What is BIA-ALCL?                                                                                                                                  BIA-ALCL stands for Breast Implant Associated Anaplastic Large Cell Lymphoma. It is a rare lymhoproliferative disorder that is associated with breast implants. Very rarely, it may lead to form of cancer of the capsule surrounding the implant.                                                   It is important to not confuse BIA-ALCL with breast cancer.                                                        BIA-ALCL involves swelling of the breast due to an accumulation of fluid, or more rarely presents as a lump, and typically appears between 3 to 14 years after surgery. It has been seen with all implant surfaces but the risk with smooth implants is the smallest.

What is the risk of developing BIA-ALCL?                                                                                    The risk of developing this disorder is low, with diagnosed cases being present in less than 1 to 1000 patients. To put this in perspective, the risk for any Australian woman, with or without implants, of developing breast cancer in her lifetime is 1 in 8.                                 Most patients who do develop ALCL have a mild, non-invasive version which is completely cured by removing the implant and its capsule. Invasive disease is extremely rare and is also treatable with surgery and sometimes chemotherapy and radiotherapy. The risk of death from BIA-ALCL is estimated at less than 1 in 1 million.

What actions should you be taking?                                                                                                 If you are not experiencing swelling or lumps in your breasts then the advice is to do nothing, except continue to monitor and perform regular checks on your breasts. There is no need to get your implants removed nor do you need regular ultrasound scans. Mammograms should be performed as usual. If you are experiencing swelling or changes to your breasts, you should contact your GP or your breast implant surgeon.

More information on BIA-ALCL can be found here

Teardrop Implants: Is it The Right Breast Augmentation Choice?


Hi! I am Dr Michael Szalay and today I am going to talk about teardrop implants.

Women today are conscious about their breast appearance. Many are not happy with their natural breast shape or appearance, which has made breast augmentation a common cosmetic procedure for women wishing to improve the shape, size and contours of their breasts.
Teardrop implants, also known as anatomical breast implants, are designed to create gentle contours and the fullness of a natural breast and are therefore an ideal choice for women seeking a smooth and natural-looking breast enhancement.

Here are some common benefits of Anatomical Implants;

  • Provides a natural shape and look to the breast
  • Creates a subtle-looking breast enhancement with less volume at the top and more at the base.
  • Because of their customised shape, they are more suited to women who have breasts that are wider or narrower than average.
  • They are useful when women have breasts which are droopy because they are fuller at the bottom, which helps fill out the loose breast tissue at the lower part of the breast.

What are Anatomical Implants?

Teardrop implants have elastomer shells that are filled with cohesive silicone gel and have an asymmetrical shape with a well-projected, full lower pole and a tapered upper pole. This provides a natural shape and look to the breast.

Anatomical Vs. Round

Round implants are also filled with cohesive silicon gel and as their name suggests, are round in shape. Round implants are usually chosen by women who are seeking more upper fullness.
The choice between round implants and teardrop implants is often a difficult decision for many women. The best way to make your choice is to try on both round and teardrop implants in a firm singlet or t-shirt in front of a full length mirror.
As part of your decision making process, it is important to choose a doctor who has significant experience in performing both anatomical and round implants. An experienced doctor can help advise you as to whether you would be a good candidate for your preferred choice.

Here is an example of a teardrop implant which I performed.


Results can very among individuals. Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.


Motiva Ergonomix Implants

Motiva Ergonomix implants are a round implant which falls into place naturally like a teardrop implant. One advantage of this is that the risk of rotation is significantly reduced. The Motiva implants also have a bio-engineered surface which is not considered to be a risk factor for BIA-ALCL. Another advantage of this surface s that it reduces the risk of capsular hardening.


What to Do to Improve Recovery Post Eyelid Surgery


Hi! I am Dr M Szalay and today I am going to talk about improving recovery post eyelid surgery.

Blepharoplasty, also known as eyelid surgery, can be an excellent procedure to rejuvenate the upper part of the face.
Whether undergoing an upper eyelid lift or lower lid surgery, surgical eyelid correction can significantly improve an individual’s facial appearance whilst improving puffiness and sagging wrinkled skin around the eyes.

However, the surgery may take some time to show complete results. In the meantime, it is very helpful if the patient adheres to post-operative guidelines in order to avoid complications.

We have a few vital tips and considerations in order to experience an easier and faster recovery period and get the most out of an eyelid surgery.

Keep the head raised
Following a blepharoplasty, the patient is advised to keep the head elevated when resting or sleeping. Maintaining the head above the level of the rest of the body is necessary to help minimise swelling and will speed up the healing process. Two or three pillows can be used to support the head and keep it consistently elevated.

Apply cold compressions
Holding a cold compress on the affected eyelid area can help reduce swelling and bruising. Clean gauze pads soaked in ice can also be applied directly on the eyelid. Alternatively, you can fill a Ziploc bag with ice cubes and place it over a moist gauze pad on the operated area. This also aids in relieving the soreness experienced after the effect of anaesthesia tapers off.

Avoid strenuous activities
For at least one week following the surgery, the patient should steer clear of daily activities and tasks that can stress the eyes. Activities one should avoid include reading, watching TV, lifting heavy objects, putting on eye make-up, using contact lenses and sitting at a computer.

Stick to doctor’s advice
Dry eyes and mild discomfort may be experienced sometimes after the surgery. Keeping such complications in mind, the surgeon may prescribe lubricating eye drops and ointment along with guidelines for proper eye care, which the patient should follow in order to hasten recovery.

Additional care
In addition to the above post-operative care, it is advised to protect your eyes from dirt, dust and harmful sun rays. Use sunglasses every time you head out to shield your eyes from harmful environmental elements.

Following the aforementioned tips can reduce the chance of eye irritation post-surgery and help patients get back to their normal life more speedily.


Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.

Considering Injectable Fillers? Here Are Things You Need to Know About Filler Treatments


Ageing, lifestyle and environmental factors can take their toll and have a negative impact on facial skin and tissue. As a result, some of us look for subtle ways to reverse these changes in order to enhance our appearance or improve our facial features.

Whether it is to reduce wrinkles, plump out your lips, improve your jawline or to obtain fuller cheeks, there is a range of cosmetic procedures available. Injectables can do all of these things relatively simply on a walk-in, walk-out basis.

Injectables, commonly known as dermal fillers, are a type of minimally invasive aesthetic treatment commonly administered to add volume and rejuvenate the structure of the skin. Dermal fillers can be used to reverse ageing and improve one’s appearance.

What types of dermal fillers are there?

Temporary Fillers: These  contain substances which are naturally occurring in human skin. With age, there is a reduction of these substances which leads to loss of elasticity, sagging and wrinkling. By replacing these substances, the skin and tissues are rejuvenated. Typically temporary fillers last 6 to 18 months. The newest generation of temporary fillers are crosslinked to add stability and mixed with local anaesthetic, for increased comfort during the treatment. These are the type used by Dr M Szalay.

Semi-Permanent Fillers: Effective on deeper facial lines and large spaces needing volume, semi-permanent dermal fillers have longer lasting results, though the patient may need occasional touch ups post injection.

Permanent Fillers: Permanent fillers have long lasting results. Many patients prefer permanent fillers because of their longevity. Permanent fillers are excellent for lip and cheek enhancement as well as improving the folds that can occur around the nose and mouth.

Experienced Advice

There’s no denying that fillers contribute to a smoother, more youthful facial appearance. But to make sure your treatment is safe and effective with natural results, it is important to find a cosmetic doctor experienced in the use of these products.