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Breast augmentation (breast enlargement) is the most popular surgical cosmetic procedure performed in the UK. Quick, safe and effective, the procedure can help restore your body confidence and happiness with your shape.

Breast enlargement surgery, or breast implant surgery or augmentation, is also our most regularly performed procedure at the Cadogan Clinic.

Whatever your personal reasons, opting to have a breast augmentation at the Cadogan Clinic means access to leading UK consultants, techniques and facilities. Our expert team understand how the appearance of your body can affect your confidence and everyday happiness, and with thousands of breast enlargement procedures performed historically by our surgeons, we are extremely well placed to assist you on your journey.

What is Breast Augmentation

Breast Augmentation is the most popular cosmetic surgery procedure in the UK, accounting for 7,700 procedures in 2019 alone. Breast Augmentation involves the insertion of a silicone breast implant into the body, or fat graft, in order to change the size, shape and texture of the breast.

Introduction to Breast Augmentation

Why do people have it

For many women, the size and shape of their breasts can cause unhappiness and insecurity.

Whilst genetics plays the biggest role when it comes to breast shape and size, it is also true that, once developed, breasts can fluctuate in shape and size in response to changes in weight, hormones, pregnancy and breastfeeding – often in an asymmetrical fashion.

Breast Augmentation is the most effective and immediate corrective procedure in such instances, providing a safe and convenient solution, restoring confidence to thousands of women each year.

Who is suitable

Cadogan Clinic considers individuals fit for the procedure, if all of the following are true of them:

  • An adult with fully developed breasts
  • Physically and psychologically fit and healthy
  • Bothered by the size or shape of their breasts, either for genetic reasons or due to external factors such as ageing, pregnancy or weight gain/loss 
  • Have realistic expectations of what can be achieved by surgery

What to expect

CONSULTATION 

The first step for all of our patients is to meet with the surgeon we feel is best placed to perform your procedure for a consultation.

At the consultation a pre-operative assessment will be made, with several key measurements made of your breast and chest, alongside documentation of nipple position and skin tissue quality and laxity.

A selection of implant shape (teardrop, round or conical), size, and surface texture will then be made in reference to your stated desired aesthetic outcome, and a decision made on where the incision and pocket placement site will be.

Standard clinical photography will also be taken, and dependent on which consultant you see, a visualisation of what outcome you can expect will be made via Crysalix 4D imaging technology used at the Clinic.

Finally a comprehensive discussion regarding risks and complications will take place, alongside a discussion regarding the post procedure and recovery phase. Your previous medical history will also be recorded (including previous surgery, medications, allergies etc.) and an assessment of your fitness for surgery.

If your surgeon feels you are a good candidate for surgery, you are then invited to consider whether you would like to proceed for surgery or otherwise following a two week 'cooling off' period.

Within this period you are welcome to come in and discuss your potential surgery with your surgeon as many times as you like.

4D Augmented Reality Imaging

Augmented or adjusted breast size and shape in real-time, observing movement and anatomical suitability.

Crisalix - 4D Augmented Reality Imaging at Cadogan Clinic

PRE – PROCEDURE

If you choose to proceed with surgery, the next time you come into the Clinic after your final consultation will be the day of your procedure.

Before admission the following behavioural changes are recommended / required:

  • In the 6 weeks before your procedure we recommend smoking is discontinued as patients who smoke have a higher risk of wound breakdown, implant infection and, ultimately, the need for implant removal
  • In the week before your procedure you must cease taking Aspirin or any medication that contains Aspirin
  • - In the 6 hours prior to surgery you must not consume food or any drink, other than small sips of clear fluid (e.g. still water, black coffee, black tea) which are allowed up to 2 hours before admission

DAY OF THE PROCEDURE

On the day of your procedure we ask that you arrive for your admission an hour before the agreed start time of surgery. At this point a nurse will come and record blood pressure and other relevant vitals, you will meet with your anaesthetist and your surgeon who will make the final mark-ups.

Breast enlargement in itself is straightforward and takes place under general anaesthetic in roughly an hour. An incision will be made in the area most likely to leave the least visible scar, most commonly the inframammary fold underneath the breast, but can also occur under the armpit (axillary) or along the areolar edge (periocular). The implant is then inserted into a pocket either above or below the muscle, as determined by several factors such as existing breast volume, levels of excess skin and shape of the breast structure, and as agreed at your consultation. The incision is then sutured to leave an scar of between 4 -5 inches.

After your anaesthetic has subsided, you will recover in our ambulatory recovery rooms for between one or two hours. Once our specialist nursing team are happy that your initial recovery is complete and you are safe to return home, you will be allowed to leave the Clinic accompanied by a friend or member of your family.

