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Breast surgery—whether breast augmentation, uplift (mastopexy), reduction or a combined mummy makeover—inevitably leaves a scar. The good news is that most scars settle impressively with the right care, especially in the first few months. Mr Reza Nassab, Consultant Plastic Surgeon in Manchester & Cheshire, shares a simple, evidence-led plan to help you minimise scarring after breast surgery and feel confident sooner.

At a glance: the 5 way to reduce scars after breast surgery

  1. Protect the incision in the first 6 weeks – keep it clean, dry, supported and free from tension.

  2. Use silicone (gel or sheets) consistently for 3–6 months once the wound has closed.

  3. Tape the scar (Micropore™/Hypafix™) for first few weeks to off-load tension while you heal.

  4. Shield from the sun for 12 months (SPF 50+, clothing) and consider early light/laser if redness persists.

  5. Optimise your biology – avoid nicotine, prioritise protein and good control of medical conditions; escalate to steroid injections/laser/other therapies early if you’re a high-risk healer.

What normal breast scars look like over time

All new scars are red or pink and firmer at first. Around 6 weeks they often look redder, then fade over several months; most scars reach their “final” look between 12 and 18 months, changing from pink to pale and becoming flatter and softer. Patience matters: a scar that worries you at 3 months can look very acceptable at 12 months with good care. Professional bodies note this typical maturation pattern and the wide variation between individuals. 

scar after breast augmentation surgery

The 5 best ways to reduce scarring after breast surgery

1 – Protect the incision early: hygiene, support and low tension

Your first fortnight sets the tone. Follow your dressing and shower guidance, avoid soaking the wound, and keep the breast supported in a soft, non-wired surgical bra day and night. Support reduces mechanical stress on the healing incision, and mechanical tension is a key trigger for thick or stretched scars. Simple measures such as paper taping (more below), avoiding heavy lifting, and managing coughs/constipation (to prevent straining) all help keep tension down. Where possible, avoid nicotine completely; smoking and vaping significantly increase wound problems and infections, which in turn worsen scars. 

Practical tips

  • Sleep slightly propped up for the first 3-4 days to limit swelling.

  • Wear the advised bra continuously for at least 6 weeks.

  • Follow your specific dressing change plan.

  • Report any concern about discharge, spreading redness, increasing pain or opening of the wound promptly.

Evidence shows smoking or nicotine cessation from at least 6 weeks before to several weeks after surgery reduces wound complications.  There are higher complication risks in nicotine users across breast procedures. 

2 – Silicone therapy (gel or sheets): the low-risk, high-value habit

Once your incision is healed and any steri-strips are off, topical silicone is the go-to first-line option we recommend. Silicone hydrates the stratum corneum and creates a semi-occlusive barrier, which helps regulate collagen during remodelling; it’s particularly helpful in those at risk of raised or wide scars. Use 12–24 hours per day for 3–6 months (longer if you’re prone to hypertrophic scars). Gels suit inframammary and periareolar scars; sheets are great for larger anchor (lollipop or T) patterns. 

Research supports a clinical benefit for silicone in improving thickness, colour and symptoms of scars. In practice, silicone remains a safe, affordable, low-effort mainstay. There’s no clear superiority of sheets vs gels; choose what you’ll use consistently. 

How to use it well

  • Wait until the wound is fully closed and non-weeping.

  • Clean skin first; apply a thin film of gel (rice-grain amount per 5 cm) or place a trimmed sheet without tension.

  • Wash sheets daily; replace when they lose stickiness. You can remove them to shower and replace the same ones afterwards.

  • Continue for several months; results are gradual.

3 – Taping to reduce tension for first few weeks

Think of paper tape (e.g., Micropore™) or fabric adhesive dressings (e.g., Hypafix™) as a mechanical aid that off-loads stretch across the scar while the collagen scaffold is weak. A landmark randomised trial showed paper taping reduced hypertrophic and “stretched” scars by mitigating tension during the early healing window. Newer reviews reinforce taping as a simple, inexpensive prevention strategy. Apply in 3–5 cm strips perpendicular to the scar line, overlapping slightly, and change every 3–5 days or sooner if damp. You can also use the silicone tapes as well. 

4 – Sun protection—and smart use of light & lasers

UV exposure can darken scars (post-inflammatory hyperpigmentation) or cause colour mismatch, making them more obvious and slower to blend. Protect scars for at least 12 months with SPF 50+ (broad-spectrum, high UVA rating), clothing, and by avoiding midday sun. This is especially important after mastopexy or reduction where scars are more extensive. 

If redness persists beyond 6–12 weeks or a scar looks “angry”, early laser can help.

  • Pulsed Dye Laser (PDL) targets excess blood vessels, reducing redness and symptoms like itch; several clinical studies—including early treatment within weeks of surgery—show it can improve the look and feel of new surgical scars. 

  • Fractional ablative lasers (e.g., fractional CO₂ or Er:YAG) remodel collagen to improve texture and thickness. Early fractional laser after breast (including mastectomy) scars has shown better outcomes versus no treatment in controlled studies. 

Your laser plan is individual and may involve 2–4 sessions spaced 4–8 weeks apart. As with any energy device, practitioner experience and skin-type-specific protocols matter to minimise risks like pigment change—especially in darker skin tones. 

5 – Optimise biology and escalate early if you’re high-risk

Avoid nicotine entirely (including vapes, patches and nicotine gum) before and after surgery; nicotine constricts blood vessels, reduces oxygen delivery and impairs immune function, raising infection and wound-breakdown risk—two pathways that worsen scars. Aim for protein-rich meals, good hydration, and control of diabetes and other conditions that affect healing. If you’ve had hypertrophic or keloid scars before, or have a strong family tendency, inform us; you may benefit from closer follow-up and earlier intervention (e.g., steroid injections for areas that become raised). Modern scar-management algorithms emphasise early recognition and a step-wise approach using silicone, pressure/tape, steroids, lasers and (rarely) surgery if needed. 

A note on vitamin E and miracle creams

Vitamin E is hugely popular online, but controlled data do not show a cosmetic benefit for surgical scars, and around a third of users may develop dermatitis from it. If you like an oil, choose a bland, fragrance-free emollient and focus on silicone as your active step. 

What Mr Nassab’s patients can expect at CLNQ (Manchester & Cheshire)

Mr Nassab’s protocol is designed to be simple, consistent and tailored to your pattern of breast surgery and skin type:

  • Weeks 0–2: wound checks, dressing plan, bra support, light activity only.

  • Weeks 2–6: begin taping or use silicone gel/sheets once fully closed; gradual return to normal activity.

  • Weeks 6–12: continue silicone; assess for persistent redness or early thickening—consider PDL for redness or fractional laser for texture if appropriate.

  • Months 3–6: wean silicone when the scar is flat and pale; ongoing sun protection; targeted steroid micro-injections offered for any raised segments.

  • 12–18 months: final review; most scars are pleasantly discreet by this stage. Surgical scar revision is rarely required and only considered when the scar has fully matured. 

Who is more prone to prominent scars?

You may have a higher risk of hypertrophic or keloid scarring if you have a personal or family tendency to raised scars, are younger, have darker skin phototypes, or if the incision sits in a high-tension zone (e.g., the lower breast fold after a large reduction or uplift). Recognising risk early allows preventive taping/silicone and faster escalation to steroid or laser therapy if needed. 

Frequently asked questions

How do you get rid of scars after breast augmentation?

You can’t remove a scar completely, but you can make it far less noticeable. The best plan is consistency: support the incision early, use silicone gel or sheets daily for 3–6 months, tape for 6–12 weeks to reduce tension, protect from the sun for a year, and escalate to PDL or fractional laser if redness or thickness persists. For small raised areas, steroid injections flatten and soften effectively.

How long do breast augmentation scars take to fade?

Most scars mature over 12–18 months. They’re often reddest at 6–8 weeks, turn pink/purple over the next 2–3 months, and then gradually fade towards a pale line. If at 3–6 months your scar is still very red or itchy, ask about early laser; addressing persistent redness early can improve the final result. 

When can I start silicone gel or sheets?

As soon as the incision is fully closed and dry—typically after steri-strips come off. Then use daily for several months. There’s no strong evidence that gel is better than sheets (or vice versa), so pick the format you’ll use reliably. 

Is scar massage helpful?

Gentle massage after 3–4 weeks can improve comfort and pliability for some people, but evidence is mixed. If you massage, use a bland moisturiser around silicone sessions, not instead of them.

Can I sunbathe or use a sunbed?

You should avoid direct UV on new scars for at least 12 months. Cover up and apply broad-spectrum SPF 50+; sunbeds are best avoided entirely. UV can darken scars and increase colour mismatch. 

I’ve had keloids before. Can anything prevent them?

Yes. We’ll prioritise taping plus silicone, close review, and early steroid injections for any raised areas. Lasers may be used alongside injections to improve colour and symptoms. 

Does vitamin E (or onion extract) work?

Not convincingly for post-surgical scars, and vitamin E may cause dermatitis in a significant minority. If you prefer a topical, choose silicone; if you like an oil for massage, use a fragrance-free emollient. 

When would you consider scar revision surgery?

Only after the scar has fully matured (usually 12–18 months) and if the benefit outweighs the trade-off of creating a new scar. Many patients never need it because modern conservative steps work well. 

Why choose Mr Reza Nassab in Manchester & Cheshire?

Mr Nassab is a Manchester Plastic Surgeon with a specialist interest in cosmetic breast surgery. At CLNQ in Deansgate Square and Cheshire, he offers a structured scar-care pathway—including silicone and taping protocols, follow ups, and on-site access to vascular and fractional lasers where indicated. Patients value the combination of meticulous surgical technique and clear aftercare that supports discreet, confident results.

Breast augmentation has long been one of the most popular cosmetic surgery procedures in the UK and the world. Recent celebrities such as Kylie Jenner have talked openly about their boob job. Traditionally performed under general anaesthetic, many patients now ask: “Can I get breast implants under local anaesthetic?” The answer is yes — and this technique is known as awake breast augmentation.

This modern approach allows patients to undergo breast enlargement without being put to sleep, reducing recovery time and anaesthetic risks. Mr Nassab is one of the first plastic surgeons in the UK to offer wide awake breast augmentation using the Motiva Preservé technique.

If you’re considering breast implants but want to avoid general anaesthesia, then this may be the solution for you.

 

awake boob job

What is Awake Breast Augmentation?

Awake breast augmentation, also known as local anaesthetic breast augmentation, involves placing breast implants while the patient remains awake but comfortable. Instead of general anaesthetic, the procedure uses a combination of local anaesthesia to numb the area. Some surgeons may give some sedation as well but Mr Nassab has pioneered total wide awake breast implant surgery.

 

The technique is rapidly gaining popularity due to its faster recovery and reduced downtime. Patients are able to walk out of the operating theatre after the procedure and resume light activity the following day.

Why Choose Breast Implants Under Local Anaesthetic?

There are several compelling reasons why patients choose awake breast augmentation:

1. Avoiding General Anaesthetic

You may be worried about being put to sleep and this is normal. Some individuals are apprehensive about going under general anaesthesia due to associated risks or past negative experiences. Awake breast augmentation offers a safer alternative for those with medical conditions or personal preferences.

