Breast augmentation (breast enlargement/enhancement) 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 through an enlarging technique. 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.
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Mr Banwell also exclusively offers biodynamic breast augmentation and a free sizing service in his clinic with his aesthetic nurse. A variety of implant sizes are available and you can make a comparison to see the differences in bust types, and it also offers the chance to discuss aftercare, and the stages and timeline of augmentation surgeries, as well as giving tips on performing massage of scars with lotion and a discussion about expected results. Mr Banwell may also advise you on photos and wearing sports bras and underwire bras; it is also a perfect forum to just have a chat and a cup of coffee!
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). In the USA there was also a vogue for transumbilical surgery (saline implants only) but this is very rarely used.
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. Most ladies are aiming for a natural breast enlargement or augmentation that gives them confidence in their clothes and underwear/swimwear. Free sizing with Mr Banwell's nurse is also available - please call 0845 2600 261 for further information.
During your consultation we will discuss the size which may suit your height, body shape and existing breast tissue, while explaining the process and giving you all the facts. 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.
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.
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.
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 medical 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.
Pain varies greatly from person to person; however, it is usual for most patients to have some effects and discomfort in the first seven to ten days. Following surgery Mr Banwell will give you a prescription for pain relief medicine or tablets, 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.
Breast implants are not permanent 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.
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.
Many women are also potentially interested in alternative methods of nautral breast enlargement or natural breast augmentation. The appeal of breast enlargement pills and breast enlargement cream is very strong but unfortunately, in Mr Banwell's opinion, these do not really work.
Injections in to the breast with fat or Macrolane injection is currently quite controversial and most females realsie the reviews are less than ideal. Mr Banwell will discuss this should you wish in his breast enlargement clinic
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.
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.
Breast implants generally do not normally interefere with breast feeding or pregnancy.
Please contact Mr Banwell's office on 0845 2600 261 or email firstname.lastname@example.org for further information.
Day case or 1 night
PRE ADMISSION TESTS
Sleeping on back recommended for 4 weeks.
Shower after 1 day. Bath after 2 weeks.
EXERCISE INCLUDING GYM
Restricted activity after 4 weeks
TIME OFF WORK
BRAS & GARMENTS
Sports bra worn for 8 weeks. Wired bra after 2 months.