Treatment breast

Breast Augmentation in the UK

Enhance your natural shape with breast augmentation, a personalised procedure designed to improve breast size and contour.

Breast volume and shape can be influenced by genetics, weight changes, pregnancy or ageing, and some women may feel their breasts lack fullness, symmetry or projection. Breast augmentation surgery offers a tailored solution by enhancing the size and contour of the breasts while maintaining a natural look and feel.

At Paul Wilson Aesthetics, you’ll be cared for by a team known for their expertise and personalised approach. Mr. Paul Wilson takes the time to understand your goals and create a customised treatment plan that will deliver natural-looking results.

About

What is breast augmentation?

Breast augmentation is a cosmetic surgical procedure designed to enhance the size, shape and fullness of the breasts using implants. It is tailored to each patient to achieve natural-looking results that complement their body shape and personal aesthetic goals.

This procedure works by placing breast implants in a carefully selected position to improve fullness, projection and symmetry. At our clinic, the sub-fascial breast augmentation technique is commonly used, where the implant is positioned beneath the fascia and above the muscle. This approach offers excellent shape and support while helping to reduce muscle disruption, shorten recovery time and maintain natural movement of the breasts.

Breast augmentation can be performed as a standalone procedure or combined with other surgeries, such as a breast lift or body contouring, to enhance overall results. When used as part of a combined approach, it allows for improved shaping, better proportions and a more cohesive outcome.

Your procedure is fully personalised, allowing your surgeon to focus on your individual anatomy, preferences and desired outcome to achieve natural-looking results.

Types

Types of breast implants

Breast implants come in a range of shapes, sizes and levels of firmness, allowing your procedure to be tailored to your anatomy and aesthetic goals.

At Paul Wilson Aesthetics, we use silicone implants for breast augmentation as we believe they provide the most natural feel, the best long-term stability and a lower risk of visible rippling. Breast implants are typically available in two main shapes:

Anatomical (teardrop-shaped) implants

Anatomical implants are fuller at the bottom and narrower at the top, closely mirroring the natural shape of the breast. They create a softer, more natural-looking result and can offer subtle lifting for women with mild droop.

As they are made from firmer, highly cohesive silicone, anatomical implants maintain their upper pole fullness and overall shape more effectively over the long term.

Round implants

Round implants provide fuller upper-pole projection, creating a more prominent, rounded appearance at the top of the breast. This can be desirable for patients seeking a more augmented look.

However, because they provide a more uniform shape, round implants often appear less natural than anatomical implants, particularly in patients with limited breast tissue.

benefits

What are the benefits of breast enlargement surgery?

Breast enlargement surgery offers a range of aesthetic and confidence-boosting benefits by enhancing the size, shape and fullness of the breasts. Benefits may include:

Improved breast volume and projection for a fuller, more feminine silhouette
Enhanced breast shape and symmetry for a more proportionate appearance
Restoration of lost breast volume following pregnancy, weight loss or ageing
Improved cleavage and upper pole fullness, depending on implant choice
Better fit and comfort in clothing, bras and swimwear
The ability to tailor size, shape and profile to suit individual body proportions and aesthetic goals
Potential enhancement of overall results when combined with other procedures, such as a breast lift or body contouring surgery
Increased self-confidence from achieving a breast shape and size that aligns with personal preferences

candidates

Who is a good candidate for breast enlargement surgery?

Breast enlargement surgery may be suitable for individuals who:

Are in good general health and close to their ideal, stable weight
Feel unhappy with the size, shape or volume of their breasts
Have naturally small breasts or feel their breasts are out of proportion with their body
Have breast asymmetry, where one breast differs in size or shape from the other
Have experienced changes in breast size, firmness or shape following pregnancy, breastfeeding or weight loss
Find that clothing does not fit comfortably or sit well around the chest
Are non-smokers or willing to stop smoking before and after surgery
Have realistic expectations about results, recovery and long-term outcomes
Are seeking breast enlargement as a standalone procedure or in combination with a breast lift or body contouring surgery

What to expect

What to expect during breast augmentation surgery?

Consultation

Every patient will undergo a comprehensive consultation with their surgeon to ensure they feel fully informed, comfortable and confident before proceeding with surgery. During your consultation, your surgeon will discuss your goals and guide you through all suitable implant options, including size, shape, profile and placement.

As part of your assessment, your anatomy, skin quality, existing breast tissue and overall health will be carefully evaluated to determine the most appropriate surgical approach. You will also have the opportunity to ask questions about the procedure.

VECTRA 3D Imaging

As part of your consultation, 3D photographs will be taken using advanced VECTRA imaging. These images can be digitally morphed in real time to show how different implant shapes, sizes and profiles may look on your body. This allows you to visualise potential outcomes and make confident, informed decisions about your surgery.

Anaesthesia and Procedure Time

Breast augmentation is performed under general anaesthesia and typically takes between one and two hours. This is dependent on the complexity of the case and whether additional procedures are being performed at the same time.

Implant Placement and Surgical Technique

During the breast augmentation surgery, Mr Paul Wilson offers the sub-fascial, subglandular and dual plane techniques. With the dual plane technique, the implant is positioned partly beneath the chest muscle and halfway underneath the breast gland.

With the sub-fascial technique, implants are placed beneath the fascia and above the muscle, offering excellent support and natural movement while minimising muscle disruption. Of the three approaches, sub-fascial typically produces the most natural-looking results. Your surgeon will use the most suitable technique based on your anatomy and goals.

Incisions are usually placed in discreet locations, most commonly within the natural crease beneath the breast. This positioning helps minimise visible scarring and allows precise implant placement.

