Breast Surgery

Breast Enlargement & Augmentation

at Cadogan Clinic, London’s Leading Cosmetic Surgery Specialists. 

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Medically Reviewed 16 February 2024, by Mr. Bryan Mayou (GMC: 1414396) - founder of the Cadogan Clinic and one of the world's leading plastic surgeons

What is Breast Enlargement Surgery?

Breast enlargement, or breast augmentation, in its simplest terms, is a surgical operation to enlarge or reshape the breasts. This procedure is typically for women who want to improve their bodily proportions and boost their self-esteem. It is not only the most sought after breast surgery in the UK, but the most sought after cosmetic surgery overall.

During the breast enlargement surgery, the surgeon will create a small incision under the breast, then insert a breast implant, made from high-quality silicone or saline, or carry out a fat graft in order to change the size, shape, fulness, or sometimes texture of the breast. 

This procedure is also known as breast enhancement, and is often socially referred to as a ‘boob job’.

Breast enlargement surgery is typically sought out by women who desire to enhance the shape or size of their breasts. They may have a naturally small bust, or asymmetrical breasts with one breast sized or shaped differently than the other. 

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This procedure is also a popular option for women who have reduced breast volume due to weight loss or pregnancy and wish to achieve an improved breast shape. In some cases, this procedure may be chosen by women who have undergone a mastectomy as part of cancer treatment and want enlargement surgery as part of the breast reconstruction process


At Cadogan Clinic, we take two approaches to breast augmentation in London:

  • Implant augmentation: This approach places silicone or saline implants behind the breast tissue in front of the chest muscle, behind the muscle, or a combination of both using a split muscle technique. We only ever use the very best quality implants, and have never nor will ever use PIP implants at our clinic.  
  • Fat transfer augmentation: In this method, the surgeon will use liposuction to collect fat from another part of your body, such as the thighs or buttocks, and use fat grafting techniques to increase the volume of the breast. This procedure is also known as natural breast augmentation

Your surgeon will discuss in more detail which enlargement procedure or implant type is the most suitable for you.

Breast Augmentation & Implant Options

There are several options to consider for breast enhancement or augmentation surgery. Your surgeon will discuss these with you at your consultation.

Breast implants are available in a variety of sizes. There are three different shapes available: round, teardrop, and conical, with four different profiles ranging from 'low' to 'extra high'.This grading refers to where the implant's edge touches the breast. A low-profile breast implant will give a softer, more natural result. A sharper edge on an extremely high profile results in a more dramatic, but more 'false' appearance. 

As implants are given by volume in millilitres or weight in grammes, you cannot specify a cup size. Because of many factors such as the amount of existing breast tissue and the amount of accessible skin, our surgeon cannot guarantee your ultimate cup size. 

Breast implants come in three different forms.

Round breast implants are spherical and provide a fuller appearance at the top of the breast. If you want to remedy breast drooping, round implants are a wonderful alternative.

Teardrop breast implants get their name from their shape, which has a higher volume at the bottom of the implant. When compared to round breast implants, teardrop breast implants produce a more natural-looking result.

Conical breast implants are the ideal option for women who wish to improve the contour of their breasts without having to undergo a breast lift (mastopexy). London breast augmentation produces more long-term results than a breast lift.

All of these are available in four different profiles ranging from 'low' to 'extra high'. 

Breast asymmetry is extremely common, afflicting more than half of all women. Some people are unconcerned by this, but it can make others feel self-conscious. Asymmetric breasts develop when one breast is larger, smaller, or in a different location than the other. Hormonal changes, puberty, and trauma may all be at blame. 

A rare condition known as juvenile hypertrophy of the breast can cause one breast to develop much larger than the other. Although some small disparities may persist after surgery, breast asymmetry can be rectified as part of the treatment.

Breast asymmetry is usually not a cause for concern; however, if there is a significant variance in asymmetry or the density of one breast abruptly changes, this could be an indication of cancer. If you observe any drastic or rapid changes in your breasts, you should consult your doctor.

When it comes to breast implant positioning, there are two alternatives. Implants can be put either in front of or behind the pectoralis major (chest wall muscle).

Placing the breast implants in front of the muscle, behind the breast, is the most straightforward of the two options, and is highly effective at correcting slightly drooping breasts.

Inserting breast implants behind the muscle is the ideal option for slender patients and those with very little breast tissue, since the muscle provides cover to assist disguise the upper portion of the implant. This decreases the possibility of seeing or feeling the implant in place. This place, however, can often cause substantial discomfort to patients.

At Cadogan Clinic, we also offer a combination of both placements, using a split muscle technique.

