Breast Surgery

Breast Implant Removal & Replacement

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Medically Reviewed 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 Implant Removal Surgery?

Breast Implant Removal surgery, also known as explantation, is surgery to remove unwanted breast implants from the breast area. Common reasons include a change in personal aesthetic preferences, implant complications such as rupture or capsular contracture, or health concerns related to breast implants such as pain and discomfort.  

In Breast Implant Removal Surgery, the implants are removed and not replaced. 

What is Breast Implant Replacement?

Breast Implant Replacement, or Breast Implant Exchange, is a similar surgical procedure, which involves removing old breast implants and replacing them with new implants. Motivations for Breast Implant Replacement Surgery include changes in preference regarding implant size and shape, a need for a change in implant to reflect underlying changes in body size and shape to restore balance, or the replacement of old implants due to age or complications. 

Breast implants can also be replaced as part of another procedure such as a Breast Lift, most commonly in cases where there is Ptosis or sagging of the breast tissue over time and the aim is to reposition the breasts in a more youthful and lifted position, or there is breast asymmetry.  

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Why Do People Need to Replace Their Breast Implants?

Patients choose to replace their implants for a number of reasons. In some cases, it is recommended by surgeons or breast implant manufacturers to replace your implants after a certain amount of time (usually between 10-15 years) following Breast Augmentation surgery. Other patients wish to replace their implants because their bodily proportions have changed due to weight loss or gain or because of the natural ageing process, meaning the size of their implants no longer suits their frame. 

Some patients also opt to replace their breast implants as part of another procedure, to enhance the final result. This may be because of a change of position, shape or size, or because a specific implant model is best suited for the procedure a patient has chosen to have. 

 

Breast Implant Removal and Replacement volumes have dropped 33% at the Cadogan Clinic since 2020 as implant quality improved over time. Removals or replacements relating specifically to implant problems have reduced by 50% over this same period.

The Benefits of Breast Implant Replacement

  • Adjusted size and/or shape 
    • If your bodily proportions have changed since your implants were first inserted, you may wish to replace your implants to better match your new frame. 
  • Enhance a different procedure 
    • If you are undergoing an alternative breast procedure such as a Mastopexy (Breast Lift) you may wish to replace your implants to give you the best results. 
  • Safety and comfort 
    • If your surgeon or the manufacturer of your original breast implants has recommended replacing them, it is best to adhere to these guidelines for your safety and comfort. 
  • Correcting complications 

Breast Implant Replacement
At a Glance

Surgery Time

1 - 2 hours

Time off work

1 - 2 weeks

Hospital Stay

Day Case

Shower

Shower after 1 week

Reasonable Mobility

1 day

Exercise

6 weeks

Bras & Garments

Sports bra worn for 8 weeks

Sexual Activity

Restricted activity after 4 weeks

Sleeping on back

Sleeping on back recommended for 1-2 weeks

Full Recovery

6 - 8 weeks

Driving

1 - 2 weeks


Before and After

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What is Involved in Breast Implant Removal & Replacement

Breast Implant Removal is a very fast straightforward procedure in which an incision is made along the old scar line, typically under the breast but sometimes around the areolar or in the armpit, iand the breast implants physically removed through this opening. The surgeon carefully removes the implants before closing up the incision site with new sutures in order to prevent fresh scarring. In some cases the surgeon will also remove any scar tissue surrounding the implant, in a procedure called a Capsulectomy. 

Breast Implant Replacement surgery follows the same protocol but involves the replacement of the old implants with new implants. If the new implant is a similar size and shape to the planned replacement, then they will preserve the existing capsule (the area in which the implant sits) and the overall surgery will be very fast, often taking less than an hour. If the new implants are different from the originals, your surgeon will perform a capsulectomy, where part of the breast tissue that has healed around the breast implants is altered or removed to ensure the new implants sit comfortably and are in the correct position. 

