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Breast Augmentation Mammoplasty Gold Coast


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What can you expect from Breast Augmentation Mammoplasty?

Breast augmentation icon 01 Increased Volume
Breast augmentation icon 02 Lifted Breasts
Breast augmentation icon 3 Symmetrical Breasts
Breast augmentation icon 4 Discrete Scar Placement

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Breast Implants

Breast augmentation is a specialised surgical procedure focused on augmenting the breast volume and shape to correspond with an individual’s unique physique and personal objectives.

This procedure is typically conducted by placing implants or grafting fat into the breast area to create a tailored change. Such a procedure might be considered by those seeking alterations in their breast contour, which may be motivated by personal preference for a different breast profile or by physiological changes from events like pregnancy or weight fluctuations.

The decision to undergo breast augmentation is a personal one and encompasses a range of reasons. Each individual’s circumstances are unique, and thus, the approach to breast augmentation is highly personalised. Dr. Raja Sawhney’s experience in this area ensures that every procedure is carefully planned and executed to align with the patient’s physical goals.

Dr. Sawhney’s Approach to Breast Augmentation

Dr. Raja Sawhney’s methodology in breast augmentation is deeply rooted in an all-encompassing understanding of the patient’s anatomical structure and their individual aspirations for the surgery. His extensive experience, coupled with his contributions to the education of fellow plastic surgeons, has positioned him to offer an informed and thoughtful approach to each procedure.

In his practice, Dr. Sawhney employs the internal bra method, an advanced technique that establishes enduring support for implants, potentially enhancing their stability and placement over time. He chooses Motiva implants for their high patient satisfaction rates and the diversity of options they provide, ensuring a tailored fit for various body types. Dr. Sawhney evaluates each patient’s personal goals and anatomical nuances to determine whether to utilise implants, autologous fat grafting, or a hybrid approach. Additionally, he may recommend complementary procedures, like liposuction, to refine the overall breast contour.

Dr. Sawhney’s reputation as an educator and innovator in plastic surgery is well-established, having presented at numerous international symposiums, sharing his techniques and the potential outcomes that can be achieved through his developed methods.

The Breast Augmentation Consultation

The pathway to breast augmentation with Dr. Sawhney begins with an in-depth consultation. This foundational step is an opportunity for patients to articulate their motivations and the physical changes they wish to achieve. Dr. Sawhney places a high value on patient education, ensuring individuals are equipped to make informed choices that resonate with their personal desires and way of life.

During this consultative process, Dr. Sawhney provides extensive information on implant types, the intricacies of fat transfer, and the transformative possibilities of combining these approaches. He shares an extensive array of before-and-after photos, offering tangible examples of what can be accomplished through surgery. This step is essential in establishing realistic expectations and ensuring patients have a clear understanding of the potential changes.

A detailed physical assessment is also conducted to gauge factors like skin quality, breast tissue, and overall body structure, which are critical to customising the surgical plan. The consultation is interactive, with Dr. Sawhney encouraging questions and providing clear, comprehensive answers.

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The “Internal Bra” method in breast augmentation

Although not required for all breast augmentation procedures, Dr. Sawhney recommends this technique for many patients depending on various factors of their anatomy, size of implants used, and specific aesthetic results they desire. Breast augmentation procedures conducted by Dr. Raja Sawhney often incorporate the innovative internal bra method, a technique pivotal to achieving longer lasting outcomes than when the method isn’t utilised.

This method involves creating an internal support system within the breast tissue, functioning similarly to an external bra but with more permanence and stability. It’s especially beneficial for patients requiring substantial adjustments or seeking to maintain the positioning of breast implants over time. The internal bra method is designed to provide a supportive framework from within, aiming to assist in maintaining the desired position and form of the breast post-surgery. This technique is particularly advantageous in cases where previous surgeries might not have yielded the expected results or where additional support is necessary to achieve the desired outcome.

Dr. Sawhney’s application of the internal bra method in breast augmentation is a testament to his commitment to employing advanced surgical techniques for optimal patient outcomes. This method not only contributes to the aesthetic aspect of breast augmentation but also provides benefits to the functional quality of the results. Patients undergoing breast augmentation with the internal bra technique can anticipate a more stable and enduring outcome. The method is tailored to each individual’s anatomy and surgical history, ensuring that the approach aligns precisely with their unique physical structure and aesthetic goals.

The 3 options for techniques in breast augmentation

There is no better or worse option for techniques in breast augmentation, moreso different methods, producing different results, for different patients. Dr. Sawhney will perform an in depth consultation gathering knowledge on your aesthetic goals, and recommend the optimal option for you to align with those goals to produce a desired aesthetic outcome. This will be tailored to various characteristics of your anatomy.

