Mia FemTech is an innovative approach in the field of cosmetic surgery, specifically tailored for breast augmentation developed by Establishment Laboratories who also make Motiva Implant. It stands out from traditional methods by being less invasive, aiming for minimal scarring and a quicker recovery time. The technique combines advanced surgical tools and technologies, enabling surgeons to perform breast augmentations through a smaller incision while maintaining precision and safety. This is just being launched in the UK and the world for the treatment of breast hypoplasia or small breasts.

How is it Performed?

The Mia FemTech procedure involves several key steps:

1. Consultation and Planning: A thorough consultation with the patient to discuss their goals and expectations. The surgeon evaluates the patient’s anatomy and determines the best approach.
2. Anaesthesia: The procedure is typically performed under local anaesthesia with sedation to ensure patient comfort.
3. Incision: A small incision is made in a concealed area which is usually the armpit. The precise location of the incision can vary based on the patient’s anatomy and desired outcome.
4. Placement of Implants: Using specialised tools and techniques, the surgeon creates a pocket for the implant. The implants are then carefully inserted through the small incision using a special delivery device.
5. Closure: The incision is closed with sutures, and a surgical dressing is applied. The small size of the incision typically results in minimal scarring.

Where is the Incision, and How Big Can You Go with This?

The incision is usually in the armpit. The size of the implants that can be used with Mia FemTech depends on the patient’s anatomy and the desired result. Generally, the procedure is only for a small increase in size of about a cup size. If you would like a larger increase in breast size then traditional breast augmentation or MiniAugmentation techniques would provide the desired results.

Has This Been Scientifically Approved?

The Mia FemTech technique, like other medical procedures, has to undergo rigorous scrutiny and approval processes to ensure its safety and efficacy. It is important to verify that any medical technique or device used in the procedure is approved by relevant regulatory bodies, such as the Medicines and Healthcare products Regulatory Agency (MHRA) in the UK, and the Food and Drug Administration (FDA) in the USA. Surgeons employing Mia FemTech should be highly trained and experienced in this method to ensure optimal outcomes. Some initial studies have shown early results and these include the following: The Mia Feasibility Clinical Study was a prospective study that enrolled 100 subjects between December 2020 and April 2021. In the preliminary two-year Kaplan-Meier analysis of key events, there were no reports of capsular contracture (Baker Grade III/IV) and no ruptures (suspected or confirmed). Our recommendation when considering any new device or implant is wait until there is much more established data and research. It is still very early stages for the Mia Femtech device which is why we have not started to offer this until there is much more established data.

How is it Different from a Traditional Breast Augmentation?

Mia FemTech differs from traditional breast augmentation in several key ways:

1. Incision Size: Mia FemTech uses a significantly smaller incision compared to traditional methods, which typically require larger incisions to insert the implants. Although if you are considering small implants we would usually be able to perform this through a 3-4 cm incision.
2. Recovery Time: Due to the less invasive nature of the procedure, patients often experience a faster recovery time with Mia FemTech. This means less downtime and a quicker return to daily activities. There are limitations with the procedure in terms of the size and plane of surgery with the FemTech implant.
3. Scarring: The smaller incision used in Mia FemTech results in less noticeable scarring, which is in the armpit. The armpit incision is not commonly used in the UK due to the more difficult creation of a good pocket for the implant.
4. Technology and Tools: Mia FemTech uses a diamond shaped implant which provides more projection with a smaller size. There has not been much comment about the potential risks with this shape such as rotation or flipping.

What are the Risks?

As with any surgical procedure, Mia FemTech carries potential risks and complications, although they may be reduced compared to traditional methods due to the less invasive approach. Potential risks include:

1. Infection: There is a risk of infection at the incision site or within the breast tissue. Proper surgical techniques and post-operative care are crucial to minimise this risk.
2. Capsular Contracture: This occurs when the scar tissue around the implant tightens, causing the breast to feel firm or look distorted. The risk is present with any breast augmentation procedure.
3. Implant Rupture or Leakage: Implants can rupture or leak over time, which may require additional surgery to replace them.
4. Changes in Sensation: Some patients may experience changes in nipple or breast sensation, which can be temporary or permanent.
5. Asymmetry: There is a risk that the breasts may not be perfectly symmetrical after surgery, which may necessitate further corrective procedures.
6. Anaesthesia Risks: As with any surgery involving general anaesthesia, there are risks related to the anaesthesia itself, including allergic reactions and complications from being under anaesthesia.
7. Unknown Risks: Given this is a new device and procedure there are many unknowns. There is very little long term data on this so it is too early to comment if there will be additional risks associated with this procedure.

