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Breast

Will private health insurance cover some costs of my surgery?

If the surgery is medically indicated, and it attracts a Medicare item number, and your private health insurance policy covers the allocated item number, then some or all of your costs will be covered. To review our comprehensive price guide that provides an outline of the costs that your health insurance or Medicare may or may not cover, please download our guide, here.

Do I need a referral for breast surgery?

All people considering breast surgery must obtain a referral from their GP or specialist before your initial consultation. If your breast surgery is considered medically appropriate you will be eligible for a rebate of $78.05. If your breast surgery is considered cosmetic in nature you will not be eligible for a rebate, and the Australian Medical Board mandates that we have a referral from you before your first consultation.

Is cup size the best way to think about and measure breast size?

Thinking about a breast reduction in terms of a change in your cup size can be problematic because all bra brands have slightly different cup size measurements, making it difficult to match your expectations with what surgery can achieve given your unique circumstances. Cup size should be used as a rough guide only.

How do I know what size is right for me?

Breast implant volume is measured in cc’s or ml’s, breast implants also have a width (side to side measurement) a height (vertical measurement) and projection (the amount the implant sits above a flat surface). Determining the ‘right size’ is a combination of some of the physical measurements and position of the current breasts and skin, and the desired breast size and appearance. It is important to note that the size and appearance you might have in mind before your consultation, may not be realistically achieved with surgery. Dr Avery will discuss your expectations of surgery and whether surgery can meet these.

Can I breastfeed after a breast augmentation surgery?

Being able to breast feed should not be affected following breast augmentation, particularly when it is performed with an incision in the lower breast fold. The breast tissue maintains its normal connections to the nipple and it should be possible to breastfeed. There is a risk that breastfeeding will not be possible. To find out more about the risks associated with breast augmentation surgery, please visit our breast augmentation service page.

Will my nipples lose sensation after breast surgery?

It is possible that your nipples and/or breast skin might lose sensation partially or completely after surgery. For many women any change in sensation will be temporary, but in some cases, there can be a permanent change in nipple sensation. This is a risk with breast augmentation surgery. For further risks associated with breast augmentation surgery, visit the service page on our website.

What are the specific risks for breast augmentation surgery?

For a full list of risks associated with breast augmentation surgery, please refer to the risk section on our website under services. These will also be discussed with you during your consultation and provided to you in your comprehensive surgical consent form.

Is there an increased risk of breast cancer after having breast augmentation?

There is no increased risk of breast cancer following breast augmentation with implants. A relatively new finding is a type of lymphoma known as BIA-ALCL (Breast Implant-Associated – Anaplastic Large Cell Lymphoma). This is a rare condition associated with some types of implants. Although there is no increased risk of breast cancer in women having breast augmentation with implants, it is still possible to get breast cancer. It is recommended to have routine breast screening if you are above the age of 50 and at any age, if there are any changes noted such as finding a new lump then this should be examined by a doctor such as your GP or Specialist just as would occur without breast implants. For further risks associated with breast augmentation, visit the service page on our website.

Can I suntan after I have healed?

Sun exposure can adversely impact early wound healing and have an adverse effect on the pigmentation and long term quality of the scar. All scars should be protected from sun until they are mature, which may not be until one year post-surgery. A spray tan is fine after a few weeks once the wound is healed.

What happens when I'm pregnant and I've had breast augmentation surgery?

Implants do not interfere with pregnancy. Breast size can increase with pregnancy, so the skin of the breasts can have a looser appearance post-partum. However, this can occur regardless of whether you have breast implants or not.

If I have a lot of Ptosis (medical term for sagging) is a BA the right surgery for me?

Breast Augmentation with an implant can help to correct some degree of breast ptosis, the volume of the implant fills a somewhat empty or deflated breast resulting in an apparent lift of the breast tissue. There is a limit to how much breast ptosis an implant can address, the additional consideration then becomes is a formal breast lift (with a different pattern of final scars on the breast) also required and if so, can this be done at the time of an augmentation or are they best done as separate procedures.

What are the causes of implant rupture?

There is a chance of implant rupture with all types of implants, and the chance of rupture increases as the implants age. At times it may be significant trauma that causes implant rupture, but most often no particular cause for this can be identified. When a silicone gel implant ruptures, the silicone gel stays in the breast, mostly contained by the scar tissue known as the capsule. The body tries to contain this rupture, which may cause inflammation, potential pain or change in the breast appearance. When saline implants rupture, the saltwater leaks out into the surrounding tissue, which is harmlessly absorbed into the body. For further risks associated with breast augmentation surgery, please visit our service page.