Boob job UK cases are typically completed using one of two different types of implants.


Saline: These breast implants are made of sterile salt water. When the implant is placed in the body before being filled with water, it is empty. This means that the incisions needed to install the implants are smaller than for a silicone implant.

Saline implants are sometimes more noticeable under the skin than silicone implants. Some women claim to be able to feel the ‘water sloshing’ around in them. Though saline implants are usually less expensive than silicone implants.

In the event the implant should rupture, the body will absorb this liquid with no risk to health. You will need further surgery to replace the deflated implant.


Silicone: Silicone is the most often used implant material in the UK and is the most popular choice for breast implant material. Silicone is non-toxic, long-lasting, and has a more natural appearance and feel. Silicone implants are particularly suitable for slim women with little breast tissue.

Our expert surgeons will make the incisions as discreetly as possible under the breast. There are various incisions which can be made to put breast implants in place. 

The inferior mammary fold, or IMF, is the most common and safest. This fold occurs naturally and can be found where the wire in an underwire bra would be. Other incisions include the periareolar, which is done around the nipple, and the axillary, which is made in the patient's armpit. 

Although our surgeons strive to keep scarring to a minimum, all breast enhancement patients will have some scarring. Scars vary depending on the size of the implants.

All sutures are placed below the skin and are naturally dissolved by the body over a few weeks. Dissolvable stitches are completely safe and are utilised by numerous medical professionals in many healthcare settings. The use of dissolvable stitches means you do not need to make a follow-up appointment for removal.

Often our surgeons will opt to seal the wound with special tissue glue. This helps to reduce the danger of superficial wound infection caused by the bacteria that everyone has on their skin. The adhesive will then begin to flake off one or two weeks after it is applied.

What is the Cost of Breast Enlargement?

The cost of breast enlargement, also known as a boob job, varies depending on many factors such as the reputation of the surgeon and the location of the clinic. At the Cadogan Clinic, our breast englargement prices start from £5,900.


You may be able to receive support for you to finance your treatment. The Cadogan Clinic offers breast enlargement finance directly via our partner Chrysalis Finance, or you can find it available via any high street or online vendor.


If you have any questions regarding finance for your boob job in London, our team will be delighted to point you in the right direction. 


Breast Enlargement
At a glance

Surgery Time

1 - 1.5 hours

Time off work

1 - 2 weeks

Hospital Stay

Day Case

Shower

After 1 week

Reasonable Mobility

After 1 day

Exercise

After 4 -6 weeks

Bras & Garments

6 weeks

Sexual Activity

4- 6 weeks

Sleeping on back

1 -2 weeks

Full Recovery

4 - 6 weeks

Driving

1 week

Travel

1 Day


Before and after Breast Augmentation

Words from our clients:


The cost of Breast Augmentation London

Cadogan Clinic has collaborated with Chrysalis Finance to offer a variety of payment choices for our patients including:
12 months 0% Interest-free - APR
24 - 60 months at 12.9% APR
Flexible Finance

Get in touch now to find out your estimated breast surgery cost

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Included in this treatment

Up to two 60 minute consultations with a leading specialist plastic surgeon at our award-winning premises in Chelsea

Your procedure carried out at London’s leading specialist cosmetic surgery centre of excellence

24/7 on call nurse assistance

Dedicated Patient Co-ordinator, as a personal point of contact through your journey with Cadogan

A pre-operative medical assessment to ensure you are fit for surgery

Comprehensive post-operative aftercare courtesy of our specialist cosmetic nurses


Why do people have it?

Women may choose to have a breast enlargement procedure for a variety of different reasons. 

Breasts can change shape over the course of a lifetime, which is why augmentation is often chosen to restore the shape or size of breasts following childbirth, breastfeeding, weight loss, or hormonal issues, improve the shape of asymmetrical breasts, or simply add volume to a smaller bust.

Breast enlargement surgery, affectionately referred to as a boob job, can also alleviate body image issues and contribute to improved psychological well-being. The procedure can increase a woman’s self-esteem and improve clothing fit or to enhance their desired silhouette, leading to them feeling more comfortable and confident.

 

Who is suitable for breast enlargement?

To be a good fit for a breast enlargement surgery, it’s important you fit the following criteria.


You are: 

  • an adult with fully-developed breasts,
  • realistic about the expectations of what can be achieved by surgery,
  • 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.

Breast Enlargement Procedure

Below you will find some key information to help you prepare for surgery and make necessary arrangements to ensure you have the support you need and that everything runs smoothly on the day.

