Breast Augmentation (Breast Implants)


Natural Breast Augmentation (Enlargement) / Breast Implants:

The Morning Show – Channel 7 : NOVEMBER 2013

Dr Kourosh Tavakoli talks about Breast Augmentation.

The Morning Show – Channel 7 – Mummy Makeovers: SEPTEMBER 2013

Dr Kourosh Tavakoli explains the increasing trend of new Mums having plastic surgery to return to their pre-pregnancy bodies.

Thai Surgery Nightmare: OCTOBER 2012

Another thai breast augmentation surgery disaster that Dr Tavakoli will now take on as a patient to salvage.

A Current Affair: OCTOBER 2011

Travelling overseas for cosmetic surgery just to save money can lead to poor outcomes, often with avoidable complications, little or no recourse to return for additional revisional treatment, and sometimes resulting in tragic consequences.


Dr Tavakoli’s Philosophy

Dr Tavakoli is widely renowned in Australia for Naturally looking Breast Augmentation (Enlargement) Work since 2004. In fact from 2007 onwards Dr Tavakoli consistently performs by far the most number of Breast Implants in Australia, resulting in a huge amount of experience with difficult cases. Our patients travel from Interstate Australia, New Zealand, Asia and USA to our clinic. With over 3,500 cosmetic breast procedures and operations, please be assured that you are dealing with a widely experienced and trusted Plastic Surgeon.

Please note that “Bargain Boob jobs” are usually performed by junior doctors with limited amount of surgical  experience. Lack of experience in Breast Implant surgery almost invariably can lead to poor outcome requiring costly revisional surgery to fix. Enquire about your doctor’s level of experience before undergoing Breast Augmentation.

The reasons for wanting a breast enlargement vary some women notice their bodies change after weight loss or pregnancy, while others have always disliked their breasts since puberty, and have suffered from low self esteem as a result. It requires research, consultation and time for decision-making before undergoing breast augmentation.

There are different types of breast implants and Dr. Tavakoli’s consultation will help you choose the right one for you:

Whatever a patient’s reasons are for considering breast enlargement surgery in Sydney, Dr Tavakoli works with them to understand their goals, and to achieve the best results possible through special techniques and equipment and pre-surgery consultation, along with breast implants before and after photos of previous patients as guides. Whether it is dealing with very difficult droopy or tuberous breast shapes needing complex mastopexy procedures, or simply wanting breast enlargement in Sydney Dr Tavakoli aims to provide his patients with surgically safe and artistically natural looking breasts.

Breast Sizing is an integral part of Dr Tavakoli’s consultation methodology. Precise sizing will take place both in the consultation room and during the operation by Dr Tavakoli ensuring the correct implant size is selected for all our patients.

Looking for Natural and Safe breast augmentation (enlargement) / breast implants in Sydney? Please note that Dr Tavakoli is a Breast Augmentation leader specialising in Minimal Incision and Ultra Rapid Recovery Technique.

The number of breast enlargement operations is on the increase, and the demand for natural-looking breasts is even more apparent. As a plastic surgeon sub-specialising in breast augmentation and breast lifting procedures, I have been privileged to treat a large number of patients in my two Sydney clinics for the past 10 years. Therefore, I have drawn from this wide experience to perfect the formula for safe, successful and attractive breast augmentation. Breast augmentation is a procedure that is often assumed to be simple in nature but is actually quite complex. Precise pre-planning and meticulous surgery are essential in obtaining great results. Good aftercare cannot simply be ignored and hence one of the main problems with travelling overseas for cosmetic surgery with no follow up. In my practice Breast Augmentation is a very precise operation that uniformly brings a high level of satisfaction to my patients.

1. How does Dr Tavakoli achieve such natural looking breasts?

A well-augmented breast has a natural fullness, with gentle sloping off the chest wall. There should be natural cleavage without webbing between the breasts and only a certain amount of perkiness.

There are three main telltale signs of unnatural-looking breast augmentation:

Breast implant margin: This should be soft and imperceptible, as obvious implant edge visibility, especially in the midline, will resemble the Tori Spelling or Posh Spice look.

Breast implant size: an implant that is too large for a small frame is usually an obvious give-away that a patient has had a breast augmentation. The best example of this is Pamela Anderson-style breasts. Women wanting to go from an A cup to a full D cup need to understand the limitations of Breast skin.

