BREAST AUGMENTATION PERTH, WA

Breast Augmentation by Specialist Surgeon Dr Robert Goldman

Why have a Breast Augmentation?

Breast Implants can help restore lost self-esteem and improve your quality of life. If you are considering a breast augmentation it is important to discuss with your cosmetic surgeon what you are hoping to gain from the surgery, as well as the results that can be expected.

Changing the size and shape of your breasts alone will not change you. The goal of the procedure is to improve your self-esteem and increase your self-confidence, in turn making you feel better about yourself and happier with your body.

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Many women choose to undergo breast augmentation with implants for a variety of reasons including:

confidence

CONFIDENCE

Women who are dissatisfied with the size and shape of their breasts and individuals with small breasts who desire larger or more full breasts are good candidates for breast enhancement procedures like breast augmentation with implants. Many women experience a boost in self-esteem after their breast enhancement surgery.

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POST PREGNANCY

Fluctuations in breast volume is a common phenomenon during pregnancy. This beautiful life-giving process can wreak havoc on one’s body and their self-confidence. It’s common among new mothers to consider a ‘Mummy Makeover’ which consists of a range of procedures including a tummy tuck, facelift, breast augmentation, and others to restore the confidence they had before childbirth.

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ASYMMETRY

If your breasts differ in shape and/or size between the right and left breasts, breast augmentation may be a good solution for you. Breast asymmetry is an incredibly common phenomenon which can easily be fixed with a breast augmentation. Implants are an ideal solution for natural breast asymmetry or asymmetry following mastectomy.

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POST WEIGHT LOSS

Reduced breast size and excess skin after significant weight loss is one of the main reasons women get implants. Individuals who take a step in the right direction to a healthier life often experience changes in their breasts like skin that sags where the fat deposits used to be pre-weight loss.

silicone gel breast implants
Options

Breast Implants Perth

There are several things to consider before you decide to have a breast augmentation. All women’s breasts are different. We all come in different shapes and sizes; all these aspects need to be taken into consideration. Implants also come in various shapes and sizes and expectations and preferences will differ widely amongst women who want to undergo breast enhancements.

It’s also important to know the difference between enhancement and breast reconstruction. Often, Perth surgeons prefer to do reconstructions on their own work rather than agree to rectify issues on patients, especially if they’ve had their procedures done abroad.

It is essential to have the right information and to be guided through the process by a Specialist Surgeon so you can make the best choices and get the results you want.

Your surgeon

Natural looking Breasts

For the most natural look, Dr Goldman uses Cohesive Silicone Gel Breast Implants. These implants are now widely used across Australia and the rest of the world. Health authorities have determined that cohesive silicone gel implants are safe for use because the cohesive gel does not seep, run or shift. If it ruptures, the implant itself maintains its shape and integrity.

Silicone gel breast implants give a more natural appearance than saline breast implants. They feel and move like real breast tissue. They have been designed to increase cleavage and breast size without producing an undesirable and unnatural upper breast fullness. There is a range of implants with respect to height, projection and base width, each having a variety of sizes.

breast implant examples

Here’s what you need to consider when it comes to your breast implants:

The placement of silicone breast implants will affect how your breast implants look and feel, as well as the safety and risks of breast augmentation. Dr Goldman does not perform submuscular breast augmentations, as this type of procedure involves more safety risks, a less natural looking result, and increased re-operation rate.

Dr Goldman only places implants over the pectoral muscles, so you can have the safest procedure and best-looking results.

There have been many advances in the materials used for breast implants since breast implant surgery was first introduced. As discussed above, Dr Goldman uses high-quality Cohesive Silicone Gel breast implants by Motiva.

This medical grade material is licensed and considered safe by the Therapeutic Goods Administration and is used in Australia and worldwide.

During your consultation, Dr Goldman will listen to your desires and discuss which size and shape implants will be best suited for you. The final decision will be based on your current measurements, desired end results and lifestyle.

Dr Goldman uses techniques and materials to help you get the most natural looking results. Your breast implant surgery will be performed so that the implant is placed to move and behave exactly as the breast does.

During the initial consultation with Dr Goldman, he will guide you through each step and provide you with extensive take-home reading material to assist you in the decision-making process.

breast examination

Why choose Dr Goldman?

