At Canberra Plastic Surgery, breast surgery is one of our most popular procedures. Keeping ahead of the latest advances in breast augmentation, enhancement and reconstructive surgery, our certified plastic surgeons are highly skilled and experienced in helping you achieve the outcome you desire.

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Breast Augmentation

Breast Augmentation is designed for those seeking larger, firmer or more even breasts. Using Mentor implants, we can increase the size and proportion of your breasts.

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Breast Reduction/breast lift (Mastopexy)

If large, heavy or asymmetric breasts are impacting your comfort or self-esteem, Breast Reduction may be the solution. It can not only alleviate pain, but enhance posture and your overall appearance.

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Top surgery

Reconstructive chest surgery, commonly referred to as ‘top surgery’ is typically sought by trans people who were presumed female at birth, including men and non-binary people, to remove breast tissue and sculpt the chest into a pectoral form.

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Male breast reduction (Gynaecomastia)

Gynaecomastia is an excessive enlargement of the male breast and may be present in one breast (unilaterally) or in both breasts (bilaterally).

Breast Augmentation FAQs

Dr Tonks and Dr Rome will talk you through the advantages and disadvantages of the various surgical options, including the size of the implant, its surface texture and shape, placement of the incision and position of the implant.

You are strongly encouraged to advise your plastic surgeon of any health considerations that may affect your surgery. Full disclosure of any medications is important for your personal safety. You should stop smoking at least two weeks prior to surgery, as smoking increases the surgical and anaesthetic risk.

Breast augmentation surgery is performed at an accredited private hospital. Dr Tonks performs surgery at Barton Private Hospital and Calvary Bruce Private Hospital. Dr Rome performs surgery at Barton Private Hospital.

Yes, breast augmentation is performed under a general anaesthetic. An appointment with an anaesthetist will be arranged prior to your hospital admission.

Implants may interfere with the detection of breast cancer using mammography, a type of X-ray examination. It is important to disclose to Dr Tonks or Dr Rome if you have had breast cancer, a family history of breast cancer or may have other risk factors for breast cancer.

There is no evidence that breast implants increase the risk of breast cancer, although the possibility has been considered. It is important that you learn to self-examine your breasts for lumps, in addition to having any regular tests that are recommended by your General Practitioner.

Individual cases will vary but generally, mothers can breastfeed after having breast augmentation. However, some women do experience reduced nipple sensation following breast augmentation surgery making it difficult to trigger the milk let down reflex. Some women may also experience reduced milk supply. If you are planning to breastfeed after breast augmentation surgery, please discuss this with Dr Tonks or Dr Rome during your consultation.

The ABDR is a registry for implantable breast devices (implants and expanders). It tracks the outcomes and quality of all breast device surgery performed across Australia and reports progressively on the long term performance of implanted devices with the aim of improving patient safety.

We encourage patients to request that their details be recorded with the ABDR.

Breast implants are not guaranteed to last a lifetime. Future surgery is often required to replace one or both implants. As with all surgical procedures, revisional surgery may also be necessary to correct any problems or for optimal surgical outcomes.

Breast augmentation surgery will affect each individual in a different way. It is normal to feel some discomfort and pain following surgery. Your anaesthetist will provide you with pain relief following surgery.

We recommend 1 week off work following your surgery to rest and recover. Following that we encourage you to get back to your usual activities of daily living, with restrictions on  strenuous exercise, especially upper body, for 6 weeks.

You will also be required to wear your post operative garment for 6 weeks.

You will be provided with specific post operative instructions following your surgery.

Scars are the inevitable result of any invasive procedure or surgery. Scarring can be minimised by locating incisions in easily hidden sites. You can also find information on scar minimisation here.

The surgical fee for breast augmentation surgery with Dr Tonks or Dr Rome begins at $9000. This includes you post operative garment, post operative appointment and Healite treatments to promote wound healing and scar reduction. Please note that this does not include your anaesthetic or hospital fees.

Breast augmentation is generally considered cosmetic and therefore there is no Medicare item number associated. There are very limited circumstances where Medicare will provide a rebate for women with considerable breast asymmetry or tuberous breasts. During your consultation Dr Tonks or Dr Rome will discuss your eligibility for any Medicare item numbers.

Breast augmentation is the surgical enlargement of breasts using artificial implants for women who are not satisfied with their breast shape and size due to insufficient development, disease, trauma or post pregnancy loss.  Breast lift surgery is an option for women who, although may be satisfied with the size of their breasts, are unhappy about sagging and loss of firmness. Breast lift surgery involves the removal of excess skin and breast tissue, resulting in the reshaping of the breast, without adding volume with an implant.

