Breast enlargement is one of the most common cosmetic surgical procedures carried out in the UK, typically involving the use of silicon implants.

It involves the insertion of silicone implants being into the breast through a short scar hidden in the crease under the breast or in the armpit.

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Who is suitable for breast augmentation?

Most women are suitable for breast augmentation. The more common age groups for breast augmentation are younger women who are dissatisfied with the size of their breasts, and also women whose breasts have deflated after childbirth, although women outside of these two groups may also benefit.

How do I choose type and size of implant?

At TPSG all patients are only seen by the surgeon who is going to perform the procedure on them. A careful medical history and examination will be carried out and your surgeon will spend time discussing the options with you which will take into account what you are looking for and also what is achievable.

There are two broad types of implant shape – round or anatomical and there are further variants of each type, which will be discussed with you at your consultation. The next decision is whether to place the implant under the breast tissue alone, under the pectoralis muscle or dual-plane which means partly under the muscle, partly under the breast. The exact combination of implant type and surgical technique is tailored to the individuals anatomy and aspirations.

What does the operation involve?

The procedure begins with the surgeon carefully marking your breasts. The operation is performed under sedation and local anaesthetic or general anaesthesia. The operation takes around one to two hours. An incision is made most commonly under the breast although sometimes the edge of the nipple or armpit are used instead. The implant is inserted through this incision and carefully positioned, Absorbable sutures are used to close the wound and supportive dressings applied.

What happens after the operation?

Normally you will be able to go home the same day. You may experience some pain for which you will be given pain relief. We ask that you return to TPSG for a wound review at one week after the surgery and leave any dressings intact until that appointment. Depending on the type of work you do, we advise you take 1-2 weeks off work and refrain from any strenuous activity or exercise for 6 weeks.

The final breast shape and implant position will become evident by 3-6 months after the surgery however most swelling will have resolved by 3 months.

How long do the results last?

Breast augmentation has an immediate effect however the breast shape will change throughout your life depending on weight fluctuations and breast feeding. Typically implants have a lifespan of 10-15 years after which point you may consider having the implants changed. What are the risks breast augmentation? Generally breast augmentation is a safe procedure with very low complication rates. Risks include bleeding, infection, prominent scars, asymmetry, capsular contracture (hardening of the implant) and concerns about the shape.

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