2. Faster Recovery

Since the body doesn’t need to recover from general anaesthesia, patients often report less grogginess, nausea, and fatigue post-op. This leads to a quicker return to normal routines. There is no associated sickness following the wide awake boob job.

3.  Reduced Risks

Local anaesthetic carries fewer systemic risks compared to general anaesthesia, particularly for patients with cardiovascular or respiratory issues.

4.  Patient Involvement

Some patients find reassurance in remaining awake and being aware of the procedure, especially when they can interact with their surgeon. As a surgeon it is nice to be able to talk to the patient during the procedure and keep them updated.

How Does Awake Boob Job Work?

The procedure follows the same principles as traditional breast augmentation, with the key difference being the method of anaesthesia.

1. Pre-Operative Preparation

You’ll be assessed during a consultation to determine if you’re suitable for surgery under local anaesthetic. You will be given some pain killers and antibiotics through a drip in the arm or hand. The surgeon will then inject the area to make it numb. The local anaesthetic solution contains short and long acting anaesthetic and adrenaline which is injected into the surgical area to numb the tissues and reduce bleeding.

2. Surgical Technique

The surgeon will make a small incision in the breast crease. The incision with the awake boob job is usually smaller than traditional techniques. Mr Nassab uses the special balloon device from the Motiva Preserve to create the pocket. This technique causes less trauma to the tissues and preserves breast tissue and nerves which again help with recovery. The implant is inserted using a special funnel which helps reduce the risks of infection and capsular contracture. We then stitch the incision and apply a small dressing and support bra. You can then walk out of the operating room when the procedure is finished.

3. Duration

The surgery typically takes between 30-45 minutes.

Who is Suitable for Awake Breast Augmentation?

Not everyone is an ideal candidate for breast implants under local anaesthetic. However, many healthy individuals with realistic expectations are suitable.

Ideal candidates include:

  • Patients with a healthy BMI and no significant medical conditions.
  • Those desiring moderate size enhancement. The largest implant possible with this technique is 320cc.
  • Patients who prefer a quicker recovery and minimal downtime.
  • Individuals anxious about general anaesthesia.

Awake augmentation may NOT be suitable for:

  • Very anxious patients who may struggle to remain still or relaxed.
  • Those requiring complex reconstruction or combination procedures.
  • Very large implant placements, which can require more dissection and longer operative times.
  • Patients with certain allergies or contraindications to local anaesthetic agents.

Types of Implants Used in Awake Surgery

The awake boob job uses the Motiva Preservé implants to perform the procedure. These are the Motiva Ergonomix 2 implants which are one of the most advanced implants currently available in the market. They have low rates of capsular contracture and ALCL.

Is the Procedure Painful?

Pain perception varies, but most patients describe the experience as “pressure” or “pulling” rather than pain. The numbing effect of tumescent local anaesthetic lasts for several hours, and patients are given oral pain killers afterwards. During the procedure, you may hear sounds or feel movement, but you will not feel sharp pain.

Recovery After Awake Breast Augmentation

The recovery process is typically quicker compared to general anaesthetic surgery. Here’s what to expect:

Immediate Recovery:

  • You’ll be monitored for a short period in the recovery room.
  • Most patients go home within 1 hour.
  • Mild swelling and bruising are common.

First Few Days:

  • You may feel tightness in the chest.
  • Light activity can resume within 24–48 hours.
  • Pain is generally well controlled with paracetamol or ibuprofen.

Weeks 1–6:

  • Avoid vigorous exercise, upper body workouts, and lifting heavy objects.
  • Wear a post-operative support bra for 6 weeks.
  • Attend follow-up appointment for wound check at 1 week.

Most patients return to work within 3–5 days, particularly those in non-physical jobs.

Risks and Complications

All surgical procedures carry some risks. Although awake breast augmentation reduces certain risks, others remain:

  • Infection
  • Bleeding or haematoma
  • Capsular contracture
  • Implant displacement or asymmetry
  • Unsatisfactory cosmetic outcome
  • Temporary or permanent changes in nipple sensation
  • Anxiety during the procedure (if sedation wears off or is insufficient)

These risks are the same as traditional breast augmentation techniques.

awake breast augmentation

Motiva Preservé at CLNQ Deansgate Hospital Manchester

At CLNQ Deansgate Hospital, we specialise in bespoke awake breast augmentation using the latest technique Motiva Preserve. Our clinic, led by Mr Reza Nassab, a highly respected Consultant Plastic Surgeon, offers this cutting-edge procedure in a luxury setting.

We provide:

  • In-depth consultation and 3D imaging for implant sizing
  • Natural-looking results tailored to your body
  • Transparent pricing with no hidden costs

FAQs About Awake Breast Augmentation

Can I see the results straight away?

Yes, you’ll see an immediate enhancement, although swelling will slightly distort the shape for a few weeks.

Will I feel anything during the procedure?

You’ll feel pressure or movement but not pain. If you feel discomfort, more local anaesthetic can be administered.

Can I choose my implant size during surgery?

Sizing is planned during your consultation. You will usually have 2 consultations to give you time to decide on the sizing.

How soon can I drive after awake breast augmentation?

Usually within 5-7 days, once you are off prescription painkillers and feel confident to handle a vehicle.

Cost of Awake Breast Augmentation in the UK

At CLNQ Deansgate Hospital, awake breast augmentation starts from £9,500. This includes:

  • Hospital fees
  • Motiva Preservé implants
  • Surgical and nursing fees
  • Anaesthetic fees
  • Post-operative care

Finance options are available for the Motiva Preservé with monthly payments from £315. To find out more about finance options for Preserve please contact CLNQ.

Is Awake Breast Augmentation Right for You?

Awake breast augmentation is a safe, effective, and increasingly popular option for women seeking breast enhancement without general anaesthetic. It offers faster recovery, fewer systemic risks, and high patient satisfaction.

However, it’s not suitable for everyone. A thorough consultation with Mr Nassab plastic surgeon will determine whether you’re a good candidate.

If you’re in Manchester or Cheshire and are considering breast implants under local anaesthetic, contact CLNQ today to book your consultation with Mr Reza Nassab.

Kylie Jenner boob job details revealed on Tiktok. Mr Nassab plastic surgeon talks about these and how to choose the right breast implants.

There has been a trending topic on TikTok called ‘sharing is caring’ which has come from the recent comment from Kylie Jenner about boob job details.   YouTuber Rachel Leary posted a clip asking Kylie for her boob job “secrets.” Within hours, Kylie replied:

“445 cc, moderate profile, half under the muscle!!!!! silicone!!! garth fisher!!! hope this helps lol.”

This marked the first time she publicly gave detailed info about her breast augmentation procedure. This has sparked a TikTok trend highlighting transparency with plastic surgery procedures.  Kylie Jenner took to TikTok to share the full details — finally confirming the specifics:

  • Implant size: 445 cc
  • Profile: Moderate (natural mass with slight projection)
  • Placement: Half under the muscle (dual-plane technique)
  • Material: Silicone
  • Surgeon: Dr Garth Fisher, Beverly Hills plastic surgeon

Kylie Jenner Breast Implants

Kylie first admitted to having the procedure in 2023 during The Kardashians TV show, saying she had it at 19 before her daughter Stormi was born. She shared regrets, urging: “wait until after having children” — noting her natural breasts were “beautiful” and “perfect” before the surgery.

The Kylie Jenner Boob Job Details TikTok Trend

A number of people have taken to TikTok and shared their breast implant details like Kylie Jenner. We have had a number of our own patients follow the sharing is caring trend. We are delighted that patients share their details as we are often asked by people what our patients have had. This should always be taken with caution though and we will explain this later.

Kylie Jenner Boob Job Analysis by Mr Reza Nassab

The details provided by Kylie Jenner highlight some of the important aspects when choosing your breast implants.  There are many considerations and variables when picking the right breast implant and as a plastic surgeon it is my role to help guide you.  It is important to realize that the specific implant details should be unique to you.  You should not choose an implant simply because a friend, influencer or celebrity has had that particular size, shape or brand. We can break down the choice of implant now it the different types:

kylie jenner boob job

445cc Breast Implant

The 445cc breast implant is a large implant and so is not suitable for everyone.  Kylie Jenner has previously had breast implants and so when having a revision there is scope to increase the size further.  Choosing a 445cc implant for a primary or first time augmentation should be done if it is in proportion with the patient’s frame, height and breast anatomy. The 445cc is also not available with certain brands of implants as some sizes are specific to particular brands and profiles.

Moderate profile

The moderate profile breast implant is a more natural implant which is wider but with less projection.  There are different profiles of implants such as moderate, moderate Xtra, demi, high profile, high Xtra, full or coarse.  The different profiles will be called different things between different implant brands.

Dual‑plane placement

Kylie’s “half under the muscle” means a dual-plane technique. This is essentially under the muscle technique where the upper portion of the implant is beneath pectoral muscle and the lower beneath breast tissue. This method supports a natural contour and teardrop shape.  The plane such as under or over the muscle is based on individual anatomy.  Patients who have very little breast tissue or body fat will often need to go under the muscle.  Those who have some breast or fatty tissue can go over the muscle.

Silicone implants

Silicone implants are the most commonly used implants in the UK.  The alternative saline implants are rarely used in the UK.  In our series of patients all receive silicone cohesive gel or gummy bear breast implants.

Surgeon

Kylie Jenner mentioned her surgeon Dr Garth Fisher.  Dr Fisher has been featured on the Keeping Up with the Kardashians TV show numerous times and has operated on many Kardashian-Jenners.  These procedures include: Kris’s facelift, and Kourtney’s breast augmentation.  It is always good to have a recommendation for a surgeon and we are very fortunate to have several patients share our details with friends or their followers on social media.

nassab boob details

What Do Patients Want?

In our practice, the majority of patients are seeking a natural look breast enhancement.  The range of implants we use is typically from about 250 to 350cc in size.  We do perform larger volume enlargements if appropriate or if in revision cases. We have started to see the Kylie Jenner effect already with patients coming and asking for the 445cc.   You should not expect to look like Kylie Jenner or her boobs just by having the same breast implants.  My favourite phrase during a consultation is “if I put the same implant in 10 different people, every single one will look different.”

Kylie Jenner TikTok Trend

Kylie’s public reveal is part of a broader wave of celebrity openness where they are candidly discussing plastic surgery details.  This helps people understand they procedures or tweaks are performed to achieve certain results.  Understanding patient expectations is a very difficult part of the consultation.  It is helpful to have some inspo boob jobs images to show the surgeon as this will allow us to understand your desired expectations.  It is often upsetting for patients however when I tell them that those results are unrealistic.  This is often due to individual anatomy and circumstances.  For example, Kylie Jenner has previously had breast augmentation and had a child.  She will have a different result compared to someone who is 20 years old, never had children or someone aged 45 who has lost lots of weight.  It is important to understand everyone is different.

