Current price for February to April is $6990 including round silicon (textured) cohesive gel implants, surgery, sedation anaesthesia, theatre costs, GST, post op care up to one month and breast band.
Replacement breast implants are $6990 and include the same as above. Please see below for condition and restrictions.
Types of Implants :
Current implants are composed of either silicon or are saline filled. The majority of implants fitted in Australia are silicon. Less than 1% are saline. This is because silicon implants look and feel more natural. In the USA saline implants predominate primarily due to the previous scares concerning earlier silicon implants and leakage problems.
Silicon implants come in 2 different shapes – round or tear drop and a range of different height profiles. It is individual choice as to which is preferable and will also depend on the amount of breast tissue in the individual. Tear drops tend to present a more natural shape, however, some prefer the enhanced roundness at the top of the breast that comes with round implants.
Positioning of implants :
Implants can be placed either on top of the pectoralis major muscle or beneath. The location will depend on a number of factors including how much breast tissue is present, the extent of the muscle, and the cosmetic outcome desired. Those individuals who are high level sportswomen may wish to have implants above the muscle.
Size is dependent on number of factors including personal preference, chest and body size and initial breast tissue. Average implants vary from 200-400g. Cup sizing can be confusing as a size 8 person may only require 250g to achieve a D cup, yet a size 12 person may require 400g. Consideration should also be made in regards to a natural look, breast weight and skin stretching in later life.
Some breast asymmetry is reasonably common and may relate to asymmetry in the chest wall and in the volume of natural breast tissue or movement of the implant. Infection is an unlikely but possible complication and would require removal of the implant and reinsertion at a later date. Bleeding and bruising are also possible and may require return to theatre. Capsular contraction is a known complication where the body generates a fibrous tissue reaction to the implant creating a capsule causing breast firmness and sometimes pain. The incidence has been reduced with modern implant surfacing materials. Other possible complications include implant rippling and wrinkling, movement with exercise or extrusion, implant rupture or leakage, calcification, change in sensation, keloid and abnormal scarring, and general surgical risks associated with any operation.
Operation details :
The procedure is performed under deep sedation (as opposed to full general anaesthetic), allowing a faster recovery. An incision in the breast crease, armpit or around the nipple, is made 3-4 cm in length depending on the size of the implant. A small amount of muscle is incised to allow access under the pectoralis muscle, and the implant is inserted in the pocket created. The various layers are closed with absorbable sutures and a garment is applied to top of the breast area to assist with positioning and stabilisation.
Post op recovery
Pain killers are general required for 3-4 days. Exercise and lifting should be avoided for a least 2 weeks. Vigorous walking can be started after 2 weeks, exercise bike after 4 wks and gym, running and swimming after 6 weeks. Avoid contact sport for 3 months. Most patients can return to sedentary work after 5-7 days. There will be some swelling and bruising which will take 3-4 weeks to resolve and the breast size should reduce by 5-10% as a result.
Other possible costs
Post operative medications are not included, and are around $30. Implant options include $800 for polyurethane or $600 for tear drop/anatomical implants. Dual plane dissection, Keller funnel for smaller incisions, private anaesthetist all attract a higher charge.
The current $6990 special will cover replacing existing implants were the implants are placed in the same plane and via the same incision as the previous implants. Increase in size is acceptable. Implants greater than 400gm will require a Keller funnel – extra cost $300. Implants greater than 500gm will require extra dissection and pocket creation work – extra cost $500. If the infra-mammary fold has to be lowered due to the larger implant then there is an additional $500 cost and a further $500 if the incision was previously axillary or peri areola. Tear drop implants are $600 more and polyurethane $800. Confused ? Please contact reception for an appointment with Dr Fung to clarify all these options. In addition certain breast shapes may require a breast lift and a larger implant.
If there is any evidence of capsular contracture then the current special price does not apply and you will be assessed in regards to scar/capsular removal and replacement.