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Breast Augmentation Surgery (Augmentation Mammoplasty) in Sydney

Personalised breast augmentation in Sydney, with implant selection, placement and incision planning tailored to your anatomy and goals at COSMEX Clinic.
  • Specialist Plastic Surgeons (FRACS)
  • Personalised implant selection and placement
  • Licensed, accredited surgical facilities in Sydney
  • Structured aftercare and long-term monitoring

What Is Breast Augmentation (Augmentation Mammoplasty)?

Breast augmentation, medically known as augmentation mammoplasty, is a surgical procedure that uses breast implants to change breast size, shape and projection. Implants may be silicone or saline, and may be placed under the breast tissue or partially or fully under the chest (pectoral) muscle, depending on your anatomy and surgical plan.

Breast augmentation is often considered to increase breast volume, improve balance between the breasts, or restore fullness lost after pregnancy, breastfeeding or weight change. It is major surgery performed under general anaesthesia, and all surgery results in permanent scars. A consultation is required to assess your suitability and to discuss implant options, expected changes and their limitations, scarring, risks, recovery and alternatives.

Breast Augmentation Before and After Photos in Sydney

Browse breast augmentation before and after photos from patients treated at COSMEX in Sydney. These breast implant before and after images show a range of implant sizes, profiles and placements, helping you understand how outcomes vary with body frame, existing breast tissue and implant choice.

The outcomes shown relate only to the individual patient and do not necessarily reflect the results other patients may experience. Results vary due to many factors, including anatomy, skin quality, implant selection, surgical approach and healing response. These images are not intended to guarantee or predict the outcome of any procedure.

Breast Implant Options:
Silicone, Saline, Round and Teardrop

There is no single “best” breast implant. The right choice depends on your body frame, existing breast tissue, skin quality and the look you are hoping to achieve. During your consultation, your surgeon will explain the options and recommend what suits your anatomy.

Silicone gel implants – filled with a cohesive silicone gel that many patients feel resembles natural breast tissue. Widely used in Australia.

Saline implants – filled with sterile salt water. A leak or rupture is usually noticeable as a change in size.

Round vs anatomical (teardrop) implants – round implants tend to add more fullness to the upper breast, while anatomical (teardrop) implants are shaped to mimic a natural slope. Suitability depends on your goals and tissue.

Implant profile and size – profile (how far the implant projects) and volume (measured in cc) are matched to your chest width and frame. Larger is not always better; oversizing can increase certain risks over time.

Breast implants are not considered lifetime devices and may need replacement or removal in the future. Your surgeon will discuss brands, warranties and long-term monitoring. You may also wish to read about breast implant removal and revision.

What Does Breast Augmentation Surgery Involve?

Breast augmentation involves inserting breast implants to alter breast volume, contour and projection. Surgical planning is individualised and considers factors such as chest width, breast tissue characteristics, skin quality and your desired size range.

The procedure is performed by a FRACS qualified board certified specialist cosmetic plastic surgeon in an accredited hospital, under general anaesthesia. An incision is made in a planned location (see placement options below), a pocket is created either in front of or behind the chest muscle, and the implant is positioned within it. Surgery typically takes 1–2 hours, and many patients go home the same day or after a short overnight stay.

If you have significant sagging (ptosis) as well as volume loss, augmentation alone may not lift the breast. In that case a breast lift (mastopexy) may be discussed, sometimes combined with augmentation. Your surgeon will advise what is appropriate.

Benefits of Breast Augmentation Surgery

Where clinically appropriate, breast augmentation may change breast volume, contour and projection. Individual outcomes vary depending on anatomy, implant selection and surgical approach, and benefits should be weighed against the risks and recovery involved.

Potential benefits your surgeon may discuss include:

  • Increased breast volume and projection - breast size and profile may change depending on implant type, size and placement.
  • Improved balance and symmetry - noticeable differences in size or shape between the breasts may be reduced; complete symmetry cannot be guaranteed.
  • Restored fullness - some patients seek to restore volume lost after pregnancy, breastfeeding or weight change.
  • Changes in how clothing fits - some people notice a difference in how garments sit; this is individual and not guaranteed.

Breast augmentation does not lift significantly sagging breasts on its own, and does not stop future changes from ageing, pregnancy or weight fluctuation.

Am I a Good Candidate for Breast Augmentation?

A suitable candidate is generally a physically healthy adult with fully developed breasts and realistic expectations about variability in results, recovery, scarring and the possibility of future surgery. A consultation is required to confirm suitability, review your medical history, and discuss implant considerations and long-term monitoring.