How will I know when my implant has failed or leaked?

If your implant has ruptured or leaked, you might notice a change in the size or shape of your breast(s). You might also feel tenderness or pain in the breast(s). However, some women do not notice any signs or symptoms. An examination and possible ultrasound or MRI is advisable if you are concerned about a potential implant rupture, or if you have detected a new lump in the breast. It is also recommended to have a routine check and ultrasound of your breasts approximately 10 years after breast implant surgery, even without any change in the breast appearance. For further risks associated with breast augmentation surgery, visit our service page on our website.

Are silicone breast implants safe?

Silicone is an extremely common substance that has a number of various uses, including the silicone gel used in breast implants for augmentation or reconstruction. Silicone has been used in breast implants for over 50 years. We are currently using 5th generation implants with silicone gel that has a consistency much like turkish delight or jelly that generally holds its form and sticks to itself. Medical grade silicone used in breast implants is safe. However, there are risks associated with its use and some women either do not tolerate the breast implants or may have problems related to the implants several years after insertion. Breast implants should not be considered as lifetime devices. Anyone undergoing breast augmentation with an implant of any sort will require further surgery at some stage in their life. For further risks associated with breast augmentation surgery, please visit the service page on our website. More information can also be found on the Australian Government TGA website.

When will I be able to exercise after breast augmentation surgery?

Simply walking is advised and is recommended during the first 2 weeks after surgery. An increase in activity is encouraged between 2-6 weeks, limiting this increase based on how your body feels and responds. From 6 weeks you can be mostly unrestricted with exercise but it may not be until 12 weeks following surgery that you feel you are back to pre-surgery fitness, or even improved from your pre-surgery fitness if physical symptoms and restrictions have been addressed with surgery.

Will I experience much pain and movement restriction post breast augmentation surgery?

Pain immediately after surgery may be reduced by the use of local anaesthetic at the surgical site given during the surgery. The pain will also be managed with tablets or injections as required. Physical measures such as the dressings and supportive garments as well as limited movement and possibly ice packs will all help minimise any pain. Pain is usually well tolerated within a few days after surgery with all these measures. If your pain is increasing following surgery this is usually a sign that you may need a review to ensure your recovery is proceeding as expected.

Dressings and supportive garments will offer support to the wounds and the areas of your body that are still recovering. You will be also be advised to restrict excessive movement of the surgical area in the first two weeks after surgery. A good general rule throughout your recovery is if an increase in movement or activity does not increase any discomfort or swelling, then it is probably safe and this gradual progression back to ‘normal’ will be encouraged.

Will I have a general or local anaesthetic for breast augmentation surgery?

Breast augmentation surgery is performed under a general anaesthetic given by a specialist anaesthetist in an accredited private hospital.

What is removed during a breast reduction?

Skin and breast volume or size. The breast volume beneath the skin is made up of firm glandular breast tissue and fat. During a breast reduction both skin and breast tissue/fat is removed.

What do the scars look like after a breast reduction?

The scars from breast reduction surgery incisions generally look like a thin line, initially red and a bit raised above your skin. Appearance will vary depending on the surgical technique used for the surgery and your genetics. Some people are more prone to hyperpigmentation and hypertrophic scars or keloids. Most scars should eventually fade and flatten but will still be visible.

For a full list of risks associated with breast reduction surgery, please visit our service page on Breast Reduction surgery.

Will my scars depend on the technique for surgery?

Scars from a breast reduction are typically referred to as either a lollypop or anchor.

Around the areola (generally reduced in diameter), from the lower part or 6 o’clock aspect of the areola down to the lower breast fold (this is the lollypop), an additional scar in the breast fold joined to the lollypop makes an anchor.

Will my nipples be removed during breast reduction surgery?

Despite the final scar being around the entire areola, giving the appearance of the nipple and areola being removed and replaced higher up on the breast, for the vast majority of people the nipple and areola remain attached to the breast at all times. For the very small number of cases where the nipples are removed (nipple graft) the possibility of temporary removal will be discussed prior to surgery. This difference is important for several reasons, including appearance, nipple sensation and breastfeeding.

