What is Breast Augmentation with Implants?
Breast augmentation with implants, also known as breast enlargement or breast enhancement, is a surgical procedure that involves the placement of silicone implants under the breast tissue or muscle to increase the size and shape of the breasts. The procedure is typically performed under general anaesthesia and can take anywhere from one to three hours to complete. Recovery time varies, but patients can typically return to work and normal activities within one to two weeks. It is important to note that breast augmentation with implants is not a one-time procedure and may require additional surgeries in the future.
RELATED: Breast Augmentation FAQs – Q&A about Breast Implant Surgery
It’s always recommended to consult with a board-certified plastic surgeon to discuss the risks, benefits and ensure that you are a good candidate for the procedure.
View our breast augmentation patient education video
All breast implants have a ten-year warranty for both capsular contracture and implant rupture. You’ll also be reviewed by your specialist surgeon regularly during the first twelve months after your procedure to monitor healing and recovery. Our after-care support package for breast surgery is truly comprehensive. We’ll be calling you regularly to check how you are doing, along with regular assessments by our expert nursing team and your surgeon.
You may also wish to combine breast augmentation with a breast uplift or fat transfer to the breasts. We offer all the options – not just breast implants, by surgeons trained in aesthetic and reconstructive surgery.
| Breast augmentation | Fast facts |
|---|---|
| Procedure time ⏳ | 1-2 hours |
| Anaesthetic type 💉 | General anaesthetic |
| Length of stay 🛏 | Day case |
| Up and mobile 🚶🏻♂️ | Same day |
| Washing 🛁 | 1 week |
| Travel ✈️ | 3 weeks |
| Sexual activity ❤️ | 6 weeks |
| Driving 🚗 | 1 week |
| Back to work 📅 | Next day (desk work) |
| Postoperative garment 👕 | Support bra 6 weeks |
| Sleeping 😴 | Elevated on back 6 weeks |
| Exercise 🏃🏽♀️ | 6 weeks |
| Full recovery 🕺🏻 | 6 weeks |
| Final results 😃 | 6-12 weeks |
Breast augmentation before and after
At Centre for Surgery, we only show photos of breast enlargement patients who have given full written consent to allow their images on our website.
RELATED: Breast Augmentation Before And After Photos
Benefits of Breast Augmentation
Breast augmentation, also known as breast enlargement, is a cosmetic procedure that involves the use of breast implants to enhance the size and shape of the breasts. The procedure can provide several benefits to patients who are self-conscious about the size or shape of their breasts or who have experienced changes in their breast size or shape after pregnancy or weight loss.
- Increased breast size: The most obvious benefit of breast augmentation is an increase in breast size. This can be especially beneficial for women who have always felt self-conscious about the size of their breasts or who have experienced changes in breast size after pregnancy or weight loss.
- Improved breast shape: Another benefit of breast augmentation is the ability to improve the shape of the breasts. This can be particularly beneficial for women who have asymmetrical breasts or who have experienced changes in breast shape after pregnancy or weight loss.
- Increased self-confidence: Perhaps the most significant benefit of breast augmentation is the boost in self-confidence that many women experience after the procedure. Many women feel more attractive, feminine, and self-assured after breast augmentation.
- Clothes fit better: With larger breasts, clothes will fit better and look more flattering.
- Better proportions: Breast augmentation can improve the overall proportions of a woman’s body by balancing out the hips and waist with larger breasts.
It is important to note that Breast augmentation is a surgical procedure and carries some risks, including infection, bleeding, and complications related to the implant. It is important to consult with a board-certified plastic surgeon to discuss the potential benefits and risks of the procedure, as well as to determine if you are a good candidate for breast augmentation.
Breast enlargement specialists
Our breast augmentation surgeons are known for their artistry and strive to help women achieve natural and beautiful-looking breasts. Our surgeons believe that the key to a successful outcome after a boob job is the surgeon-patient relationship. Before committing to proceed with a clinical decision for surgery, your surgeon will spend time getting to know about personal goals and preferences in detail. This might sometimes require a second follow-up consultation. Our surgeons provide the safest and most natural-looking breast implant procedures in London and the southeast.
After a detailed explanation of the various methods and discussion of the right breast implants to use at your consultation, your surgeon may perform computerised 3D imaging. The use of imaging provides a starting point to establish what needs to be achieved to reach the desired goal. A range of different implant sizes and types can be trialled. By visualising the potential outcome, you may have a clearer idea of what can be achieved and, thus, more confidence in proceeding with breast augmentation surgery. Once you are satisfied with having all your questions answered, the surgeon will determine if breast augmentation is the right procedure for you. A detailed treatment plan will be formulated. This will be forwarded to your patient coordinator, who will then prepare your boob job quotation and discuss potential finance options if this would be of interest to you to help spread the repayments.
Our expert plastic surgeons are full members of:
Breast augmentation expected results
- Enhanced breast size and volume in harmony with your body size and chest width
- An improvement in breast symmetry
- Correction of pre-pregnancy size and shape of breasts following childbirth
- Improvement of shape following substantial weight loss when combined with a breast lift.
- Improvement in breast aesthetics
- Fitted clothing may appear more dramatic with the new silhouette
- A possible increase in self-confidence
RELATED: Breast augmentation for older women
Breast implant options
When considering breast augmentation, one of the most important decisions you will make is choosing the type of implant that is right for you. There are several options available, including silicone, saline, and alternative options such as fat transfer. Each type of implant has its own benefits and drawbacks, and it is important to consult with a board-certified plastic surgeon to determine which option is best for you.
- Silicone implants: Silicone implants are filled with a cohesive gel that closely mimics the feel of natural breast tissue. These implants are pre-filled and come in a variety of sizes and shapes. They are known for providing a more natural look and feel compared to saline implants.
- Saline implants: Saline implants are filled with sterile salt water and come in a variety of sizes and shapes. They are inserted empty and then filled once they are in place, which can make them a good option for women with smaller breast tissue. They are less expensive than silicone implants.
- Alternative options such as fat transfer: Alternative options to traditional breast implants include fat transfer to the breasts, which uses the patient’s own fat to enhance the size and shape of the breasts. This is a less invasive procedure that results in a natural look and feel, but it does not provide as much volume as silicone or saline implants.
- Textured vs Smooth: Both silicone and saline implants are available in both textured and smooth varieties. Textured implants are less likely to rotate, which can be beneficial if you are at risk of capsular contracture. However, they have been linked to a rare type of cancer called Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL).