Meet your breast augmentation specialist surgeon now

Breast Augmentation Surgery Procedure

From your initial consultation through to aftercare, Dr Goldman and his staff provide the highest level of professional care and ongoing support to ensure you achieve the best results from your cosmetic surgery. Each procedure is unique to the individual and will demand a holistic approach. In general, here is an outline of what to expect from start to finish.

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Consultation

At the consultation, Dr Goldman will discuss your desired results and give you a clear understanding of what to expect. While Dr Goldman is happy to show you before and after photos of women who have had breast augmentations, it’s important to remember that all bodies are different and what works for some women may not be realistic for others. Dr Goldman will discuss this at the consultation.

Choosing the right size and shape of breast implants is a partnership between you and your specialist cosmetic surgeon. There are a number of important steps that you will go through during the consultation to determine the best breast size for you. These steps include detailed measurements of your chest and breasts, the option of reviewing before and after photographs of previous patients and viewing the complete range of breast implants in their various shapes and sizes.

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Procedure

The procedure usually takes between one and two hours. An incision is first made, a pocket is then created and the breast implant is inserted. The pocket is carefully modified to accommodate the breast implant. The incision is then closed with sutures. Remember, all sutures are internal and dissolving.

The positioning of implants over or under the pectoral muscles is controversial amongst Plastic and Specialist Surgeons. Dr Goldman now almost exclusively places implants over the muscle, not beneath. The subglandular placement position lifts low-lying nipples more effectively than the submuscular position. Dr Goldman will explain these positioning aspects in detail during your consultation.

There are three possible incisions methods that can be used in Breast Augmentation (Breast Implants) surgery:

  • Transaxillary: under the arm
  • Inframammary: under the breast just below the breast fold
  • Periareolar: around the lower edge of the areola

In most cases, Dr Goldman prefers the Inframammary method as this method has several advantages to the patient. Regardless of the approach chosen, the incisions are relatively small and generally heal extremely well.

The breast augmentation procedure will be reviewed in detail during your initial consultation and Dr Goldman can answer any questions you may have.

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Aftercare

When you choose a specialist surgeon like Dr Goldman, you can rest easy knowing that you’ll be well cared for after your procedure. His friendly, experienced team will ensure you are given the right tools to recover safely and quickly from your procedure.

Firstly, you will be fitted with a specialised support bra that you will need to purchase from a preferred supplier. It will support the breasts in a comfortable healing position. We request that you wear this bra at all times, except for showering, for approximately 4 weeks. We will provide you with medication for any discomfort. Most patients do not need anything for pain 6 to 7 days after surgery.

During the first week after breast enlargement surgery, you will need to take life very easy, and avoid heavy lifting and excessive movements of your arms. Activities can be gradually increased after the first week, within your own comfort level. You will be able to shower 5 days after your surgery. You should be able to return to your work 1 week after your surgery. You will need to avoid aerobics and other strenuous exercise for about six weeks after your surgery. It is recommended that air travel be avoided for the first two weeks after surgery. However, if you have any specific concerns, you should discuss them with your Specialist Surgeon, Dr Goldman.

For the first few weeks after breast augmentation surgery, it is possible that you may feel that your breast implants are “too big” or perhaps too tight. This will be due to the swelling from the breast enlargement surgery. After a few weeks, this swelling settles. You will also have become more accustomed to your new breast size at that time. Some women report that their nipples become over-sensitive or under-sensitive following breast augmentation surgery. These findings are most common during the first few weeks after breast implant surgery. They are usually temporary.

A review consultation is organised for you to see Dr Goldman 14 days after your breast augmentation surgery. To ensure your long-term health remains at its best, an after-care program is organised with meetings at 6 weeks and 3 months from the date of your surgery. These appointments will also include breast cancer checks. This is all part of the holistic approach that is offered by Dr Goldman.

Surgery Risks

Breast Augmentation is a relatively straightforward procedure but as with any operation, there are risks associated with surgery and complications specific to this procedure.

A well known and publicised problem is capsular contracture. When a breast implant is inserted, a scar capsule forms around it as part of the natural healing process. In 2% to 5% of cases, the capsule may sometimes tighten and compress the breast implant, causing the breast to feel firmer than normal. Capsular contracture can occur to varying degrees. If it is severe, it can cause discomfort or changes in the breast’s appearance. In such cases, more surgery may be needed to modify or remove the scar tissue, or perhaps remove or replace the breast implant. Dr Goldman has a number of methods to minimize capsular contracture and he will explain this to you during your consultation.