Before you undergo your breast enlargement in London procedure you will have a consultation and a pre-operative assessment at the clinic to ensure your suitability. During this assessment, the surgeon will take several measurements of your breasts and chest area whilst documenting your skin tissue quality and laxity, as well as the nipple position. 

Your surgeon will then discuss a selection of implant shapes (such as round, teardrop, or conical), sizes, and surface textures that will then be produced to fit your desired aesthetic outcome. The incision site will also be decided upon.

A comprehensive discussion will take place informing you of the risks and complications of the procedure, alongside a conversation about your expected post-procedure and recovery phase. Your surgeon will also record your previous medical history, including any previous medications or allergies, and will complete an assessment of your fitness for surgery.  Finally, standard clinical photography will be taken, with the potential for a visual outcome of your procedure using Crysalix 4D imaging technology. 

After your assessment, if your surgeon believes you will be a good candidate for surgery, you will be invited to consider whether you would like to continue with the surgery or otherwise with a two-week 'cooling off' period. During this period, you are welcome to discuss the surgery with your surgeon as many times as you would like.

If you decide to proceed with your surgery, your next visit will be the day of your procedure. We recommend you make the following changes before the day of your surgery:

  • In the 6 weeks running up to your surgery, we highly recommend you cease smoking as this can cause a higher risk of infection, wound breakdown, and ultimately the need for implant removal. 
  • In the 7 days before your surgery, you should discontinue the use of Aspirin or any other medications that contain Aspirin. 
  • In the 6 hours before your surgery, you must refrain from consuming any food or drink. You can take small sips of clear fluid, such as water, black tea, or black coffee, until 2 hours before admission. 

On the day of your surgery, a nurse will take your blood pressure and relevant vitals. You will then meet with your anaesthetist and surgeon who will make the final mark-ups. 

Breast enlargement is a relatively straightforward procedure which takes an hour under general anaesthetic. An incision will be made in a discreet place, usually on the inframammary fold under the breast or along the areolar edge (periocular) or under the armpit (axillary). The implant will be inserted in front of, behind or in between the chest muscle as decided by your surgeon and your expected outcomes. The incision is sutured afterwards, typically leaving a scar of 4 to 5 inches or 10 to 13 centimetres. 

After your procedure, you will recover for one or two hours in our specialist recovery rooms. Once our team of nurses have ensured your recovery is complete, and that you are safe to leave the clinic, you can leave accompanied by a friend or family member. 

You should expect any pain to subside within 1 to 4 days after surgery, and many patients are pain-free by the end of the first week. Cadogan Clinic recommends you take 1 week off work for recovery, with very minimal movement in the first 2 weeks. 

It’s essential to wear a post-surgical garment for 6 weeks after your procedure to reduce the risk of implant rotation and ensure long-term scar healing. We also suggest you avoid any strenuous upper body exercise for this time.

After 1 week of recovery, we suggest you visit the clinic so we can ensure your incision sites are healing properly. You are also given the opportunity to meet with our on-site aestheticians to discuss treatment to support the scarring and healing process. After 6 weeks, we recommend a final post-procedure check-up.

You will have access to our dedicated on-call nursing team 24 hours a day, 7 days a week after your surgery. Our team of specialists are there to field any questions you may have, as well as support your pain and comfort control. 


Breast Augmentation
Surgeons

We have invited a selection of the country's very best consultants to join us at the Cadogan Clinic so that you can be sure that whatever the nature of your treatment, you will be seeing one of the top practitioners in the country.

The Patient Journey. A breakdown of what you can expect on your journey with us

We are deeply invested in ensuring that every step of your surgical journey with us is as informative and reassuring to you as it can be. This article outlines what you can expect at each stage of the journey

The Patient Journey

Frequently Asked Questions

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.

Silicone implants have the most natural appearance and feel of any breast implant option. We use cohesive medical-grade silicone gel implants that imitate the feel of natural breast tissue. 

To have the most natural appearance, the implant must be the correct form, size, volume, and profile for your size and body shape. A lower-profile implant will produce the most natural-looking results. Your surgeon will advise you on the best option for your body type.

When it comes to breast enlargement surgery, our surgeons normally aim for natural-looking breasts, unless you specify otherwise.

Natural-looking breasts can be achieved by choosing the appropriate implant size and shape for you and your current anatomy. Natural-looking breasts can also be obtained by placing the implant in the proper location. Your surgeon will provide their recommendation unique to your body.

In addition, we also offer advanced fat transfer procedures that employ fat injections into the breast to transfer fat to the breast region and deliver more natural breast contours. This can be done in conjunction with breast implants or as a stand-alone procedure to naturally increase the size of the breasts.