Conclusion

Mia FemTech represents a significant advancement in the field of breast augmentation, offering patients a less invasive option with potentially reduced recovery times and minimal scarring. However, like any surgical procedure, it is not without risks. The technique is in its very early stages and there is not too much scientific evidence published to report safety information. In view of this, I would caution patients seeking this as a first choice procedure. You should book a consultation with us to find out if the traditional or MiniAug breast enhancement options may be safer more established procedures for your desired results.

The popularity of DD breasts can be attributed to various cultural, social, and aesthetic factors. Society’s standards of beauty have always been fluid, influenced by media, fashion trends, and celebrity culture. Over the years, fuller breasts have often been associated with femininity, attractiveness, and sexuality, leading to their popularity.

Cultural and Media Influence

Media plays a significant role in shaping societal standards of beauty. Magazines, television, and movies frequently portray women with larger breasts as symbols of beauty and desirability. This portrayal has ingrained the idea that larger breasts, such as DD cups, are highly attractive. Social media, such as Instagram and Tiktok, has also contributed to this trend, with influencers and celebrities often showcasing their curvy figures, thus reinforcing the desirability of larger breasts.

Fashion Trends

Fashion trends have also played a part in the popularity of larger breasts. Clothing designed to accentuate curves, such as low-cut tops and push-up bras, can make larger breasts more noticeable and desirable. The fashion industry’s focus on body-positive movements and celebrating diverse body types has also contributed to the acceptance and admiration of fuller breasts.

Psychological and Sociological Factors

Psychologically, larger breasts are often associated with fertility and femininity. This perception can lead to the belief that women with larger breasts are more attractive and desirable. Sociologically, the concept of ideal body types can vary across cultures, but in many Western societies, larger breasts have become a standard of beauty due to the influences mentioned above.

What is the Double D Bra?

A double D (DD) bra size is a common size for women with fuller breasts. Bra sizes are determined by the measurement of the bust and the band size around the ribcage. The “DD” indicates the cup size, which represents the difference between the bust measurement and the band size. Specifically, a DD cup size means there is a 5-inch difference between the band and bust measurements.

Understanding Bra Sizing

• Band Size: This is the measurement around the ribcage, just under the bust. It is usually measured in inches.
• Cup Size: This is the difference between the bust measurement (around the fullest part of the breasts) and the band measurement. Each inch of difference corresponds to a cup size. For example, a 1-inch difference is an A cup, a 2-inch difference is a B cup, and so on. A 5-inch difference results in a DD cup.

Importance of Proper Fit

Wearing a properly fitted bra is crucial for comfort and support. A well-fitted bra can enhance the appearance of the breasts, improve posture, and prevent back and shoulder pain. It’s essential to get measured regularly, as breast size can change due to factors like weight fluctuations, hormonal changes, and aging.

Celebrities Who Have Made DD Breasts Popular

Several celebrities have contributed to the popularity of DD breasts through their influence in media and fashion. Their visibility and openness about their body shapes have helped normalize and celebrate fuller figures.

Pamela Anderson

Pamela Anderson, famous for her role in “Baywatch,” is one of the most well-known celebrities with DD breasts. Her iconic red swimsuit and curvy figure have made her a symbol of beauty and sex appeal.

Kim Kardashian

Kim Kardashian is another influential figure who has popularized fuller breasts. Known for her curvaceous figure, Kim’s body shape has inspired many women to embrace their natural curves or seek cosmetic enhancements to achieve a similar look.

Salma Hayek

Salma Hayek, with her voluptuous figure, has been celebrated for her natural beauty and talent. Her openness about her body and confidence has made her a role model for women with fuller breasts.