You may be a candidate for breast augmentation if you:

  • Are in good overall physical health
  • Have fully developed breasts
  • Would like an assessment for changing breast size, shape or projection
  • Are at a stable weight
  • Do not smoke, or are willing to stop nicotine use for a specified period before and after surgery (as directed)
  • Understand that scarring is permanent and outcomes vary

Breast Augmentation Incision and Implant Placement Options

The specific surgical approach is selected based on your anatomy, goals and clinical assessment. Your surgeon will explain the recommended incision and placement, expected scarring, and the trade-offs of each option during your consultation.

Incision options

  • Inframammary fold incision – placed in the crease beneath the breast; a common approach that gives direct access for implant placement.
  • Periareolar incision – placed around the edge of the areola; may be considered depending on anatomy.
  • Transaxillary (underarm) incision – placed in the underarm crease; may be considered in selected cases, leaving no scar on the breast itself.

Placement options

  • Subglandular (over the muscle) – the implant sits above the pectoral muscle, behind the breast tissue.
  • Submuscular / dual plane (under the muscle) – the implant sits partially or fully behind the pectoral muscle, which can affect implant coverage, mammogram imaging and how natural the upper breast looks.
  • “Preservé” or tissue-preserving breast augmentation: is a minimally invasive technique that places implants above the chest muscle. Instead of cutting tissue, a specialized balloon gently expands a pocket for the implant. This protects natural ligaments, nerves, and vessels, resulting in less pain, smaller scars, and a much faster recovery.

Anaesthesia for Breast Augmentation

Breast augmentation is commonly performed under general anaesthesia. The anaesthesia plan depends on the surgical approach, your individual health factors and the operating facility’s protocols, and is discussed and confirmed during your consultation with your surgeon and anaesthetist.

What Happens at Your Breast Augmentation Consultation

A consultation is required before any surgery, and it is where your suitability is confirmed. Your surgeon will cover:

  • A review of your health, breast anatomy, skin quality and implant considerations
  • Implant type, size, profile and placement, and how each relates to your anatomy and goals
  • Incision locations, expected scarring and how visibility varies
  • Your recovery timeline, activity restrictions, follow-up schedule and when to seek review
  • A detailed discussion of surgical risks, implant-related considerations (including long-term monitoring) and alternatives

Risks and Complications of Breast Augmentation

As with any surgical procedure, breast augmentation carries risks. The decision to proceed should be made after a thorough consultation with a qualified specialist surgeon. The following summarises potential risks; a comprehensive, individualised discussion happens at your consultation, and you can read more about surgical risk.

Potential risks and complications may include:

  • Infection - may require antibiotics or, in some cases, implant removal
  • Bleeding or haematoma - may require further surgery
  • Adverse reaction to anaesthesia
  • Scarring - permanent, with appearance varying between individuals
  • Changes in nipple or breast sensation - may be temporary or permanent
  • Capsular contracture - scar tissue around the implant tightens, causing firmness or discomfort; may require further surgery
  • Implant rupture or deflation - implants are not lifetime devices and may need replacement or removal
  • Implant malposition, rippling or asymmetry - differences in position, shape or feel may occur or persist
  • Breast Implant Illness (BII) - some people report a range of systemic symptoms they associate with their implants; this is discussed at consultation
  • BIA-ALCL - a rare cancer of the immune system linked to certain textured implants; your surgeon will discuss current evidence and monitoring
  • Need for revision surgery in some cases

Any surgical or invasive procedure carries risks. This is not a complete list; your surgeon will explain the risks specific to you.

 

How to Prepare for Breast Augmentation Surgery

Once your treatment plan is agreed, preparation typically includes:

  • Medical review - health history, medications and supplements, and relevant investigations where required.
  • Medication guidance - you may be asked to stop certain medications or supplements that can increase bleeding risk, where clinically appropriate.
  • Nicotine cessation - nicotine can impair healing; you may be asked to stop smoking, vaping and nicotine products for a specified period before and after surgery.
  • Support planning - arrange transport home and help after surgery, especially with general anaesthesia.
  • Fasting instructions - follow the facility's fasting requirements prior to anaesthesia.

Breast Augmentation Recovery Time and Milestones

Recovery varies between individuals. The milestones below are a guide only; always follow your surgeon's specific post-operative instructions.

Week 1

Monitored in recovery; drowsiness, nausea and chest tightness may occur; a support bra is applied. You can walk gently and undertake normal day to day activities. Many people take about a week off work and return to light duties. It's best to stay active as this would help reduce discomfort. Written aftercare instructions are provided.

Week 2

You will feel more mobile, discomfort varies and is managed per your care plan. You can start undertaking gentle lower body exercise but avoid getting hot and sweaty. First dressing change is approximately around 2 weeks post surgery. You can start having Lymphatic Massage.

Week 2 - 6

Swelling and bruising will gradually decrease; you can return to gentle exercise; avoid heavy lifting Most patients return to most of their day to day activities. You will start scar massage once your wound has fully healed with scar balm and then silicone.

