Breast Augmentation

Breast augmentation is a surgical procedure to enhance the size, shape, and volume of the breasts using implants. It may be performed for:

  • Aesthetic reasons – to increase breast size or improve shape and symmetry

  • Post-pregnancy or weight loss changes – to restore volume or firmness lost over time

  • Correction of asymmetry – when one breast is noticeably smaller than the other

  • Reconstructive reasons – following injury, surgery, or congenital underdevelopment

 Types of Breast Implants

Breast implants differ in filling material, shape, and surface texture. Your surgeon will help you choose the best option based on your body and goals. Common types include:

Filling Material:

  • Silicone Gel Implants: Most commonly used; feel natural and maintain shape well. Require regular monitoring.

  • Saline Implants: Filled with sterile salt water; collapse if leaking and are absorbed by the body. Firmer feel but more prone to visible rippling.

  • Structured Saline Implants: A newer type of saline implant with internal structure for a more natural feel.

  • Gummy Bear Implants: Form-stable silicone gels that keep shape even if damaged; firmer and shaped like a teardrop. Rotation can cause shape issues.

Shape:

  • Round Implants: Provide fullness especially in upper breast; rotation does not affect appearance.

  • Teardrop (Anatomical) Implants: Mimic natural breast slope; rotation may distort shape.

Surface Texture:

  • Smooth Implants: Softest feel with natural movement; may show rippling in thin patients.

  • Textured Implants: Reduce implant movement and risk of scar tightening but linked to rare lymphoma risk (BIA-ALCL). Your surgeon will discuss if suitable.

Implants can be placed:

  • Above the chest muscle (subglandular): better for those with more natural breast tissue

  • Below the chest muscle (submuscular): often used for slimmer patients or to reduce the risk of visible rippling and capsular contracture

In some cases, breast augmentation is combined with a breast uplift (mastopexy) if there is significant sagging or stretched skin. This lifts and reshapes the breast while also enhancing volume.

Mr. Eccles will discuss implant options, sizes, incision placement, and whether a lift is needed during your consultation. A second appointment is always recommended to ensure you have time to consider all options.

  • Breast augmentation is performed under general anaesthetic and takes approximately 60 to 90 minutes.

    • Most patients go home the same day

    • Some may prefer or be advised to stay overnight, especially if additional procedures are performed or drains are needed

    • A supportive surgical bra is worn immediately after surgery

    • Expect mild to moderate discomfort, particularly if the implant is placed under the muscle

    • Bruising and swelling are normal and may take a few weeks to fully settle

    • The breasts may feel firm, tight or tender in the first few weeks

    • Final shape and position may take up to 6 months to settle

    You can usually:

    • Return to desk-based work after 5–7 days, depending on your comfort

    • Resume light exercise after 2–3 weeks

    • Avoid strenuous activity and heavy lifting for 4–6 weeks

    • Sleep on your back and avoid underwire bras for the first few weeks

    Scars are usually placed in the crease under the breast, but other approaches (around the nipple or via the armpit) can be considered depending on your anatomy and preference.

  • As with all surgery, there are potential risks, which Mr. Eccles will discuss in detail with you. These may include:

    • Capsular contracture – scar tissue around the implant that may harden or distort the shape

    • Asymmetry or implant malposition

    • Changes in nipple or breast sensation, usually temporary

    • Infection or bleeding, rare but may require further treatment

    • Scarring – typically minimal and well-hidden, but varies individually

    • Rippling or implant visibility, more common in very slim patients

    • Implant rupture – rare with modern implants, which are designed to retain shape

    There is no known link between silicone implants and breast cancer or autoimmune disease, based on current scientific evidence. Implants do not interfere with mammograms, but inform your radiographer prior to imaging.

  • Breast augmentation results are generally long-lasting. However:

    • Implants do not last forever – although modern implants are durable, manufacturers suggest an average lifespan of 10 years or more

    • The implants used by Mr. Eccles (Mentor and Allergan) come with a lifetime guarantee against rupture

    • Over time, natural ageing, gravity, and hormonal changes may affect breast shape or position

    • If needed in the future, a revision or uplift procedure can restore shape and support

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