Breast Implant Removal and Replacement surgery are both carried out under general anaesthetic. The surgery usually takes 1-2 hours, however this can be longer if another surgical procedure is involved. 

We routinely perform this surgery privately at the Cadogan Clinic, and it is one of our most common breast procedures given the ongoing prevalence of breast implant procedures. This surgery is rarely performed on the NHS.  

Who is Suitable?

At Cadogan Clinic, our consultant surgeons will assess whether you are suitable for an implant replacement in a bespoke one to one consultation.  

Your surgeon will examine your breasts and discuss any concerns you may have about your current breast implants. They will discuss your expectations of surgery and ensure you understand the results that are possible for you.  

Your surgeon may also ask you to have a mammogram or ultrasound scan of your breasts to check for any damage to your current implants. If your original surgery was performed by a different surgeon, you will need to obtain the information about your current implants so your surgical team can add this to your medical records.  

They will also assess your general physical and mental health to make sure you are suitable for a general anaesthetic procedure, this may include your weight, and any medical and mental conditions you have. 

You must be over 18 to have this procedure. 

Words from our clients:


The Cost of Breast Implant Replacement

Breast Implant costs and Breast Implant Replacement costs vary based on the individualised nature of our breast treatments.

Breast Implant Removal costs start from £1,800 for the removal of one implant (unilateral). Breast Implant Replacement costs start from £4,400 for the replacement of one implant (unilateral). 

We invite you to get in touch with our dedicated team of friendly patient advisors to discuss your unique goals, and discuss Breast Implant Removal & Replacement costs in more detail.   

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 get a price or to discuss Breast Implant finance options.

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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


PIP Breast Implants

Implant replacement has become increasingly popular in light of concerns raised around the quality of implants after the PIP controversy, when disreputable providers utilised poor-quality materials in a bid to cut costs. 

The Cadogan Clinic operates according to the highest healthcare standards and remains one of the very few facilities to have never used low-quality PIP products.  

As such, we are a trusted source for anyone needing implant replacement with a safe, high-quality alternative. We have built a world-leading reputation for the removal and replacement of implants carried out by lower-end cosmetic clinics, and we strongly recommend that you contact us if you are experiencing any irritation or inflammation in your chest area and think you may have been exposed to PIP implants in the past. 

If you have previously had breast implant surgery at the Cadogan Clinic, you can rest assured your implants are of the highest quality and are not PIP implants.


Breast Implant Replacement
Surgeons

We have invited a selection of the country's very best breast implant removal surgeons 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. 


What to Expect

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.

You will meet your consultant for up to two consultations at our award-winning Chelsea based clinic to discuss your surgery and the results you are looking for from replacing your breast implants. Your surgeon will spend 30-60 minutes discussing your concerns and explaining what you can expect from your results. They may also show you before and after photos of previous patients who are similar to you, so you can visualise your results.

Our surgeons recommend writing any questions you have down so you walk into your consultation fully prepared and are able to get the most from your conversation with your surgeon.

Your surgeon will also assess your overall health and wellness to ensure you are fit for a general anaesthetic surgery. They will complete your medical records by taking your measurements and photos. They may ask you to have a mammogram or ultrasound scan of your breasts to check that your implants are not damaged.

Your surgeon will send your completed surgical plan through to your dedicated patient advisor. If the surgeon has recommended for you to have your breast implants replaced, your advisor will contact you with the surgical plan, your quote and discuss your surgeon’s next available dates. You will then have a compulsory two week cooling off period to allow you to decide on whether to proceed with your surgery. 