Week 6 - 12

You can return to light upper body exercise; some swelling may persist; continue with your scar care.

3 - 12 Months

Implants settle into a more natural position ("drop and fluff") and swelling continues to subside; scars mature (may take up to 18 months). You will continue doing scar treatment until scars are fully mature. Return to full activity depends on healing and clinical review.

How Much Does Breast Augmentation Cost in Sydney?

The cost of breast augmentation varies with the implant type, placement approach and whether additional procedures (such as a breast lift) are recommended. A personalised quote is provided after your consultation, once your anatomy has been assessed and your goals discussed. The quote typically includes surgeon fees, anaesthetic fees, facility fees and implant costs.

Purely cosmetic breast augmentation is generally not covered by Medicare or private health insurance in Australia. Any question of a rebate is assessed against strict criteria at consultation. All fees are outlined before you decide to proceed.

Starting From

$9990

(all inclusive package for round implants - Hospital, Surgeon, Anaesthetic, Implants, Assistant, Garment included).

Final exact cost will be confirmed after consultation.

Why Choose COSMEX for Your Breast Augmentation

At COSMEX, we combine surgical expertise with personalised care. Your safety, comfort and understanding are the priority at every stage.

Specialist plastic surgeons

Our surgeons hold Fellowship of the Royal Australasian College of Surgeons (FRACS) in Plastic and Reconstructive Surgery. They are board certified cosmetic plastic surgeons sub-specilising in cosmetic surgery of the breast. You are welcome to verify your surgeon’s credentials via the AHPRA public register and on ANZBCPS, ASAPS, ASPS,. RACS, and AHPRA.

Accredited surgical facilities in Sydney

All procedures are performed in licensed, accredited hospitals meeting Australian standards for theatre safety, anaesthesia, infection control and emergency care.

Individualised implant planning

Every plan follows a thorough one-on-one consultation assessing your anatomy, concerns, goals and medical history. You receive a personalised implant recommendation, not a standardised package.

Structured aftercare and long-term monitoring

Your care continues well beyond surgery, with scheduled follow-ups, access to your surgical team during recovery, and long-term implant monitoring where clinically indicated.

Video FAQs

Playlist

6 Videos

Breast Augmentation FAQs

Breast augmentation is a surgical procedure that uses silicone or saline implants to increase breast size and change breast shape and projection. Implants are placed either under the breast tissue or under the chest muscle. It is major surgery, and suitability is confirmed at a consultation.

Both are used in Australia. Silicone gel implants are filled with a cohesive gel that many patients feel resembles natural breast tissue; saline implants are filled with sterile salt water. There is no single "better" option. The right choice depends on your anatomy, tissue and goals, and is discussed at consultation.

Implant size (measured in cc) and profile are matched to your chest width, frame, existing tissue and the look you want. Larger implants are not always better and can increase certain long-term risks. Your surgeon will help you choose a size suited to your body.

Implants can be placed above the pectoral muscle (subglandular) or partially/fully beneath it (submuscular/dual plane). Placement affects implant coverage, how natural the upper breast looks, and mammogram imaging. Your surgeon recommends an approach based on your tissue and goals.

Breast implants are not considered lifetime devices. Many remain in place for years, but they may need replacement or removal over time due to issues such as capsular contracture, rupture or personal preference. Long-term monitoring is recommended.

Many people can still breastfeed after augmentation, though this cannot be guaranteed and depends on incision type and individual factors. Implants can affect mammogram imaging, so tell your radiographer you have implants; additional views may be needed. Discuss both at consultation.

Breast augmentation is a widely performed procedure, but no surgery is without risk. Some people report systemic symptoms they associate with their implants ("breast implant illness"). BIA-ALCL is a rare cancer of the immune system linked to certain textured implants. Your surgeon will discuss current evidence, implant choice and monitoring.

Many people take around a week off desk-based work, with light activity returning over weeks 2–6 and exercise from around 6 weeks once cleared. Implants settle and swelling subsides over several months. Timelines vary between individuals.

Yes, all surgery leaves permanent scars. Scar location depends on the incision used (under the breast, around the areola, or in the underarm). Scars fade over time but do not disappear entirely, and healing varies.

Cost varies with implant type, placement and whether procedures are combined. A personalised quote covering surgeon, anaesthetist, facility and implant fees is provided after consultation. Purely cosmetic augmentation is generally not covered by Medicare or private health insurance.

Yes, in selected cases. If you have sagging as well as volume loss, augmentation may be combined with a breast lift (an "augmentation mastopexy"). Combining procedures affects operating time, recovery and risk, and is only considered where clinically appropriate.

Bring your medical history, a list of medications and supplements, and note your goals and questions. You may be asked about smoking/nicotine use, weight stability and general health. A consultation is required to confirm suitability.

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