Conclusion

Many people will be inspired by Kylie’s decision to share “445 cc, moderate profile, half under the muscle, silicone, Dr Garth Fisher” information. Her transparency helps demystify cosmetic surgeries and helps patients considering breast augmentation or boob jobs.  The key message is, however, that those implant and surgery details are unique to her.  She will have had an in depth discussion with her surgeon and they will have planned and picked those implants together.  We always discuss the various implant options during your consultation and chose the right implant for you.

Mr Nassab attended the Beauty through Science (BtS) conference in the stunning waterfront venue in Stockholm. Mr Nassab was joined by Miss Touil plastic surgeon, who is the latest addition to the CLNQ family. The meeting united plastic surgeons, dermatologists, researchers, and innovators to explore the cutting edge of regenerative medicine and anti-ageing solutions. The …

Mr Nassab attended the Beauty through Science (BtS) conference in the stunning waterfront venue in Stockholm. Mr Nassab was joined by Miss Touil plastic surgeon, who is the latest addition to the CLNQ family. The meeting united plastic surgeons, dermatologists, researchers, and innovators to explore the cutting edge of regenerative medicine and anti-ageing solutions. The meeting was originally set up by Dr Per Heden of Sweden.

The programme was rich and varied, featuring live surgical demonstrations, interactive discussions, and sessions covering both surgical and non‑surgical fields underscoring the event’s dual commitment to science-based education and hands-on learning.

Motiva Preservé™ Certification

The highlight for Mr Nassab and Miss Touil was their certification in the Motiva Preservé™ technique—a revolutionary and minimally invasive method prioritising anatomical and sensorial preservation during breast augmentation.

During a pre-congress workshop certified by Motiva, attendees delved into:

  • The scientific principles behind breast tissue preservation
  • Protocols ensuring maintained sensitivity and structural integrity
  • Live demonstrations and expert commentary from Motiva’s faculty such as Dr Charles Randquist, Dr Marie Jaeger, and Dr Constantin Stan.
  • Topics covered included Mia Femtech vs Preserve, Patient Selection and Preserve operation technique

For both surgeons, this certification marks a crucial step in enhancing their customisable, patient-focused approach—introducing an advanced technique designed to respect each patient’s unique anatomy, maintaining sensation while delivering natural, long-lasting aesthetic results. We are delighted to be one of a small group of top plastic surgeons in the UK to be selected to deliver this new innovative technique.

Learning from World Experts in Plastic Surgery

BtS Stockholm hosted several world expert plastic surgeons including:

Ben Talei

Dr Ben Talei, Beverley Hills plastic surgeon presented his facelift technique. He shared operative techniques including the mastoid crevasse to help define the jawline.

Timothy Marten

Dr Marten is a leading plastic surgeon from the USA and world renowned for facelift surgery. His talks included operative techniques for deep neck reduction and face lift tips.

Alexander Aslani

Dr Aslani is one of the leading experts in BBL and fat transfer. Mr Nassab has been fortunate enough to visit Dr Aslani in his clinic in Marbella and learn first hand the tips for BBL surgery.

Highlights

Regenerative Medicine & Tissue Preservation

Sessions on exosomes, nanofat, and mitochondrial therapies spotlighted the importance of regenerative medicine. There was emphasis on prevention of ageing and longevity which remains one of the core elements at CLNQ. A talk from Dr Tunc Tiryaki highlighted some of the developments in the field of regenerative medicine.

Motiva Preservé™ in Practice

The demonstrations allowed surgeons such as Mr Nassab and Miss Touil to witness the Preservé™ approach in action—from precise implant placement to tissue-sparing techniques that uphold post‑surgical sensation. The Preserve offers women the opportunity to have breast enhancement under local anaesthetic with rapid recovery.

The Beauty Through Science 2025 conference was a highly educational meeting offering some of the latest updates in the field of aesthetic medicine and plastic surgery.

The Preservé™ certification positions the surgeons from CLNQ Deansgate Hospital at the forefront of tissue-preserving breast augmentation. Clinically, this translates to:

  • Reduced nerve and duct disruption and sustained sensitivity
  • Gentle tissue manipulation and improved post‑operative comfort
  • Procedures under local anaesthetic

Integrating the BtS learning back into the Manchester and Cheshire practice, we will be equipped to elevate patient experiences—from preop regenerative protocols to advanced implant approaches tailored to each individual.

What’s Next? The Future of Aesthetic Surgery

BtS emphasises a future where science drives artistry:

  • Tissue preservation becomes the standard in breast augmentation
  • Regenerative adjuncts support surgical outcomes naturally
  • Cross-disciplinary integration shapes holistic care pathways
  • Live, peer-to-peer learning enhances global surgical standards

For Mr Nassab and Miss Touil, participation in BtS demonstrates a commitment to this vision and positions their CLNQ at the forefront of innovation.

Conclusion

The Beauty through Science Conference 2025 was not merely an event, but a professional milestone for Mr Reza Nassab and Miss Leila Touil. Their Motiva Preservé™ certification and intensive learning from internationally recognised experts amplify their capability to deliver superior, patient-centric care.

From tissue-preserving techniques to regenerative medicine, and from live surgical learning to global networking, the conference encapsulated the future of aesthetic surgery. As they bring these insights back to Manchester and Cheshire, patients are sure to benefit from elevated outcomes, improved comfort, and truly bespoke surgical care.

Discover the 10 most effective exercises for banishing love handles, why they work, how to perform them safely, and when treatments such as EMSCULPT NEO® or VASER® liposuction.

Why “Love Handles” Are Stubborn – and Why You Can Beat Them

The soft bulge that gathers over the waist is simply excess sub‑cutaneous fat over the external oblique muscles. Because this area has fewer active blood vessels than, say, the thighs, fat is mobilised from it more slowly. Hormonal influences (cortisol and insulin spikes), prolonged sitting, and a diet rich in ultra‑processed carbohydrates all worsen the problem. Yet research shows that combining resistance‑based core training with brief bouts of high‑intensity cardio reduces flank fat more efficiently than cardio alone, by raising resting metabolic rate for up to 48 hours after each workout.

The 10 Best Exercises to Eliminate Love Handles

Below you will find the ten movements I give to patients who want results without equipment beyond a kettlebell or resistance band. Perform three sessions per week, resting at least 48 hours between identical muscle groups. If you are a beginner, aim for two sets of 10–12 controlled reps; if advanced, use three to four sets of 12–15 reps with progressive overload.

1. Standing Woodchopper (Cable or Resistance Band)

Why it works: The diagonal chop ignites the external and internal obliques through a large range of motion, while the standing position forces the deep core to stabilise the spine.

Technique: Anchor the band above shoulder height. Stand side‑on, feet at shoulder width. With arms extended, pull the handle down and across the body towards your opposite knee in one fluid arc. Resist the urge to twist the hips – the rotation should come from the ribcage. Return slowly.

Common error: Allowing the knees to collapse inwards, which dumps tension away from the core.

2. Russian Twist (Medicine Ball or Dumb‑bell)

Seated with feet elevated and torso at 45 degrees, rotate the ball from hip to hip. Keep the pelvis still; only the shoulders move. Slower is harder here.

3. Side Plank with Hip Dips

A side plank trains the obliques isometrically; adding a controlled dip and lift of the hips increases time under tension. Align ear–shoulder–hip–ankle in a straight line and avoid sagging.

4. Bicycle Crunch

Contrary to old‑school sit‑ups, the bicycle emphasises rotation and draws in the lower abs and pelvic floor. Touch elbow to opposite knee; extend the other leg fully for maximum lever‑arm resistance.

5. Mountain Climbers (Cross‑body Variation)

From a high plank, drive each knee towards the opposite elbow at a brisk but controlled pace. You achieve both trunk rotation and a cardio spike, perfect for interval circuits.

6. Kettlebell Swing

Although famous for glute and hamstring power, the swing also fires the lateral core as it decelerates the bell at chest height. Keep the lats tight and let the bell float, not lift, at the top.

7. Farmer’s Carry (Offset Load)

Walk 20–30 metres carrying a single heavy dumb‑bell on one side. The asymmetric load forces the opposite obliques to resist spinal tilt. Keep shoulders square. Progress by adding distance before adding weight.

8. Reverse Lunge to Knee Drive with Rotation

Holding a light plate at arm’s length, step back into a lunge. As you rise, drive the rear knee forwards and rotate the plate across the front thigh. It is coordination heavy but unbeatable for functional core strength.

9. HIIT Sprint Intervals

True high‑intensity intervals – 20 seconds of all‑out effort followed by 40 seconds rest, repeated eight times – trigger catecholamine release, which increases lipolysis in visceral and flank adipose tissue more than steady‑state cardio.

10. Burpee with Lateral Jump

Add a 45‑centimetre side hop between each burpee rep. The lateral displacement recruits hip abductors and obliques, turning a full‑body move into a dedicated waist‑shaper.

Lifestyle Levers That Double Your Exercise Results

  1. Nutrition first: Aim for a modest 10–15 % caloric deficit, prioritising 1.6–2.2 g of protein per kg body‑weight and 30 g of soluble fibre daily – both improve satiety.
  2. Sleep: Six nights of <6 hours’ sleep elevates ghrelin by ~15 %, driving hunger.
  3. Stress management: Cortisol is lipogenic around the trunk; mindfulness or brisk walking lowers resting cortisol by 20 % within two weeks.
  4. NEAT counts: Extra daily steps (parking further away, using stairs) can add 200 kcal expenditure without training fatigue.

When Exercise Alone Is Not Enough – Non-Surgical and Surgical Alternatives

Even the most disciplined client may carry genetically determined fat pads. Two evidence‑backed options I use in our practice are EMSCULPT NEO® and VASER® liposuction.

EMSCULPT NEO® – Non‑Invasive Muscle Building & Fat Reduction

EMSCULPT NEO combines high‑intensity focused electromagnetic (HIFEM) energy with synchronised radio‑frequency (RF). A 2024 multicentre MRI study showed a 30 % reduction in flank fat cross‑sectional area and a 29 % increase in oblique muscle size after four 30‑minute sessions  . A broader 2023 systematic review confirmed average muscle thickening of 2.2 mm with no reported complications.

Key points for patients

  • Treatment course: four 30‑minute sessions, one week apart.
  • Sensation: feels like intense contractions with gentle warmth; >80 % of participants rated discomfort as “mild” or less  .
  • Results timeline: early strength gains at two weeks; visible contour change from six to twelve weeks.
  • Ideal candidate: BMI <35 kg m‑² with pinchable fat over the flanks but good skin quality.

VASER® Liposuction – Targeted, Ultrasound‑Assisted Fat Removal

Modern VASER uses ultrasound waves to emulsify fat selectively, sparing nerves and vessels. In a 2024 retrospective series of 1,486 consecutive cases, the overall complication rate was just 3 %, with no major events and excellent contour reliability. Skin retraction averages 15 % in the flanks, helpful if mild laxity is present.

What to expect

  • Anaesthetic: usually day‑case under general or twilight sedation.
  • Downtime: most patients return to desk work at five to seven days; full gym at three weeks.
  • Longevity: fat cells removed do not grow back, but weight gain enlarges remaining cells.
  • Cost guide: in our Manchester Deansgate Hospital, flank‑only VASER starts at £3,000, inclusive of compression garments.

