Treatments — Breast
Breast Enlargement
Breast Enlargement by Mr. BanwellBREAST AUGMENTATION IS A PLASTIC SURGICAL PROCEDURE WHICH AIMS TO INCREASE THE SIZE OF THE BREASTS. THE PROCEDURE CAN ALSO BE SUITABLE TO HELP IMPROVE ASYMMETRY OF THE BREASTS.
BREAST AUGMENTATION SURGERY INVOLVES THE PLACEMENT OF A SILICONE BREAST IMPLANT (PROSTHESIS) EITHER BEHIND THE BREAST TISSUE (SUBGLANDULAR / SUBFASCIAL POCKET) OR PARTIALLY UNDER THE PECTORALIS MUSCLE (DUAL PLANE OR SUBMUSCULAR POCKET).
The insertion of an implant will make the breast appear larger and fuller. Mr Paul Banwell is a specialist in breast augmentation and would be happy to discuss your aims and objectives with you – we believe in a tailored, bespoke approach to all breast enhancement surgeries is essential using either implants alone (including the latest tissue preservation techniques (Mia Femtech & Motiva Preservé, fat transfer alone or a combination of both (Mr Banwell’s hybrid HYBA technique).Many of our patients will have friends or family who have had breast augmentation previously and hopefully would have done lots of research beforehand. However, some information on the internet on breast augmentation is quite inaccurate and may confuse patients (eg, ability to breast feed, pocket decisions, concept of volume and profile) and indeed many surgeons are also still promoting older concepts and ideas which have now be superceded by modern techniques and technology). Dr Paul and his team are therefore here to help you navigate this (exciting and sometimes nerve-wrecking!) journey.
"Dr Paul’s signature minimal scar technique is extremely sought after."
Surgery Time
45-90 minutes
Hospital Stay
Day case or 1 night
Anaesthetic Assessment
No
Pre-Admission Tests
Possibly
Sleeping Position
Sleeping on back recommended for 4 weeks.
Reasonably Mobile
1 day
Washing
Shower after 1 day. Bath after 2 weeks.
Driving
1 week
Exercise including Gym
8 weeks
Sexual Activity
Restricted activity!
Full Recovery
8 weeks
Time Off Work
1-2 weeks
Bras & Garments
Sports bra worn for 8 weeks. Wired bra after 2 months.
Please contact Mr Banwell’s office on 01342 330302 or email help@paulebanwell.com for further information.
£ Contact Office
See the results of Mr. Paul Banwell’s work on real patients!
MR BANWELL HAS ALSO SEEN A MASSIVE INCREASE IN REQUESTS FOR SO-CALLED ‘BALLERINA BREASTS’ – IE. SMALL IMPLANT BREAST AUGMENTATION USING A VARIETY OF IMPLANTS AND GOING UNDER OR OVER THE MUSCLE DEPENDING ON PATIENT PREFERENCE.
Our award-winning service includes a comprehensive and personalised package of care for breast enhancement (augmentation) starting with our concierge service followed by bespoke planning and operative procedure.
We believe the breast enhancement service we offer is unique:
Please click on the procedures for further information:
For your convenience Mr Banwell has created a factsheet for this treatment to download and retain.
The decision for cosmetic surgery should not be taken lightly. This is why Mr Banwell believes that the consultation process with him and our Concierge is so important. Regardless we are here to hold your hand throughout your journey and answer any questions you may have. That leap of faith may be anxiety-provoking but please know that we will always be here to catch you!
Bilateral breast augmentation (BBA) surgery is now evolving rapidly with equipment developments, advances in anaesthesia, surgical technique modifications and the availability of the latest generation implants which offer an unrivalled safety profile. Mr Banwell has been at the forefront of this evolution and offers a comprehensive service to his patients. He is also passionate about sharing knowledge and is involved in teaching the next generation of plastic surgeons.
One of the main benefits of these advances is that the recovery phase following breast augmentation has accelerated and we are performing surgery through smaller scars whilst still creating beautiful breasts.
