Cosmetic Breast Surgery

Breast surgery comes in many forms, from breast enlargement, breast reduction, reshaping, or breast lifts. We also offer Gynecomastia.

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The size of breasts is genetically determined. Once developed, the breasts may fluctuate in size in response to changes in weight, pregnancy and breast feeding.

The aging process causes the shape of the breast to change so that they gradually droop (called ptosis). This effect is greater following pregnancy, breast feeding and in particular after a large weight loss. Most women have breasts of slightly different sizes, but occasionally a very marked difference may develop.

Breasts can be made larger by placing an implant either under the breast tissue or behind the muscle on which the breast lies. Implants are usually inserted through incisions in the fold under the breast (i.e. inframammary fold). Alternatively, the incisions may be made around the areola or in the armpit.

A breast implant consist of an outer shell and a filling material which is most often silicone gel or sometimes salt water (referred to as saline). Some implants are round and others are shaped more like a natural breast referred to as tear drop or anatomical implants. Either can give excellent results. The manufacturers life expectancy of breast implants is 10 or more years, although implants can stay in without problems for a much longer time.

Video Explainers

We’ve put together some video explainers to help you understand the different procedures available.

Breast Enlargement/ Augmentation

The size of breasts is genetically determined. Once developed, the breasts may fluctuate in size in response to changes in weight, pregnancy and breast feeding.

The aging process causes the shape of the breast to change so that they gradually droop (called ptosis). This effect is greater following pregnancy, breast feeding and in particular after a large weight loss. Most women have breasts of slightly different sizes, but occasionally a very marked difference may develop.

Breasts can be made larger by placing an implant either under the breast tissue or behind the muscle on which the breast lies. Implants are usually inserted through incisions in the fold under the breast (i.e. inframammary fold). Alternatively, the incisions may be made around the areola or in the armpit.

A breast implant consist of an outer shell and a filling material which is most often silicone gel or sometimes salt water (referred to as saline). Some implants are round and others are shaped more like a natural breast referred to as tear drop or anatomical implants. Either can give excellent results. The manufacturers life expectancy of breast implants is 10 or more years, although implants can stay in without problems for a much longer time.

Complications/Risks

As with all operations, there are risks involved in breast augmentation surgery. Although the risks are unlikely, it is important to weigh them up against the potential benefit of the surgery. Discuss each of them with your plastic surgeon to make sure you understand the potential complications and consequences.

You can find more information regarding the procedure on the BAAPS website.

The Clients

Before1After1
Before2After2

Breast Reduction

(Boob Job, Gynaecomastia, Breast Hypertrophy, Large Breasts, Pendulous Breasts) Breast reduction surgery (reduction mammoplasty) removes some of the tissue and skin from the breasts to reshape and reduce the size of the breasts. It can also make the area of dark skin surrounding the nipple (areola) smaller. To remove tissue and skin from the breast, incisions (=cuts) are often used which result in an anchor shaped scar around the nipple and extending downwards. After the excess tissue and skin have been removed, the skin is closed with stitches. Sometimes the nipple and areola have to be removed and repositioned. Sometimes liposuction is used along with surgery. If most of the breast is fatty tissue and if excess skin isn’t a problem, liposuction alone may be enough for breast reduction.

Breast reduction surgery is done in a hospital or surgical center, typically with general anaesthesia. The surgery usually takes 3 hours. An overnight stay is usually required. For smaller reductions, the surgery may be done with local anaesthesia

Complications/Risks

As with all operations, there are risks involved in breast augmentation surgery. Although the risks are unlikely, it is important to weigh them up against the potential benefit of the surgery. Discuss each of them with your plastic surgeon to make sure you understand the potential complications and consequences.

Recovery

You will be out of bed on the same day as your surgery, and doing light activities after two weeks. You should be back to normal exercise in six weeks. Most patients take at least two weeks off work after the operation, depending on their job. Your breasts will be sore and swollen for a few weeks after the operation. Do not lift heavy things for several weeks, and avoid sex for at least two weeks. With all activities, start gently.

You can find more information regarding the procedure on the BAAPS website.

The Clients

before-reduction1after-reduction1
before-reduction2after-reduction2

Breast Lift/Uplift

Droopiness of the breast is a common legacy of motherhood, nursing and the force of gravity taking their toll, and the effect of pregnancy and a distension of the breasts with milk causes the fibrous bands which support the breasts in their youthful shape to break down and the skin to stretch. With the subsequent shrinking the unsupported breasts settle into the stretched skin and gravity pulls them down. Putting on weight and then losing it can have the same effect. So too does the ageing process, which is why women dislike the appearance of their droopy breasts.

Breast-uplift surgery is usually carried out under a general anaesthetic (so you would be asleep) or a regional anaesthetic(where the whole area is numbed with injections). The operation usually takes about 2 hours. You might be given antibiotics to keep the wound clean. Surgical drainage tubes are only rarely necessary. You might go home the same day, or stay in hospital overnight. If you do go home on the same day, a responsible adult should stay with you for the night. Your chest will feel tight and your breasts and the ribs below your breasts will be sore. Simple painkillers should be enough to keep you comfortable.

It is important to understand that the breast will to some degree become droopy again over time after this surgery.

Complications/Risks

As with all operations, there are risks involved in breast augmentation surgery. Although the risks are unlikely, it is important to weigh them up against the potential benefit of the surgery. Discuss each of them with your plastic surgeon to make sure you understand the potential complications and consequences.

Recovery

You will be out of bed on the same day as your surgery, and doing light activities after two weeks. You should be back to normal exercise in six weeks. Most patients take at least two weeks off work after the operation, depending on their job. Your breasts will be sore and swollen for a few weeks after the operation. Do not lift heavy things for several weeks, and avoid sex for at least two weeks. With all activities, start gently. Do not drive until you feel safe and are comfortable wearing a seatbelt. Check your insurance documents if you are not sure.

To protect your body, and get the best result, look after yourself.

You can find more information regarding the procedure on the BAAPS website.

The Clients

lift-before2lift-after2
lift-before1lift-after1

Gynecomastia

Gynecomastia (pronounced guy-ne-co-mastia) is a medical term meaning male breast enlargement. In the majority of cases there is no known cause and, although rarely talked about, it is a common condition. For men who feel self-conscious about their appearance, breast-reduction surgery can be helpful. The procedure removes tissue from the breasts, and in extreme cases excess skin. This information sheet will give you a basic understanding of what is involved if you are considering surgery to correct gynecomastia. It can’t answer all of your questions, as a lot depends on your personal situation.

Most teenage boys experience some degree of breast enlargement affecting one or both breasts. However, by early adulthood less than 10% have a residual problem. This incidence rises with age, reaching approximately 30% (1 in 3) in older men. Rarely, the breast enlargement can be caused by medicines (for high blood pressure, heart disease and prostate cancer), drugs (such as marijuana and anabolic steroids), some diseases (such as liver failure and some cancers) and some very rare congenital abnormalities (errors of development that one is born with). These causes should be excluded by the surgeon during an initial consultation. Additional information will be needed at this consultation regarding overall health, chest size and body shape, previous chest surgery, any bleeding tendencies and healing capabilities, some of which will be affected by smoking, alcohol and various medications.

You can find more information regarding the procedure on the BAAPS website.

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