Sample 4‑Week Training Plan

 

Week Sessions Main focus
1 Woodchopper, Side Plank dips Movement mastery, tempo 3‑0‑3
2 Kettlebell Swing, Farmer’s Carry Add load; tempo 2‑0‑2
3 Bicycle Crunch, Mountain Climbers (HIIT) Supersets to elevate heart‑rate
4 Reverse Lunge rotation, Burpee lateral Complexes for metabolic finish

 

Frequently Asked Questions

How long before my jeans fit better?

With the plan above and a 300 kcal daily deficit, most people drop 2–4 cm from the waist in eight weeks.

Will these exercises make my waist wider because of muscle growth?

No. Oblique hypertrophy is modest. Any slight muscle gain creates a flatter, firmer profile; fat loss far outweighs girth change.

Can women do the programme post‑pregnancy?

Yes, once your GP or obstetrician has cleared you for exercise (usually at six weeks for an uncomplicated vaginal birth or 12 weeks post‑caesarean). Start with body‑weight varieties and focus on breathing control to protect the pelvic floor.

Is EMSCULPT NEO® safe after childbirth?

HIFEM + RF is contraindicated during pregnancy but safe after medical clearance; it may even help mild diastasis recti.

What if I regain weight after VASER?

Remaining fat cells expand evenly, so love handles can return. Maintain healthy habits; our after‑care programme includes nutrition coaching for six months to safeguard your result.

Conclusion

  • You cannot crunch away a muffin‑top, but compound, rotation‑based exercises coupled with short, sharp HIIT sessions create the strongest metabolic signal to mobilise flank fat.
  • EMSCULPT NEO® offers a non‑invasive boost, delivering up to 30 % fat reduction and simultaneous muscle building in four lunch‑break sessions.
  • VASER® liposuction remains the gold standard for a one‑and‑done result when skin quality is adequate and you are happy to accept a week of downtime.
  • Nutrition, recovery and ongoing activity will dictate whether your slimmer waistline lasts.

Book a consultation at our Manchester or Cheshire clinics today to discuss options for stubborn areas of fat with a consultant plastic surgeon.

Sophie Lee, a 29-year-old motivational speaker and former fire performer from Manchester, has been selected as one of the contestants entering the Love Island villa in 2025. She survived a life-altering accident during a fire performance resulting in significant burns. She has previously undergo a breast augmentation with one of the best plastic surgeons in …

Sophie Lee, a 29-year-old motivational speaker and former fire performer from Manchester, has been selected as one of the contestants entering the Love Island villa in 2025. She survived a life-altering accident during a fire performance resulting in significant burns. She has previously undergo a breast augmentation with one of the best plastic surgeons in Manchester Mr Reza Nassab, a choice that marked a significant step in her healing process and improvement in her confidence.

A Life-Altering Accident

At the age of 22, Sophie was performing a fire-breathing act when a powerful air-conditioning unit blew flames back into her face, causing severe burns to her face and chest. She spent a month in intensive care in the, undergoing multiple surgeries and treatments to recover from her injuries. The physical scars were profound, but the emotional and psychological impact was equally significant.

Sophie has spoken openly about the trauma she experienced, stating, “[But my loneliness] became my strength. Weirdly enough, it became my reason it became my purpose. It became my motivation [and] inspiration. I’ve learned that loneliness is where we grow.”

Embracing Body Positivity

Sophie’s journey towards self-acceptance led her to become an advocate for body positivity. She authored a memoir titled “In My Skin,” detailing her experiences and encouraging others to embrace their imperfections. Her work with The Katie Piper Foundation further highlights her commitment to supporting burn survivors and promoting self-love.

In her own words, Sophie stated, “I want to feel fully within my own confidence, And I did this for me, I did this, I didn’t tell anyone that I want to do it.”

Sophie Lee Breast Augmentation

Despite her progress, Sophie faced challenges with her body image, particularly concerning her chest area, which had been affected by the burns. Seeking to restore her confidence and feel more comfortable in her body, she decided to undergo breast augmentation surgery.

Sophie chose Mr Reza Nassab, a well-respected plastic surgeon based in Manchester and Cheshire, known for his expertise in cosmetic procedures and his holistic approach to patient care. Mr Nassab’s philosophy emphasizes tailoring each treatment plan to the individual’s unique goals and anatomy, ensuring that patients receive personalized care.

Mr Reza Nassab Love Island Plastic Surgeon

Mr Nassab has become a go-to surgeon for several Love Island alumni, including Ellie Brown, Natalia Zoppa, and Samantha Kenny. His reputation for delivering natural-looking results and prioritizing patient well-being has made him a trusted name in the cosmetic surgery community.

The Surgical Journey

Breast augmentation, commonly referred to as a “boob job,” involves the placement of implants to enhance the size and shape of the breasts. For Sophie, the procedure was not merely cosmetic but a reconstructive step towards reclaiming her body after the trauma.

Under Mr Nassab’s care, Sophie underwent the surgery with the aim of achieving a natural look that complemented her body. The procedure involved detailed consultations to discuss her expectations, the selection of appropriate implant types and sizes, and a thorough explanation of the surgical process and recovery.

Post-surgery, Sophie expressed satisfaction with the results, noting an increase in her self-confidence and a sense of wholeness. Her openness about the procedure has contributed to destigmatizing cosmetic surgery, especially when undertaken for reconstructive purposes.

Love Island 2025

Sophie’s participation in Love Island 2025 has provided her with a broader platform to share her story and advocate for body positivity. Her presence on the show challenges conventional beauty standards and highlights the importance of resilience and self-acceptance.

By sharing her journey, including her decision to undergo breast augmentation, Sophie aims to inspire others to embrace their bodies and seek paths to healing that align with their personal needs and desires.

Kylie Jenner Boob Job

 The influence of celebrities on cosmetic surgery trends is undeniable. Kylie Jenner has recently opened up about her breast augmentation, revealing that she had 445 cc moderate profile silicone implants, placed half under the muscle, also known as dual plane. Her transparency has sparked widespread interest, with many fans praising her honesty and seeking to replicate her look. However, we advise caution against using her exact specifications as a template, emphasizing that breast augmentation results vary based on individual anatomy. Mr Nassab often tells his patients that ‘the same implant in 10 different people will look different in every single one.’

Conclusion

 Sophie Lee’s story is a testament to the human spirit’s capacity to overcome adversity and find empowerment through self-acceptance and personal choice. Her decision to undergo breast augmentation with Mr Reza Nassab was a pivotal step in her journey towards healing, reflecting a desire to feel confident and whole in her body.

As she continues to share her experiences on national television, Sophie serves as an inspiration to many, demonstrating that beauty is multifaceted and that embracing one’s scars can be a powerful act of self-love.

You can read the article about Sophie Lee’s journey on Tyla.

When considering breast augmentation, one of the most important decisions for both patients and surgeons is selecting the right breast implant. The variety of implants on the market has grown considerably over the years, making it increasingly important to have an accessible, in-depth guide that compiles the most relevant information into a single resource. We …

When considering breast augmentation, one of the most important decisions for both patients and surgeons is selecting the right breast implant. The variety of implants on the market has grown considerably over the years, making it increasingly important to have an accessible, in-depth guide that compiles the most relevant information into a single resource. We delve into the details of breast implant catalogues, explaining the various brands, types, shapes, sizes, and textures available, as well as sharing relevant medical considerations and factors that can influence the choice of implant.

Breast Implant Catalogues

Breast implant catalogues are essentially comprehensive lists, typically provided by manufacturers or distributors, detailing the full range of implants on offer. They contain vital information about shape, volume, base width, projection, surface type, and material composition (such as saline vs. silicone). These catalogues allow surgeons and patients to compare different implant options side-by-side. As a result, they are an essential reference tool for plastic surgeons, enabling them to tailor each procedure to the patient’s unique goals, body shape, and medical needs.

These catalogues often come in digital as well as printed formats. They include details about warranties, regulatory clearances (for instance, approval by the UK’s Medicines and Healthcare products Regulatory Agency [MHRA], or FDA approval in the United States), and safety data from clinical studies. By having everything laid out so systematically, breast implant catalogues have become the gold standard resource in guiding informed decision-making. Many surgeons rely on these catalogues, along with their professional judgement and thorough patient consultations, to select the best implant for each individual.

The Importance of Breast Implant Catalogues in Surgical Planning

Selecting the right implant is crucial for achieving the most natural-looking and proportionate results while minimising complications. Some of the key aspects detailed in implant catalogues include:

  1. Shape: Round or anatomical (teardrop).
  2. Profile: Low, moderate, high, high Xtra, or ultra-high projection.
  3. Size/Volume: Usually measured in cubic centimetres (cc).
  4. Surface Type: Smooth or textured.
  5. Filling Material: Silicone gel (various degrees of cohesiveness) or saline.

Each of these factors directly influences the surgical outcome, affecting everything from the final appearance to the potential for complications such as capsular contracture or implant migration. By studying a breast implant catalogue, a surgeon can meticulously plan the operation to match a patient’s aesthetic desires, balancing their lifestyle needs and overall health status.

Furthermore, implant catalogues offer a wealth of data regarding the longevity and performance of particular implants. For instance, some manufacturers provide details on the rates of rupture, rippling, and other issues found in post-market surveillance data. Surgeons can use this information to help manage patient expectations and reduce the likelihood of dissatisfaction or revision surgery later on.

The Evolution of Breast Implants

Breast augmentation using implants has been performed since the 1960s. Early implants were made with basic silicone shells and fillings. Over time, advancements in medical research and technology have led to the refinement of implant design, culminating in today’s wide variety of safe and reliable choices. Contemporary implants feature stronger shells, advanced cohesive silicone gels, and improved shapes that better mimic natural breast tissue.

Simultaneously, the way manufacturers present information about their products has also evolved. Decades ago, catalogues were limited, with only a handful of sizes and shapes. Today, it is not uncommon for a single manufacturer to offer hundreds of different implant variations. This variety includes numerous base widths, projections, and gel cohesivity levels. The end result is a catalogue that can run to dozens of pages, each page detailing multiple implants with unique reference numbers and specifications. Such in-depth resources are critical to help surgeons navigate the abundance of options and make informed clinical decisions.

Types of Breast Implants

Silicone Gel Implants

Silicone gel implants are the most commonly used implants in the UK and much of the world, prized for their natural look and feel. Today’s silicone implants typically use a “cohesive” or “form-stable” gel, often referred to as “gummy bear” implants in popular terminology. This means the silicone tends to maintain its shape better if the implant shell is compromised. Catalogues will often detail the gel’s cohesivity level, which can affect how soft or firm the implant feels.

  • Pros: Mimics the feel of real breast tissue more closely and tends to ripple less.
  • Cons: Require a slightly larger incision for placement compared to saline implants, as they come pre-filled.

Saline Implants

Saline implants are less commonly used in the UK compared to the United States. They consist of a silicone shell filled with sterile saltwater solution. Surgeons often insert the implant first, then fill it with saline, potentially allowing for smaller incisions.

