Breast Enlargement London
Breast Augmentation in London
Centre for Surgery offers breast augmentation in London; also known as breast enlargement or a ‘boob job’. Our surgeons use the highest quality FDA approved silicone breast implants to add volume, shape, and symmetry to small or asymmetrical breasts. Breast Enlargement can be an effective option for women who are unhappy with the size or shape of their breasts. Our London breast augmentation clinic situated at 106 Crawford Street, Marylebone and Watford, was recently inspected and rated by the Care Quality Commission as good across all five domains of care.
Centre for Surgery has pioneered the ClearField™ bloodless technique for breast augmentation. You’ll experience less bruising, less swelling and a much quicker recovery.
Often after pregnancy and breastfeeding, women’s breasts tend to sag. Ageing also leads to sagging or shrunken breasts and in these cases, breast implants are a good solution. If one has to undergo mastectomy, then breast implants can be used to regain the natural body shape.
There are various options with regard to the size and shape of the breast implants. Round or shaped, smooth or textured, high profile and low profile. The changes can be subtle or dramatic depending on the chosen breast implants.
The most commonly used combination is round, high profile, microtextured implants using the inframammary approach. We also use the Keller funnel as standard in all breast implant procedures. The Keller funnel is a special insertion sleeve which means the resulting scar is much smaller than traditional methods. All these innovations have enabled Centre for Surgery to pioneer the ‘secret scar’ breast augmentation. Augmentation mammoplasty is the medical term for a breast augmentation procedure.
All breast implants come with a ten year warranty for both capsular contracture and implant rupture. You’ll also be reviewed by your specialist surgeon on a regular basis 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 up on 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 both 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|
Why choose Centre for Surgery for your breast augmentation ?
- 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. Properly performed breast enlargement surgery takes time and should not be rushed. Our surgeons perform a maximum of three breast enlargement procedures per day, although in practice it is often just two – morning and afternoon. We do not cram 7-8 procedures into one day like other providers. You want your surgeon to be well-rested and mentally and physically sharp to perform breast surgery and get the very best results. In addition, we offer TIVA anaesthesia, the most advanced anaesthesia method available
- Our surgeons live and work in the UK. This is very important because whilst your surgeon takes all precautions to minimise complications after a boob job, complications can and do occur and our surgeons are readily available to manage any issues if and when they arise. How to choose your plastic surgeon
- Our surgeons use the Keller Funnel as standard
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
- In-depth preoperative medical assessment to make sure you are fully fit for your procedure
- Exceptionally high standards of postoperative care described as ‘outstanding’ by the CQC with regular telephone and face to face checks
RealSelf Top Doctors for breast augmentation
RealSelf 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 after investing significant time in Q&A and other doctor activity. RealSelf top doctors are rated among the very best surgeons in the United Kingdom and USA.
Breast enlargement specialists
Our surgeons are known for their artistry and strive to help women to natural and beautiful 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, 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 south-east.
At consultation, after a detailed explanation of the various methods and discussion of the right breast implants to use, your surgeon may perform computerised 3D imaging. The 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 more 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 a breast augmentation is the right procedure for you. A detailed treatment plan will be formulated and this will be forwarded to your patient coordinator will then prepare your boob job quotation and also discuss 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 before and after
At Centre for Surgery, we only show photos of breast enlargement patients that have given full written consent allowing use of their images on our website.
Breast augmentation using 360cc round microtextured implants inserted using Keller funnel above the pectoralis muscle. Inframammary incision hidden in breast fold. Day case procedure with patient out to dinner the same evening thanks to gentle surgical techniques.
Breast augmentation using 290cc round microtextured implants inserted using Keller funnel under the muscle (dual plane). Under the muscle placement was chosen due to thin soft tissue coverage if implants were to be placed above the muscle. Sub mammary incision well concealed in breast fold. Procedure duration one hour.
Breast enlargement with 330cc round microtextured implants under the muscle inserted using Keller funnel. Incision in breast fold and less than 4 cm wide.