Sofia Vergara

Sofia Vergara, the star of “Modern Family,” is known for her curvy figure and has often spoken about embracing her body type. Her confidence and sense of humour about her physique have made her a popular and relatable figure.

How to Get Double D Boobs

Achieving a DD cup size can be done through natural means or cosmetic surgery, depending on individual preferences and circumstances.

Breast Augmentation

Breast augmentation surgery is a common and effective way to achieve a desired breast size, including DD cups. The procedure involves the insertion of implants to enhance the size and shape of the breasts.

Types of Implants

• Silicone Implants: These are filled with silicone gel and are known for their natural feel.
• Saline Implants: These are filled with sterile salt water and are typically inserted empty and then filled once they’re in place. These are not widely used in the UK.

The Procedure

Breast augmentation is typically performed under general anaesthesia and involves making an incision (usually under the breast, around the nipple, or in the armpit) and placing the implant either under the breast tissue or under the chest muscle. In the UK, the incision is usually placed underneath the breast. Recovery time varies, but most patients can return to normal activities within a few weeks.

Considerations

Before opting for breast augmentation, it’s essential to consider factors such as the potential risks (e.g., infection, implant rupture, changes in nipple sensation), the cost, and the importance of having realistic expectations. Consulting with a qualified plastic surgeon is crucial to understanding the procedure, options, and expected outcomes.

Non-Surgical Enhancements

For those who prefer non-surgical methods, there are options like:

• Push-Up Bras: These bras have padding that lifts and enhances the appearance of the breasts.
• Breast Enhancement Creams: Some topical creams claim to enhance breast size through ingredients that stimulate tissue growth, though their effectiveness varies and lacks substantial scientific support.
• Fat Transfer: This minimally invasive procedure involves taking fat from other parts of the body (like the abdomen or thighs) and injecting it into the breasts. It offers a more natural enhancement compared to implants.

Conclusion

The popularity of DD breasts can be attributed to cultural, media, and fashion influences, as well as psychological and sociological factors. A DD bra size represents a fuller breast size, often seen as attractive and feminine. Celebrities like Pamela Anderson, Kim Kardashian, Salma Hayek, and Sofia Vergara have played significant roles in popularizing this breast size through their public personas and media presence.

Achieving a DD cup size can be done naturally through diet, exercise, and hormonal changes, or through cosmetic surgery like breast augmentation. Each method has its considerations, and it’s essential for individuals to choose the option that best suits their body, lifestyle, and personal preferences. Book your appointment with Mr Nassab to discuss your ideal breast goals and options to achieve these.

Breast expansion, commonly referred to as breast augmentation or a boob job, is a popular cosmetic surgery aimed at increasing the size and enhancing the shape of the breasts. This procedure can be tailored to meet individual desires and anatomical considerations, making it a highly sought-after solution for many women. We will explore the process of breast expansion, including various techniques, costs, and considerations involved in this surgery in the UK.

 Understanding Breast Augmentation

Breast augmentation involves the use of implants or fat transfer to enhance the size and shape of the breasts. This procedure is often sought by individuals looking to improve their body contour, restore breast volume lost after weight reduction or pregnancy, or achieve better symmetry.  Breast expansion can also refer to the use of tissue expanders.  Tissue expanders are breast implants that can be filled with saline to adjust their size.

 Types of Breast Implants

1. Saline Implants: These are filled with sterile salt water. They can provide a uniform shape, firmness, and feel, and in case of rupture, the body safely absorbs the saline. These types of breast implants are rarely used in the Uk.

2. Silicone Implants: Filled with silicone gel, these implants tend to feel more like natural breast tissue. However, if they leak, the gel may remain within the implant shell or escape into the breast implant pocket.

3. Gummy Bear Implants: These are form-stable implants that maintain their shape even when the implant shell is broken. The consistency of the silicone gel inside these implants is thicker than traditional silicone gel implants.

4. Fat Transfer: Also known as autologous fat transfer, this technique involves taking fat from other parts of the body through liposuction and injecting it into the breasts.