Will my nipples be reduced during breast reduction surgery?

Technically the nipple is the central part that protrudes above the breast, the areola is the larger flatter coloured part around the nipple. Generally, the diameter of the areola is made smaller, as this is often larger than average as breast size increases. The nipple itself does not usually require any surgery.

Will my nipples retain their sensitivity after breast reduction surgery?

It is possible that you may lose sensation partially or completely after surgery. Maybe temporarily. For others, this may be permanent. For risks associated with breast reduction surgery, please visit the service page on our website.

Will breastfeeding be affected by a breast reduction?

For most women, it is generally possible to breastfeed following breast reduction surgery. Typically, the nipple and areola will remain attached to the breast tissue maintaining the pathway from the milk-producing part of the gland to the milk ducts in the nipple.

Is there an age restriction for a breast reduction?

It is generally best to wait until breast growth has ceased and also that the patient is mature enough to understand and cope with the process of surgery and recovery.

How long will it take for the swelling to go down after breast reduction surgery?

Most swelling will be gone by about 6 weeks post-surgery. More subtle changes can continue to occur for several months and up to one year after surgery. Everyone is unique and as such this is a guide only.

Can I have a second breast reduction?

A second breast reduction is possible. This is often chosen by women who have had an initial breast reduction earlier in their life. The same benefits and risks apply to the second reduction. For a full list of risks associated with breast reduction surgery, visit our breast reduction service page.

When will I be able to exercise after breast reduction surgery?

Gentle walking is advised and recommended during the first 2 weeks. An increase in activity is encouraged between 2-6 weeks, limiting this increase based on how your body feels and responds. From 6 weeks you can be mostly unrestricted, but it may not be until 12 weeks post-surgery that you feel you are back to pre-surgery fitness.

Will I experience much pain and movement restriction post breast reduction surgery?

Pain following top surgery will vary depending on the extent of surgery. Pain immediately after surgery may be reduced by the use of local anaesthetic at the surgical site given during the surgery. The pain will also be managed with tablets or injections as required. Physical measures such as the dressings and supportive garments as well as limited movement and possibly ice packs will all help minimise any pain. Pain is usually well tolerated within a few days after surgery with all these measures. If your pain is increasing following surgery this is usually a sign that you may need a review to ensure your recovery is proceeding as expected.

Dressings and supportive garments will offer support to the wounds and the areas of your body that are still recovering. You will be also be advised to restrict excessive movement of the surgical area in the first two weeks after surgery. A good general rule throughout your recovery is if an increase in movement or activity does not increase any discomfort or swelling, then it is probably safe and this gradual progression back to ‘normal’ will be encouraged.

What are the specific risks for breast reduction surgery?

For a full list of risks associated with breast reduction surgery, please refer to the risk section on our website under services. These will also be discussed with you during your consultation and provided to you in your comprehensive surgical consent form.

Does a breast reduction lift the breasts?

A breast reduction aims to reduce the volume or size of the breast by removing skin and breast tissue. With removal of skin and reducing the weight of the breast, the breast will sit higher on the chest and also closer to the chest.

What is the different between a breast lift and a breast reduction?

There are a number of similarities between these two procedures. Essentially all breast reductions involve some degree of breast lift and technically any breast lift (assuming no other procedure is performed on the breast) involves some amount of breast reduction, even if this is only skin. Generally, the aim of a breast reduction is to achieve a smaller, lighter, lifted breast; and the aim of a breast lift is to maintain as much size as possible but lift the breast higher on the chest. Both surgeries generally bring the breast tissue closer to the chest and reduce the amount of natural breast movement that occurs with a change in body position.

How do I know if I should have a breast lift or breast augmentation?

It all depends on the results you want to achieve. If you want to lift your breasts higher on the chest, and also increase the size of your breasts, then a breast lift with implants might be the indicated procedure for you; and this may possible in one surgery or may be best performed as two separate procedures. On the other hand, if you would like lift the breasts and address their shape without increasing their size, a breast lift alone might give you the results you want to achieve with surgery.

Ultimately, a consultation with a surgeon is needed to determine what is most appropriate for you as an individual. Dr Avery can discuss your surgical options given your unique circumstances and it is recommended you do your own independent research, come to your consultation with your questions, and seek a second opinion.

What are the specific risks of breast lift surgery?

