Breast augmentation (augmentation mammoplasty) is a surgical procedure that involves placing implants to increase breast size or improve breast shape. It addresses concerns such as changes in breast volume that may occur after pregnancy, weight fluctuations, or due to natural variations in breast development.
The aim is to help achieve a balanced breast appearance that aligns with your body proportions, while considering your individual anatomy and preferences.
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“I focus on balance and softness, customising implant placement to complement your proportions and preserve natural movement.“
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What can a Breast Augmentation help with?
Concerns about breast volume or shape, such as:
The surgical procedure aims to:
- Adjust breast volume using implants
- Improve breast symmetry and proportion
- Create a more even breast profile
- Support a natural fit with your overall body structure
Overall benefits:
- Address specific issues related to breast size or shape
- Help restore balance in breast appearance after life changes
Dr ILLIE encourages thorough consultations to:
- Ensure understanding of the procedure, recovery, and outcomes
- Help make an informed decision
Am I a good candidate?
Suitable candidates generally:
- Are in good overall health and have realistic expectations about the procedure.
- Do not smoke or are willing to stop smoking for this procedure, as smoking can impair wound healing, increase the risk of complications such as infection, and negatively affect recovery.
- Do not have medical conditions that affect wound healing or increase surgical risks, such as uncontrolled diabetes, bleeding disorders, or active autoimmune diseases.
- Are at a stable weight and have fully developed breasts (typically after age 18, though individual assessment is key).
- Have discussed their medical history fully, including any previous breast surgery or family history of breast conditions
Procedure Options
Dr Vlad ILLIE offers a range of breast augmentation techniques tailored to each patient’s individual anatomy and goals. Every approach is considered within the context of your overall body structure, and Dr ILLIE will discuss which option is most suitable during a comprehensive consultation. He will assess your anatomy, discuss suitable options, and outline the likely benefits, limitations, and risks. The final choice of technique will always be based on clinical assessment and your individual preferences.
Implant Types
- Silicone Implants: Filled with a cohesive silicone gel that mimics the feel of natural breast tissue. Available in various shapes and sizes to suit different body types.
- Saline Implants: Filled with a sterile saltwater solution. They can be adjusted during surgery for precise volume and may feel firmer than silicone options.
- Both types are approved for safety by regulatory bodies, and Dr ILLIE will explain the differences based on your needs.
Implant Placement
- Subglandular (Over the Muscle): Implants are placed above the chest muscle but under the breast tissue. This may suit patients with adequate breast tissue coverage and can result in a shorter recovery for some.
- Submuscular (Under the Muscle): Implants are positioned partially or fully beneath the pectoral muscle. This option provides more natural contouring, especially for those with thinner breast tissue, and may reduce visible rippling.
- Placement is chosen to balance support, appearance, and recovery considerations.
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Incision Locations
- Inframammary (Under the Breast): Made in the natural crease below the breast. This allows direct access for implant placement and often results in well-hidden scars.
- Periareolar (Around the Areola): Placed along the edge of the areola. Suitable for those preferring a less visible scar in the breast fold area.
- Transaxillary (Through the Armpit): Made in the armpit fold, avoiding scars on the breast itself. This approach may be ideal for minimising visible marks on the breast skin.
- Incision choice depends on your anatomy, implant type, and scar preferences.
Procedure snapshot
Surgical procedure duration: Approximately 1-2 hours
Hospital stay: Day procedure or overnight for observation and care
Post-operation recovery:
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- Take 1-2 weeks off work to allow for initial healing
- Avoid heavy lifting and intense exercise for 4-6 weeks
- No driving for 1 week or until cleared by Dr ILLIE
- No smoking for at least 6 weeks before and after the procedure to support optimal healing
Your surgical team includes:
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- Dr Vlad ILLIE, highly qualified plastic surgeon with extensive training both in Australia and internationally
- Specialist anaesthetist to ensure your comfort and safety throughout the procedure
- Accredited hospital facilities meeting the highest standards of care
Expected results:
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- Increased breast volume and improved symmetry
- A breast profile that fits your body proportions
- Scars that fade over time with proper care
Dr ILLIE is committed to delivering results that complement your natural features while prioritising your wellbeing throughout the entire process.
