0207 487 0900

54 Wimpole St, Marylebone, London W1G 8YJ

Dr. Inglefield

FOLLOW US LIVE IN SURGERY & CLINIC ON INSTRAGRAM & SNAPCHAT

Breast Enlargement London

YOUR QUESTIONS

 

Breast implant surgery is the most common plastic surgery procedure performed. For years women have opted for breast implants or enlargement to achieve a fuller, more pronounced shape or form for their breasts. At LBPS we spend considerable time listening to what type of enhancement you would like from breast implant surgery – what shape, form or size you are interested in and what your expectations are. Now offering the revolutionary B-Lite Lightweight Breast Implants.

 

Breast Augmentation 3D Animations

Why have Breast Surgery?

✔ Increase the size of the breast in a woman who feels that her breasts are too small.

✔ Restore the size and shape of the breast following pregnancy and breast feeding.

✔ Improve symmetry and shape where there is a difference in breast size and or shape either due to developmental asymmetry or following previous breast surgery.

✔ Improve or enhance your breasts and thereby your self-confidence, allowing you to wear the clothes you desire. Various types of Breast Implants are available and the best implant for you will depend on your goals and existing size and shape of your breasts.

Am I the ideal patient for Breast Enlargement Surgery?

If you would like to improve your breast shape and fullness and have been concerned by this for a long time, do not have any breast disease or serious medical conditions and desire a long term option to achieving fuller, more shapely breasts, then breast augmentation using implants is likely to be suitable for you.

What is the cost of Breast Implant Surgery?

The costs of Breast Implant Surgery will depend on your specific needs and goals. A written quotation will be provided following your consultation with Mr Inglefield. Our guide costs are from £5500. All of your care and follow-up in the first year will be covered.

What happens at your consultation?

Your consultation will be with your surgeon and one of our nurses to understand your concerns and desires. Your medical history with be reviewed to ensure your safety, followed by a full examination of your breasts.

Measurements of your breast will take place – width, nipple distance, breast drooping/ ptosis and soft tissue thickness will all aid in planning your breast augmentation.

The most suitable implant to achieve the best result following your Breast Augmentation will be discussed at your consultation.

Your age, skin laxity, loss of volume of the breasts will all be considered in determining the optimum treatment(s) or surgery.

It is important to realize that once you have Breast Augmentation you are committed to have the possibility of revision Breast Implant surgery at some time in the future. Remember Breast Surgery will not change you and solve any life crises, but may boost your self-confidence, self-esteem and enjoyment of life.

Does Breast Implant Surgery require a general anaesthetic or hospitalisation?

Breast Implant Surgery is performed under general anaesthetic with local anaesthetic, commonly as a day-case or overnight procedure.

How long is the Breast Enlargement surgery?

Breast Augmentation with Implants normally takes approximately 1 hour to perform.

What are my options for the type of implants?

Various types of Breast Implants are available and the optimum implant for you will depend on your goals and existing size and shape. Breast implant types are Silicone or Saline, round or teardrop shaped and can be low, medium, high or extra high profile in order to achieve the best aesthetic natural result.

What about the scars following Breast Augmentation?

Unfortunately, it is necessary to have a scar as a result of Breast Enlargement Surgery, but every effort is made to minimize the scars and ensure that these are as inconspicuous as possible. The goal is to achieve a scar which is as short as possible for the safe placement of your implants, and which, once fully healed is barely visible. Scars can be placed in the crease under each breast, in the armpit, or within the areola. The optimum scar for you will depend on your size, breast shape and desired cup size/shape.

Where will the implants be placed in Breast Augmentation Surgery?

Breast implants can be placed either behind the breast tissue or under the pectoral muscle, usually partial muscle – Tebbetts 1, 2. Which position is suitable for you will depend on the amount of tissue available to cover the implants. The goal is to achieve the optimum natural appearance of your breasts. If the soft tissue is thin over the breast region “upper pole”, then it will be recommended that the breast implants are positioned under the pectoral muscle. In either position, what you will see and feel is your own breast tissue.

