Breast enlargement   Breast Enlargement (Breast Augmentation)

Overview
Breast augmentation (augmentation mammaplasty) is a surgical procedure which aims to increase the size and shape of the breasts. It may also be suitable to correct asymmetry of the breasts. The procedure involves the placement of an implant either behind the breast tissue or under the chest wall (pectoral) muscle. The insertion of an implant will push or help lift the breast tissue forward, making the breast appear larger and more full.

Frequently Asked Questions
Why do women choose to have breast    augmentation?
What are my options?
How do I select the size?
What type of anaesthetic?
How many times should I see Mr
  
 Banwell before the operation?
What happens after the operation?
Will I have any pain?
What is the life expectancy of implants?
Are silicone implants safe?
What are the risks?
Are there any other issues regarding    breast implants?
How about breast feeding?
What costs are involved?

Please contact Mr Paul Banwell’s office, and his staff can answer any questions you may have and can arrange for a quote and information regarding the procedure to be sent to you.

Why do women choose to have breast augmentation?

1. To increase the size of their breasts.
2. To regain fullness, lost due to breast     feeding and/or age.
3. To balance asymmetric breasts.
4. To improve self esteem.

What are my options?

Options exist with regard to:
1. The type of implant used.
2. The shape of implant used.
3. Where the incision is made in which
    the implant will be placed through.
4. The pocket or plane in which the     implant can be positioned.

Implant choices

1. Saline or silicone gel filled implants
2. Smooth surface or textured surface.     Textured implants can be ‘macro’
    or ‘micro’
3. Round or tear-dropped (anatomical)     shape
4. Low, medium or high profile
    projection implants

Incision choices

The incision can be made either in the axilla (arm-pit), circumarealar (around the lower half of the nipple/areolar) or
inframammary (underneath the breast in the breast fold).

Pocket choices
The implant can be placed on top of the pectoralis major muscle (subglandular) or underneath the pectoralis major muscle (submuscular).

The choices are dependent on specific patients needs and expected outcomes. Mr Paul Banwell will assist you in making an informed and appropriate choice of implant, incision site and pocket placement that is tailored to best suit you.

How do I select the size?

During your consultation we will discuss the size which may suit your height, body shape and existing breast tissue. However, the final decision regarding exactly what size breast implants are used is up to you, the patient. We have a range of trial implants that we encourage you to try on (inside a crop-top) so that you can assess what size may best suit you, although this is only a rough guide. In addition, Mr Banwell will suggest other methods at the time of consultation.

What type of anaesthetic?
Mr Banwell recommends a general anaesthetic undertaken by a specialist anaesthetist. The operation is generally performed either as a day case or an overnight stay. The use of surgical drains may or may not be required after the operation.

How many times should I see Mr Banwell before the operation?
Mr Paul Banwell generally likes to see you at least twice prior to your surgery, although he welcomes and encourages you to visit as many times as you require to allay any concerns you may have about your surgery and at the same time confirm the size, look and expected outcome you are trying to achieve. The consultations are also to ensure that you are fully informed of what the procedure involves and the potential risks.
 

Breast Augmentation

What happens after the operation?
After the operation there are no stitches to remove as they are all internal. Our office or the private hospital staff will contact you after the operation to ensure that you have no problems during your convalescence. There will be post-op visits at approximately one week, six weeks and six months. A crop-top/ athletic support bra is to be worn day and night for six weeks unless otherwise advised by Mr Banwell. We recommend no driving for two weeks post-operatively and no rigorous exercise for six weeks. At the first post-operative visit, we will discuss the best way to achieve the optimum scar result.

Will I have any pain?

Pain varies greatly from person to person; however, it is usual for most patients to have some discomfort in the first seven to ten days. Following surgery Mr Banwell will give you a prescription for pain relief and encourage you to rest as much as possible in the first seven days. If at any time post-operatively you have any fears or concerns regarding your recovery you can contact Mr Banwell on his mobile number 24 hours a day, or the hospital staff during office hours.

What is the life expectancy of implants?
Breast implants are not lifetime devices and it is likely at some time in your life that they may need replacing. Some need to be replaced in only a few years and some not for 30+ years. In the world literature the average life expectancy varies between 8 and 16 years. Sometimes the replacement of implants is by choice (eg. to change size) although sometimes they need to be replaced because of complications, such as a symptomatic capsule forming around the implant.

Are silicone implants safe?
Various large international studies which have been critically evaluated have shown no increased risk of malignancy within the breast or anywhere within the body. They have also shown no increased risk of auto-immune disease (joint and soft tissue) problems.

What are the risks?

There are both general and specific risks and Mr Banwell will talk to you in detail
regarding these. General risks include bruising and swelling, bleeding, wound
infection, problems with general anaesthetics, abnormal scarring and keloid scarring, and clots in the legs and lungs. Specific risks of breast augmentation include capsule formation and capsular contracture, fluid accumulation around the implant, changing in feeling around the nipple and areolar and skin of the breast, leakage or breakage of breast implants, silicone granulomas for silicone gel implants, implant movement or extrusion, palpability, wrinkles, ripples and asymmetry.

Are there any other issues regarding breast implants?
Breast implants may interfere with the detection of breast cancer so that if you have a family history or personal history of breast cancer, please let Mr Banwell know. Women with breast implants can undertake mammograms but must make their radiographer aware of their presence prior to the mammogram. There is no evidence that breast implants increase the risk of breast cancer.

How about breast feeding?
Breast implants generally do not normally interefere with lactation.

What costs are involved?

+ Mr Banwell’s surgical fee
+ Cost of implants
+ Hospital costs
+ Specialist anaesthetist fee

Please contact Mr Banwell’s office, and his staff can answer any questions you may have and can arrange for a quote and information regarding the procedure to be sent to you.

 
         
 
   
Mr Paul E Banwell BSc(Hons) MB BS FRCS(Eng) FRCS(Plast)
T : 0845 2600 261 + F: 0845 2600 271 + E: help@paulebanwell.com
McIndoe Surgical Centre
+ Holtye Road + East Grinstead + West Sussex RH19 3EB

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