  • Pros: If a rupture occurs, the saline is safely absorbed by the body.
  • Cons: More prone to visible rippling, and can feel less natural to the touch than silicone implants.

Shapes, Profiles, and Sizes in Breast Implant Catalogues

Round Implants

Round implants are symmetrical across their horizontal and vertical axes. They’re designed to provide a fuller upper pole (the upper part of the breast) and a more “voluminous” appearance. Catalogues generally break round implants down into profiles: low, moderate, high, and ultra-high.

  • Low Profile: Wider base, minimal projection. Often suitable for patients with a broader chest or those desiring subtle enhancement.
  • Moderate Profile: A balance between width and projection, offering a fairly natural slope.
  • High Profile: Narrower base, more projection, creating a more pronounced silhouette.
  • Ultra-High Profile: Very narrow base and the maximum forward projection. Typically used for those seeking a more dramatic look.

Anatomical (Teardrop) Implants

Anatomical implants, also called teardrop implants, mimic the natural slope of the breast, being fuller at the bottom and tapered at the top. This shape is often selected for patients who want a subtle, natural appearance. Catalogues list these implants with measurements for height, width, and projection. This variety caters to the unique anatomy of different patients, allowing surgeons to fine-tune the final look.

Sizing

Implant size is typically indicated in cubic centimetres (cc). Catalogues provide incremental sizes, often in steps of 25 cc or 50 cc, ensuring surgeons can pinpoint the closest match to a patient’s desired volume. The concept of “bra cup size” is not universal due to variations in bra manufacturing, so surgeons and patients typically rely on volume measurements and sizer implants during consultations to achieve the best match.

Surface Texture Options

In many catalogues, you will see references to smooth and textured implants. Each type has its benefits and drawbacks:

  • Smooth Implants: These have a slick outer shell, allowing them to move more freely within the breast pocket. The soft movement can sometimes look more natural, particularly for round implants. However, smooth implants can have a slightly higher risk of capsular contracture in certain patients, although this risk can vary based on multiple factors, including post-operative care. They also have a higher risk of bottoming out.
  • Textured Implants: These have a rough surface designed to encourage the breast tissue to adhere slightly, reducing movement and potentially lowering the incidence of capsular contracture. Anatomical implants often require a textured surface to ensure they stay correctly oriented. However, emerging studies over the years have linked certain types of textured implants to a rare condition called breast implant-associated anaplastic large cell lymphoma (BIA-ALCL).

Manufacturers and Their Implant Catalogues

We have included below some of the most commonly used implant brands and their relevant catalogue or sizing information:

Mentor

Mentor is widely regarded for its broad range of silicone gel and saline implants. Their MemoryGel and MemoryShape implants feature cohesive silicone designed to maintain shape while offering a realistic feel. The Mentor catalogue typically provides exhaustive details on each implant’s dimensions and recommended surgical techniques. Many surgeons value Mentor’s robust warranty programme and their long-standing history in the implant market. They have also launched the MemoryGel Xtra which filled with more silicone to reduce rippling.

Mentor Implant Catalogue

Mentor MemoryGel Xtra

Allergan (Natrelle Collection)

Allergan’s Natrelle range includes both round and anatomical implants in various levels of cohesive silicone. Their 410 anatomically shaped implant has been widely studied, with data indicating good outcomes in terms of shape retention. Their catalogues outline the different “gel cohesivity” classifications and discuss the specific layering used in their implant shells. This information is valuable for understanding how the implant will behave in the long term. These implants have subsequently been withdrawn from the market due to higher risks of ALCL.

Allergan Natrelle

Allergan CUI

Motiva

Motiva has gained popularity in recent years due to its innovative implant surface technology and cohesive gel formulations. Their Ergonomix implant is designed to adapt its shape with different positions of the body, potentially appearing more teardrop-like when upright and rounder when lying down. Catalogues from Motiva emphasise safety features, including microtexturing and RFID technology in some models, used for implant identification. The new Motiva Preserve range aims to use tissue preservation techniques for rapid recovery and rapid recovery. The Mia Femtech uses a minimal access approach from the armpit.

Motiva

Motiva Preserve

Polytech and B-Lite

Polytech is a German manufacturer offering a versatile line-up of breast implants. They are also behind the B-Lite implant line, which is lighter in weight than traditional silicone implants. B-Lite implants reduce strain on breast tissue over time, an appealing feature for certain patients. Their catalogues detail the technology behind their lightweight filler and discuss how it can ease the long-term effects on tissue.

B-Lite

GC Aesthetics

GC Aesthetics is another brand of implants that is used in the UK.

Nagor

Nagor is a UK-based brand of breast implants which has been taken over by GC Aesthetics.

Understanding Implant Catalogue Data

The sheer volume of information in these catalogues can be daunting for those outside the medical profession. Below are a few tips on how best to interpret the data:

  1. Dimensions: Focus on the base width, height (for anatomical implants), and projection measurements. Together, these dimensions will determine how the implant looks on the chest wall.
  2. Gel Cohesivity: Some implants are softer, while others are more form-stable. Higher cohesivity often means a firmer feel but can better maintain shape.
  3. Surface Type: Smooth vs. textured can make a significant difference in look, movement, and complication rates.
  4. Warranty Coverage: Many manufacturers outline warranty terms, including coverage for implant rupture or capsular contracture. This information is typically included in the final pages or an accompanying document.
  5. Clinical Data: Look for references to studies or trials that demonstrate the implant’s safety profile and rates of complications. This can be particularly useful when comparing multiple brands.

Regulatory Oversight and Catalogues

In the UK, the MHRA (Medicines and Healthcare products Regulatory Agency) oversees the safety of medical devices, including breast implants. Manufacturers must provide documentation proving their implants meet certain standards before they can be sold in the UK. Catalogues reflect this compliance, often including references to CE marking (previously) or the newer UKCA mark, along with any FDA approvals for international markets.

Transparency in breast implant catalogues is paramount, especially since public awareness of implant safety has grown significantly in recent years. Patients are encouraged to request and read these catalogues (or summaries thereof) from their surgeons to understand precisely what device might be used in their body. The more information provided, the easier it is to make the best possible decision.

Conclusion

Breast implant catalogues serve as an essential blueprint in the world of cosmetic and reconstructive breast surgery. For patients, they demystify the often-confusing realm of shapes, sizes, profiles, and materials, providing clarity about what is possible. For surgeons, they are a technical resource, helping them plan each procedure meticulously to align with patient goals and medical best practices.

In an ever-expanding market with many reputable manufacturers, it is crucial to focus on factors such as implant shape, volume, gel cohesivity, surface texture, regulatory approvals, and warranty coverage. Taking the time to explore these catalogues, alongside professional consultations, allows for more informed, confident choices that reflect individual aesthetics, lifestyle needs, and health considerations.

If you are considering breast implants then it is important to have a consultation with Mr Nassab who will guide you. We can review any existing implants you may have and their dimensions to ensure any changes are suitable. We can also ensure if you are having implants for the first time that they suit your frame and anatomy.

Breast augmentation has seen remarkable advancements over the past few decades, with new implant designs, surgical techniques, and patient-focused approaches all contributing to better outcomes. One of the most noteworthy recent developments is Motiva Preservé. This technique is a new technique for breast augmentation by focusing on tissue preservation, smaller incisions, and a smoother recovery …

Breast augmentation has seen remarkable advancements over the past few decades, with new implant designs, surgical techniques, and patient-focused approaches all contributing to better outcomes. One of the most noteworthy recent developments is Motiva Preservé. This technique is a new technique for breast augmentation by focusing on tissue preservation, smaller incisions, and a smoother recovery process.We will explore how Motiva Preservé works, why it is considered an innovative choice for breast implant surgery, and what you should expect if you are thinking about undergoing this procedure.

Understanding Breast Augmentation and Implant Innovations

Breast augmentation, also known as augmentation mammoplasty, has historically been one of the most popular cosmetic surgery procedures worldwide. Over time, various implant types and surgical approaches have evolved to enhance safety, comfort, and aesthetics.

Traditional Breast Implant Techniques

Traditional breast augmentation often involves making incisions at the inframammary fold (the crease under the breast), around the nipple (periareolar), or even under the arm (transaxillary). In the UK, the inframammary fold incision is most commonly used. Through these incisions, we create a pocket for the implant, which might be placed underneath the breast tissue itself or beneath the chest muscle. While these methods have delivered satisfactory results for many patients, a number of concerns remain:

  • Scarring: Larger incisions can lead to more noticeable scars.
  • Recovery: Dissection of the surrounding tissues may increase postoperative discomfort and recovery time.
  • General Anaesthesia: Many patients express concerns about undergoing general anaesthesia. These days this is extremely safe although for some it remains a barrier to undergoing a procedure.

Minimally Invasive and Tissue Preservation Approaches

Patients seek alternative methods, there has been a shift to techniques that reduce trauma to the tissues, speed up recovery, and leave minimal scars. Tissue preservation aims to preserve the breast anatomy aiding recovery. The minimally invasive approaches use smaller incisions and possibly avoid general anaesthesia. Motiva Preservé is an approach to breast augmentation that encompasses these principles.

 

 

 

What Is Motiva Preservé?

Motiva Preservé is a specific breast augmentation technique created to work in conjunction with Motiva implant range. The Preservé technique enhances these attributes by focusing on tissue preservation—that is, maintaining as much of the natural breast structure as possible while minimising potential trauma to surrounding tissues. This technique uses special devices to aid pocket creation and implant insertion.

Preservé

The term “Preservé” in “Motiva Preservé” underscores the commitment to tissue preservation and gentle handling. The technique emphasises:

  • Precise Dissection: Using careful surgical methods to create a pocket that fits the implant, reducing trauma to surrounding tissues.
  • Minimal Scar Entry: In many cases, Motiva implants can be inserted through a smaller incision.
  • Reduced Stress on Breast Tissue: Less stretching and tearing, contributing to potentially quicker healing and less postoperative discomfort.

Advantages of Motiva Preservé

The Motiva Preservé technique brings together a high-tech implant and a gentler surgical approach. Below are the main advantages often cited by surgeons and patients:

Smaller Incisions and Less Visible Scarring

One of the benefits of Motiva Preservé is the possibility of smaller incisions. While breast implants in general require an incision, we can introduce the implant through openings that may be half as long as those used in older methods. Smaller incisions can typically lead to:

  • Reduced scar length and visibility.
  • Lower chance of wound complications.
  • A potentially faster healing process.

Enhanced Recovery and Less Pain

Because the Motiva Preservé approach emphasises minimal disturbance to the breast tissue, many patients report:

  • Less post-surgical swelling.
  • Reduced discomfort.
  • A shortened recovery window, meaning they can return to normal activities more quickly.

Although each patient’s experience will vary, many see faster healing as a key reason for choosing Motiva Preservé over traditional approaches.

Natural Look and Feel

Motiva implants themselves are well regarded for their natural appearance and texture. The Preservé technique enhances this by creating a pocket that complements the implant’s shape and consistency. The end result often includes:

  • Breasts that move and feel more like natural tissue.
  • A more anatomically consistent profile.
  • A reduced risk of implant malposition, when performed by an experienced surgeon.

