Ms Lucy Khan undertakes breast implant augmentation following a comprehensive surgical assessment and careful discussion about your goals and the look you want to achieve. At the clinic (Edinburgh or Stirling), you will have the chance to simulate a breast augmentation on your own chest using our volume-matched implant shells. This allows you to see and feel your potential implant-augmented breasts in real life, not just on a screen.
We only use the highest quality implants, available options include: smooth round, textured round, textured anatomical (teardrop) and soft-touch impleo (this implant is round but the silicone is soft and takes a teardrop shape in the breast). B-lite (very lightweight) implants are also available. We also undertake fat-transfer breast augmentation (using fat from tummy and thighs) if suitable.
Why do people have a breast augmentation?
There are a number of reasons that patients may choose a breast augmentation. You may wish to enlarge the breasts, to make the breasts seem more full and curvaceous, to look more feminine or in better proportion with the rest of your body, or to correct asymmetry between the sides.
What is the normal procedure?
You will meet your consultant in the clinic. You will discuss your goals, expectations and any fears you may have. The surgeon will examine you, checking for any abnormality, and together you will decide the best size of implants to place and type of implants to use. You will have the opportunity to use a trial sizer to see what your new bust size will look like in a sports bra.
After a ‘cooling-off’ period of a minimum of 2 weeks (during which time you can cancel with no obligation to proceed), you will come in for surgery. On the day of surgery, you will be asked not to eat or drink anything from a certain time beforehand. You will meet the anaesthetist (doctor who puts you to sleep and keeps you healthy during the surgery) before going round for your operation. When you wake up you will be in a bed on a ward. You will have dressings over your wounds and there will be dissolving stitches, wound glue and paper stitches sealing your scar. Someone else will need to drive you home. If needed, take simple painkillers such as paracetamol or ibuprofen, but avoid aspirin.
Keep dressings in place for 10 days after the operation. Avoid getting the area wet for 48 hrs and then after that you should shower and pat the area dry until the dressing are removed.
You should wear a supportive (post-operative or sports-type) bra which isn’t too tight. You should avoid vigorous exercise for 4 weeks. Do not undertake contact sports or sleep on your front for 8 weeks.
As well as your appointment to have the dressings removed at 10-14 days you will receive a follow-up appointment at 6 months to check you are happy with everything. You will be able to speak to your surgeon or arrange another appointment at any time prior to your 6 month review, without any charge.
What do I need to know about breast implants?
There are a few things that everyone considering breast implant augmentation should know. Every GMC-specialist registered and qualified breast plastic or general plastic surgeon in the UK will tell you these things before surgery. If your surgeon does not mention them, please consider consulting with one who will.
1. If you can feel your ribs with your finger, beneath the breast or at the side of your breast, you will be able to feel the edge of your implant beneath your breast and at the side of your breast.
2. Currently manufactured implants that strive to achieve durability of the shell have a thicker shell to prolong the life of your implant, and a thicker shell may be easier for you to feel.
3. If feeling an edge of an implant shell could be a problem for you, do not have
4. We cannot change the quality or thickness of your tissues. If you are thin or have very little breast tissue, you will be more likely to feel your implant.
5. The larger your implant, the worse your breast will look over time. A larger implant will stretch your tissues over time and will cause more tissue-thinning and
sagging than a smaller implant. Your tissues do not improve with age, and they
will be less able to support the additional weight of any implant, especially a larger
6. Any implant, if filled adequately to prevent collapse and possible folding of the shell when you stand, will feel firmer than a normal breast, regardless of the filler
material. If the implant shell folds, it could fail sooner and require you to have
a reoperation sooner (most patients accept a firmer breast in exchange for a possibly longer life of the implant shell).
7. If you want a totally natural breast, you should not have an implant breast augmentation.
What are the potential risks?
Breast augmentation is a common operation and thousands of breast implants are placed in the UK every year. Most of these surgeries pass uneventfully. There are some rare but important early complications:
1. Bleeding – unexpected bleeding after surgery may require re-operation to evacuate blood and stop the bleeding. Rarely, you may require a blood transfusion or extra time in hospital. Bleeding affects 2-3 out of every 100 patients.
2. Infection – extensive precautions are taken both before and during the procedure to reduce the risk of infection. You will receive antibiotics at the time of surgery and antibiotics are used to wash the implant and breast before the wound is closed. Later infection may require further doses of antibiotics and in the worst cases may result in implants being removed. Infection happens in fewer than 2 out of every 100 patients undergoing implant augmentation.
3. Wound healing problems – for various reasons, including smoking, vaping, e-cigarette use or diabetes, the small blood vessels of the skin may not be working well. This increases the risk of wound breakdown (or necrosis). This may require additional surgery or lead to implant loss. You should not smoke for at least 6 weeks prior to and 2 weeks after your operation.
4. Asymmetry – although care is taken to ensure that the breasts appear symmetrical following the procedure, there can be asymmetry between the two sides when you have healed. In the worst cases, this may require further surgery or a change of implants.
5. Unsatisfactory result – occasionally patients do not feel satisfied with the result of their surgery, and improvements in appearance are not as good as they might have hoped. It is important that you are clear with your surgeon about the size and shape of breasts that you want, and realistic about what can be achieved. The outcome of your surgery can be expected to change with time, particularly as a result of ageing, pregnancy or weight loss or gain.
A number of implant-related complications can occur, and implant manufacturers normally provide a warranty which will give you a degree of financial cover for re-operation in these cases:
1. Implant rupture – modern implants can very rarely rupture, causing a leak of silicone. Of its own, silicone should not harm you, but it can collect in the tissues or glands. The implant will lose its shape and usually replacement is required.
2. Implant rotation/malposition – an implant can move to a position that is lower or higher than desired, or a ‘teardrop’ implant may rotate. This may require surgery to correct the position of the implant.
3. Capsular contracture – the body can react to an implant and this might lead to formation of a biological capsule around it. This is usually soft but on occasion it can become hard and contracted. This may cause pain or a poor appearance, and is usually corrected by surgery and implant exchange.
There are some specific, later implant complications that it is important for you to know about:
1. Breast implant associated adult large cell lymphoma (BIA-ALCL) – this is a type of blood cancer that can occur in patients who have breast implants. In the UK it is thought to affect between 1 in 20,000 and 1 in 60,000 women who have breast implants. It can normally be treated by removing the implant and surrounding capsule. There is a small risk that the disease spreads beyond the capsule and further whole-body treatment would be required. MHRA information about breast implants.
2. Breast implant illness / breast implant disease – a recently described phenomenon of fatigue, joint aches and immune-related symptoms that may occur in people who have had breast implants. Around half of these patients report that their symptoms improved when the breast implants were removed. Click for more information.
Arrange a consultation
Our consultations are held at BMI Kings Park Hospital, Stirling and
Dr Nestor’s Medical Cosmetic Centre, Edinburgh
Or call — 0131 297 0618