Appropriate size options will be discussed in your consultation with Dr Tonks or Dr Rome to ensure you receive your desired result in alignment with Dr Tonks’ and Dr Romes expert knowledge and experience.

Dr Tonks or Dr Rome and your anaesthetist may prescribe pain relief for you, as some pain and discomfort is normal following your surgery.

Your surgical incision generally heals well within 7–14 days. Dr Tonks or Dr Rome and our nurses will advise when you can shower and return to your routine activities and work, however Dr Tonks does encourage you to have some time off work following your surgery to allow for rest and recovery.

Strenuous athletic activities are restricted for 3 weeks following surgery with low intensity daily walks encouraged.

You will be provided with a surgical garment that you will be required to wear for 4-6 weeks unless otherwise stated by Dr Tonks, Dr Rome or their nursing team.

Breast Augmentation may be performed as day procedure or involve a short overnight stay in hospital. You breast surgery will be performed in an accredited private hospital under a general anaesthetic.

Breast Reduction FAQs

Breast reduction surgery is a procedure that reduces the size of overly large breasts. Overly large breasts can cause health issues and emotional problems for some women. In addition to self image issues, it can also cause physical pain and discomfort.

Breast lift surgery, also known as mastopexy, is a procedure that raises and firms the breasts. Excess skin is removed to tighten the surrounding tissue and to reshape and support the new breast contour. The internal breast tissue is usually reshaped but not necessarily reduced as it is in a breast reduction procedure.

Breast reduction is a highly individualised procedure and may not be suitable for everyone. During your consultation, Dr Tonks and Dr Rome will assess your condition and general health, and plan the treatment that is best suited to you.

Before you decide on breast reduction surgery, there are some important issues to keep in mind:

  • Dr Tonks and Dr Rome generally recommend waiting until breast development, child birth and breastfeeding have stopped before undertaking breast reduction surgery
  • Breast reduction surgery can interfere with some diagnostic procedures
  • Ability to breastfeed following breast reduction surgery may be affected. Talk to your surgeon if you are planning to breastfeed a baby in the future
  • Changes in the breasts during pregnancy, or significant weight loss or gain can alter the outcomes of previous breast reduction surgery
  • Breast and nipple piercings can cause an infection
  • Smokers are at increased risk of complications. If you are serious about undergoing surgery, you should quit smoking

Breast reduction may be a good option for you if:

  • You are physically healthy
  • You have realistic expectations
  • Your breasts are fully developed
  • You are bothered by the feeling that your breasts are too large
  • Your breasts limit your physical activity
  • You experience back, neck and shoulder pain caused by the weight of your breasts
  • You have regular indentations from bra straps that support heavy, pendulous breasts
  • You have skin irritation beneath the breast crease
  • Your breasts hang low and have stretched skin
  • Your nipples rest below the breast crease when your breasts are unsupported
  • You have enlarged areolas caused by stretched skin

Remember that the shape and size of your breasts before surgery will influence the surgical procedure and the outcome.

Yes, breast reduction surgery is always performed under a general anaesthetic. Prior to your surgery, your anaesthetist will discuss your current and previous medications including any allergies. The anaesthetists primary concern is your safety and suitability for general anaesthesia.

Yes, all breast reductions surgeries are performed in an accredited private hospital and require you to stay in overnight to rest and recover.

All surgery comes with risks. You can find general risks of surgery here.

Complications and risks associated with breast reduction surgery include but are not limited to:

  • Fluid accumulation around the operation site(s)
  • Allergic reaction to suture materials, tape adhesive or other medical materials and lotions
  • Skin discoloration, permanent pigmentation changes, swelling and bruising
  • Damage to deeper structures – such as nerves, blood vessels, muscles, and lungs – can occur and may be temporary or permanent
  • Fatty tissue deep in the skin could die (fat necrosis)
  • Changes in breast and nipple sensation
  • Temporary or permanent areas of numbness
  • Asymmetry (unevenness) of the breasts
  • Potential partial or total loss of nipple and areola
  • Need for further surgery to treat complications

Scars are an inevitable part of any invasive surgery. For breast reduction surgery the scars are located around the areolar, a central vertical scar and a scar along the inframammary fold.

Scars may fade with time and become barely noticeable. Please advise Dr Tonks or Dr Rome if you are prone to excessive scarring. You can also find information on scar minimisation here.

