Implants (also called prostheses or augments) are placed either beneath the breast tissue or beneath the pectoralis major muscle (lying directly beneath the breast tissue).
Breast implants today are filled with cohesive gel silicone designed to look and feel as natural as possible.
The cohesive gel is different to older implants that were filled with liquid silicone and behaves in a similar fashion to the inside of a jelly baby if the implant shell were cut (or the implant shell were to fail).
Personalised care at a hospital close to you with a comprehensive five-year structured follow-up programme and fully BAAPS and BAPRAS accredited surgeon. Prices from £4990.
1 to 1.5 hours
Day case typically
4 to 6 weeks
Your breasts may feel larger and higher than expected at first but after 6 months your implants will settle into position.
Are breast implants safe?
Mr MacQuillan only uses the premium range of Allergan implants, which are guaranteed and have one of the best reputations within the field of breast augmentation.
The incisions for breast implant surgery are usually placed beneath the breast in the breast (or inframammary) crease. The incisions are dressed with surgical glue, which is waterproof and the sutures will normally need to be removed at two weeks.
What size and shape should I have?
Breast implants are available in differing shapes and sizes and level of fill. The most common types of breast implants that you will hear of are round or anatomical (also known as teardrop) shaped implants.
The round type prosthesis looks almost like a semicircle in profile (hence round), whereas the anatomic shape tries to recreate the natural shape of the breast, which is teardrop drop in profile.
The size equates approximately to the number of millilitres (mls) inside the implant, and the level of fill equates to the projection that the implant will have from the chest wall.
How long does surgery take?
The breast augmentation procedure is undertaken under general anaesthetic and takes between an hour to an hour and a half.
You can go home the same day of the procedure but the cost is the same as for an overnight stay, so often it is as well to relax, whilst being looked after by the expert and caring nursing staff, and enjoy the truly excellent hospitality provided by the catering department in Bristol, London or Newport.
How long is the recovery process?
After you have been discharged from hospital you will need to take some pain relief but you should not be too uncomfortable. You will be provided with all the analgesia you should need before you go home.
You can start wearing a sports bra as soon as you feel comfortable, but it is essential not to wear underwired bras for the first six weeks as they can cause problems with wound healing.
After breast enlargement surgery, you can undertake light activities (including light aerobic exercise) once you feel comfortable, and after the first two weeks you can start to lift everyday objects. It is important not to do upper body weights or rigorous exercise until six weeks following the surgery. Your body will be a good guide as to what you can and can’t manage.
Is there anything else I should know?
One of the key things to understand with breast implant surgery (and breasts in general) is that there is no person on the planet who has symmetrical breasts (or for that matter face, hands or feet etc.).
This is important, as following surgery most people tend to look quite closely at their breasts and start noticing any asymmetry that may be there, having not noticed it previously.
Breast augmentation will reduce size discrepancy between breasts (by adding the same volume to each breast the overall percentage difference between the two will decrease) but it will not adjust nipple height (and may make differences more pronounced) and if your breasts are at differing heights on your chest wall, asymmetry will persist following the procedure.
Have a question?
If you’ve decided to have cosmetic surgery, you now need to choose a surgeon with the appropriate training, skills and experience to carry out your procedure.
It’s important to talk to your surgeon about what you want to change and why.
Anthony specialises in aesthetic surgery; he is registered with BAAPS, a specialist register of Plastic Surgeons maintained by the General Medical Council.
He is nationally acknowledged for providing outstanding medical care and achieving results which meet or exceed patients’ hopes and expectations.
Before & Afters
Find more info below…
There’s been a lot of news about a link between breast implants and a rare incidence of cancer, which has led to a medical company having one of its products, a textured implant, pulled off the shelf. In response, the UK’s leading independent plastic surgery association, of which Mr Anthony MacQuillan is a member of, has released a statement.
Breast Implant Associated Anaplastic Large Cell Lymphoma (otherwise known as BIA-ALCL) is a very rare type of lymphoma which may be cause by implants. We say ‘may’, because as of yet there has been no proven link between it and implant insertion.
The main symptoms of BIA-ALCL include excessive fluid build-up around the implant, which can cause pain, swelling or lumps in the breast or armpit. These symptoms tend to occur from between three and 14 years after the fitting of the implant.
The good news is that BIA-ALCL is a rare condition – and eminently treatable. In their statement, the British Association of Aesthetic Plastic Surgeons (BAAPS) pointed out that current research suggests the risk of developing this condition in the UK is approximately 1 in 24,000 breast implants sold.
What are textured implants?
Currently, breast augmentation patients in the UK can choose between smooth and textured breast implants. There are three main differences between these implants. Firstly, there is less movement with the textured implants because the surface composition means it ‘grips’ to the body’s tissues. They can feel firmer because the outer shell is thicker – although when placed in the body, particularly under the muscle, it is unlikely you’d notice any difference. And, finally, there is less risk of capsular contracture occurring with textured implants which is why they have been such a popular choice.
For this reason, the majority of breast implants now used in the UK have textured surfaces, and according to all the latest scientific data these remain safe – and there is no medical reason for any woman to consider removing or replacing them.
All major breast implant manufacturers produce a textured implant and it is only one particular brand which is in the spotlight. The Allergan-produced Natrelle implants which have a Biocell textured surface have been flagged up by the EU regulators.
As of November of last year, all implants featuring Biocell lost the right to be used in Europe, meaning that these implants are simply not available to surgeons in 2019 – and BAAPS has instructed its registered surgeons (which includes us) not to use the product.
Should you be concerned about implant safety?
If you have had implant surgery and are worried you may be carrying a faulty implant, BAAPS advises that you needn’t worry, as there is no need to remove or exchange any current implants based on the most up-to-date scientific data available. As a matter of fact, they stress that unnecessary replacement surgery may cause additional harm in a small number of patients.
They are also keen to point out that the removal of Biocell textured surface implants is a precautionary step taken by the regulators, whilst the link between breast implant surface and BIA-ALCL becomes clear, and advise any clients with new symptoms – such as swelling or pain – to contact their implant surgeon for specific advice. If there is no swelling or pain, they should discuss any concerns when they make their next routine appointment.
Bottom line: as in all surgical procedures, breast implant side-effects are a very rare occurrence, but the chances of them happening are always taken with the utmost seriousness by professional and reputable clinics such as ours. Mr Anthony MacQuillan will always discuss the risks in depth with you during the consultation period, and we will also be on hand if you have any questions after surgery.