Perkiness: An augmented breast that is too perky will tend to look fake, as a small amount of droop is natural. When a patient lies on her back, the breast implants should roll to the side like natural breast tissue and not sit up like rigid peaks.

There are three main Breast “looks” that patients strive for. Please click on the relevant galleries:

Natural Look: In-proportion

Natural Look: Out of proportion

Augmented Look

2. Which breast shape do you most closely relate to?

Dr Tavakoli has come up with the 6 following broad categories of patients seeking Breast Enhancement in Australia. Most breast patients should fall into one of the categories:


1. Tight Skin, Poor Shape & Small Breasts (commonest patient)

2. Good Skin, Good Shape & Small Breasts

3. Good Skin, Good Shape & Moderate Breasts


4. Tight Skin and Tuberous shaped (Grades 1-4)

5. Poor Skin, Good Shape (Weight Loss &/or Post-Pregnancy)

6. Poor Skin, Poor Shape (Weight Loss &/or Post-Pregnancy)

Essential Clinical parameters

There are six main clinical parameters for breast implants on initial consultation:

Patient’s body build and height

Patient’s own breast size, shape and symmetry

Nipple position in relation to the breast mound

The quality of breast skin (thickness & stretch marks)

Chest wall shape and dimension (Hollowed vs Pigeon Chest walls)

Patient’s desire for new cup size: Under-proportion, In-proportion or Over-proportion augmentation

After establishing the crucial parameters in the clinical examination, the process of tailor-making the ‘correct’ breast augmentation begins.

3. Tailor-made Breast Enhancement by Dr Tavakoli

I believe there are a number of key considerations for a surgeon when customising a breast augmentation to gain a natural-looking result. I have performed Breast surgery on all different types of ethnicity ranging from Anglo-saxon, European, Middle-eastern, Asian (Chinese, Koreans, Japanese, Vietnamese), Polynesian and Africans. As scarring is a massive issue with Asian and African patients I have managed a special protocol to achive excellent outcome in patients with difficult skin.

4. Will the incisions be visible?

I specialise in Minimal Incision Technique & Minimal Pocket Bleeding producing Rapid Recovery after Breast Augmentation Surgery.

There are three choices about where to make the skin incisions for breast enlargement surgery. They can be in the breast fold (inframammary), around the nipple (periareolar) or underneath the armpit (transaxillary). These incisions can all produce scarring ranging from excellent to poor. Although patients may voice some initial concerns about the location of their scars, they are ultimately far more concerned with the final shape and size of their breasts. In fact the rate of scar revision for unsatisfactory scarring in Breast Augmentation is less than 0.05%.

Generally, a great majority of patients in my practice opt for the inframammary incision (breast fold). I also find this incision has the least amount of interference with breastfeeding and nipple sensation and it generally heals very well.

I find the periareolar incision particularly useful in some Asian and African patients with higher risk of keloid scarring but the nipple-areola must be at least 4.0 cm in diameter. Furthermore, the periareolar incision also allows one to perform the full Benelli breast lift or nipple lift where this may be indicated in mildly droopy breasts.

Transaxillary (armpit) incision carries high risk of cleavage problems (too much gap) and is reserved for a few select patients with small chest wall. The transumbilical (belly button) incision popularised by the Fox reality show Dr 90210, is ONLY reserved for the use of saline implants. As I am not a huge fan of saline implants due to extremely high risk of problematic “rippling” I do not personally favour the “belly button” incision.

Please note that my Clinic we utilise the latest advanced scar minimisation techniques.

5. Are there different implant shapes available?

Dr Tavakoli has a rigorous protocol for choosing which shaped implants. He has extensive experience in both shapes and has no personal preference as long as it fits the patients breast template. The choice of breast implant varies from round to teardrop (anatomical) shapes. Both the round and teardrop breast implants come in both low and high-profile varieties. The shape variation is in the width and projection of the breast implant for any given size.

In the Round range there are 5 profiles or projections:

Low Profile

Medium or Moderate Profile

High Profile

Extra High Profile

Ultra High Profile

In the Anatomical range there are 3 main bases and also 5 Profiles (projections) like above:

Short Oval Base

Long Oval Base

Round Base

The spectrum of breast implants available to the surgeon can therefore provide much greater versatility in achieving a more natural look. The majority (50%) of patients in my practice elect to have round shaped implants and 50% Anatomical/Tear drop shaped.

