Procedures to increase the breast size and/or balance and restore volume.

Procedures to increase the breast size and/or balance and restore volume.


Dr Steve Merten, MBBS, FRACS:
Education and Training:
Breast augmentation is a procedure that uses breast implants to adjust the size, shape, and contour of the breasts. It may be considered by individuals looking to address:
According to the Australian Breast Device Registry (ABDR), approximately 20,000 people undergo breast augmentation surgery in Australia each year for both cosmetic and reconstructive purposes.

Please note: Outcomes shown are only relevant for the individual patient and do not necessarily reflect the results other patients may experience. Results vary due to many factors including an individual’s genetics, diet and exercise.

At Pure Aesthetics, we take a personalised approach to breast augmentation in Sydney. During your consultation, our surgeons will:
At Pure Aesthetics, our surgeons perform breast augmentation in Sydney using cohesive or highly cohesive silicone gel breast implants. They participate in clinical research related to breast implant surgery. While saline-filled breast implants are an available option, they are less commonly used in Australia.
Silicone gel implants are often chosen by both plastic surgeons and patients due to their softer feel. They may have a lower likelihood of rippling compared to saline implants and are not prone to deflation.
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With Crisalix 3D breast simulation software, our Breast Enlargement patients are able to virtually “try on” their results ahead of time. This is an extremely valuable tool our team uses during the initial consultation process, which helps patients visualise their results and allows our surgeons to better understand their aesthetic goals.
When suitable, we will take a series of photos to do 3D morphing simulations using Crisalix technology, which can then be used to show you what breast implants of different size and shape will look like on you.
To see your simulated results, request a consultation.
When plastic surgeons talk about the profile of breast implants, they are discussing the way the implant projects forward from the chest wall, as compared to the width of the implant base. Think of the profile as the intended distance that the new breasts will project outward in the front. If the patient wants a more obvious silhouette after surgery, a higher profile implant may be used. The implant profile for a Breast Enlargement can be ultra high, high, moderate plus, or moderate.
Ultra High: This implant will have the smallest width at the base and the highest level of projection from the chest wall. This gives a more centred breast with less side fullness and may be better for women who have a smaller chest wall width who want to achieve a fuller outcome. This profile option may, however, look more obvious than lesser projecting implants.
High: The base width will be wider than the ultra high profile, and the projection will be less pronounced.
Moderate Plus: This implant profile will have a moderate width at the base of the implant and less projection than a high profile choice.
Moderate: This implant profile has the widest base width and the least amount of projection out of all the breast implant profiles. This may give more cleavage and upper fullness, whilst keeping the overall size lower.
Breast implants come in different shapes and profiles. Anatomic or “teardrop” shaped implants were created with a more natural shape and are fuller in the lower half, similar to a natural breast. Round implants are more centrally full and tend to provide more fullness in the upper breast.
Both types of breast implants are available in different ‘projections,’ which refers to how much they extend forward. The overall outcome is influenced not only by the shape of the implant but also by the patient’s natural breast shape, tissue thickness, and skin quality. Individuals with thinner breast tissue and round implants may notice a more prominent appearance, depending on the implant placement and surgical technique.
For individuals with thinner tissue, a teardrop implant may be considered due to its tapered top half, which can contribute to a particular breast shape. Both types of breast implants may provide different aesthetic outcomes, depending on individual anatomy and how they are used.
Breast implants may be placed either in front of the chest muscle (pectoralis muscle) or behind it. The choice depends on a number of factors, particularly how much of your own tissues are present, as there needs to be enough thickness to minimise the visibility of the implant itself.
Submuscular placement: Also called subpectoral placement, this technique involves detaching the chest wall muscle from the bottom along the ribs and inserting the implant underneath. Since the chest muscle is fan-shaped, it doesn’t cover the entire breast implant, but it does provide support and help reduce visibility beneath the skin. For this reason, submuscular placement is often recommended for women with less natural breast tissue. Implants positioned behind the muscle are also associated with a lower risk of capsular contracture, but the procedure is more involved and may require a longer recovery period.
Subglandular placement: Subglandular placement involves positioning the breast implant on top of the chest wall muscle and directly behind the mammary glands. It is less involved than submuscular placement, but is typically reserved for women with a sufficient amount of inherent breast tissue to reduce implant visibility. An advantage of subglandular placement is that the breast implants are not affected by the movement of the chest muscle during physical activity, which can cause temporary distortion that may be noticeable. As a result, athletic women may also prefer having their implants placed on top of the muscle.