- Implant shape: Breast implants are available in two basic shapes: round and teardrop (anatomical) shaped. Round implants tend to look more full and round, while teardrop-shaped implants are designed to mimic the natural shape of the breast.
RELATED: Breast Implant Options
It is important to consult with a board-certified plastic surgeon to determine which option is best for you, as well as to discuss the potential benefits and risks of each type of implant. Your surgeon will also help you to make an informed decision about the size and shape of the implant that will be most suitable for your individual anatomy and desired outcome.
Am I suitable?
When should you consider breast augmentation?
Common reasons for undergoing breast augmentation include:
Aesthetic – Many women choose to have breast augmentation surgery simply to improve their breasts’ appearance and/or size. Cosmetic motivators are common for women who feel their breasts are too small, too misshapen, or even asymmetrical. It is not uncommon for women who have had children to seek breast augmentation to increase lift and reduce sag. Breast enlargement, when performed by a specialist plastic surgeon, can dramatically improve and enhance breast appearance. When breast augmentation is performed for cosmetic reasons, it can improve self-esteem. Breast enlargement itself is not a panacea, but it can have a significant impact on self-esteem.
Reconstructive – Some women elect to have breast augmentation surgery following a mastectomy. Although breast reconstruction is not always necessary following mastectomy, this surgery can give breast cancer survivors a more natural appearance and help them overcome self-esteem issues that can arise from mastectomies.
Replacement – Many breast augmentation procedures are performed to replace existing implants from a previous boob that may have been performed elsewhere that were put in place either for cosmetic or medical reasons.
Correction – Women who face congenital deformities such as tubular breasts in their breasts often opt for breast enlargement to gain a natural appearance.
If you are starting to explore the possibility of breast enlargement & boob job surgery, you may not have thought much about your reasons for wanting to do so at this point. You may know that you want larger breasts. In itself, that is as valid a reason for undergoing breast augmentation as any other. As you learn more about the breast enlargement procedure and your options, especially through the consultation process, you will want to continue to examine your reasons for wanting to enlarge your breasts. Once you have become fully acquainted with the benefits, risks, and costs associated with the procedure, and you feel confident that you want to proceed for you and not due to any external pressures, your candidacy for breast augmentation will depend on your health, your goals, and the establishment of reasonable expectations.
The art of achieving a breast enlargement based on each patient’s individual needs requires the expertise of an experienced and skilled surgeon. If any of the above concerns affect you, you may be an ideal candidate for surgery. Having performed thousands of breast implant surgeries, our surgeons are highly experienced and compassionate plastic surgeons with extensive training and experience in the field of breast augmentation.
Who should consider breast augmentation?
All patients should be in good health and have realistic expectations about what can be achieved with breast augmentation surgery
Healing is better if patients refrain from or quit smoking.
The effects of smoking on healing after surgery
The breast augmentation procedure is most commonly performed purely for cosmetic purposes, to help improve one’s image and self-esteem.
Suitable patients for breast augmentation include those who have:
- Micromastia – small breasts
- Breast asymmetry
- Loss of breast volume after pregnancy and breastfeeding
- Changes in breast shape or size after weight loss
Candidates who are not suitable are those who:
- Are below the age of 18 years
- Are you pregnant or breastfeeding, results may change
- Have you had radiation therapy or chemotherapy
- Have an infection in your breasts
If you are an appropriate candidate for breast augmentation, you may be interested in learning about our finance options.
The Breast Augmentation Consultation
The surgeon will discuss with you all the possibilities that are appropriate for your body and determine the best implant approach for your breasts and personal goals.
The decision to have breast augmentation is a major step for most women and is extremely personal. The surgeon, therefore, always guides and supports their prospective patients through every stage of this process. During an initial consultation at our clinic, you will discuss your reasons for wanting a breast augmentation, and you will undergo a thorough medical check-up.
The consultation begins by having an opportunity to discuss your ideas, concerns, and expectations about the breast implant procedure with your surgeon, and ask any relevant questions you may have.
Your breast augmentation surgeon will:
- Take a focused history and examine you
- Explain the breast augmentation procedure
- Take your needs and preferences into account when deciding on the most appropriate treatment option for you
Prior to booking an appointment, make sure you know about the risks of travelling overseas for surgery and seeing an unqualified surgeon.
Preparing for breast augmentation
At Centre for Surgery, our surgeons believe that the success of any breast implant procedure can be improved with proper patient preparation. We always strive to go above and beyond to make sure that all our patients are fully prepared for breast implant surgery – physically, mentally, and emotionally. At your breast enlargement consultation, your surgeon may use 3D imaging analysis of your breasts to determine the most appropriate size and shape of the implant to get the best breast augmentation results.
How to prepare for breast augmentation
Preparing for breast augmentation surgery involves several steps. It is important to have realistic expectations, understand the risks and benefits, and follow your surgeon’s instructions.
- Consultation: Schedule a consultation with one of our plastic surgeons to discuss your goals, medical history, and the options available. Your surgeon will also assess your physical condition and determine if you are a good candidate for the procedure.
- Preoperative Instructions: Your surgeon will provide you with detailed instructions on how to prepare for the surgery, including information on medications to avoid, dietary restrictions, and any necessary lab work or imaging.
- Stop smoking: If you are a smoker, it is important to stop smoking at least 4-6 weeks before the surgery, as smoking can impede wound healing and increase the risk of complications.
- Avoid certain medications: You will be instructed to avoid certain medications, such as aspirin and anti-inflammatory drugs, which can increase bleeding during and after the surgery.
- Arrange for help: Arrange for a responsible adult to drive you home and stay with you for the first 24 hours after the surgery, as you will not be able to drive or take care of yourself immediately after the procedure.
- Make sure you have the right clothing: Make sure you have comfortable, loose-fitting clothing for after the surgery and a supportive bra that can accommodate the bandages and dressings.
Overall, it is important to follow your surgeon’s instructions, have realistic expectations and be prepared for the recovery process.
Breast augmentation procedure
The breast augmentation procedure is performed as a day-case surgery at our specialist day surgery unit on Baker Street. You can commence your recovery at home the same afternoon. Breast enlargement surgery is carried out under TIVA general anaesthesia. The procedure takes, on average, from one to two hours to complete.
