Breast Enlargement

Breast enlargement is sometimes called breast augmentation, breast enhancement or 'boob job'.  Breast augmentation surgery increases or restores breast size using silicone breast implants or in some cases, fat transfer. One of the most popular and frequently performed cosmetic surgery procedures, breast augmentation has a long and successful track record in benefitting women who wish to enhance, regain or restore balance to their figures.

At A Glance

Operation time

1-1.5 hours

Anaesthetic

General

Hospital stay

1 night

Washing

Shower after 1 day

Driving

1-2 weeks

Exercise

4 weeks

Back to work

1-2 weeks

Full Recovery

4 - 6 weeks

Frequenty Asked Questions

Is breast augmentation suitable for me?

You are most likely to benefit from a breast augmentation if one or more of the following conditions apply to you:

  • You are self-conscious about the size of your breasts
  • Your breasts have become smaller and less shapely because of pregnancy or breastfeeding or from losing a lot of weight
  • You have one breast noticeably smaller than the other (breast asymmetry)

Mr Sawyer will carry out a detailed assessment before deciding if surgery is suitable for you.  This will include taking photos for your medical records.  He will examine your breasts and ask you questions about your medical history.

Let Mr Sawyer know if you are pregnant or planning to become pregnant in the future. Pregnancy can change the size and shape of your breasts and may affect the long-term results of surgery.

How do I choose the implant?

Breast implants come in a huge variety of different sizes and shapes. The breast implant can either be round all teardrop (anatomical) shaped. The breast implant size is determined by the volume in cubic centimetres (cc). There is a huge range from 100-800 cc. The size of the implants used is determined on many factors. A person with a smaller frame will need less volume to achieve the same cup size compared to a person with a large frame.

If there is a significant difference in breast size Mr sawyer may use different sized implants to make the breasts match each other better.

Mr Sawyers preferred implant manufacturer is Sebbin. They have been manufacturing breast implants for almost 30 years. The vigilance of Sebbin Breast Implants shows rupture and capsular contracture rates of less than 1% in implants 9 years after implantation. Sebbin breast implants have a warranty.  

If you prefer to use an alternative implant manufacturer, please discuss this with Mr Sawyer at the consultation.

How do I choose the size of the implant?

One of the key factors in determining the success of the augmentation is getting the right size of implant for the patient.  Too small and patients feel that they will not have benefitted from the operation.  Too large and the implants will look unnatural and will not fit the frame of the patient. Also, clothing will not fit properly, and the heaviness of the implants can predispose to premature drooping of the breasts.  There are no ideal ways in which to find the right size.

At the initial consultation, Mr Sawyer will suggest a suitable range of sizes, depending on your specific wishes and also your current anatomy.  

Implant size is determined in two ways:

  • Breast implant sizers of various volumes which can be tried within your bra to give you a feel of what size suits you best.
  • Crisalix, a virtual reality simulation app. Mr Sawyer will also use the 3D Cristalix system. He will take a special 3-D image of your chest on an iPad camera. Once the analysis is complete, he can show you the post-operative results using different implants.  This is now a vital tool in helping decide the best implant for you.

 

It is often worth bringing along someone to help you in deciding which size is best for you.

Do I need a breast uplift?

Mild droopiness can be improved by breast augmentation surgery. If your breasts are droopy but the right size for you, you can have a breast-uplift operation without an implant. This surgery is called a mastopexy.

How is it best to sleep?

Initially many patients find it too uncomfortable to sleep on their side or front, preferring to sleep on their back. This discomfort will settle after two to three weeks.  Patients who sleep on their front may experience difficulty as a result of the presence of their new breasts, though lying on them after two or three weeks will not cause any problem.

Can I drive after breast augmentation?

For the first week following surgery patients are advised not to drive as not only will the safety belt potentially put undue pressure on the breasts but also because patients will not be able to react properly in the event of an emergency stop.

What is involved in the procedure?

The operation is performed under a general anaesthetic and usually takes about 60 - 90 minutes. There is a one-night stay in the hospital.  

 The breast implant will be placed through a cut on the crease under your breast (inframammary fold).

Mr Sawyer will usually want to place the implant directly behind your breast as this gives the most natural result.  However, if you are slim and do not have enough breast skin and tissue to cover the implant, he may recommend placing the implant behind the pectoral muscle which lies behind your breast.   This will prevent the outline of the implants from being noticeable.

Usually, a drain (tube) is used in the pocket to drain away fluid that can sometimes collect. These drains are usually removed on the day of discharge. The cut is then closed with dissolvable stitches, leaving the drain in place.

To give your breasts support, we will fit you with a supportive bra at the end of the operation.

What is the aftercare?

Usually, you will go home either on the day of surgery or the next morning.It is important to wear a supportive sports bra for the first six weeks following the procedure.

Usually, you will be seen by one of Mr Sawyer's nurses around 6 to 9 days following the procedure to check and review you. At this time any dressings may be removed or replaced.

Mr Sawyer arranges a follow-up appointment at 4 to 8 weeks following the procedure.

What sort of bra should I use after surgery?

Patients are advised to wear a sports bra as soon as possible following surgery.  The sports bra should be kept on for a total of six weeks, being worn both day and night.  The purpose of the sports bra is to offer gentle pressure around the breast to help the implant bed in and also to keep it in the right position.  After six weeks, normal bras can be worn including under-wired ones.

 We can give you advice on which bras are recommended.

What can I realistically expect from the operation?

Breast augmentation increases the size of the breast but does not necessarily correct pre-existing problems.  Patients with breasts that have a large gap between them will still have a gap (though frequently smaller) as the gap is as a result of the width of their breastbone.  In these cases, if the implants are placed closer together the implant edge may become visible and the nipple will not be centred on the mound of the breast.  Similarly, patients with breasts that point outwards will still have the same configuration after breast augmentation.

No one has perfectly symmetrical breasts, and in any individual, their breasts will frequently have slight differences in size, shape and nipple position. Additionally, there may be slight differences in the chest wall muscles and rib cage shape on either side.  These differences will usually be identified at the initial consultation and the effect on the result discussed.  In patients with significant differences in nipple position, this may become more noticeable after augmentation and occasionally it is appropriate to undertake a nipple repositioning procedure.  In patients with size differences, either a small amount of tissue can be removed from the larger breast or different sized implants can be used.

Price Range

£4900-5900

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Mr Sawyer performed a Breast Augmentation on me back in October. I am over the moon with my results. Mr Sawyer is a lovely man, listened to what I wanted and gave advice, answered any concerns that I had. Explained in detail about what he was going to do. Aftercare was fantastic, I would definitely recommend Mr Sawyer to anyone who wants a breast augmentation, my boobs look fantastic!!

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