Most women having breast augmentation are either naturally thin, or have lost breast tissue thickness after pregnancy and breastfeeding, so placement behind the muscle is more common. This location also has additional benefits, including a lower rate of capsular contracture and better visibility of the breast tissues for breast cancer screening.
Breast augmentation, like all surgeries, carries some risks. These may include:

It is important to understand that breast enlargement surgery is an aesthetic procedure—it cannot offer a new life or a quick “fix” for unrelated problems. Your emotional stability and having realistic expectations are necessary for achieving a positive outcome. In addition to understanding the benefits and limitations of the procedure, you may want to arrange for help throughout the beginning of your recovery. Knowing what complications can arise, and how to respond to them should they occur, can also ensure you achieve the best possible outcome.
If you smoke, your ability to heal is affected, and you may take longer to recover from breast enlargement surgery or even develop complications from the implants. It is recommended that you quit smoking at least 4-6 weeks before you plan on undergoing Breast Enlargement surgery.
Breast Enlargement is performed as a “day surgery” procedure and usually takes 1.5 to 2 hours. You get to go home that same day. All surgeries are performed in fully accredited facilities, ensuring your safety.
It may be possible to undergo both breast enlargement and abdominoplasty during the same surgery. This approach might be considered in specific situations, such as post-pregnancy reconstruction. If you have significant abdominal muscle separation and meet specific criteria, abdominoplasty may have a Medicare Item number, potentially providing rebates for this surgery. Health insurance may also cover hospital fees, depending on your policy. It is important to discuss your options with your surgeon to determine the most appropriate approach for your individual circumstances.
In some cases, breast implants alone may not give you the desired results, and your surgeon may recommend a breast lift in addition to the Breast Enlargement procedure. Breast lift surgery is an additional procedure that may be recommended following breastfeeding or significant weight loss where breast tissue and skin have loosened and dropped. Depending on your specific needs, your surgeon can determine whether a combination breast lift with implants is recommended.
In most cases, breast enlargement will not prevent you from breastfeeding any child that you have in the future. If this is a big concern, talk to your surgeon to ensure that you have the right information for your situation. The breast implants should not affect breast milk, and the infant should not be affected in any way.
Most women do not realise that their new breasts must go through a period of settling in. Initially, the breasts may look larger and fuller than the final result. Do not be alarmed; this is normal and will go away over time. As healing takes place, the implants will position correctly, and the appearance of the breasts will become evident.
Breast implants don’t last forever, and all types will need replacing, on average, after 15 to 20 years. With careful treatment planning in the first instance, revision breast implant surgery should not be necessary before this time.
If you undergo Breast Enlargement surgery and your implants start to sag or rupture, then you may need additional plastic surgery to correct the problem or replace the ruptured implant.
New breast health baselines need to be established by you and your doctor post-Breast Enlargement. Breasts with implants will feel different during self and professional examinations. Your doctor can equip you with the tools needed to undertake a self-assessment and what to look for. It is important to get a professional examination every year and let the doctor know you have had implants.
Before you make any decision to have Breast Enlargement surgery, there are many important factors that need to be considered and weighed carefully. An experienced cosmetic plastic surgeon can help you weigh the pros and cons of this type of surgery, so you can make an informed decision. Any plastic surgeon who is in a rush or does not make sure that you fully understand the cosmetic surgery you will be having should be avoided.
A qualified plastic surgeon can help you identify the right breast implants for your specific situation. Make sure that the plastic surgery expert you choose is well qualified to handle this type of surgery and that they are licensed and certified by the proper authorities and organisations. Experience is also a top consideration, so ensure your plastic surgeon has plenty of before and after photos of their prior patients to show you.
If you have any further questions about Breast Enlargement and implants, please contact Pure Aesthetics, and one of our team members will be happy to help you.
Bilateral Breast Reduction by Dr Steve Merten
The outcomes shown are only relevant for this patient and do not necessarily reflect the results other patients may experience, as results may vary due to many factors including the individual’s genetics, diet and exercise.
All surgery carries risks and requires a recovery period and post-operative care regime including wearing of surgical garments.
More information is available from the relevant procedure page on our website.
You should seek a second opinion from a Specialist Plastic Surgeon before proceeding.