Breast augmentation step by step
STEP 1: After the injection of local anaesthesia, an incision is performed under the breasts (infra-mammary incision). Thanks to the Keller Funnel, this incision has become smaller over the years – sometimes measuring 3.5cm or less. An average length of 4-5 cm is the norm.
STEP 2: Forming the new breast pocket. A pocket will be created either on top of the muscle (sub-glandular) or under the chest muscle (dual plane). This pocket is specially designed to match the dimensions of the new breast implants to be inserted.
STEP 3: Insertion of breast implants with Keller Funnel. The Keller Funnel facilitates a ‘no-touch’ insertion technique with many advantages compared to older manual techniques. Contamination is minimised with the Keller Funnel.
STEP 4: Incision closure. The surgeon will use a three layered closure for maximum security using dissolvable sutures. There is, therefore, no need for potentially uncomfortable suture removal one week later.
STEP 5: Application of post-surgical bra. A specially designed bra with a breast band will be applied after the procedure.
Note on implant placement
Breast implants can be placed over the pectoralis muscle (sub-glandular) or under the pectoralis muscle (dual-plane). Technically only the upper part of the implant is under the muscle in the dual plane technique, with the lower part not covered by the pectoralis muscle. The position of the implant above or below the muscle will influence the final appearance of your breast enhancement and depends on several factors, including the amount of breast ptosis (or sag). Implants placed in a fully submuscular position are used primarily for breast reconstruction surgery.
Implant placement: sub-glandular vs dual-plane
There are pros and cons to both sub-glandular and dual-plane placements. Depending on your needs and your body shape, these will help you decide which placement is best for you.
Sub-glandular placement:
- Has a more spherical appearance, making the breasts look more round and unnatural
- Has a smoother recovery time with less pain
- Edges of the implant may be more visible
- X-rays of breasts may be more difficult
- This placement is not recommended for very slim patients
Dual-plane placement:
- Has a more natural appearance, with emphasis on the cleavage area.
- Best of both worlds of implant being both under the muscle and over the muscle in the lower part of the implant
- Patients may experience more discomfort in recovery
- The edges of the implant are less visible
- X-rays are easier to analyse
- This placement is suitable for thin patients
What is a breast funnel?
A breast funnel is a surgical instrument used to aid in placing breast implants during breast augmentation surgery. The funnel is typically made of a clear plastic material shaped like a cone. The smaller end of the cone is inserted into the breast pocket, and the implant is inserted through the wider end of the cone and positioned into the breast pocket. The funnel helps to guide the implant into the correct position and allows the surgeon to make a smaller incision while still having control over the implant as it is inserted into the breast.
The use of a breast funnel can help to reduce the size of the incision needed for implant placement, which can lead to less scarring and a quicker recovery time. It also allows for greater precision in implant placement, which can improve the final cosmetic outcome.
It’s worth mentioning that not all plastic surgeons use a breast funnel, and the use of this device may depend on the surgeon’s preference, the patient’s anatomy, and the type of implant being used. Some surgeons use this device during the surgery, while others use a different type of inserter. It all depends on the surgeon’s technique and preference.
Recovery after breast augmentation
The average breast augmentation recovery takes between one to weeks. A subglandular placement of implants will result in a quicker recovery (often just a few days) compared to a dual-plane approach (a week). Most women feel well enough to return to work in 3 to 5 days. Centre for Surgery has pioneered the ‘secret scar’ breast augmentation in the UK. This has been made possible using the Keller Funnel – a revolutionary insertion device. Centre for Surgery uses the Keller Funnel as the standard for all breast implant procedures.
How to speed up recovery after cosmetic surgery
Thanks to TIVA anaesthesia, you will be able to return home the same day once the effects of the anaesthetic have worn off – this is often very rapid due to the favourable side effect profile of the medicines used during anaesthesia.
You may feel some minor discomfort around the incision site for a couple of days. Getting back to your normal routine is an important step in the healing phase.
Subglandular implant (over the muscle) placement recovery generally takes only a few days, while dual plane implant insertion (under the muscle) may take closer to a week due to stretching of the chest wall muscle over the implants.
Light exercise should be avoided for one week and it is important not to do too much too soon – always build up slowly. More strenuous exercise can be commenced after 6 to 8 weeks but always check with your surgeon first. You may notice some redness or swelling around the treatment site for a week or so. It is recommended that you keep the scar out of direct sunlight, or use SPF 50+ sunscreen if travelling to sunny climates. Make sure to avoid smoking throughout the recovery period in order to avoid any delays or complications with wound healing and to get the best possible result.
A specialist surgical bra should be worn following breast augmentation. A bra band is often also applied to allow the implants to settle into the optimal position on the chest. Your surgeon will let you know at your 6-week follow-up appointment when you can resume wearing an underwire bra.
Risks and potential complications of Breast Augmentation
Medical advances have continued to make breast augmentation a very safe procedure. However, as with any medical procedure, there are risks involved. To maximise the chances of a successful outcome following a boob job, always be sure to choose a fully qualified and experienced plastic surgeon operating from a fully accredited medical facility – Centre for Surgery tick both boxes.
Possible complications of breast enlargement:
- Anaesthesia risks
- Bleeding
- Surgical site infection
- Delayed wound healing
- Skin textural changes
- Fluid collection (known as a seroma)
- Temporary or permanent nerve damage
- Breast asymmetry
- Capsular contracture
- Implant malposition
- Hypertrophic or keloid scars
- Requirement for corrective surgery
Breast Implant exchange
Breast implants do not have an expiry date but even modern implants are not designed to last forever. The latest generation of breast implants used at the Centre for Surgery for breast augmentation can last for 10-15 years or more without any issues. The most common reason for seeking breast implant exchange is to change an aspect of breast appearance. Less commonly, implant exchange may be required to correct problems such as wrinkling or rippling of the implant shell, capsular contracture, implant rupture and implant displacement. Breast implants and the surgical techniques used to insert them have undergone continual refinement over the last 10-15 years, allowing patients to keep their implants for longer. Sebbin breast implants used at Centre for Surgery for breast augmentation have an advanced, highly cohesive, semi-solid gel material. If the implant’s outer shell were to be damaged in some way, then the contents of the implant remain entirely inside the implant shell and do not leak out in any way.
How much does Breast Augmentation cost in the UK?
There are a number of factors which will determine the overall cost of your breast enlargement procedure and the final quotation will be given after your face-to-face consultation with your plastic surgeon.