Surgical Steps:
- An incision is made in the chosen location (e.g., under the breast, around the areola, or in the armpit) to create a pocket for the implant.
- The surgeon carefully dissects tissue to form a space either above or below the chest muscle, depending on the placement technique.
- The implant is inserted into the pocket and positioned for optimal symmetry and contour.
- The incision is closed with layered sutures to support healing and minimise scarring.
- Drains may be placed temporarily to reduce fluid buildup, and dressings or a supportive bra are applied.
Surgical Considerations
Breast Anatomy & Ageing
Breasts consist of glandular tissue, fat, and connective structures supported by skin and ligaments (Cooper’s ligaments). Changes can occur due to:
- Hormonal Factors: Pregnancy, breastfeeding, or menopause may lead to volume loss or stretching.
- Weight Fluctuations: Significant gain or loss can alter breast size and shape.
- Ageing: Skin elasticity may decrease, and natural volume reduction can occur.
- Developmental Variations: Some individuals experience asymmetry or smaller breast size from puberty onward.
These changes can affect breast proportion relative to the body. Understanding them helps Dr ILLIE tailor the procedure to address specific concerns.
Types of Incisions
The choice of incision depends on the extent of adjustment needed and the areas targeted:
- Inframammary Incision: Along the breast crease for straightforward access.
- Periareolar Incision: Blends with the areola edge, suitable for moderate adjustments.
- Transaxillary Incision: In the armpit, preserving breast skin integrity.
Effectiveness
Breast augmentation can adjust volume and improve symmetry by:
- Adding implant support to existing tissue
- Repositioning for better contour
- Addressing asymmetry through custom sizing
While the procedure does not prevent natural changes, it can provide adjustment to breast appearance. Results vary based on individual factors.
Duration and Recovery
The surgery generally takes 1 to 2 hours. Patients may go home the same day or stay overnight for monitoring.
Recovery Timeframe:
- Allow 1-2 weeks off work for initial healing.
- Avoid heavy lifting and strenuous activity for 4-6 weeks to protect the surgical site.
- Smoking cessation is recommended 6 weeks before and after to aid recovery.
Swelling and Discomfort:
Swelling, bruising, and mild pain are common and typically peak in the first week, improving over 2-4 weeks.
Full Recovery:
Most activities resume within 4-6 weeks, with final settling over 3-6 months as implants position naturally.
Duration of Results:
Implants are designed for long-term use, but lifespan varies (10-20 years or more). Factors include implant type, lifestyle, and body changes. Regular check-ups are advised.
Potential Risks and Complications
- Anaesthesia Risks: Reactions to anaesthesia are possible; discuss your history with the anaesthetist.
- Bleeding and Haematoma: Bleeding may form a collection under the skin, requiring drainage.
- Infection: Can occur at incision sites; treated with antibiotics if needed.
- Implant Complications: Capsular contracture (scar tissue tightening around the implant), rupture, or leakage may require revision.
- Changes in Sensation: Temporary or permanent nipple/breast numbness.
- Asymmetry or Rippling: Uneven results or visible implant edges in some cases.
- Scarring: Keloid or hypertrophic scars possible, though minimised with technique.
- Breastfeeding Impact: May affect milk production or ducts.
- Rare Risks: Blood clots, allergic reactions, or need for future surgery.
Safety Measures & Surgeon Expertise
Why is it important to choose a fully qualified, board-certified plastic surgeon?
Choosing a certified Specialist Plastic Surgeon (FRACS) who is a member of the Australian Society of Plastic Surgeons (ASPS) or ASAPS ensures your surgeon meets the highest professional standards. A fully qualified and AHPRA-registered surgeon has completed rigorous training and adheres to strict professional requirements. Board certification and specialised training in body contouring surgery indicate that the surgeon has the expertise to perform procedures safely and competently, thereby reducing the risk of complications.