Dr Steven Merten is a Specialist Plastic Surgeon – AHPRA Registration: MED0001155669
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#BreastReduction #BreastReductionSurgery #ReductionMammoplasty #BilateralBreastReduction #BreastSurgery #PlasticSurgery #SpecialistPlasticSurgeon #DrSteveMerten #SteveMerten #PureAesthetics #PureAestheticsSydney #SydneyPlasticSurgery #AustralianPlasticSurgeon #PatientEducation #PatientCare #BreastHealth #SurgicalConsultation #HealthcareEducation #InformedDecision #SydneyClinic #RecoveryJourney #PlasticSurgeon #MedicalCare #SydneyHealthcare
Please note that every patient and procedure is different. Recovery advice and post-operative instructions are tailored specifically to your surgery and individual needs. Always follow the instructions provided by your surgeon and treating team, and contact your clinic if you have any questions or concerns during recovery.
Dr Steven Merten is a Specialist Plastic Surgeon – AHPRA Registration: MED0001155669
#CompressionGarment #CompressionGarments #PostOpCare #SurgeryRecovery #RecoveryJourney #PostOperativeCare #PatientEducation #PlasticSurgery #SpecialistPlasticSurgeon #DrSteveMerten #DrRobertKnight #PureAesthetics #PureAestheticsSydney #SydneyPlasticSurgery #PatientCare #RecoverySupport #HealthcareEducation #SurgicalJourney #WoundCare #SydneyClinic #AustralianPlasticSurgeon #FollowYourSurgeon #MedicalCare #HealingJourney
Top Surgery FTM by Dr Steve Merten
The outcomes shown are only relevant for this patient and do not necessarily reflect the results other patients may experience, as results may vary due to many factors including the individual’s genetics, diet and exercise.
All surgery carries risks and requires a recovery period and post-operative care regime including wearing of surgical garments.
More information is available from the relevant procedure page on our website.
You should seek a second opinion from a Specialist Plastic Surgeon before proceeding.
Dr Steven Merten is a Specialist Plastic Surgeon – AHPRA Registration: MED0001155669
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#DoubleIncisionTopSurgery #DoubleIncisionMastectomy #TopSurgery #FTMTopSurgery #GenderAffirmingSurgery #GenderAffirmation #ChestMasculinisation #ChestMasculinization #SubcutaneousMastectomy #FreeNippleGraft #Trans #TransMasc #TransMasculine #TransMan #TransMen #NonBinary #Enby #GenderDiverse #LGBTQIA #TransHealth #TransCare #InclusiveCare #DrSteveMerten #PureAesthetics #PureAestheticsSydney #SydneyPlasticSurgery #SpecialistPlasticSurgeon #PatientEducation #PatientCare #AustralianPlasticSurgeon
Non-Surgical Treatments with Nurse Lesley
Considering a non-surgical treatment? Nurse Lesley is available for consultations at Pure Aesthetics to discuss your concerns, answer your questions, and explain the treatment options that may be appropriate for your individual circumstances.
Every consultation includes an individual assessment and a discussion about your goals, available treatment options, potential risks, and what you can expect during and after treatment.
At Pure Aesthetics, we are committed to providing patient-centred, evidence-based care in a professional and supportive environment.
To book a consultation with Nurse Lesley, contact the Pure Aesthetics team today.
Every treatment has risks. A consultation with a qualified health practitioner will help you understand the potential benefits, risks, and available treatment options.
Bilateral Mastectomies with NippleGrafts by Dr Steve Merten
The outcomes shown are only relevant for this patient and do not necessarily reflect the results other patients may experience, as results may vary due to many factors including the individual’s genetics, diet and exercise.
All surgery carries risks and requires a recovery period and post-operative care regime including wearing of surgical garments.
More information is available from the relevant procedure page on our website.
You should seek a second opinion from a Specialist Plastic Surgeon before proceeding.
Dr Steven Merten is a Specialist Plastic Surgeon – AHPRA Registration: MED0001155669
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#TopSurgery #SubcutaneousMastectomy #FTMTopSurgery #GenderAffirmingSurgery #ChestMasculinisation #ChestMasculinization #BilateralMastectomy #FreeNippleGraft #AreolarReduction #DrSteveMerten #SteveMerten #PureAesthetics #PureAestheticsSydney #SydneyPlasticSurgery #SpecialistPlasticSurgeon #AustralianPlasticSurgeon #Trans #TransMasc #TransMasculine #TransMen #NonBinary #Enby #GenderDiverse #TransHealth #InclusiveCare #PatientEducation #PatientCare #SydneyClinic #HealthcareEducation #SurgicalConsultation
Thinking about or recovering from Abdominoplasty surgery?
