Breast Augmentation in Leeds with Philip Turton: Expertise You Can Trust

Breast augmentation, also known as augmentation mammoplasty and breast enlargement, is one of the most sought-after cosmetic procedures worldwide. 

In the capable hands of Mr. Philip Turton, a renowned oncoplastic breast surgeon based in Leeds, you can achieve your desired confidence boosting feminine result while prioritizing safety and long-term satisfaction.

With over two decades of experience, Mr. Turton employs his extensive knowledge base about breast implants and what works best, combined with cutting-edge techniques for implant selection. With his precise surgery and carefully thought out aftercare, he ensures  exceptional results tailored to each patient’s unique needs.

Why Breast Augmentation is so popular in Leeds?

Breast augmentation (also referred to as augmentation mammoplasty) is the medical term for breast enlargement.

It is one of the most popular cosmetic surgery procedures that Mr Turton performs, and this is mirrored across the UK and indeed across the world.

In fact there are in excess of 10-million women who have had the procedure. The first breast enlargement was carried out in 1962! 

Mr Turton uses specialist techniques both for the implant planning as well as the surgery.

Statistics show that 94% of women who have had implants recommend the surgery to others. And in fact the MemoryGel Breast Implants have a 97% satisfaction rate for primary augmentation patients and a 99% satisfaction rate for primary reconstruction patients, based on Core study data!

Why Choose Breast Augmentation?

Breast augmentation offers transformative benefits for women, including enhanced confidence and body image.

Whether you’re looking to restore lost volume after childbirth or aging, achieve proportional curves, or just to feel more feminine, this procedure can provide life-changing results.

Here are some common reasons patients choose breast augmentation:

    • Never developed satisfactory breast size or shape.
    • Restore volume lost due to weight loss, childbirth, or aging.
    • Desire for a fuller, more proportionate bustline.
    • Rebuild shape and confidence after mastectomy or trauma.

 

  • To improve the fullness and volume of the breasts after an initial breast uplift to remove excess sag and droop.

 

Mr. Turton takes a patient-centered approach, ensuring your decision is personal and empowering—not influenced by external pressures. His meticulous planning and skilled artistry create natural, aesthetically pleasing outcomes that reflect your unique body and goals.

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Breast enlargement is a socially accepted operation in Leeds

Estimates are that up to 1-4% of women have implants. This is perhaps not surprising given that women naturally want to maintain an optimum appearance.

Breast implants have evolved significantly and are more quality assured than ever. That does not mean there have not been safety fears, and of course we all remember the PIP breast implant scandal relating to the infamous French manufacturer and the fraud committed by the owner.

But as over 63 years have elapsed since the first breast enlargement procedure in America it is inevitable that as science and technology evolve so will materials, quality assurance testing, and medical knowledge.

Techniques, implants and safety have all evolved too and we have passed through from the 1st Generation devices of the 60s, to the 4th and 5th Generation devices of the 90’s. Macro-texturing is out (more BIA-ALCL seen), and smooth shell or micro-textured shell implants are in.

The focus on safety has never been higher and there are still elements of uncertainty that require better data, which we hope will evolve through changes to the national breast implants registry, scientists, epidemiologists and safety organisations such as the MHRA and FDA. 

But it does also require that you see a specialist who really understands their subject and has a quality driven approach to managing their patients.

You must also have your surgery by a specialist in the field of breast surgery and opt for the safest hospital environment rather than using stand alone small clinics that send you home just a few hours after surgery

The Evolution of Breast Implants: Safer and Better Than Ever

Since the first breast enlargement procedure in 1962, implants have undergone significant advancements in safety, durability, and appearance.

Modern 4th and 5th generation implants, like the MemoryGel Breast Implants, deliver exceptional results with a remarkable satisfaction rate—97% for primary augmentations and 99% for reconstructions.

While safety concerns, such as the PIP implant scandal, raised awareness of the importance of quality, advancements in technology and rigorous testing now ensure that CE and FDA-approved implants meet the highest standards. Working with an expert like Mr. Turton ensures that you benefit from the latest safety data and high-quality materials. After surgery your implant record will be entered onto the national safety Breast and Cosmetic Implant registry. This ensures traceability by the DOH in the event of a product recall or other safety concern related to a type of implant.

Pittman N preop 410MM 280 12cm

Customizing Your Breast Augmentation with Mr. Turton

Choosing the Perfect Implant Size and Type

The foundation of a successful breast augmentation lies in selecting the right implant size and type.

Mr. Turton conducts a thorough assessment of your:

  • Chest wall and breast measurements.
  • Tissue characteristics.
  • The presence of excess sag or the nipple being too low.
  • Body proportions, including height and weight.

Using this data, Mr. Turton recommends an implant size that balances your desired appearance with long-term safety for your tissues. But he will also advise if exessive breast droop is present whether a full mastopexy (breast uplift) might be needed initially as a standalone procedure (the enlargement can then follow 6-months later as a separate procedure), or a small mastopexy is needed at the same time (only small mastopexies should be combined with enlargement to reduce risks and optimise outcomes).

Implant characteristics, such as texture, cohesiveness, and shell type, are chosen based on the latest research and your unique anatomy and situation.

BIA-ALCL

Main reasons why a patient request breast enlargement to Mr. Turton

  • Previous poor breast developement: often relatively flat chested breast development
  • Having very small breasts can leave women not feeling feminine
  • If you have broad hips and shoulders small breasts may look out of proportion
  • Previous pregnancies, weight loss and ageing typically increase breast emptiness and breast atrophy
  • Sometimes women just want fuller breasts!.

Lacking breast shape commonly affects confidence. Getting an attractive breast shape and a reasonable breast size requires a skilled surgeon to know how to create it when that shape has never existed at all before.

Or, it might be a case of restoring or improving on shape that used to exist when the patient was younger but has been subsequently lost. This occurs more typically from age related changes or after having children. 

Some women want very natural looking enlarged breasts and others want their breasts to be bigger and occasionally noticeably bigger.

Mr Turton can really help with the planning here and give his advice and recommendations. Above all it is important that women having breast enlargement decide to do so for themselves and never because someone else wants them to have it done.

When done correctly, in addition to the positive cosmetic results, data has shown patients often receive a substantial psychological boost. It can improve body image and restore confidence.

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Understanding how the implant size is selected

Most women ask for a natural and proportionate result, and Mr Turton will use his extensive experience to give them exactly that.

Patients may ask to be as full as they can be and achieve a natural appearing breast that is safest for their tissues in the long-term. They leave the choice of implant size under these circumstances entirely to Mr Turton, and will accept the size of breast that he feels is safest for their tissues long-term.

This is done by using a detailed combination of analysing your chest wall and breast measurements, an assessment of your tissue characteristics, and taking into account your height, weight and body shape. It enables Mr Turton to determine what will work and what won’t.

There are hundreds of implant sizes that Mr Turton can choose from to provide you with the optimal result. Using your characteristics, Mr Turton will be able to determine the best base width to the implant, then the implant height (for a round implant, these dimensions are the same), followed by the thickness of the implant at its maximum point (this is called projection), and then the lower pole ventral curvature (LVC), and finally the curve in the upper pole of the breast.

This will give an optimum volume measurement in cc for your starting point. He will help you choose between microtextured (nano textured) and a smooth shell, taking into account the latest safety data, as well as the potential advantages and disadvantages. Macro-textured or polyurethane textured implants are not used routinely, but special medical scenarios can occur where those varieties are discussed.

