Frequently Asked Questions

Are modern silicone implants safe?

Successive generations of Silicone Breast Implants since the 1960’s have seen continuing improvements and refinements making them far safer than the originals. Today’s Cohesive Silicone Gel Implants are a far cry from the Liquid Silicone Gel Implants of the 1970’s and 1980’s. Moreover, all implants used in Australia have been thoroughly assessed and approved by the Therapeutic Goods Administration and deemed to be safe and effective devices.

Do implants need to be routinely replaced every 10 years?

We frequently get asked this question and our simple answer is NO!  Although the exact life span of any implant is unknown, we believe that unless there is a specific problem, implants do NOT need to be replaced.  We see no justification in subjecting every woman with implants to the inconvenience, costs and risks of repeat surgery every 10 years if there is no problem.

How much time do I need off work?

This will vary with the type and amount of physical work you do. Generally, sedentary “non-physical” occupations such as office work need only around 10 days off work whereas more physically demanding jobs require longer.

When can I resume exercise or get back to the gym?

This will depend largely on the technique you have had.  Generally, if you’ve had implants put ‘under the muscle’ you will have to wait longer before resuming strenuous physical exercise than if your implants are ‘in front of the muscle’.  With implants ‘under the muscle’, you should be able to resume lower body exercises (e.g. exercise bikes, moderately-paced walking) after about 3 weeks and upper body/treadmill after about 6-8 weeks.  Needless to say, whenever you decide to resume exercising, you must resume it GRADUALLY IN STAGES . If the activity doesn’t cause you any discomfort, you can increase it a little each time.  However, if it causes discomfort, wait for two weeks and then try it again.  Eventually, you’ll be able to do it without discomfort.  Most importantly, when exercising in the first 3 months, always wear a supportive sports bra.

What can be done to reduce the chances of developing Capsular Contracture?

Over the years, various strategies have been recommended to prevent Capsular Contracture – the most common reason for repeat surgery.  One such, still recommended by surgeons, is to massage the breasts post-operatively to ‘keep them soft’.  Like other strategies, this too has proved ineffective.  The ONLY PROVEN way to dramatically reduce the risk of this commonest complication and lower your risk of repeat surgery is to choose Polyurethane Foam-Covered Silicone Implants – manufactured in Germany by Polytech. However, these implants do require special techniques with which not all breast surgeons are familiar.  At Breast Excellence, our Certified Cosmetic Surgeon, Dr George Mayson, is one of the largest users of these proven-safer implants.

Why don’t all Breast Augmentation Surgeons offer Polyurethane Foam-Covered Implants?

Unfortunately for patients, not all Breast Augmentation Surgeons are currently offering Australian women the opportunity of considering these proven-safer Polyurethane Foam-Covered Silicone Implants because:

  • Not all surgeons will admit what the FDA already knows: that complications with Smooth and Textured Implants are more common.
  • Polyurethane Foam-Covered Silicone Implants are more difficult and time consuming for a surgeon to use: the implant pockets need to be designed a little differently, the positioning of the implants needs to be very precise, and adjustments and refinements of the implant pocket during surgery are often required to deliver the best possible results. For a surgeon just starting to use these implants, there is a long ‘learning curve’ and many surgeons are either unwilling or unable to master the different techniques these implants require.
  • Polyurethane Foam-Covered Silicone Implants cost more, and with the current era of heavily-discounted breast augmentations, these implants are not being offered by clinics seeking to contain their costs and appear more attractive on price to prospective patients.

Owing to the proven ability of these implants to dramatically reduce the risks of the most common complications after Breast Augmentation – and in turn lower the risks of repeat surgery – we at Breast Excellence believe that every woman considering Breast Augmentation should at least be offered the Polyurethane Foam-Covered Silicone Implants for her consideration.

How you would you feel if your Smooth or Textured Implants developed Capsular Contracture, or moved out of position, and you were faced with further surgery at considerable additional costs?  And what if your surgeon had not offered, or even worse, talked you out of the Polyurethane Foam-Covered Silicone Implants that may have prevented your complication in the first place?

Accordingly, if you find that the surgeon you are seeing:

  • does not offer these implants as one of your choices; OR
  • tries to talk you out of these implants; OR
  • has limited experience in their use ….

…. you owe it to yourself to seek a second opinion from one that does!

How old do you need to be to have Breast Augmentation?

Most women seeking Breast Augmentation fall into the 19-50 age group.  That is not to say Breast Augmentation cannot be done in women older than 50 or in girls as young as 18 but the surgeon needs to carefully check for suitability.

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