BoobJob Cheshire, Manchester and Liverpool

A boobjob is performed under a general anaesthetic.  The operation is usually done as a day case.  The incision is in the crease underneath the breast. A pocket is made for the breast implant. This pocket may be under or over the muscle. The decision on where the breast implant is placed is based on your breast tissues and will discussed during your consultation with Mr Nassab. Once the breast implant is placed in the pocket the cut is then stitched and dressings applied.

Breast prosthesis come in all sorts of shapes and sizes. The shape of the breast implant may be either round or tear drop. The round implants tend to give more fullness and cleavage. The tear drop implants give a more natural result.

Most breast implants are filled with silicone. The silicone gel is sometimes called a gummy bear implant because the gel inside is thick.

Breast implants can also have differing coatings that are either smooth, textured or polyurethane.

Boobjob surgery has been done for many decades and there are lots of studies looking at the safety of silicone breast implants. These scientific studies, including several thousands of women, have not shown any significant links with diseases such as autoimmune disorders, connective tissue diseases or cancers. There has been much news recently regarding PIP breast implants, which were made of industrial grade silicone rather than medical grade silicone. Mr Nassab has never used PIP implants in his practice.

There is currently no evidence that boob surgery cause an increased risk of breast cancer.  There are, however, some very rare types of cancer such as ALCL or SCC that may be related to breast implants.

Boobjobs like any surgery may result in potential complications although these are uncommon. The main complications following breast enlargement include:

Bleeding and haematoma formation

A haematoma is a collection of blood that may form in the pocket of the implant and this may require surgery to wash the pocket and stop any bleeding.

Infection

The risk of infection is rare. You will normally be given some antibiotics during the procedure to reduce this risk further. Most infections occur soon after surgery although they may happen many years after the initial surgery as well. If the infection is severe then the breast implant may need to be removed. The cavity is then washed and closed. Usually we would then need to wait a number of weeks to months before replacing the implant.

Scarring

There will be a scar from the incision to insert the breast implant. The scar is most often place in the crease beneath the breast. Scars can sometimes become raised or lumpy and this is referred to as a hypertrophic or keloid scar. This may need further treatment in the form of silicone dressings or creams and possibly a course of steroid injections.

Change in Nipple Sensation

Most women will notice an alteration in the sensation to the nipple following breast augmentation. Most often there is reduced sensation although some women may notice increased sensitivity after breast enlargement. This is often temporary although some permanent changes may occur.

Asymmetry

All breasts have some degree of asymmetry and even after breast augmentation there may be some minor degree of asymmetry. There are occasions when minor asymmetries preoperatively may be exaggerated postoperatively. There main also be differences in terms of nipple position after breast enlargement.

Implant Extrusion

Implant Rupture

Gel Bleed

Capsular Contracture

The main long term complication with breast implants is the formation of a capsular contracture. When an implant is placed into the breast the body forms a thin capsule around it. In some women this capsule can become thickened and cause discomfort and distortion of the breast. This may require further surgery and the risk of it recurring is high if you have already had a capsular contracture.

Changes with Time

When you age or have children, there will be changes in your breast shape and volume. Generally, the skin loses its elasticity and thins resulting in drooping of the breast, known as breast ptosis. This may require an uplift procedure or mastopexy to correct. Thinning of the skin and tissues covering the breast implant may result in the implant becoming palpable, show signs of rippling or wrinkling.

Most women are able to breast feed after breast enlargement. It has also been shown that the breast milk in women with breast implants does not contain any significant amounts of silicone. In fact, silicone is commonly used in baby products such as bottle teats and soothers.

We recommend waiting for 6 weeks before flying long distances.  This is to make sure that everything has settled and there are likely to be no problems prior to flying.  You may be able to travel short trips after 2 weeks but you will still need to wear your support bra for 6 weeks following surgery.

We say avoid the gym and exercise for 6 weeks.  Exercising earlier may cause increases in blood pressure and heart rate that may increase the risk of bleeding. Patients that have the implants under the muscle will also find that they will have more discomfort initially.

We recommend to wear the support bra for the first 6 weeks following boob op surgery. The support bra should ideally have a zip at the front for easier changing. After the 6 weeks, you should be able to wear normal under-wired bras again.

Most patients will have their scar in the breast crease just underneath the breast.  A small number of patients may have the scar around the areolar.  I do not perform breast enlargement using an armpit or axillary incision.

We recommend avoiding sun beds in general due to the risks of skin cancer.  If you are going to use a sun bed then we would say do not do this until after 6 weeks.  You should cover the scars as the sunbeds can make these stay red for longer.

We recommend avoiding sex for 6 weeks after a boob job.  This is because sex can increase the blood pressure and cause internal bleeding.

We recommend not driving for about 2 weeks.  You will need to feel comfortable and able to drive safely.  Some insurance companies may need to be notified if you are driving after surgery.

The life expectancy of breast implants will vary greatly between patients. Most patients, that do not have any complications such as capsular contracture, will expect to go 10-15 years without the need to change their implants. Some may need them changing sooner than 5 years if there issues, drooping or changes.

We would recommend that you avoid smoking for 4-6 weeks before and after your breast augmentation surgery. This includes the use of nicotine replacement such as gums, patches and e-cigarettes. Smoking reduces the blood supply to the skin and cause problems with wound healing. Smoking also increase increases the risks associated with the anaesthetic for your operation.

The weight of the implant will depend on the size of it. It is generally considered that the size is roughly equivalent to the weight in grams. Therefore, a 250cc implant will weigh about 250 grams.

The prices start from £7500 for breast augmentation using round implants performed in Cheshire. To find out more information about the cost of boob job surgery book a consultation with Mr Nassab.