The Preservé Procedure

The Motiva Preservé differs from the standard breast augmentation procedure. There are a number of differences which are highlighted below.

Anaesthesia

The normal breast augmentation procedure is usually performed using general anaesthetic which means you go to sleep. The Preservé breast enhancement is performed under local anaesthetic which means you are awake during the procedure. There may also be some sedation to help during the operation. There is always the option to use general anaesthetic if required but most patients prefer to be awake.

 

 

Tissue Preservation Technique

The incision is placed in the natural breast fold and is usually 2-3cm in size which is less than most breast augmentation incisions. The Channel Separator is used to create a channel for the the next device which is the balloon. The Inflatable Balloon is used to create the pocket for the implant. This allows minimal tissue dissection and preserves the breast tissues such as muscle. The next step involves placement of the implant using a funnel. The funnel allows a no-touch technique to help reduce the risk of infection and capsular contracture. We then close the wound and apply small dressings. You then wear a support bra for the next 6 weeks.

 

 

Postoperative Recovery and Care

After the procedure, you will be monitored briefly before being discharged. Typical instructions include:

  • Supportive Garments: You wear a surgical bra for 6 weeks following the procedure.
  • Pain Management: Mild to moderate discomfort is common, but pain can often be managed with oral painkillers.
  • Activity Restrictions: Strenuous exercise and heavy lifting may be limited for 6 weeks.
  • Follow-Up Visits: You will have an appointment at 1 week for a dressing check. You also have follow up at about 6-8 weeks following surgery.

Potential Risks and Complications

The Motiva Preservé complications are similar to the breast augmentation. The potential issues include:

  • Infection: As with any surgery, infections can occur if bacteria enter the incision site.
  • Haematoma or Seroma: Fluid accumulation around the implant may require intervention.
  • Capsular Contracture: Scar tissue sometimes forms around the implant, which in severe cases can lead to hardness or distortion of the breast. Motiva’s nano-surface design seeks to reduce this risk, but it cannot be completely eliminated.
  • Implant Rupture: Very rare with modern implants, but remains a possibility over a long period of time.
  • Unsatisfactory Aesthetic Outcome: Though uncommon, revisions may be needed if the size, shape, or position of the implant is not as expected.

Who Is an Ideal Candidate for Motiva Preservé?

Motiva Preservé may be an option for many individuals seeking breast augmentation. You might consider this technique if:

  1. You Desire a Natural Aesthetic: Motiva Preservé implant sizes and tissue preservation techniques are often used for a more natural look and size. This is not suitable if you would like a large implant. The procedure is for those seeking a natural boob job.
  2. You Have Sufficient Breast Tissue: If you have some breast tissue this is better as it provides more cover for the implant.
  3. You Are in Good Overall Health: You should be in good general health with no significant medical issues. .
  4. You Prefer to be Awake: Those who want to avoid general anaesthetic then Motiva Preservé may be an option.
  5. You Have Realistic Expectations: A thorough consultation will help ensure your goals align with what the technique can achieve.

Comparing Motiva Preservé to Other Breast Augmentation Approaches

There are several breast augmentation techniques in widespread use today, from traditional submuscular placements to transaxillary or endoscopic approaches. Some of the key differences with Motiva Preservé include:

  • Tissue Preservation: While some other methods claim minimal invasiveness, Motiva Preservé explicitly emphasises gentle handling of the breast tissue.
  • Anaesthesia: The Preservé technique allows use of local anaesthesia due to less invasive tissue handling.
  • Incision Length: The combination of tissue preservation and flexible implant design often allows for smaller incisions than older techniques.
  • Recovery Profile: Though individual responses vary, many patients report quicker recovery times with Motiva Preservé compared to traditional approaches that involve more aggressive tissue dissection.

Frequently Asked Questions

Below are some frequently asked questions related to Motiva Preservé:

How long do Motiva implants typically last?

Modern breast implants are designed to last for many years, often 10 to 15 years or more. We recommend regular check-ups and MRI imaging that can help monitor implant integrity.

Does Motiva Preservé cost more than traditional breast augmentation?

The cost of Motiva Preservé may be slightly more expensive due to the devices and implants used for the procedure.

How soon after surgery can I go back to work?

Many patients can return to an office job or light work within a week to ten days after Motiva Preservé. However, individuals with physically demanding roles may require a longer break.

Conclusion

Motiva Preservé offers a remarkable blend of cutting-edge implant technology and a surgical technique focused on preserving breast tissue, minimising scarring, and improving patient recovery. If you are considering Motiva Preservé in Manchester then book your consultation with Mr Nassab. Mr Nassab will discuss the options during your consultation and aid you with your decision on implant options. The Motiva Preservé offers certain benefits such as local anaesthetic and quicker recovery. We will see if you are a suitable candidate for the procedure. You can book your consultation online now by clicking here.

 

 

 

 

Mounjaro (tirzepatide) is an injectable medication that has garnered increasing attention in recent years for its promising results in managing type 2 diabetes and supporting weight loss. Often discussed in the same breath as other GLP-1 receptor agonists like Ozempic (semaglutide) and Wegovy, Mounjaro is unique in that it acts on both glucose-dependent insulinotropic polypeptide …

Mounjaro (tirzepatide) is an injectable medication that has garnered increasing attention in recent years for its promising results in managing type 2 diabetes and supporting weight loss. Often discussed in the same breath as other GLP-1 receptor agonists like Ozempic (semaglutide) and Wegovy, Mounjaro is unique in that it acts on both glucose-dependent insulinotropic polypeptide (GIP) and glucagon-like peptide-1 (GLP-1) receptors, meaning it can have a dual effect that may help individuals control their blood sugar levels and shed excess weight. With its growing popularity and widespread adoption, many people have questions about how Mounjaro might affect the body beyond simply regulating blood sugar and promoting weight loss. One increasingly common concern is the effect Mounjaro can have on breasts—referred to colloquially by some as “Mounjaro breast.” This is similar to the effects of Ozempic on the face also known as “Ozempic Face.”

We will explore what we currently know about Mounjaro’s influence on breast tissue, how rapid weight loss can change breast shape and size, and what you might expect if you’re taking this medication. We discuss the mechanisms behind Mounjaro’s function, potential side effects, and important factors such as nutritional considerations.

What is Mounjaro (Tirzepatide)?

Mounjaro (tirzepatide) is a relatively new injectable medication that works by activating two hormone pathways in the body: glucose-dependent insulinotropic polypeptide (GIP) and glucagon-like peptide-1 (GLP-1). These hormones help regulate insulin release, reduce excessive glucose production, and slow gastric emptying. The net effect often leads to improved blood sugar control and a sensation of fullness that can help people eat fewer calories.

Unlike traditional GLP-1-only receptor agonists (such as semaglutide used in Ozempic or Wegovy), tirzepatide’s dual mechanism potentially amplifies the benefits of blood sugar regulation and weight loss. This has made Mounjaro a topic of significant excitement in medical circles, with early studies showing notable weight reduction in many patients.

Because it influences how your body regulates blood sugar and processes food, Mounjaro can have a broad impact on body composition. This includes fat distribution and muscle mass, which is why some patients have concerns about changes in areas like the face, buttocks, and—of particular focus here—the breasts.

Why Does Breast Appearance Change With Weight Fluctuations?

Before delving into how Mounjaro might specifically affect breasts, it is essential to understand why breast appearance changes during significant weight fluctuations. The breast is composed of glandular tissue, connective tissue, and fat. In many individuals, the fat portion of the breast is quite substantial, meaning that breast size can vary with overall body weight changes.

  • Rapid Weight Loss: Shedding a large amount of weight quickly can result in a decrease in the fatty component of the breast. This may cause breasts to appear smaller, less “full,” or to sag more noticeably.
  • Skin Elasticity: The skin around the breasts needs time to adjust to weight changes. Rapid weight loss can sometimes outpace the skin’s ability to contract, leading to potential sagging or drooping.
  • Hormonal Changes: Weight loss can sometimes be associated with shifts in hormone levels, which might influence the glandular tissue in the breasts.

When using a medication like Mounjaro, many people experience appetite suppression and reduced caloric intake. Over time, this translates into weight loss. Consequently, women may observe a decrease in breast size or changes in breast firmness.

 

 

Mechanisms Behind Mounjaro’s Weight Loss and Potential Breast Effects

Tirzepatide’s dual action on GIP and GLP-1 receptors can alter how your body processes glucose, insulin, and stored fat. These mechanisms help reduce overall calorie intake, while also improving insulin sensitivity. Let’s break this down further:

  1. Appetite Suppression: By enhancing the effect of hormones that signal fullness, Mounjaro often helps people feel satisfied with smaller portions. As one consistently eats less, fat stores in the body—including those in the breast tissue—are broken down to meet energy needs.
  2. Enhanced Insulin Sensitivity: When insulin works more efficiently, the body is better equipped to keep blood sugar levels stable. This can reduce spikes in hunger. However, because the body is effectively using its stored energy, it can lead to fat reduction.
  3. Gastric Emptying: Mounjaro can slow down the rate at which food leaves the stomach. A slower gastric emptying rate helps individuals feel full for a longer period, reducing the likelihood of overeating.
  4. GIP and GLP-1 Synergy: While GLP-1 receptor agonists are well known, the addition of GIP receptor activation can provide an additional metabolic boost, leading to potentially greater weight loss compared to GLP-1 agonists alone.

Given these mechanisms, the fat contained in the breasts may also diminish. For many, this is a positive aspect of Mounjaro therapy if they have a larger body size and prefer to reduce overall fat. However, some individuals may find a sudden decrease in breast volume or increased sagging undesirable.

Understanding “Mounjaro Breast” or “Ozempic Breast” and Common Concerns

As Mounjaro and Ozempic gain popularity, more people are sharing experiences and anecdotes regarding noticeable changes to their breast size and shape. Common concerns include:

  • Excessive Sagging: Some individuals worry that their breasts have become significantly droopier after losing weight.
  • Loss of Fullness: Breasts may appear flatter on the top portion (the upper pole), creating a “deflated” look.
  • Changes in Breast Symmetry: Weight loss does not always occur evenly, so breasts that were previously symmetrical may appear slightly asymmetrical.
  • Bra Fit Issues: A common sign that your breasts are changing is noticing changes in how your bras fit. You might find yourself needing smaller cup sizes or different band measurements.
  • Rippling: Patients with breast implants are reporting higher rates of rippling since the volume loss and skin thinning results in more visible rippling.

It is crucial to emphasise that not everyone will experience drastic breast changes while using Mounjaro. The degree of transformation largely depends on baseline body composition, genetics, overall amount of weight lost, and lifestyle factors such as exercise and nutrition.

Medical Considerations and Potential Side Effects

Although Mounjaro’s effects on breast size are primarily associated with general weight loss, it is vital to remember that tirzepatide is a potent medication with a range of possible side effects. Some of the most commonly reported ones include:

  • Gastrointestinal Distress: Nausea, diarrhoea, and occasional vomiting can occur, especially when initiating treatment.
  • Reduced Appetite: As intended, many people experience significant appetite suppression.
  • Fatigue or Dizziness: While not as common, some individuals report feeling tired or dizzy, particularly if they are not eating enough or have episodes of low blood sugar.
  • Possible Pancreatitis and Gallbladder Issues: Like other GLP-1 receptor agonists, there can be a small risk of pancreatitis and gallbladder-related complications.