Since I prefer placing the implant in a submuscular pocket in most patients, implant edge visibility in the upper pole of the breast can be avoided even in the round implants.

The round implant tends to be ideal for those patients with well-shaped natural breasts who desire a straightforward enlargement.

Use of the teardrop (anatomical) shape depends on the patient’s desire, as well as her breast shape. In general, there are two groups of women who benefit from teardrop-shaped breast implants. It can be the ideal choice for women who have mild droopy and/or tuberous breasts. Mild elevation of the nipple in relation to the breast mound can be achieved without the need for extra scars on the actual breast (unlike breast lift scars). In these cases, the implants may be inserted in a subglandular or subfascial pocket (under the breast tissue) or Dual Plane Submuscular Pocket.

In moderate to severe cases of droopiness, breast lift must be performed at the same time as breast augmentation in order to restore aesthetic shape. Please read the section on this website on Breast Lift procedures if you suffer from droopiness. Patients that need a Breast Lift and go to a surgeon that uses massive Implants instead of performing a Breast Lift will end up with huge droopy breasts that will cause a lot of neck and back pain.

Secondly, some patients specifically want less fullness in the upper quadrant. Teardrop breast implants certainly offer less fullness in these particular situations.

6. Breast Implant Size

Breast implant size is one of the most important decisions in breast implants surgery. Because of this, a good surgeon will take several approaches to help the patient make the best decision based on their anatomy, personal preferences and the appearance they wish to achieve. In general, attractive breast augmentation should be in proportion or slightly out of proportion to the woman’s overall body shape.

In a recent survey, over 50% of patients undergoing breast augmentation stated an average to full C-cup was their desired postoperative goal. D-cup was the second most popular request at 35%. Small C-cup is the third commonest followed by full-D and Double D cups.

Final breast implant size is a complex function of the elasticity of a patient’s skin envelope, chest wall diameter and implant dimensions but most importantly preexisting breast volume.

For these reasons, I always begin by showing the patient numerous photos of actual patients who have had breast augmentation – before and after breast implants photos. By finding someone who has a similar preoperative appearance and evaluating their results with the size of implant they chose, the patient can then get an idea of her own final result and increase or decrease the implant size according to her wishes.

I will also measure the patient’s breast and chest shape, paying particular attention to the base and projection of the breasts. This gives me an idea of what size breast implant will help achieve the patient’s desired size postoperatively.

As breast implant size increases, so does the diameter of the breast implant. In most cases, there is a breast implant that will be an ideal match for the diameter of the patient’s natural breast, and I find this is a good starting point for discussion.

Choosing a breast implant smaller than the patient’s natural breast shape will not provide the proper cleavage and shape following the procedure. Similarly, choosing a breast implant too large for the patient’s natural chest shape is more likely to give an unnatural appearance. It is noteworthy that very large implants can create more issues and future complications such as stretch marks, implant migration and symmastia.

Unfortunately, breast implants do not come in cup sizes. Rather, they are categorized by the volume of gel that they are designed to hold. There are several reasons for this. First, the final cup size will be partially determined by the preoperative breast size, and every patient is different in this regard. Second, a C-cup from one bra manufacturer is not necessarily the same as a C-cup from another manufacturer.

Although every woman is built differently and bras are not manufactured to a set standard, it can be expected that a B-cup implant size is approximately 250g (cc) and a C-cup is 330cc in a woman of average height and average build. That number will be higher if the woman is tall or has broad shoulders. Similarly, if the patient is shorter than average or has a narrower chest, that number can be expected to be slightly lower. Although a desire for a certain cup size is helpful in guiding the patient in the selection of the proper breast implants, I find it is more helpful to focus on the desired shape and appearance that patient wishes to achieve.

7. What breast implant pocket positions do you offer?

Behind the Muscle or Over the Muscle

The next consideration is where to place the breast implant – on top of or behind the muscle. In general, I prefer to place breast implants behind the muscle so that they are partially covered. I find the pectoralis muscle allows a smooth takeoff from the chest wall. If put directly on top of the muscle, the breasts can look like rounded balls on the chest which is a definite give-away. It is also my opinion that placing the implant under the muscle will, in the long run, have an impact on breast droopiness. Also for older women that need breast screening, it seems that behind the muscle placement is superior from a mammogram and ultrasound imaging point of view. A further advantage of the submuscular pocket is a lower rate of capsular contracture.