I had my breast augmentation with Centre for Surgery back in March 2020. I wanted to wait a little over 6 months to give an initial review, not because I was doubtful but rather to be in a position were I could 100% praise how truly amazing the experience has been! After having had three initial consultations elsewhere I was a little reserved when I initially met Omar as I hadn’t manage to trust and settle for any of the other clinics I had visited. From arrival to the clinic I was automatically put at ease by the professional clean look of the practice, followed by the lovely receptionist who kindly greeted my partner and myself on arrival. Shortly after arrival we were greeted by Omar, head to bottom well presented, great mannerisms and the most professionals and approachable surgeon I had the pleasure to meet! The consultation was excellent, he was very clear in what my options were and heard all my worries and questions and answered all accordingly. He was very thorough and made sure that both my partner and I left Centre for Surgery with all the information we were after and more. I decided to go ahead with the procedure shortly after, I simply felt I could trust him and his ability as a surgeon. I am now just over 6 months post op, he performed a wonderful, neat and natural breast augmentation that I couldn’t be any happier with, I get complements but not because of my “ boob job” but rather because all complements I receive are based on others assuming I have beautiful perky natural breast. The scars have healed perfectly, it was so barely done. After care provided by the clinic, checking on you every couple of days and making sure they answered any queries or worries I had for the initial first couple of weeks made me feel cared for and it made recovery a lot easier. I must admit, apart from the first two-three days it was all a breeze! And I am certain it is partly due to his blessed hands and his ability to perform a surgery with expertise and minimising as much trauma as he could. Professional, approachable, sleek clinic, a team that put you at ease, from the receptionist to the nurses and of course Omar. I can’t praise them enough! Thank you, thank you! I wish you all the best.
Read our latest testimonials from our amazing patients
At Centre for Surgery in London, our surgeons take great pride in what they do and all would agree that obtaining amazing feedback is the most satisfying part of their work.
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
- Improvement in breast aesthetics
- Clothing may appear more dramatic with the new silhoutte
- A possible increase in self-confidence
Breast implant options
Which type of breast implant is right for me?
As one of London’s top cosmetic surgery practices for breast augmentation & boob job surgery, we use only the highest quality CE-marked silicone breast implants from Sebbin for optimal outcomes after breast augmentation. Sebbin have a superb reputation built up over 30 years of designing and manufacturing the highest quality breast implants, and our surgeons love the natural feel and consistency they offer along with the rock solid implant warranty with coverage for both capsular contracture and implant rupture after breast augmentation. We only work with the best breast implant manufacturers and our patient satisfaction rate reflects this – more than 99.3%.
If you have ever wondered how breast implants are made, take a look at the amazing video below which shows the process in detail:
During your consultation at our London centre, your surgeon will be able to help you 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.
Silicone breast implants for breast augmentation surgery 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 compared with the older saline breast implants which are no longer used in the UK.
The optimum breast implant profile
What is a breast profile?
The profile of a breast implant refers to how much the breast 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 who prefer a more natural looking breast augmentation should choose a medium plus profile implant.
Choosing the best Breast Implant Size and Shape for breast enlargement
The choice of breast implant size for is the biggest decision you will have to make before undergoing breast augmentation surgery.
Many women think that implant volume is often linked with bra sizes – A, B, C, D etc. The volume of an implant is actually measured in cc’s. The patient and surgeon can therefore fine tune the exact size implant to each woman’s body shape. Implants are available in a very wide variety of sizes and shapes and women can therefore have a great deal of choice in the choosing the ideal sized implant. Breast implant sizers are not 100% accurate in determining the actual appearance of an implant when used for breast augmentation but are very useful as a general guide to helping women choose the correct sized implant for the best results.
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 breast augmentation 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.
Infection prevention best practice
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 7 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 dressings used after breast augmentation surgery.
The Ideal candidate for breast enlargement
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. Breast enlargement, 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. Breast enlargement itself is not a panacea, but it can have a big impact on self-esteem.
Reconstructive – 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 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 in their breasts often opt for breast enlargement to gain a natural appearance.
If you are just 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 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 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 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 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 pregnant or breastfeeding, as results may change
- Have had radiation therapy
- 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.
Breast Augmentation Consultation
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.
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 implant to get the best breast augmentation results.
What is composite 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 including more risk of bleeding and more pain after surgery with a prolonged recovery.
Composite breast augmentation is a new technique which involves the simultaneous insertion of breast implants above the muscle and targeting lipofilling (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 – predictable increase in volume from implants with a more natural appearance from lipofilling or fat transfer to 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.
Things to consider before breast augmentation
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 have been established for many years. Our patient coordinators and surgeons are here to answer any questions you may have to empower you with the right information.
