Ten things you need to know before breast enlargement surgery.

Written by Mr Vummiti Krishnan, Consultant Breast Surgeon at Pall Mall Cosmetics.  

Alike any cosmetic or surgical procedure, undergoing breast enlargement surgery is not a decision to be made lightly. With this in mind, our expert Breast Surgeon, Mr Krishnan reviews the 10 things you need to know before going under the knife.

Mr Krishnan Breast Augmentation blog avoiding surgical risks

1.) Choosing your new breast size

One of the most important decisions to make when it comes to having breast enlargement surgery is choosing the perfect sized implant. One way to experiment with different sizes is with ‘try on’ breast implants that give you an idea of what the different cup sizes would be like.

You should ask your surgeon during your consultation, so you can look at, feel and see how these appear in your own clothes. Your surgeon should be able to guide you as to what size will work best with your body frame, helping to find the optimum choice to get the results you want.

2.) Picking the right implant shape

There are generally two shapes available, a round implant and a teardrop shaped implant. The more traditional of the two is the round implant, this offers the classic look that many women hope for when approaching this sort of procedure. The teardrop implant is much newer to the market, the silicone tends to be slightly thicker and thus it tends to retain its shape. For ladies who want a specific area of their breasts to be altered, the teardrop is available in either a ‘tall’ or ‘wide’ oval shape to enhance this area. Use your surgeon’s expertise, don’t be worried about explaining what you wish to achieve.

3.) Breast enlargement & uplift

Breast uplift surgery can also be combined with a normal breast enlargement to give the appearance of fuller breasts and to position to nipples in a higher or more central position. This procedure takes around two and a half hours in theatre so it does take longer in theatre and has more risks. Some women who have opted for surgery with particular emphasis on uplift comment that it reshapes and re-positions sagging breasts and enable them to wear a top, sometimes without the need of a bra.

4.) Using before & after photos

Before committing to a breast enlargement procedure, it is essential to do your research. Throughout your research of clinics, surgeons, reviews and patient results, you may come across many before and after images of other women who have had this type of surgery.

In most cases, before and after photos are not very useful as the results that you get will be unique to you. It can however give you an idea of the size and shape difference that can be made.

5.) Implants and breast feeding

It is common to see many women decide to have this surgical procedure after pregnancy and child birth. The good news is that you can safely breastfeed after surgery too.

There is a risk that this surgical procedure can damage milk ducts or prevent the milk from flowing correctly due to the increased pressure on the ducts caused by the implants. Therefore, know the risks, discuss them with your surgeon and be prepared that an enlargement procedure such as this can potentially reduce the chances of you being able to breastfeed your baby. According to the Institute of Medicine you’re around three times more likely to have an inadequate milk supply after the procedure has been carried out.

6.) Longevity of implants

Breast implants do not last forever, on average they last around 10 years but some can last anywhere up to 25 years. When you identify this point, or see signs of a change in shape, or feeling, you will need to look into breast implant removal or replacement.

You should always remember that enlargement surgery will always require at least one further procedure to remove or replace your implants. You may require multiple surgeries if you wish to maintain an ongoing breast enlargement over a longer period of your lifetime.

7.) Scarring from the surgery

After a breast enlargement procedure, there will be some degree of scarring that will appear pink for around six to eight weeks after the surgery but will fade in time. This can be different for all patients, so have realistic expectations of post surgical scaring.

Your breast surgeon will no doubt offer advice on how to properly care for these scars and ensure they’re kept to a minimum following the procedure and throughout the aftercare period whilst they heal and improve in appearance.

8.) Asymmetry between breasts

If you have uneven breasts, a breast enlargement can help to make them appear more symmetrical. However, there is no guarantee that the results will be perfectly even after surgery too.

Often women require a different sized implant for each breast to help correct this. The symmetry doesn’t only rely on the implant itself, also the surgeons skill and experience with the Inframammary fold (IMF), (the place where the breast and the chest meet) which needs to be correctly positioned in order for the implant to sit correctly and be aligned for a symmetrical result. If this is done incorrectly, it can affect the chest muscles and may lead to another operation to rectify the issue.

9.) The surgical procedure

Before you commit to your breast enlargement surgery, it is advisable to understand the operation itself. The surgery will take place under general anaesthetic and takes around 45 to 90 minutes in theatre. Often an incision will be made next to or below the breast for the implant to be positioned into place.

Your breast surgeon will advise on how the implant can be placed for the best results. Once the implant is in position, the incision will be stitched back together and dressed with the aim of minimising scar tissue.

Most people do not realise that you can often return home the very same day of surgery too.

10.) Recovery after surgery

The average recovery time from a breast enlargement procedure is around one week of rest and recovery. After this, you may drive or return to work but you may not feel 100% for a few more weeks. Heavy lifting or intense physical exertion should be avoided for at least a month.

Following surgery, you will have some stitches in place for around 1-2 weeks depending on your recovery and wound healing. These will be removed when ready.

Your aftercare programme will also involve returning to clinic for a number of post operative check-ups. It is important to ask your hospital about their aftercare programme and ensure you will have every opportunity to check your wounds are healing, make sure your implants are settling well and to be able to seek help or guidance if things do not go to plan.

Mr Vummiti Krishnan at Pall Mall Cosmetics in Manchester, Liverpool and Newton-le-Willows

How do I find the best breast augmentation surgeon in the North West?

It’s important to be confident in your hospital and surgeon, before you agree to have breast enlargement. Consult the Care Quality Commission (CQC) website, to ensure your chosen clinic meets full regulatory standards to ensure a safe patient experience.

You can also look for a surgeon who is recognised by the British Associations for Plastic Surgeons such as ‘BAAPS’ and ‘BAPRAS’ – a great way to identify an experienced surgeon, with UK qualifications who can offer the gold standard of patient care.

You can ask your surgeon any questions or discuss any worries you may have about the procedure or risks involved. A surgeon can help to address your individual concerns and calm nerves.

* You can read more about our Breast Enlargement Surgery by clicking here.

“The team at Pall Mall Cosmetics are dedicated, caring and have a clear vision that the patients and their needs are their no 1 priority. The care and attention I received before, during and after surgery from all staff was second to none. The surgical team are very highly experienced and left me in no doubt that I would be happy with the outcome of my procedures.”

susan. m

Meet Mr Vummiti Krishnan at Pall Mall Cosmetics

Mr Krishnan is one of our expert Breast Surgeons here at Pall Mall Cosmetics. With his experience in the NHS as a Consultant Oncoplastic & Reconstructive Breast Surgeon, you can be assured of his expertise with breast augmentation, reduction or uplift procedures.

At Pall Mall Cosmetics, prices for breast augmentation with Mr Krishnan start from £3,495 with free consultations until you are completely happy.

To get a free of charge, no obligation consultation for cosmetic and reconstructive breast surgery with Mr Krishnan, simply call Helen & Sara in our cosmetic team on 03300 58 44 55 or email team@pallmallcosmetics.co.uk.

Or view Mr Vummiti Krishnan’s surgical profile – click here.