- Round implants or shaped implants
- Breast augmentation alone or combined with a breast uplift
- Previous breast augmentation surgery
Why not call 0207 993 4849 and speak to one of our expert patient coordinators who may be able to give you a rough costing prior to your breast augmentation procedure?
Always remember that price should never be the determining factor when it comes to choosing the best clinic for breast augmentation. We feel that safety and quality of service should be your number one priority and instil in you the confidence that our team will look after you before, during and after your breast augmentation procedure to the best of their ability.
RELATED: How much do breast implants cost?
Can I get Breast Implants on finance?
Centre for Surgery is fully approved to offer finance for breast augmentation via our specialist finance partner, Chrysalis Finance. You no longer need to use your savings to pay for your treatment – you can apply to spread the cost of your procedure with Chrysalis Finance using their simple 1,2,3 application to pay for your procedure. Don’t wait until you have enough money for your treatment. Apply today for boob job finance and (subject to status) pay for your boob job procedure easily in monthly instalments using one of their payment options. Chrysalis Finance is the only ethical provider that focuses solely on the provision of specialist financing for medical procedures, including breast augmentation.
RELATED: How to finance breast implants
The Centre for Surgery approach to aftercare
Our aftercare programme was recently described as ‘outstanding’ by our regulator, the Care Quality Commission.
Our postoperative support team is in regular contact with our patients during the early recovery period. The proactive nature of our postoperative support gives every patient the best opportunity for a smooth postoperative recovery free of complications after breast augmentation. In many cases, if complications were to occur, their impact would be markedly lessened by early detection, prompt clinical assessment and correct treatment. A patient expresses concern to our team over the phone; then, we often call patients on the same day for assessment with one of our expert nursing team. Even if there is no significant issue, the careful explanation and calm reassurance provided by our team can help to alleviate any worries you may have experienced after the breast enlargement procedure.
Breast Augmentation Surgery at Centre for Surgery
- We have significant experience in all types of breast augmentation and boob job surgery – round implants, shaped implants, under or over the muscle
- We own and manage our own surgical facilities for breast augmentation.
Breast Implant Brands we use
One reason we are particularly proud of:
- We are the only provider in the UK to use exclusively single-use items for your breast enlargement procedure. By eliminating reusable surgical instruments – our surgical site infection (SSI) rate is less than 0.1%! Probably the lowest rate in the UK.
What is included in my breast augmentation treatment package?
- As many preoperative consultations with your surgeon as you like to make sure the breast augmentation procedure is right for you.
- Treatment at a specialist day surgery facility recently rated ‘Good’ by the CQC.
- Enhanced same-day discharge with the added benefits of recovering in your own home.
- 24/7 clinical support from your surgeon for the first 48 hours and our expert postoperative support team.
- Your very own dedicated patient coordinator throughout all stages of the patient journey.
- In-depth preoperative medical assessment to make sure you are fully fit for your procedure.
- Exceptionally high postoperative care standards are described as ‘outstanding’ by the CQC with regular telephone and face-to-face checks.
RealSelf Top Doctors for breast augmentation
RealSelf’s top doctor status is awarded to less than 10% of the RealSelf doctor community. This status is earned by achieving consistently high patient satisfaction (from RealSelf reviews), getting excellent feedback on expert answers to patient questions, and investing significant time in Q&A and other doctor activities. RealSelf’s top doctors are rated among the best breast surgeons in the UK.
FAQs
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What is breast augmentation ?Breast augmentation or breast enlargement is a cosmetic surgery procedure that is designed to increase the size of the female breasts with the insertion of silicone breast implants. The breast implants are inserted into the breasts and can be either above or below the chest muscle known as the pectoralis muscle.
Breast augmentation can also be carried out using fat grafting. This procedure is also known as breast lipofilling or fat transfer breast enlargement. Fat is harvested from an area of the body such as the abdomen using liposuction before being injected into the breasts. An advantage of fat transfer is that it does not involve the use of an implant. The fat is taken from your own body. -
What are the aspects to be aware of when considering breast augmentation?At Centre for Surgery, breast augmentation is carried out under TIVA general anaesthetic as a day-case procedure. This means you will be able to recover at home later the same day following your procedure.
- Incision site:
There are a number of locations for placement of the incision for breast implant surgery. The most widely used and best incision is the inframammary incision which is situated in the fold beneath the breast. With bras that contain an underwire, the wire would be positioned directly over the site of the scar. Other less commonly used incisions include the periareolar incision which is made around the nipple and the axillary approach located in the armpit. The axillary approach requires a specialised endoscope for optimum placement of the breast implant and is a very popular incision site in Korea. The inframammary scar is often no more than 4-5 cm in length, and thanks to the Keller funnel method of insertion, this has gotten smaller in recent years.
- Type of breast implant:
There are two common types of implant shapes, round and shaped implants. Shaped or anatomical implants come in a textured form to minimise the risk of implant rotation. Breast implants come in a wide range of sizes, and the correct size for you is based on your preoperative chest wall measurements.
- Implant profile
Breast implants come in 3-4 different profiles which are low, medium, high, and extra high profile. The implant profile is used to describe the degree of projection of the implant from the chest wall. Low-profile implant projects less and has a more rounded edge to the implant, which is thought to confer a more ‘natural look’. Higher profile implants have a sharper edge to the implant, which can result in more cleavage and is also known as the ‘fake look’.
- Implant volume
At your consultation, you and your surgeon will reach an agreement on the correct size of implant to use, which is measured in cc’s. Choosing the desired cup size does not translate accurately into correct breast implant sizes and is not used at your consultation. This is because there is no standardised definition of cup size.
- Implant placement:
Breast implants are inserted into one of two planes, above or below the chest wall muscle also known as the pectoralis muscle. The choice of placement depends on a number of factors including your chest wall anatomy, amount of soft tissue coverage, your activity levels, and the expert opinion of the surgeon.
- Degree of breast asymmetry:
Virtually all women have a degree of pre-existing breast asymmetry. Breasts can vary in size, volume, shape, or position of the nipple and chest wall. This lies within the normal spectrum for women. Your surgeon will take these factors into account when planning the type, and size of implant to use to correct as much as possible. However perfect breast symmetry is not a realistic goal of surgery.
- Sutures for skin closure:
Your surgeon will use a 3 layered skin closure and all sutures are fully dissolvable. This means no sutures need to be removed at your postoperative wound check appointment with one of our nurses. Some surgeons will choose to apply a tissue adhesive similar to super glue to seal the wound to reduce the risk of wound infection. The glue will naturally peel off after about 2 weeks.