But it is not all perfect with the submuscular placement of implants. The negatives of the submuscular pocket is that it may create “winking” on animation or flexing of the pectoralis muscle. Implant migration and displacement is also more likely in this pocket.

Dual-Plane Technique

In women with mild droopy (ptotic) breasts, I use the dual-pocket technique of dissecting both on top of and underneath the pectoral muscle (50% over and 50% under the muscle), but inserting the breast implant behind the muscle. This new technique popularized by Texan Plastic Surgeon Dr John Tebbett and Swedish Plastic Surgeon Dr Per Heden is proving very successful with most types of breast augmentation that I see in my practice.

In rare cases of moderate droopy breasts where the patient does not wish to undergo a breast lift procedure for fear of scaring, I will consider placement of the implant on top of the muscle. This pocket is referred to in the plastic surgery literature as subglandular or subfascial . Generally speaking, it is a relatively painless pocket with excellent short-term benefits but in my opinion far less long-term advantages compared to the submuscular or subpectoral pocket placement. Having said this please note that most types of constricted or Tuberous breast corrections are done with implants in the Subglandular or Subfascial pocket as the risks od Double -Bubble is considerably higher in Tuberous breasts.

8. What coatings are used in your breast implants?

This issue of different coatings is controversial. Implant surfaces can generally be Smooth, Textured or Polyurethane. The reason for the differing implant surfaces is one day there can be the “perfect” implant with a low capsular contracture rate and yet feels very soft and natural. No matter what the coating on the outside of the implants is, the inside material of all the implants are still silicone gel or Saline (salt water). The research in implant technology is ongoing and new advances are continuously emerging.

Smooth implants generally gives a softer feel in many cases, particularly in thinner patients, but the downside is that the patient needs to massage the implants for at least 6 months to help prevent capsular hardening. The rate of hardening with smooth implants is 10-15%. Please note that implant migration is also higher with smooth implants. Polyurethane coated implants from the manufacturer

Silimed (Brazilian made Furry) or Polytech (German made Microthane) are proving to be very effective in treatment of capsular contracture although in my experience they show 3% rate of contracture and NOT 1% alleged by the marketing material. Currently I prefer to use these implants in some selected primary cases and all revisional cases of capsular contracture. Please note that the Polyurethane coated Implant also has silicone gel in the centre of the implant and has been TGA product approved for only 2 years here in Australia. Please note that Polyurethane implants are not risk free and feel much firmer than both smooth and textured implants although they do soften up after 9-12 months. It is certainly correct that in the anatomical range Polyurethane implants have an almost zero rotation rate.

Generally speaking, textured or rough surface implants are said to reduce the rate of capsular hardening or contracture and have a lower rate of pocket migration, but they are also known to create more wrinkling or rippling issues later on in particular if patients lose a lot of weight. This wrinkling is normally felt in the lower edge of the breast where the implant is closest to the skin surface. My recommendation based on 3000 Implant cases is to use textured implants in most patients and specially for extremely fit athletic girls who may shift the implant pocket due to overexertion. They are very safe and have been around for 30 years and represent in my opinion the lowest re-operation rate. Textured implants also have a much lower rate of capsular contracture than smooth implants. Going forward polyurethane coated implants are a viable alternative to textured implants but the plastic surgery fraternity needs more time in order to fully study and understand them. Just remember that heavy marketing push and chit chat on the blogosphere cannot replace good old experience and clinical trials.

I do not believe any credible plastic or cosmetic surgeon can use just one type of implant material. An experienced Implant surgeon will not only use all different types of breast implants depending on the patient requirements but will also not commit to one implant manufacturer. Remember that as a general rule surgeons that use one implant type have a financial association with that breast implant company and not your best interest in mind.

9. What is the fill used in your breast implants?

I almost always use the cohesive silicone-gel breast implants and rarely the saline-filled breast implants. The new generation silicone-gel breast implant is very safe and generally feels and looks more like a natural breast.