We take our responsibilities very seriously indeed and hope, with careful discussion, that we can achieve your desired outcome. We believe in being transparent and honest during your surgical journey and will highlight our thoughts to you in person and by email. Your start off anatomy is vital in this respect and will contribute significantly to you final result. Your safety is also of paramount importance to us and thus Mr Banwell only works in high quality, CQC recognised establishments, with medical backup and a track record of safe practice. All his anaesthetists, similarly, are consummate professionals at the top of their game and thus you will be in the very best hands. The implants that Mr Banwell uses also have, perhaps, the most comprehensive warranty available (please note this is between the patient and the implant manufacturer and patients are required to register their implants after surgery). You will be seen following your surgery by the excellent nursing staff as well as by Mr Banwell, a BAAPS & ISAPS recognised surgeon. Please remember that we can also offer a lifelong follow up policy for all our breast surgery patients and now offer access in clinic to breast implant ultrasound scanning for routine regular checks and reassurance (please ask for more details).
We really do care about giving you a superb patient journey through the Practice, providing you with a first class service. We try to provide as much written information as possible and Mr Banwell will also explain your bespoke treatment plan to you given your pre-existing anatomy and the type of augmentation you would like (be it with implants alone, tissue preservation techniques, fat alone or using hybrid techniques). Providing you with a wealth of information and a beautiful surgical outcome should have an immense physical and psychological benefit. We look forward to welcoming you for a consultation soon!
Welcome to the Motiva family! This luxury brand represents the creme de la creme of implant technology. Mr Banwell is delighted to be one of the main experts in the UK using Motiva Breast Implants (manufactured by Establishment Labs, ESTA) – in Harley Street, London, Sussex, Kent, Surrey, Jersey and Dubai. Paul has extensive experience in cosmetic breast surgery and is a UK Motiva Implant specialist using their revolutionary Ergonomix and JOY implants with unique microchip technology and SilkSurface shell. He also uses the unique diamond shaped implants for Mia FemTech cases.
Whilst Mr Banwell does not use these implants exclusively, one of the mainn reasons for this choice is that, to our knowledge, they currently have the lowest known rate of complications for implants. Establishment Labs’ experience and success in advanced product design, research and development and use of the latest eco-friendly but high-tech manufacturing processes highlights Motiva’s commitment to women’s health.
Motiva Implants® Silicone Breast Implants represent the most innovative implants available today:
Mr Banwell’s practice is one of the premier Crisalix 3D scanning centres in the UK and all patients interested in breast augmentation using Motiva Breast Implants alone, fat transfer alone or Mr Banwell’s HYBA technique combining both, are offered this analysis to be performed at home to help confirm the treatment plan for surgery. We are lucky to have this as an Adoreal exclusive partner. One of Mr Banwell’s team will help give you advice to perform the scan prior to you meeting him. Whilst this 3D imaging can be very useful for patients the RICE BAG TECHNIQUE is still the most valued and reliable method of assessing sizing prior to surgery. Please note that whilst 3D imaging is a useful technique it can be inaccurate and so the rice bag method is our preferred option for sizing. Mr Banwell or one of his expert team will be on hand to explain this in more detail. A downloadable information sheet is available so feel free to ask for further details.
Post operative compression bras are essential following surgery to support the breasts and the implants and this undoubtedly aids recovery. Compression bras vary enormously in design and type but we are big fans of EMBODY Paris, NOOBIES from Australia and our home grown MACOM from the UK. We are grateful that the manufacturers offer our patients a special discount so using ‘Pantheons Clinic’ or ‘Banwell’ triggers this. Please ask our Patient Concierge for further details.
Mr Paul Banwell also offers the very latest tissue preservation breast enhancement techniques. The Preservé breast augmentation London concept represents a new paradigm and is the future of cosmetic breast surgery. The novel patented instrumentation means that tissues are stretched rather than cut and a ’nest’ is created for the implant. The circum-mammary and Cooper’s ligaments are not compromised and thus it is thought this provides greater longevity in the result. He offers the Motiva Preservé via a 2cm incision under the breast (using JOY implants) or a ‘scarless’ transaxillary approach via the armpit using Mia Femtech. All these techniques are offered in Mr Banwell’s headquarters in East Grinstead near Gatwick Airport and in the Harley Street area of London. Please ask Mr Banwell or one of his team if this approach is of interest. These techniques can be performed under local anaesthetic too!
Implant Choices
Incision Choices
The incision can be made either in the axilla (arm-pit), circumareolar (around the lower half of the nipple/areolar) or infra-mammary (underneath the breast in the breast fold). In the USA there was also a vogue for trans-umbilical surgery (saline implants only) but this is very rarely used. The infra-mammary approach is associated with the lowest complication rate and Mr Banwell uses a short scar, minimal access, minimal touch approach (+/- Keller funnel) .
Pocket choices
The implant can be placed on top of the pectoralis major muscle (subglandular) or underneath the pectoralis major muscle (submuscular/dual plane).