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What to consider before having boob implants?We believe that the best outcomes after breast augmentation happen when patients make the right choice of clinic and surgeon.
1. In deciding on the right clinic for you, always carry out extensive research and choose a well-established and reputable clinic. Centre for Surgery are specialists in cosmetic surgery and breast augmentation and has been established for many years. Our patient coordinators and surgeons are here to answer any questions and empower you with the right information.
2. Your choice of surgeon should be based on their qualifications, experience, and record of good patient feedback. You should know who you will see before the consultation. At Centre for Surgery, our surgeons are specially selected after a rigorous appointment process to ensure they have the right skill set to perform breast augmentation.
3. When choosing a cosmetic surgery procedure, you should not solely base your decision on price. It is essential to ensure you are having treatment in a safe and regulated environment by staff who are both fully trained and caring to look after your needs - before, during, and after your breast augmentation procedure.
4. Avoid clinics that offer a ‘hard-sell’. If something sounds too good to be true, it probably is. Ask the surgeon what breast implants will be used for your breast augmentation procedure. Unlike many commercial chains, the Centre for Surgery has never used PIP implants and always only chooses the highest quality FDA-approved implants for breast enlargement surgery.
We believe patient safety and happy, satisfied patients are the bedrock of our reputation as an ethical cosmetic surgery provider. Our doctors are known for giving straightforward, honest advice. You can be assured that your journey with Centre for Surgery for breast augmentation will be a positive experience on the path to renewed self-confidence. -
How to choose the best breast augmentation surgeonChoosing to have breast augmentation surgery is a huge decision for many women and it is therefore vital that all patients choose a surgeon who is highly qualified and has years of experience in carrying out breast enlargement.
A skilled breast augmentation surgeon will be able to explain the benefits of breast augmentation using implants after having taken a full medical history and examined you. He or she will be able to advise on how to look after yourself during the recovery period and what are the potential risks of breast implant surgery.
Your surgeon will go into great detail to discuss the advantages and disadvantages of the different types of breast implants, along with determining the most appropriate size and shape of breast implants to match your anatomy. You will also be advised on the best location for the position of the implants whether behind the pectoralis muscle or on top of it.
The risks of breast enlargement are dependent on the surgical approach for the insertion of implants, along with other factors. Highly experienced surgeons such as those found at Centre for Surgery pride themselves on being open and honest about what can be expected with breast augmentation and the potential result that you can expect to achieve following surgery.
It is very important to verify that your surgeon is an accredited specialist in aesthetic breast surgery, and at your face-to-face consultation, you should take the opportunity to ask to see the surgeon's collection of before and after breast augmentation photos so that you can form a good idea of how you could look after breast enlargement. You should also view patient reviews found on reputable review platforms such as Trustpilot.
Highly ethical surgeons with a sub-specialist interest in breast augmentation will always take a holistic view of each patient, including their physical and mental health. Patients who have a chronic uncontrolled medical condition may not be the ideal candidate for breast enlargement at the Centre for Surgery.
In the UK only registered specialist surgeons can carry out cosmetic surgery and you should always check if your breast augmentation surgeon is on the UK specialist register found on the GMC website.
Many surgeons may be members of professional bodies such as the British Association of Plastic Surgeons or the European or international equivalent. In many cases, there are surgeons who are recognised as leading practitioners in the field of aesthetic breast surgery but often choose not to be a member of a particular organisation. -
Why choose Centre for Surgery for your breast augmentation?Over 15 years of experience in all types of breast augmentation – round implants, shaped implants, under or over the muscle.
We own and manage our own surgical facilities. Properly performed breast enlargement surgery takes time and should not be rushed. -
What does a breast augmentation involve?Breast augmentation also known as breast enlargement, breast enhancement, or a boob job is one of the most popular aesthetic surgical procedures, and for good reason. The results can be confidence-inspiring and truly transformative.
The process involves the insertion of silicone implants into the chest which sit either on top of or below the pectoral muscle. The procedure is performed under ClearSleep anaesthesia and the most common surgical approach is via the inframammary fold or IMF. The periareolar and trans-axillary approaches are much less commonly performed in the UK.
The decision to place the implant above or below the chest wall muscle will be made by your surgeon after a clinical assessment of your skin thickness and the overall amount of breast tissue.
At the end of the procedure, once the implants are in place, the small incisions will be closed with non-absorbable sutures so there will be no need for suture removal.
You should be comfortable straight after the procedure as a local anaesthetic will have been injected in and around the breast tissue. Once you have fulfilled all the discharge criteria, you will be allowed to go home with an adult carer. -
Is it possible to achieve natural looking breasts after breast enlargement?Yes. Our specialist breast surgeons are renowned for creating beautiful and natural-looking results unless you would prefer to go for the ‘fake look’ using larger higher profile implants.
The ideal natural breast enlargement can be achieved through the selection of implant size and shape that fits your chest wall anatomy. More natural-looking breasts can also be achieved through the insertion of an implant beneath the chest wall muscle which helps to hide the implant edges.
We are also well known for our expertise in fat transfer breast augmentation using your body’s own fat. The fat that is harvested is reinjected into your breasts and is known to produce more natural results compared with implant-based breast enlargement. Fat transfer to the breast can also be combined with breast implant surgery for those who are looking for a more predictable increase in volume afforded with the use of an implant. -
What is a hybrid breast augmentation?Breast augmentation has traditionally been performed with the insertion of silicone breast implants beneath the chest wall muscle. This allows better coverage of the breast implants, especially in those with thin skin when the implant edges may be able to be seen. The use of the 'under the muscle' approach is not without risk with risks; such as bleeding and more pain after surgery with a prolonged recovery.
Hybrid breast augmentation also known as composite breast augmentation is a new technique that involves the simultaneous insertion of breast implants above the muscle and breast fat transfer using your own body fat harvested from another area such as the abdomen, hips, or thighs.
The breasts take on a more natural shape and not the 'fake' look with the best of both worlds - a predictable increase in volume from implants with a more natural appearance from lipofilling or fat transfer to the breast. Although the technique takes longer to perform, it is ideal for slimmer women who do not wish to have implants placed beneath the muscle and also desire a more natural appearance to their breasts. -
What types of breast implants are used?There are a number of different types of breast implants available today. The main categories are saline implants and silicone implants. Silicone implants also come in a range of different surface types of which the most common ones are smooth and textured. A new type of surface that has the best of both worlds is the micro-textured implant and our surgeons use this type very frequently. Saline implants are now very rarely used if ever in the UK. Silicone implants are the most popular style of implants due to their more natural feel. Silicone implants have also built up a strong record of safety and have been found not to react with the body's tissues in an adverse way.
At Centre for Surgery, we use only the highest quality implants for all breast implant procedures and we place great importance on patient safety. At your consultation, your surgeon will go into great depth on all the types of breast implants available and will give their expert opinion on the right implant for you. We have never used PIP implants ever and we continue to keep a close eye on the latest developments in breast implant science to make sure our patients are getting the very best possible products.
We very commonly use Europe's leading and most established brand of implants by Sebbin. Sebbin has been manufacturing breast implants for over 30 years and has an impeccable safety record. The implants are composed of a medical-grade cohesive silicone gel covered with a solid silicone outer shell and come in a comprehensive range of sizes, shapes, and surfaces. -
Do you use the Keller funnel for breast augmentation?Yes. We are pleased to confirm all surgeons use the latest generation Keller funnel as standard for all breast implant procedures. The Keller funnel consists of a clear plastic sleeve coated in a special polymer coating to facilitate the smooth passage of the implant during the implant insertion process. We use round implants most commonly and at the time of implant insertion, these are loaded into the Keller funnel sleeve by the surgeon. This is known as a 'no-touch' technique and is a key factor in minimising the risk of implant-related infection.
The narrow tapered end of the funnel is then applied to the incision and the implants are gently propelled into the already prepared breast pocket. -
Under or over the muscle - does it matter in breast enlargement?The purpose of breast implant surgery is to create a natural-looking breast that is in harmony with the chest anatomy of the patient. The correct position of the implant does make a difference, especially in very slim women with very limited soft tissue stretch.
At your consultation, the surgeon will assess your soft tissue thickness and overall chest wall anatomy to determine the best plane for implant placement. Several other factors will also be important, including whether you wish to breastfeed in future, the size of your current breasts, and whether you have any degree of breast sagging. A subglandular approach or over the muscle may be better suited to those with breast sagging who do not wish to undergo a mastopexy. -
Am I an ideal candidate for breast augmentation?Besides the most common reason to get breast augmentation, which is to improve self-esteem and body confidence, other requirements include people who have asymmetrical breasts, drooping/sagging breasts, reconstruction following a mastectomy, replacing existing implants, and correcting congenital deformities in their breasts. You must be a minimum of 18 years old. It is recommended to reduce and ideally stop smoking prior to the procedure to reduce the risk of complications.
Your surgeon will fully assess you at consultation to make sure you are ideally suited to having breast enlargement surgery. -
What are the risks associated with breast augmentation surgery?Breast augmentation surgery is a very commonly performed procedure at Centre for Surgery and is known to be a safe procedure when performed according to the correct safety protocols. However, as with all surgical procedures, there are several recognised risks associated with the procedure that all patients should be aware of.
The first step towards having a safe and successful procedure is by choosing a highly qualified and experienced plastic surgeon on the GMC specialist register for plastic surgery. Centre for Surgery handpicks all our consultants against very strict selection criteria to make sure they are fully certified to perform breast augmentation surgery. We also choose only fully approved breast implants that have been rigorously tested and have a long track record of safety. At your consultation, your surgeon will go through the risks associated with breast enlargement surgery which include:
Anaesthetic risks
Bleeding and haematoma formation
Implant rotation
Implant rippling
Capsular contracture
Implant rupture
Breast asymmetry
Surgical site infection
Nipple sensation changes
Centre for Surgery is a specialist day surgery unit in cosmetic surgery and we only admit patients who are fit and healthy for elective surgery leading to less risk of complications. Other clinics work with third party hospitals to carry out the procedure and may not have as rigorous safety protocols which may increase the risk of complications. -
How do I choose the right implant size and shape for me?A number of factors, such as existing breast size, shape, and expectations will have to be taken into consideration to create the breast size and shape for your body type. At Centre for Surgery, the surgeon will employ 3D reconstruction techniques to show you what the result could look like.
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What is the recovery period like after breast augmentation?We perform all breast augmentation procedures as a day case with TIVA general anaesthesia which you can recover in the comfort of your own home the same day of your procedure. A week off work is recommended but some patients may decide to take 2 weeks off. You will experience swelling, bruising, and discomfort for the first few days, and pain medication can be prescribed. A breast massaging routine is recommended to speed up the healing process. You should avoid lifting heavy weights, gym, steam rooms, and saunas for a full 6 weeks. You must wear your support bra for 6 weeks continuously.
The recovery after breast augmentation is fairly consistent across patients with minimal variability. -
How is the risk of infection minimised after breast augmentation?Centre for Surgery is a proud supporter of OneTogether.
OneTogether is a collaborative partnership between leading UK professional organisations with an interest in the prevention of surgical site infection (SSI). The mission of OneTogether is to promote and support the spread and adoption of international best practice guidelines contained in 7 key recommendations to prevent SSIs across the entire breast augmentation surgery patient pathway. Our surgeons actively put into action their seven key recommendations at all stages of your breast augmentation, from start to finish. This includes everything from the recommended preoperative chlorhexidine body wash to the type of sterile dressings used after breast augmentation surgery. -
Do I need to wear a support bra after breast augmentation surgery?Yes. We would always recommend the wearing of a postoperative support bra after your breast surgery. The incisions are closed with dissolvable sutures and a layer of adhesive paper tape is applied over them. The postoperative support bra functions to keep the breasts in the optimum position for healing. Some surgeons may recommend a sports bra made of lycra and there are many types available on the market. Your surgeon will advise you on the best option. A postoperative band to be worn just above the bra may also be recommended to keep the implants in a lower position as they may have a tendency to migrate upwards in the healing phase otherwise. We would recommend wearing the support bra for 24 hours a day for the first 3 weeks and then for 12 hours a day for the next 3 weeks. If you are physically active then we would recommend wearing the bra for longer.
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Is there an upper age limit to having breast augmentation?There is no upper age limit. As long as you are at least 18 years of age and in good health, you may be suitable for breast implant surgery.
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Do you have options for addressing breast asymmetry?Yes, we do. Our surgeons have over 10 years of experience in correcting breast asymmetry where one breast may be larger than the other breast.
Please our page on breast asymmetry correction for further information. -
How do I select the right size of breast implants for my body frame?The sizing of implants is done by cc's or cubic centimetres. Our experienced surgeons will assess you to help you make a decision on the most appropriate sized implants. We also use digital 3D imaging to help you decide on the right size and this is available for all patients at consultation.
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Will the results look and feel natural after breast enlargement?Modern latest generation implants are designed to resemble the natural shape and feel of the breast tissue. Silicone implants are superior to saline implants in this regard.
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Are breast implants safe?There are always risks with any type of surgical procedure but for the most part, breast implants are extremely safe. The number of women getting breast augmentation in the UK has steadily increased over the last 10 years with relatively few complications.
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What are tubular breasts or tuberous breasts?Tuberous breasts also known as tubular breasts are abnormally shaped breasts that take on a more cone-shaped appearance as opposed to a more rounded appearance. Tuberous breasts are a congenital breast deformity that presents from birth, it is not acquired later in life. Tubular breasts can be corrected with breast surgery. Tuberous breasts are generally uncommon and require a specialist breast surgeon to treat them effectively. Our surgeons have many years of experience in tuberous breast correction.
Please view our page on tuberous breast correction for further information. -
How long does breast implant surgery last?A breast augmentation procedure will take on average from 1.5 to 2 hours under a TIVA general anaesthetic and this will depend on the exact procedure and your surgeon. All our breast enlargement cases are performed as a day case which means you get to go home the same day and recover in the comfort of your own home. A family member or friend will be required to take you home and look after you for the first 24 hours after your procedure.
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Can breast implants cause stretch marks?Breast implants are at low risk for causing stretch marks to appear on your breasts as the skin envelope surrounding the breasts is usually quite elastic and resilient to accommodate the increased volume from the breast implants. Some women may demonstrate a genetic tendency towards the formation of stretch marks after breast implants but this is usually not related to the implant itself. Your surgeon will take measurements of your chest wall and will assist you to choose a size of implant that is not too large to reduce the incidence of stretch mark development.
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Can I still get a get a mammogram for breast cancer screening after breast augmentation?Yes. It is still possible to perform a mammogram after having had breast implants. Radiologists have become experts in the accurate interpretation of mammograms for those patients who have breast implants in situ. You should make sure to tell the radiographic technician before you have the mammogram that you have breast implants so that this can be accounted for in the breast cancer screening process.
Implants placed in the subglandular plane are slightly more difficult to interpret compared with implants placed in the dual plane technique beneath the muscle. -
Why should I stop smoking before having breast enlargement surgery?For any surgical procedure at Centre for Surgery, we always advise stopping smoking both before and after surgery to minimise the risk of complications developing. Smoking is a well-known cause of delayed wound healing and wound infection as the components of cigarette smoke constrict the blood supply to the healing tissue.
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How long do breast implants last for?Breast implants do not have an expiry date. They only need removing or replacing if they leak, rupture or cause significant capsular contracture. This usually happens from low-quality implants implanted using faulty surgical techniques by an inexperienced surgeon or a surgeon in a rush. Implants that rupture or leak are not known to be a risk to health but patients may notice a change in the feel or consistency of the implants.
The latest generation implants used by surgeons at Centre for Surgery are generally thought to last for many years. Removing or replacing implants is something that would need to be considered towards the end of this period. However, other factors must be taken into consideration other than the timeframe. Many women have implants that last a lot longer without any problems whatsoever. Your surgeon may recommend an MRI scan to check the condition of the breast implants after 10 years.
Breast implant replacement may also be required if an infection were to develop. Implant-related infection is thought to occur in about 1% of all cases. Capsular contracture occurs in about 1 in 10 of all cases. Capsulectomy is required to remove the thick deforming capsule surrounding the implant and is more common in those with thin soft tissue coverage. The capsule is often hard and unyielding to touch and can be painful in some cases. The rippling of the implant may also occur and this can be very obvious beneath the skin. Some patients may feel they would like to go larger or smaller after having had breast implants for a while a small minority opt for breast implant removal with or without a breast lift for a more natural look.
Centre for Surgery is a specialist centre with a solid reputation for breast implant replacement surgery and for taking an ethical approach to the service we deliver. We never used PIP implants, unlike virtually all the large commercial cosmetic surgery providers.
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What happens in the event of a possible implant leak or rupture after breast augmentation?The first thing is not to panic. Modern implants are designed in such a way as to not harm your internal tissues. The best course of action is to book in with your surgeon as soon as reasonably possible for a thorough assessment to minimise the risk of complications occurring.
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Will I be able to breastfeed after having breast implants?Many women may be young when they first decide to get breast implants and have not yet finished having children. Fortunately, having breast enlargement does not impact your pregnancy and breastfeeding. In rare cases, your ability to breastfeed may be affected if you have nipple or areola surgery.
If you are planning on becoming pregnant following breast implant surgery and are concerned about your ability to breastfeed, make sure you raise this with your surgeon during your consultation. Your surgeon will be able to ensure the correct methods are used during breast enlargement surgery to make sure you will still be able to breastfeed without further complications. -
Will I lose sensation in my breasts after breast augmentation?Loss of sensation may occur in a small number of cases. The placement of the implants beneath the breast and/or muscle tissue involves the division of some of the sensory nerves to the breast. Breast implants are inserted underneath the gland of the breast so there is no risk of interference with breast milk production.
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When can I resume physical exercise after breast augmentation?Breast augmentation is a surgical procedure that requires a period of downtime to maximise the chances of an uneventful recovery. Our surgeons recommend abstaining from exercise for a minimum period of 4 weeks after your surgical procedure. Strenuous activities or heavy lifting should be avoided until 6 weeks after surgery. Your surgeon will advise you on the dos and don'ts at your 6-week appointment.
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How should I look after my breasts in the long-term after breast enlargement?Our surgeons recommend 2 yearly MRI scans to check the condition of the implants. You should also perform regular self-examination of your breasts for unevenness or changes in consistency or size and shape.
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Can I undergo tanning after my breast augmentation?Sunbeds and strong sun exposure should be avoided directly to the scars for a period of up to 1 year to avoid hyperpigmentation issues. A swimsuit or skin-friendly adhesive tape should be used to cover the scars for the first year after surgery.
