Breast Augmentation, Rejuvenation, and Enlargement

From our Patient’s Perspective’s

Breast Rejuvenation and Restoration

At The Skin Centre we want to make you the best version of yourself.

Breast feeding can change the shape of your breasts causing them to lose volume and flatten. These changes in size and shape can have an immense impact on body confidence.Previously a surgical Mastopexy and Silicon implants under general anesthetic were the only solution to addressing these issues. These invasive procedures have always seemed daunting and come with a long list of risks.

Dr Salmon has worked alongside leading surgeons in the USA to perfect the Autologous Fat Transfer (AFT) procedure to help restore and rejuvenate women’s breasts naturally and permanently, with the added bonus of losing some of the fat from another area of the body you may not love. This procedure is perfect for mothers who have lost volume after breast feeding to restore the breasts and get them looking as good, if not better than before. It is also great for the women who weren’t naturally gifted with full breasts from the beginning.

Come in and have a confidential consultation with one of our lovely cosmetic nurses and Dr Salmon to see how we can help restore your confidence!

Breast Enlargement and Rejuvenation – Before and After AFT

All photos are taken of patients of the SkinCentre NZ and the Autologous Fat Transfer (AFT) breast enlargement procedures were performed by Dr Paul Salmon.

About Dr Salmon

After over two decades of expertise in reducing breast size through tumescent liposuction, Dr. Salmon expanded his field to provide women with the opportunity for natural breast enlargement. This AFT procedure offers the chance to regain volume lost after breastfeeding, or, help to increase breast size for those desiring a larger bust who have always been smaller.

In 2017, Dr. Salmon travelled to Miami to study and collaborate with Dr. Roger Khouri, whose advancements in fat grafting techniques have revolutionised the AFT procedure, enabling fat grafting of up to 300cc per side in a single session.

About Dr Seine

Since starting at SkinCentre in 2021, Dr. Seine has worked closely with Dr. Salmon on the Autologous Fat Transfer (AFT) technique for natural breast enhancement. Using his expertise in cosmetic dermatology, Dr. Seine is committed to advancing and refining this transformative procedure in collaboration with Dr. Salmon. Together, they aim to set new standards of excellence and provide patients with outstanding outcomes in breast augmentation through AFT.

The Procedure

We perform AFT under local anaesthetic with light oral sedation right here at the Skin Centre Day Surgery Centre. No need for general anaesthetic. Both your breasts and the area we are taking the fat from, the donor site, will be infused with tumescent anaesthesia.

The fat will be harvested from the donor site by micro-cannula liposculpture, usually from the thighs or abdomen. The fat is then prepared and grafted into your breasts via tiny nicks to ensure minimal scarring. Our nurses will tape your breasts securely to prevent any movement.

We recommend approximately one week of rest and no vigorous exercise or movement until three weeks post-surgery.

Your breasts will be quite swollen at first but usually not tender and final results will not be apparent until 3-4 months post-operatively.

In a single procedure you can expect to increase your breast size by one cup. Two procedures will enable a two cup increase.

Preparation

Unlike a silicon implant, prior to your Autologuous Fat Transfer it is necessary to prepare the breast tissue to create an optimal environment for the fat grafting procedure. To achieve this we use two preparation methods, our specialised team will help determine which method will work best for you.

We will arrange a pre-operative consultation with one of our cosmetic nurses to discuss this preparation in detail and we are always here for questions throughout.

The different preparation methods:

PICO Negative Pressure Dressings:

PICO dressings are a new way to prepare your breasts for fat grafts. They work by increasing blood flow to the breast but provide only mild expansion. For this reason the PICO dressing is best suited to those women who have breast fed in the past and are wanting to regain the volume lost, and would not be suitable for women whose breasts are smaller than a C cup but want the biggest improvement they can get from a single procedure.

PICO dressings are discrete and are able to be concealed under clothing, making it easy to continue working right up until your procedure, except those for who are in manual labour job roles.

The dressings need to be worn for continuously for two weeks leading up to the procedure, to ensure the breasts are ready for grafts.

While wearing the PICO dressing you will not be able to exercise and will have to forgo showers in place of sponge baths.

Brava Dome expanders:

Brava type Expander domes are used for maximal breast tissue expansion, making them the best choice for women aiming for substantial enhancement from a single procedure. Due to their size, these domes are meant to be worn at home and cannot be concealed easily under clothing.

Similar to PICO dressings, they stimulate increased blood flow to the breasts and cause temporary enlargement. This temporary enlargement is crucial for fat grafting procedures, as the success of transferring fat depends on the degree of breast expansion achieved prior to surgery.

Typically, over 300 hours of dome usage are needed for significant expansion. This can be achieved through wearing the domes for 12 hours daily for two weeks, followed by 18 hours daily for the third week before surgery. However, the most successful outcomes have been observed with more than 300 hours of dome use spread over an eight-week period or longer. A minimum of three weeks’ use of the domes is recommended for successful outcomes.

 

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Pico Perfection! - Testimonial

Pico perfection!

After having one procedure using the Brava system ( Dome cups) I was offered the chance to use the Pico system. This is negative pressure wound therapy dressings. Light weight, discrete, and they work. Wearing them for 2 weeks, every minute, was a simple and effective method to build on the improvements I already had.

The difference to my breasts is noticeable and truly amazing, given it is just pads taped to your skin and the time it takes to achieve the effect needed ready for fat transfer. The pads are attached to a little pump that you can clip onto your pants and this automatically maintains negative pressure.

Post surgery, I can excitedly say that I have amazing, full breasts! Going from a C to a full DD cup. 8 weeks in and they still look fanulous.

I highly recommend using this system to any woman considering AFT surgery. If you need support with it Dr Salmon and nurse Georgie are there to help. As usual, they are so friendly and professional.

Pico is a game changer in the pre-op boobie preparations!!

How can I increase my breast size?

Developing larger breasts can be done in a number of ways:

Hormonal

If it is appropriate, your family doctor might suggest putting you on the combined oral contraceptive. This can increase your breast size anywhere from half a cup to one full cup size. This may also cause or be associated with overall weight gain.

Breast Implants

Silicon implants have been used for many decades, the latest data suggest they are very safe. Besides rupture, infection or encapsulation, the only serious side effect is the development of a cancer of the immune system known as Lymphoma. This does not happen for many years after implantation and happily is very rare.
If you want to increase your breasts by 2 or more cup sizes in a single procedure, Silicon Implants may be the best method for you.

External Expansion

The application of suction to the breasts will cause them to swell and engorge. This is a temporary phenomenon but can be useful if you have a particular social event you need to be bigger for. When you stop using the device, your breasts go back to their usual size.

Autologous Fat Transfer (AFT)

AFT involves the preparation of the breasts with External Expanders followed by augmentation of the breasts. The procedure involves harvesting fat by suctioning it from one part of your body, where you do not want it and placing it where you do. The fat is placed throughout the breasts in fine strips less then a milli-metre in width. The advantage of this technique is that there are no scars, and your breasts are naturally enlarged using your body’s own fat.

Complications of Breast Implants

Both AFT and external expansion have been well proven in the literature to be safe procedures that do not give rise to cancer. Where the procedure is carried out under general anesthesia, the risks are those of general anaesthesia. Complications are still possible but very rare and include skin rash from the expander domes, infection, assymetry and need for re operation.

Risks and Complications of Breast Implants

US FDA Breast Implant Postapproval Studies: Long-term Outcomes in 99,993 Patients

A Long-Term Study of Outcomes, Complications, and Patient Satisfaction with Breast Implants

Contact us today for your confidential consultation with our nurse