And he will recommend any changes to the cohesiveness (gel thickness) and fill properties of the implant.

Want to go bigger than recommended?

While some patients request larger implants, Mr. Turton emphasizes the risks, including tissue stretching, sagging, and future complications. The myth on social media of ‘you should always go bigger” is particularly harmful.

Selecting an appropriate size ensures better aesthetic results, fewer long-term issues, and reduced chances of additional surgeries.

The Implant Selection Process

Mr. Turton works with top-tier implant manufacturers, including:

  • Mentor: FDA-approved, high-quality implants with excellent warranties. MemoryGel and MemoryGel XTRA varieties are popular choices. This is Mr Turton’s preferred implant manufacturer.
  • Sebbin: CE-approved implants with microtextured and smooth options.
  • Motiva: Known for nano-textured and smooth designs.
  • Polytech: German-made implants, offering micro-polyurethane-coated or BLite options where needed.

Each manufacturer provides a warranty covering implant rupture, though surgical costs remain the patient’s responsibility.

The Nuffield Health Leeds Hospital, where Mr. Turton operates, offers a robust patient aftercare promise for added peace of mind within the first year of surgery

Is it possible to request a specific bra size and certain cc of implant?

Implants do not come in bra sizes and there is no exact formula that a specific implant size translates into a specific bra cup size.

There is no universal way of assessing bra size, and there is no easy way of measuring it during surgery.

We therefore cannot guarantee a specific bra size as a measure of your outcome- it is simply too crude.

However, women naturally use it in conversation and don’t think that is a problem, as it is one way of communicating desires for shape! 

Where you are wanting to achieve a certain outcome it is best communicated by a detailed consultation in various formats and having further review.

We can take 3D images and create a Crisalix 3D simulation to guide you. This enables you to communicate if this outcome is close to the results you are hoping for.

However, you need to be realistic and understand that simulations are approximations and not a guarantee. Your tissue characteristics will determine if your tissue can accommodate an implant of a certain size. Although tissue can stretch, it has limits.

Choosing larger implants than is optimal causes more tissue stretch and a greater likelihood of sag and needing future procedures such as mastopexy (uplift), other revisions, or even removal.

Going bigger than the optimum size produces more negative results on the breast tissue. If you choose to have an implant that is larger than Mr Turton feels is optimal for your tissues, you must understand that you will  not have a natural appearing breast. 

You will need to accept the increased risk of re-operations, complications, deformities, and additional costs. Think also of the time off from work and normal activities in the future that may result from selecting an implant that is larger than is ideal for your tissues.

You need to remember that no implant regardless of size or shape can guarantee upper breast fullness long-term, and the larger the implant you select, the more likely you are to stretch  the lower breast envelope, which will lead to loss of upper fullness.

Understanding if implant surgery is safe

Breast augmentation is a relatively safe operation in the hands of an experienced specialist but is never risk free, and so it must be carried out to exceptional standards and with patient safety as paramount.

Your surgeon needs to spend plenty of time with you at a consultation. Be particularly wary of places that are run by nurses suggesting your choice of implants, that may be underpinned by dubious marketing practices.

There are lots of potential risks from having breast implants and these should be discussed and some can be minimised by staying under the care of the best specialists for Breast Enlargement Surgery.

The hospital environment may present a glossy waiting room, but what is it really like behind the scenes? The Care Quality Commission (CQC) is the national body that checks hospitals. The Leeds Nuffield Hospital where Mr Turton holds his specialist clinics and surgery is rated as OUTSTANDING by the regulator.

It is one of only six private hospitals to achieve such a high rating. Mr Turton  also works at Spire Hospital Leeds, and this was also highly rated achieving GOOD overall. Check your hospital’s rating

How long may implants last?

Mr Turton advises that you should consider and plan for replacement by 10-yrs, or have regular MRI surveillance. Many places and even manufacturers give rupture rates that are not scientifically based and lack validity. 

The most reliable data came from compulsory 10-year studies and only a few manufacturers undertook these. There is therefore no reliable data to say one manufacturer is better than another, and it is wise to refer to the robust data from the FDA submission for McGhan and Mentor implants.

Symptomatic rupture is now rare (<5% at 10-yrs) but increases with time. If a cohesive implant ruptures the gel doesn’t “run” initially. The gel in a good quality implant has a consistency like a jelly that has just come out of the fridge.

You can push your finger into it and withdraw it slowly with the silicone staying together in the implant. The outer layer of the implant is the strong elasticated shell that holds the silicone gel.

This outer shell is made from several layers of a stronger denser silicone that resists stretch and pressure. If it breaks or splits, silicone doesn’t usually immediately escape. In fact it rarely does so and you may have no idea as you would not normally have any symptoms early on.

You also have another line of defence – your body forms a strong but thin tissue layer around your implant within a few weeks of surgery – this is called the capsule.

It is like a membrane and is an important structure as even with a silent rupture it serves as a further protective layer between your implant and the breast tissue.

Even with no symptoms, and a normal clinical examination, silent ruptures may be detected in about 10% of patients on MRI at 10-years. This was shown in the original FDA data submitted by the manufactures McGhan and Mentor when they applied for the rigorous process of regulatory approval in America.

It is robust data and serves as the best guide to current implant behaviour.

If not opting for MRI screening,

having an exchange at the 10-year mark is a good safe practice to follow because of this, even though the implant manufacturers state the lifespan of their implants is 10-20 years, and even though the implant manufacturers offer a lifetime guarantee in case of rupture. But what does that mean?

The guarantee is their warranty which is usually stated to provide a new implant only; in other words the manufacturer pays for the implant, and not for any of the  full cost of your revision surgery. Some manufactures now claim rupture rates of <1% at 9 years but the data on which this is based is different to the FDA data that used MRI studies! The patients could have silent ruptures.

If a silent rupture goes on to get worse, the gel in the implant may partially fragment and become more liquid with time; this might cause symptoms of inflammation (might cause discomfort), capsule contraction (the breast implant feels harder, the breast shape may become distorted, the breast may ache), or silicone leakage into the breast tissue, lymph nodes or into the organs in the body.

Any changes should always be investigated urgently by an experienced breast specialist. It is harder and more expensive to revise implants once complications occur and cosmetic results may not be as good.

What to Expect from the Procedure and Costs

Procedure Details


Breast augmentation is a highly personalized procedure performed under general anesthesia. Mr. Turton’s expertise ensures precision in implant placement and minimal scarring.

Patients typically experience a psychological boost, improved self-image, and enhanced confidence post-surgery.

Approximate Cost of Breast Augmentation

  • Standard Breast Augmentation: ~£7,500-£8500
  • Breast Augmentation with Uplift: £12,500–£13,500
  • Implant Exchange: ~£7,500-£9000 (may vary depending on the need for additional procedures like capsulectomy which is charged separately).

Beware of low-cost options; compromises in quality can lead to complications and higher expenses long-term. The Nuffield Health Leeds Hospital, rated as “Outstanding” by the CQC, provides the safest environment for your surgery.

Safety and Aftercare

Breast augmentation is an acceptably safe procedure when performed by an experienced specialist like Mr. Turton. However, all surgeries carry risks. Mr. Turton prioritizes patient education, discussing potential complications such as implant rupture, capsular contracture, or rare conditions like BIA-ALCL.

Regular check-ups and MRI scans are recommended to monitor implant integrity over time.

