What Is Breast Augmentation (Augmentation Mammoplasty)?

Breast augmentation (augmentation mammoplasty) is a surgical procedure that involves placing medical-grade implants to increase breast volume and modify breast shape and projection. It may be used to address issues such as relatively small breast volume, asymmetry, or changes in breast fullness over time; it may not be suitable for everyone and individual outcomes vary.

During the procedure, a surgical pocket is created either behind the breast tissue (subglandular placement) or beneath the pectoral muscle (submuscular placement) to position the implant. The aim is to change the contour and projection of the breast in a way that is proportionate to the patient’s torso and aligned with their goals, following a detailed consultation and informed consent process.

Potential Benefits and Anatomical Changes

The primary objective of augmentation mammoplasty is to change the physical dimensions and shape of the breasts; however, all surgery carries risks and no specific result can be guaranteed. Any potential benefits must be weighed against possible risks and complications in consultation with a qualified specialist plastic surgeon.

Modified breast volume: Additional volume can be created in breasts that are relatively small in proportion to the rest of the body frame.
Proportion and balance: The breast–torso relationship may be adjusted to create a more proportionate appearance for some patients.
Symmetry: Marked differences in size or shape between the left and right breasts may be addressed in selected cases.
Upper pole fullness: Reduced fullness in the upper part of the breast (for example after weight change or pregnancy and breastfeeding) may sometimes be improved.

Whether these changes are appropriate or achievable for an individual patient depends on their anatomy, medical history, and surgical plan, which will be discussed in detail during consultation.

Ideal Candidate Profile

A consultation with a Specialist Plastic Surgeon such as Dr Mohammad Hassan Mohaghegh (MD, MPhil, FRACS (Plast), AHPRA MED0001627149, specialist registration in Surgery – Plastic Surgery) is required to determine suitability for surgery. Suitability is based on clinical assessment, screening for psychological conditions (including Body Dysmorphic Disorder), and a discussion of realistic goals and expectations.

Generally in good overall physical health and at a stable weight.
Has completed breast development (typically 18 years of age or older).
Wishes to address specific anatomical concerns such as asymmetry or volume loss, rather than seeking a “perfect” or “ideal” body type.
Has a clear understanding of the procedure, potential risks, recovery process, and the possibility of future revision surgery.
Has obtained a mandatory GP referral in line with current cosmetic surgery regulations.

Good Candidate Checklist

Physically healthy, with no active infections or untreated significant medical conditions.
Non-smoker, or willing to stop smoking (including vaping and nicotine products) well before and after surgery, as advised by the surgeon.
Understands that breast implants are not lifetime devices and may need replacement or removal in the future.
Prepared to undergo at least two pre-operative consultations, with at least one in-person consultation with the surgeon, and to observe a minimum 7-day cooling-off period before surgery is booked or a deposit is paid.
Holds realistic expectations about what surgery can and cannot achieve for their individual anatomy.

Who May Not Be a Suitable Candidate?

In some situations, breast augmentation may not be recommended, or may need to be delayed, after a careful assessment by your GP and Specialist Plastic Surgeon.

Active breast cancer or untreated abnormal breast investigations: A GP or specialist must first investigate and manage any suspicious findings.
Unrealistic expectations: Patients focused on achieving a “perfect” or “flawless” result that is not anatomically realistic may be advised against surgery.
Psychological vulnerabilities: Patients with conditions such as Body Dysmorphic Disorder (BDD) or significant psychological distress may be referred to a psychologist, psychiatrist, or GP for further assessment before any decision is made about surgery.
Pregnancy or breastfeeding: Surgery is usually postponed until at least 6–12 months after breastfeeding has finished and breast tissue has stabilised.
Conditions affecting healing: Certain autoimmune disorders, poorly controlled diabetes, or other health issues may increase risks and will be carefully considered during pre-operative assessment.

Breast Implant Options

A range of breast implant types and surgical techniques is available; the most appropriate option is determined in consultation with your surgeon, based on your anatomy, goals, and medical history. No single implant type or technique is suitable for every patient, and all implants have potential risks and limitations.