What qualifications and training does Dr Vlad ILLIE have?
Dr ILLIE is a fully qualified plastic surgeon with specialised training in breast surgery. He is registered with AHPRA and holds relevant certifications that demonstrate his commitment to maintaining high standards of surgical care and patient safety.
How does Dr ILLIE ensure surgical safety?
- Conducts comprehensive pre-operative assessments to understand your health status and individual needs.
- Develops a personalised surgical plan tailored to your breast anatomy and goals.
- Uses refined, evidence-based surgical techniques to minimise tissue trauma and promote smoother recovery.
- Works within accredited surgical facilities that adhere to strict hygiene and safety protocols.
- Collaborates with experienced anaesthetists and nursing staff to monitor your wellbeing throughout the procedure.
What role do consultations play in safety?
Dr ILLIE prioritises thorough consultations to:
- Explain the procedure clearly, including potential risks and realistic outcomes.
- Answer all your questions to ensure you have a full understanding before proceeding.
- Discuss lifestyle factors such as smoking cessation and health optimisation to support healing.
- Set clear expectations to help you make an informed decision.
How are risks minimised during and after surgery?
- Careful patient selection and preparation, including managing any medical conditions.
- Strict adherence to infection control and surgical safety checklists.
- Post-operative monitoring and follow-up appointments to detect and manage any issues early.
- Providing detailed aftercare instructions to support recovery.
Recommendations for Patients
Maintain open and honest communication with Dr ILLIE throughout your surgical journey. It is important to provide a complete and accurate medical history, including any medications, allergies, or previous procedures. Discuss any concerns or questions you have, as well as your expectations, to ensure a clear understanding of the procedure and realistic outcomes.
Follow all preoperative instructions carefully. This may include:
- Adjusting or temporarily stopping certain medications as advised to reduce risks during surgery.
- Ceasing smoking at least six weeks before the procedure to support better healing and reduce complications.
- Maintaining a balanced diet and staying well-hydrated to prepare your body for surgery.
- Arranging for support on the day of surgery and during the initial recovery period, as you may have limited mobility.
Adhere strictly to postoperative care guidelines provided by Dr ILLIE and his team. This includes:
- Proper wound care and hygiene to prevent infection.
- Avoiding heavy lifting, strenuous exercise, and smoking for the recommended duration to promote healing.
- Taking prescribed medications as directed to manage pain and reduce inflammation.
- Attending all scheduled follow-up appointments to monitor your recovery progress.
Be vigilant for any signs of complications and contact the clinic promptly if you experience:
- Severe or persistent pain that is not relieved by medication.
- Redness, warmth, swelling, pus, or fever, which may indicate infection.
- Excessive bleeding or swelling beyond what was explained during your consultation.
- Any other unexpected symptoms or concerns regarding your recovery.
Following these recommendations carefully helps to minimise risks, supports effective healing, and contributes to achieving the best possible results from your procedure.
Combined Surgical Interventions
Breast augmentation primarily addresses volume and shape. For more comprehensive results, Dr Vlad ILLIE may combine it with other procedures, including:
Breast Augmentation + Breast Lift (Mastopexy)
This combination adjusts volume while lifting sagging tissue to improve breast position and contour, particularly after pregnancy or weight loss.
Breast Augmentation + Abdominoplasty (Tummy Tuck)
Often paired for post-pregnancy restoration, addressing both breast and abdominal changes for overall body proportion.
Frequently Asked Questions
Why should I book a breast augmentation consultation with Dr ILLIE?
- Discuss your specific concerns and what you hope to achieve.
- Receive a clear explanation of the surgical procedure, including potential risks, benefits, and realistic outcomes.
- Confirm Dr ILLIE’s qualifications, experience, and approach to ensure your safety and satisfaction.
- Opportunity to ask questions and understand the full process before making a decision.
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At what age is breast augmentation suitable?
- Typically after breast development is complete (around 18+), but candidacy depends on health, stability, and goals. Dr ILLIE assesses individually during consultation.