Implant Longevity

While manufacturers often claim implants last 10–20 years, Mr. Turton advises planning for replacement around the 10-year mark or scheduling MRI surveillance to detect silent ruptures.

Following this guidance minimizes risks and ensures long-term satisfaction with your results.

Transform Your Confidence with Mr. Philip Turton

Choosing breast augmentation with Mr. Philip Turton means entrusting your care to a leading specialist in Leeds, UK. From personalized consultations to advanced surgical techniques, Mr. Turton provides unparalleled expertise and patient care.

Take the first step toward achieving your aesthetic goals—schedule a consultation today and experience the difference of working with one of the UK’s most trusted cosmetic breast surgeons.

Ready to enhance your confidence? Contact us at Nuffield Health Leeds to book your consultation with Mr. Turton. Let’s create a plan tailored to you!

What to Expect from the Procedure and Costs

Procedure Details


Breast augmentation is a highly personalized procedure performed under general anesthesia. Mr. Turton’s expertise ensures precision in implant placement and minimal scarring.

Patients typically experience a psychological boost, improved self-image, and enhanced confidence post-surgery.

Approximate Cost of Breast Augmentation

  • Standard Breast Augmentation: ~£7,500-£8500
  • Breast Augmentation with Uplift: £12,500–£13,500
  • Implant Exchange: ~£7,500-£9000 (may vary depending on the need for additional procedures like capsulectomy which is charged separately).

Beware of low-cost options; compromises in quality can lead to complications and higher expenses long-term. The Nuffield Health Leeds Hospital, rated as “Outstanding” by the CQC, provides the safest environment for your surgery.

Safety and Aftercare

Breast augmentation is an acceptably safe procedure when performed by an experienced specialist like Mr. Turton. However, all surgeries carry risks. Mr. Turton prioritizes patient education, discussing potential complications such as implant rupture, capsular contracture, or rare conditions like BIA-ALCL.

Regular check-ups and MRI scans are recommended to monitor implant integrity over time.

Implant Longevity

While manufacturers often claim implants last 10–20 years, Mr. Turton advises planning for replacement around the 10-year mark or scheduling MRI surveillance to detect silent ruptures.

Following this guidance minimizes risks and ensures long-term satisfaction with your results.

Transform Your Confidence with Mr. Philip Turton

Choosing breast augmentation with Mr. Philip Turton means entrusting your care to a leading specialist in Leeds, UK. From personalized consultations to advanced surgical techniques, Mr. Turton provides unparalleled expertise and patient care.

Take the first step toward achieving your aesthetic goals—schedule a consultation today and experience the difference of working with one of the UK’s most trusted cosmetic breast surgeons.

Ready to enhance your confidence? Contact us at Nuffield Health Leeds to book your consultation with Mr. Turton. Let’s create a plan tailored to you!

How long does the operation take?

Breast augmentation is a low risk surgical procedure if done with the right specialist surgeon and in the right hospital. Mr Turton uses specialist techniques and the surgery takes around 60 minutes. One of the major goals of Mr Turton’s technique is to perform a near bloodless dissection. It is done under a general anaesthetic with an experienced team.  Mr Turton will always schedule you for an overnight stay when you are under his care, for your enhanced safety and comfort, and this has remained  the preference of his patients for over 15-years.

Is breast augmentation painful?

Mr Turton injects a long-acting local anaesthetic into the deep tissue before the implant is placed and the incision closed, so when you wake up the breast area often just feels tight straight after surgery. Usually a paracetamol and ibuprofen combination is then all that is required to manage tenderness and an ache.

How would breast enlargement operation be?

We conduct a full preassessment in advance of surgery so that on the day everything is relaxed and un-rushed. You are told when to arrive at the hospital and you will have been instructed when to fast (no food or drink after this time please). We allow a good amount of time to settle you into your own private room. Most patients will relax and watch a film or use the complimentary wifi. You can of course bring a friend or your partner. You will have a further check from our nursing team to ensure you are well on the day. You are always seen in person by Mr Turton and the breast care nurse. A series of photographs are taken and your will have markings drawn on your breasts which serve as guidance during the operation. The option for incision will usually have been made in the clinic. Although it is possible to use the areola or under-arm area the optimum place to reduce complications is in the crease just under your breast .

When will I be able to drive again after breast augmentation?

  • Individual advice varies
  • From 4-days to 2-weeks

When can I return to work after breast enlargement surgery?

  • Usually after 1-week, but avoid lifting please. If your job involves lifting, you will need 2-weeks minimum.

How do I decide on the size of the implants?

  • Take advantage of Mr Turton’s 3D Crisalix simulation of your before and after results. At your consultation a 3D scan will be taken, and the advanced software will show you your body as it is now in 3D and as your surgeon is planning for your results with implants. This is one of the best ways to help you decide.
  • Asking for a natural shape and proportionate augmentation is common and advised
  • The average natural breast size in the UK is a “B” cup. Most patients desire to be a “C” or “C-D” cup, but as body frame size is variable the actual shape and width of the breasts is more important than any ‘bra size’ measurement.
  • Bring pictures with you, & review your surgeon’s album (see Mr Turton’s instagram page @turtonphilip, and review his images on this website).
  • Listen to your Mr Turton’s advice about your optimum size implants based on his expertise, very thorough assessment of your tissue characteristics and starting point
  • There are specific cosmetic techniques that can be used to give you a proportionate result
  • If you have a lot of breast sag (nipples close to the lower breast fold or below), implants on their own do not give a nice result. If one breast has more sag than another you will still notice differences after implant surgery, unless you have a mastopexy (uplift) to correct it. The degree of difference you have prior to surgery is therefore important to understand. Patients with a lot of breast sag (ptosis) may require a mastopexy (uplift) at the same time (mastopexy-augmentation) or if it is severe, doing the mastopexy first, waiting six months then having the augmentation. Some patients may have an augmentation and then decide on a mastopexy to improve the nipple position at a later date, but this is not as robust and has higher risks. Read my section on mastopexy-augmentation in the Uplift Information Sheet.

To see anonymous pre and post operative photos of patients who have had Breast Augmentation Surgery performed by Mr Turton in his Cosmetic Breast Surgery Leeds practice, please review the images section.

What are the Risks and Complications of Breast Augmentation?

As with any surgery there are associated risks. In general the sort of complications we see are minor swelling, and dull aches during the first week. Bruising is usually very minor or not at all. You can get loss of nipple sensation, although this usually recovers in a few months. Redness around the scar usually settles naturally with scar maturation.

There are some uncommon risks for example haematoma, seroma, and infection which on occasion may require further surgical intervention. You are monitored closely after surgery and have our contact number after discharge if you require assistance after discharge from the hospital. Our hospital remains open 24-hrs per day and 365 days per year.

Capsulation, future rupture, rippling, shape change and loss of a good cosmetic outcome with ageing are some of the principal issues to understand amongst others.

Uncommon complications include ALCL, a type of lymphoma in the tissue capsule around the implant. Please read Mr Turton’s Augmentation Information Sheet thoroughly. Further detailed information provided by Allergan is very useful to read and can be found here.

Pre and Early Post-Operative Questions

What happens at my first consultation?

Your consultation is always with Mr Turton. This is a detailed meeting to assess your current situation, medical history, suitability for breast enlargement, and to perform the biodimensional assessment. You will have a full breast examination, and comprehensive measurements made of your frame, existing breast size, glandular analysis, tissue characteristics, and anatomical variations in typical dimensions. The type of breast implants on the market, their safety, and the ones that have the best known life span and lowest complication rate will be discussed. Mr Turton will also detail your breast augmentation options and alternatives, the potential complications, any limitations, short and long term breast changes, costs, the need for future surgery, mammography and follow-up.