It’s important to know not just the benefits but also the possible risks, including seroma formation.
A seroma is a pocket of clear, yellowish fluid that can collect under the skin after surgery. It’s one of the more common complications following Abdominoplasty surgery. While it’s a natural part of the healing process, it can sometimes require medical attention to prevent infection or delayed healing.
▪ Why seromas form:
– Space created between skin and underlying tissue during surgery
– Disruption of blood vessels and lymphatic channels
– The body’s natural healing response
◽ Why it matters:
– Some may need drainage or medical follow-up
– In some cases, seromas resolve on their own
– Monitoring your healing and keeping in touch with your surgeon is essential
Want to learn the Signs and Symptoms of a Seroma? Click the link in bio.
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All surgery carries risks and requires a recovery period and post-operative care regime including wearing of surgical garments. More information is available from the relevant procedure page on our website.
Dr Steven Merten is a Specialist Plastic Surgeon – AHPRA Registration: MED0001155669
#Abdominoplasty #AbdominoplastySydney #Seroma #PlasticSurgeryRecovery #AbdominoplastyAftercare #PlasticSurgerySydney #PostSurgeryCare #PlasticSurgerySupport #AbdominoplastyRisks #HealingAfterSurgery #SydneyPlasticSurgeon #BeforeSurgery #CosmeticSurgeryPlanning #CosmeticConsultation #SurgicalConsultation #SydneyPlasticSurgery #AestheticMedicine #PlasticSurgery #CosmeticSurgery #PlasticSurgeon #CosmeticProcedures #CosmeticSurgeryCenter #PlasticSurgeryBlog #PureAesthetics #PlasticSurgeryAustralia #MacquarieUniversity #SydneyPlasticSurgeon #PlasticSurgeonSydney #SydneyAesthetician #PureAestheticsSydney
FTM Top Surgery - Mastectomies with Nipple Grafts by Dr Steve Merten
The outcomes shown are only relevant for this patient and do not necessarily reflect the results other patients may experience, as results may vary due to many factors including the individual’s genetics, diet and exercise.
All surgery carries risks and requires a recovery period and post-operative care regime including wearing of surgical garments.
More information is available from the relevant procedure page on our website.
You should seek a second opinion from a Specialist Plastic Surgeon before proceeding.
Dr Steven Merten is a Specialist Plastic Surgeon – AHPRA Registration: MED0001155669
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#TopSurgery #SubcutaneousMastectomy #FTMTopSurgery #GenderAffirmingSurgery #ChestMasculinisation #ChestMasculinization #BilateralMastectomy #FreeNippleGraft #AreolarReduction #DrSteveMerten #SteveMerten #PureAesthetics #PureAestheticsSydney #SydneyPlasticSurgery #SpecialistPlasticSurgeon #AustralianPlasticSurgeon #Trans #TransMasc #TransMasculine #TransMen #NonBinary #Enby #GenderDiverse #TransHealth #InclusiveCare #PatientEducation #PatientCare #SydneyClinic #HealthcareEducation #SurgicalConsultation
Meet Dr. Steven Merten (FRACS), our specialist plastic surgeon!
With over 25 years of experience, Dr. Steven Merten is an Australian-trained Specialist Plastic Surgeon recognised for his expertise, precision, and patient-centred approach. Trained under the prestigious Royal Australasian College of Surgeons, Dr. Merten specialises in both reconstructive and cosmetic surgery, with particular interest in:
• Breast surgery - enlargement, reduction, lift, and gender-affirming chest and breast procedures
• Body contouring - abdominoplasty, body lifts, arm and thigh reduction
• Plastic surgery after major weight loss
Beyond his surgical work, Dr. Merten is deeply committed to education and training within the field. He serves as Supervisor of Plastic Surgery Training at Concord Hospital and previously held the role of Fellowship Director in Advanced Cosmetic & Plastic Surgery at Macquarie University Hospital. He has trained more than 30 surgeons from Australia and around the world, published widely in surgical journals, and continues to lecture at major conferences and workshops.
