The Quest for

Better Breasts…
A Girls Guide to Breast Augmentation

Before After

Once upon a time… women lived with the breasts they

developed naturally, whether they were happy with them
or not. Short of wearing a padded bra, there was not
much they could do to make up for a deficiency in that
department.
Those days are over.

Copyright Australian Skin Clinics 2010

The Quest for Better Breasts…
Breast augmentation is one of the most commonly performed cosmetic procedures
and it can dramatically improve the appearance of a woman's breasts. Surgical
breast augmentation using implants, make it possible for women to choose virtually
any cup size they desire. Yet online breast augmentation chat rooms are full of posts
from women suffering either from "boob greed" who wish they had gone bigger, or
“boob over-load” who wished they had not gone quite so large! Think about TV per-
sonalities such as Jordan (who had large then larger implants, before having her
breasts reduced again) and Posh (who started out with round implants and now has
softer, more natural looking tear shaped ones).

For many women, the decision to have a breast augmentation is the easiest part of
the process, but at Australian Skin Clinics we want you to understand every aspect of
the decision you are making so that you can make an informed choice about your
surgery. In this booklet we aim to inform you about Breast Augmentation and provide
you with the questions you need to ask when considering surgery.

We live in a breast-obsessed society, where there is an assumption that bigger is

better. But is it? That depends on your individual taste, your body frame and the
"look" you want to achieve.

Many different types of implants are available. These can

be filled with silicone gel or saline, can be round or
shaped, smooth or coated. The most suitable type will vary
from patient to patient, depending on factors such as
breast shape, amount of loose skin, etc. In general round
implants give more upper fullness, and stronger cleavage,
whilst shaped implants create a more natural looking
breast fullness.

If you are planning breast surgery, you should take the

time to be sure about your decision. Research and plan-
ning on your part will go a long way to making sure that Deb Farnworth-Wood
when your breast augmentation experience is over, you Clinic Owner
will be happy with the results. An experienced
practitioner specialising in breast augmentation
will be invaluable in helping you decide the best
size for your frame and assist you to understand
a number of other factors that need to be taken
into consideration when selecting your implant
size.

It’s All About You

It is crucial that this surgery is for YOU. Choose a
size that makes YOU happy, not your spouse,
partner, family member or best friend. After all,
you are the one who will be living with this
decision. You must however, listen to advice
from your breast specialist as he/she will also be
considering your body’s natural shape and the
amount of loose skin you have to place the
implant behind. Ultimately these will affect how
the implant looks, feels and sits.

Beware of Well Meaning Friends

It is strange how many unqualified people think
they know just what you need! Unless your family
and friends are doctors that specialise in breast
implants, tell them to ‘zip it’ and seek
professional advice.
Deb
Am I a good candidate for breast
implants?
One or more of the following may indicate that you are a
good candidate for breast implants:

• You have a sense of low self-esteem because you

feel that your breasts are too small
• Clothing that fits well around your hips is often too
large on the bust
• You feel self-conscious wearing fitted clothing or a
swimsuit
• Your breasts have become smaller in size and lost
their firmness after having children
• Fluctuation in weight has changed the size and
shape of your breasts
• Asymmetry exists where one of your breasts is
noticeably smaller than the other
• Your breasts have sagged but the nipples are still
sitting above the level of the breast fold

What cup size should I choose?

While bra cups are sized A, B, C and up, breast implants
are measured in cubic centimetres (cc’s). Implant sizes
range from 120cc to 850cc but, the breast size you start
out with will influence the implant size you choose. If you
start as an A cup, you'll need more cc's to take you to a
C cup than a woman who starts as a B cup.

The following experiment will help you to understand cc’s

vs cup size...
Take the Rice Test
Using a sock and rice, you can get an idea of implant sizes and the difference they
will make to your breast size.

1. Take a long sock or stocking, an elastic band and a bag of uncooked rice.

2. Start with 300cc (300 grams approx). Using a measuring cup, pour
the rice, into the stocking/sock and use an elastic band to close the end. If
you are very thin with virtually no breasts, you may like to start with 190cc
(190 grams)

3. Place the stocking inside a non-padded, non-wired bra and try

it on for size.

4. Add or remove rice until you are happy with the size.

5. Try on clothes with the rice substitutes in place to get an idea of

how you'll look with larger breasts. Pay particular attention to how
the fuller bustline looks compared to the rest of your figure. Is it in
proportion? Add more rice if it appears too small.

6. If your breasts appear to overwhelm the rest of your body, be

realistic about whether you will want to live with the shape for the
rest of your life.

Creating Cleavage
Cleavage is defined as the cleft between a woman's breasts lying over the sternum
(breast bone). We all know it as that valley peeking out from a casually unbuttoned
blouse or on full view under a low-cut top.

