Breast Surgery (Augmentation, Reduction & Lift)

Breast augmentation, reduction, and mastopexy (lift) performed by Dr Mark Duncan-Smith, FRACS plastic and reconstructive surgeon, at Mount Medical Centre West Perth. Augmentation uses silicone or saline implants; reduction and lift address symptomatic macromastia or post-pregnancy breast ptosis. Surgery at Mount Private Hospital or Cambridge Day Surgery Wembley.

Breast surgery at Mount Medical Centre West Perth is performed by Dr Mark Duncan-Smith, a FRACS-qualified plastic and reconstructive surgeon who has built his career in Perth, Western Australia, and previously served as Head of Department of Plastic Surgery at Royal Perth Hospital. His breast surgery practice encompasses the three principal categories of breast reshaping surgery: augmentation, reduction, and mastopexy (lift). Breast augmentation involves the placement of a prosthetic implant — typically a cohesive silicone gel implant (colloquially called 'gummy bear' implants) or saline implant — either in a submuscular (beneath the pectoralis major muscle), dual plane (partially submuscular), or subglandular (above the muscle) pocket, depending on the patient's existing breast tissue, chest wall anatomy, and aesthetic goals. Implant selection encompasses profile (standard, moderate, or high), shape (anatomical or round), and size, all planned in the pre-operative consultation. Breast reduction addresses macromastia — excessively large, heavy breasts that cause neck pain, upper back pain, shoulder grooving from bra straps, rashes beneath the breast fold (intertrigo), and restriction of physical activity — by removing excess glandular tissue, fat, and skin, and repositioning the nipple-areola complex to a higher, more youthful position. When macromastia is symptomatic and documented, breast reduction in Australia may attract Medicare rebates and private health insurance benefits, substantially reducing out-of-pocket costs for eligible patients. Mastopexy (breast lift) corrects breast ptosis (sagging) caused by pregnancy, breastfeeding, weight fluctuation, or gravitational change over time, reshaping and firming the breast envelope without necessarily changing implant volume. Combined augmentation-mastopexy procedures address both volume loss and ptosis simultaneously. Recovery for breast surgery typically involves two to four weeks of restricted upper-body activity; a supportive surgical bra is worn for six weeks post-operatively. Perth and WA patients interested in any breast surgery procedure are encouraged to schedule a consultation at Dr Duncan-Smith's rooms at 146 Mounts Bay Road, West Perth.