Mr Omar Tillo
Consultant Plastic Surgeon
Breast Augmentation
At a Glance
Breast augmentation, otherwise known as breast enlargement or a ‘boob job’, can be an effective option for women who are unhappy with the size or shape of their breasts.
Centre for Surgery has pioneered the ClearField™ technique for breast augmentation.
Often after pregnancy and breastfeeding, women’s breasts tend to sag. Ageing also leads to sagging or shrunken breasts. 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.
You may also wish to combine breast augmentation with an uplift or fat transfer to the breasts.
Anaesthesia type: ClearSleep™ Procedure time: 1 - 2 hours Recovery time: 5 - 7 daysAbout
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 a number of factors, such as breast implant size, shape, composition and placement 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.
Breast Profile
What is 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.
Candidates
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:
- 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
Procedure
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 his 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
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.
Procedure
Implant placement
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.
Sub-glandular placement:
- Has a more spherical appearance, making the breasts look more round and unnatural
- Has a shorter operation time
- Has a smoother recovery time
- Edges of the implant may be more visible
- X-rays of breasts may be more difficult to analyse
- This placement is not recommended for very slim patients
Sub-muscular placement:
- Has a more natural appearance, with emphasis on the cleavage area
- The operation takes longer
- 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
Before & After
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Recovery
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.
You will experience swelling, bruising and discomfort for the first few days for which the surgeon will prescribe pain medication to most patients. 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.
FAQs
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.
Why choose us?
Surgeon-led and managed care throughout for a truly personalised approach
Our innovative ClearSleep anaesthesia technique
Comprehensive aftercare programme
Financing options available
Our Consultant Surgeons
Verified Patient Reviews
We searched for many different surgeries to perform my procedure but the center for surgery really stuck out. The staff were incredibly friendly and the receptionist Gregory and surgeon Omar were highly professional, welcoming and made me feel at ease. Would highly recommend to anyone!
Dexter Montgomery
20:14 25 Apr 18
Old implants removed and replaced, plus silicone granules removed from right armpit. My previous surgery was done over 20 years ago. (I never really had any breast tissue, so I had the implants to look normal). One implant had erupted and both had capsulated. I was never told they had a shelf life! When I first arrived at the clinic in Watford, ( I never went to th Harley St surgery) I was quite dubious about the whole set-up. The Surgery is right in the middle of a Business Site and it seemed like some sort of Back Street Butchery. (I hope this review will put people's minds at rest when they first arrive) It actually didn't help much that I had to wait an hour because the surgery that day had overrun, however, after talking to Omar Tillo and seeing how clued up he was on my situation, I began to relax. It didn't stop me going on-line to Google him and everything else about the practice, but it was all good. On the day of the surgery, I met with Mr Tillo again. I also met everyone else who was going to be in theatre with me and they all came to me individually to explain their roll. It was very comforting and reassuring. The surgery was quite lengthy and took several hours. I hadn't decided what size implants to go for pre surgery as my old ones were so distorted and out of place, so I left it with Mr Tillo to make the decision once the others had been removed. It is now 3 weeks since the implants were replaced and I am delighted with how I look and feel. The size and shape are perfect for me. Nothing weird or huge; I'm on the wrong side of 50 now so am not looking for glamour, just normality. The post surgery is superb. My coordinator, Naz, is very efficient and can't do enough for me. The incision in my armpit where the silicone particles had to be removed is probably the most uncomfortable part of the whole procedure, but most of you won't have to worry about that. I got a sick note for work purposes without any fuss at all, so over all; worth every penny! Don't let your first impressions put you off :-) Good luck.
Nina
14:43 02 Jun 18
Had a BA and uplift with Mr Tillo amazing MR Tillo knew what I wanted the staff where so lovely and looked after me the after care is excellent I would definitely recommend centre for surgery and would go again I’m so pleased thank you so much
Dee Catton
10:09 15 May 18
If you don't know about Omar tillo you should HES AMAZING at his job.. I went for bbl and at present I'm 9 days post op and loving my results. I must also review gregory .. my co ordinator .. Gregory your one of the most wonderful people out there you hsve gone above and beyond for me to make sure The dates the times were right just for me .. this is an AMAZING company with AMAZING staff.. so much so I'm going for a consultation in 8 weeks for breast surgery ...
Bryanna buswell
11:39 23 May 18
Highly recommend. Very professional and friendly staff.Had my BA and everything went smooth and good. I would choose this place over and over again for all the plastic surgeries.
Melania Ciurea
13:45 13 Mar 18
I had a tummy tuck 2 weeks and 4 days ago. It is something I had been considering for a whilst now that I have completed my family. Also the excess skin and fat was getting me down. I went to another consultation in Harley Street which was 15 mins where the Dr examined me and told me he could do the work and his secretary than called me with the price, it was very rushed. I found Dr Tillo searching the net and after reading his reviews I called his office and spoke with Naz, she was very friendly, explained their procedures and arranged an appointment for me to meet with him. I met Dr Tillo in his Watford clinic, I felt at ease with him straight away. Dr Tillo examined me and than explained what the procedure would involve. I had a few questions and he was very patient and explained everything fully and clearly, I never felt rushed at all.On the day of my operation I was excited. Dr Tillo’s staff were All lovely and so was the anethesist who explained everything and next thing I knew I was asleep. When I woke up it didn’t even feel as if though I had had an operation! My husband picked me up , I was given pain killers and it was explained that I would need to keep my compression belt on and drains would be removed after two days.I went home a very happy lady!!!As days have passed I have healed very well with no complications, I am so pleased with my new tummy, I know it’s good esp since my 3 year old doesn’t think there’s a baby in there anymore!I cannot Thank Dr Tillo and his staff enough!!
Hanna
17:13 19 Jul 18
Dr Tillo and his team are fantastic. Nothing has been too much for them!!I was told my tummy tuck would cost £17,000 at one clinic and £13,000 at another. It was considerably cheaper here. I'm not one to go for 'the cheaper options usually, as I tend to think you would get a cheaper result. But Dr Tillo pointed out that I didn't need all the work doing that the other places had said I did!! They were using my body to make money! Due to his honesty, and his non judgemental view, I left feeling confident that he was the man I needed.I am only a week out and thrilled to bits with my result so far. I can't recommend them enough.
Rachel Irwin
08:33 16 Aug 18
Very welcoming and professional, Mr Tillo,his team and Nikesh the PA.
Joshua Alexander
12:22 17 Aug 18