Most breast augmentation operations in Australia are performed with silicone-gel breast implants (98%). In December 2006, the United States Food and Drug Administration approved the use of gel implants in the US market. The decision was based on a great amount of scientific research into the safety of silicone-gel implants. As a result the use of gel implants worldwide is 90%.

The gel usually comes in low and high cohesiveness (soft touch or firm touch), and you should ask your plastic surgeon for different samples at the time of the consultation so that you can make the most informed choice possible. Generally speaking the firmer gel implants are form responsive like the gel found in the tear-drop implants. The round implants can be soft (80% fill) or firm (100% fill) depending on the manufacturer.

Saline implants were popular in 1990s as they were made from salt water they promised to revolutionize boob jobs. However because of the fact that they felt very unnatural to touch, rippled heavily as water has a different density to breast tissue and they almost all ruptured needing replacement at the 7 year mark the Saline implants are no longer used except by a few older surgeons.

10. Are you able to specifically enhance my cleavage?

Many women are concerned with obtaining the exact or perfect cleavage. No one wants to have breasts that look like Posh Spice or Tory Spelling.

I try very hard to maximise the cleavage or reduce the gap in all my patients during the operation. The range for a good cleavage is 1.5 cm to 2.5 cm (as per image). Anything less is achievable but at risk of damaging the muscle or breast tissue creating Symmastia or Monoboob. Anything more can create patient anxiety and dissatisfaction.

When I mark the cleavage area before the surgery I take note of 2 important parametres: 1. the muscle take off 2. exact breast width or breast plate. Then the width of the breast implant is paramount in obtaining a close cleavage.

Please note that one of the most important aspects of breast augmentation is the position of the Breast Fold/Height vs Breast Width. In most women seeking breast augmentation the Width is much more than the Height and therefore it may be that they will get a better outcome with an oval shaped Anatomical implant.

11. What if I’m pregnant or hoping to conceive? Will my procedure affect my ability to breast feed?

Should you become pregnant following your operation then your existing breast tissue will be subjected to the normal hormonal influences of this period and therefore your breast will enlarge and the skin will stretch accordingly. Likewise, once the pregnancy and any associated breast feeding ceases, your breast tissue will then shrink down. It is impossible to predict to what degree these changes will occur; however, the breast implant volume will remain the same throughout these.

Breast feeding is certainly possible when implant is placed behind the muscle and the implant is not inserted through the nipple-areolar complex. Whether placement of implant behind breast tissue (in front of the muscle) has bearing on breast feeding is still debatable. Prolonged breast feeding, however, will create possibility of stretch marks on the breasts and certainly accelerate breast droopiness (ptosis) which may or may not require surgical correction.

12. Will you use anaesthesia during the operation?

A general anaesthetic is used when the breast implant is placed under the pectoral muscle. Dr Tavakoli works with a skilful group of anaesthetists that perform both general and “twilight-sedation” anaesthesia. Dr Tavakoli only operates at fully accredited operating facilities where the administration of both types of anaesthesia is permitted.

General anaesthesia provides the best operating conditions for breast implant surgery. In order to perform this surgery properly muscles in the patients body have to be fully relaxed and most importantly the patient must be completely still. These conditions cannot be achieved under sedation or “twilight sedation”.
Surgery under sedation is uncomfortable and often painful. Under sedation patients may still be awake, but may not remember things. Any unexpected movement that the patient makes under sedation may be dangerous.

General anaesthesia is extremely safe.

13. What should I expect during the breast augmentation recovery process?

Your breasts will be somewhat swollen and bruised postoperatively. Dr Tavakoli uses drains for 24 hours in order to reduce the rate of bruising and swelling. The latter usually settles in about two to three weeks. Sometimes swelling may be slightly different between the two sides. This is normal and settles with time. However if a great difference develops between the two sides then you must contact us for advice.

Following a breast augmentation, the breasts may appear to be placed quite high up. This is also normal. During the first two months postoperatively the breast implants will gradually lower and settle from the effects of gravity into a more natural position. Do not be alarmed if one side settles quicker than the other, as this sometimes occurs.

Following the operation you will have a light dressing in place which will need to be kept dry until your follow-up appointment. At this time the surgical wounds are inspected and lightly cleaned. There are no stitches to remove, as these are internal and dissolvable. Always remember to read and follow the postoperative instructions that will be given to you.