POST PROCEDURE & RECOVERY

Once home you will have access to our dedicated on call nursing team 24 hours a day, 7 days a week. This team of specialists are dedicated to your comfort and pain control, and are there to field any questions you may have in the immediate post operative phase.

Pain generally subsides between 1 – 4 days after surgery and most patients are completely pain free by 1 week. We recommend at least 1 week off work and very minimal movement in the first 2 weeks.

You must wear a post surgical garment for 6 weeks to ensure the very best long term scar results and reduce the risk of implant rotation. Strenuous upper body exercise should also be avoided for 6 weeks.

We ask that you come in and see our nursing team 1 week after surgery to ensure your incision sites have been properly reviewed. At this juncture we also recommend you meet with one of our on site aestheticians to discuss ongoing treatment to support the healing and scarring process.

We ask that you come in to see your surgeon after 6 weeks for a post procedure for a final check up.

  • Cadogan Clinic is an award winning specialist cosmetic clinic, with a track record of delivering safe, high quality cosmetic surgery  
  • We are home to a team of high profile, published breast augmentation specialists who between them have performed thousands of breast enlargement treatments 
  • Unlike many of our competitors, we use the latest anaesthetic technologies to minimise your downtime, and allow you to return home on the day of your procedure
  • Our nursing team provide a dedicated 24/7 on call service during recovery – whatever your question, we can provide the answer
  • We offer a complimentary consultation and treatment with our onsite team of aestheticians to ensure you heal and scar quickly and efficiently

Before & After Gallery

Breast Augmentation DEMO Results

Click here to view our gallery of Before & Afters and Breast Augmentation DEMO results

Frequently Asked Questions

Breast augmentation surgery is a surgical procedure to expand the size of the breast. Breast enlargement surgery involves the placement of breast implants into the breast region either above or below the breast muscle.

An alternative breast enlargement surgery is fat transfer breast enlargement. This involves fat injections into the breasts, after fat has been grafted via liposuction from elsewhere in the body.

Breast augmentation surgery is usually performed as a general anaesthetic as a day case procedure, i.e. coming in and out of the hospital the same day.

The site of the incision: 

There are various places where the incision (scar) can be placed. The most common and safest is the inferior mammary fold or IMF. This is where the wire from the underwired bra sits. Alternative incisions are the peri-areolar (around the nipple) or axillary (armpit). The size of the scar will range from approximately 5-6cm depending on the increasing size of implant.

The types of stitches/sutures:

All sutures are placed below the skin and are dissolved by the body over the course of a few weeks. Nothing needs to be pulled out/removed. Often surgeons will seal the wound with tissue glue, to limit the risk of superficial wound infection from the normal bugs we have on our skin. This glue peels off over 1-2 weeks.

Shapes of implants:

There are three shapes available, round, anatomical (tear drop) and conical. All three come in a range of increasing sizes of base diameters, i.e. how broad an implant is.

Profiles of implants:

For each base of an implant there are 4 different profiles. These are low, medium, high and extra high profile. This is simply a term used to describe the edge or “take off” of the implant. Low profile is a softer, subtler edge (a more “natural look”) and, to the other opposite end of the spectrum, an extra high profile has a steeper edge to the implant, resulting in lots of cleavage (“false look”).

Volume of implant versus cup size:

You choose a volume of implant with your surgeon. You do not choose a cup size. The reason for this is that there is no standard cup size.

Asymmetry:

Most women have some form of minor breast asymmetry. One side may differ from the other in volume, position of the nipple or shape of the chest wall. This is entirely normal. Your surgeon will try to adjust this as best he/she can during the procedure, but if minor differences still remain after the operation, we accept that it is within normal limits.

Where the implant is positioned:

There are two basic areas where implants are placed: above or below the Pectoralis major muscle. Where they are placed depends on your preference, your anatomy and what the surgeon feels is best for you.

For many women, the size and shape of their breasts can cause unhappiness and insecurity. Breast enlargement can provide a safe and convenient solution, restoring confidence to thousands of women each year.

Whatever your personal reasons, Breast Augmentation at the Cadogan Clinic will provide the leading UK consultants, techniques and facilities for your treatment. Our expert team is acutely aware that the appearance of your body can affect your confidence and everyday happiness, and as such we handle each case with sensitivity and discretion.

Several key factors contribute toward achieving natural-looking results from breast augmentation surgery.