Implant characteristics commonly discussed include:

Shape – for example, round or contoured.
Outer surface – for example, smooth or textured.
Profile – for example, standard, moderate, or high profile.
Base width and volume (size) relative to chest measurements.

One of the key choices is whether to use silicone or saline-filled implants. Dr Mohaghegh uses a range of implant types and surgical approaches tailored to each patient’s individual anatomy and goals.

Implant Placement Techniques

Submuscular placement: The implant is positioned under the chest (pectoral) muscle, which can provide additional soft tissue coverage over the upper part of the implant in some patients.
Subglandular placement: The implant is placed directly behind the breast tissue and in front of the muscle. This approach may be associated with a different recovery profile for some patients.
Dual-plane placement: A combined technique in which the upper portion of the implant lies under the muscle and the lower portion under the breast tissue, which can be useful in selected anatomical situations.

Silicone Implants

Silicone implants used in Australia have a silicone elastomer shell filled with cohesive silicone gel, which is designed to have a feel that can be similar to natural breast tissue for many patients. They are regulated medical devices and are subject to ongoing monitoring and reporting requirements by the Therapeutic Goods Administration (TGA).

Saline Implants

Saline implants have a silicone shell that is filled with sterile saltwater (saline) solution. The saline has a similar salt concentration to the body’s own fluids; however, these implants have their own advantages and limitations which will be discussed with you during consultation.

Both silicone and saline implants are available in a range of shapes, sizes, and surface textures. The most appropriate implant for you will be chosen in partnership with your surgeon after a thorough discussion of the potential benefits, risks, and trade-offs of each option.

Further Information and Educational Resources

Before-and-after images and patient stories are subject to strict AHPRA advertising rules and may not be displayed in all settings or may require specific warnings to avoid creating unrealistic expectations. If you would like to review clinical images or case examples, this can be discussed during your private consultation with Dr Mohaghegh, where outcomes can be explained in the context of your own anatomy.

You can also access written educational materials, including information about breast surgery options, risks, and recovery, by speaking with the clinic team or reviewing the educational content available on Dr Mohaghegh’s website: drmohaghegh.com.au.

Anaesthesia and Facility Information

Breast augmentation is performed under general anaesthesia in an accredited hospital facility in Sydney, in accordance with current cosmetic surgery standards. A qualified Specialist Anaesthetist is responsible for administering the anaesthetic and monitoring your vital signs throughout the procedure.

Under general anaesthesia, you are unconscious and do not feel pain during the operation. The procedure commonly takes around 1–2 hours, although timing can vary depending on individual factors and whether additional procedures are planned.

Pricing and Cost Transparency

The total cost of breast augmentation in Sydney can vary and will be influenced by factors such as the choice of implants, the hospital facility, the anaesthetist’s fee, and any additional procedures or complexity. Advertising of cosmetic surgery costs must provide clear information and avoid misleading or “from–to” claims that could create unrealistic expectations.

Initial consultation fee: A consultation with Dr Mohaghegh is required for specialist assessment, discussion of options, and provision of an individualised quote.
Estimated starting costs: An approximate base range can be discussed during consultation once your assessment is complete; this may change depending on your specific surgical plan.
Itemised quote: A written quote will typically outline the surgeon’s fee, assistant’s fee (if applicable), anaesthetist’s fee, and hospital/facility charges.
Rebates: Cosmetic breast augmentation generally does not attract Medicare or private health insurance rebates unless it meets specific reconstructive criteria set by Medicare and your insurer.

Recovery and Aftercare

Recovery experiences and timelines vary between individuals; the information below provides a general outline only and will be personalised for you by Dr Mohaghegh and his team. It is important not to rely on advertising alone when making decisions about surgery and to discuss all post-operative instructions in detail during consultation.