What size can my breasts be increased to?

Mr Turton advises strongly against large augmentation that takes your breast size excessively out of proportion to your frame. The biodimensional assessment will enable a choice of size to be made based on your proportions. This is the safest way of balancing the desire of breast enhancement with reduced detrimental effects. Most patients desire to be a “C” cup, and although cup size is not guaranteed, Mr Turton will be able to show you how your breast shape can be augmented, and take into account your desires. We have a choice of most manufacture’s implants. We commonly use implants from the manufacturer’s Allergan, Mentor and Blite. We may recommend implants in round or tear drop style according to what we are trying to achieve, and taking into account your desires, limitations, tissue characteristics, and other factors.  With many choices of natural moderate, moderate plus, full, extra full, round and tear-drop style anatomical implants Mr. Turton has reasonable flexibility for a near custom size implant, based on your frame and current breast measurements if you want Mr Turton to decide.

If you ask for a size that is larger than your assessment suggests then you must be aware that there may be higher risks of complications and detrimental changes: eg nipple position looking wrong on the breast mound, breast tissue sag, palpability, less natural appearance or an unnatural appearance, numbness, arms rubbing against side of breasts, ache, and future malposition and other problems. Not all patients have the tissue characteristics that enable larger implants- this tissue distensibility or compliance varies from patient to patient and can also change with time. It is sometimes not predictable pre-operatively. Very tight tissues might not accommodate the size of the implant you truly desire, or for the shape to form in the way expected. Sometimes tissue stretches in the months and years after augmentation enabling larger implants later with exchanges.

If you have significantly sagging breasts (as opposed to just empty) or uneven sag (one breast more drooped compared to the other), this will look more obvious after augmentation and you may not like the look. Breast implants are not recommended as a treatment for significant breast sag, where usually a mastopexy is required. Additional surgery to reduce asymmetry or sag usually involves some type of mastopexy procedure which produces additional scars on the breast. If this is a procedure that you think you might need, you must be aware that there is a significant additional cost of combining procedures or having the mastopexy (uplift) at a later date.

Is it possible to choose which side is done first and will that reduce the pain felt on the first side i.e. can a right handed person choose to have the right side done first?

It makes no difference which side is operated on first. Local anaesthetic is carefully injected into the deeper tissues immediately prior to implant placement. This local anaesthetic has a good duration of effect of many hours. The sub-pectoral dual plane positioning of the implants feels more tender in general than when a sub-glandular position is used. Often one side feels slightly tighter, or more tender initially usually due to normal differences in nerve endings, sensitivities, and minor anatomical differences; implant settling often occurs earlier on one side than the other. However, this is irrespective of which side is operated on first. Mr Turton’s routine is always to operate on the right breast first, and this is purely due to his very specific and methodical routine.

What happens on the day of the operation?

You should avoid any medication, herbal preparations, and vitamins except those that Mr Turton has said it is OK to take (please ask specifically). For example- No NSAIDS such as neurofen the week before surgery. You will also be fasting, and cannot take any liquids, any sips of water, or any food (no sweets, or chewing gum even), from the time specified (usually 6-hours prior to surgery). Avoid moisturiser on the breast area please. Arrive in good time, and you will be checked in first by nursing staff. You will be admitted several hours in advance of your operation so that it is completely unhurried. You should relax in your room (bring a book and magazines, ask for the wifi code if you wish to work or just browse the internet ). Mr Turton will take your pre-op photo and mark-you up.

Mr Turton’s anaesthetist will evaluate you and confirm that you can proceed (If you are unwell or have developed a chest infection your operation would obviously be cancelled and rescheduled). You will be walked from the ward to the operating theatre reception for your check in, and then your anaesthetist will commence your anaesthetic- you will drift off to sleep in about 5 seconds! Your will be under full anaesthesia for the full duration of the operation. Mr Turton will additionally use the longger lasting type of local anaesthesia to provides additional comfort on wakening. Every thing is geared around you, your 100% safety, and your well being. You will be woken up in the recovery room, and supervised 1 to 1 with an experienced recovery nurse after the anaesthetist has reviewed you. You will then be taken back to your room where you may start your recovery within the comfortable surroundings provided.

How long does the operation take?

Your operation will be conducted meticulously and unhurriedly. You are positioned on a padded operating table. There are additional gel supports that will be placed under your ankles and for your arms to rest on. Your head is on a pillow. Although you will be wearing special “TED” stockings already, once in theatre, we will also place anti-thrombotic boots around your lower legs which will gently squeeze your calf muscles on and off pneumatically throughout the operation (Mr Turton has never had a cosmetic breast surgery patient develop a DVT using this precaution), and there will be a special sterile operative warm air blanket covering your lower body (this is called the “huggy-bear” and it is set at a temperature designed for your comfort).

An operation time of 1 – 1.5 hours is typical for primary breast augmentation. Mr Turton uses various techniques to reduce operative risks such as haematoma and infection; consequently his reoperation rate is well below average. You are fully monitored throughout the operation and the consultant anaesthetist is solely with you (one-to-one consultant care).

Is it painful?

The chest area often feels “tight” and tender for a few days. You will be able to move about with a little more restriction than normal, taking extra care not to knock yoursef or do anything too physical. With sub-pectoral positioning of the implants you should avoid using your chest wall muscles forcibly, to avoid discomfort. This will be discussed. In particular though, when getting in and out of bed or out of a chair, it is quite hard not to use the pectoral muscles as you normally push your hands down to help support your weight! So, you have do this slowly and very gently if you need to. It usually feels sore for a few weeks with sub-pectoral positioning, but sometimes only a few days with sub-glandular positioning.

When can I drive?

Individual advice varies: From 3-days to 3-weeks. It is more likely that you need to wait until 2-weeks post-op before driving if the implants are placed behind the muscle. You should have come off the strong painkillers before driving (such as Tramadol, Codeine, Dihydrocodeine or Tylex). You should be comfortable that you could make an emergency stop or be able to swerve sharply if needed before driving. Please ask for advise if you are uncertain. If you have a baby, please be aware that you will not be able to lift him/her out of the car seat during the first 2-weeks after surgery (the same applies to a cot).

When can I return to work?

Usually after 1-week, if not doing any lifting. Some patients return after less time, ie 4-days, and some longer. Jobs that involve strenuous lifting should be avoided for 2-weeks, and then discussed with Mr Turton to get a realistic time frame based on your particular circumstances.

How do I decide on the size of the implants?

The average breast size in the UK is a “B” cup. The starting point for breast augmentation for most patients is AA, A or B- cup. Some women are larger than this to start but as they have previously had children and a bigger bust request the volume of the breasts to be further increased to fill out the loose skin. This might not be possible though if you have been VERY big busted when you were pregnant or breast feeding, and so some looseness always remains- this is natural after all. The starting characteristics play a big part in what can be achieved- it is quite different in very flat chested, very tight tissue characteristic situations, to those breasts that have already breast-fed children for example. Mr Turton needs to take into account your desires and balance them with what is realistically achievable.

