If you are considering a breast enlargement (augmentation) with silicone implants please read on and then you may want to open and read my full information sheet that can be found at the end of this page or in the information sheet section on the home page

FOR FREE 10 MIN CONSULT OR FULL 40 MIN CONSULT, CALL: 020 8709 7806​


In summary
I perform breast augmentation regularly in my practice using the implants manufactured by Allergan or Mentor (information on each company can be found on the download sheet). They are world renowned for the safety and construction of their implants. I use implants that have a texture to their surface as this has been shown to help reduce the incidence of a tight band of tissue, called a capsular contracture, forming around them.

You may have heard of a new condition that has been mentioned in the press. This is a recent discovery called ALCL. It is one of the LYMPHOMAs in the breast.
It has an incidence world wide of between 1:250,000 to 1: 500,000 women and is found associated with breast implants. The USA and UK has put out an advice sheet that women undergoing breast augmentation should be made aware of this condition.
It occurs usually 8-10 years after the implants have been put in and presents with breast swelling.



The treatment is varied but mostly consists of investigation into the swelling and If positive for ALCL then treatments will be discussed.
Allergan have printed a very informative sheet readily available on this topic.

DOWNLOAD BY PRESSING BELOW
https://www.google.co.uk/url?sa=t&rct=j&q=&esrc=s&source=web&cd=2&cad=rja&uact=8&ved=0ahUKEwi4sdXR5JfVAhXlBsAKHYjwBZgQFgg3MAE&url=https%3A%2F%2Fwww.allergan.com%2Fmiscellaneous-pages%2Fallergan-pdf-files%2Fldoc-03824_410_aug&usg=AFQjCNETTxF-N015W6ddF0p5G0EAZav2LA
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I use COHESIVE GEL implants which mean that they stay in shape and even if they rupture the contents stay in place. Some people call them "gummy bear" in consistancy. They can be round or shaped (tear drop) as your preference and we will have a full discussion about size in my consultation clinic. There are different ways to place the implant and this can be under the breast or under a muscle on the chest wall called Pectoralis major. Depending on if the implants are placed under or on top of your chest muscle, you may have drains and may have to stay in one night at the hospital.

Many of the hospitals in which I work have operation packages in place and allow for a nights stay in the package cost. These very competitive packages mean that you do not have to worry about any other cost from the time of your admission to discharge and includes a dressing clinic appointment and one more clinic appointment with me.
Be assured that you will only see me in clinic and your operation will be carried out by me. There is no nurse run assessment in my clinics.

Please contact my secretary or the hospital of your choice for a discussion about Breast enlargement and they will be very happy to let you know about all your care.

Information about the implants.


ROUND TEAR DROP (SHAPED) TEAR DROP WITH FULL PROJECTION

The above images are the most common implants I use. They are textured (not Smooth) on their surface, they contain
a cohesive silicone gel (gummy bear) and they come in round and shaped. The round and shaped can be with low to high profile as seen on the side view. All this will be discussed with you and your chest wall/ breast will be measured your to see which implant suits you the best.

The Chest Wall and breast

A B C


Image A, This Is a typical adult chest wall. The breast bone can be very variable between people. It can be wide or narrow, prominent, image B (pigeon chest) or dipped, image C. The prominent pigeon chest gives a rounder chest wall and the breasts sit further apart from each other and the nipple can face away from the midline. The dipped chest can cause the breasts to start facing each other and the nipple turn inwards. There are all variations to these. The chest wall muscle needs to attach to the breast bone. The muscle is Pectorals major and this is the muscle that is lifted to put implants sub-muscular (Image D and E)

D E F

The Pectorals Muscle attaches to the side of the breast bone, hence if the breast bone is wide the pec muscle will be wide apart. The breast sits on top of the Pectoralis muscle (Image F). If the implant is placed under the muscle with a wide breast bone then the breasts will still remain wide apart even with an implant as the pectorals muscle cannot be taken off the breast bone all along its length, only at the bottom part. Having the implants under the breast tissue can help bring the breasts further together but not fully.
More information can be found in my information sheet: OPEN FULL INFORMATION SHEET

IMAGES: Various breast enhancements with different sizes, either round or shaped and either placed under the breast or muscle.

​For more images please see Gallery

Categories of breast enhancement shown below.