Implant Insertion and Shaping

Once the implant pocket has been created, the chosen implants are inserted and positioned to achieve optimal symmetry, projection and shape.

Closure and Dressings

The incisions are closed using fine sutures, and sterile dressings are applied. Drains are commonly placed to reduce the risk of fluid build-up in the early postoperative period. A supportive surgical bra will also be applied to help protect the implants and support early healing.

Scar Management

Your surgeon will provide advice on scar care once the incisions have healed. This may include silicone gel, moisturising products or gentle massage. Scar management will be reviewed during your follow-up appointments to ensure optimal long-term healing.

Recovery

Recovery and results of breast augmentation surgery

Recovery varies from person to person and depends on individual healing, implant placement and whether additional procedures were performed. Most patients stay in the hospital overnight for monitoring before returning home the following day.

What to expect

Swelling, bruising and mild discomfort are normal in the early stages and will gradually improve over the first one to two weeks. Pain typically settles quickly and is usually well managed with simple pain relief medication. The breasts may initially feel tight or firm as the tissues adjust.

Leaving hospital

Your surgeon will review you following your surgery to check how you’re feeling.

You will also be shown how to gently massage the central chest area to help reduce swelling and assist the implants in settling into their final position. This massage is recommended every two hours for the first four weeks.

Compression bra

You must continue to wear your supportive surgical or sports bra day and night for at least six weeks, removing it only briefly for showering. This helps reduce swelling, supports the implants and encourages optimal positioning as healing occurs.

Activity and movement

Once home, light movement is encouraged to support circulation and recovery. Short walks and gentle shoulder movements can begin the first day after surgery. Light daily activities are encouraged, but heavy lifting, strenuous exercise and contact sports must be avoided for six weeks. Driving should be avoided for two weeks.

Gentle exercise, such as using an exercise bike, may resume at three to four weeks if approved by your surgeon. Most patients can return to sedentary work within a few days, depending on how they feel.

Scars and long-term results

Breast augmentation leaves small scars under the breast crease, which gradually fade over time. Scars are often red and firm at first and may take up to 12 to 18 months to fully soften and mature.

Visible improvements can be seen early on, with results continuing to refine over several months as swelling settles and the implants gradually settle into their natural position.

Follow-up care

You will receive detailed written aftercare instructions and attend scheduled follow-up appointments so your surgeon can closely monitor your healing and ensure optimal results. Ongoing guidance will be provided at each stage of your recovery.

Risks & complications

Risks and potential complications of breast augmentation surgery

As with any surgical procedure, breast augmentation carries certain risks. While complications are uncommon, it is important to be aware of potential risks, which may include:

Infection
Bleeding or haematoma (a collection of blood beneath the skin)
Seroma (fluid build-up in the treated area)
Changes in breast or nipple sensation, such as numbness or tingling
Capsular contracture (firm scar tissue forming around the implant)
Implant movement, asymmetry or malposition
Scarring at the incision sites

Your surgeon will discuss all potential risks during your consultation, ensuring you are fully informed before deciding to proceed.

Fees

What is the cost of breast augmentation surgery in the UK?

The cost of breast augmentation surgery in the UK varies depending on several factors, including the type of implants chosen, whether additional procedures such as a breast lift are required and the overall complexity of the operation. Additional costs, such as hospital fees and anaesthesia, may also affect the final price.

A personalised quote will be provided following your consultation and once your surgeon has determined the most appropriate treatment plan to meet your goals.

Results

Breast augmentation surgery before and after photos

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FAQ

Frequently Asked Questions

How long do breast implants last?

Breast implants are made to last many years, but they are not intended to last forever. Many patients enjoy their results for 10 to 20 years or more. Replacement is usually only needed if there is a complication or a change in your personal preference over time.

Do breast implants feel real?

Most modern silicone implants feel very natural. The final feel depends on the implant type, size, placement, and the amount of natural breast tissue you have. Smaller to medium-sized implants generally feel more like natural breast tissue, while very large implants may feel firmer.

When can I sleep without a bra after breast augmentation surgery?

You will usually need to wear a supportive surgical or sports bra day and night for at least six weeks. After this time, your surgeon will advise when it is safe to sleep without a bra based on your healing progress.

How long after breast augmentation surgery can I drive?

Most patients can resume driving after around two weeks, provided they are no longer taking strong pain medication and feel comfortable doing so.

Do breast implants make breasts more likely to sag?

Breast implants do not automatically cause sagging. While implants add some weight, they can also provide internal support. Natural ageing, skin elasticity, gravity and weight changes play a bigger role in breast sagging.

Can I breastfeed after breast augmentation?

In most cases, breastfeeding after breast augmentation is safe and possible. Implants are typically placed beneath the breast tissue or beneath the muscle, so the milk glands and ducts are usually not affected.

What are B-Lite implants?

B-Lite implants are the world’s first lightweight breast implants, designed to be up to 30% lighter than traditional silicone options by using a specialised gel infused with tiny, hollow microspheres. This reduction in weight minimises the long-term effects of gravity, helping to prevent breast sagging and reducing physical strain on the back and shoulders, making them an excellent choice for active women or those desiring larger volumes.

What are the success rates of breast augmentation?

Breast augmentation has a high success rate with a low risk of complications. Most patients experience a significant boost in self-esteem and body confidence following surgery.

Schedule your consultation

Book a consultation with Paul Wilson Aesthetics

Patients choose Paul Wilson Aesthetics not only for the team’s surgical expertise, but also for their thoughtful, honest and patient-centred approach to aesthetic care. To get started, book a consultation where our team will discuss your concerns, outline your goals and determine if a deep plane facelift is the right option for you.