14. Will I be able to resume my exercise regime after the operation?

You should plan to avoid activities which require much raising of the arms above the level of the head for 10 days after surgery. With great care, you can drive about 10 days after surgery. Patients can usually return to work in 7 days unless their occupation requires particularly strenuous movements and lifting. In such cases, 2-3 weeks should be allowed.

  • Neck and arm stretches may begin immediately
  • Walking can commence within 7 days,
  • Light jogging within 3 weeks,
  • Gym and Pilates after 4-6 weeks
  • Upper body weights 6-9 weeks
  • Contact sports / Martial arts/ Boxing / Soccer after 12 weeks

15. How much is the cost of Breast augmentation or Breast Lift?

Breast augmentation using Round implants start from $9,900 plus GST.
Breast augmentation involving Breast lift starts from $14,000 plus GST.
Breast Revision starts from $14,000 plus GST.

Primary Augmentation:

Additional Breast Procedures offered by Dr Tavakoli FRACS

In certain women, simple breast augmentation will not produce the desired cosmetic result. In these cases extra procedures can be undertaken by Dr Tavakoli in order to correct simple problems at the time of breast augmentation. These conditions are detailed below:

1. TUBEROUS BREASTS. I have cone-shaped breasts and a constricted breast base. What does this mean?

Dr Tavakoli has developed a large practice specialising in Correction of Tuberous breasts deformities.

The Tuberous (snoopy or cone-shaped or constricted base) breast deformity is a rare entity affecting young women bilaterally or unilaterally. There are mild, moderate and severe grades of this condition. Women usually inherit this condition and when severe it can cause significant psychological issues.

The Tuberous deformity is characterised by a constricting ring of tissue at the base of the breast, which leads to deficient horizontal and vertical development of the breast with or without herniation of the breast tissue toward the nipple-areola complex and areola enlargement. Tuberous breasts are invariably asymmetrical in size in 90% of cases.

Interestingly enough pregnancy and rapid weight loss can convert Mildly tuberous breasts to Severely tuberous.

As you can imagine surgical correction is quite complex. The treatment in simple terms includes:

Mild forms: Augmentation with Anatomical implants only

Moderate & Severe forms: 3 procedures need to take place. Breast reduction and flap procedure to get an even breast thickness in ALL quadrants, Periareolar Breast Lift & Augmentation with anatomical implants. In some cases Fat Grafting may be needed at 6-12 months post-operatively to complete the transformation.

Medicare item numbers exist for this condition making correction of tuberous breast a reconstructive/corrective operation. Please

click here read the following CASE STUDY on this condition.

Click here to view Dr Tavakoli’s extensive Tuberous Correction Breast Gallery

The Von Heimburg classification describes 4 grades:

Grade I: hypoplasia lower medial quadrant,

Grade 2: hypoplasia of both lower quadrants with adequate areolar skin,

Grade 3: hypoplasia both lower quadrants with limited areolar skin,

Grade 4: hypoplasia of all quadrants.

2. ASYMMETRY – Can you make my breasts more symmetrical?

This is a very common problem (up to 80% of ALL women) as women seldom have identical breasts. Breast Asymmetry can be corrected in many ways. Implants can be used as well as Breast Lift procedures.

Dr Tavakoli uses different size implant for each breast in 25% of all his cases. Generally speaking Dr Tavakoli only corrects asymmetry of more than 1/4 cup size. Very slight breast asymmetry are recorded but best left untreated.

NB. Dr Tavakoli will advise if you need any extra procedures and explain the exact reason at the time of your initial consultation. The extra cost will also be discussed well in advance. Please note that only a properly specialised plastic surgeon can carry out these extra procedures combined with breast augmentation.

Breast Asymmetry & Augmentation

Correction of Breast Asymmetry

3. My chest wall and sternum appears concaved and collapsed. Is this dangerous? What does this mean?

Correction of Pectus Excavatum Although mild cases of rib abnormalities are common in up to 25 % of my patients undergoing Breast Augmentation Surgery, more severe cases need special attention.

Pectus Excavatum is an abnormal development of the rib cage where the breastbone (sternum) caves in, resulting in a sunken chest wall deformity. Sometimes referred to as “funnel chest,” pectus excavatum is a deformity present at birth (congenital) that can be mild, moderate or severe.