Most patients state a desire to be a “C” to ‘D” cup. It is vitally important not to become fixated on “cup-size” as bra size is not standardised. It is the look that you want to achieve and can achieve that is most important to discuss, particularly in relation to your frame. If you want to stay in proportion to your frame, as most of Mr Turton’s patients request, then you will be told the likely implant volume once the dimensions of your frame and the implant dimensions have been calculated. It is far superior to work around your dimensions to choose the implant volume, than to chose a particular volume of implant without doing this. This is one area that an experienced cosmetic breast specialist will excel at. If you desire a look that can’t be achieved it is adviseable to step back and re-think if breast augmenation is right for you. For example, it is rarely possible to increase just one aspect of the breast in relative isolation without affecting another aspect.

Bring pictures with you or review your surgeon’s album. Mr Turton likes you to review the breast augmentation pictures on his web site, and encourages you to print-off the post-operative pictures that seem closest to the size and shape that you want to achieve. This is a useful starting point to get you and your surgeon on the same wave-length and to faciliate discussions as to whether it is possible to achieve.

Asking for a natural shape augmentation is common. This produces a natural slope to the upper breast (see the side views in the post-operative photos for patients who have had anatomical implants or the more natural profile round implants). Not many of Mr Turton’s patients request a very prominent rounded appearance in the upper bust, although this can be readily achieved if desired. Round implants can still be used to produce a natural look, but not in all patients, and not with some baseline tissue characteristics. Anatomical implants (shaped) produce the most natural shape of breast enhancement. Modertate and Full profiles increase the shape to the upper pole. The Extra-full profile produces the most rounded appearance.

There are specific cosmetic techniques that can be used to give you a proportionate result. So if you want a very subtle augmentation please make this clear as Mr Turton can work hard to deliver this for you.

How long will I be in hospital?

If you have surgery in the afternoon or evening you will normally stay overnight as this is Mr Turton’s preference. Expedited recovery surgery is coming soon as part of Mr Turton’s practice, and will enable you to go home just 2-hours after surgery. But for now, you will be reviewed by Mr Turton the morning after surgery and only released when ready. This is normally always by mid-day.

Can sex be resumed immediately after the operation?

For your comfort, Mr Turton advises waiting a few weeks as the breasts will be too tender to touch during this time. After this gentle sexual activity, without pressure on the breasts, can resume as long as no pain is experienced. Generally, it takes 6-weeks before you are able to lie on your front at night, which is a useful guide as to how pressure will affect your comfort. Breast massage must be avoided for a minimum of 6-weeks and should be very gentle after this too. In the long term, it is preferrable not to sleep on your front at all, and you should not routinely massage your breasts.

What forms of sports activity can I do after surgery after an augmentation with anatomical tear drop breast implants?

Anatomical implants (also called tear drops and shaped implants) need time to settle, and for tissue to heal around the implant surface. Too much early movement with an anatomical implant will result in a rotation or malposition. Different implant manufacturers have different types of texturing, which has an influence on Mr Turton’s advise and choice of breast implants. The Biocell macrotextured Allergan implants and the MPU_coated Silimed or Polytech implants cause adherence to the tissue, reducing movement, but have a higher risk of rare complications such as breast implant associated anaplastic large cell lymphoma (BIA-ALCL), a very serious condition. As of 2018, we know enough about the frequency of BIA-ALCL with different textures to suggest avoiding these heavily tectured varieties. Instead, you can consider the less textured implants which do not adhere and the risk of BIA-ALCL is around 1 in 30,000, or the smooth round implants where no definite cases have occurred in primary augmentation!.

In addition, excess movement early on (first 6-weeks) will prevent settling and encourage a seroma to form (this is like blister fluid/plasma). Therefore, you will have more restrictions with your recovery programme, that must be followed to allow for this. Typical rates of progress that will not hinder your recovery from breast augmentation are as follows: No excessive stretching/movement should be undertaken for 6-weeks. With round breast implants the restriction is much less, especially if the implants have been placed in the sub-glandular (“overs”) position.

Walking- no restriction, and it is important to mobilise straight away.

Static exercise bike in the gym- from 2-weeks

Gentle Cycling – from 3-weeks (not mountain biking or spin classes!)

Paddling in a pool, Sauna/Steam room use- from 3-weeks

Jogging – from 6-weeks; Weight lifting – from 3-months

Cross trainers, Gym, Yoga, Pilates – from 6-weeks

Gentle swimming- from 6-weeks

Pole dancing, Belly dancing – from 6-weeks

Aerobics- gentle reintroduction from 6-8 weeks

Golf- from 3-months (except chip-and-putt which can resume much earlier); Scuba diving -from 3-months

Tennis/Squash/Badminton – from 3-months

Athletic swimming – from 3-months

Will I be able to fly after the operation?

Yes. UK domestic flights can be taken within 48-hours. International flights are best avoided for 2-3 weeks (please ask). This is more to do with Mr Turton being able to assess your recovery. Long-haul flights in general increase your risk of DVT, and you should wear anti-thrombotic stockings, stretch your legs, and perform leg and foot exercises during such flights. There is no altitude affect on your silicone implants (they are not at risk of bursting!).

If I lose/gain weight will my breast size reduce/enlarge?

In general, “Yes”. Breast tissue is composed of thick glandular tissue and soft fatty tissue. Just as when you put on weight you find that it goes onto the bottom/hip area, you will also often find some of it goes onto the breast area. Big shifts in weight are therefore not desirable. Most people have minor weight fluctuation of 2-4 lbs, which has negligible consequences. Weight changes can make the breasts sag more, or for the implant to feels as if it has deflated (it won’t have, but your breast tissue may be more stretched after weight changes, so that your breast feels softer. You have to imagine the breast as comprising skin and tissue that is like a container, with the implant not filling the container as well if the tissue has stretched from weight changes, age-related changes, or other physiological mechanisms!

If your starting breast size was very small (A to AA cup size), then losing weight tends not to make the augmented breast smaller, but reduces the thin normal fatty tissue layer under the skin, and in the breast tissue layer- this makes the implant edge more easily palpable (particularly in the outer edge near the arm-pit, and in the skin crease area under your breast). Implants that are partly under the muscle have the additional coverage of soft tissue that this provides which is particularly helpful in thin individuals, but remember- the pectoralis major muscle does not fully cover the implant, generally just the upper half.

How can I prevent sagging in future years?

You can’t. However careful choices can modify your risk. Your breasts will always change as you get older, and this is irrespective of whether you have breast implants or not. This is because of biological changes that occur with ageing: loss of elastin, stretching of collagen, atrophy of breast tissue, loss of skin elasticity, sun damage to skin, smoking related damage, effects of weight change on skin and breast tissue, effects of pregnancies and breast feeding on skin and breast tissue, hormonal changes, weight of breast tissue and implant weight and size. Large breast implants also stretch the tissue, acting a little like tissue expanders.

The biodimensional assessment goes some way to reducing excessive implant sizes being chosen by patients. You should very much speak to Mr Turton about this. The larger the implant the greater the long term detrimental effects. This is because of the additional weight, and the compressive force of the implant on the surrounding tissues, which become thinner, and more stretched. In general you are better to avoid very large augmentations (eg over 350cc) and implant sizes that exceed your natural dimensions. Sub muscular breast implant augmentation may provide additional coverage to the implant but there are some negative aspects of sub-muscular positioning too and you sometimes have to trade-off one thing for another.

