Changes to the breast’s appearance are an expected part of the ageing process. Over time, factors such as gravity, weight changes, genetics, pregnancy, and breastfeeding can contribute to reduced skin elasticity, volume loss, and a downward shift in breast position. When both breast ptosis and volume loss are present, Breast Augmentation Mastopexy may be considered.
Dr Gary Kode, a Melbourne-based Specialist Plastic Surgeon, offers Breast Augmentation Mastopexy surgery to patients seeking to alter the shape, position, and volume of their breasts.
What is Breast Augmentation Mastopexy?
Breast Augmentation Mastopexy also known as a Breast Lift with Implants, is procedure the utilises two surgical techniques:
- Breast Augmentation to increase breast volume using implants.
- Mastopexy to lift and reposition the breast tissue and nipple.
This dual approach is typically considered for patients who wish to address both a loss of fullness and breast ptosis in a single surgery. By utilising these two techniques, this procedure can adjust nipple position, alter shape, and add fullness to the upper part of the breast.
The result may include a firmer, more projected breast contour that more closely aligns with the patient’s desired aesthetic goals.
Why Consider a Breast Augmentation Mastopexy?
If you’re considering this surgery, it’s important to determine whether you’re a suitable candidate. While a personalised consultation with a qualified Specialist Plastic Surgeon, like Dr Kode is the best way to assess your options and suitability. You may be a suitable candidate if you;
- Are concerned about Breast ptosis and volume loss.
- Have realistic expectations about what the procedure can and cannot achieve.
- Are in good overall health.
- Are at a stable, healthy weight that you have been able to maintain for at least the last 6-12 months.
- Have sufficient breast tissue.
- Are not currently breastfeeding.
- Aren’t planning any future pregnancies.
- Are a non-smoker or willing to quit prior to surgery
A consultation with Dr Kode will involve a thorough assessment of your medical history, aesthetic goals, and suitability for surgery.
Types of Breast Implants: Understanding Your Options
When considering Breast Augmentation Mastopexy, understanding the different types of implants available is an important step. Each implant type offers different potential benefits, and the most suitable option will depend on your anatomy, goals, and the recommendations of your surgeon.
Below is a summary of the breast implant types in Australia, including implant fill material, shape, and surface texture.
Silicone vs. Saline Implants
Silicone Implants
Silicone implants are filled with a cohesive silicone gel that closely mimics the feel of breast tissue. They are widely used in Australia and are known for their durability and aesthetic results that closely resemble actual breast tissue. Modern silicone implants contain a more stable gel that holds its shape and remains intact even if the shell is damaged.
Saline Implants
Saline implants are filled with a sterile saltwater solution. These implants are inserted empty and then filled during surgery. In the event of a rupture, the saline solution is absorbed by the body. While saline implants are less commonly used in Australia, they may be suitable in certain cases.
Implant Shapes: Round vs. Anatomical (Teardrop)
Round Implants
Round implants provide fullness to the upper part of the breast and can offer a more prominent alteration. They are symmetrical and maintain their shape even if they rotate after surgery.
Anatomical (Teardrop) Implants
Anatomical implants have a teardrop shape, with more volume at the bottom than the top. This shape is often chosen for a less obvious result. These implants require precise placement, as rotation can affect the shape of the breast.
Implant Textures: Smooth vs. Textured
Smooth Implants
Smooth implants as the name suggests have a smooth outer shell and may feel softer and more mobile within the breast pocket. They are typically placed under the muscle to help maintain their position and reduce the risk of visible rippling.
Textured Implants
Textured implants have a slightly rough surface, which can help them stay in place and may reduce the risk of capsular contracture (a complication where scar tissue hardens around the implant). However, textured implants have been associated with a rare condition called Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL), and this should be discussed in detail with your surgeon.
Choosing the Right Implant for you
The choice between implant types will depend on several factors, including:
- Your body type and chest wall anatomy
- Desired shape and volume
- Lifestyle and activity level
- Medical history and preferences
Dr Gary Kode is a Specialist Plastic Surgeon who will provide a thorough consultation and detailed assessment to help determine the implant type that is most suitable for you. All decisions are made in collaboration with the patient, with their goals, safety, and long-term health in mind.
Breast Augmentation Mastopexy – The Procedure
Although the procedure will be tailored to the patient the steps typically include the following:
- Anaesthesia
- The surgery is usually performed under general anaesthesia. Your anaesthetist will discuss the best option for you based on your health history and the complexity of the procedure.
- Incision Placement
- Incisions are strategically planned and vary depending on the amount of lift, the type of implant, and the patient’s anatomy. Incision options include:
- Periareolar: An incision made around the areola.
- Lollipop: An incision around the areola and vertically down to the breast crease.
- Anchor: Also around the areola, with a vertical incision like that of a lollipop incision but with an additional incision along the inframammary fold (breast crease).
- Incisions are strategically planned and vary depending on the amount of lift, the type of implant, and the patient’s anatomy. Incision options include:
- Breast Implant Insertion
- Once the incisions are made, breast implants are inserted either beneath the breast tissue (subglandular) or under the chest muscle (submuscular).
