Breast Enhancement | Breast Enlargement | Mammoplasty Surgery

The process can make you look younger and so may enhance your self-confidence. But remember it can't alter your appearance completely, or give you back your youth. Please discuss your expectations thoroughly with your botonics surgeon before deciding. The most suitable breast augmentation patients are physically healthy, emotionally-stable women who are realistic about what the surgery can accomplish. You should be looking for improvement, not perfection.

The main reasons behind having a breast augmentation:

• To enhance the silhouette when breasts are too small.
• To restore loss of breast volume after pregnancy.
• To balance asymmetry: a difference in breast size.
• As a reconstructive technique following surgery to remove tissue.

By inserting implants surgeons are able to increase a woman's bust line by one or more bra cup sizes. What can and should be done in your case will depend on a Consultation with your surgeon.

A breast implant is a silicone rubber shell filled with either medical grade silicone gel or saline (salt water). Long-term experience with medical grade silicone shows that it is the least reactive substance in the human body of any man-made substance that we know. Many patients and surgeons do feel that silicone-filled implants give the most natural look and feel to the breast.

botonics use the highest quality cohesive silicone gel implants manufactured by Nagor, a UK based company and manufacturer.

Often, the patient does not know what is the best size and shape until they can see it themselves by bra sizing during the consultation. Once again, it is important that you feel your plastic surgeon truly understands what you are looking for before you leave your consultation.

Your botonics surgeon will initially evaluate your health and recommend which surgical techniques are best for you, based on your age, the condition of your breasts and your skin tone. If the breasts are sagging your surgeon may also recommend a breast lift. Discuss your expectations fully and frankly with your surgeon. He or she will be equally frank with you, describing your choices and the risks and limitations of each.

Your surgeon will then give you specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins and medications. Be sure to arrange for someone to drive you home after your surgery and to help you out for a few days if needed.

The surgery will take place in an operating theatre in one of London’s prestigious private aesthetic hospitals. The surgery itself usually takes from one to two hours under a general anaesthetic. Many clients are able to go home on the day of the surgery; some remain in the hospital overnight.

The method of inserting and positioning your implant will depend on your anatomy, your preferences and your surgeon's recommendation. A short incision can be made either in the crease under the breast, or around the areola (the dark skin surrounding the nipple), or in the armpit.

Regardless of the location of the surgical incision, every effort will be made to ensure that the resulting scars are as inconspicuous as possible. Working through the incision, the surgeon lifts your breast tissue and skin to create a pocket, either directly behind the breast tissue or underneath your chest wall muscle (the pectoralis muscle). There are different reasons for placing the implants on top of or underneath the muscle and your surgeon will discuss the pros and cons of these alternatives with you before surgery to make sure you fully understand the implications of each.

Drainage tubes are sometimes needed following the operation which usually be will taken out before you are discharged from the hospital. Stitches are used to close the incisions which are also taped for greater support. A support bra will be given to you to wear for six weeks.

Capsular contraction occurs if the scar or capsule around the implant begins to tighten. This can cause the breast to feel hard. Treatments include the removal or 'scoring' of the scar tissue, or perhaps removal or replacement of the implant. This is considered a natural complication which can happen at any time after surgery. The complication occurs in less than 5% of patients.

Hematoma or excessive bleeding following the operation may cause some swelling and pain. If this bleeding continues, a further procedure may be necessary to control it and remove the accumulated blood.

Infection rarely may develop around an implant which, if it is going to happen, usually occurs within a week of surgery. This may mean the implant has to be removed for several months until the infection clears and a new implant can be inserted.

Nipples may become oversensitive, under-sensitive, or even numb. The small patches of numbness around your incisions usually improve over time, but may be permanent in some clients.

There is no evidence that breast implants affect fertility, pregnancy, or your ability to feed a baby. If, however, you have been breast feeding in the year before surgery, you may produce milk for a few days after surgery. Although this may cause some discomfort, the condition can be treated with prescription medication.

Occasionally breast implants break or leak as a result of injury or even from normal compression. If a break occurs in a gel-filled implant, however, one of two things may occur. If the shell breaks but the surrounding scar capsule does not, you may not detect any change. If the scar also breaks or tears, especially following a lot of pressure, silicone gel may enter surrounding tissue. The gel may then collect in the breast where a new scar will form around it, or it may migrate to another area of the body. This may cause a change in the shape or firmness of the breast. Both types of break will normally require a second operation to replace the leaking implant. In some cases it may not be possible to remove all of the silicone gel in the breast tissue after a rupture.

While the majority of clients do not experience any complications, you should discuss each of them with your botonics surgeon to make sure you understand the risks and consequences involved in breast augmentation.

You will feel tired and sore for a few days but should be up and around in 24 to 48 hours. Most of your discomfort can be controlled by prescription medication. Within one week, the stitches and gauze dressings can be removed and you will be given a surgical bra. You should wear it as directed by your botonics surgeon for up to 6 weeks. You may also experience a burning sensation in your nipples for about two weeks though this will subside as the bruising goes away. The swelling in your breasts may take a couple of months to go completely.

Most clients can return to work within one week depending on their work requirements. Follow your surgeon's advice on when to begin exercises and other normal activities.

By three to four weeks after surgery they should no longer be sore. The scars will be firm and pink for at least six weeks. They may then remain the same size for several months, or even appear to widen. After several months, however, your scars will begin to fade, but they will never disappear completely.