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specialist surgeon with a silicone implant

Why choose a Specialist Surgeon?

While breast augmentation is a cosmetic procedure, it is still surgery and should be undertaken by a specialist surgeon. So, what does it mean to be a specialist surgeon?

One of the first indications that you’re dealing with a specialist cosmetic surgeon is the accreditation after their name. In Australia, the term FRACS means Fellow of the Royal Australasian College of Surgeons. This distinction is only awarded to specialist surgeons who have undertaken a minimum of 12 years medical and surgical education. This title also indicates that your surgeon is Commonwealth Government accredited. What does all this mean for you?

The benefits of dealing with a specialist surgeon include:

  • Can include the use of Private Health Cover
  • Long-term care program, including breast cancer checks
  • Holistic approach to your surgery and after care
  • Exclusive access to an experienced and highly qualified surgeon
Your surgeon

DR ROBERT GOLDMAN​

Dr Robert Goldman FRACS, MB, ChB, B.Sc (hons) is a Specialist Surgeon with a focus in Cosmetic Surgery with over 35 years of experience. He has helped thousands of women to become more confident and satisfied with their breasts and body image through breast and body procedures.

Your safety and total breast health are Dr Goldman’s top priority. As well as being a leading Specialist Surgeon, Dr Goldman continues to specialise as a surgeon in women’s breast health. Specialising in both of these select fields is rare and ensures that Dr Goldman will take care of both your Cosmetic Breast Enhancement aspirations, as well as your overall breast health.

A consultation with Dr Goldman will always include a complimentary medical breast assessment, which ensures total breast health prior to proceeding with Cosmetic Breast Enhancement. Aftercare is also an essential part of Dr Goldman’s professional service to his clients with a personalised follow-up plan provided at your consultation.

Dr Goldman is happy to answer any questions you may have about the procedure during your consultation and will offer extensive reading and educational material to take home to assist you in the education and decision-making process.

Dr. Robert Goldman
Your surgeon

Dr Robert Goldman

Breast Augmentation Case Study

video case study
Getting to know in few minutes how we are working

Dr. Robert Goldman
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Breast Augmentation Surgery Before & After

Case A- Augmentation
  • 19
  • none
  • 10B
  • 5ft 4in - 54kg
  • 290cc High Profile
  • 10D
Case B- Augmentation
  • 24
  • none
  • 10B
  • 5ft 5in – 54kg
  • 335cc Ultrahigh Profile
  • 10D
Case C- Augmentation
  • 28
  • 2
  • 12B
  • 5ft 6in – 65kg
  • 445 g Ultrahigh Profile
  • 12D/E
Case D- Augmentation
  • 41
  • 3
  • 12B
  • 5ft 0in – 76kg
  • 505cc High Profile
  • 12E
breast augmentation

View our latest infographic of breast augmentation

Frequently Asked Questions

Breast enlargement with silicone implants is a surgical procedure that can have immediate results with positive feedback. It’s ideal for those with little fat deposits and allows the surgeon more freedom to control the end result of the procedure.

Silicone implants also look and feel more like natural breasts, whereas saline implants are less forgiving and more likely to ripple or fold unnaturally. If the implants pop or rupture, silicone implants maintain their structure, while saline implants are made of liquid and therefore, leak.

Incisions made during the surgery can deter the patient from breastfeeding. Breast implant surgery can also damage the glands that help produce milk and the ducts that hold them. The surgery can also lead to a disconnect between the nipples and the glands. Please speak to your surgeon before the surgery if breastfeeding is in your future plans.

While the two terms are often used to describe the same thing, breast augmentation is the medical name of the procedure while breast implants are the products that are used in the augmentation process.

As detailed above, the cost of implants is broken down into the surgery fee, anaesthetist fee, hospital fee and the cost of the implants. The total cost will be discussed in your initial consultation. You can also find out whether you are eligible for any rebates through Medicare or your private health insurance.

Book your FREE consultation today

one-on-one consultation with Dr Robert Goldman
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