MiniAug avoids a general anaesthetic and uses a tissue-sparing technique, which can reduce some risks, but it is still breast implant surgery. The main risks are bleeding, infection, wound problems and discomfort under local anaesthetic, alongside implant-related issues such as capsular contracture, rupture, rippling, malposition and the rare implant-associated lymphoma known as BIA-ALCL.
How an awake approach changes the risk profile
Because MiniAug is performed under local anaesthetic while you are awake, the risks linked to general anaesthesia, such as post-operative nausea and grogginess, are largely avoided. Being able to walk soon afterwards also helps circulation. The procedure uses a small incision and a technique designed to disturb as little tissue as possible. However, it does not remove the risks that come with any operation or with having breast implants, and it is not suitable for every patient or every implant size. Understanding these points helps you make an informed decision.
General surgical risks
- Bleeding and haematoma: a collection of blood around the implant may need a return to theatre. Careful technique and stopping blood-thinning supplements when advised reduce this risk.
- Infection: infection around an implant is uncommon but can be serious, occasionally requiring removal. Sterile technique and antibiotic protocols are used.
- Wound healing problems: delayed healing or a stretched scar is more likely in smokers, so stopping smoking well before surgery is essential.
- Discomfort during the procedure: local anaesthetic is used to keep you comfortable, but pressure and some sensation can be felt.
- Blood clots: venous thromboembolism is uncommon; walking early and your individual risk assessment help to reduce it.
Implant-related risks
- Capsular contracture: the scar tissue that naturally forms around an implant can tighten, causing firmness, distortion or pain.
- Rupture: implants are not lifetime devices; a rupture may be silent and detected on a scan.
- Rippling and palpability: the edges of the implant may be felt or seen, especially in slim patients with little breast tissue.
- Malposition and asymmetry: an implant can settle higher, lower or wider than intended.
- Sensation changes: nipple or skin sensation may increase or decrease, usually temporarily.
- BIA-ALCL and systemic symptoms: BIA-ALCL is a rare lymphoma linked mainly to textured implants, and some women report symptoms they attribute to their implants; both are discussed openly at consultation.
How risks are minimised
Safety begins with patient selection. Mr Nassab assesses your breast tissue, chest shape and goals to decide whether MiniAug and a Motiva Preserve implant suit you, or whether a traditional breast augmentation would be more appropriate. Choosing an implant size in proportion to your tissue reduces the risk of rippling and malposition. Surgery takes place in a CQC-registered hospital, and your implant details are recorded for traceability. A clear aftercare plan and scheduled reviews help detect problems early.
What is normal, and when to call
Tightness, bruising, mild swelling, a burning sensation and temporary changes in nipple sensitivity are all normal in the early weeks. Contact the surgical team urgently if one breast swells rapidly or becomes very tense. Report fever, wound discharge or spreading redness the same day. Sudden one-sided leg swelling or calf pain needs same-day GP or NHS 111 assessment, and chest pain or breathlessness requires a 999 call. In the longer term, report any new swelling, lump or change in shape, even years later.
Long-term implant care
Breast implants may need to be replaced or removed at some point in the future, and this should be factored into your decision. You should continue breast awareness and attend NHS breast screening when invited, letting the radiographer know you have implants. If you would like a detailed list of questions to take to your consultation, see MiniAug questions to ask. Cosmetic surgery is only for adults aged 18 and over.
Frequently Asked Questions
Is MiniAug safer than a traditional breast augmentation?
It avoids the risks of general anaesthesia and uses a tissue-sparing approach, which can mean a gentler recovery. The implant-related risks remain, so it is best described as a different approach rather than a risk-free one.
Is an awake procedure painful?
Local anaesthetic is used to numb the area, and most patients describe pressure rather than sharp pain. The team monitors your comfort throughout.
How long do the implants last?
Implants are not considered lifetime devices, and some patients will need further surgery in the future. Regular self-examination and reporting changes are important.
Is breastfeeding possible after MiniAug?
Many women breastfeed successfully after breast augmentation, but this cannot be promised. Mr Nassab will discuss your individual circumstances at consultation.
What should happen if breast shape changes years later?
Contact the team or your GP for assessment. New swelling, a lump or a change in firmness should always be checked.
Does MiniAug use textured implants?
Mr Nassab usually uses the Motiva Preserve implant with MiniAug. He will explain the implant’s surface, how it relates to BIA-ALCL risk and why it has been chosen for you at consultation.