5. Tissue Expanders : These are inflatable boob implants that are part silicone and part saline.  The saline is injected into the implant using a port which allows the breast expansion.  These are commonly used in patients with congenital asymmetry, deformities or breast cancer reconstruction.

 The Process of Breast Expansion

1. Consultation: The journey towards breast augmentation begins with a thorough consultation with a qualified plastic surgeon such as Mr Nassab. During this consultation, we will discuss your expectations, assess your anatomy, and determine the most suitable options for you.

2. Choosing the Right Implants: Patients can choose between saline, silicone, or gummy bear implants. Factors influencing this decision include desired size, feel, and any potential medical conditions. We will guide you during this process and provide you with information to make an informed decision.

3. Pre-Surgery Preparation: Prior to the surgery, patients are required to undergo a medical evaluation or preop. They may need to adjust current medications, avoid certain foods, or cease smoking. You will usually have another consultation before surgery as well to see if you have any further questions.

4. Surgical Procedure: Breast augmentation is performed under general anaesthesia. We make an incision under the breast in the or close to the crease.      After making the incision,we create a pocket either behind the pectoral muscle (submuscular placement) or directly behind the breast tissue (subglandular placement). The implant is then inserted into this pocket and positioned correctly.

5. Closing the Incisions: Once the implants are in place, the incisions are closed with sutures.  These stitches or sutures are usually dissolvable.

6. Recovery: Post-surgery, patients are monitored in a recovery area. The breasts are covered with a bandage and support bra to minimize swelling and support the breasts as they heal. Recovery instructions include how to care for the breasts, medications to apply or take orally, and when to follow up with Mr Nassab.

 Costs and Considerations

The cost of breast augmentation in the UK varies widely depending on several factors, including the surgeon’s experience, the type and size of implants used, and the location of the surgery. Costs will usually include anesthesia, operating room facilities, and post-surgery care.

 Key Considerations:

1. Health and Safety: Ensure the procedure is carried out by a qualified and experienced plastic surgeon that is on the GMC specialist register in Plastic Surgery and BAAPS member.

2. Realistic Expectations: While breast augmentation can enhance appearance, it’s crucial to have realistic expectations. Discussing desired outcomes with your surgeon can help align expectations with achievable results. Although it is helpful to see how you would like the breasts to look, we must be aware that achieving the same look will not be possible since everyone’s anatomy is different.

3. Potential Risks: As with any surgery, breast augmentation carries risks such as infection, changes in nipple or breast sensation, implant leakage or rupture, and the formation of scar tissue (capsular contracture).

4. Follow-Up: Regular follow-up visits are essential to monitor the implants and overall breast health. Implants may need to be replaced or revised over time. Implant health checks include examination and further investigations such as ultrasound and MRI scans.

 Conclusion

Breast expansion through augmentation is a highly personal decision that requires careful consideration and consultation with a qualified plastic surgeon like Mr Nassab. By understanding the process, costs, and potential risks, you can make informed decisions and achieve their desired aesthetic goals safely and effectively. For anyone considering this procedure, thorough research and clear communication with a surgeon you feel comfortable with are essential steps towards a successful and satisfying outcome.

Breast size is a topic that garners significant attention and can impact a woman’s self-esteem and body image. Many women with small boobs often wonder about the reasons behind their size and seek potential solutions. They often describe themselves as flat chested.  We aim to provide a comprehensive understanding of the causes of small boobs and explore the options available for those who may want to make changes.

Anatomy and Development of Breasts

Breasts are primarily composed of glandular tissue, fat, and connective tissue. The size and shape of breasts can vary widely among women due to a combination of genetic, hormonal, and environmental factors. Breast development typically begins during puberty, driven by hormonal changes, particularly the increase in oestrogen and progesterone levels. The process usually completes by the early twenties, although changes can continue throughout a woman’s life due to factors like pregnancy, breastfeeding, and menopause.

Causes of Small Boobs

1. Genetics

One of the most significant factors influencing breast size is genetics. If women in a family typically have smaller breasts, it is likely that other female members will have a similar boob size. Genetic predisposition affects the distribution of fat and glandular tissue in the breasts, ultimately determining their size and shape.