How long is the recovery time?

We cannot guarantee a “Rapid Recovery Breast Augmentation” but over 96% of our patients report that their surgery was much less painful than they expected. Moderate pain / discomfort is expected for 3 – 5 days. Patients can go back to their normal daily activities the next day, but avoid strenuous exercise / activity for 6 weeks. It will be necessary to wear a support bra for the first 3 weeks, day and night and the second 3 weeks during the day. The majority of swelling will resolve in 2 – 3 weeks but it will take up to 3 months for the breast to return to normal feel.

What are the risks of Breast Augmentation Surgery?

Common to all surgical procedures there are always risks associated with Breast Implant surgery. However, Breast Augmentation with implants is a very safe procedure if performed by a fully qualified and trained Plastic, Cosmetic Surgeon using good implants in Hospitals with a high standard of care – as recommended by LBPS. The common risks are bleeding inside the breast (less than 0.1%), infection (less than 0.1%) and capsular contraction (less than 2%). Each of these risks may require revision surgery and at LBPS the cost of any revision surgery will be covered for the first year. Other risks that may occur are; implant displacement or rotation, loss of nipple sensation, poor scars, asymmetry of the breasts and implant rupture which are rare.

How long do Breast Implants last?

The results of Breast Implant Surgery are expected to last from 10 to 20 years using the current techniques and breast implants, depending on your individual ageing and breast size. However, you should be aware that once you have had Breast Augmentation you may require a revision Breast Implant operation sometime in the future to either remove your Breast implants or replace them or to uplift your breasts due to ageing.

Why choose London Bridge Plastic Surgery for your Breast Implant Surgery?

✔ Surgery expertise in hundreds of Breast Augmentation, Breast Implant, Breast Enlargement and Breast Implant Revision Surgeries.
✔ Excellence in Surgical care: Minimal Complications following Breast Enlargement, Breast Augmentation, Breast Implant Surgery, Breast Reshaping.
✔ 0% Infections following Cosmetic Breast Implant surgery.
✔ < 0.1% Haematoma / Bleeding After Cosmetic Breast Augmentation and Breast Implant Surgeries.
✔ < 2% Capsule contracture (Scarring) following Breast Augmentation with Implants.
✔ Our Lifetime Care Programme to give you peace of mind with follow-up consultations with your surgeon in the first year after your Breast Enlargement, Breast Augmentation, Breast Implants surgery and every year after.

More Questions?

Do I need a mammogram before my Breast Enlargement?

Working in close collaboration with our Breast Cancer Specialists, the guidelines are that any woman over the age of 40 should have a mammogram before any breast surgery including Breast Implant Surgery. Under the age of 40, no screening is necessary if there is not a family history of Breast Cancer or other cancers. A screening mammogram can be arranged for you at the time of your consultation, if required.

Can I Breast feed after Breast Enlargement?

Breast Augmentation with implants placed either behind the gland (sub-glandular) or under the muscle (sub-muscular) does not affect your ability to breast feed. The presence of implants do not cause any risk to your baby. Please be aware that many women cannot breast feed naturally before any breast surgery.

What are the advantages of Pure Implants?

  • Pure Polyurethane breast implants do not move – the unique bond formed by the body’s own tissue surrounding the Polyurethane implant, eliminates the risk of implant displacement, rotation or bottoming out over time which is common with standard silicone implants.
  • The Pure Polyurethane breast implants are covered by the Product Replacement Programme, covering against implant rupture for the patient’s lifetime and capsular contraction and rotation for 10-years.
  • Long term excellent results – research shows significantly lower incidence of capsular contraction with polyurethane implants. See research reports below

What are the disadvantages of Pure Breast Implants?

A temporary rash over the breasts occurs in about 1% of patients in the second post- operative week and can last for one to two weeks. It is itchy and is treated symptomatically with anti-histamines. Removal of Pure breast implants, although much less likely than with other implants, can sometimes be slightly more difficult than with other breast implants. Either the implant is removed alone or a total capsulectomy can be performed.