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Will I have visible scars after breast augmentation?Breast augmentation is a surgical procedure and as with any surgical procedure, there will be scars after the procedure. The surgeon can reduce the appearance of scars with properly placed incisions. Depending on how the surgery is done, an incision is made along the natural crease below the breast – the infra-mammary approach.
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What size of breast implant is right for me?Your desired size depends on a number of parameters. Cup size alone is not the most suitable measure. Your breast augmentation surgeon will allow you to try on a bra in your choice of size along with a sample implant to find the ideal size. This way there is less room for misinterpretation and a higher chance that you will be satisfied with the outcome.
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Does breast augmentation hurt?Breast augmentation is a surgical procedure and may involve the possibility of pain, swelling, bruising, and tenderness. In the first 72 hours after breast augmentation, you will be most comfortable if you use ice and head elevation on 2-3 pillows. Your surgeon will prescribe pain medications that will reduce pain leaving you feeling comfortable. After 72 hours of rest and elevation, you may begin to increase activity gradually. Many women are driving one week after their operation.
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Do you offer finance for breast augmentation?Yes, we do. Finance for your procedure through our finance partner, Chrysalis Finance which specialises in the provision of finance for medical procedures. Give us a call today and one of our patient coordinators will be more than happy to run through a simple online application to assess your eligibility in a matter of minutes.
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Are there alternatives to breast augmentation with implants?Yes, alternatives include procedures such as breast lift and natural breast augmentation with fat transfer.
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Can I view breast enlargement before and after photos?As well as the breast implant before and after photos on this page, you can ask your surgeon to show you before and after breast enlargement photos of patients who share similar characteristics to your anatomical features.
By viewing before and after photos, you should be able to form a realistic idea of what sort of outcome you can expect after breast enlargement surgery. -
What is BIA-ALCL?Breast implant-associated anaplastic large cell lymphoma, known as BIA-ALCL, is rare cancer associated with breast implants. This occurs, on average, eight years after implant placement. This is considered rare cancer, and there are about 300 cases worldwide. This occurrence highlights the importance of surgeons following the 14-point plan for safe breast augmentation. This is a plan that surgeons follow when they are inserting breast implants. This plan lowers the risk of bacteria – which can cause capsular contracture – attaching to the implants. This plan helps to give patients peace of mind knowing that the risk of complications is lowered and a successful outcome is more likely after breast enlargement surgery.
What To Expect
The consultation
When you have a consultation with your surgeon, several measurements are taken of your breast dimensions, and an assessment will be made of the nipple-areola position and the soft tissue quality. Your surgeon has access to the full range of breast implant options, including round, shaped, smooth or textured implants, and the most appropriate choice will be made based on your preferences. The surgeon will also give information on the location of the incision for placement of implants and whether the implants are to be placed above or below the muscle.
High-resolution photos will be taken, and your surgeon may also use digital computer imaging. Your surgeon will take time to discuss the important risks and potential complications of breast augmentation surgery and what you can expect in the postoperative period.
The surgeon will also take a full medical history which includes previous operations, the current list of medicines taken and any potential allergies. This information will be used to decide on your fitness for the breast enlargement procedure. If you are deemed to be a suitable candidate for surgery, then we would recommend spending a period of time reflecting on all the information given. We always recommend a minimum of a 2-week cool-off period to consider your options.
All our prospective patients are more than welcome to have as many follow-up consultations after their initial consultation to make sure you are fully empowered with all the information to make an informed decision for proceeding with breast enlargement surgery at the Centre for Surgery.
Before the procedure
Once you have decided that breast augmentation is right for you, our preoperative assessment team will be in contact to prepare you for surgery.
The following are recommended actions to take:
- For six weeks beforehand, it is highly recommended to stop smoking as active smoking is associated with several risks, including delayed wound healing, which could result in wound infection and a possible need to remove the implants.
- You should also avoid aspirin and all medicines containing aspirin for at least one week before the procedure.
- For 6 hours before the breast augmentation procedure, you should refrain from eating any food or drink apart from sips of clear fluid (water and tea/coffee without added milk) which is allowed for up to 2 hours before the procedure.
On the day of your breast enlargement procedure
Please make sure to arrive for your procedure at the booked time to avoid delays. A nursing team member will formally admit you for the procedure and will carry out several tasks, including checking your vital signs and getting you changed into clinic wear. The anaesthetist will then assess you to make sure you are fit for anaesthetic and will also prescribe several premedications to optimise your recovery after the procedure. You will then be seen by your surgeon, who will confirm the exact procedure to be undertaken, and you will sign the informed consent form. Skin marking and photos may be taken at this point.
The breast augmentation procedure is a very commonly performed procedure at Centre for Surgery and is carried out under TIVA general anaesthesia. The procedure takes approximately 90 minutes to perform. The incision is most commonly placed beneath the breast in the inframammary fold and gives the best-looking scar. There are other options, including periareolar (around the nipple) and transaxillary (in the armpit), but these are rarely performed in the UK. The breast implants are inserted using a Keller funnel 'no touch' technique under the muscle or over the muscle, depending on soft tissue coverage and breast size and shape. The small incisions are between 3-5cm in length and closed using dissolvable sutures, so there is no need to have them removed at a separate appointment.
Once you have woken up from the anaesthetic, our nurses will closely monitor you for 1-3 hours afterwards to make sure you make a full recovery. Once you are assessed as fit for discharge, you will require a responsible adult escort to take you home in a car or taxi and to look after you for at least the first 24 hours after surgery.
After your breast augmentation procedure
After your breast enlargement procedure, our dedicated postoperative support team are available round the clock to answer any questions or concerns you may have. Our team will call you regularly for the first two weeks after your procedure to ensure your pain levels are well controlled, and your healing is progressing as normal.
Any discomfort after breast augmentation surgery usually settles down 10-3 days after the procedure, and most of our patients are very comfortable by the end of week 1. Your doctor may recommend a period of approximately one week off work. You should minimise any excessive movements of your arms for the first two weeks after surgery to avoid the risk of implant rotation.
You will be required to wear a well-supporting surgical bra for a full six weeks to make sure healing is optimal, and scars heal with the best results. Exercise involving the upper body should also be stopped for six weeks to avoid potential implant rotation.
You will attend a postoperative check-up with one of our nursing team within 7-10 days to review your surgical wound sites and ensure proper healing is taking place. Recommendations on treatments for scar healing may be given for optimal cosmesis. After six weeks, you will see your surgeon for a comprehensive review and make sure your results are in line with your expectations.
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