It's important to note that larger breasts don't necessarily translate to more cleavage.
As breasts get larger, the amount of cleavage usually increases, but the wider the
space between your breasts, the less of an impact implants will have on your
cleavage. Keep this in mind when choosing an implant size.
The 10 Essential Questions to Ask During Your Breast
Implant Consultation
By Dr Simon Rosenbaum

1. Does your doctor carry out these procedures regularly?

Just as you would like the obstetrician delivering your baby to be delivery many
babies every month, your breast surgeon should also be doing many proce-
dures every month. I suggest that at least 10 would be reasonable.

2. Is the procedure carried out in a registered facility ?

Breast augmentation must be carried out in a registered facility to ensure maxi-
mum comfort and safety. Typically, in a registered facility, you will have an
anaesthetist, anaesthetic nurse, scrub nurse, scout nurse, and your doctor. If
your doctor does not use the right facility, possibly to cut costs, then safety, com-
fort and recovery may be compromised.

3. Does your breast specialist have a particular interest or skill, for example in
using tear-shaped implants?
Implants come in different shapes, sizes, and
with different coatings. Even the feel of gel can
vary from soft to firm. The surgical technique is
very different for tear-shaped implants, com-
pared to round implants.

4. What are the possible complications?

All surgeries carry risks. In the case of breast
implants, complications can occur soon after
surgery or later on. Ask your doctor what his or
her complication rate is, especially with cap-
sule contraction. Ask what the policy is for the
management of, and costs associated with
these potential problems.
Dr Simon Rosenbaum
5. What size implant is best for your body ?
Whilst you may have your own ideas about breast size, the dimensions of your body,
specifically the width of the rib cage underneath the breast, are the main determinants
of the size of implant that is feasible. If, for example, you are a size 10 in clothes, the
“base width” may be between 10 and 11 cm. The width of the implant selected must be
compatible with those measurements. If the implant is too wide, you will be likely to
experience rippling, implant failure, and other problems.

There is evidence that long term results are adversely affected when the implants are
too big. Large implants that place too much pressure on the breast tissue will cause the
tissue to thin out and waste away.

6. Silicone gel or saline ?

Saline implants are now considered out dated and very few
people use them. They do not feel as natural as silicone ones and
are prone to rippling when inflated. Some studies also show a
significant leakage and failure rate after just a few years.

The original safety issues with silicon gel have now been resolved,
and they are fully approved by health authorities all over the
world. Silicone implants feel much better, and are more reliable.
Many of the manufacturers back their implants with lifetime guar-
antees. At Australian Skin Clinics, we use mainly cohesive gel
implants which are by far the safest.

7. Round or shaped ?

If you are seeking the most natural look, then tear-

shaped implants are usually the best choice. Some-
times the surgeon can use what we call an 85% fill
Implant pic here round gel implant – this can also give a very natural
shape. If you would like more fullness in the upper
breast, then a round implant will provide this. Both
shapes will improve your cleavage. The shaped
implants can also be used to give a nice lift to the
nipples, avoiding the need for a breast lift in many
cases.
9. Location of Scar

Implants can be inserted below the natural breast, through the nipple, through the navel
and through the underarm. It is important that you discuss this with your surgeon. My
preference whenever possible is beneath the breast as this causes the minimum
interference with the body and the scar is concealed within a natural fold. Recent studies
have shown that long term results are better with this approach.

10. What is the cost and what is included?

Always confirm that the price you are quoted includes theatre, anaesthetist and procedure
fees, follow up, garment, medications and after care. Verify all costs involved in the event
of complications.

Choices, Choices & More Choices

By now it should be clear that the decision to have

breast surgery should be given careful considera-
tion. This is not a one-size-fits-all proposition - at
least not if you want to be completely happy with
the final results.

Make your decision a personal one, not one based

on what your friend or neighbour would do (or has
done). Your choice should be made in consultation
with an experienced specialist preferably one who
has done many breast augmentation surgeries and Dr Simon Rosenbaum
has the before and after photos to prove it. Rely on Cosmetic Surgery Practitioner
his or her expertise, keep your expectations realis-
Australian Skin Clinics
tic, and your chances are excellent that you'll get
the results you're seeking.
Why Choose Australian Skin Clinics for Your Breast
Augmentation?

Experience
Dr Simon Rosenbaum has performed over 2500 breast augmentation procedures
and has over 25 years experience in cosmetic procedures. Breast augmentation
procedures are performed by Dr Simon Rosenbaum at our day surgery centre. We
use a fully trained anaesthetist and combined general and local anaesthetic.

No Pressure
Our policy is that this procedure must be right for you and therefore, you should
make the decision. We take great care to inform you of all risks as well as benefits
so that you have all the information that you need to decide whether the proce-
dure is right for you.

