets that cannot be eliminated with diet or exercise.

Fat distribution is determined by two factors – heredity and diet. Heredity determines the location and number of individual fat cells which are fixed and unchanging after puberty. Diet can increase or decrease the amount of fat in each cell but will not affect the total number of cells or their distribution. For example, if you have inherited large numbers of fat cells on your thighs and small numbers of fat cells on your chest, you will always have more fat on the thighs than on the chest, and strenuous attempts at weight loss can leave you with a thin upper body and persistently bulky thighs

Liposuction is a surgical procedure that extracts fat cells straight from the body…

Liposuction is a surgical procedure that extracts fat cells straight from the body…

Liposuction is a procedure that removes localised deposits of fatty tissue anywhere in the body. It is a procedure that targets excess fatty tissue pockets that cannot be eliminated with diet or exercise.

Fat distribution is determined by two factors – heredity and diet. Heredity determines the location and number of individual fat cells which are fixed and unchanging after puberty. Diet can increase or decrease the amount of fat in each cell but will not affect the total number of cells or their distribution. For example, if you have inherited large numbers of fat cells on your thighs and small numbers of fat cells on your chest, you will always have more fat on the thighs than on the chest, and strenuous attempts at weight loss can leave you with a thin upper body and persistently bulky thighs.

Are there patient selection criteria for Liposuction?

We have selection criteria to ensure you will gain the best results from liposuction…

We are dedicated to helping you achieve your ultimate goal, and to be sure we are able to do this we have incorporated patient selection criteria for our Liposuction technique. This criterion includes but is not limited to:

  • Good physical and mental health.
  • Cardiovascular disease or diabetes can increase complications.
  • People with localised pockets of fat will have better results than those with generalised distribution of fat.
  • Good skin elasticity and firmness give the best results.

If you are expecting perfection from liposuction, it is best not to undergo the procedure – as we can only promise improvement.

When should I consider Liposuction?

Liposuction is a personal choice and we will not recommend a procedure unless we feel it will benefit you…

It is important to know that Liposuction should be a last resort for weight loss, and only after you have tried getting rid of those last lumps and bumps with diet and exercise. If you have tried using diet and exercise and are still having trouble losing those last few fatty areas, book an appointment at our medical centre for a full consultation.

Can Liposuction remove my cellulite?

Liposuction does not necessarily eliminate cellulite, but can improve its appearance…

Every patient is different; however we have seen improvement in cellulite in those that have undergone our Liposuction procedure. While it does not completely eliminate cellulite, it can help to reduce the negative appearance of cellulite.

Book a consultation

Call us today
(08) 8267 6844

or

Find Dr Margaret Anderson

To book a consultation with Dr Margaret Anderson please call our practice.

  • (08) 8267 6844
  • Suite 8, 1st Floor
    183 Tynte Street

    North Adelaide, SA, 5006

Choose to love yourself

LETTING GO Letting go does not mean to stop caring, it means I can’t do it for someone else. Letting go is not to cut myself off,…

FREE GUIDE
Transform the shape and appearance of your body with Body Contouring. Explore the possibilities in our FREE guide!
Thank You
Thank you for your interest in our comprehensive body contouring guide!