Breast Enlargement

Under a general anaesthetic (asleep) a cut is made on the underside of the breast around the inframammary fold. A ‘pocket’ is created inside either under the breast tissue, or under the chest muscle (pectoralis major). The implant is inserted into this space and the skin is stitched closed.

This will be decided when you come to clinic. You will be advised which implant size, shape, and texture is most appropriate for your goals. Implant registry – all implants are now recorded on a national database called the Breast and Cosmetic Implant Registry (BCIR). This is managed by NHS Digital and entry of your information onto the database is mandatory to allow you to be traced in the event of an issue with your type of implant in the future. For information on the Registry please click here.

You will need to buy a post-surgical front-fastening bra. You should buy a selection of sizes. If you take any blood thinners such as Aspirin you will have been advised to stop these prior to surgery and should follow the instructions you have been given. You should not smoke or use nicotine replacement for 6 weeks before surgery to reduce the risk of complications including wound breakdown, infection, and implant loss.

These will be discussed in the clinic. Please note a specific cup size cannot be guaranteed but you can express a preference. In order to reduce your risk you can make sure you eat healthily, are a healthy weight, and stop smoking.

Your wounds will usually be healed in 2 weeks. Occasionally areas can take up to 6 weeks to heal. You will need to wear your post-surgical bra day and night for 6 weeks.

Most patients who have breast implants can still breastfeed. Please be aware some patients cannot breastfeed and if this is important to you then you may wish to consider delaying surgery. Also breastfeeding will change the result of your augmentation.

Mammograms are possible with implants in place. Please tell the person carrying out the mammogram that you have breast implants, and they will take this into account when performing your mammogram. You may be advised to get a mammogram prior to having implants inserted. This could be related to a high-risk family history or if you are due for a mammogram on the national screening programme. Miss Jackson will advise you when you come for your out-patient appointment.

Breast implants undergo rigorous testing to ensure their safety. Some implants will last a patient’s lifetime without causing problems, others may require revision surgery within years.

This may be the right operation for you if:

• You want an increase in the size of your breasts
• You have no objection to having silicone
• You accept the long-term risks associated with breast implants such as rupture and BIA-ALCL
• You understand that removing the implants in the future will result in residual loose skin

Not sure about breast augmentation? Consider Fat Transfer.