Breast Augmentation
Regain your confidence
Breast Enlargement, (sometimes known as mammoplasty or breast augmentation) is a surgical procedure that uses breast implants to enhance the size and shape of a woman’s breasts. It is a popular procedure that can boost a woman’s appearance and help her self-confidence, improve body confidence and fit of clothing and return breast shape following weight loss, pregnancy and breast feeding.
What is a breast augmentation?

Breast augmentation is an operation to use silicone implants to make your breasts larger and usually to improve their shape. It is suitable only for certain women. You should consider the options carefully and have realistic expectations about the results.


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Self pay patients can pay the hospital direct for rapid access to premium services. You will have a number of treatment options which may affect your final bill. Please contact us if you wish to discuss this further.

We partner all major health insurers. Where your policy provides cover you can visit us as a private patient for rapid access to premium services.

Is a breast augmentation suitable for me?

You are most likely to benefit from a breast augmentation if one or more of the following conditions apply to you:

• You are self-conscious about the size of your breasts.

• Your breasts have become smaller and less shapely because of pregnancy or from losing weight.

• You have one breast noticeably smaller than the other (breast asymmetry).

Your surgeon will assess you and tell you if a breast augmentation is suitable for you. This will include taking consented photographs for your medical records, examination of your breasts and discussions about your medical history. If you are planning to become pregnant in the near future, please inform your surgeon as pregnancy can change the size of your breasts and may affect the long-term results of surgery.

Various makes, shape and sizes of silicone implant are available. Your surgeon will discuss the most appropriate make and size for you using the measurements that are taken at your consultation.

Preparing for breast augmentation

It is advisable to stop smoking several weeks or more before the operation to reduce your risks of developing complications and will improve your long-term health.

Try to maintain a healthy weight. You have a higher risk of developing complications if you are overweight.

Regular exercise should help to prepare for the operation, help you to recover and improve your long-term health.

Inform your surgeon about any medications that you take so that they can advise you. This includes blood-thinning medication (anti-coagulants), hormone replacement therapy as well as herbal and complementary remedies, dietary supplements, and medication that you can buy over the counter.
The operation is performed under a general anaesthesia which means that you will be asleep during the operation. Your anaesthetist will be able to discuss with you the possible complications of a general anaesthesia.
A general anaesthesia can make you sick so it is important that you take advice from the pre-assessment nurse regarding starving instructions.
Your surgeon will discuss with you what will happen before, during and after your procedure, and any pain you may have. This is your opportunity to understand exactly what will happen.
You will be asked to complete a consent form prior to your surgery; this is a legal requirement that ensures that you agree to the surgeon completing your surgery. Your pre-assessment nurse will ask you to give your signed consent to have your name on the Breast and Cosmetic Registry. This is used nationally to follow up the safety and effectiveness of breast implants.
Compression Socks
You will need to wear measured compression stockings during the operation to help prevent blood clots forming in the veins in your legs (deep vein thrombosis).The healthcare team will advise you on the length of time that you should continue to wear these on your discharge.
Your Questions
You might find it helpful to prepare some questions to ask about the risks and benefits to the procedure. This will help to inform you about the procedure so that you can give your informed consent for the surgery to proceed.

About your breast augmentation surgery

The healthcare team will complete a number of checks on you to ensure that you are medically fit for the surgery.

The operation is performed under a general anaesthesia and usually takes about 90minutes. Your surgeon will decide on whether to place the implant under or over the muscle at your consultation.

Dissolvable stitches are normally used to close the incision. Simple dressings will then be applied and a provided clinical bra will be used immediately post operation.

What to expect afterwards

After the procedure, you will be transferred to the recovery area and then to the ward .Your breasts may look discoloured and feel firm and swollen. You will stay in hospital overnight.

On discharge the healthcare team will provide you with information concerning complications that you may experience following your procedure. If you are worried or concerned about any symptoms contact the healthcare team. They will be able to reassure you or identify and treat any problems.

You will also be advised when you can return to normal activities. This is often dependent on the type of employment you are in.

Regular exercise should help you to return to normal activities as soon as possible. Before you start exercising, ask the healthcare team for advice.

Do not drive until you are confident about controlling your vehicle and always check your insurance policy - this is usually around 12 days.

You should be able to return to your normal life after two to three weeks but we advise that you do not attend the gym / swimming for 4-6 weeks.

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The healthcare team will make your operation as safe as possible but complications can happen. Some of these may be serious, you should ask your consultant if there is anything you do not understand before signing your informed consent to surgery.

Pain is usually only mild and easily controlled with simple painkillers such as paracetamol. You may feel sore along your breastbone, especially if the implant was placed behind the pectoral muscle. Moving your arms may be uncomfortable for two to three weeks.
Infection on the surface of the wound is rare and easily treated with antibiotics. The healthcare team will advise you on the post-operative care of the wounds.
Breast implants are usually inserted through incisions in the fold under the breast. The scarring is minimal and easily settles.
Adverse Capsular Contracture
In every patient, the body forms a scar or capsule around the implant that fixes it in place. In most people this is not obvious and the breast feels soft and looks natural. In a proportion of people it may feel firmer than a normal breast and can appear misshapen. This indicates you may have a problem and a review by your surgeon is appropriate.
Changes to the feeling of the Breasts
Most patients will get some alteration in the sensation of their breasts, the most usual being numbness near the scar and hyper sensitivity of the nipples. Rarely, some patients will get numbness of the nipples, if this lasts for more than 6 weeks after the surgery, it may be permanent.

Please note you may not be able to breast feed following this type of surgery.
Being able to feel or see the implants under the skin. In particularly slim patients, it is to be expected that you will be able to feel the edges of the implants. If the implant has been placed sub muscular (under the muscle) this is less noticeable.
Blood Clot in Legs
Blood clot in your leg - deep vein thrombosis( DVT) - the healthcare team will assess your risk. You will be encouraged to get out of bed soon after the operation. Ensure that you follow carefully the instructions of the healthcare team if you have been given medication or surgical stockings.
Blood Clot in Lungs
Blood clot in your lung (pulmonary embolus) - a blood clot moves through your bloodstream to your lungs. Let the healthcare team know straightaway if you become short of breath, feel pain in your chest or upper back, or cough up blood.

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Surgical Site Infections

Returning to normal activities

Do not lift anything heavy or do strenuous exercise such as vacuuming or ironing, or going to the gym for three weeks.

You should be able to do a limited amount of activity, such as lifting young children, after about two weeks.

You should be able to return to work after 1-2 weeks depending on your type of work, the healthcare team will advise you on this.

Your healthcare team will advise you on when you can resume sporting activities.

What can I do to make my recovery easier?

It is important that you are as fit and healthy as possible before your operation. You can also prepare your home for when you return from hospital.

More information
Try to prepare your home for when you return from hospital. You could rearrange your furniture to make it easier to move around safely. And place items that you use often at arm level, so you don’t have to reach for them.

Stock up on frozen or tinned food too so you don’t need to go shopping immediately after your surgery. Or do an online shop to be delivered when you get home.

If possible, ask friends or family to stay with you for a few days after the operation to help you while you recover.

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At HMT Sancta Maria you will always see the same consultant throughout your patient journey.
We believe that this makes a world of difference to your experience with us.

"To all staff, just want to say a big thank you for all your help you are all so lovely and always smiling".

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