What is Breast Augmentation?
Breast Augmentation is a surgical procedure involving the use of implants to enlarge the breasts. Thesurgery is typically recommended for patients who are unhappy with their breast size and shape.
Implants can be successful in increasing volume in breasts that have always been small and in filling out breasts that used to be larger and have changed due to life events such as pregnancy or weight loss. Breast augmentation can reshape breasts to some extent. The Procedure can also be used to correct breasts that are of unequal size.
Is the procedure right for me?
During the consultation, your Surgeon will discuss your area/s of concern, desired improvements, options available (including no treatment at all) and expected outcomes. You will be examined, and measurements taken of your breasts. Some discussion will follow about implant shapes and possible sizes and the position of the pockets that are to be made for the implants to sit in behind your existing breast tissue.
How is the correct implant chosen?
Your surgeon will choose implants from a trusted manufacturer with the reassurance of an effective warranty and good long term scientific data on safety and durability. A wide range of implants are available that can be used to reshape the breast; from simply adding volume to choosing from round and anatomical(tear drop) implants.
Your desires for final breast shape and volume are considered. We use three methods to ensure that you choose the correct volume (or weight) of the implant.
- Rice test. Place dried rice into cut off stockings or tights and place these rice bags into a sports bra of a size that you desire.
- External sizers. Following your rice test, we place silicone fillets into your sports bra to simulate the volume and shape of your implants.
- Vectra 3D morphing. Using 3D photographs in the clinic, software is used to simulate your breast augmentation using the size, shape and brand of your chosen implants.
How is the procedure carried out?
The procedure will be carried out by your Surgeon in our state-of-the-art operating theatre. The surgical insertion of breast implants is generally straightforward and takes around two hours to perform.
A small incision is made under the breast and situated so that the resultant fine scar will sit within or slightly above the breast crease.
A “pocket” is then created to the exact dimensions of the implant; either above or partly beneath the chest muscle. The Muscle should be considered as a means to add an extra layer of tissue to effectively disguise the implant.
Therefore, it follows that if you are thin with little natural breast tissue you would be better served by placing the implant under the muscle so that the edges of the implant are less visible. If you have a naturally fuller figure, the natural breast tissue will provide adequate cover.
The implants are then carefully inserted and accurately positioned to ensure that they are sitting as intended. The skin edges are then closed with dissolvable stitches and light dressings are applied. Surgeons often combine these two routes, placing the implants party behind the breast and partly behind the muscle.
Through this combined approach, surgeons try to give patients the benefits of both techniques. This is called a dual-plane augmentation. If implants are inserted behind the muscle, they are likely to move when the muscle contracts. This is called animation and is normal.
Thesurgery is usually performed as a daycase under a general anaesthetic. Our highly experienced medical team will be on hand during your stay to care for your needs. After Breast augmentation surgery, it is normal to be a little tender over the chest area. Normally, you will need a couple of weeks off work and will need to avoid vigorous exercise for around six weeks. Swelling at the treatment site should be expected for at least 10 days. Light Exercise may be recommenced after one week. Showering is permitted on the second post- operative day. It is essential to wear your post-operative bra during the day and at night in the weeks following the surgery. The implants can take a few weeks to settle into position and it is quite normal for them to look a little high initially. This tends to settle after the first six weeks, but you will not get your long-term result for 3-4 months after the operation as a more natural shape emerges.
Scars tend to be quite red in the first 6 weeks, turning to purple over the next 3 months and then fading to white.
Mostpatients will form good quality scars over time.
Risks And Complications
All Surgical procedures are associated with risks. Your Surgeon will explain these in detail during initial consultation, enabling you to reach an informed decision on whether you wish to proceed. Serious complications are uncommon, however patients should be aware of the following complications prior to undergoing breast augmentation-
- Anaesthesia risks
- Changes in nipple or breast sensation
- Poor scarring of skin
- Wrong or faulty position of implant
- Implant Leakage or rupture
- The formation of tight scar tissue around the implant (capsular contracture)
- Fluid accumulation (seroma)
- Wrinkling of skin over the implant
- Pain, which may persist
- Possibility of revisional surgery
- Breast Implants are not guaranteed to last a lifetime and future surgery may be required to replace one or both implants. Warranty is typically 10 years.
- Pregnancy, weight fluctuations and menopause may influence the appearance of augmented breasts over the course of your lifetime
- Breast augmentation requires regular examinations of breast health to evaluate the condition of your implants
The results of breast augmentation are immediately visible. Over time, post-surgical swelling will subside and incision lines will fade. Satisfaction with your new image should continue to grow as you fully recover from surgery. In order to achieve optimal results, it is important that you follow your Surgeon’s post-operative instructions and follow-up visits.
Prices for breast augmentation can vary. The cost for a breast augmentation with standard round implants at St. Joseph’s hospital is from £5772 and Wood MediSpa from £7900. Other gel fills or anatomical implants may vary.
After consultation and if you are planning to proceed with surgery, you will be given a written quotation regarding the cost of the planned procedure.
The only alternative surgical technique to enlarge the breast is fat transfer or ‘lipofilling’. This is a technique where fat is removed by liposuction from another area of the body such as the hips, thighs or tummy and then injected into the breast area. Only a relatively small amount of fat can be injected so most patients will require multiple operations to bring about a worthwhile effect. This is a much more gradual approach compared with implant-based breast augmentation but does avoid having a breast implant.
375cc Subfascial Round Implants
325cc smooth round high profile implants
Sub-fascial Motiva Ergonomix 335cc
Example reviews (these can be found in full on my website and on RealSelf)
Breast Augmentation: The perfect size for my frame and the look I wanted to achieve
I am so glad I chose Paul Wilson for my breast augmentation surgery. The whole process has been fantastic and I am over the moon with the results. I have always wanted bigger breasts but was worried about going too big or not big enough. Paul was so patient and helpful with choosing what size to go for and now 8 weeks post op I know we chose the perfect size for my frame and the look I wanted...
Breast Augmentation: Excellent from start to finish - couldn't be happier with my results
I researched heavily before selecting my surgeon. Paul's experience was evident through his website and the glowing reviews left by patients. The imaging software used by Paul was very helpful as I was indecisive regarding size and shape! Paul offered his expert opinion as to how I could achieve the size and shape desired. He was reassuring from start to finish and always put me at e...
Breast Augmentation: Beautiful Boobs - Recovery was a breeze and the scars are minimal
Paul has been absolutely fantastic throughout the whole process to getting my new boobs. He listened to my desires during the consultation and the result is a beautiful. Recovery was a breeze and the scars are minimal. I would absolutely use Paul again for any cosmetic surgery I choose to pursue in future.
Breast Augmentation: 7 Weeks Post Op I am Beyond Overjoyed with the Results
I has a Breast Augmentation (Up lift) - Paul was excellent from start to finish, he explained the procedure fully and answered all questions and put me at ease. I'm 7 weeks post op and I'm overjoyed with the results so far and excelled my expectations Thank you Paul