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Option 1 – Breast implants

At Sculpted, the choice of breast augmentation method is carefully tailored to each patient’s unique needs and aesthetic goals. One such method involves the use of breast implants, a widely recognized option for altering breast volume and shape. Breast implants, particularly silicone types like Motiva, are selected for their diverse range of shapes and sizes, making them suitable for various body types and personal preferences. These implants are known for their role in creating a significant change in breast volume and contour.

Dr. Sawhney, with his extensive experience in plastic surgery, carefully assesses each patient’s physique and desired outcomes, recommending breast implants when they align with achieving the patient’s aesthetic objectives.

The use of breast implants in augmentation is particularly suited for patients seeking a considerable change in breast size or those requiring a specific shape that cannot be achieved through fat transfer alone. The implants offer a level of predictability in terms of size and shape post-surgery. In consultations at Sculpted, Dr. Sawhney discusses the various implant options, focusing on how each can contribute to the desired change in the breast area. His approach ensures that the chosen implants complement the patient’s overall body frame, working towards a harmonious physical appearance.

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Option 2 – Fat transfer

Another method employed at Sculpted is fat transfer for breast augmentation. This technique involves harvesting fat from other areas of the patient’s body and transferring it to the breasts. It is an option for those seeking a more modest increase in breast volume or for patients who prefer to use their own body tissue for augmentation. Fat transfer can provide a change in breast volume and shape, with the added benefit of contouring the areas from where the fat is harvested.

Dr. Sawhney’s experience in body contouring and fat transfer techniques plays a pivotal role in determining if this method aligns with the patient’s physical structure and desired changes.

Fat transfer for breast augmentation is often chosen by patients who desire a subtle, more gradual change in their breast size. This method is also appreciated for its dual benefit of contouring the donor site, where the fat is taken from, leading to a more comprehensive body reshaping. Dr. Sawhney evaluates each patient’s body composition and volume requirements to ascertain if fat transfer is the most suitable option. During the consultation, he discusses the expected outcomes of fat transfer, ensuring patients have a clear understanding of the potential changes and the natural limitations of this method.

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Option 3- Hybrid method of both implants, in addition to fat transfer

Dr. Sawhney also offers a hybrid approach to breast augmentation, combining both implants and fat transfer. This technique is ideal for patients who seek the volume increase provided by implants and the natural contouring and fine-tuning possible with fat transfer. Dr. Sawhney recommends this approach when it aligns with achieving a patient’s specific aesthetic goals, particularly in cases where enhanced volume and a bespoke contour are desired simultaneously.

The hybrid method allows for a more customised result, adjusting both size and shape while ensuring a harmonious overall appearance.

The hybrid approach of using both implants and fat transfer is a testament to Dr. Sawhney’s commitment to personalised patient care. It allows for a tailored outcome, where the implants provide the primary change in size, and the fat transfer is used to refine and contour the breast and surrounding areas. This method requires a high level of skill and understanding of breast anatomy, which Dr. Sawhney possesses, ensuring that the final result aligns with the patient’s body frame and aesthetic desires. During consultations, Dr. Sawhney thoroughly explains the benefits and considerations of this approach, helping patients make informed decisions about their breast augmentation journey.

Dr Raja Sawhney

Specialist Plastic Surgeon

Training and Qualifications

Dr Raja Sawhney played a pivotal role in developing a comprehensive unit to service the demand for breast cancer resection and reconstruction, lower limb trauma and complex head and neck cancer resection and reconstruction. He dedicates a majority of his time to complex and challenging reconstructive surgery for patients who have had deformities, either from birth, from abnormal development, or after trauma or cancer.

Experience and Skills

was accepted to and commenced advanced training in Plastic and Reconstructive Surgery in 2007 governed by the Royal Australasian College of Surgery (RACS) and the Australian Board of Plastic and Reconstructive Surgery. He completed this training and was awarded Fellowship from the Royal Australian College of Surgeons in Plastic & Reconstructive Surgery – FRACS (Plast) in 2011.

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Dr Raja Sawhney from the Gold Coast 11-2

Before & After Images

The outcomes shown are only relevant for this patient and do not necessarily reflect the results other patients may experience, as results may vary due to many factors, including the individual’s genetics, diet and exercise.

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Recovery and Risks

Recovery from breast augmentation is highly individualised and influenced by the specific nature of the surgery and each patient’s healing abilities. Common postoperative experiences include rest, discomfort management, and a structured return to routine activities. Dr. Sawhney ensures that all patients are well-informed about the recovery process and know how to monitor their progress.