2. Your choice of surgeon should be based on their qualifications, experience and having a record of good patient feedbacks. You should know who you will be seeing before the consultation. At Centre for Surgery, our surgeons are specially selected after a rigorous appointments process to ensure they have the right skill set to perform breast augmentation.
3. When choosing to have a cosmetic surgery procedure, you should not base your decision on price alone. It is important to make sure you are having treatment in a safe and regulated environment by staff who are both full trained and caring to look after your needs – before, during and after your breast augmentation procedure.
4. Avoid clinics who 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. Centre for Surgery have never used PIP implants unlike many of the commercial chains and always only choose 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 provider of cosmetic surgery. Our doctors are known for giving straightforward honest advice and 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.
Breast augmentation procedure
The breast augmentation procedure is performed as a day case at one of our specialist day surgery centres in London. You are able to 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 (subglandular) 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 which has many advantages compared to older manual techniques. Contamination is minimised with the Keller Funnel.
STEP 4: Incision closure. The surgeon will use a 3 layered closure for maximum security using dissolvable sutures. There is therefore no need for potentially uncomfortable suture removal 1 week later.
STEP 5: Application of post-surgical bra. A specially designed bra with a breast band will be applied at the conclusion of the procedure.
Note on implant placement
Breast implants can be placed over the pectoralis muscle (subglandular) 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 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 a number of factors including the amount of breast ptosis (or sag). Implants placed in a fully submuscular position is 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.
- 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
- 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 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
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:
- Small incisions
- Easy to insert the implants
- Can get a better placement within the breast pocket
- There is less contact, meaning less chance of capsular contracture occurring
- Surgery can be performed quicker
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 for safe breast augmentation. 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 after breast enlargement surgery.
Recovery after breast augmenation
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 have pioneered the ‘secret scar’ breast augmentation in the UK. This has been made possible with use of the Keller Funnel – a revolutionary insertion device. Centre for Surgery use the Keller Funnel as standard for all breast implant procedures.
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 anesthesia.
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.
Further articles on breast implant surgery
Breast augmentation cost
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 instilling 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.
Spread the cost of your breast implant procedure
Centre for Surgery are 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 who focus solely in the provision of specialist financing for medical procedures including breast augmentation.
Risks and potential complications of breast augmentation surgery
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
- 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. Latest generation breast implants used at 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 a desire 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 which allows patients to keep their implant for longer. Sebbin breast implants used at Centre for Surgery for breast augmentation have an advanced highly cohesive, semi solid gel material. If the outer shell of the implant were to be damaged in some way, then the contents of the the implant remain fully inside the implant shell and does not leak out in any way.
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 phone all our patients the day after their breast augmentation procedure and then every other day thereafter for the first two weeks. 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 is markedly lessened by early detection, prompt clinical assessment and correct treatment. Where a patient expresses concern to our team over the phone, then we often call patients in 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.
What is breast augmentation ?Breast augmentation or breast enlargement is a cosmetic surgery procedure which 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 recovery at home later the same day following your procedure.
- Incision site:
There 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 got smaller in recent years.
- Type of breast implant:
There are two common types of implant shape are 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. Implant profile is used to describe the degree of projection of the implant from the chest wall. A 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 more sharper edge to the implant which can result in more cleavage and is also known as the ‘fake look’.
- Implant volume
At you consultation, you wand your surgeon will reach an agreement on the correct size of implant to use which is measured in cc’s. Choosing a desired cup size does not translate accurately into correct breast implant sizes and is not used at your consultation. This is die to the fact 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 their 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.
Why choose Centre for Surgery for your breast augmentation?Over 15 years 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. Our surgeons perform a maximum of three breast enlargement procedures in a day, although in practice it is often just two - morning and afternoon. We do not cram 7-8 procedures into one day like other providers. You want your surgeon to be well-rested and mentally and physically sharp to perform breast augmentation and get the very best results. Our surgeons live and work in central London. We don’t work with ‘fly-in, fly-out’ surgeons from Italy. This is very important because whilst your surgeon takes all precautions to minimise complications, complications can and do occur and our surgeons are readily available to manage any issues if and when they arise.
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 transaxillary 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 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 no need for suture removal.
