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Breast Augmentation

What is a breast augmentation?

A breast augmentation is a plastic surgery procedure to provide or restore volume of the breasts and improve their shape. It is often known as a “boob Job” or breast enlargement. We have a wide range of implant sizes styles and profiles to help get the best shape possible for your frame.

Sometimes, Dr K Mooney will recommend a breast lift (augmentation mastopexy) at the same time to get the best shape.

What are the incisions for a breast augmentation?

Typically, the incision is on the lateral aspect of the inframammary fold and measures approximately 5 cm. Once healed, it is very well hidden under the breast.

Where are the implants placed?

Dr K Mooney will individualise where the implants are placed to get the best result for each patient. Implants can either be placed directly under the breast above the pectoralis major muscle; under the pectoralis major muscle; or half under the muscle and half under the breast. The half/half method is known as the dual plane technique and helps to lift a mildly saggy breast. If the breast has dropped significantly, Dr K Mooney will recommend a concomitant breast lift (augmentation mastopexy).

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What look do I want to achieve?

It is important to have a clear idea of what type of “look” you want to achieve. Some people want a small enhancement with a natural look when others want to look augmented with larger implants. Dr K Mooney and her team will talk to you about this at length to try to give you the best result. It is very helpful to bring in photographs of the “look” you would like to achieve.

How will I choose the correct implant size?

Dr K Mooney will measure your breast size and advise on the correct range of implants that are suitable for your body type. In the clinic, we will spend ample time with you trying on implants to ensure you get a size that is correct for you.

Preparing for my surgery

You will have a full consultation with Dr K Mooney to discuss your concerns and medical history. It is ideal if you are at a stable weight and your body mass index (BMI) is close to normal. It is important to be as healthy as possible before an operation by eating well, exercising and avoiding cigarette smoke.

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Dr K Mooney and her team will help you decide on the exact implant by trying on different options. She will discuss where the implant will be place i.e. above or below the pectoralis muscle and why.

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Typically, you will have some routine investigations prior to surgery including a mammogram (if you are over 30 years old). We will discuss pre-operative preparation with you in detail including what post-operative bra to get, when to fast and arrive for surgery. You will be given written and verbal information so that you are as prepared as possible for the surgery.

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What to expect in the surgical period

The operation takes approximately two hours. Typically, patients stay one night in hospital and go home to recover the following day with support from friends or family. During the operation, an incision is made at the inframammary fold and a pocket is dissected for the implant. The tissue is released adequately to allow the implant to be inserted in the correct position. The implant is inserted and then the wound is closed with supporting sutures for the implant.

Recovery after surgery

It is normal to have some bruising and swelling after surgery which goes down over time. You will be discharged with some medications including pain relief. We will arrange a dressing change at approximately 10-14 days after the operation. We advise that you wear a post-surgical bra 24 hours a day for the first month. We recommend light walking in the immediate post-operative period with a gradual return to exercise at approximately 6 weeks.

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