Wearing a well-fitting bra after your recovery is important (usually from 6-weeks). An underwire bra is safe and recommended. Wearing a comfortable sports bra at night is also very useful. A shock-absorber type bra should be worn during sport. Keeping the skin over the breasts moisturised helps to maintain the elasticity (bio oil is possibly advantageous here). Avoid the use of sunbeds and do not smoke at all (both have a very detrimental effect on skin elasticity and quality, as well as micro-vessel blood flow). Maintain your weight in the healthy range for your body mass index. Don’t sleep on your front at night. If you have children/further children, after breast augmentation, you breasts will very likely develop some sag.

Are implants/surgery guaranteed for any length of time?

Acute problems after surgery are covered by your “fixed price package”. Longer term problems are usualy defined as those that occur after a year, and the hospital would not usually provide ongoing free consultations or treatment beyond this date. But in that situation where an implant problem occured in this time frame (very unikley incidentally) you should contact Mr Turton so that he can advise. Problems unrelated to the implants (eg breast lumps) should be reviewed by your GP/Breast clinic.

Implant manufacturers have slightly different guarantees that relate to implant rupture. No manufacturer or surgeon can offer a cast-iron guarantee against long term changes which will always occur, may be subjective, and may be biological rather than anything to do with the implant or the initial surgery.

For example: Mentor implants carry a lifetime guarantee against rupture. If they rupture then Mentor will provide the new breast implant free of charge (please check for updated confirmation from your surgeon). The cost of the operation (surgeon’s fee, anaesthetist’s fee and hospital fee) is NOT covered by this. However, as the Mentor implants are relatively expensive, this is still a useful contribution.

Future surgery will be an additional cost that must be factored in before undergoing breast augmentation. Beware of anyone offering guarantees, or free follow-up for life, as it may not be worth the paper it is written on. As an example, I was recently consulted by a lady with faulty saline implants. She had experienced 3 deflations in 3-years and as her surgery was guaranteed against this, she had undergone each operation with the same surgeon and the same poor quality product being replaced. She had bad scars as a result and was very frustrated. I advised her against using the same product and performed revisional breast augmentation with a very satisfactory and more durable outcome using the Allergan implants.

Are follow up consultations chargeable – even at the request of the consultant?

Your first post-operative follow-up is included in your surgical fees. Most patients are discharged at 3-months. Subsequent follow-ups will always incur a standard follow-up fee (cost approximately £175; please check with Mr Turton’s secretary). You will generally require one further follow-up and then can take up the offer of annual or 2-3 yearly review depending on your circumstances, with a view to having an MRI (cost approximately £850) any time from 3-years onwards, and in the USA practice they recommend this is done every 2-years, although few patients do this in the UK unless there is a specific problem. Mammography and USS (cost approximately £180-280 each) can be arranged depending on your age during the follow up period, if required. Costs reflect Mr Turton’s time, and the charges for his rooms, administration and running costs. You are not charged if you attend for review by an out-patient breast nurse. At your follow-up with Mr Turton, you will always see Mr Turton- any follow-up is not delegated to someone else.

If something goes wrong during/after operation is surgery guaranteed & will problems be resolved within cost?

Complications from breast augmentation surgery under Mr Turton are very rare. He will be unable to give you a categorical guarantee that they won’t occur, but he is an experienced surgeon and mange problems if they do occur. There are some types of problem that are more minor and typically occur in the first few hours after surgery if they are to manifest at all, such as a collection of blood around the implant (from tissue bleeding or oozing) which is termed a haematoma. As this forms around the implant in the first 24-hours it needs evacuation so you go back under anaesthetic to have it washed out. In the first few weeks after surgery, the complication of implant infection can occur. This would likely result in needing implant removal. With the techniques Mr Turton uses, he has not ever had to remove an implant after breast augmentation for infection. However, if these complications do occur you will be covered by the fixed price package for further surgery. For example, if you need to have the implants removed because of an infection in the post-operative period, this is covered, as is the subsequent operation to replace new implants.

Fixed price packages tend to cover you for complications during the first 3-months after the operation, as this is the time that surgery related complications occur. They do not cover the more long term changes with implants like: rippling, palpability, breast sag, capsulation, rupture, and malposition. They also do not cover dissatisfaction with the size, or shape.

Mr Turton will always strive to meet your expectations but if there are limitations as to what can be achieved (often related to your starting point) then these will be discussed. It is important to be realistic. If you are concerend about “body dysmorphia” please mention this, and similalry if Mr Turton feels you may have body dysmorphia he would suggest you do not have surgery as it doesn’t result in satisfaction for patients.

Will breast augmentation change my life?

Breast augmentation may make you feel more confident within yourself but will not change things if you are dissatisfied with your lifestyle. Surgery in itself will not change a life situation, but the confidence and self-assurance which result from it can indeed empower you to make the required changes, allowing you to live and enjoy your life, to the full. Some patients can rarely have a general problem with body image, and remain dissatisfied with their appearance even when the result has been within the expected and described range. This may be because of something called “dysmorphic body image syndrome”. Patients who have a general body image problem are unlikely to gain benefit from cosmetic breast surgery or any cosmetic surgery and should avoid it. Mr Turton would also want to avoid operating on someone who he suspected of having such a problem.

Can I still wear the same style of underwear?

Due to possible changes in shape it may not be possible to wear the same styles.

Do I need to wear some form of support at all times or can I go without a bra?

Once you have recovered from surgery there is no reason why you shouldn’t go without a bra on occasions. As long as you feel comfortable it will not have a detrimental effect. In the long term, however, breast tissue will be more susceptible to droop if you do not wear a bra most of the time.

Post Operative Questions

How will I feel after Breast Augmentation Surgery?

The vast majority of Mr Turton’s patients feel relaxed and comfortable immediately after surgery. It is common to wake up with a dry feeling in your mouth. You will feel usually have a very nice sleepy feeling initially. Some women will feel feel nausea but that will usually pass within a few hours. Sometimes you may also feel quite emotional during the first day after surgery, although it is not common it is a fairly normal side-effect of the anaesthetic drugs. You normally still feel sleepy when you are back on the ward for the first 4-hours, but if you do fall asleep you are easily woken up a this stage and will commonly be aware as the nursing team are in and out doing their routine observations or the hospitality team are offering snacks and meals.

Breast tenderness and a tight feeling, usually become apparent in a gradual manner. At this stage, Mr Turton is happy for the nursing staff to dispense Paracetamol and anti-inflammatory tablets for pain relief if you have no sensitivities or allergies to these products. If you have had sub-muscular implants you will sometimes need to have a stronger pain killer as well, such as Tramadol. If you need the stronger pain relief then it is best taken regularly for the first 4-days. After this, the Tramadol can be just taken at night if required. It is usual to stop the Tramadol before then end of 1-week. The anti-inflammatory and Paracetamol combination is very effective and the majority of patients just manage with this and nothing stronger at all. They can be continued for a few weeks if required and can be use according to how you feel. They should not be taken on an empty stomach. Sometimes it is easier to take the anti-inflammatory if you also take Lansoprazole to reduce stomach acidity, as the anti-inflammatories make the stomach lining sensitive to acid and it could in rare situations even cause an ulcer or even bleeding if you are sensitive and keep using them.

One breast feels more sore than the other, should I be worried?

It is quite common for one breast to be a bit more tender, or to swell slightly more than the other side. Similarly, one breast will often recover more quickly in the weeks that follow and this is quite normal too. There are always differences between the two breasts, which is a reflection of the pre-operrtaive differences that were there too. Sometimes swelling is also subtly different between the two sides during the first few weeks. It is very common that the tissue in the breast is also sometimes tighter on one side than the other (there can be different proportions of the more dense gland or tighter fibrous tissue between sides) so that when implants are placed it causes more discomfort on that tighter side. These changes in the feel usually resolve over a number of weeks although if you have had a lot of differences it can take longer.

