Breast Enlargement (Augmentation)

Some women are unhappy with the small size and shape of their breasts. It may be that they never developed a lot of breast tissue following puberty or that their breasts may have subsequently involuted (shrunk) following weight loss, pregnancy or breast feeding. This can lead to psychosocial symptoms arising from an unnatural disproportion between breast size and the rest of the body habitus leading to lack of confidence and low self esteem, embarrassment in relationships, and a feeling of unattractiveness.

Breast augmentation is the term used to describe the surgical technique of enlarging the breast by inserting implants behind the breast. The operation is performed under general anaesthesia and lasts 1 hour and requires 1 night in hospital. There are a number of different shapes, sizes and types of implant, all of which can give excellent results and which are ultimately chosen on an individual basis. The operation entails making a 5 cm incision on the underside of the breast and making a space for the implant either beneath the breast tissue or beneath the muscle on which the breast lies. The wound is then sutured with dissolving stitches and covered with simple dressings.  

This is one of the most commonly performed cosmetic procedures and has high patient satisfaction and low complication rate. 

Breast Enlargement

AT A GLANCE

Length of surgery:
1-2 hours
Anaesthesia:
General anaesthetic
Overnight or day case:
Over night stay
Recovery:
1 week off work
Avoid driving 7-10 days
Wear sports bra for 6 weeks
No heavy lifting/gym/sport for 6 weeks
Follow-up:
7-10 days, 3 months, 6 months

Frequently asked questions

Not everyone is suitable for a breast augmentation. Suitability is a matter for you and Mr Johnson to discuss in clinic, following a thorough analysis of your medical history and a thorough clinical consultation. If you are suitable, during your consultation Mr Johnson will discuss with you the wide choice of implants available and help you decide the most appropriate implant for you. Mr Johnson will also discuss with you the size of implant you would like.

The surgery visually increases the size of the breast. The operation is very successful at increasing patient confidence and improving self esteem. Patients who have had a breast augmentation enjoy wearing new clothes and swimwear.

The scars are about 5 cm long and are placed beneath the breast in the breast fold.

Breast augmentation is not a particularly painful procedure. During the operation strong painkillers are administered so that when patients wake up from the surgery they will be comfortable. It is normal for patients to experience some discomfort from the scar line and for the first day or two postoperatively, strong painkillers can be administered if required. On discharge from hospital, any discomfort can usually be managed with simple tablet type painkillers such as paracetamol etc.

Following surgery, you should wear a firm sports bra for six weeks. It is normal to feel lethargic and tired for the first 2 weeks following surgery. Depending on your job you can usually return to work for light duties after 1 week. A gradual increase in light exercise is encouraged after your first wound check following discharge from hospital, but no sport, strenuous exercises or weight lifting should be undertaken until six weeks following surgery or until you are seen by Mr Johnson for review.

The visual increase in breast size and shape will be immediately apparent following breast augmentation. However, there may be a small amount of bruising and swelling which may last several weeks. The scars will undergo a natural maturation process involving a series of colour and texture changes over a period usually varying from 6 months to 2 years. The breast shape will change little over the next few months and the final result can usually be judged at around 6 months following surgery. The results of a breast augmentation are long lasting provided your operation is done at an age when your breasts have stopped growing. Large fluctuations in weight and further pregnancies can lead to a change is breast size and shape, and the normal age related effects on skin laxity can lead to a development of loose skin and a drooping of the breast tissue. All breast implants will induce the formation of scar tissue around them (called a capsule) and this can contract and become hard and painful and distort the shape of the breast in some individuals. It is difficult to predict who will be affected by this so-called capsular contracture, at what time, and by what extent, but on average, breast implants tend to last about10 years and certainly all patients who undergo breast augmentation must accept that this is a commitment to further surgery at some stage in the future either to release the scar tissue, remove the implants or replace them.

Major complications are uncommon following breast augmentation. During your initial consultation Mr Johnson will have a full discussion with you about the risks and complications of surgery. You will be given an information leaflet about breast augmentation which includes complications and if you decide to go ahead with surgery, these risks will again be discussed as part of the consenting process. Fortunately, with correct patient selection and appropriate procedure selection, the risks are kept to an absolute minimum. It is important that you should be reassured that Mr Johnson will not agree to perform any cosmetic procedure on you unless he feels the benefits significantly outweigh the risks.

Mr Johnson will come and see you on the ward after your surgery and will review you everyday throughout your hospital stay. After you have been discharged Mr Johnson will arrange to see you in clinic after 7-10 days to review the wound. He will then make arrangements to see you in clinic for longer term follow up appointments. You will be given contact details for the hospital and Mr Johnson’s secretary should you wish at any time to discuss further aspects of your care or make additional arrangements for review.

Treatment costs

Initial consultation

£200

Breast enlargement

The exact surgery cost will be confirmed after your consultation. This will include the hospital, surgeon and anaesthetic fees.

For more information click here

Booking a consultation

To book an appointment to see Mr Johnson please contact his private secretary and practice manager:

Marcia Pillai
Tel: 07780 514777
E-mail: davidjohnson@doctors.org.uk

Make an enquiry

BEFORE & AFTER GALLERY

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VIEW ALL BEFORE & AFTERS

PATIENT REVIEWS

Thank you ever so much for what you have done for me. I’m over the moon with the result. Thanks again. You’ve changed my whole life.

