Breast Enlargement

Breast augmentation with implants is an operation performed to increase the size or volume of your breast(s). This operation usually produces long-lasting results, in terms of the increase in breast size, for as long as the implants remain in-situ. However, there is always a chance that issues may arise with your implants or with changes to your breast tissue over time and you may require further surgery in the future.

Many women choose this surgery to restore lost volume following pregnancy or weight change, to correct natural asymmetry, or to achieve a more balanced figure. At our practice, each augmentation is carefully planned to create results that are natural, safe, and in harmony with your body shape and goals.

The procedure is carried out under general anaesthetic and typically lasts one to two hours. An incision is usually made discreetly in the breast fold to minimise visible scarring. Through this incision, an implant is placed either behind the breast tissue or partially under the muscle, depending on your anatomy and the desired outcome. Patients normally go home the same day, though occasionally an overnight stay is advised.

In the first week after surgery, it is normal to experience swelling, bruising, and a sense of tightness across the chest. These symptoms gradually improve, and most women feel comfortable enough to resume light daily activities within a week. A supportive post-surgical bra is worn continuously to reduce swelling and help the implants settle. Heavy lifting, strenuous exercise, and contact sports should be avoided for at least four to six weeks to allow proper healing.

Follow-up appointments are an important part of the recovery process. You will be reviewed to check that wounds are healing well and that the implants are settling into position. Scars gradually soften and fade over the following months. While implants are long-lasting, they are not considered lifetime devices. Some women may need further surgery in the future to maintain results, but many enjoy their augmentation for many years without issue. With careful planning and aftercare, breast enlargement can bring lasting improvements in body image and self-confidence.

Frequently Asked Questions

1What does surgery involve?
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.
2What type of implant will I have?
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.
3How can I prepare for surgery?
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.
4What are the risks of surgery?
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.
5What is the post-operative recovery?
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.
6What about breast feeding?
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.
7What about mammograms?
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.
8How long do implants last?
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.
9Is this the right operation for me?
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.
  • Surgical time – 60-90 mins
  • Anaesthetic type – General anaesthetic
  • Time off work – 1-2 weeks office work, 2-6 weeks manual work
  • Hospital stay – 0-1 nights
  • Shower – immediately
  • Reasonably mobile – 2 days
  • Sleeping position – back or side
  • Exercise including gym – 6 weeks
  • Bras – front fastening post-op bra for 6 weeks day and night
  • Sexual activity – after 1-2 weeks when comfortable
  • Full recovery – 6 weeks
  • Driving – 1-2 weeks
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