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MED 0001201549.  This website is for adult viewing (18+).  Please take time to read and understand the potential risks of surgery.

01Article · Cosmetic medicine

Breast augmentation —
three considered recommendations.

Breast augmentation with implants or fat grafting is one of the more common cosmetic procedures asked about at our Melbourne and Tasmania rooms. The recommendations below are not about technique — they are about how to approach the decision.

Written by Dr Kishen Nara · Reviewed for plain-language accuracy · Published 14 May 2024

02How we think about it

Cosmetic surgery
is a service, not a product.

Breast augmentation has been spoken about, in some quarters, as if it were a product on a shelf — a price, a size, a date in the calendar. We do not see it that way. It is a medical service that exists between a patient and a practitioner, and the result of one person's procedure is not transferable to another.

At RevAesthetic, the values that shape every breast surgery consultation are the same ones that apply to every other procedure we offer: integrity in how we practise, diligence in how we assess, and loyalty to the patients who entrust us with the long arc of their care. The conversation belongs to the patient. The role of the practice is to make the information complete and the decision unhurried.

All cosmetic procedures carry potential risks and complications. A second medical opinion is encouraged at any stage, and information about the risks of cosmetic surgery is available on our risks page.

— Dr Kishen Nara & Cate.

Dr Kishen Nara and Cate, Practice Manager, at RevAesthetic Melbourne
Dr Nara & Cate In consultation

03Recommendation one

Treat it as a service —
not a transaction.

The first recommendation is the hardest to internalise because it runs against the way breast augmentation in Melbourne is sometimes marketed. Cosmetic surgery is a professional medical service. It is conducted by trained, registered practitioners, in licensed facilities, with pre-operative imaging and post-operative follow-up that extend well beyond the day of the procedure.

The result of one patient's surgery is not predictive of another patient's outcome. Anatomy, tissue quality, healing biology, lifestyle factors and individual goals all change what is possible. A reputable consultation will discuss this directly rather than show you a single result and imply it is repeatable.

Cosmetic surgical training in Australia is delivered through the Australasian College of Cosmetic Surgery and Medicine — the only Australian college with training dedicated to cosmetic surgery.

04How we practise

Integrity
and diligence.

The two values that govern every breast surgery consultation at RevAesthetic. Listing is not recommendation — every patient is assessed individually, and surgery is one option among several.

Integrity in practice

  • Practice within Medical Board of Australia guidelines for cosmetic procedures.
  • Adhere to facility, state and national protocols throughout the surgical pathway.
  • Maintain core medical-professional standards across consultation, surgery and follow-up.
  • Be transparent when surgery is not the right intervention.

Diligence in assessment

  • Conduct comprehensive pre-operative assessments before any decision is made.
  • Discuss potential risks, complications and limitations in plain language.
  • Explain that simultaneous breast lift and implants carry higher cumulative risk.
  • Document a written reflection period before any surgical booking.

05Recommendation two

Choose the right time —
not the convenient one.

The right time to consider breast augmentation is not the time someone else has selected for you. It is a time when you are not rushed, not under acute stress, and have stable support around you. Major life events — relationship transitions, bereavement, a recent pregnancy, a recent diagnosis — are often poor moments to make a permanent decision about your body.

For some patients, the right time is now. For others, it is six months from now, or it is never. None of those answers is wrong. We routinely meet patients who decide, after a careful consultation, that surgery is not the right step — and that outcome is also a successful consultation.

For an overview of breast surgery options at RevAesthetic, you can read about breast augmentation with implants, breast lift, implant removal, or revision implant surgery.

06Anatomy

A starting point
for assessment.

Tissue characteristics, chest wall, glandular volume and skin quality all factor into a tailored plan. The illustration below is a simplified diagram we use during consultations — assessment is always individual.

Anatomical illustration used during breast surgery consultation

07Recommendation three

Meet the doctor —
before deciding anything.

The third recommendation is the simplest. Meet the doctor who would be performing your surgery, before deciding whether to proceed. The consultation is the most informative thing about a practice. Are your concerns being heard? Is the doctor trained specifically in cosmetic medicine? Are they willing to say no when no is the right answer?

A considered consultation will include a discussion of your goals, a clinical history, an examination if appropriate, a description of the techniques that may apply, and a clear explanation of the potential risks and complications. It will also include a written reflection period, and an invitation to seek a second medical opinion. None of these are optional steps.

If you would like to begin a conversation, you are welcome to use the form below or call us directly. There is no expectation of proceeding.

08About the practitioner

Dr Kishen
Nara.

Dr Kishen Nara is a registered medical practitioner. He sees patients across Melbourne, Tasmania and Adelaide. The team at RevAesthetic includes practice manager Cate, Patient Liaison Jenny, and registered nurses, all involved in supporting your enquiry.

Dr Nara is actively involved in continuous professional development relating to cosmetic surgery. All assessments are conducted in line with Medical Board of Australia guidelines.

  • MBBS Bachelor of Medicine, Bachelor of Surgery — Monash University
  • FACCSM(Surg) Surgical Fellow, Australasian College of Cosmetic Surgery and Medicine
  • AHPRA Registered medical practitioner — General Registration MED0001201549
  • ACCSM Cosmetic surgical training delivered through the Australasian College of Cosmetic Surgery and Medicine

Read more about us

09Enquire

Begin a
conversation.

Consultations are conducted personally by Dr Nara across Melbourne, Tasmania and Adelaide. We respond within one business day. There is a written reflection period before any decision, and a second medical opinion is encouraged at any stage.

Prefer to write or call?

(03) 9720 6300

10Continue reading

More from
the journal.

Disclaimer: All cosmetic procedures have inherent potential risks and complications. We encourage you to seek a second opinion from a qualified medical professional before any procedure. Material on this page is educational in nature and is not generalisable — outcomes vary significantly between patients depending on genetic composition, medical history and individual circumstances.

07 — Begin

Begin a conversation.

Contact us for more information, or to request a consultation.