If you decide to replace your breast implants, your next trip to the clinic will be on your surgery day. To allow your procedure and recovery to proceed as smoothly as possible, your surgeon will ask you to prepare using the following instructions:

  • You will be asked to complete a medical and psychological questionnaire for your surgeon, anaesthetist and nurses to review.
  • You must stop smoking and vaping for at least six weeks before your procedure. Smoking and vaping both have a negative impact on the healing process and may significantly slow your recovery down.
  • You should reduce your alcohol consumption in run up to your surgery and you must not consume any alcohol in the 48 hours before your surgery.
  • Stop taking anti-inflammatory medication (ibuprofen and aspirin), as well as any herbal supplements, as these can increase your risk of bleeding, for a week before your surgery.
  • You should have a friend or family member who can collect you from the clinic after your procedure. They must be a responsible adult who can accompany you home and stay overnight with you to ensure you are safe.
  • You cannot eat any solid food, or drink juice and milk in the 6 hours before you arrive at the clinic. You can only have small sips of clear liquids (water, black tea, black coffee) between 6 and 2 hours before you arrive in the clinic. In the final 2 hours before you arrive, you can’t eat or drink anything.

You will be asked to arrive at the clinic an hour before your scheduled surgery time. You will be greeted by our nurses, who will conduct a pre-op check, to ensure you are ready for surgery. You will then speak with your surgeon and anaesthetist who will be able to answer any questions and who will explain what you can expect from the day. Your surgeon will complete any marking they need to on your body so you are ready to be operated on.

Once you are taken into theatre, your surgical team will get you settled and comfy on the bed and your anaesthetist will administer the general anaesthetic. All procedures at Cadogan Clinic are carried out using Total Intravenous Anaesthesia (TIVA) which is a highly effective yet gentle anaesthetic which reduces the risk of sickness after your procedure and allows for a faster recovery time.

Your surgeon will then complete the procedure and replace your breast implants. Once the surgeon has finished, you will be taken to our recovery ward. You will recover from the anaesthetic and a nurse will check your blood pressure, heart rate and temperature once you have woken up. Once you are comfortable, you will transfer to the ambulatory ward where you will have something to eat and drink in your own room. Our nurses will talk you through any recovery steps you need to take during your first few days at home, plus any medication you need to take. When you are ready to leave, the nurses will discharge you and ask your chaperone to collect you.

During the first few days following your implant replacement you may experience some discomfort and pain. Your surgeon and anaesthetist will have prescribed any medications you will need to minimise any pain and keep you comfortable. You will be mobile 1-2 days after surgery and able to bathe normally after 3 days.

You will wear a surgical bra for up to 8 weeks post-surgery, day and night. This will reduce swelling, assist with healing and maintain your surgeon’s expected results.

You will have an in person appointment with our nurses one week after surgery. They will assess your wounds, remove any stitches and change your dressings. They will explain how to change and remove your dressings in the following weeks and answer your questions.

You will have an appointment with your surgeon 6 weeks after your procedure to allow them to check your final results and take your final photographs for your medical records. You will still be able to contact our specialist nurses after this appointment if you have any questions or concerns.

Breast Implant Replacement Recovery & Aftercare

Breast Implant Removal & Replacement recovery is fairly short and side effects limited, given the straightforward nature of surgery.  

As your anaesthetic or sedation wears off, you will wake up in our recovery facilities at the Clinic. You may feel a little drowsy, but this often wears off within a few hours. After several hours in recovery, you will eat and hydrate. At that point, you will be allowed to leave the Clinic by our nursing staff. 

You will not be able to drive yourself home after the surgery. You should arrange for someone to pick you up and take you home. In addition, you will need to ask someone to stay with you for the first 24 hours after your procedure. 

It is common to feel a little pain and discomfort in the immediate aftermath of surgery. This will wear off in due course. Our 24/7 on call service is open to all patients for any question or query they may have at this time. 

After about 1 week following your surgery, you will be asked to come in for a post-operative appointment to come back and see our nursing staff at the Clinic. At this point, your incision sites will be reviewed, and your preliminary healing will be assessed. 

After 6 weeks, your surgeon will personally review your progress – again at the Clinic - and make sure you are recovering from breast implant removal as expected. In addition, they will remove any stitches and advise you on the need for further dressings. 