For a full list of risks associated with a breast lift please refer to the risk section on our website under services. These will also be discussed with you during your consultation and provided to you in your comprehensive surgical consent form.

What do the scars look like after a breast lift?

The extent of the scars will be dependent on the technique used to perform the breast lift. The scars from the incisions should look like a thin line, initially a bit raised above your skin. Their appearance will vary depending on the technique used to reduce the breasts and your genetics. There are people more prone to hyperpigmentation and hypertrophic scars or keloids. As the scars heal, they will flatten and eventually fade and they will usually not be visible in clothing. For further risks associated with breast lift surgery, please visit the service page on our website.

Will the size of my breast increase after a breast lift?

The size of your breast will not increase with a breast lift.

Will I be able to breastfeed after a breast lift?

Breastfeeding after breast lift surgery is possible. In most cases, although the position of the nipple is changed it remains attached to the breast and there is no damage to milk ducts. However, any surgery to the breast can potentially divide connections of the breast tissue and ducts and reduce the ability to breast feed in the future. For further risks associated with breast lift surgery, please visit the service page on our website.

Will my nipples retain their sensitivity after breast lift surgery?

It is possible to retain normal nipple sensation after surgery. Generally, the chance that there will be a change in nipple sensation increases with the extensiveness of the surgery. Some women may experience a reduced sensation in the nipples that can be temporary or permanent. They may also find their nipples hypersensitive for a short time after surgery. For further risks associated with breast lift surgery, please visit the service page on our website.

Will I experience much pain and movement restriction post breast lift surgery?

Pain will vary depending on the extent of surgery and your body’s response to the surgery. Pain immediately after surgery may be reduced by use of local anaesthetic at the surgical site. Pain will initially be managed by the hospital staff and by Dr Avery’s oversight. Physical measures such as dressings and supportive garments as well as limited movement will help with pain management. The Avery team will be following your recovery and will be supporting you to be as comfortable as you can be.

When will I be able to exercise after a breast lift surgery?

Simply walking is advised and is recommended during the first 2 weeks after surgery. An increase in activity is encouraged between 2-6 weeks, limiting this increase based on how your body feels and responds. From 6 weeks you can be mostly unrestricted with exercise but it may not be until 12 weeks following surgery that you feel you are back to pre-surgery fitness, or even improved from your pre-surgery fitness if physical symptoms and restrictions have been addressed with surgery.

What do the scars look like after a breast lift combined with implants?

The extent of the scars will be dependent on the technique used to perform the breast lift. The surgical breast lift component usually requires at least a scar around the areola and then often down from the lower aspect of the areola toward the lower breast fold. Common descriptions of typical scars form a breast lift procedure (with or without implants) are either a lollipop or anchor scar.

The scars from the incisions should look like a thin line, initially a bit raised above your skin. Their appearance will vary depending on the technique used to reduce the breasts and your genetics. There are people more prone to hyperpigmentation and hypertrophic scars or keloids. As the scars heal, they will flatten and eventually fade and they will usually not be visible in clothing.

Will I be able to breastfeed after a breast lift with implants?

Breastfeeding after breast lift surgery combined with breast implants is possible. In most cases, although the position of the nipple is changed it remains attached to the breast and there is no damage to milk ducts. However, any surgery to the breast can potentially divide connections of the breast tissue and ducts and reduce the ability to breastfeed in the future.

When should I replace my implants?

There is no set time that implants need to be replaced, but in general the longer an implant has been in place, the more likely you are to experience issues leading to implant removal or replacement. These may be issues with the implants, such as rupture or a change in the breast size, position or appearance. Breast implants are not considered lifelong devices.

For further risks associated with breast implant replacement, visit the service page on our website. Please also visit the Australia Government TGA website for further information.

What if there’s an implant rupture?

There is always a chance of rupture with all types of breast implants. Intense physical pressure caused by something such as a car accident or other trauma, or an aged implant may rupture. When a silicone gel implant ruptures, the silicone gel stays in the body. The body tries to contain this rupture, which may cause inflammation, potential pain or change in the breast appearance.

When saline implants rupture, all that leaks out is saltwater, which is harmlessly absorbed into the body.

What causes the rupture of an implant?

