Breast Augmentation Options

Sydney cosmetic plastic surgeon Dr Darryl Hodgkinson says patients can be surprised at how involved they can be in making decisions about their breast augmentation.

The size, shape & look – you decide

Many patients who come for a breast augmentation on my Sydney clinic are surprised that they can actually take an active role in deciding not only the size they want their breasts to be, but also the shape of the breasts and how much cleavage they want to have. The patient can also have input into how their breasts might feel and move through choosing the type of implants with their surgeon. In fact, patient input on nipple position can even be very important.

No two women are alike and so there is no one implant or operation that will suit all women.

Implant types

Implants come in not only many sizes but also many shapes, from round to tear drop, to asymmetrical and anatomic. The shape a woman wishes to achieve is measured against her existing breasts and her chest wall to determine the appropriate shape and size of the implant.

Before/after breast augmentation by 
Dr Hodgkinson

Both the surgeon’s knowledge and his/her ability to communicate clearly with the patient is critical in these processes. The surgeon must have adequate experience to be able to understand the patient’s desires and physical realities: current shape and size of breast, elasticity of the skin of the breast, position of the nipple and shape and bony contour of the patient’s chest wall.

Implants are commonly filled with saline or silicone. Both implant types have advantages and disadvantages. It is my experience that most women who can will choose the saline implant. The saline implant has a natural feel and moves more naturally than silicone.

Before/after breast augmentation by 
Dr Hodgkinson

The saline implant can also be inserted through a smaller incision that its silicone counterpart. Silicone implants are appropriate in cases where the woman has a bony chest well or very thin skin. Silicone may also be called for in women having implant replacement or reconstruction after mastectomy.

Most importantly, however, is that the patient needs to have the advantages and disadvantages of both silicone and saline implants discussed with them.


Breast implants can be inserted through many different incisions, including endoscopically through the belly button (saline implants only).

The most common incision sites are under the breast, in the armpit or around the nipple. The type of implant can dictate the length and location of the incision. This, too, needs to be discussed with the patient so they understand the alternatives available.

About Dr Darryl Hodgkinson

Dr. Darryl J. Hodgkinson is recognized world-wide as an expert in cosmetic plastic surgery with more than thirty years of experience in both cosmetic and plastic/reconstructive surgery.

Dr. Hodgkinson did his plastic surgical training at the prestigious Mayo Clinic in the United States and is amongst an elite group of a very few surgeons to hold two degrees in plastic surgery from American Board of Plastic and Reconstructive Surgeons and the Royal College of Surgeons, Canada.

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