One of the major benefits of day case surgery and the anaesthetic used at the Cadogan Clinic (TIVA) is that recovery from breast implant removal is typically very swift, and patients can be back at work and active very shortly after the procedure. Whilst the extent of such activity should be gradually phased in, you should be back at work within a week or two and exercising within four to six weeks. 

We always advise that you return to low impact activities first like walking and cycling before you are able to reintroduce more strenuous activity such as lifting heavy weights and doing intense aerobic activities. 

Final results are typically first seen six or so weeks after your procedure, with ongoing improvements beyond this point likely as the healing process fully completes over the next 3 months or so. 
Throughout the recovery period you will have full access to our 24/7 on call nursing service, and full access to the Clinic and our post-operative facilities. 

Our aim is to make you feel as comfortable as possible during the entirety of your recovery period. 

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

Your consultation is designed to be perfect opportunity to ask all the pressing questions that you have to your consultant, ahead of making a decision on surgery. It is vital that you are fully informed before making your final decision, and the consultation is therefore a key part of the education and decision making process.

Some good examples of questions to ask, include:

  • Am I a good candidate for this procedure?
  • Do you think my goals are realistic given my existing anatomy?
  • Will I require a single surgery or multiple surgeries?
  • Can I see some before & after pictures of implant replacement procedures you have done previously?
  • How long will my recovery take?
  • Is it true that Cadogan offers 24/7 on call nursing service?
  • What can I expect in terms of bruising, swelling and scarring?
  • What are my options if I am unhappy with my results?

Certain lifestyle factors can increase the risk of complications during and after your surgery. These include smoking, drinking alcohol, being overweight and taking drugs (for medical or recreational use.)

The most common impact of smoking before your surgery is that it increases your chances of developing an infection and inhibits your body's natural healing processes. We insist that all patients stop smoking and using nicotine products at least six weeks before surgery. Reducing alcohol intake is also strongly advised.

Your doctor will discuss your current BMI and drug use at your consultation and advise you further on this.

A breast implant introduces foreign material to the human body, which our body recognises and organically forms a fibrous tissue capsule around. This occurs with every breast implant surgery and is completely normal and expected.

The capsule formation process will be slightly different from person to person, however. In those who form more scar tissue (who 'scar easily'), the breasts develop an excessively hard or high volume of tissue around the breast, which may form with the muscular tissue and cause it to contract.

This is called capsular contracture, and can cause problems with the appearance of the breast implant, deforming the size, shape and proportions of the breast. The contractions themselves can also be uncomfortable for the individual. Breast implant replacement can remove the capsule (a capsulectomy) and a new implant inserted, which encourages a new, healthy capsule to be formed and the aesthetic appearance restored.

PIP implants were silicone breast implants that contained a silicone gel that was not approved for use in surgery and had potential health risks. They were also found to be up to six times as likely to rupture as high quality, approved implants.
PIP implants were largely used by cosmetic surgery providers who were looking ot reduce their costs due to the fact that they were the cheapest on the market. Around 50,000 women in the UK received these implants.

Even though no link was ever discovered to link PIP implants to serious health concerns, understandably, many patients who had received the PIP implants in their surgeries wanted them to be removed or replaced.

During the height of the crisis, Cadogan Clinic was at the forefront of assisting patients in replacing their breast implants. As we never used PIP products and enjoy a reputation as one of the leading specialist plastic and cosmetic clinics in the country we continue to see PIP patients today.

Signs of a ruptured implant include:

  • swelling or a lump around the breast
  • a change in the shape of the breast
  • redness, pain or a burning sensation
  • If you have any of these symptoms of a ruptured implant you should seek immediate medical advice. Typically you will require a scan to confirm you have ruptured implants.

Ruptured implants need to be removed or replaced as soon as they have been diagnosed.

Breast Implant Replacement surgery is relatively straightforward surgery.