At Pure Aesthetics, Dr. Merten combines decades of surgical expertise with genuine compassion, ensuring every patient feels supported from initial consultation through to recovery.
Want to learn more about his qualifications? Head to the link in bio.
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All surgery carries risks and requires a recovery period and post-operative care regime including wearing of surgical garments. More information is available from the relevant procedure page on our website.
Dr Steven Merten is a Specialist Plastic Surgeon – AHPRA Registration: MED0001155669
#StevenMerten #SpecialistPlasticSurgeon #PureAestheticsSydney #CosmeticTreatmentsSydney #AestheticMedicine #SydneyCosmeticClinic #PlasticSurgery #CosmeticSurgeryAustralia #FacialSurgeryCare #PureAesthetics #CosmeticSurgeryClinic #SydneySurgery #AustralianPlasticSurgeon #SurgicalTraining #PlasticSurgerySydney #PlasticSurgeryAustralia #MacquarieUniversity #SydneyPlasticSurgeon #CosmeticPlasticSurgeon #CosmeticSurgeon #AestheticPlasticSurgeonSydney #SkinClinic #SkinClinicAustralia
Breast Augmentation by Dr Steve Merten
The outcomes shown are only relevant for this patient and do not necessarily reflect the results other patients may experience, as results may vary due to many factors including the individual’s genetics, diet and exercise.
All surgery carries risks and requires a recovery period and post-operative care regime including wearing of surgical garments.
More information is available from the relevant procedure page on our website.
You should seek a second opinion from a Specialist Plastic Surgeon before proceeding.
Dr Steven Merten is a Specialist Plastic Surgeon – AHPRA Registration: MED0001155669
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#BreastAugmentation #BreastImplants #BreastSurgery #PlasticSurgery #CosmeticSurgery #SpecialistPlasticSurgeon #DrSteveMerten #DrRobertKnight #PureAesthetics #PureAestheticsSydney #SydneyPlasticSurgery #AustralianPlasticSurgeon #PatientEducation #PatientCare #BreastHealth #SurgicalConsultation #InformedDecision #PlasticSurgeon #SydneyClinic #HealthcareEducation #MedicalPractice #BreastProcedure #SydneyHealthcare #Consultation
Thinking about a Breast Lift?
Let’s talk timing, pregnancy and breastfeeding.
If you’ve been considering a breast lift (Mastopexy), you’re definitely not alone and one of the most common questions people ask is, "Should I wait until after pregnancy or breastfeeding?”
Here’s what you need to know.
◾ How pregnancy can change the breasts?
During pregnancy, hormones and milk production can cause your breasts to grow, stretch, and then lose volume afterward. Because of this, the shape of the breasts may change noticeably once pregnancy or breastfeeding is over. So if you have a breast lift BEFORE pregnancy, those natural changes may affect your surgical result later on.
◾ When is the right time?
There’s no one-size-fits-all answer, but here are some helpful guidelines:
◽ Planning a pregnancy soon?
It might be worth delaying your breast lift. Waiting can help reduce the chance of needing revision surgery later.
◽ Finished having children?
Many people choose to proceed once breastfeeding is complete and the breast shape has stabilised.
◽ Personal circumstances matter.
Some prefer to move forward earlier based on lifestyle, comfort, and many other personal concerns. The key is discussing your plans openly during your consultation.
A personalised conversation with a qualified plastic surgeon can help you find the timing that feels right for YOU.
Want to read more on this? Link in bio.
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All surgery carries risks and requires a recovery period and post-operative care regime including wearing of surgical garments. More information is available from the relevant procedure page on our website.
Dr Steven Merten is a Specialist Plastic Surgeon – AHPRA Registration: MED0001155669
#BreastLift #BreastLiftSydney #Mastopexy #MastopexySydney #BreastLiftSurgery #BreastLiftConsultation #BreastSurgeryOptions #CosmeticBreastSurgery #AestheticMedicineAustralia #PostPregnancyBody #BreastHealth #BreastLiftEducation #BreastShape #SydneyPlasticSurgeon #PlasticSurgerySydney #CosmeticSurgerySydney #SydneySpecialistSurgeon #CosmeticSurgeonSydney #PlasticSurgeryAustralia #PlasticSurgeonSydney #SydneyPlasticSurgeons #MacquarieUniversity #PureAesthetics #PureAestheticsSydney