First and foremost an experienced, qualified cosmetic surgeon is required who possesses the skills and deep expertise in the procedure to carry it out in accordance with best practice principles, as well as tailor it to your personal wishes and requirements. Whilst the procedure itself is regarded as relatively straightforward surgically speaking, the very best results can only be achieved when the procedure is tailored to each individual’s circumstance and condition.

In the first place, the right implant must be chosen to suit your body shape, size, as well as your personal hopes for the overall results of the operation. This involves a selection of an implant comprising the right material (our surgeons typically recommend FDA-approved Sebbin implants for the most ‘natural’ look), right shape (round, anatomical or teardrop, or conical), right size and volume, and right profile.

For each implant there are 4 different profiles, ranging from ‘low’ to ‘extra high’, referring to the edge of the implant where it meets the chest. A low profile will deliver a softer, subtler, ‘more natural’ effect as compared to an extra high profile which has a steeper edge to the implant resulting in a ‘falser’ look and greater cleavage.

A further complexity relates to the actual location of the implant in the chest.

There are two basic areas where implants are placed: above or below the pectoralis major muscle. Where they are placed depends on your preference, your anatomy and what the surgeon feels is best for you, but can have a significant impact on the naturalness of results. Your expert surgeon will once again help you make the right choice for you.

A final, vital stage impacting results is the level and quality of the post-surgical aftercare. How you act and behave in the immediate weeks after your operation can make a significant impact on the results you achieve. For example, wearing the right supportive bra will sustain the breasts in the right, natural breast position as well as avoid unduly rubbing settling scars. Some activities such as going to the gym, aerobics and sports that use your arms will need to be avoided for a short period of time, whilst you should take care when lifting your elbows above your shoulders (e.g. washing your hair etc) to avoid the implant from turning, leading to an unnatural result that may require more surgery.

Our expert team of nurses and surgeons will ensure that you get the right advice following your procedure in order to optimize your results, as well as give you access to one of London’s leading scar minimization and prevention units who have designed bespoke moisturisation and massaging systems to ensure scars fade as best as possible.

Our surgeons typically aim for natural breasts when it comes to breast enlargement surgery, unless otherwise specified by you.

Natural breasts can be achieved by selecting the right implant size and shape for you and your existing anatomy. Natural breasts can also be achieved by selecting the right position (above or below the muscle) for the implant. Your surgeon will provide his or her recommendation.

In addition, we also offer advanced fat transfer breast enlargement procedures that employ fat injections into the breast in order to transfer fat to the breast region and deliver more natural breast contours. This can be performed in conjunction with breast implants or as standalone breast augmentation surgery to naturally increase the breast size.

There are several different types of implant used in breast enhancement surgery. The main distinction is between saline and silicone implants. There are also textured and smooth implants.

The external appearance of these different types of implant are broadly similar regardless of material. Silicone implants remain the most commonly used implant material in the UK due to silicone’s preferred properties as the safest, most inert of prosthetic materials and slightly more natural feel following procedure.

We only use the very best breast implants for breast enhancement at the Cadogan Clinic and safety is of utmost importance to us. Your surgeon will explain the various different types of implant available to you at your breast enhancement consultation, and will give an informed, expert view at your consultation as to the optimal material, brand, size and shape of implant for your particular body shape and type, in light of the results you are hoping to achieve

We have never used PIP implants and continue to only use FDA-approved materials in all of our procedures.

Different surgeons have different protocols, but it is common for a garment to be worn in the immediate post operative phase. The wounds are generally closed with stitches under the surface, which then dissolve over a few weeks. You may have a strip dressing or reinforcement paper strips over or along the wound. There may also be gauze and stretchy Mefix paper dressing covering the wound and also supporting the breasts.

A compression garment is then generally worn to support the breasts and protect the wounds. Although some surgeons do not use them at all and recommend a sports bra instead, it is most common to wear a lycra compression bra made specifically for breast surgery of which there are many types. The team will fit the one most suitable for you and your surgery. There is one other lycra dressing, occasionally required, and that is a stretchy strap worn across the upper breast to hold the implant low.

The sports bras or lycra garments will be worn day and night for 3 weeks or more and then during the day for a longer time, particularly during exercise or sporting activity.

How well a person heals post surgery is dependent on each individual. As an incision has occurred most commonly in a discreet location under the breast, there will be some element of scarring in all patients. There are various incisions used to place implants in the breast.

  1. The inframammary incision – in the breast fold – usually 4-5cms in length, this is probably the most commonly used one.

  2. Circumareolar – around the nipple.

  3. Axillary – in the armpit.

Immediately post surgery you will visit our aftercare and scar minimisation department. During these follow-up appointments, our team of specialist nurses will keep an eye on your progress to make sure that you are healing properly and there is no infection. Also during this appointment our team will go through the techniques they have developed to reduce the appearance of any scars.