There is always a chance of rupture with all types of implants. Intense physical pressure caused by a car accident or other trauma, or an aged implant may rupture without trauma. When a silicone gel implant ruptures, the silicone gel stays in the body. The body tries to contain this rupture, which may cause inflammation, potential pain or change in the breast appearance. When saline implants rupture, all that leaks out is salt water, which is harmlessly absorbed into the body. For further risks associated with breast augmentation surgery, please visit the service page on our website.

How do I know if my implants have ruptured?

There is a chance of implant rupture with all types of implants, the chance of rupture increases as the implants ages. At times it may be significant trauma that causes implant rupture but most often no particular cause for this can be identified. When a silicone gel implant ruptures, the silicone gel stays in the breast, mostly contained by the scar tissue known as the capsule. The body tries to contain this rupture, which may cause inflammation, potential pain or change in the breast appearance. When saline implants rupture, the saltwater leaks out into the surrounding tissue, which is harmlessly absorbed into the body.

If your implant has failed or leaked, you might notice a change in the size or shape of your breast. You might also feel tenderness or pain in the breast. However, some women do not notice any signs or symptoms. An examination and possible ultrasound or MRI is advisable if you are concerned about a potential implant rupture, or if you have detected a new lump in the breast. It is also recommended to have a routine check and ultrasound of the breast approximately 10 years after breast implant surgery even without any change in the breast appearance.

For further risks associated with breast augmentation, please visit the service page on our website. Please also visit the Australian Government TGA website for further information.

What is breast implant replacement surgery?

Breast implant replacement surgery is also referred to as breast implant revision surgery, and it involves the removal and/or replacement of breast implants for a variety of possible reasons. Replacement of breast implants is accomplished by removing an old implant and inserting a new breast implant either behind the breast tissue or under the chest muscle in order to enlarge its size. Breast implants do not have an indefinite life span, regardless of type, and may eventually require replacement surgery.

Why is breast implant replacement surgery done?

Breast implants are not guaranteed to last a lifetime. Future surgery is often required to replace one or both implants. As with all surgical procedures, revisional surgery may also be necessary to correct any problems that may also develop. Breast implants can be replaced after migration or rupture, or because they have gone hard (capsular contracture). Surgery may be required if there is a problem with the implant or if there has been a change in the relationship between the breast and the implant that has a negative impact on the breast appearance or the individual is experiencing pain. Some people also choose to have their breasts. For further risks associated with breast implant replacement surgery, please visit the service page on our website.

How is breast implant replacement surgery performed?

Replacement of breast implants is accomplished by removing an old implant and inserting a new breast implant either behind the breast tissue or under the chest muscle in order to enlarge its size. Breast implants do not have an indefinite life span, regardless of type, and may eventually require replacement surgery. Your surgery will be performed at an accredited hospital, under a general anaesthetic.

What are the specific risks for breast implant replacement surgery?

For a full list of risks associated with breast implant replacement surgery, please refer to the risk section on our website under services. These will also be discussed with you during your consultation and provided to you in your comprehensive surgical consent form.

What is breast implant removal surgery?

Surgery to remove a breast implant. Breast implant removal is accomplished by opening the breast and removing the implant from either behind the breast tissue or under the chest muscle.

Why is breast implant removal surgery done?

Breast implants are not guaranteed to last a lifetime. Future surgery is often required to replace one or both implants. As with all surgical procedures, revisional surgery may also be necessary to correct any problems that may also develop. Breast implant removal may be due to an implant problem such as rupture or may be related to a change in the breast appearance despite no problem with the implant itself. Additionally, having breast implants is an individual choice, so it may also be an individual choice or preference to have them removed. For further risks associated with breast implant removal, please visit the service page on our website.

What do I need to keep in mind about the expectations of the breast implant removal surgery I have?

Your reasons for exploring surgery are unique to you. They might include a desire to address appearance but also may be to address symptoms such as pain, size or even just not wanting to have foreign material in the body anymore. It may be possible that implant removal improves some things but not others. It may result in a subjective improvement of the breast appearance but it is also possible that the change in appearance is interpreted as a deterioration in appearance in order to achieve some other goal and symptom relief. It is important you consider what your motivations are for having breast implant removal surgery and ensure you have researched enough so that you have a clear idea in your mind about whether your expectations will be met by having this surgery.

What do I need to think about, in terms of the result following breast implant removal?

It is important to consider that there may be changes in the appearance, size and position of the breasts due to the impact of the implant on the breast tissue and skin, and also the passage of time, so that removing the implant may not see the breast return to how it was prior to having a breast implant. For further risks associated with breast implant removal, please visit the service page on our website.