The potential risks associated with breast augmentation, though uncommon, are clearly communicated to patients as part of the preoperative consultation. These may include but are not limited to:

  • Reactions to anesthesia or medication
  • Temporary or permanent changes in nipple or breast sensation
  • Implant leakage or rupture
  • Capsular contracture, with tightening scar tissue around the implant
  • Breast asymmetry or shape irregularities
  • Seroma or fluid accumulation
  • Infection, potentially necessitating implant removal
  • Persistent pain or discomfort
  • Scarring that may vary between patients
  • The potential need for revision surgery
  • BIA-ALCL

Dr. Sawhney is dedicated to ensuring that every patient feels thoroughly informed and supported throughout their surgical journey, from the initial consultation through recovery and beyond.

More information about Breast Augmentation

Different options for various insertion planes into the breast

At Sculpted, we are dedicated to providing comprehensive information about the various surgical options available for breast augmentation, including the different planes of implant insertion. Each plane – subglandular, submuscular, and dual plane – offers unique characteristics and outcomes. The choice of plane is crucial in achieving the desired physical result and is determined based on the patient’s anatomy, lifestyle, and aesthetic goals.

Subglandular Plane:

The subglandular plane involves placing the implant directly behind the breast tissue but above the pectoral muscle. This placement is often chosen for patients who already have a moderate amount of breast tissue to cover the implant. The subglandular position can lead to a more noticeable change in breast profile and may be preferred by those seeking a more pronounced aesthetic result. However, it’s important to consider that implants placed in this plane might be more palpable or visible under the skin, especially in individuals with thinner breast tissue. Dr. Sawhney assesses each patient’s breast tissue quality and body frame to determine if subglandular placement is a suitable option, ensuring the outcome aligns with the patient’s expectations and physical structure.

Submuscular Plane:

In submuscular placement, the implant is positioned beneath the pectoral muscle. This option is often recommended for patients with less natural breast tissue, as the muscle provides additional coverage over the implant, leading to a more subtle and integrated result. The submuscular position can also reduce the visibility of the implant’s edges and is thought to have a lower risk of certain complications, such as capsular contracture. However, recovery from this placement may be slightly longer due to the manipulation of the muscle during surgery. Dr. Sawhney carefully considers the patient’s physique and desired outcome before recommending this approach, ensuring it is in line with achieving a harmonious and balanced breast augmentation.

Dual Plane:

The dual plane technique combines elements of both subglandular and submuscular placements. In this approach, the upper part of the implant is covered by the pectoral muscle, while the lower part remains directly behind the breast tissue. This method is particularly beneficial for patients who require a lift in addition to volume enhancement. The dual plane offers a more natural transition in the breast, with the muscle providing coverage at the top for a smoother contour, while allowing the implant to adequately fill the lower breast tissue. Dr. Sawhney evaluates factors such as breast shape, skin elasticity, and desired volume change to determine if the dual plane approach will meet the patient’s specific needs.

Each of these implant placement techniques has distinct physical characteristics and implications for the final result of breast augmentation. During the consultation at Sculpted, Dr. Sawhney discusses these options in detail, considering the patient’s body type, existing breast tissue, lifestyle factors, and aesthetic objectives. This personalised approach ensures that the chosen method of implant placement is suited to achieve the patient’s desired breast appearance.

Options for different shapes/contours of breast implants

Anatomical (Teardrop) Implants:

Anatomical implants, also known as teardrop implants, are designed to mimic the natural slope of the breast, with more fullness at the bottom than the top. These implants are contoured to provide a gradual taper towards the upper pole of the breast, offering a subtle and gradual transition. They are often chosen by individuals seeking a more ‘natural’ breast profile, particularly beneficial for those who have less natural breast tissue or a more athletic build. The teardrop shape is also considered in reconstructive breast surgeries due to its ability to mimic the natural breast shape.
Candidacy for anatomical implants usually involves patients who desire a specific contour and a less rounded appearance at the upper breast. It’s important to note that these implants require precise placement, as rotation of the implant can lead to an irregular breast shape. Dr. Sawhney’s experience ensures accurate placement and alignment, aiming for a result that aligns with the patient’s anatomical features and aesthetic goals.

Round Implants:

Round implants provide a symmetrical, circular shape and tend to offer more fullness in the upper portion of the breasts. This can result in a more pronounced and fuller appearance, particularly at the top of the breast. Round implants are a popular choice for patients seeking a noticeable change in breast volume and a fuller breast profile. They can be particularly suited for those who have some degree of natural breast tissue and desire an overall increase in breast size.