There are various types of implants used in breast enhancement surgery. The primary difference is between saline and silicone implants. There are also textured and smooth implants.

The external appearance of these different types of implants is broadly similar regardless of the material. Due to silicone's favoured features as the safest, most inert of prosthetic materials and their somewhat more natural feel post-operation, silicone implants remain the most often utilised implant material in the UK.

We only use the very best breast implants for breast enhancement at the Cadogan Clinic and safety is of utmost importance to us. At your breast enhancement consultation, your surgeon will explain the various types of implants available to you and will provide an informed, expert opinion on the optimal material, brand, size, and shape of the implant for your specific body shape and type, in light of the results you hope to achieve.

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

Breast augmentation and breast lift (mastopexy) can be performed concurrently. 

Breast lift surgery is used to elevate and/or restructure breasts that droop low over the chest and have the majority of their volume at the base. It is an effective method for restoring firmer, younger-looking, and more voluminous breasts. 

Breast augmentation with implants aims to increase the size of the breasts. If you are thinking about combining the two operations, keep in mind that a breast lift requires more recovery time than breast enlargement alone.

Different surgeons have different protocols, but it is common for a special 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. A strip dressing or reinforcing paper strips may be applied over or along the wound. Gauze and stretchy Mefix paper dressings may also be used to cover the wound and support the breasts.

After that, a compression garment is usually 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 experts will select the best one for you and your surgery. There is also 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 are going to be worn day and night for at least three weeks, and then during the day for an extended period of time, particularly during exercise or sporting activity.

The extent of the scarring will depend upon the types of incision used in the surgery. Although scarring is kept to a minimum, you should expect some scarring following a breast enlargement procedure. Scars can be expected where the underwire on a bra would sit, around the nipple area or in the armpit. 

Scarring will be at its most noticeable during the first few months following surgery. Scars will be raised and a different colour to your skin. They will eventually flatten and fade. The scars may not take on their final appearance until a full 18 months after surgery.

The recovery time for breast enlargement is relatively swift, and most patients feel back to their normal selves within a week. If you have a desk job, you can usually return to work after one week, although it may take longer for more physically demanding occupations.

During the recovery period, it's important to avoid heavy lifting, intense gym workouts, and activities involving steam and saunas for about 6 weeks. Additionally, wearing a compression garment 24/7 for a minimum of 6 weeks is recommended.

In general, the stages of recovery follow a fairly predictable schedule, and significant deviations from this timeline are unlikely.

When the procedure is performed as a day case at the Cadogan Clinic, the recovery time tends to be reduced. This is due to the utilisation of advanced sedation techniques, which facilitate quicker initial recovery.

The goal of the surgery is to achieve a natural-looking result with breast implants. Therefore, the placement of the implant holds significance.

During your breast augmentation surgery consultation, your surgeon will assess various factors, including your existing anatomy and physique, whether you have plans for breastfeeding and the quantity and quality of your existing breast tissue. Based on this evaluation, the surgeon will determine the optimal position for the implant to ensure the best outcome.

Breast implants do not have a fixed expiration date. They typically do not need to be replaced unless they break or rupture, which is an extremely rare occurrence and is usually associated with the use of substandard implants or poor surgical techniques. While a rupture is not a serious health risk, it may result in a change in the shape or texture of the implant, necessitating its removal.

There are a few other reasons why breast implants may need to be replaced. Infection, which affects around 1-2% of cases, usually within the first 10 days of surgery, may require implant replacement. Capsule formation, observed in approximately 10% of individuals, involves the removal of a fibrous layer that forms around the implant, causing it to harden and feel unnatural. Implant rippling is another potential reason for replacement, often occurring in individuals with limited breast tissue and thin skin. Additionally, some patients may opt for implant replacement or removal for cosmetic reasons, such as desiring a larger, smaller, or more natural appearance.

The Cadogan Clinic has gained recognition for its implant replacement services, as our reputation as a trusted provider of cosmetic procedures has been strengthened in the aftermath of the PIP scandal that implicated many of our competitors. Implant replacement remains one of the most frequently performed procedures at our clinic.

To achieve optimal outcomes from your breast enlargement procedure, it is essential to adhere to the post-operative instructions provided by your surgeon.

After your procedure, it is advisable to limit physical activity to a minimum. Taking one to two weeks off work, refraining from driving for one week, and resuming restricted sexual activity after four weeks are recommended. Additionally, it is advisable to avoid exercise, including gym workouts, for a period of four to six weeks.

Maintaining the cleanliness of your surgical wounds is crucial. Our nursing team will provide detailed instructions on how to do this. It is important to avoid showering until one week after the surgery to minimise any potential risks.

