Breast augmentation in Perth.

Procedure guide

What is breast augmentation (breast implants)?

Breast augmentation is surgery that increases the size, shape, projection, or symmetry of the breasts. The two main approaches are implant-based augmentation (silicone gel or saline implants placed either above or below the chest muscle) and fat-transfer augmentation (using fat harvested from another part of the body via liposuction). The procedure can be purely cosmetic, or it may be reconstructive — for example, after mastectomy, or to correct a congenital condition like tubular breast deformity or Poland syndrome. Reconstructive cases may attract Medicare item numbers and a private health rebate; cosmetic-only procedures are typically not covered. Australia operates one of the most rigorous post-market surveillance programs in the world for breast implants, run by the Therapeutic Goods Administration (TGA), and any implant placed must be on the TGA's Australian Register of Therapeutic Goods.

How breast augmentation (breast implants) works

Implant-based augmentation is performed under general anaesthetic and typically takes one to two hours. The surgeon makes an incision either in the inframammary fold (under the breast), peri-areolar (around the lower edge of the nipple), or trans-axillary (in the armpit). A pocket is then created either above the pectoralis major muscle (subglandular), partially under it (dual-plane), or fully behind it (submuscular). The implant is inserted using a 'Keller funnel' no-touch technique to reduce contamination risk, the pocket is irrigated with antibiotic solution, and the incisions are closed in layers. Drains are now used selectively rather than routinely. Fat transfer is a longer procedure that combines liposuction harvesting, fat processing, and meticulous micro-injection of small fat parcels into the breast tissue.

Who is breast augmentation (breast implants) for?

Suitable candidates are physically and psychologically healthy adults with stable body weight, fully developed breasts, and realistic expectations. Most surgeons defer surgery for women planning pregnancy in the next 12–24 months because pregnancy and breastfeeding can change breast shape and volume. Women with a strong family history of breast cancer, or who carry BRCA mutations, should discuss implications with both their plastic surgeon and a breast specialist before proceeding. The procedure is not appropriate for people seeking surgery in response to relationship pressure, recent significant life events, or in the context of untreated body dysmorphic disorder. The AHPRA seven-day cooling-off period is mandatory in Australia.

Perth context

Breast augmentation in Perth: market context

Perth is Western Australia's only city of scale for cosmetic and plastic surgery, which makes it the de facto state hub for everything from non-surgical injectables to complex revision plastic surgery. The market is moderately sized and stable, anchored by FRACS plastic surgeons in Subiaco, West Perth, and Nedlands, several of whom hold dual public/private appointments at Sir Charles Gairdner Hospital and Hollywood Private. Cosmetic-only and combined non-surgical practices are concentrated in the CBD, Cottesloe, and Claremont. Perth's geographic isolation means patients more often choose a single, full-service practice rather than shopping across the city, which has produced longer-than-average doctor-patient relationships and stronger word-of-mouth dynamics.

Where surgery is performed in Perth

Major surgical venues used by Perth cosmetic and plastic surgeons include Hollywood Private Hospital (Nedlands), St John of God Subiaco, St John of God Murdoch, and Bethesda Hospital in Claremont. Several specialist plastic surgery groups also operate dedicated day-surgery suites in Subiaco and West Perth, typically ACHS-accredited. For complex or revision cases, ask whether your surgeon has a public appointment at Sir Charles Gairdner Hospital — this is an indicator of integration with the WA tertiary care network.

Travel and access

Perth attracts almost all of Western Australia's cosmetic surgical demand, with patients flying in from Geraldton, Kalgoorlie, the Pilbara, the Kimberley, Albany, and Esperance. Practices that take regular regional WA patients usually offer extended consultation slots, written interstate-care plans, and coordination with regional GPs for post-operative care. Direct east-coast travel to Perth for cosmetic surgery is uncommon but does happen for surgeon-specific reasons. Allow at least 7–10 days locally before flying back to a regional WA base for surgical procedures.

Practical notes for recovery in Perth

Perth Airport is 25–30 minutes from the central clinic clusters in light traffic. Subiaco and West Perth are well served by the Fremantle line and frequent CBD bus services; the western suburbs (Cottesloe, Claremont, Nedlands) are best reached by car or train. On-site parking is widely available in Perth practices, including Subiaco. Perth's dry summer climate is generally favourable for incision care, although the very low humidity can mean dressings dry out faster than expected — discuss aftercare planning with your surgical team.

Cost factors

What drives the cost of breast augmentation (breast implants)

In Australia, breast augmentation typically costs between AU$12,000 and AU$22,000 all-inclusive. Cost depends on implant choice (premium cohesive-gel implants are more expensive than entry-level options), surgeon experience, anaesthetist's fees, the venue (day hospital vs full private hospital), and whether you are having a straightforward augmentation or a combined augmentation-mastopexy ('breast lift') which is more complex. Fat-transfer augmentation tends to sit in the same range despite using your own tissue, because it adds the cost of liposuction harvest. Always insist on a complete written quote covering all consultations, the implant device cost, the surgical fee, the anaesthetic fee, the facility fee, post-operative garments, and at least 12 months of post-operative reviews.

Recovery + practitioner

Recovery and downtime

The first 48 hours involve significant chest pressure and discomfort, well-controlled with prescribed analgesia. Most patients are out of bed and walking on day one. The first week off work is typical, with prescribed compression garments worn around the clock. By the end of week two, desk-based work is comfortable. Chest workouts, push-ups, and heavy lifting are off-limits for six weeks to allow the implant pocket to scar in stable position. Light cardio (walking) resumes at two weeks; full gym workouts at six. Implants typically settle into their final position over three to six months — they often sit higher than expected initially. Final shape is generally definitive by month six. Sleep on your back for at least four weeks. Massage protocols vary by surgeon and implant type.

Choosing a surgeon in Perth

For breast augmentation, the gold standard is a specialist plastic surgeon (FRACS, Plastic & Reconstructive) with a dedicated breast-surgery practice and hospital privileges at an accredited private hospital. Confirm AHPRA registration is current and unrestricted. Ask how many breast augmentations they perform per year, what their primary-vs-revision split is, and what their declared complication rates are (a transparent surgeon will share this). Ask which implant brands they use most often and why — major TGA-registered options include Mentor, Allergan/Natrelle, Motiva, and Polytech. Avoid practitioners who promise specific cup sizes (cup size is a clothing measurement, not a surgical outcome) or who skip 3D imaging and detailed measurement at consultation.

Before you book

• Confirm AHPRA registration is current and unrestricted on the public register.
• Ask the surgeon's annual breast-augmentation volume and revision rate, and confirm hospital privileges at the proposed facility.
• Confirm the implant brand, generation and TGA registration, and request the implant card and serial numbers in writing post-op.
• Get an itemised quote covering all surgical, anaesthetic, facility and follow-up costs for 12 months.
• Read the manufacturer's patient information leaflet for your specific implant before signing consent.
• Confirm the clinic's revision policy in writing — capsular contracture, implant rupture, and aesthetic dissatisfaction each have different terms.
• Use the mandatory seven-day cooling-off period.

Red flags

• Promotion of 'breast augmentation packages' bundled with travel, accommodation, or other procedures — particularly common in offshore offerings.
• Before-and-after imagery used in advertising — banned under AHPRA July 2023 guidelines for surgical procedures.
• Patient testimonials or 'real patient' video content used to promote the procedure.
• Pressure to book on consultation day, or 'today only' pricing.
• Vague answers about implant brand, generation, or TGA registration.