This is a combination of massage and moisturising.

Massage/moisturise
Treat the whole breast, including scar. Use the palm of your hand in a gentle circular movement, using a moisturising cream we recommend (heal gel) or (kelocote) which you can buy at Cadogan Clinic Shop. This helps to soften your skin, adjacent tissue, and adjust to its new contour.

Scarring and Other Breast Procedures
Different types of scarring can occur during different procedures. Following a mastopexy (i.e. breast lift), scars can occur on the breast itself, as during the procedure excess skin and flesh is being removed.

In procedures such as a natural breast augmentation scarring is less common, as fat is being injected to create additional volume rather than excisions being used.

Breast augmentation recovery time is relatively swift, and you will usually feel your normal self within a week. After one week you can return to work if you have a desk job, but it may be longer for more active occupations.

You should expect to be off heavylifting, gym, steam and sauna for 6 weeks, and be wearing your compression garment 24/7 for 6 weeks minimum also.

Breast augmentation recovery stages tend to be fairly predictable between patients, and significant variation from this schedule is unlikely.

Breast augmentation recovery time is reduced when the procedure is performed as a day case at the Cadogan Clinic, due to the advanced sedation techniques that allow for quicker initial recovery.

The aim of breast augmentation surgery is to make the breast implant look as natural as possible, so the position of the implant is important and does matter.

This will be confirmed by surgeon at your breast augmentation surgery consultation following an assessment of several different factors including your existing anatomy and physique, whether you have plans to breast feed or not, and the amount and quality of your existing breast tissue.

Breast implants do not have an expiration date. They only need to be replaced in the very rare case in which they break or rupture, usually a result of the use of sub-standard implants or sub-standard surgery. This is not serious or a health risk, but may cause a change in shape or feel of the implant necessitating its removal.

Other causes for replacement include infection which occurs in about 1-2% of cases, usually within the first 10 days of surgery, capsule formation, occurring in about 10% of individuals and involving the straightforward removal of a fibrous layer that the body forms around the implant making it hardened and unnatural to the touch, and implant rippling, most commonly occurring among people with little breast tissue and thin skin. Additionally, some patients decide in time that they want they the implant replaced or removed for cosmetic reasons like wanting to go bigger, smaller or completely natural.

Cadogan Clinic has become a well-known provider of implant replacement services as our reputation as a trusted cosmetics provider has been enhanced following the PIP scandal that implicated so many of our competitors. It remains one of our most commonly performed procedures.

Breast enlargement surgery is a popular procedure and generally very safe. That said, as with all surgery, there are risks with breast enlargement surgery that you need to be aware of.

The best means of mitigating risks is to ensure that your surgeon is properly qualified and highly experienced in breast enlargement surgery, and we ensure this is the case with all of our patients by only choosing to work with the very best surgeons.

Choice of a high quality implant is also crucial, and again, we only work with FDA-approved implants at the Cadogan Clinic.

Typical risks include, but are not limited to:

  • Asymmetrical breasts
  • Haematoma/bleeding
  • Capsular contracture
  • Implant moving
  • Rippling
  • Nipple sensation / numbness
  • Rupture
  • Infection

As a standalone specialist plastic surgery day case unit only admitting healthy, elective patients the risk of cross – infection are significantly reduced at the Cadogan Clinic in contrast with competitors who utilise general hospitals

Breast implants are safe and we only use the best breast implants available on the market. That said, breast augmentation surgery is not without its risk and we recommend you read our FAQ on this question.

Your surgeon will also discuss risks in full at your breast enhancement consultation.  

Tubular breasts or tuberous breasts are breasts that are more conical in shape than round. These are considered a congenital abnormality related to the tissue of the breast, and can be corrected via breast surgery.

This is not a common condition, but one that can be effectively addressed via breast enlargement surgery. 

The Cadogan Clinic does accept breast enlargement finance but we do not currently offer it ourselves. Speak to one of our advisors who can direct you to a cost effective third party high street provider.

Finance for breast implants is simple and straightforward to organise, and regularly chosen by our patients.

You can see breast implant before and afters in our before and after carousel on this page. Alternatively, your consultant can show you extensive examples of their surgery results at your initial consultation.

We feel this is the best way to understand the types of outcome you might be able to expect following surgery.

Breast Augmentation Videos

What is Breast Augmentation and why do people have it?

What are the different options for Breast Augmentation?

Who is suitable for Breast Augmentation?

What will I discuss at consultation with my Surgeon?

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