Breast Augmentation / Breast Implants

Some women who desire a breast augmentation procedure start with so little of their own tissue (AA -AAA cup), that their chest can be referred to as a ‘blank palette’!

In these women it is imperative that extra care is taken for the implants to look natural and not look at all artificial or ‘stuck on’. Dr Miroshnik usually recommends the use of custom-fitted, anatomical, memory gel implants in these circumstances combined with a dual-plane, submuscular placement which maximises muscle coverage in order to conceal implant edges.

A small amount of breast asymmetry is a normal finding, and one which most women would accept.

Large differences in breast size, shape or position however, can be quite visible and throw off the balance of the female form. 

Breast asymmetry correction is a fine art and may involve lifting, adding or subtracting volume from one or both breasts in the hope of restoring balance by creating a more beautiful, natural-looking and symmetrical shape to each side.

For more information on breast symmetry correction, please click here: Breast Asymmetry

 Tuberous (also known as ‘snoopy’, ‘tubular’ or constricted) breasts are breasts that are misshaped, having grown in an unusual way due to the presence of a constricting ring of tissue at their base.

The constriction leads to deficient horizontal +/- vertical development of the breast and may lead to areolar enlargement. The condition itself is often inherited and usually affects the breasts asymmetrically, the estimated incidence being anywhere between 1-5% of the female population.

Unlike regular breast reshaping/augmentation, with tuberous breasts, it is important to release the constricting ring of tissue as well as redistribute the existing breast tissue in a natural way to promote better breast shape and associated implant coverage.

To do this, Dr Miroshnik, will usually use a periareolar approach for this operation and uses a number of highly specialised techniques to achieve the most natural results possible.

For more information on breast augmentation procedures for tuberous type breasts, please click here: Tuberous Breast Correction 

Problems with breast augmentation may occur as a result of poor planning, poor surgery or simply as a result of the way scarring and healing has occurred in the individual patient.

Dr Miroshnik treats many patients from all over the country who have had their breast augmentation surgery performed elsewhere. The assessment process and the technical aspects of the corrective surgery itself are usually many times more complicated than primary (or first-time) breast augmentation. For this reason, secondary (or corrective) plastic surgery is frequently more expensive and takes longer. It is usually, however, at least partially health fund rebatable.

To learn more about corrective breast augmentation surgery, please visit this page: Breast Implant Revision/Correction 

Over years of doing breast augmentation surgery, Dr Miroshnik and his hand-picked team of specialist staff have transformed the procedure into a fine art not only in terms of result but also in terms of recovery.

All procedures are performed as day-only procedures using a fast recovery general anaesthetic. Most patients are back to office based duties within 7 days and are doing light exercises within the first 2 weeks.

Dr Miroshnik’s meticulous technique during surgery means that the operation is almost completely bloodless. This translates to less pain, less bruising and a quicker overall recovery time.

Dr Miroshnik works with all types, shapes and styles of breast implants with all the major breast implant manufacturers of the world. It is only by using all the available products that results can be customised to the individual.

The two very broad categories of implant shape are round and anatomic (teardrop), which are detailed below. Many women, who are considering breast augmentation surgery already have some sort of preference in mind when it comes to these shapes. It is important, however, to remember though that the way these shaped implants are used, and in particular their placement, will affect the way they look in any individual. The amount and quality of pre-existing breast tissue is also very important in the look that these two implant types can achieve.

Dr Miroshnik will guide you to the type and style of implant that will work best for you and your body during your consultation.

The type of implant shown to the left in one of Dr Miroshnik’s patients, is a round , textured, high profile style. 

Round Implants have a circular base and therefore a height and width that are equal. They also add volume equally to all parts of the breast. Round implants may be used by Dr Miroshnik to create a natural or enhanced look to the breast and the way they look is very dependent on how much muscle coverage is used during their placement. 

Anatomic (or teardrop) implants have a shape that is made to look more like a real breast. They are more customisable than round implants as their width doesn’t have to equal their height. Anatomic implants may be used by Dr Miroshnik to create a natural or subtle look. They are also an excellent choice in those with very little breast tissue to start with, those with breasts that are somewhat droopy and those with tuberous or misshaped breasts.

During your consultation, Dr Miroshnik will suggest sizes that match the type of look you would like to achieve with your augmentation. Many women have a cup size in mind when considering breast enhancement, whereas others are happy to be guided by Dr Miroshnik.

The ideal sized implant is determined by considering the width of your chest, the amount of skin and quality of skin you have available as well as the look you would like to achieve.

Dr Miroshnik will use sizers to allow you to assess the look and feel of various implants that he may use. In some cases of asymmetry, two different sized implants are often the best way to produce an optimal result.

Today, the best breast implant manufacturers in the world supply a variety of silicone gel fills. All silicone gel inside these implants holds its shape to some extent like jelly (jello) or gummy bear lollies. However the gel itself does vary on how firm it is to the touch and its shape-holding qualities.

In general, the firmer a gel is the better shape holding characteristics it has, whereas the softer it is the less shape holding capacity it has.

You may see terms such as ‘memory shape’ , ‘memory gel’, or ‘highly cohesive gel’ used to describe implants that a filled with silicone gel that has high shape retaining properties. In fact, all of the best anatomical implants have a highly cohesive gel with maximum shape holding capacity.

Dr Miroshnik has a vast experience with the use of highly cohesive gel implants and will let you know if they are your best choice during your consultation.

Further developing the dual-plane method, Dr Miroshnik moves the muscle in such a way as to create volume in areas where it is most needed and hide volume where it is less needed. Customising the exact position of the pectoralis muscle in not only its vertical position but also its angulation allows for even more precise control of breast shape. Dr Miroshnik has pioneered this method of dual plane positioning. 

Click the video link below to learn more: