Mr Omar Tillo
Consultant Plastic Surgeon
Which type of breast implant is right for me?
As one of London’s top cosmetic surgery practices, we use only the highest quality CE-marked silicone breast implants for optimal outcomes.
During your consultation in Harley Street, London, your surgeon will be able to help you to choose the best breast implants for you. This will depend on a number of factors, such as breast implant size, shape, composition and placement. This will be carefully chosen to create the breast size and shape for your body type. The surgeon will employ 3D reconstruction techniques to show you how the result could look like.
Silicone breast implants are approved by the UK medicines and healthcare products regulatory agency (MHRA). Silicone breast implants are filled with a cohesive silicone gel that holds uniformly together and is available in different densities. A silicone implant has a more natural, pliable quality that more closely resembles natural breast tissue than saline breast implants which are no longer used in the UK.
What is a breast profile?
The profile of a breast implant refers to how much the implant protrudes forward from your chest wall.
A low profile implant is very flat, while a higher profile implant will protrude forward (stick out) from your body and create a more prominent breast.
While some patients prefer the bubbly appearance of high profile implants, those wishing for a more natural look should choose a medium plus profile implant.
Implant Size and Implant Shape
The choice of breast implant size is the biggest decision you will have to make before undergoing surgery.
The surgeon will need to assess if you have sufficient tissue to cover and hide your chosen implant size especially if you are very slim. If the size you have chosen is too big, the implant edges may become visible following your surgery.
Breast implants can be round or teardrop. Most women prefer smooth round implants because they provide more fullness in the upper half of the breast.
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 surgical patient pathway. Our surgeons actively put into action their 7 key recommendations at all stages of your care from start to finish.
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 the appearance and/or size of their breasts. 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 out breast augmentation to increase lift and reduce sag. This surgery, when performed by a skilled surgeon, can dramatically improve and enhance breast appearance. When breast augmentation is performed for cosmetic reasons, a self-esteem improving factor also tends to come into play. The surgery itself is not a panacea, but it can have a big impact on self-esteem.
Reconstruction – Some women elect to have breast augmentation surgery following a mastectomy. Although reconstruction is not 100 percent necessary following mastectomy, this surgery can give cancer survivors a more natural appearance and help them overcome self-esteem issues that can arise as a result of mastectomies.
Replacement – Many breast augmentation procedures are performed to replace existing implants that were put in place either for cosmetic or medical reasons.
Correction – Women who face congenital deformities in their breasts often opt for augmentation to gain a natural appearance.
If you are just starting to explore the possibility of surgically enhancing your breasts, you may not have thought much about your reasons for wanting to do so at this point. You may simply 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 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 enhancement based on the individual needs of each patient 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 breast augmentation procedure is performed purely for cosmetic purposes, to help improve one’s image and self-esteem.
Suitable patients for breast augmentation include those who have:
Candidates who are not suitable are those who:
If you are an appropriate candidate for breast augmentation, you may be interested in learning about our finance options.
The surgeon will discuss with you all the possibilities that are appropriate for your body and determine what is the best implant approach for your breasts and personal goals.
The decision to have breast augmentation is a major step for most women and 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 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.
Crisalix 3D imaging
Crisalix provides 3D imaging which can be used for breast augmentation, reduction, lifts and reconstruction. This helps both the surgeon and patient to decide which implant should be used and the size of the volume. Centre for Surgery offers 3D imaging as standard at your consultation.
Your breast augmentation surgeon will:
A breast augmentation surgeon can be either from a plastic surgery or general surgery background (a declared specialist interest in breast surgery). Both specialities are fully trained to perform breast augmentation.
Prior to booking an appointment, make sure you know about the risks of travelling overseas for surgery and seeing an unqualified surgeon.
Breast implants can be placed over the pectoralis muscle (sub-glandular) or under the pectoralis muscle (sub-muscular). The position of the implant above or below the muscle will influence the final appearance of your breast enhancement.
Implant placement: sub-glandular vs sub-muscular
There are pros and cons to both sub-glandular and sub-muscular placements. Depending on your needs and your body shape, these will help you decide which placement is best for you.
The Keller Funnel ‘No-Touch’ technique At Centre for Surgery, we use the Keller Funnel ‘no-touch‘ technique for our breast augmentation surgeries. This involves using a device – the Keller Funnel – to insert the implant. This replaces the need for the surgeon to touch the implant and use their hands to insert it. There are many benefits to the Keller Funnel technique, including:
Breast implant-associated anaplastic large cell lymphoma, otherwise known as BIA-ALCL, is a rare cancer which is associated with breast implants. This occurs, on average, eight years after the implant placement. This is considered a rare cancer, and there are about 300 cases worldwide. This occurrence highlights the importance of surgeon’s following the 14 point plan. This is a plan that surgeons follow when they are inserting breast implants. This plan works to lower 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.
Breast augmentation is performed as a day case, so you will be able to return home the same day as your procedure, once the effects of the anaesthetic have worn off.
It will take about a minimum of six weeks for the skin on your breasts to completely stretch out for the breast implants to settle in a position.
After your breast augmentation, you will experience swelling, bruising and discomfort for the first few days for which the surgeon will prescribe pain medication to most patients.
You will have to wear a compression garment, which will help to reduce swelling and help support the breasts. Your surgeon will be able to assist you in choosing the best bra to wear during the recovery period.
10 days after your surgery you may go back to your normal routine but it is best to avoid extensive workouts until you are fully recovered.
Here at Centre for Surgery in London, our surgeons suggest breast massaging routines to be added to your healing regime for the implants to become softer in time. This massaging routine can help the breast implants to be in place quicker, therefore speeding up the recovery process.
We have learned that most women are concerned about the difference in breast sizes during the recovery period so it is important to keep in mind that every individual heals at their own pace and you may not have completely healed to see the end result.
Besides the most common reason to get breast augmentation that is to improve self-esteem and body confidence, other requirements include people who asymmetrical breasts, drooping/sagging breasts, reconstruction following a mastectomy, replacing existing implants, and correcting congenital deformities in their breasts.
A number of factors, such as existing breast size, shape and your 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 how the result could look like.
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.
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.
Breast augmentation is a surgical procedure and 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.
Your desired size depends 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.
Loss of sensation may occur. The placement of the implants beneath the breast and / or muscle tissue involves division of some of the sensory nerves to the breast.
A breast augmentation is a surgical procedure and does 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 at one week after their operation.
Yes, alternatives include procedures such as breast lift and natural breast augmentation with fat transfer.
Many women may be young when they first decide to get breast implants and have not yet finished having children.
Fortunately, having breast implants does not impact your pregnancy and breastfeeding. Your ability to breastfeed may be impacted if you have nipple or areola surgery.
If you are planning on being pregnant following surgery and are concerned about your ability to breastfeed, make sure you raise this with your surgeon during consultation. Your surgeon will be able to ensure the correct methods are used to make sure you will still be able to breastfeed without further complications.