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 (Bespoke Breasts by Dr Paul). Most girls are aiming for a natural breast enlargement or augmentation that gives them confidence in their clothes and underwear/swimwear. Complimentary 3D computerised sizing with Mr Banwell’s team is also available – please call 01342 330302 for further information.
During your consultation we will discuss the size which may suit your height, body shape, breast width and existing breast tissue, while explaining the process of breast augmentation. However, the final decision regarding exactly what size breast implants are used is up to you, the patient. The Rice Bag Technique is usually very effective in helping patients make the decision for sizing but we also offer 3-D computerised imaging using Motiva Imagine technology incorporating the latest state of the art Crisalix Imaging software
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 (with nurses), 2 weeks (Mr Banwell) 8 weeks and six months. A crop-top/athletic support bra is to be worn day and night for eight weeks unless otherwise advised by Mr Banwell. We recommend no driving for one week post-operatively and no rigorous exercise for a few weeks weeks. At the 2 week post-operative visit, we will discuss the best way to achieve the optimum scar result with massage.
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 the RMO 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’s team or the hospital staff during office hours. The Resident Medical Officer is available 24/7 for emergencies
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 many 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 or perhaps rupture of the implant.
Various large international studies which have been critically evaluated have up until recently 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.
However, in recent years it has come to light that certain texturing techniques may pre-dispose to increased ongoing inflammation around the breast implant which could lead to a rare condition called ALCL. The incidence of this is around 1:25,000 compared to the risk of breast cancer which is around 1:8. In other words this condition is very rare indeed. Latest generation SilkSurface Motiva implants have been shown to minimise inflammation and capsular contract rates are in the order of 4% and no reported cases of ALCL.
Many women are also potentially interested in alternative methods of natural 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 into the breast with fat (fat transfer / lipofilling /lipostructure) is currently very popular although there are limitations in terms of volume. Modern techniques including Mr Banwell’s HYBA technique (hybrid breast augmentation) combine breast implants and fat transfer and offer greater flexibility. 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, visibility, wrinkles, ripples, wide cleavage, bottoming out, double bubble, need for secondary mastopexy and asymmetry.
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.
However, there is some evidence that certain types of macrotexturing can increase the risk of a rare condition called ALCL (anaplastic large cell lymphoma) which affects the capsule. The risk of this condition is about 1:30,000; in contrast the general risk of breast cancer is 1:6/1:8.
Whilst multiple scientific studies have confirmed no association between implants and connective tissue disorders, in a small number of individuals with hypersensitive immune systems, breast implants (and dental implants/ coils/ orthopaedic metalwork/ heart valves) may cause local and systemic symptoms. This is termed Breast Implant Illness (BII).
Mr. Banwell’s team at the Pantheons Clinic would be delighted to help at any time so please feel free to call HQ on 01342 330302 or email help@paulebanwell.com.
Motiva Preservé Breast Augmentation
Motiva Preservé breast augmentation is the latest high-tech cosmetic breast procedure to be introduced into the UK by leading surgeon Paul Banwell.
Mia Femtech
Mr Paul Banwell is a plastic surgical pioneer and one of the first three surgeons in the UK to be trained in and offer Mia Femtech breast augmentation.
Hybrid Breast Augmentation
Hybrid or so-called composite breast augmentation combines the benefits of the latest generation breast implants with the benefits of small volume fat transfer.
Augmentation Mastopexy
Breast lift or Mastopexy is a technique designed to improve the shape and position of the female breasts without reducing their size. It is a term used for breasts which sag but are not necessarily too large.
Breast Ultrasound Service
Dr Paul believes ultrasound breast implant surveillance should become a standard of care in the UK.
Explore selection of related therapies, which have been carefully chosen to enhance and complement your outcomes.
Before the procedure, would you like to see the new you? With the help of the most popular 3D plastic surgery program in the world, you can now virtually “try on” several breast implants from the comfort of your own home. Don’t forget to save your pictures so you can show them to our surgeon when you visit.
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Dr Paul founded the award-winning Banwell Clinic 10 years ago and this has become synonymous with innovation and premium care. To commemorate a decade of excellence and expansion of the team we have rebranded the Practice to PANTHEONS Clinic – literally ‘a collection of top experts’ – reflecting our commitment to high quality patient care, patient safety and the drive to make cutting edge technologies available to our ever-growing number of patients.
Disclaimer: Please be aware that these notes have been made for purely information purposes and make no recommendations for surgery.
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