Breast Surgery

Breast Augmentation

Breast Enlargement

Pregnancy, breast feeding, weight gain and subsequent weightloss can loosen the soft tissues of the breast. Breast augmentation can predicatably refil and reshape empty or sagging soft tissues and improve your confidence.

Types of Breast Augmentation

Breast Augmentation with Implants

Under general anaesthesia, silicone breast implants are inserted into a surgically created pocket either:

  • immediately behind the natural breast tissue (sub-glandular or sub-mammary pocket)
  • behind the pectoralis major muscle, the chest “pecs” muscle (sub-pectoral, sub-muscular pocket or dual plane)
  • under the layer of fibrous tissue that is immediately in front of the pectoral muscle. The subfascial pocket represents a compromise between sub-glandular and sub-muscular.

The choice of pocket is largely decided by the amount of soft tissue cover that is available to disguise the upper edge of the implant and slimmer patients usually are best suited to placement of the implant under the muscle. Your surgeon will discuss which is best suited to your anatomy.

Implants are usually inserted through an incision in the crease under the breast (the inframammary fold). They can also be inserted through a cut in the armpit or around the areola. The inframammary fold or the peri-areola are the most commonly used in our practice.

Breast Augmentation with Breast Lift

If the breasts have a mild degree of droop, this can be improved by breast augmentation surgery alone. If the breasts are droopy but at a size that suits your body shape, you could have a breast lift operation without an implant (mastopexy).

In a breast lift, the nipple is raised and the breast tissue and skin is tightened using incisions around the areola and under the breasts. In some cases, both implants and lifting are needed. This can be done at the same time or in two separate operations.

Breast Augmentation with Fat Transplant

The only alternative surgical technique to enlarge the breast is lipofilling. This is where fat removed by liposuction from another part of the body (such as the hips or thighs) is injected into the breast area. Because only a relatively small amount of fat can be injected at a time, and some of the fat is reabsorbed into the body, you would need several injections to get a permanent enlargement.
Your own fat is the only substance that can be safely injected into the breast. Other materials have been tried, and then banned. Do not allow anyone to inject anything other than your own fat into your breasts.

Breast Augmentation to Correct Asymmetry
Breast augmentation can be used to correct congenital breast asymmetry. In many women one breast is slightly larger than the other and rarely a severe enough size and nipple position disparity exists to necessitate surgery. If the presentation is sufficiently asymmetric to cause concern, the smaller breast can be augmented with an implant and/or the larger breast can be reduced in size. 
About Implants
At Wood MediSpa, we recognise that there is no such thing as a perfect breast implant for all patients. We tailor the implant choice to the individual patient. Most importantly, we must respect their pre-operative anatomy and choose the implant that best complements it. 

An implant is made of a silicone gel enclosed in a silicone or polyurethane casing and comes in a variety of shapes and sizes. In your consultation, your surgeon will examine your breasts and to see the size of your ribcage and the firmness of your skin. They will discuss with you what size and shape of implant would best achieve your desired outcome. It is not possible to determine exactly what cup size your breasts will be after the augmentation, however your surgeon will be able to indicate a range.

Implants can be round or anatomical (teardrop shaped). With both types of implant, it is possible to determine the projection. The projection determines how much the implant will stick out. Lower projection implants will be more subtle than higher projection. With anatomical implants, the width and the height can be detemined seperately which helps tailor the implant to the existing anatomy of the patient.

Is silicone safe? 

Medical silicone is used safely in many medical devices, including breast implants. Your body will form a layer, called a capsule, around the implant. Sometimes, the capsule can thicken and tighten around the implant. This is called capsular contracture and it can change the shape or feel of the breast. If this happens, you might need further surgery to remove the capsule.

Breast augmentation is not linked with breast cancer or other cancers. There have been reports of a condition called anaplastic large cell lymphoma (ALCL) occurring with breast implants, but this is extremely rare and does not seem to be as serious as ALCL occurring in other places.

Over time, some silicone may leak out of the implant. This does not cause ill health, but it might cause lumpiness or pain, and you might need surgery to remove and replace the implant. Over time, the implant may become more noticeable, particularly if it is large.


What are the scars like?

The latest dissolving stitches are used to close the wounds as they provoke almost no inflammatory reaction as they are dissolved and therefore minimise any scarring. In a breast augmentation, the scars run along the skin crease under the breast. If the breast is also being lifted, an additional scar runs vertically from this fold to the areola (ring of colour around the nipple) and then curve around it.

They usually heal nicely with little redness and start to fade within a few weeks, but as with any scar it may take several months to look its best. In an absolute minority of patients the scars may become red and itchy and form hypertrophic (enlarged) or keloid (fibrous) scars. This may require treatment with silicone patches or steroid injections.

How painful is it?

The majority of the discomfort settles within 24 hours, during this time patients are in hospital and can have very powerful painkillers if necessary. Patients are offered a short course of painkiller tablets on discharge from hospital.

What happens after surgery?

Breast augmentations can be done as a day case or with a one night stay. More complex procedures involving mastopexy or reduction can require a two night stay. The wounds are protected with a soft dressing for two weeks after which time the dressings are removed in the clinic and patients can usually return to bathing or showering normally. At three months post-operatively a further routine follow up appointment is made to check that everything is healing well and post-operative photographs are taken.


First Steps?

Your Consultation

Your first step is to book a consultion with one of our experienced plastic surgeons. On your first visit, your surgeon will listen to what procedure you are interested in undertaking and will answer your questions. Your surgeon will explain the alternatives that are available to you in order to achieve the result you desire.

Should you decide to proceed, our Patient Coordinator will then be able to provide you with a price and date for surgery, with options to personalise your stay.

You will be provided will practical information about what you will need to know about before, during and after the operation. Your surgeon will be available to discuss any queries you have prior to surgery.

On the Day?

Your Surgery

On arrival, you will be greeted by one of our team and taken up to your ward room. This is where you will be based during your stay with us.

You will meet your surgeon and your anaesthetist on the morning of your operation. Your surgeon will mark up the surgery area and take photographs of this. Surgery begins with liposuction to remove excess fat. An incision is made, depending on the specific procedure and the amount of skin that must be removed. At this point, if required, any diastasis recti is repaired . Finally, the remaining skin is pulled together and closed. Depending on the extent of the procedure, your abdominoplasty will take between 2 to 3 hours and is always performed under general anaesthesia.

And Afterwards?

Your Recovery

You will stay on the ward for one night or two nights, depending on the procedure. You will be provided with a supportive corset to wear for the first weeks after the operation. You will need to attend a follow-up consultation approximately a week after surgery for an initial check up.

Depending on the extent of the surgery, you will need to remain off work for between one to three weeks and to refrain from exercise and heavy lifting for the first three weeks. The final contour will be evident between three to six months post-operatively.