Breast Surgery

Breast surgery at Dr Joshua Berkowitz Sydney encompasses breast augmentation with implants, breast reduction for symptomatic macromastia, mastopexy (breast lift), and combination augmentation-mastopexy procedures. All procedures are performed under general anaesthesia at an accredited Sydney surgical facility. Personalised surgical planning ensures implant selection, incision placement, and surgical approach are matched to individual anatomy and goals.

Specialist plastic surgeon Dr Joshua Berkowitz performs a comprehensive range of breast surgery procedures in Sydney, NSW, Australia, covering the spectrum from augmentation and enhancement to reduction and reconstruction of breast shape following ptosis (drooping). Breast augmentation uses silicone or saline implants to increase breast volume and improve upper pole fullness. The surgical approach — including implant pocket placement (subglandular, dual-plane, or submuscular), incision site (inframammary fold, periareolar, or axillary), and implant profile and size — is determined through detailed pre-operative consultation using three-dimensional sizing systems and anatomical measurements to match the implant to the patient's chest width, existing breast tissue characteristics, and aesthetic goals. All breast implants used in Australia must comply with the Australian Register of Therapeutic Goods (ARTG) and Therapeutic Goods Administration (TGA) requirements; the Breast Implant Registry (ABDR) records all implants placed. Breast reduction surgery (reduction mammaplasty) addresses symptomatic macromastia — enlarged breasts causing chronic neck, back, and shoulder pain, posture problems, skin irritation, and restriction of physical activity. Reduction procedures remove excess breast tissue, fat, and skin, reshaping the breast to a smaller and lighter volume; functional cases may qualify for a Medicare rebate subject to TGA weight criteria and specialist assessment. Mastopexy (breast lift) corrects breast ptosis without significantly changing volume, repositioning descended breast tissue and the nipple-areola complex to a more youthful anatomical position by removing excess skin and reshaping the breast parenchyma. Augmentation-mastopexy combines an implant with simultaneous lift for patients who require both volume restoration and positional correction — a technically demanding combined procedure that Dr Berkowitz plans carefully to achieve a proportional and durable result. All breast procedures are conducted under general anaesthesia at an accredited Sydney surgical facility, with post-operative care and follow-up coordinated through the practice in Sydney, NSW.