What scars will I have from breast implant removal surgery?

Scars from breast implant removal surgery can either be via the initial incision or scar line that was used at the initial procedure, typical for many this will be in the lower breast fold. If the initial approach was via the lower breast fold, sometimes this may be made lower than the true breast fold and therefore if the implant is removed, the new scar will sit lower on the chest than the actual true lower breast fold. A breast lift may be performed at the time of implant removal and in this setting a breast lift scar will be the result. For further risks associated with breast implant removal surgery, please visit the service page on our website.

What is capsulectomy?

When a breast implant is placed inside the body, the body forms a layer of scar tissue around the implant, this layer is known as the implant capsule. How thick an implant capsule develops varies between people and varies over time. It can also be influenced by the properties of the implant and where the implant is placed (under or over the pectorals muscle in the chest). With time the capsule may cause symptoms such as pain or a change in appearance in the breast. These changes can occur with or without a problem with the implant itself such as an implant rupture. A capsulectomy refers to the surgical removal of this scar tissue layer. This can be performed during implant replacement or during implant removal. When the entire capsule is removed this is referred to as a total or complete capsulectomy. When it is removed all in one piece with the breast implant included, this is known as en bloc removal and is generally the goal when removing implants in women with symptoms suggestive of breast implant illness. At times, it may not be possible to remove the entire capsule due to factors such as its thickness or its attachment to other important structures. For further risks associated with breast augmentation, please visit our service page on our website.

Is there an increased risk of breast cancer after having any sort of breast surgery?

There is no increased risk of breast cancer following breast surgery. A relatively new finding is a type of lymphoma known as BIA-ALCL (Breast Implant Associated – Anaplastic Large Cell Lymphoma). This is a rare condition associated with some types of implants. It will only be an extremely unlikely possibility for those patients who need implants to create breast symmetry. For more information visit.

Will I need revision surgery after breast asymmetry correction surgery?

All surgical procedures carry a risk of revision surgery. If required early, this may be to correct minor irregularities or issues with scars.

Following surgery for breast asymmetry, particularly if implants are used, the composition of each breast may be different and the change that each breast experiences with time may be different.

Breast implants also carry a risk of requiring surgery in the future. For these reasons, it is possible that further surgery may be required many years after initial breast asymmetry correction.

What are inverted nipples?

The nipple is pulled into the breast instead of pointing outward. Some nipples can be pulled out but fall back into the breast. For some, it may not be possible to pull the nipple out at all.

What can cause nipple inversion?

Inverted nipples can be a congenital condition with no particular reason or cause identified, or it may arise as a result of disease or trauma. Most often the inversion will occur with no obvious cause and at any stage. Whatever the cause, an attempt can usually be made to correct nipple inversion.

What are the specific risks for nipple correction surgery?

For a full list of risks associated with nipple correction surgery, please refer to the risk section on our website under services. These will also be discussed with you during your consultation and provided to you in your comprehensive surgical consent form.

What will my scars be like after nipple correction surgery?

As with all surgical procedures the scarring will depend on skin type, other genetic factors, and wound healing. For most people the scar at the base of the nipple on the areola is well-concealed.

Could gynaecomastia (male breasts) be breast cancer?

Gynaecomastia is a benign condition. Breast cancer although uncommon in men is possible. Both gynecomastia and breast cancer can be seen as a change in the appearance and size of the breast or nipple and areola and therefore, it is important to have any lumps or changes in the breast(s) checked by a doctor.

What are the first steps if I am experiencing large breast tissue?

Prior to considering any surgical interventions, a medical evaluation should be performed by your GP. Any suspicion for an existing malignant breast tumour or other medical issue must be addressed before your consultation with a plastic surgeon.

Will there be scarring after male breast reduction?

All incisions leave a scar that will fade and mature over time. The incision required will depend on the extent of gynaecomastia, taking into account the amount of skin excess and the size of the breast tissue. Genetic factors and skin quality will also impact scar quality.

Will the entire gland be removed during surgery to address gynaecomastia?

The aim of gynaecomastia surgery is to create a flat chest. The majority of the breast tissue is removed to achieve the desired chest shape, but given that men who do not have gynaecomastia also have a percentage of breast tissue, some will be left attached to the areola to recreate a natural appearing male chest appearance.