2. Hormonal Influences

Hormones play a crucial role in breast development. Conditions that affect hormone levels, such as polycystic ovary syndrome (PCOS) or thyroid disorders, can impact breast size. Low levels of oestrogen during puberty can result in smaller breast development.

3. Body Weight and Composition

Breasts, commonly called tits, are composed largely of fatty tissue, so body weight and fat distribution can significantly influence breast size. Women with lower body fat percentages tend to have smaller breasts. Conversely, those with higher body fat percentages may have larger breasts.

4. Nutrition and Lifestyle

Adequate nutrition during puberty is essential for normal boob development. Malnutrition or eating disorders can hinder the growth process. Additionally, intense physical activity and low body fat levels, often seen in athletes, can contribute to smaller boob size.

5. Medical Conditions and Medications

Certain medical conditions and medications can affect boob size. For instance, hormonal imbalances caused by conditions like hypogonadism can lead to underdeveloped breasts. Some medications, including those used for birth control or hormone therapy, can also influence breast size.

6. Ageing

As women age, hormonal changes, particularly a decrease in oestrogen, can lead to a reduction in breast size and a change in shape. Post-menopausal women often experience these changes due to lower oestrogen levels.

Addressing Concerns About Small Boobs

Many women with small tits or boobs may feel self-conscious or dissatisfied with their breast size. It is important to remember that boob size does not define beauty, femininity, or worth. However, if a woman desires to enhance her breast size for personal reasons, several options are available.

Non-Surgical Options

1. Hormonal Therapy

In some cases, hormonal therapy might be considered, particularly if a hormonal imbalance is identified. However, this is typically reserved for specific medical conditions and should be discussed with your doctor.  This is not commonly used but you may notice some changes when you start or stop taking the oral contraceptive pill.  These changes in boob size are due to the hormonal changes.

2. Padded Bras and Inserts

Padded bras and inserts can provide an immediate and non-invasive way to enhance the appearance of breast size. These options can create a fuller look and boost confidence without any permanent changes.

3. Exercise

While exercise cannot increase breast size directly, strengthening the pectoral muscles beneath the breasts can enhance their appearance. Exercises such as push-ups, chest presses, and chest flies can help improve muscle tone and provide a slight lift.

Surgical Options

1. Breast Augmentation

Breast augmentation is the most popular surgical option for women seeking to increase their boob size. This is the top aesthetic surgical procedure performed in women in the UK. This procedure involves the placement of implants to enhance the size and shape of the tits.

2. Fat Transfer

Fat transfer, also known as fat grafting, involves removing fat from one part of the body (such as the abdomen or thighs) and injecting it into the breasts. This option can provide a more natural enhancement, although the increase in size is generally more modest compared to implants.  This may require a number of procedures and may be suitable if only a small increase is tit size is required.

Psychological and Emotional Considerations

The decision to alter boob size, whether through surgery or other means, is deeply personal. Women may have various motivations, ranging from aesthetic preferences to psychological well-being. It is crucial to approach this decision thoughtfully and to consider the potential physical and emotional impacts.

1. Body Image and Self-Esteem

Body image and self-esteem are interconnected with how individuals perceive their physical appearance. Small breasts can sometimes lead to feelings of inadequacy or self-consciousness. It is important to address these feelings, potentially with the support of a therapist or counsellor, to ensure that decisions about breast size are made from a place of self-acceptance rather than societal pressure.

2. Social and Cultural Influences

Social standards and cultural perceptions of beauty can heavily influence how women feel about their bodies.  We are always seeing images of celebrities such as Kim Kardashian in the media.  It is important to recognise that these standards are constantly evolving and that beauty comes in all shapes and sizes. Embracing one’s natural body and celebrating diversity can help counteract the negative impact of unrealistic beauty ideals.

Conclusion

Understanding the factors that influence boob size can help demystify why some women have small boobs and feel like they have a flat chest. While genetics and hormonal influences play significant roles, lifestyle factors, medical conditions, and ageing also contribute. For those who wish to enhance their breast size, both non-surgical and surgical options are available, each with its own considerations and potential outcomes.