Most implants can be removed quite easily, even under local anaesthesia. Polyurethane covered implants (Polytech) can be more difficult to extract, if one wants to remove all the foam covering.

Surgery time is commonly no more than an hour or two.

Breast Implant Removal and Lift is a common combination, particularly in older patients, where there may be some excess skin or tissue caused by the effects of ageing or by stretching during pregnancy or weight gain. 

A Breast Implant Removal and Lift combination ensures this loose skin is pre-emptively tightened around the new breast mould or even excised completely. This procedure can also ensure an optimal breast and nipple position is delivered, and that the breasts feel firmer following surgery. 

Breast implants do not have an expiration date so you may not need to replace them at any stage following surgery.

Breast implant replacement surgery, or a change of implants, is typically only necessary when the breast implants no longer looks or feels good.

Sometimes a change of implants is necessary after childbirth, or due to the natural effects of ageing or following weight loss. In each instance, saggy breasts or asymmetric breasts can easily be corrected by a change of implants.

Breast Implant Removal differs from Breast Implant Replacement in so far as the implant is removed and not replaced during such surgery.

After Breast Implant Removal the skin and tissue will retract to how they were before your initial breast implant surgery, meaning that in all likelihood no additional procedure will be required to restore your previous look.

In some instances, however, natural fat transfer breast augmentation alternatives might be necessary to counteract any appearance of breast deflation or emptiness.

Breast implant removal surgery is not usually required following breast implant surgery, and is only necessary in the rare instances where there is a complication following surgery. This could be capsular contracture or a ruptured breast implant.

We would typically ask you to get a scan to confirm what has happened, before coming in for a breast implant removal consultation with your surgeon.

Breast implants do not have an expiration date. It is not the case that implants should be replaced every 10 years. Breast implants only need to be replaced if they break or rupture. If implants are looking good and feeling good there is no reason to change them.

Breast Implants only need to be replaced in the very rare case whereby they break or rupture. When a saline breast implant ruptures, it can result in a dramatic change in the appearance of the breast, which will effectively deflate, changing its size and shape. In the rare event of a silicone implant rupture, any leaks tend to stay inside the implant, so a silicone breast implant rupture is not always obvious. However a leaking silicone implant may cause pain, tenderness, numbness, swelling, burning or changes in sensation. 

Implants can also be replaced for personal reasons, including wanting to change the shape or size of the implants, breasts change due to weight loss or gain, age or having children.

If you think you require breast implant removal then we recommend you get in touch with your surgeon to discuss this immediately.

Implants that require removal or replacing must be removed addressed swiftly, particularly in the case of ruptured implants or capsular contracture.

All of our breast surgeons perform breast implant removal surgery at the Cadogan Clinic. Breast implant removal is straightforward surgery and takes no longer than one hour to complete. If you have any concerns and would like your breast implants checked for potential ruptures, please get in touch with our surgeons who can arrange an ultrasound or MRI scan for you.

The Cadogan Clinic has become a well-known provider of implant replacement services as our reputation as a trusted cosmetics provider was enhanced following the PIP scandal that implicated so many of our competitors.

As one of the few Clinics in the country not to use PIP products and insist on higher quality products, we were at the forefront of the replacement drive. It remains one of our most commonly performed surgical procedures at the Clinic to this day.

When breast implants are removed and not replaced, the skin and tissue should retract to how they were before your initial breast implant surgery, meaning that in all likelihood no additional procedure will be required to restore your previous look. However sometimes breasts can appear saggy, droopy or misshapen after breast implant removal. If this is the case, then you may want to consider a breast lift (mastopexy), which can be performed at the same time as implant removal.

Yes, you can have breast implants removed and replaced at the same time. However if you have an infection your surgeon will ask you to wait for this to clear up before putting in any new implants. This may take in the region of three months.

If you are suffering pain associated with capsular contracture, removing implants can provide almost instant pain relief. If large or over-sized implants are causing you neck or back pain, then removing these will help to alleviate this pain. If you are experiencing any symptoms of a silicone implant leak, removal will help to resolve this.