Candidates for round implants are often those looking for a more significant change in breast profile, particularly in the upper breast area. One advantage of round implants is that rotation within the breast pocket does not affect the shape of the breast, which can be a consideration for certain patients.

Comparing Results:

The choice between anatomical and round implants affects the final result of breast augmentation. Anatomical implants are designed for those seeking a subtle increase with a focus on a natural slope, while round implants are often chosen for a more pronounced and fuller breast profile. Dr. Sawhney considers the patient’s existing breast tissue, body shape, lifestyle factors, and aesthetic preferences when recommending the type of implant.

During the consultation at Sculpted, Dr. Sawhney provides detailed information about both types of implants, including their benefits and considerations. Through a comprehensive evaluation and discussion of the patient’s goals, he helps guide them to the implant choice that will achieve their desired outcome. The decision is a collaborative process, ensuring that each patient feels confident and informed about their breast augmentation journey.

Liposuction to contour the axillary (armpit) fold

As an option for customising the breast contour, Dr. Raja Sawhney at Sculpted may incorporate minor liposuction in the axillary fold as part of the breast augmentation procedure. This technique is used to refine the area under the armpit, where excess fat can accumulate and affect the overall appearance of the chest and upper body. By carefully removing this fat, Dr. Sawhney customises the contour between the breast and the underarm area, leading to a more streamlined transition and shape. This subtle yet effective approach plays a significant role in the overall aesthetic outcome of the breast augmentation, contributing to a more balanced and proportionate profile that aligns with the patient’s aesthetic goals.

Candidates for breast augmentation

Candidates ideal for breast augmentation are those looking to modify the size and shape of their breasts due to personal reasons. Dr. Sawhney takes a holistic view when assessing suitability for the procedure, considering not just physical health and breast anatomy, but also the clarity and depth of the patient’s aspirations. Women seeking to increase breast volume, reshape their profile, or refine their cleavage may find this procedure aligns with their expectations.

Psychological readiness and having a realistic outlook are crucial. Prospective candidates should pursue the procedure for self-driven reasons and possess a thorough understanding of the journey they will undertake, including the recovery and maintenance that follows.

Things to consider when considering a breast augmentation

Contemplating breast augmentation necessitates thoughtful deliberation. Dr. Sawhney encourages patients to introspect on their motivations and to acquire a comprehensive understanding of the surgical process. Considering the type of implants, the potential for fat grafting, and the outcomes from combining these methods are essential steps in the decision-making process.

Patients should also ponder the longevity of breast augmentation results, including the possibility of future procedures for implant replacement or revision surgeries. Fully grasping the surgical process, post-operative care, and the commitment necessary for recovery is paramount for a positive experience and satisfying results.

Aftercare and recovery process for breast augmentation

Postoperative care and the recovery process are pivotal aspects of the journey following breast augmentation surgery. At Sculpted, Dr. Raja Sawhney and his team place great emphasis on providing comprehensive aftercare to ensure optimal outcomes for our patients. After the surgery, patients receive detailed instructions tailored to their specific procedure. This guidance covers various aspects such as managing discomfort, caring for incisions, and understanding the timeline for resuming daily activities. It is crucial for patients to follow these instructions meticulously, as proper aftercare plays a significant role in achieving the desired results and minimizing the risk of complications.

The recovery process following breast augmentation is unique to each individual, influenced by factors such as the type of procedure performed, the patient’s general health, and their body’s natural healing response. Initially, patients may experience discomfort, swelling, and a feeling of tightness in the breast area, which gradually subsides over the following weeks. Dr. Sawhney advises on pain management strategies and recommends specific activities or exercises that can aid in a smooth recovery. It’s important for patients to allow themselves ample time to rest and heal, avoiding strenuous activities or heavy lifting until they receive clearance from Dr. Sawhney during follow-up consultations.

Follow-up care is an integral part of the recovery journey. These appointments allow Dr. Sawhney to monitor the healing process, address any concerns, and ensure that the breasts are settling as expected. During these sessions, patients can discuss their recovery experience and receive advice on any lingering issues or questions they might have. The timeline for complete recovery varies, but most patients can expect to resume normal activities within a few weeks, with full recovery taking a few months. Dr. Sawhney’s commitment to patient care extends beyond the surgery, ensuring that every individual feels fully supported throughout their recovery, with clear communication and professional guidance every step of the way.

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Dr Sawhney 02, Gold Coast Plastic Surgeon