What is Capsular Contracture?

Everyone considering breast implant surgery will discover that the most common complication is capsular contracture. This is where the scar tissue, which grows around all implants and which normally you can’t see or feel, behaves like “shrink-wrap”. This compresses the breast implant causing it to feel firm or hard, often distorting the breast shape. Unfortunately Capsular Contracture is by far the biggest cause of dissatisfaction and the need for further surgery. Evidence submitted to the FDA in the US, showed that by 7 years following Breast Implants, up to 16% of patients had developed capsular contracture with both smooth and textured surfaced implants. Further surgery is required to correct this frequent complication.

Will drains be used at the time of Breast Enlargement, Breast Implant Surgery?

The use of drains (thin tubes from each breast) is a hotly debated topic in Breast Augmentation. At LBPS, we believe that any blood or fluid around the implant leads to inflammation and scarring, which can result in a capsule around the Implant. This capsule can cause firmness or hardening of the breast and a poor result. Therefore, drains will be placed at the time of your Breast Augmentation surgery. These will be removed before you leave Hospital.

Can Breast Implant Surgery be performed with a Breast Uplift, Mastopexy?

Yes, some women with significant drooping of the breasts together with loss of fullness may require Breast Augmentation combined with a Breast Uplift, Mastopexy. The extent of uplift required will depend on the degree of drooping and the amount or volume necessary to shape the breast.

What reassurance do I have with Breast Implant Surgery?

At LBPS, we understand that Breast Augmentation is an important and daunting decision for you and we aim to support you before, during and long after your surgery. Right from your first contact through to your 1 year follow-up visit, we will provide you with the highest standard of care. Our LBPS Lifetime Care Programme provides peace of mind for you for the time that you have your Breast Implants. This Programme includes free replacement of your implants in cases of capsular contracture or rupture (from whatever cause – e.g. injury from accident or simply at the time of a mammogram!). Please see above.

What about the results of Breast Implant Surgery?

The results are first and foremost natural. The goals of Breast Augmentation with implants are to enhance the size and shape of your breast to achieve a natural aesthetic appearance. Your breast implant surgery result should boost your self-confidence; allow you to wear the clothes you wish and look and feel as natural as a normal breast.

Is there an alternative to a Breast Enlargement Surgery?

At this time there is not an alternative to Breast Implants for women who desire a long lasting improvement in their breast size or shape. Many surgeons and clinics are recommending fat grafting for breast enlargement. Using your own fat seems very logical and safer than breast implants. However, there are NO long-term safety data to show that fat grafting, transfer to the breast does NOT increase your risk of cancer. Therefore, at the present time we do not recommend this for our patients. Should research prove that fat transfer is safe – we will certainly offer this for breast enhancement.

Lifetime Care Programme

At LBPS you will benefit from our Lifetime Care Programme. We understand that embarking on Breast Augmentation surgery can be daunting as well as exciting for patients and we aim to provide you with support and on-going care before and long after your surgery.

What is covered?

✔ Aftercare follow-up appointments with your surgeon for one year after your Breast surgery.

✔ Complete peace of mind for the life of your Breast implants, including free replacement of your Breast implants in cases of capsular contraction and rupture – up to 10years.

✔ Breast Implant manufacturers guarantee for life for your Breast Implants.

What is not covered?
– Breast Implant displacement due to failure to adhere to post-operative care instructions following your surgery.

– Complications as a result of failure to comply with post-operative care instructions including smoking cessation before and after your Breast Augmentation.

– Natural drooping of breasts with aging affecting the cosmetic appearance of your Breasts.

– Change of Breast implants for larger or smaller size.

– Revision surgery following significant weight loss or gain after your surgery.

Some interesting research…

Breast Augmentation helps to improve Quality of Life

Breast augmentation has been shown to improve quality of life in some areas in women undergoing the procedure according to the official journal of American Society of Plastic Surgeons.
A specially developed questionnaire called BREAST-Q evaluated satisfaction with breasts and with overall outcome, psychosocial, sexual, and physical well-being, and satisfaction with care. Forty-one women completed the questionnaire six months before and after undergoing cosmetic breast augmentation surgery with implants.