 Some patients do not like Tramadol (may feel too lightheaded, or the room feels as if it is moving, or it just causes nausea), but will tolerate Codeine (and vice versa). Adjustments will be made if needed. Occasionally patients feel nauseated or actually vomit in the early post-operative period, sometimes as a result of morphine that has been given by the anaesthetist during the operation. Both of these are soon out of the system and generally gone by the following morning. Anti sickness drugs will be used if you have a tendency to sickness.

What happens after the operation?

When the surgery is completely finished, and the dressings have been applied, the anaesthetic will be discontinued and the anaesthetist will allow you to gradually wake up over about 5-10 minutes. You will normally gradually become aware again once you are around in the post-operative recovery area. You are supervised by the anaesthetist and the experienced recovery nurse and then by the recovery nurse alone. The tube that was in your mouth will have been removed and you will feel sleepy. You stay in recovery until you are more alert and then you are taken back to your room where you should feel quite comfortable. The nursing staff adjust your medication as needed. Your throat may feel slightly sore from the breathing tube but you will be able to sip water straight away. You may need to visit the bathroom, and you should have the nurse help you in case you feel light-headed.

At this stage, there is still a drip on the back of your hand, and this is taken down when you are drinking properly. The venflon (the name for the small plastic needle in the back of the hand) is taken out the following morning but can come out earlier if you are comfortable and not feel nauseated.

There will be a thin wound drain tube and container by your side and this should be kept laid out straight alongside your body so that the tube is not curled up, otherwise, it can kink and stop the suction. This is simply removed the following day, and is not painful.

Your breast area feels tight and there will be a Tubigrip (elasticated support) over your breasts. Often this is in a double layer overnight and then pulled down to a slightly looser single layer the next morning. There may also be a stabilising band (like a thick white elasticated belt) across the upper part of your breasts, which limits swelling in the upper pole of the breasts and limits implant movement. You will go home wearing both the Tubigrip and stabilising band night and day, without removing either.

The dressings and the Tubigrip must be kept dry. This helps reduce the risk of wound infection. You should, therefore, have shallow baths (run the water just up to cover your legs) and keep the Tubigrip on (but dry) even when you are in the bath. It is good to get help with hair washing. Sponge wash the underarm area and pat dry afterwards.

You will be seen the following morning after surgery and the nursing staff informed as to when the drains can be removed. You will be given the “take home medication”- painkillers and antibiotics and should have clear instructions and understanding as to when to take them. Please ensure you discuss this with the nursing staff if not sure and If you have any queries after discharge you will be instructed to ring the ward for immediate attention. Mr Turton should be informed of any problems.

Are there any side effects to the operation?

The commonest one is feeling sleepy for a few hours. Sometimes the anaesthetic or morphine make you feel sickly, but usually for a short duration only.

You may feel slightly bloated for a few days. This is often due to slight constipation caused by morphine, codeine and tramadol medication. A gentle laxative (lactulose, movicol or senna) will help resolve this. Some patients feel a low mood, and this may be related to tiredness particularly if you didn’t sleep well before or after surgery. Give yourself some time once home, get some sleep and you should feel better very quickly.

How will my breasts look & feel after the operation?

During the first 3-weeks, the breasts tend to feel quite tight and swollen. This is more typical when the breast enlargement has been done in women who have never had children and whose breasts are quite small and flat. In these women the breasts generally feel firm even once all the swelling has resolved, as the implants are relatively firm and also under tight tissue. When implants are placed for breast augmentation to fill an empty breast the tight feeling is less common and settling is quicker. Depending on how loose the breast tissue was before surgery, will also affect how the breasts feel. Similarly, when lying on your back without a bra, the degree of looseness before surgery will affect how the breasts fall to the side (often more on one side than another) after surgery.

It is also important to remember that every patient is different, and the way your breasts have developed anatomically is often a little different- some patients have wide gaps between their breasts and others have a very narrow gap, and these starting points are not changed by the implants. It is very important to not have expectations for changes that simply cannot be changed even with the best breast implants and the best cosmetic breast surgeon!

Are there any worrying signs that I need to look out for?

Although this would be very rare, the gradual appearance of an obvious discrepancy in size from how it was when you left hospital would not be normal and should be assessed back at the hospital. If this is caused by bleeding around the implant, the breast would become enlarged and firm and feel very painful, and this is termed a delayed haematoma. It is uncommon for this to occur after you have left hospital, but if you suddenly strain the pectoral muscle with a forceful or brisk arm movement it can occur even the first week after surgery, so please follow the instructions given carefully otherwise a haematoma would need to be removed back in the theatre!

An acute deep infection around the implant is also very rare. Although it has never happened to any of Mr Turton’s patients having breast augmentation, we know cases are reported in the UK each year with the ‘at risk’ period typically being the first few weeks after surgery. It is important to avoid this as it can cause serious sepsis requiring implant removal and emergency treatment. Signs that this has occurred include: feeling very unwell (like bad flu), fever, rigors, a high temperature, skin over the breast swells and is reddened and tender you must have an assessment in hospital. Changes like these would be very unusual indeed, but it is important to know that should they occur, a prompt review is always mandatory to assess the cause and treat it.

What clothes should I bring in to wear leaving hospital after the operation?

A loose button front shirt is ideal. Nothing that needs pulling on over your head.

Do I need to take time off work after surgery?

Yes you will. Please check with Mr Turton in relation to what exactly you do. Generally, 1-week off is the minimum. 2-weeks or more may be needed if your job involves lifting or any heavier manual work. If very sedentary, you may occasionally work from home (if this is possible in your line of work) after 4-days, but remember that you may still be taking Paracetamol and anti-inflammatories. You must have stopped the Tramadol if returning to work or driving.

When can I lift my arms above my head?

After 2-weeks usually, unless Mr Turton advises otherwise. After sub-muscular implants there are specific stretches that you can do as part of the expedited recovery programme but not usually earlier than 2-weeks.

When is it possible to resume household chores?

It is really important not to start household chores straight away. You may be glad to know that husbands/partners/friends will certainly need to help here. These repetitive tasks can cause issues if they are started again too quickly. I advise against vacuuming and ironing for the first 3-4 weeks, and then only lightly for the following 3-weeks. The golden rule is “if it feels sore, then don’t do it”. Listen to your body. You want to avoid repetitive tasks that will stop implant settling especially if you have an anatomical implant. If you don’t have anatomical implants, you can resume chores more readily.

When is it possible to go out to a restaurant?

You can go out to a restaurant a few days after surgery if you feel well. You should avoid heavy meals and not have more than a glass of wine or champagne in the first week. You will tend to feel bloated for a few days and you prefer to stick to light meals until the bowels are working again. Morphine is a drug that is given during the anaesthetic and a normal side effect is to cause the bloating feeling in the tummy, and to cause constipation (just from one single dose). So I recommend that you take a laxative for a few days when you got home to tackle this before it becomes a bigger problem. Despite this, some of Mr Turton’s patients go out to a restaurant the very next day!

When is it possible to resume shopping?

You could go shopping a few days after surgery if you feel well and are being driven around, doors are being opened for you etc. But you should not carry shopping bags for 3-weeks. I would advise against bra shopping until 6-weeks as this is when implant settling would tend to have occurred.

