Breast Augmentation

Breast Augmentation (Enlargement) is the procedure to enlarge the breasts by insertion of  implants under the breast. It is commonly carried out because the breasts are a different size or for ladies who want larger breasts for cosmetic reasons. It is important to note that if your breasts are drooping, they are unlikely to be corrected with augmentation alone and a Mastopexy (Breast Lift) procedure may be required to lift your breasts over the implants. Mr Price can advise you on this during your consultation.

The operation takes place under a general anaesthetic and whilst there are a number of methods of performing the procedure, the following is a description of the commonest technique carried out by Mr Price.

A small cut is made under the breast, near the fold. Some ladies will also need a small ‘lift’ procedure during the operation. When this is carried out (see the Breast Lift page), the implant is put in through the Breast Lift incisions. A pocket is then made to place the implant – this can be either directly under the breast tissue (sub-mammary), or under the muscle of the chest wall (sub-pectoral – the muscle is called the Pectoralis major). Once the pocket is made, a drain is placed and the implants inserted. The wounds are then sutured with dissolving sutures and dressings are applied.

The decision regarding whether the implant should be sub-mammary or sub-pectoral is made at the initial consultation with Mr Price. Generally, sub-mammary is Mr Price’s preferred position but this means that in the upper part of the breast, the implant is only covered by skin and fat – if you are lucky enough to be very thin, this may mean your implant is more obvious and so the sub-pectoral position may be better. The downside of the sub-pectoral position is that it can be more painful after the procedure and can, sometimes, bleed more after the operation.

For information on the implants themselves, please look at the Breast Implants page.

After the operation you will have a drip in your vein, giving you fluid. Antibiotics are used during the operation and if you use the Oral Contraceptive Pill these might interfere with this – you should use alternative methods of contraception until the next month. You will have dressings on, which will be changed the following day before you leave the hospital. Drains will also be removed prior to discharge. You should wear a support bra, with no under-wiring, constantly (day and night apart from showering) for two weeks after the operation. The longer you can wear this, the better the breasts will heal – up to a month is ideal.

The procedure is generally straight forward but there are a number of things you should bear in mind. The first, and most important, is that if the implant becomes infected, then it will need to be removed for a period before being replaced. This is because infection on the implant cannot effectively be attacked by the body

and as such is almost impossible to clear with antibiotics. Other possible problems include a change in nipple sensation and, in the long term, capsular contraction, discussed on the Breast Implants page.

To make an appointment to discuss Breast Augmentation surgery in Cambridge, please contact Mr Price’s secretary.