There are two types of implants, silicone and saline. Saline implants are silicone shells filled with sterile salt water (saline). Silicone implants are silicone shells filled with a plastic gel (silicone).

Silicone implants are the most popular as they look and feel more natural and are less likely to wrinkle, ripple or rupture.

Yes, implants can be removed and not replaced. A person may decide to have their implants removed and not replaced due to natural body changes or personal preference. Occasionally implants may be removed for health reasons, such as capsular contracture.

Yes it is possible to replace just one breast implant, for example in the case of implant rupture. Great care will be taken when inserting the new implant that symmetry is maintained with the other breast.

Breast implant replacement surgery takes one to two hours from start to finish. The total time depends on a number of factors, including the type of implant used and whether one or both implants are being replaced. The procedure is carried out under a general anaesthetic.

The appearance of the breasts after breast implant removal varies among patients and depends on factors such as the size of the original implants, breast tissue condition and whether other combination procedures are performed.  

Since there is a risk of loss of volume and sagging breast skin you may look flat chested after breast implant removal surgery. There are several surgical options such as Implant Replacement, Fat Transfer to Breast and Breast Lift that can be discussed with your surgeon to counteract this effect. 


Words from Our Founder

Mr. Bryan Mayou

Over our 20 year history, we’ve learned the key to minimising breast implant removal and replacements is to choose the right surgeon and implant from the start, as these two typically go hand in hand with each other. Bad advice can lead to bad implant selection and an increased need for replacement at a later date. That said removal or replacement cannot always be avoided, but the good news is that innovations in implant quality and longevity is making this increasingly a far less common procedure at our Clinic.
Mr. Bryan Mayou

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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What Are Breast Implant Removal Risks?

Breast Implant Removal risks are minimal, but as with any cosmetic surgery, these may occur, and you should be aware of them and discuss them with your surgeon. 

  • You will likely experience bruising and swelling during your recovery, which will subside within 2-3 weeks. 
  • You may also have some temporary numbness which will resolve during your recovery period. 
  • Hematoma - blood building up beneath the skin around the breast and will require treatment from your surgeon, to be drained 
  • Poor wound healing - Healing complications or infection can affect the incision sites and may require further treatment 
  • Asymmetry - Occasionally, one breast may appear larger or in a slightly different position from the other 
  • Seroma - This is the formation of a lump under the skin caused by buildup of fluid around the incision sites in the crease of the breasts. This will require treatment from your surgeon. 

In the event of any unforeseen complications or less than optimal overall outcome, a Breast Revision Surgery may be required following your initial surgery. The need for a revision surgery can arise due to factors beyond the surgeon’s control. Our skilled consultant surgeons are qualified professionals who have performed Breast Implant Replacement numerous times.

It is also important to acknowledge that all surgical procedures carry a slight risk of:

  • Excessive bleeding  
  • Allergic reaction to general anaesthetic 
  • Infection at the surgical site 
  • Deep vein thrombosis (blood clot in a vein) 
  • Your surgeon will assess your personal risk for all of these factors alongside your general health and suitability for surgery. They will also explain how these risks would be addressed and treated in the event they occur. If you need to take any measures to mitigate these risks. 



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Laurel Wreath for Awards

2023

Aesthetic Awards

Highly Commended Best Clinic in London

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2021

Aesthetics Awards

Highly Commended

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2021

My Face My Body

Best Clinic Winner

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2020

My Face My Body

Best Clinic Winner

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2019

My Face My Body

Winner

Laurel Wreath for Awards
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2018

My Face My Body

Highly Commended

Laurel Wreath for Awards
Laurel Wreath for Awards

2018

Aesthetics Awards

Highly Commended

Laurel Wreath for Awards
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2017

Aesthetics Awards

Winner

Laurel Wreath for Awards

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