There are many radical operative ways of treating this condition involving complicated and dangerous Cardiothoracic Surgery to remodel the bone but I prefer to use breast implants in female patients to camouflage this condition as shown in this case study in a 27 year old girl with severe pectus excavatum further complicated by breast ptosis (droopiness) after massive weight loss.

Click here to view a case study on a customised approach to breast augmentation.

4. What is a breast lift? (Mastopexy)

There are essentially 4 methods of breast lifting that I perform at the time of implant augmentation:

Implant Augmentation for Slight droopyness

Benelli (around areolar only) or Mini-breast lift for Mild Droopyness (ptosis) for very deflated breasts. Always with an implant

Le Jour (lolly pop scar) or Major- breast lift for Moderate Droopyness (ptosis). Can be performed with or without implant

Inverted T or Anchor Scar or Mega-breast lift for Severe Droopyness (ptosis)

Success of Breast lift is 50% in diagnosis and correct planning and only 50% in surgical technique.

For more information on “Combined breast lift (Mastopexy) – augmentation” please click here to refer Dr Tavakoli’s article on this topic.

To view the related breast implants before and after galleries:

Le Jour (vertical “lollypop” scar) Mastopexy or Breast Lift with Implant

Le Jour (vertical “lollypop” scar) Mastopexy or Breast Lift without Implant

Benelli (Around Nipple scar) Mastopexy or Breast Lift with Implant

  • Implant Augmentation for Slight droopyness
  • Benelli (around areolar only) or Mini-breast lift for Mild Droopyness (ptosis) for very deflated breasts. Always with an implant
  • Le Jour (lolly pop scar) or Major- breast lift for Moderate Droopyness (ptosis). Can be performed with or without implant
  • Inverted T or Anchor Scar or Mega-breast lift for Severe Droopyness (ptosis)
Success of Breast lifts is 50% in diagnosis and correct planning and only 50% in surgical technique.

For more information on “Combined breast lift (Mastopexy) – augmentation” please

click here to refer Dr Tavakoli’s article on this topic.

To view the related breast implants before and after galleries:

Le Jour (vertical “lollypop” scar) Mastopexy or Breast Lift with Implant

Le Jour (vertical “lollypop” scar) Mastopexy or Breast Lift without Implant

Benelli (Around Nipple scar) Mastopexy or Breast Lift with Implant

5. What is a nipple lift? (Crescentric Lift)

In minor cases where nipple is pointing downwards but the breast is not droopy, this simple procedure can enhance the final breast shape. This is a simple nipple alignment procedure usually performed on one nipple to bring it in symmetry with the opposite nipple areolar.

The scar is only located at the top of the nipple-areolar and heals very well. Nipple sensation is usually preserved with this procedure.

6. Can you reduce my nipple height?

7. Do you provide corrective breast procedures as well?- Corrective Breast Procedures offered by Dr Tavakoli, FRACS

Dr Tavakoli has a large referral base of women with poor breast augmentation outcome from other centres in Australia and New Zealand. These terrible complications or undesired outcomes are very rare in experienced hands but no plastic surgeon in the world including Dr Tavakoli has a zero complication rate.

Unfortunately in great majority of revisional cases patients are psychologically affected and counselling is required to help patients through the corrective surgery. Dr Tavakoli ‘s team can organise counselling for patients undergoing corrective breast surgery.

Dr Tavakoli has a great deal of experience in correcting post breast augmentation complications. Most of these unsatisfactory outcomes occur as a result of poor patient selection and inadequate surgical skills to deal with a difficult breast condition but other problems can occur as a result of poor healing and scarring of the patient. Please note that the fees/cost for corrective surgery are higher than primary augmentation.

8. What are the possible complications (if any) of a breast augmentation procedure?

Please note that although complications are uncommon in Breast augmentation surgery they can happen around of 5-7% cases. Please read the list below before your consultation as good knowledge of the complications allows Dr Tavakoli to complete the comnsultation and the informed consent.

Please note that all complications are greater in smokers and those that return to full gym activity too soon after breast implants surgery.