None of these side effects specifically target breast tissue. Instead, breast changes typically occur as a by-product of losing fatty tissue. However, if you do notice lumps, skin irregularities, or pain in your breasts, it is essential to consult with your GP to rule out any other causes.

Preventing or Minimising Breast Sagging

While you may not be able to fully prevent breast sagging during weight loss, certain measures could help minimise the degree of drooping or deflation:

  1. Slow, Steady Weight Loss: Losing weight gradually gives the skin, including breast skin, more time to adapt. Rapid weight loss can exacerbate sagging. With Mounjaro, you can collaborate with your healthcare provider to adjust the dosage or dietary plan to avoid excessively rapid weight reduction.
  2. Strength Training: Incorporating resistance exercises that target the chest muscles can create a more robust foundation behind the breast tissue. Whilst this won’t stop the loss of fat in the breast, a stronger pectoral muscle can give a slightly lifted appearance.
  3. Supportive Bras: Wearing a properly fitting, supportive bra during workouts and throughout the day can help reduce strain on the breast ligaments and skin.
  4. Good Skin Care: Moisturising your breasts and staying hydrated can improve skin elasticity. Some people also consider collagen supplements, though evidence of their efficacy varies.

Surgical Interventions for Breast Changes

For some, the changes to breast size and shape after significant weight loss may be so pronounced that surgery becomes a consideration. Common surgical procedures that address these concerns include:

  1. Breast Lift (Mastopexy): The breast lift procedure lifts and reshapes the breast by removing excess skin and tightening the surrounding tissue. It doesn’t necessarily add volume; rather, it repositions existing tissue to create a perkier appearance.
  2. Breast Augmentation: In cases where a patient has lost a significant amount of breast volume, implants or fat transfer may restore fullness.
  3. Breast Reduction: On the opposite end, some patients may find their breasts remain disproportionally large after overall weight loss. A breast reduction can alleviate discomfort in the neck, back, and shoulders.
  4. Combination Procedures: Individuals who’ve undergone substantial weight loss may benefit from a combined approach—like a breast lift with implants—to address both volume and sagging.
  5. Fat Grafting: Fat transfer can take fat from the abdomen and inject this into the breasts. This can increase the volume but also can provide more coverage of the implant to reduce rippling.

These surgeries come with their own sets of risks and recovery periods. If you are considering these, please book a consultation with Mr Nassab who can guide you through the pros and cons, as well as realistic outcomes.

Frequently Asked Questions (FAQ)

Can men also experience breast changes on Mounjaro?

Men generally have less breast tissue, but significant weight loss can still reduce the volume of fat around the chest. This can sometimes result in a flatter or more contoured chest. It’s less commonly discussed, yet still possible for men to note changes in this area.

How quickly can I expect to see changes in my breast size after starting Mounjaro?

The timeline varies widely. Some people notice changes in a few weeks, whereas others only see differences after several months. Factors like your starting weight, dosage, and rate of weight loss all play a part.

If I regain weight after stopping Mounjaro, will my breasts return to their original size?

A: Possibly. If you regain a significant amount of fat, it will likely re-distribute throughout your body, including your breasts. However, your skin elasticity may be different than it was before any initial weight loss, which could affect the final appearance.

Does Mounjaro directly shrinks your breasts?

Mounjaro does not specifically target breast tissue. Breast changes result mainly from overall fat loss.

Is Breast sagging is inevitable on Mounjaro?

While some degree of change can occur, the severity varies. Many factors—from genetics to lifestyle choices—play a significant role.

Conclusion

Mounjaro (tirzepatide) is a groundbreaking medication that offers significant benefits in managing type 2 diabetes and facilitating weight loss. As more individuals embrace it, questions about its impact on different parts of the body—particularly the breasts—are understandably gaining traction. While it is true that many users may notice smaller or less full breasts due to overall fat reduction, remember that each person’s experience is shaped by a complex interplay of genetics, lifestyle, and dosage.

“Mounjaro breast” or “Ozempic Breast” is not a direct medical side effect but rather a by-product of the broader weight reduction that tirzepatide can induce. If you are concerned about losing too much volume or experiencing increased sagging, there are various ways to manage or mitigate these changes. These include gradual weight loss, strength training, proper nutritional support, and potentially surgical interventions if changes are particularly pronounced.

Mr Reza Nassab, plastic surgeon in Manchester, highlights that there are a growing number of patients attending clinic following weight loss. The effects include skin laxity of the face, breasts and tummy. There is a rise in the number of patients needing breast lift procedures. The effects on patients with breast implants are significant and rippling is becoming a major issue for patients who have lost weight. It is important to be aware of these potential issues with Mounjaro or Ozempic.

Breasts are as unique as the people who have them. They vary in shape, size, position, and overall appearance—yet discussions around breast diversity are often overlooked in everyday conversation. Knowing your breast shape is more than just an aesthetic curiosity: it can help you choose well-fitting bras, understand the normal variations of your body, and …

Breasts are as unique as the people who have them. They vary in shape, size, position, and overall appearance—yet discussions around breast diversity are often overlooked in everyday conversation. Knowing your breast shape is more than just an aesthetic curiosity: it can help you choose well-fitting bras, understand the normal variations of your body, and cultivate self-confidence.

We explore the different breast shapes, the factors that influence breast appearance, and practical tips on caring for and appreciating your body. We have drawn upon medical literature, body image studies, and bra-fitting expertise to provide an all-encompassing look at this subject.

Introduction to Breast Shapes

The term “breast shape” refers to the overall contour, structure, and projection of the breast tissue on the chest wall. For many years, discussion about breasts revolved almost exclusively around bra cup sizes. However, people who wear bras soon discover that cup size alone cannot guarantee a good fit: the shape is equally important. The same bra size can fit two individuals very differently if their breasts are shaped differently.

Furthermore, breasts can change shape over time due to factors such as weight fluctuations, hormonal changes, pregnancy, ageing, and surgical intervention. It is important to understand that there is no “ideal” or “one-size-fits-all” breast shape—rather, there is a broad spectrum of normal variations. Ultimately, what matters most is that you feel comfortable and confident in your body, whatever your breast shape may be.

Factors That Influence Breast Shape

Before exploring the different categories of breast shape, it helps to understand why breasts vary so much from person to person. Below are some of the main factors that influence breast shape:

Genetics

Genetics play a leading role in determining breast shape, size, and composition. This includes how much glandular tissue you have versus fatty tissue, as well as how elastic or firm your skin tends to be. Some individuals naturally develop fuller, rounder breasts, while others inherit a more elongated or conical shape.

Hormonal Changes

Hormones can influence breast development, especially during puberty, pregnancy, lactation, and menopause. During pregnancy and breastfeeding, the glandular tissue in the breast becomes more active and tends to enlarge, potentially changing the shape and size of the breasts. Conversely, post-menopausal hormonal fluctuations can lead to a reduction in glandular tissue, causing breasts to change in shape or volume over time.

Weight Fluctuations

Significant weight gain or loss can affect the balance between fatty tissue and glandular tissue in the breasts. Weight gain may increase the amount of fatty tissue, potentially altering the fullness or drape of the breasts. Weight loss can have the opposite effect, sometimes leading to a loss of volume that can change breast shape or cause sagging if the skin elasticity is not maintained.

Age and Skin Elasticity

As people age, collagen and elastin fibres within the skin decrease. This decline can cause a gradual lowering (ptosis) of the breast tissue over time, leading to drooping or “sagging.” While this is a normal part of ageing, the degree of sagging can vary significantly and depends on factors such as genetics, bra support over the years, pregnancy history, and lifestyle (smoking can accelerate skin ageing, for instance).

Surgery or Medical Procedures

Cosmetic or reconstructive breast surgeries—such as breast augmentation, breast reduction, or mastectomy—can change the shape. Additionally, benign lumps or tumour removal (lumpectomy) and other medical interventions may alter the breast contours.

Lifestyle and Posture

Your posture, exercise habits, and overall muscle tone can also subtly influence how your breasts appear. Strong pectoral muscles can sometimes give breasts a perkier appearance, while poor posture may accentuate any existing sag or asymmetry.

 

 

Common Descriptions of Breast Shapes

It is worth noting that breast shape terminology can vary. Different lingerie brands, medical sources, and bra-fitting consultants may use slightly different terms to describe the same shapes. However, below is a commonly used framework to help you identify or describe your own breast shape.

Round (or Globular)

  • Features: These breasts are equally full at the top and bottom, forming a near-circular shape when viewed from the front. From the side, the breast tends to appear more spherical than conical.
  • Possible Indicators: If you find that your breast tissue is evenly distributed and your breasts look almost the same from top to bottom without a noticeable slope, you may have round breasts.
  • Bra Tips: Plunge and balconette bras often suit round breasts, as they provide support without an exaggerated push-up effect.

Teardrop (or Pear-Shaped)

  • Features: Teardrop breasts are rounder at the bottom and slightly less full at the top, resembling the shape of a teardrop.
  • Possible Indicators: If your breasts appear fuller towards the lower half, with a gentle slope leading to the nipple and upper breast area, you might have a teardrop shape.
  • Bra Tips: A range of styles can work well for teardrop-shaped breasts, including T-shirt bras for everyday wear and demi-cup bras to accentuate shape. Teardrop breasts often benefit from slight lifts or contouring cups that help support the top portion.

Bell-Shaped

  • Features: Bell-shaped breasts are typically narrower at the top and fuller at the bottom. They can also be described as heavier in the lower portion.
  • Possible Indicators: If your breast tissue is less prominent towards the upper chest and gradually widens towards the bottom, your breasts may have a bell shape.
  • Bra Tips: Full-cup bras with sturdy underwires can offer support to the heavier bottom part of the breast. Thick straps or well-distributed support can help balance the weight.

East-West (or Wide-Set)

  • Features: The breasts sit apart, with nipples pointing outward in opposite directions (or at least away from the centre of the chest).
  • Possible Indicators: If you can place several fingers (or more) between your breasts without any compression, and your nipples tend to point outward, you might have wide-set or east-west breasts.
  • Bra Tips: Plunge bras with side support panels can help bring the breasts closer together if desired, creating a more central cleavage.

Side-Set (or Splayed)

  • Features: Similar to east-west in that the breasts are not close together, but often they splay outwards. The space between them can be substantial, and the fullness may be more towards the outer breast.
  • Possible Indicators: If you have a clear gap in the centre of your chest, with more tissue on the sides of your body, your breasts may be side-set.
  • Bra Tips: Bras with side panels, side slings, or a plunging centre gore can help position the breast tissue more towards the midline if that’s the look or support you want.