Facilities
Our facilities are second to none. Why not see for yourself and make an appoint-
ment to meet with our friendly and caring staff.

Fixed Price
There are no surprises and no hidden extras at Australian Skin Clinics. Our quotes
are guaranteed and we include implants, bra and all fees.

Post-Op Care

Once your procedure is completed we maintain contact with you and ensure that
your recovery is smooth. Our goal is to keep a life long relationship with all our
clients and to be your clinic of choice.

Call 07 5509 0000 for a consultation.

Next Steps

Once you contact Australian Skin Clinics, you know that we take care of you all the
way. Your journey will look like this.

Step 1: Consultation with Dr Rosenbaum

During your consultation the doctor will need to examine and measure you. He will
then discuss your aspirations and goals before making recommendations for your
surgery. Risks and benefits will be explained and you will be shown before and after
photographs of other cases. Please feel free to bring a list of questions to the con-
sult – we want you to feel comfortable about your surgery. A quote will then be
prepared for you. Our quote includes theatre fees, anaesthetist, procedure fees,
medication and garments.

Step 2 (optional):
If you are unsure about sizing after your consultation we can arrange for you to
spend time with one of our specialist nurses to try on the implants again with a crop
top or tight t-shirt. It is worth spending the extra time to ensure that you are happy
with the proposed size.

Step 3: Booking
Our friendly team will be happy to help you find a suitable date for your surgery.
We try to keep our waiting lists to a reasonable level and from time to time run
catch-up days. Please let your Client Care Coordinator know if you are happy to
accept an earlier appointment with short notice.

Step 4: Pre-Op Appointment

2-3 weeks prior to your procedure you will need a pre-op appointment with one of
our specialist nurses. During this appointment you will have the opportunity to ask
more questions. The patient consent forms are signed at this time but if you are still
unsure about your surgery, we can arrange for you to see Dr Rosenbaum again. Pre
and post op care will be explained to you, measurements will be taken for your
garment and your implants are ordered.
Step 5: Procedure

The procedure is carried out at our day hospital and takes approximately 1.5
hours. Afterwards you will have rest and recovery time before going home the
same day. You will need a responsible adult with you on the first night.

There is significant evidence that patients recover faster and more comfortably
in their own home and familiar surroundings and there is no need to stay in hospi-
tal overnight. Dr Rosenbaum rarely uses drains.

Step 6: Post Operative Care

When you leave the hospital we give you several contact numbers (Dr Rosen-
baum, Deb and the Clinic) in case you have any concerns. We are always avail-
able for advice.

We normally see you the next day for a change of dressings and again 5-6 days
later. Dissolvable stitches are generally used but if they have not dissolved by the
5-6 day we may remove them.

About week 6 Dr Rosenbaum likes to see you for a final check, but you may of
course make an appointment at the clinic before then if you have any con-
cerns.

Step 7: Client Experience Questionnaire

We continually monitor our performance and ask all clients to complete a post
surgery questionnaire. Your feedback is important to us and influences the way
we shape and provide services. Our standards are high because we want them
to be!
Testimonials
Medical Board regulations prohibit doctors from publishing patient testimonials but we are
able to put you in contact with other clients and staff that have had breast implants car-
ried out by Dr Rosenbaum. We are also able to show you before and after photos of clients
with their express consent. A few of these are on our website and we have hundreds more
at the clinic.

We hope you have found this booklet useful and we would be delighted to see you
at the clinic soon. Please call our Client Care Coordinators now on 5509 0000 for an
appointment with Dr Rosenbaum.

Finally, we are including a voucher for you and a friend to enjoy a two-for one
muscle relaxant treatment with Dr Rosenbaum.

 
you! f riend!
e r for rfo r a
Vo uch Vouche
Two Areas for the Price of One Two Areas for the Price of One
on Muscle Relaxants on Muscle Relaxants when you
when you bring a friend come with your referring friend

To book, phone 5509 0000 To book, phone 5509 0000

Present this voucher to receive
this special offer with Dr Simon
Rosenbaum.
Conditions:
1. Applies only to muscle relaxant treatments
2. Not valid in conjunction with any other offer
3. Both treatments must be carried out together
4. Valid only with Dr Simon Rosenbaum
Present this voucher to receive
this special offer with Dr Simon
Rosenbaum.
Conditions:
1. Applies only to muscle relaxant treatments
2. Not valid in conjunction with any other offer
3. Both treatments must be carried out together
4. Valid only with Dr Simon Rosenbaum

7/151 Cotlew Street, Ashmore Qld 4214 7/151 Cotlew Street, Ashmore Qld 4214
Australian Skin Clinics - 5 minutes from Surfers Paradise

Suite 7, Gold Coast Office Park

151 Cotlew Street
Ashmore Qld 4214

Phone: 5509 0000

www.ozskin.com