How long is the recovery period after breast augmentation?
- Swelling and discomfort last 1-2 weeks; light activities resume then. Full recovery takes 4-6 weeks, with final results over months.
Will there be visible scars after the surgery?
- Incisions are placed to minimise visibility and fade with time. Scar care instructions help optimise healing.
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How long can I expect the results to last?
- Implants are long-lasting, but may need monitoring or replacement over 10-20 years due to wear or changes. Lifestyle affects longevity.
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What should I do to prepare for my breast augmentation surgery?
Follow Dr ILLIE’s advice, such as avoiding certain medications, quitting smoking, and stabilising weight. Preparation reduces risks.
Are there non-surgical alternatives to breast augmentation?
- Options like padded bras or fat transfer provide temporary volume but do not match surgical adjustments for lasting change.
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Will I require revision surgery in the future?
- Some patients need adjustments for implant issues or further changes; Dr ILLIE discusses long-term planning in consultation.
What can I expect during the recovery process?
- Expect initial soreness, swelling, and support bra use. Gradual return to normalcy over weeks, with follow-ups for guidance.
How do I select the right surgeon for my breast augmentation?
- Confirm they are a certified Specialist Plastic Surgeon (FRACS) and a member of the Australian Society of Plastic Surgeons (ASPS) or ASAPS, ensuring they meet the highest professional standards.
- Look for surgeons with substantial, specialised experience in breast procedures, including deep knowledge of breast anatomy and advanced breast augmentation techniques.
- Review their before‑and‑after portfolio to assess consistency, attention to detail, and alignment with your aesthetic goals.
- Ensure they operate in accredited surgical facilities, which support safety, sterility, and appropriate standards of care.
- Choose someone you feel comfortable with, who listens to your goals and concerns and communicates clearly throughout the process.
- Dr ILLIE exemplifies these qualities, combining FRACS‑accredited training with extensive experience in breast surgery, personalised care, clear communication, and a strong commitment to patient safety.
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how Dr Vlad ILLIE’s Approach Stands Out
Dr Vlad ILLIE is a highly qualified Specialist Plastic and Reconstructive Surgeon based in Sydney, with extensive experience in facial plastic and reconstructive surgery.
Dr ILLIE has completed comprehensive international fellowships in Oxford, UK and Stuttgart, Germany, specialising in microsurgical reconstruction, complex facial revision surgery, and advanced cosmetic techniques. His background includes managing challenging reconstructive cases, including head and neck reconstruction, which contributes to his precise surgical skill set.Dr Vlad ILLIE – best natural looking facelift and neck lift results in Sydney
His results distinguish by:
- Strategic Incision Placement: Minimising scar visibility through natural folds.
- Natural Contouring: Selecting implant size and placement to suit body proportions without exaggeration.
- Symmetry Focus: Addressing asymmetries for balanced outcomes.
- Muscle-Sparing Techniques: Reducing recovery time and discomfort where possible.
- Volume Preservation: Avoiding over- or under-correction to maintain proportion.
- Layered Closure Methods: Promoting strong healing and reduced scarring.
- Anatomy-Based Customisation: Tailoring to individual breast tissue and goals.
- Ongoing Support: Detailed aftercare and accessible follow-ups.
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Further information
For breast augmentation and facial cosmetic surgery interventions, please book a consultation with Dr Vlad ILLIE, Specialist Plastic Surgeon and Fellow of the Royal Australasian College of Surgeons. Dr ILLIE will provide further information on the treatment and specific recommendations for your circumstances.
For additional emotional care through your wellness journey, we can also provide psychological support.
Schedule a Consultation
Ph (02) 9101 4707
Fax (02) 9182 0092
office@drvladillie.com.au
Sydney Centre for Plastic Surgery
Suite 1702, Westfield Tower 2
101 Grafton St
Bondi Junction NSW 2022
Gosford Private Medical Centre
Suite 2, 213 Albany St North,
Gosford NSW 2250
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