Breast augmentation, Patient KM

Thanks for all you’ve done for me. You’re the best!

Facelift, upper and lower blepharoplasties, fat transfer, Patient RB

I just wanted to say a personal thank you from the bottom of my heart for my nose. To me my nose is perfect. I love it so much. I can’t possibly explain how much you have changed my life for the better. I just wanted you to know how much you have changed me. I am a different person now with so much more confidence. I know to you, you probably think you are just doing your job but you are not – you are making dreams come true, especially mine. Thank you so so so much for making my dream come true.

Rhinoplasty, Patient Debbie

I would like to thank you and your team so very much once again for your kindness and professional service given to me at the Ridgeway hospital. Having my rhinoplasty operation has given me much more confidence.

Rhinoplasty, Patient SS

Just want to say many thanks for all your support and help both before and after my operation. I am very pleased with the results and appreciated your kindness, throughout my stay at the Manor.

Exchange breast implants with capsulectomies, Patient EH

I don’t think I will ever be able to fully let you know just how grateful I am to you. All you have done for me this last year has changed my life for the better in so many ways… I’ll never be able to put into words what your work has done for me, not only physically but mentally. I have more confidence, more courage, and now after these operations more hope. You have given me one of the greatest gifts – the opportunity of an optimistic future. One in which I can now look in the mirror. Thank you so much for your support, your time but most of all your kindness.

Post weight loss body contouring surgery, Patient BP

Many thanks for your kindness and care. You have changed my life for the better.

Brachioplasty, abdominoplasty, thigh lift, Patient JJ

Thank you very much for my new nose! It has made such a difference to me. I no longer worry when people see me in profile. My friends and family who know about the operation have all said how natural it looks and how well it suits me, so thank you for doing such a good job! I really am thrilled, and much happier.

Rhinoplasty, Patient NA

You really do work miracles! Many, many thanks for the fabulous results. Ts superb. Feeling great too.

Abdominoplasty, Patient LB

Thank you so much for your wonderful work. You have given me so much more confidence. Thank you again for everything you have done for me.

Breast reduction and liposuction, Patient MK

I feel the need to write a few lines of thanks following the breast augmentation surgery you performed on me last month. I knew this was something I wanted desperately for a very long time but the final result, I have to say, is above and beyond all my hopes and expectations. I am totally amazed and reeling still at the new me, both physically and mentally.

Breast augmentation, Patient AH

Thank you so much for the amazing surgery that you have done on our little girl. We felt so confident in you, and knew that if we needed to hand her over to anyone, we wanted it to be you. Thank you for allowing her the chance to grow up normally.

Craniofacial surgery, Parents of patient SH

I would just like to say thank you for your care in performing my surgery. You have made a big difference and given me the confidence I needed. You are a true professional.

Rhinoplasty, Patient SJ

A big thank you for everything that you have done for me. It’s a dream come true.

Blepharoplasty, Patient MO

Thank you so very much for doing my surgery, and for your compassion and care. The results are wonderful. You have given me back my self esteem.

Patient EG, Breast reduction

Thank you for repairing me and making me feel normal again! The operation has already had a huge impact on my life.

, Patient SM

Thank you for the fantastic job you have done for my daughter. You saved her life and gave her the best possible chance in life.

Craniofacial surgery, Patient KJ

Thank you for all your care in arranging my breast augmentation. I’m delighted with the results!

Breast augmentation, Patient V

I wanted to thank you for an amazing mastopexy. I’ve never been so happy! The level of care you showed me and my family was fantastic.

Mastopexy, Patient KW

I love my new nose. It means so much to start my new job feeling confident.

Rhinoplasty, Patient NA

This seems so little in thanks for all you have done for me. It seems such a big step to take, but you gave me confidence and encouragement to go on with the operations. Thank you so much… I feel very honoured to have this operation performed by you.

Major scalp reconstruction, Patient PK

Thank you for the lovely job you did on me the other week. I am absolutely thrilled! Thanks for putting me at ease throughout.

Minor skin surgery, Patient GL

Thank you just doesn’t come close! Jacob looks absolutely amazing already and it’s thanks to you. You have changed his life in more ways than one. We really appreciate your knowledge, understanding and support. You are an inspiration. A million and one thank you’s again.

Craniofacial surgery, Patient JL

Thank you so much for fixing our daughter’s ears. They are looking so much better. We are very grateful for your expertise.

Prominent ear correction, Patient OR

Thank you so much to you and your whole team for changing my whole life! I’ve waited and wanted this operation for so long and now it’s done I cannot begin to tell you how much it’s changed my like. Thank you thank you thank you.

Abdominoplasty, Patient TS

I would like to thank you very much for my surgery that, for me, has been a complete success. It has given me loads of confidence and made such a difference to my life.

Breast reduction, Patient EW

I cannot thank you enough for the care and attention during my operation. You have truly changed my life and I am so grateful. I cannot be happier with the results. You and your team are inspirational. Thank you from the bottom of my heart for everything.

Abdominoplasty, Patient KS

It’s been 10 and a half years since you saved my life in April and May 2006 from necrotising fasciitis. I am always grateful to you.

Emergency surgery, Patient MS

Following my brow lift procedure, I am writing express my great thanks for the treatment and care you have provided. The eyebrow is a brilliant result. I am now so much more at ease with myself and appearance.

Brow lift procedure, Patient GT

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