Prolonged stiffness

Poor healing (usually smokers)


Capsular hardenning or Capsulization or Capsular Contracture or High riding implants

Excessive wrinkling or rippling

Excessive Cleavage Gap

Symmastia or “Mono-Breast” or “Uni-Boob” or “Kissing Implants”

“Double-Bubble” effect

Bottoming Out

Ruptured Implants

Scar Revision

Stretch marks

9. My breast implant is starting to harden, what does this mean? (Capsular Contracture)

This is the most serious complication of breast implants. A capsule or capsule formation is a layer of scar tissue that normally forms around any artificial material placed in the body. It is important to realize that this is the natural response of the body to foreign material. Most times this capsule is so soft that it is virtually undetectable and therefore does not affect the breast implant in any way. Capsular contracture or hardening occurs when this layer of scar tissue shrinks around the breast implant, squeezing it so that it starts to feel firm, or in some cases, quite hard. Most capsular contractures experienced today stem from the smooth shell silicone breast implants placed some years ago. The capsule contracture rate in the past was 30-35% (in the 1980′s breast implants).

With the onset of textured shell breast implants, the problem of capsular contracture has been significantly reduced, now being between 5%.

The cause of capsular contracture is not totally clear, but seems to be multifactorial. It is important to realize that there are degrees of contracture and that the majority of women, who do develop this hardening, develop it only to a mild extent. In the minority however, it may be severe enough to be bothersome, even painful and may cause distortion of the breast. The condition may occur in one or both breasts and to a different degree either side.

It may develop any time, even years later although it is most likely to happen in the first 3 years after surgery. Unfortunately at this time there is no effective way to prevent capsular contracture if it is going to occur. However as mentioned previously, encapsulation is no longer the problem that it was. Having mentioned all the above, it is important to note that capsular contracture is not in itself a health risk other than its possible interference with mammography.


Are the prostheses safe? Can they cause cancer?

In Australia and Europe current sales figures show a distribution of 90% silicone, 10% saline. As modern silicone gel implants have been available since 1963, surgeons therefore have over 35 years of experience with these types of breast implants. This is more than any other type in use. Evolution has brought changes and improvements over the years with the introduction of textured surface envelopes made of newer formulations designed to minimize the “bleed” or diffusion of what is usually tiny amounts of the silicone oil fraction of the gel contents.

Importantly the standard silicone gel by most accounts, arguably “feels” the most natural of all breast implants. This is probably as a result of the inherent smoothness of the silicone gel content.

10. Fat Grafting to the sternum.

Img_t3 Fat Grafting to treat rippling and implant visibility is a common procedure. In women with small amount of breast tissue and body fat the implant can be felt more around the edges and in some cases the implant can become visual in the cleavage area and lower pole of the breasts.

To treat this Dr Tavakoli performs fat grafting. The fat is removed from the tummy or thigh region and gets prepared for injection into area of rippling; this gives coverage to the area and disguises rippling and implant visibility. This procedure can be done during or after breast augmentation.


Img_te 43 yo female, nil pregnancies, deep hollow cleavage, minimal body fat, 380cc anatomical high profile textured silicone gel implants, dual plane pocket. Fat grafting to the sternum 15mls.




Media about Dr Tavakoli’s Breast Enlargement Sydney

Dr Tavakoli has appeared in various magazines discussing Breast Augmentation.


Breast surgery – real patients tell all
- Cosmetic Surgery and Beauty magazine

Working it out with Breast Implants
- Oxygen magazine

The key to a Natural Looking Breast Augmentation
- Australian Cosmetic Surgery Magazine

Key considerations in Breast Augmentation
- Australian Cosmetic Surgery Magazine

Natural Looking Breast Implants
- Australian Cosmetic Surgery Magazine

Liposculpture combined with Breast Enhancement
- Cosmetic Surgery Magazine

Natural Breast Augmentation
- Australian Cosmetic Surgery Magazine

Body and Breast Surgery
- Vogue Magazine


In the light of the recent controversy in the media regarding the faulty French breast implant manufacturer PIP, I would like to go on record as saying that I have NEVER used these implants as I had suspected their poor quality as early as 2005. Majority of my patients have had the American made Allergan-McGhan or Mentor implants.
Unfortunately there are 4000 Australian women out there with the PIP implants. It is my firm belief as an Breast Augmentation expert that these faulty implants need to be replaced soon as their risk of rupture is too high for a medical grade prostheses.


Steps Involved in Breast Enlargement Sydney

Take a look at our illustrations of the operative steps involved in breast augmentation.