You should be comfortable straight after the procedure as 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 an implant size and shape that fits your chest wall anatomy. More natural looking breasts can also be achieved through insertion of 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 it’s 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 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 which 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 the most popular style of implant 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 most highest quality implants for all breast implant procedures and we place a 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 our getting the very best possible products.
We very commonly use Europe's leading and most established brand of implants by Sebbin. Sebbin have been manufacturing breast implants for over 30 years and have 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?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 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 in to 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?The purpose of breast implant surgery is to create a natural looking breast which is 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. A number of 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 and 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 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. You must be a minimum of 18 years old. It is recommended to reduce/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 is known to be a safe procedure when performed according to the correct safety protocols. However as with all surgical procedures, there are number of 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 handpick 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:
Bleeding and haematoma formation
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 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.
What is the recovery period like?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.
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 this. 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 to keep the implants in a lower position as they may have 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.
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.
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.
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.
Will the results look and feel natural?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.
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.
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 effectively. Our surgeons have many years of experience in tuberous breast correction.
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 recovery 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.
Can breast implants cause stretch marks?Breast implants are low risk for causing stretch marks to appear on your breasts as the skin envelope surrounding the breasts are 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.
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 very expert in the accurate interpretation of mammograms for those patients who breast implants in situ. You should 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 beneath the muscle.
Why should I stop smoking before having breast enlargement surgery?For any surgical procedure at Centre for Surgery, we always advise to stop smoking before and after surgery to minimise the risk of complications developing. Smoking is a well known cause of delayed wound healing as the components of cigarette smoke constrict the blood supply to the healing tissue.
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. 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 which 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 which last a lot longer without any problems whatsoever. Your surgeon may recommend an MRI scan to check the condition of the 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. Rippling of the implant may also occur and this can be very obvious beneath the skin. Some patients may feel they would like to larger or smaller after having had breast implants for a while 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.
What happens in the event of a possible implant leak or rupture?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.
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. 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 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. The placement of the implants beneath the breast and / or muscle tissue involves division of some of the sensory nerves to the breast. Breast implants are inserted underneath the gland of the breast so they is no risk of interference with breast milk production.
When can I resume physical exercise after breast augmentation?A breast augmentation is a surgical procedure which requires a period of downtime to maximise the chances of a 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 do's and don'ts at your 6 week appointment.
How should I look after my breasts in the long-term?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.
Can I undergo tanning after my breast augmentation?Sun beds 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.
Will I have visible scars after the surgery?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.
What size of breast implant is right for me?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.
Is it going to hurt?A 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 at one week after their operation.
Do you offer finance for breast augmentation?Yes we do. Finance for your procedure through our finance partner, Chrysalis Finance who specialise 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.
Are there alternatives to breast augmentation with implants?Yes, alternatives include procedures such as breast lift and natural breast augmentation with fat transfer.
Can I view breast enlargement before and after photos?As well as the breast implant before and afters 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 To Expect
When you have a consultation with your surgeon, a number of 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 also whether the implants are to be placed above or below the muscle.
High-resolution photos will be taken and your surgeon may also use computer digital 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, 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 to spend a period of time to reflect on all the information given. We always recommend a minimum of a 2 week cool off period for to weigh up 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 Centre for Surgery.
Before your 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 6 weeks beforehand, it is highly recommended to stop smoking as active smoking is associated with a number of risks including delayed wound healing which could result in wound infection and a possible need to have the implants removed.
- You should also avoid aspirin and all medicines containing aspirin for at least one week prior to the procedure.
- For 6 hours before the breast augmentation procedure, you should refrain from eating any food or any type of 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 member of our nursing team will formally admit you for the procedure and will carry out a number of 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 a number of premedications to optimise your recovery after the procedure. You will then be seen by your surgeon who will confirm the procedure to 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 very 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 incision 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 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 2 weeks after your procedure to make sure your pain levels are well controlled and your healing is progressing as normal.
Any discomfort after breast augmentation surgery usually settles down after 10-3 days after the procedure and the vast bulk 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 2 weeks after surgery,
You will be required to wear a well supporting surgical bra for a full 6 weeks to make sure healing is optimal and scars healing with best results. Exercise involving the upper body should be stopped for a full 6 weeks to avoid any potential implant rotation.
You will attend for a postoperative check up with one of our nursing team at 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. At 6 weeks you will see your surgeon for a comprehensive review and make sure your results are in line with your expectations.