1) Shaped implants
2) Ladies with Small breast and a thin chest wall
3) Breast Enlargement with a slight asymmetry to the breasts (round implants)
4) Breast Enlargement with Nipple reduction
5) Breast Enlargement with a breast lift

Shaped Implants


Patient 1

Pre Operation Post Operation
Medium Height, full projection, Shaped (Allergan) 255g Implants. under muscle

Patient 2.

Pre Operation

Post operation. After 6 weeks

Medium height full projection, SHAPED implants (Mentor). 330g under the muscle.











Photo to show the scarring in the Tattoo under the right breast at 6 weeks.


Ladies with Small breast and a thin chest wall,


Patient 1

Pre-Operation

Post Operation:

Allergan Medium Height SHAPED implants with full projection, 255g. Implants placed under the muscle.


Patient 2.
Pre Operation.

Thin chest wall, very minimal breast tissue, 2cm between breasts.
(NOTE: distortion to below the breasts is to camouflage an identifying mark)













Post Operation. 6 weeks
Mentor SHAPED (teardrop) implant 260g under the muscle. Medium height implant with full projection.


Patient 3
​Pre-Operation












Post-Operation: 6 weeks
Mentor SHAPED teardrop) implant 255g under the breast. Medium height implant with full projection.


Patient 4
Pre -operation
Very thin patient with breasts at different height on the chest wall. LEFT breast 2cm LOWER than RIGHT







Post-Operative: after 6 weeks.
SHAPED implants with extra full projection, 300g, under the muscle.

This has also helped even out the position of the breasts.










Widely spaced Breast and Nipples point outwards.

Pre -operation
Rounded chest, wide breast bone. The nipples are not in the centre of the breast, but augmentation can still be undertaken.

Post Operation:

Allergan ROUND implants with full projection, 265g. Implants placed under the muscle.
Position of the nipple on the breast will stay the same.








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Breast Enlargement with a slight asymmetry to the breasts

Patient 1

Pre operative.
More Breast tissue on the Right.














Post operation: After 6 weeks
Under the Muscle ROUND implants, with full projection,
Right side 325g and Left 335g.
This has evened out the asymmetry.













Patient 2
Pre operative.
More Breast tissue on the Right.





Post operative: After 6 weeks
Under the Muscle ROUND implants, with full projection,
Right side 345g and Left 385g.
This has evened out the asymmetry.



Breast Enlargement with Nipple Reduction

Patient 1

Pre-Operation
Very large Nipples to each breast














​Post Operation

6 weeks after operation

Under the Muscle , SHAPED implants, 370g and nipple reduction











​Nipple reduction to left breast close up.














Breast Enlargement with a breast lift around the nipple/areolar
(Please see Mastopexy)


Silicone Implants, under the muscle, medium height and high profile SHAPED implants, 345g. 6 weeks after surgery. Pre operative,the left breast is longer than the right and the nipple in a lower position.

4 weeks post operation, dressings just removed.
Minimal scarring just around the Areaolar for the breast lift.















​Breast Enlargement and MINI tummy tuck with liposuction.

Pre Operative photo

Post -operative

with ROUND 410g implants under the muscle. Mini tummy tuck scar seen



















Breast Enlargement with fat filling (lipofilling)

If you are considering a breast enlargement (augmentation) using your own fat please read on and then you may want to open and read my full information sheet that can be found at the end of this page or in the information sheet section on the homepage.

In summary
I perform breast augmentation using silicone implants and also using your own fat to increase the size of the breast. It usually needs a good quantity of fat to enhance both breasts. The fat is suctioned from the tummy,
flanks and inner thigh area, and cleaned so that it can be placed in the breast. I mainly perform this operation for breast asymmetry to enhance the smaller breast instead of using a silicone implant. If the smaller breast is about a cup size to 1.5 cup sizes smaller, then this is an ideal way to increase its size to match a breast that it no bigger than a D cup. It may require 2 or even 3 operations depending on the amount of fat needed to increase the breast. Only up to 150ml of fat can be transferred at a time to each breast. This can be performed as a day case surgery, but may require a night stay if a lot of fat is needed for the enhancement.
Many of the hospitals in which I work have operation packages in place and allow for a nights stay in the package cost.

OPEN THE FULL INFORMATION SHEET

Breast enhancement with Lipofilling

Breast Asymmetry and a smaller left breast Left Breast after 3 Lipofilling surgeries with her own fat
to bring up the size of the left breast , a total of 260ml.