Indicative Recovery Timeline

Immediately post-operative: You will be monitored in the recovery area. Many patients go home the same day or after an overnight stay, depending on clinical factors and the surgeon’s recommendation.
First 24–48 hours: Discomfort, swelling, and a feeling of tightness are common. Prescription pain relief and post-operative instructions are provided.
Week 1: Some patients can return to light desk-based duties, provided they avoid lifting and strenuous activity. You should not lift anything heavier than a light object (for example, a litre of milk) unless cleared by your surgeon.
Weeks 2–4: Swelling usually starts to settle. If non-dissolvable sutures have been used, they may be removed around this time.
Months 1–3: High-impact exercise is usually reintroduced gradually as advised. The implants may slowly “settle” into a more natural position over this period.
6 months and beyond: Scars generally continue to mature and soften over time, and the breast tissue settles into a more stable shape.

Key Recovery Milestones (General Guide Only)

Driving: Often possible after about 1 week, once you are comfortable, able to perform an emergency stop, and no longer taking strong pain medication. Always follow your surgeon’s specific advice.
Return to work: Many patients in non-physical roles return after 7–10 days; physically demanding work may require a longer period of leave.
Exercise: Gentle walking is usually encouraged soon after surgery. Light cardiovascular exercise is commonly introduced around 3 weeks, and heavier lifting or chest-focused exercise around 6–8 weeks, depending on your progress and your surgeon’s instructions.

You will receive specific aftercare instructions, including wound care, use of support garments, and follow-up appointments. Adhering to these directions is important for optimising your recovery and outcomes.

Clinical FAQ

How long do breast implants last?

Breast implants are not considered lifetime devices. Over time, factors such as normal wear, capsular contracture, changes in breast tissue, or personal preference may lead to a recommendation for implant review, replacement, or removal. Some international bodies refer to an approximate timeframe of 10–15 years for reassessment; however, this is not a guarantee, and implants may require attention earlier or later than this depending on individual circumstances.

Will I lose sensation in my nipples?

Temporary changes in nipple or breast skin sensation, including numbness or increased sensitivity, are relatively common after breast augmentation. In many cases sensation improves over time, but there is a risk that some degree of altered or reduced sensation may be long term or permanent.

Can I breastfeed after getting implants?

Many women are able to breastfeed after augmentation, but there is no guarantee. Certain incision types (for example, those around the areola) and surgical techniques may affect milk production or milk flow in some patients. If you are planning future pregnancies or breastfeeding, this should be discussed in detail with Dr Mohaghegh during your consultation so that it can be factored into your surgical plan.

What Can Be Considered or Aimed For?

Breast augmentation may be considered to:

Increase breast size where this is in keeping with the patient’s goals and anatomy.
Enhance upper pole fullness and cleavage in selected patients.
Improve perceived balance between the breasts and torso.
Restore or improve breast shape and volume that has changed over time (for example, after pregnancy, breastfeeding, or weight change).
Address breast asymmetry, where one breast is noticeably different in size or shape compared with the other.

It is important to understand that aesthetic outcomes are subjective and vary between individuals; surgery cannot guarantee a specific appearance or a particular cup size. A thorough consultation with an appropriately qualified Specialist Plastic Surgeon is essential to discuss your aims, the potential benefits, the limitations of surgery, and the associated risks before deciding whether to proceed.

Clinician and Contact Details

Surgeon: Dr Mohammad Hassan Mohaghegh
Qualifications: MD, MPhil, FRACS (Plast)
AHPRA ID: MED0001627149
AHPRA Registration Type: Registered medical practitioner, Specialist Plastic Surgeon (specialist registration in Surgery – Plastic Surgery)

Website:https://drmohaghegh.com.au
Phone: 1300 074 466
Email: hello@drmohaghegh.com.au
Address: Shop 1/161 New South Head Rd, Edgecliff, NSW 2027

This information is general in nature and does not replace a personalised consultation. A face-to-face assessment with Dr Mohaghegh is required to determine whether breast augmentation is appropriate for your situation, and to discuss the potential risks, benefits, and alternatives in detail.