Protecting your scars from sunlight is also vital for a period of six weeks following the surgery. After this timeframe, you may start moisturising and massaging your scars with a non-perfumed moisturiser. This routine helps soften and hydrate scar tissue, promoting improved healing.

Wearing a surgical garment for six weeks following augmentation is mandatory and should be strictly adhered to. This garment provides necessary support and aids in the healing process.

 

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 considered safe, and we exclusively utilise top-quality breast implants that are available in the market. However, it is important to acknowledge that the surgery does carry some risks. We highly recommend that you read our Frequently Asked Questions (FAQ) section, where you can find more information regarding this topic.

During your breast enhancement consultation, your surgeon will provide a comprehensive discussion of the risks involved. They will ensure that you have a thorough understanding of the potential risks associated with the procedure.

At the Cadogan Clinic, we do accept breast enlargement finance; however, we do not currently provide it directly. Our advisors can guide you to a cost-effective third-party provider on the high street who offers this service.

Organising finance for breast implants is a simple process, and it is a popular choice among our patients.

Considering breast enlargement surgery is a significant decision, and it is vital to find a reputable surgeon who possesses the necessary experience and qualifications to perform your enlargement.

It is important to verify that your surgeon specialises in breast augmentation. A competent surgeon should be able to provide in-depth explanations of the procedure, including the recovery period and any potential risks or complications. They will also be honest about the potential outcomes and assist you in managing your expectations.

Your surgeon should discuss the advantages and disadvantages of each type of breast implant, as well as the size, shape, and placement options (behind the breast or muscle). A skilled surgeon will suggest the most suitable implant type based on your body shape and size. A proficient surgeon always strives for the most natural-looking results. During your initial consultation, ensure that the surgeon has an extensive portfolio of before and after photographs to share with you, allowing you to gain a clear understanding of the expected outcomes. Additionally, it is advisable to review testimonials from previous patients.

An ethical surgeon will not proceed with the procedure if you are not physically and psychologically fit and healthy.

In England, only registered doctors are authorised to perform cosmetic surgery. You can verify if a surgeon is a registered doctor or surgeon by checking the General Medical Council (GMC) online register.

Some surgeons may hold memberships in professional associations such as the British Association of Aesthetic Plastic Surgeons (BAAPS) or the British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS). However, it is worth noting that some qualified surgeons who excel in their field choose not to join a trade body for personal reasons.

 


A state of the art, award winning clinic.

Founded in 2004 by world renowned plastic surgeon Mr Bryan Mayou, we now work with over 100 leading consultants and successfully treat over 20,000 patients each year. We have been winning industry awards since inception.

About Us

Best in Class Facilities

All of our treatments take place at our beautiful boutique premises in Chelsea. We have six consulting rooms and five operating rooms, as well as a dedicated pre and post-operative suite, and a full team of specialist nursing staff.

Our Clinic

A Strong Tradition of Innovation

We were founded in 2004 by world renown plastic surgeon Mr Bryan Mayou, best known for his pioneering work in the area of liposuction, lasers and microvascular surgery. We continue to collaborate with pioneers in our field.

Our History

At Home in Sloane Street, London

We are proud that our state of the art award-winning clinic is located in one of the best neighbourhoods in the country

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Clinics Nationwide

We offer surgical consultations in London, Birmingham, Chelmsford and Bristol, and attract international patients from all corners of the globe such as as the USA, the Middle East and Europe.

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The Risks of Breast Enlargement Surgery

When you opt for breast enlargement at a reputable clinic such as the Cadogan Clinic, the likelihood of complications from the procedure is rare. However, as with any surgical intervention, there is still a possibility of complications associated with breast enlargement.


Common risks, though not exhaustive, may include:

  • Asymmetrical breasts
  • Haematoma/bleeding
  • Capsular contracture (an immune response where scar tissue forms around the implant)
  • Implant displacement
  • Rippling
  • Changes in nipple sensation or numbness
  • Implant leakage
  • Implant rupture
  • Infection

As a dedicated specialist plastic surgery day-case unit that exclusively admits healthy elective patients, the Cadogan Clinic significantly reduces the risk of cross-infection compared to competitors who utilise general hospitals.

At the Cadogan Clinic, we strictly work with FDA-approved implants, further minimising the potential complications associated with breast enlargement.


Cosmetic Surgery

Related Treatments

We believe in the delivery of excellent outcomes and results, and exceptional levels of service. Our outcomes are natural and long-lasting, and we remain the premier choice for cosmetic surgery treatments in the UK.

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