Slender (or Pendulous)

  • Features: Slender breasts tend to be narrower and longer, sometimes appearing “tube-like” or “tubular” especially at younger ages. Pendulous breasts refer to those that hang downwards, which may or may not be slender overall.
  • Possible Indicators: If your breasts appear longer than they are wide, or if they hang lower on the chest wall, they might be considered slender or pendulous.
  • Bra Tips: A good supportive bra is especially important to provide lift and comfort. Minimiser bras can help distribute breast tissue more evenly if you find it challenging to wear certain clothing styles.

Asymmetrical

  • Features: One breast is noticeably larger, smaller, or shaped differently than the other. Some degree of asymmetry is quite common (and normal).
  • Possible Indicators: If you notice that one bra cup fits differently than the other, it is a sign of asymmetry. The difference can be minor or quite pronounced.
  • Bra Tips: Bras with removable padding can help even out the appearance, or you might choose to embrace the asymmetry and simply select a bra based on the larger breast.

Athletic

  • Features: Athletic breasts generally have a firmer feel due to higher muscle tone underneath, a broader chest wall, and often less fatty tissue. They can appear smaller or flatter on top.
  • Possible Indicators: If your breast tissue seems relatively compact, and you have a broad or muscular build, you could have what some people refer to as “athletic” breasts.
  • Bra Tips: Sports bras with proper compression and encapsulation are particularly beneficial, especially if you engage in high-impact activities.

Conical (or Tubular)

  • Features: Conical breasts often have a pointed appearance, particularly in the early stages of breast development. The base of the breast can be narrower, and the nipple and areola may occupy a larger portion of the front. The tuberous breast is common but there are varying degrees.
  • Possible Indicators: If your breasts have a triangular or cone-like shape rather than a rounded slope, they may be conical. Some women find this shape transitions to a rounder form over time, especially after pregnancy or weight changes.
  • Bra Tips: Lightly padded bras or contour bras can help give a smoother silhouette while still providing support.

The Role of Bra Fitting in Highlighting or Supporting Breast Shape

Choosing a bra that flatters your breast shape can make a significant difference in comfort and appearance. A bra that is perfect for round breasts might not be ideal for someone with bell-shaped breasts. Proper bra fitting includes:

  1. Band Size: The band should fit snugly around the rib cage without riding up the back.
  2. Cup Size: The cup should encapsulate all your breast tissue without overflow or gaping.
  3. Straps: Straps should lie comfortably on the shoulders without digging in or falling off.
  4. Centre Gore: This is the area between the cups. It should ideally sit flat against the sternum (unless you have particularly close-set breasts or other variations).

Many lingerie shops and department stores offer free fitting services, which can be invaluable if you are unsure about your correct size or need help selecting styles that complement your shape.

Addressing Breast Shape Changes Over Time

Breast shape is not necessarily fixed. It can change due to life events and natural ageing processes:

  • Pregnancy and Breastfeeding: Hormonal surges and the process of lactation can cause breast tissue to swell significantly. After breastfeeding, some women notice that their breasts return to a size smaller or larger than pre-pregnancy, and the shape may be altered, often appearing less firm.
  • Menopause: As oestrogen levels decline, glandular breast tissue can be replaced by fatty tissue, and skin elasticity decreases, contributing to shape changes.
  • Weight Fluctuations: As mentioned, gaining or losing weight can add or remove fatty tissue in the breast, affecting both size and shape.
  • Exercise and Muscle Tone: While exercise does not directly change breast tissue itself (breast tissue isn’t primarily muscle), strengthening pectoral muscles behind the breast can subtly alter how breasts sit on the chest wall.

It is important to understand that changes in breast shape are normal and common. Maintaining a stable weight, wearing supportive bras, and practising good posture can help preserve breast shape to some extent. However, these changes are largely part of life’s natural progression.

Myths and Misconceptions About Breast Shape

There Is an Ideal or ‘Normal’ Breast Shape.

Media portrayals often focus on a specific aesthetic (e.g., round and perky) as an ideal. In reality, breasts come in a wide range of equally normal shapes and sizes. No single shape is biologically “better” than another.

Sagging Only Happens to Larger Breasts.

While larger breasts may be more prone to gravity’s effects, smaller breasts can also sag due to factors such as ageing, decreased skin elasticity, or significant weight loss. Sagging, also known as breast ptosis, is influenced by skin elasticity and the balance between fatty and glandular tissue, not solely by size.

Wearing a Bra to Bed Prevents Sagging.

There is no strong evidence in medical literature suggesting that wearing a bra to sleep has a lasting impact on preventing sagging. Daytime support can be beneficial, but wearing a bra at night is largely a matter of personal comfort.

Breast Shape Can Be Permanently Changed Through Exercise Alone.

While exercising the pectoral muscles can alter the appearance of the chest wall and can give a subtle lift, exercise does not typically transform the innate shape or size of the breast tissue itself. If you want a major change, surgical procedures are the definitive option. However, cosmetic surgery is a personal choice and not necessary for everyone.

When to Seek Medical Advice

Breasts are naturally asymmetrical and unique, and mild variations or changes are typically normal. However, there are occasions when changes in breast shape, size, or texture can be a sign of an underlying medical issue. You should seek advice from a healthcare professional if you notice:

  1. Sudden or Significant Changes: A sudden difference in shape or size that does not seem related to weight changes or menstrual cycle.
  2. Lumps or Thickening: Any persistent lumps, thickening of the tissue, or noticeable swelling that feels different from your usual breast structure.
  3. Skin or Nipple Changes: Redness, dimpling (skin that resembles orange peel), scaly patches, or nipple retraction can sometimes indicate breast conditions requiring medical attention.
  4. Persistent Pain: Occasional breast tenderness is often cyclical and related to hormones, but persistent, unexplained breast pain warrants evaluation.

Routine check-ups and self-examinations can help you become familiar with your normal breast shape and texture, making it easier to notice any unusual changes.

Embracing Your Breast Shape: Confidence and Well-Being

For many individuals, breast shape can be tied to self-image and confidence. Cultural pressures and media standards often promote a narrow definition of beauty, but recognising the incredible variety of normal breast shapes can be liberating. Here are some ways to foster a positive relationship with your body:

  1. Focus on Comfort: Prioritise comfortable undergarments that provide adequate support for your shape. A well-fitting bra can improve posture, reduce back or shoulder strain, and help you feel more confident.
  2. Practice Self-Care: Engage in lifestyle habits that promote healthy skin and tissues, such as maintaining good hydration, a balanced diet, and regular exercise.
  3. Celebrate Individuality: Understand that no two bodies are the same. Embrace the uniqueness of your shape and remember that beauty standards have changed throughout history—what remains constant is our power to define beauty for ourselves.
  4. Seek Professional Input If Desired: If you have concerns about your breast shape or if it causes physical discomfort (e.g., large or pendulous breasts leading to back pain), book a consultation with Mr Nassab to discuss options.

Surgical Options for Changing Breast Shape

While many people live happily without any cosmetic interventions, some choose to alter their breast shape or size through surgery for physical comfort or personal preference. Common procedures include:

  1. Breast Augmentation: The insertion of implants or transfer of fat to increase breast volume or modify the shape.
  2. Breast Reduction: Removal of excess tissue, fat, and skin to decrease breast size and alleviate discomfort such as back and shoulder pain.
  3. Breast Lift (Mastopexy): Raises and reshapes breasts by removing excess skin and tightening the surrounding tissue. This can help address sagging.
  4. Corrective Surgery for Tuberous Breasts: Aimed at improving the shape of breasts that are highly conical or narrow at the base, sometimes with enlarged or puffy areolas.
  5. Reconstruction: Post-mastectomy or post-lumpectomy reconstructive surgery can restore breast shape or create new breast contours using either implants or tissue from other parts of the body.

If you are considering surgery, book a consultation with Mr Nassab, who provide you with personalised advice and help set realistic expectations about the outcomes.

Frequently Asked Questions

Do Breasts Come in Only One Shape?

Not at all. Breasts come in a multitude of shapes—round, teardrop, bell-shaped, side-set, conical, athletic, etc. There is no one “correct” shape.

Can My Breast Shape Change If I Gain or Lose Weight?

Yes. Breast volume can increase or decrease with weight changes since breasts contain fatty tissue. However, the fundamental shape (where your breast tends to carry fullness) might remain similar unless the weight change is substantial.

Which Bra Style Is Best for My Shape?

This depends on the shape, size, and level of support you need. Round and teardrop breasts can often wear a variety of styles, while bell-shaped or pendulous breasts might do better with supportive underwire and full-cup options. Visiting a professional fitter can give you personalised guidance.

Is It Normal for One Breast to Be Bigger Than the Other?

Yes. Mild to moderate asymmetry is extremely common. Breasts often differ in volume, shape, or nipple position. Unless it causes physical discomfort or psychological distress, a slight size difference is usually nothing to worry about.

Will Pregnancy Make My Breasts Permanently Bigger?

Some people find that their breasts remain larger or change shape after pregnancy, while others return to their pre-pregnancy size. Each individual experiences different long-term changes.

What If I Want to Change My Breast Shape Without Surgery?

Non-surgical options primarily revolve around supportive undergarments and posture-improving exercises. Some find that certain bra styles, bra inserts, or custom fittings can improve the appearance or balance of their breasts under clothing. However, for a more permanent structural change, surgery is the usual option.

Practical Tips for Everyday Breast Care

  1. Perform Regular Self-Exams: Familiarise yourself with your own “normal.” Early detection of lumps or unusual changes could be crucial for your health.
  2. Wear Sunscreen: If your chest area is exposed to sunlight, apply sunscreen to protect the skin from premature ageing and potential malignancies.
  3. Moisturise: Gentle moisturising can help maintain skin elasticity, though it will not completely prevent sagging.
  4. Get Measured Regularly: Your bra size can fluctuate over time due to weight changes, hormonal factors, or ageing. Aim for a professional fitting annually or if you notice discomfort.
  5. Replace Worn-Out Bras: Over time, bra elastic loses its resilience, affecting support. Replacing your bras as soon as they lose shape ensures you maintain adequate support.
  6. Maintain a Healthy Lifestyle: Adequate hydration, balanced nutrition, regular exercise, and not smoking can help keep your skin and tissues healthier, which can reflect on the appearance of your breasts.

Conclusion

Breasts are as individual as the person they belong to, and learning to recognise and celebrate the diversity of shapes can help shift focus away from restrictive societal ideals. By understanding the potential factors behind your breast shape, you can make informed decisions about bra styles, lifestyle choices, and, if desired, surgical interventions. Above all, recognising that every breast shape is valid and normal can promote a healthier body image and sense of self-worth.

Unveiling Radiance

Your Consultation

Consultations involve an in-depth discussion about your desired outcomes and planning bespoke solutions to address your concerns. Mr. Reza Nassab provides consultations in Cheshire and Manchester. We are committed to delivering the highest quality of care for our patients. Mr. Reza Nassab performs consultations and procedures in Knutsford, Cheshire, and Deansgate Square, Manchester. He operates in the exclusive boutique Deansgate Hospital in Manchester. This is a state-of-the-art facility providing the best in patient care. Mr. Reza Nassab provides consultations and minor procedures at CLNQ in Deansgate Square Manchester and Knutsford Cheshire.

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