Breast Augmentation

For many women, breast size is an important part of feeling healthy, attractive, and confident. You can work hard to get fit and slim down, but if you aren’t born with the breasts you love, surgery may be your best option. Breast augmentation is the choice of many women who want to be their most confident and lead their best life.

Breast Augmentation FAQs

It’s only natural to have concerns about breast implant safety, we are devoted to helping you understand the risks and make informed decisions about your procedure. Numerous studies over the past decade have supported the safety of breast implants – both saline and silicone gel.

Your questions answered

Many women would like to increase the size of their breasts. If you’re one of these women, and you’re also over 18, physically healthy, emotionally stable, and have realistic expectations about what plastic surgery can accomplish, you may be a candidate for breast augmentation. The best way to determine with any certainty if breast augmentation is appropriate for you is to meet with one of our surgeons.
Your surgeon will help guide you through the steps you need to take before surgery. You will need to make several important decisions before the day of your procedure. Among these are decisions about breast implants (type, size, fill, placement) and about the surgery itself (anesthesia and the possibility of combined procedures). When you’ve finalised all of these decisions, you will need to follow your surgeon’s other pre-surgical instructions about medications, smoking cessation, etc.
The best way to select the breast implants that will be used during your breast augmentation procedure is to have a thorough discussion with your surgeon. You’ll need to consider your body type, goals, and concerns to determine which implant size, fill (saline or silicone), shell (smooth or textured), and shape (round or anatomical) will be best for you. We’ve also provided a few helpful facts about breast implant options.
There are risks that are associated with any surgical procedure. These include bleeding, swelling, or infection. Potential risks associated specifically with breast augmentation include capsular contracture (when excessive scar tissue forms around implants), implant rupture, and other complications that your surgeon will discuss with you during your consultation. We take many precautions to reduce the risks of surgery.
There is the potential for the reduction of nipple sensation. If this occurs, however, it is usually restored over time. Most of our patients don’t lose nipple sensation. Also, by choosing a qualified surgeon, you should be able to breastfeed after breast augmentation.
Recovery is different for everyone. In general, most women are up and around the day after surgery, but will need to avoid most of their usual activities for 5 to 7 days. You will probably be advised to wait several weeks before resuming strenuous exercise.

Many women choose to combine their breast augmentation with other procedures such as tummy tuck, liposuction, or a face lift. Our doctors have conducted extensive research into the safety of combined procedures and have found that it is a good option for most women who want more extensive improvement of their body contours.

Talk to us about your available options.

Breast Augmentation Considerations

Breast augmentation can dramatically improve the appearance of a woman’s breasts. During your breast augmentation consultation, you’ll learn more about your options for creating your ideal breast appearance, including:

  • Implant size
  • Implant type
  • Implant material (silicone gel or saline)
  • Implant position (above or below the pectoralis muscle)
  • Implant incision

Once you’ve decided to pursue breast augmentation, you want to make sure to find the right surgeon, the right implant, and the right technique to meet your expectations. Our surgeons have extensive surgical experience. 

Breast Enlargement Procedure

Breast enlargements are one of the most commonly performed operations in my practice. There are different ways of performing a breast enlargement.

Variables include:

  • The type of prosthesis
  • Incision placement
  • The positioning of the prosthesis with regard to the chest muscle ( pectoralis major)

We mainly place prosthesis behind the muscle (dual plane) because of better quality soft tissue coverage, usually allowing for a more natural feel.  If, patients have sufficient soft tissue, i.e. breast tissue and subcutaneous fat, we will consider to position the prosthesis in front of the muscle.

All breast enlargements are done under general anesthetic.

Patients are normally discharged on the same day.

Duration of Procedure approximately 1.5 hours  

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Your IVF Fertility Journey

Scheduling a fertility consultation with one of our fertility expert gynecologists:

  • Dr Richard Joubert 013 7457605
  • Dr Pieter Steyn 013 7552106
  • Dr Wilhelm Combrink 013 7457988
  • Dr Jean Nel 013 7458054

*Your fertility journey timescale might differ from the one described here.

  • 1

    The fertility specialist will do all necessary tests and evaluations on you as a couple in order to make a fertility treatment diagnosis.

  • 2

    To start the treatment program you will call the fertility specialists rooms on the first day of your next menstruation.

  • 3

    You will see the fertility specialist on day 2 or day 3 of your cycle for a sonar examination to determine the state of the ovaries and uterus before you start taking the medication. The specialist will explain how the stimulation drugs are used henceforth on your own or with the help of your partner.

  • 4

    Your next appointment will be on day 8 or 9 of your cycle. The Doctor will again do a sonar to see how your ovaries have responded to the stimulation and he will start monitoring them in terms of count as well as diameter. You will also be sent for blood tests to correlate the hormonal value increase with the number of developing follicles on the ovaries.

  • 5

    Once the biggest follicle measures more than 20mm in diameter, the doctor will determine the day of aspirating the mature eggs and a trigger drug will be administered to mature the eggs.

  • 6

    In the meantime, you will be referred to Surgiclinic Fertility to open your file and hospital admission. Your eggs will be harvested 36 hours after taking the trigger drug. This is usually scheduled for 9pm at night so we can do the harvest around 8am 36 hours later. You need to be fasting from the previous night and report to Surgiclinic Private Hospital at 7am sharp to be ready for the aspiration procedure scheduled for 8am

  • 7

    The anesthetist will give you conscious sedation to not feel any pain or discomfort while the oocytes are harvested. This process is the same as when the doctor monitored your follicles in the rooms with the only difference that the aspiration needle is now attached to the sonar probe.

  • 8

    In the meantime, your partner needs to be available on the day of aspiration to give a very much needed sperm sample. He is usually expected to have 3 to 5 days of sexual abstinence to give a good sample by means of masturbation. There is a special private facility close to the IVF lab where he will find all that is needed to do his very important part in this procedure.

  • 9

    Once all the follicles are aspirated the doctor will put a small armband around your wrist with the exact number of eggs retrieved written on it. You will be served some tea and toast once you wake up.

  • 10

    You should be ready to go home at around 10am. Try to rest at home and do not plan any other activities as you might not feel up to it. There might be some lower abdominal discomfort as well as bleeding.

  • 11

    The embryologist will continue the preparation of both eggs and sperm sample to be able to do the fertilisation on the very same day the aspiration has taken place.

  • 12

    Each morning the embryologist will evaluate the development of the eggs starting with fertilisation to embryo development. You will receive a Whatsapp picture every day to explain what they look like at that time.

  • 13

    The fertility specialist will decide when the embryo transfer will be, either day 3 or day 5 of development.

  • 14

    You and your partner will be expected to report to Surgiclinic Fertility an hour prior to embryo transfer.

  • 15

    Your partner will sit next to you while the embryos are transferred by sonar guidance. The Doctor will give you a note to do a pregnancy test, usually 14 days after the oocyte harvest took place. This is a blood test and all values above 25 are considered positive and repeated within 48 hours to ensure an ongoing value.

  • 16

    When your test is positive, we will contact you for an appointment for the first scans at 7 weeks into your pregnancy. Celebrate and rest a lot.