Will nipple sensation be lost after surgery to address gynaecomastia?

Generally, the chance that there will be a change in nipple sensation increases with the extensiveness of the surgery.

Some men may experience a reduced sensation in the nipples that can be temporary or permanent. They may also find their nipples become hypersensitive for a short time after surgery.

How long does breast reconstruction surgery take?

The length of a breast reconstruction surgery can last anywhere from 2–8 hours depending on the techniques being used, whether one or both breasts are being reconstructed, and whether other procedures such as a breast reduction, breast lift, nipple reshaping, or breast augmentation are being performed on the other breast.

Which method for a breast reconstruction may be best for me?

The best method for you depends on many factors, including your body shape, past surgeries, current health, treatment needs and personal preferences.

Does reconstruction change the risk of my cancer returning?

The risk of breast cancer recurrence depends on the stage and nature of the cancer and any additional breast cancer treatments. Any risk of breast cancer recurrence is best discussed with the doctors treating your breast cancer. Reconstructive surgery has not shown to increase the risk of the cancer returning or make it harder to detect if cancer does return.

What if I need chemotherapy before or after a breast reconstruction?

Your medical oncologist will help determine if and when chemotherapy may be a beneficial treatment option for your breast cancer. If chemotherapy is required after surgery you may need to wait until your surgical wounds from your mastectomy and reconstruction have healed and recovered before starting chemotherapy. If you have complications such as wound healing problems or infection, chemotherapy may be delayed.

What if I need radiation before or after a breast reconstruction?

You may want to delay breast reconstruction until you are finished with radiation therapy as radiation may influence the final result of your reconstruction. Radiotherapy may impact any wound healing and the final appearance of any reconstruction. If you require radiation or have had radiation, it is frequently recommended to use your own tissue or a combination of your tissue with an implant.

Implant-only reconstruction may not be recommended as radiation often results in an increased risk of implant complications such as infections, fluid build-up and severe capsular contracture (scar tissue around the implant causing hardening of the breast).

What if I am considering a lumpectomy or breast conservation instead of mastectomy?

Breast conservation surgery usually involves removing a portion of breast tissue where the cancer is located, followed by radiation therapy. The removal of breast tissue can often leave an indentation or dimple on the breast. This dimple may not be seen until after radiation treatment. Reconstructive options can help improve the contour and appearance of the breast.

Will I have surgical drains after my chest (top) surgery?

Surgical drains are soft flexible silicone tubes that are placed within a cavity or space created via surgery. Surgical drains are used to help remove blood and fluid that leaks from body tissue following surgery. In addition to removing any blood and fluid (which may increase the risk of discomfort, infection or wound healing problems), surgical drains may also help a surgically created space collapse down and allow body tissues to stick to each other and aid the recovery process. Surgical drains may be used if there is a large potential space created, which happens in most cases of double incision chest (top) surgery and some cases of limited incision chest (top) surgery.

How much time off will I need to recover from my chest (top) surgery?

Recovering from surgery is a gradual process rather than a single point in time. In general, you will require two weeks off any work, focusing on resting and doing small amounts of activity only. After two weeks, depending on your comfort level and the demands of your job, you may be able to return to work and may feel comfortable enough to drive. By six weeks most people will have only minimal restrictions on activity if any, and any surgical wounds should require relatively minor care to help the scar obtain its optimal appearance.

Wounds from surgery of any sort can take up to 18 months to start fading.

Can I have surgery to multiple areas of the body at the same time?

It is possible to combine surgical procedures to multiple areas in one operation. Surgery to the abdomen and breasts is one such combination that may be safely combined, depending on the unique circumstances of the individual. There are some Medicare and health insurance restrictions to certain combinations of surgeries performed at one time.

The key considerations of combining surgery are:

  • the safety and length of the surgery.
  • the influence more extensive surgery may have on the ultimate outcome.
  • the required recovery period.

The potential surgical combinations will depend on your personal goals and requirements. If you are considering surgery to multiple areas, the order in which you may undergo these will also depend on what is clinically recommended to most likely achieve the desired outcome.

When is it a good time to consider surgery for excess skin after having children?

After your body has recovered from childbirth and you have returned to your pre-pregnancy weight or have lost as much as you weight can with diet and exercise. We also recommend waiting until you have finished having children.