Breast augmentation with implants is the UK’s most popular cosmetic surgery procedure and demand does not seem to be flagging. In February, the British Association of Aesthetic Plastic Surgeons (BAAPS), the UK’s leading plastic surgery association of which I’m a member, announced that breast augmentations were up 12 per cent on the previous year.
Demand is largely driven by two distinct groups of women; the first are younger, either in their late teens or early twenties, and they have usually always been dissatisfied with the size of their breasts. In rare cases, women can suffer from hypoplasia, where there is a significant underdevelopment or incomplete development of the glandular breast tissue.
How your breasts appear, once puberty has concluded, will not change until your body goes through a physical change such as pregnancy, breastfeeding or excessive weight gain and loss. The ageing process can also affect the breasts as skin loses its elasticity and begins to sag. This brings us to the second group of women; they have seen less than pleasing changes to breast shape and size and are keen to restore their previous contours.
One of the most frequently asked questions during my Leamington breast augmentation consultations, is concerned with the appearance of the breasts after surgery. The majority of woman that I see are keen for their breasts to look as natural and as ‘real’ as possible.
Before you arrive for your consultation, there are a number of questions you can ask yourself that will help you visualise your ideal breasts:
- How big would you like your breasts to be? Do not become fixated on a cup size, but visualise how large and full you would like them to be.
- What shape would you like?
- Where would you like your breasts to sit on the chest wall?
- How would you like your cleavage to appear? Although be aware, that this will largely be dictated by the underwear and clothes you wear.
- How pert would you like your breasts to be?
- Where would you like the nipples to be positioned?
Once we have discussed your hopes and expectations, I will perform a careful physical assessment, as there are certain physical factors that have to be taken into account, in terms of surgical planning, but that might also limit what is possible to achieve. This includes the amount of existing breast tissue, the size of your frame and chest wall and also the degree of ptosis or sagging of the skin and breast tissue.
Once this has been taken into account, I can advise you which size, shape and projection of implant will best deliver the results you’re hoping for. Although there are many hundreds of variations of implant size and shape to choose from, you’ll find that only a very narrow choice will be appropriate.
The natural breast
Ideally, the breast will have a gentle slope, towards the nipple, with more volume in the lower half of the breast. The nipple will sit above the breast fold on the outer curve of the breast and the breast itself will be positioned approximately at the mid-level of the arm.
The ‘fake’ breast
This is generally a reflection of the use of an excessively large size of implant, which is not only out of harmony with the overall body frame and shape but is also too large in the upper part of the breast area, resulting in breasts which sit unnaturally high on the chest wall and appear very round with ‘bubbly’ cleavage. If too large an implant is used then it is more likely to be possible to detect the edges of the implant.
Luckily, this ‘Celebrity’ look is much less popular than it was. My aim is to produce a naturally beautiful enhancement of the breasts that should boost your confidence and self-esteem rather than just your cup size.
To arrange a breast augmentation consultation at my Warwickshire cosmetic surgery clinic, call 01926 436341 to speak to my secretary.