- Implant type, size, and placement are discussed with Dr Kode before surgery to suit your goals and anatomy.
- Lift
- Dr Kode will then remove excess skin, reshape the breast tissue, and reposition the nipple and areola to a higher position (if required).
- Closing the Incisions
- Incisions are meticulously closed with layered sutures to support the newly shaped breasts. In some cases, drains may be temporarily placed to assist with fluid removal post-surgery.
- Dressings and Recovery
- After surgery, the breasts are covered with dressings or bandages, and you may be placed in a surgical support bra.
- Post-operative care instructions are provided, including advice on managing swelling, activity restrictions, and follow-up appointments.
This procedure is tailored to the individual’s goals and anatomy. It’s important to consult with a qualified Specialist Plastic Surgeon like Dr Gary Kode to determine if Breast Augmentation Mastopexy is the right approach for your aesthetic concerns.
Recovery After Breast Augmentation Mastopexy
Recovery following surgery varies from patient to patient, but most individuals can expect a manageable and progressive healing process. A degree of pain, discomfort, swelling and bruising is to be expected during the initial stages of recovery. These symptoms are usually most pronounced in the first few days after surgery but should gradually lessen as the body heals.
Immediate Postoperative Period
In the first week, you may experience pain, sensitivity around the incision sites and implant areas. This discomfort is typically managed with prescription medication and over-the-counter pain relief as advised by Dr Kode. The use of ice packs can also be helpful to reduce swelling and provide additional comfort, particularly in the first 48 hours post-surgery.
You will need to wear a support or compression garment, often referred to as a surgical bra, during your recovery. This garment is designed to provide support, help reduce swelling, protect your surgical incisions, and promote optimal shaping of the breasts during the healing process.
Wound Care and Activity Modifications
Dr Kode and his team will provide you with detailed post-operative instructions tailored to your individual surgical plan. These guidelines will cover how to care for your incision sites, signs of complications to watch for, how to shower safely, and when to resume activities.
It’s important to avoid strenuous exercise, heavy lifting, or upper body movements for a few weeks after surgery. Most patients are advised to rest and limit physical activity during the first 1–2 weeks, gradually returning to light daily tasks as they feel able. Depending on your job, you may be able to return to work within 1–2 weeks, provided your duties are not physically demanding.
Long-Term Healing and Results
Swelling can take several weeks or even months to fully dissipate and your final results may not be visible until this has subsided. Scars will continue to mature and fade over the following 6–12 months. Wearing your support garment, following post-operative care instructions, and attending follow-up appointments will help optimise your surgical outcome.
Dr Kode is committed to making sure each patient receives high-quality care throughout their recovery. You’ll have access to ongoing guidance, and the team will be available to answer any questions you may have along the way.
Breast Augmentation Mastopexy Before and After Photos
Before and after images are for educational purposes only. The results shown are only relevant to the patient and do not reflect or promise that other patients will be able to achieve these results. They are a tool to help visualise what changes may be possible with Breast Augmentation Mastopexy performed by Dr Kode.
Breast Surgery Before and After Photos | Dr Gary Kode
Disclaimer: Individual results will vary depending on several factors including; age, skin health, body type, medical history and lifestyle. All surgical procedures carry risks and it’s important to understand these before undergoing surgery. Photographs are not intended to guarantee results.
Risks and Complications of Breast Augmentation Mastopexy
As with any surgical procedure, there are risks associated with a breast augmentation mastopexy. These may include:
- Infection
- Bleeding or haematoma
- Capsular contracture
- Implant-related complications
- Changes in nipple sensation
- Scarring
- Asymmetry
Dr Kode will discuss all potential risks and how they are managed during your consultation. For more information visit our Risks and Complications of Plastic Surgery Page.
Cost of Breast Lift with Implants in Melbourne
The cost of Augmentation Mastopexy in Melbourne can vary depending on the complexity of the procedure, the type of implant used, hospital fees, and anaesthetic fees. Dr Kode’s team can provide a personalised quote following your consultation.
Medicare and Private Health Insurance
In some circumstances, Medicare or private health insurance may cover part of the procedure if it is deemed medically necessary. This may apply to cases of severe asymmetry or reconstructive needs. Dr Kode’s team can assist with eligibility criteria and documentation.
Choosing the Right Surgeon for your Breast Augmentation Mastopexy Procedure
Dr Gary Kode is a highly qualified Specialist Plastic Surgeon with extensive experience in Breast Augmentation surgery. He is committed to patient safety, personalised care, and achieving results that align with your goals.
To learn more about Breast Augmentation Mastopexy or to book a consultation with Dr Kode in Melbourne, please contact our practice.
Disclaimer: The information provided is for educational purposes only and does not constitute medical advice. Individual results may vary and all surgery carries risks and potential complications. A thorough consultation is necessary to determine the most appropriate treatment plan for your specific circumstances