The surgical fees for breast reduction surgery start from $11,000. This fee includes your post operative garment (to be worn for 6 weeks following surgery), your initial post operative appointments and Healite treatments for optimal wound healing. Please note that this does not include your hospital and anaesthetic fees.

Dr Tonks, Dr Rome and your anaesthetist may prescribe pain relief for you, as some pain and discomfort is normal following your surgery.

Your surgical incision generally heals well within 7-21 days. Your Surgeon and our nurses will advise when you can shower and return to your routine activities and work, however Dr Tonks does encourage you to have 2 weeks off work following your surgery to allow for rest and recovery. Additional recovery time may be required for more physically strenuous jobs.

Strenuous athletic activities are restricted for 3 weeks following surgery with low intensity daily walks encouraged.  After 6 weeks you are able to return to all activities with no restrictions.

You will be provided with a surgical garment that you will be required to wear for 6 weeks post operatively.

Top Surgery FAQ's

Reconstructive chest surgery, commonly referred to as ‘top surgery’ is typically sought by trans people who were presumed female at birth, including men and non-binary people, to remove breast tissue and sculpt the chest into a pectoral form.

One of the most common myths associated with top surgery is that the breast tissues can grow back. However, even if you gain weight or stop taking testosterone, your breast tissue will not grow back once they have been surgically removed.

The results of top surgery are regarded as permanent and not reversible. Therefore, it is extremely important to ensure that you are physically and mentally ready for the surgery.

There are some Medicare item numbers associated with top surgery which can assist in covering some of the treatments associated with gender confirmation surgery including surgeries, medications, tests and consultations. During your consultation Dr Tonks or Dr Rome will discuss your eligibility for Medicare rebates.

There are four requirements that need to be met to be considered for reconstructive chest surgery for female to male patients. They include:

  1. Persistent, well-documented gender dysphoria;
  2. Capacity to make a fully informed decision and to consent for treatment;
  3. Be a minimum of 18 years of age;
  4. If significant medical or mental health concerns are present, they must be reasonably well controlled.

Here in Australia, Dr Tonks or Dr Rome will need a readiness referral from a mental health provider stating that you are able to consent and that the intervention is right for you.

Top surgery fees for Dr Tonks and Dr Rome starts from $10,000. This includes your post operative garment which is to be worn for 6 weeks, your initial post operative appointments including Healite treatments for optimal wound healing. Please note that this does not include your hospital or anaesthetic fees.

Gynaecomastia FAQ's

Gynaecomastia is an excessive enlargement of the male breast and may be present in one breast or in both breasts.

Gynaecomastia is common in men of any age and may develop as a result of:

  • Hormonal changes
  • Weight gain
  • Hereditary conditions
  • Disease, such as liver disease
  • Certain medication
  • Use of non-prescription or recreational drugs, including anabolic steroids and marijuana

Gynaecomastia can cause emotional discomfort and may affect a man’s self-confidence. Excess breast tissue can also cause a man’s breasts to sag and stretch the areola.

Dr Tonks or Dr Rome can discuss surgical options to remove excess breast tissue. In some cases, gynaecomastia can be improved with non-surgical treatments, such as changing a medication or by medically treating the cause of the abnormal hormone levels.

If the condition is minimal, surgery for gynaecomastia can sometimes be performed with a local anaesthetic in our on site procedure room. A general anaesthetic is usually necessary if more extensive surgery is required.

All surgery carries some risk. You can find general risks of surgery here.

Some potential complications and risks associated with surgery specific to gynaecomastia may include:

  • Slightly mismatched breasts or nipples
  • Temporary numbness or loss of breast sensation
  • Recurrence of breast growth after surgery can occur if breasts are not fully developed
  • Another procedure may be needed to remove excess skin
  • Permanent pigment changes in the breast area
  • Keloids and hypertrophic scars that are raised, red and thickened scars. These may form over the healed incisions. They may be itchy, annoying and unsightly but are not a threat to health.

Scars are an inevitable part of any invasive surgery. Dr Tonks and Dr Rome will endeavour to minimise scarring and to keep your scars as inconspicuous as possible by locating the incisions in easily hidden sites, generally around the areolar. Our team of specialised nurses will provide you with Healite treatments for optimal wound healing and scar minimisation. You can also find information on scar minimisation here.

The surgical fee for unilateral (single breast) gynaecomastia surgery is $4000 and $8000 for bilateral (both breasts) gynaecomastia surgery. This includes all of your post operative appointments, surgical garment and Healite treatment. Please note that this does not include hospital and anaesthetic fees.