The results showed significant improvement in three out of the six areas: on a 0-to-100 scale, average scores increased from 27 to 70 for satisfaction with breasts, from 45 to 78 for psychosocial well-being, and from 35 to 72 for sexual well-being. More than 80 percent of women reported “significant improvement” in satisfaction in these three areas. The gains in quality of life were considered very large – similar in magnitude to the improvement in symptoms after hip replacement surgery. Dissatisfaction with breast size or shape can negatively affect a woman’s quality of life in several ways, including self-perceived attractiveness and sexuality.

In recent years, the U.S. Food and Drug Administration has urged ongoing follow-up of women receiving breast implants to document not only the safety but also the effectiveness of breast augmentation. It is vital to provide reliable and valid evidence regarding patient outcomes of breast augmentation especially, health-related quality of life and patient satisfaction.
The new study shows that implant-based breast augmentation can significantly improve a woman’s quality of life in several key areas. It also demonstrates the ability of the BREAST-Q to “capture the impact of surgery from a patient perspective.”

Tangible evidence of patient satisfaction and quality of life evaluations are vital to monitor outcomes of surgery and help provide rounded evidence for those wishing to undergo this procedure. London Bridge Plastic Surgery will be using the BREAST-Q questionnaire.

Data on Pure Breast Implants

Polyurethrane Foam covered Implants – Pure Breast Implants

  • The very best data regarding Breast Implants are available from the core clinical studies that were submitted to the Food and Drug Administration FDA, over the last year as part of the Premarket Approval process by both Inamed (now Allergan) and Mentor.”
  • Commenced in 2000, these are 10 year, prospective, multi-centred studies in the US of smooth and textured silicone gel implants. The FDA required these studies as a condition for the re-approval of gel in the US in 2006.
  • Allergan’s data show a re-operation rate of 30% at 7 years for 455 primary augmentation patients operated on by multiple surgeons. 40% of the re-operations were for one of two reasons – capsular contracture or displacement. The grade 3 and 4 contracture rate at 7 years was 15.5% with no difference between textured and smooth implants. Mentor’s data is published for 6 years of follow up and they have a contracture rate of 10%.

Your Questions

Q: What is the evidence for foam covered Pure Breast implants?
A: Histological analysis of the normal capsules associated with different implant surfaces, reveal collagen fibres (which make up the capsule) around both smooth and textured implants are aligned end on end. If a stimulus to contract occurs (whatever it may be), the fibres can shorten over one another concentrically around the implant causing a shrink wrap effect leading to hardening and distortion on the implant.
Pure foam breast implants work because the foam becomes integrated into the full thickness of the capsule. The foam is a 3D matrix or lattice and the collagen fibres wrap around the foam struts. They are no longer end on end but disjoined and cannot shorten over one another causing the concentric shrinkage. Thus contracture rates with Pure Implants are dramatically reduced 1% after 15 years. A strong Velcro effect between the capsule and the implant occurs.

Q: Are polyurethane foam covered Pure implants safe?
A: Unequivocally yes – PURE Implants have been used in hundreds of thousands of women for up to 40 years. The Handel 2006 data and Vazquez and Pellon’s 18 year experience show that other complications occur, at worst, at the same rate as for other implant surfaces. Handel was using an older incarnation of PU foam implants from Surgitek, a division of Bristol Myers. Vazquez and Pellon were using Silimed PURE implants. Their results in a large number of patients closely followed for 15 years, all in front of the muscle, show a contracture rate of 1%. Polyurethane foam itself has no association with an increased risk of cancer in any species and is used in other human prosthetic devices, such as pacemakers and prosthetic heart valves.

Before and after images

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Mr. Christopher Inglefield

Mr. Christopher Inglefield BSc, MBBS, FRCS(Plast) was born in Trinidad, West Indies, and obtained his Medical Degree from the University of the West Indies in Jamaica and Trinidad in 1985.

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