When is it possible to resume sporting activities or do home decorating?

Strenuous activities generally take 6-weeks before we allow you to start doing them. Patients who are very regular gym users and have regular routines are usually very keen to start back with some exercise and Mr Turton will give specific advise as to what you can and can’t do. For example, if your wounds are healing well and you have made good progress, we can advise on exercises and toning that can start earlier than 6-weeks.

I have small children; am I okay to lift them? or play rough and tumble?

If you have had implants placed under the muscle it takes longer to be able to lift again. In general we find lifting small children can be very awkward until over 2 weeks have elapsed and it is advisable to have someone else help you if you are in this situation (eg getting a baby/toddler out of a cot or into/out of a car seat). Please always discuss this with Mr Turton. Games with your children can be strenuous as well as painful, especially if you get knocked, so you should wait until after 6-weeks.

Can I have them removed at a later stage if required & if so what are the consequences?

Yes. Implants are usually easy to remove, even under a local anaesthetic in some situations should it be required. The breasts will, of course, be empty, devoid of fullness, and the skin will be loose, usually with some wrinkles and sagging. The difference is profound as if they have been in for many years there will be age related changes that will have occurred and much less native breast tissue. Some patients choose to have a mastopexy at the time of removal to reposition the nipple better and remove some of the sag.

It says no heavy lifting – what is classed as heavy?

Heavy is anything that is uncomfortable. In general, lifting shopping bags that are full is what I would term “heavy”. Lifting a kettle is OK. Lifting a baby is not OK. Lifting a vacuum cleaner is not OK. It is also important to try to avoid using your arms to shuffle yourself up and down the bed, for the first 6-weeks. When you do so, you are pushing hard with your hands onto the mattress and this is forcibly contracting the pectoral muscles.

How long does the scar under the breast take to heal?

The site of the incision on the breast skin, usually in the crease under the breast heals rapidly and should look clean and intact as soon as 7 days after surgery. But the scar needs to develop strength, and there are also sutures under the skin in the fat and fascial layer. It will feel slightly thickened and slightly raised from the stitches under the skin. These only slowly dissolve and so only after this has occurred will the scar mature, which takes place over 6-12 months. The scars must be cared for and you should avoid touching or feeling along the scar line for the first 8-weeks. Mr Turton advises any patients with a history of poor scars to consider using surgical tape or Dermatix gel to the scar for 3-months, which often helps to keep the scar line like a fine pencil line. The scars gradually fade over the first 12-months to a pale colour. Some patients use bio oil on the scar anyway, but if you can afford the slightly more expensive silicone gel called Dermatix (only available over the counter), I feel this works better.

When can I wear an underwired bra?

Usually from 6-weeks. You should avoid trying on multiple bras too early though! Get professionally fitted and buy from that shop initially. If the underwiring is uncomfortable go back into a sports bra and get refitted in a different shop. It is also important not to get het up over bra cup-size! This is a variable measure between bra manufacturers and there is no exact correlation with bra cup size and the volume of your breast implant!

When can I lay on my stomach?

It is better not to lay on your stomach as it puts pressure on the implants and over time stretches the implant pocket. It is possible to lie on the stomach area usually by 6-weeks; before this it is uncomfortable and must not be done. It is therefore important not to sleep on your front though and if you used to do this, try to train yourself to sleep on your back- the large V-shape allows can be very helpful here. Implant malposition is more common in front sleepers too.

Is it possible to have the breast area tattooed?

There should not be a problem with this except for a small risk of implant infection. Tattooing temporarily injures the skin and it is conceivable that you could get cellulitis (redness caused by skin infection), which could allow the bacteria to travel through the breast lymphatics onto the implant. You may want to consider a short course of preventative antibiotics to reduce this risk.

Is it okay to sunbathe after the operation?

Not initially! I would advise against it for the first 6-weeks. After this, yes, but you should use factor 50 + suntan lotion on the breasts and scar line. Keep scars completely covered by clothes. Remember that you can get a sunburn through the thin cotton. If the scar does get exposed to UV light and sun, it can cause a permanent redness.

Will I be able to breastfeed with implants?

Yes in a lot of cases this is still possible. As long as your implants are placed through a conventional inframammary incision it will not always alter your ability to breastfeed. They do not alter the production of milk. The amount of silicone in the milk from a bottle is higher than that from breast milk; both are of course negligible. Some women cannot breastfeed for other reasons of course. If your breast tissue is very small, or very compressed by the implant it is unlikely you will be able to satisfy the baby even if you lactate. Be aware that mastitis during pregnancy or breast feeding can trigger capsular contraction around the implant, and it is more commonly seen in the year that follows breast feeding. Also pregnancy changes the breasts and may make them feel more empty again. It is better not to have breast implants if you know you are likely to have a baby in the next few years.

If I have excess breast hair is it possible to have treatment to remove them?

Mr Turton does not offer this service personally but a reputable clinic should be able to advise. Small amounts of breast hair are commonly seen in all age groups and are dealt with differently by different people. Laser therapy or electrolysis therapy to get rid of the hair root is still possible after breast augmentation surgery.

Is it possible to get larger implants after the 1st operation?

It is very uncommon for patients to be unhappy about their size, but it does occur occasionally, usually someone expecting to be bigger, fuller, or to have a narrower cleavage. Often there is a reason why you haven’t had bigger implants placed- i.e. your tissue characteristics are too tight, the nipple would look too low, it would increase the risk of complications such as malposition or pain, there may be no ability to narrow the cleavage as this are is a bony structure and you had a wider gap, or that you were wanting to avoid  implants that were too noticeable and you under-stated your desires. The best thing is to accept your result and grow to like it. Rushing for a further operation is never the answer, and redo surgery for a different size implant always has to be paid for in full by the patient, which equates to the same costs all over again. And if you were to do this, who is to know that you would be happy? The actual size and shape that you desire is called a ‘subjective’ issue, and it is impossible for the surgeon to know precisely what it is you want AND to be able to guarantee you the precise outcome. The size that is put in is therefore not negotiable after surgery and sometimes what you desire is simply not achievable any way! Patients commonly have uniquely different starting points. It is imperative to remember that implants behave and look differently in one patient’s breasts compared to another patient, due to different tissue characteristics, physiological and anatomical differences and a multitude of different measurements. It is the skill of your surgeon to evaluate you and work with you to try to educate you as to what is possible before surgery. Mr Turton has an excellent track record with implant selection and implant planning, and he can also use 3D simulation which may help. But if you have any body dysmorphia issues you must be honest and discuss this before surgery. You always have to prepared that the results of implants do not meet your expectations, and accept this as one of the unfortunate potential outcomes, albeit one that is rare in our hands.

If you do subsequently desire larger implants, you should wait over a year since they were placed before considering up-sizing. It is important to avoid unnecessary surgery, but if you remain very unhappy with size and continue to wish you had gone bigger, it might be possible to do so once your tissue has had time to stretch a little. However, redo breast augmentation carries additional risks and limitations and if you have already been happy about size, it is possible you will still be unhappy after an exchange.

For all patients who have had implants in for a number of years, we always say that further surgery is required for revisions or exchanges as these are not lifetime devices and your breasts will change with time whether you like it or not. However, remember it is better not to have this done simply for larger implants, but when further surgery is required at a later date, implant size can be increased at the time of the exchange if that is desired. But the same criteria and judgments need to be applied as for the first operation, and taking into account your current tissue characteristics, whether the nipple level has drooped, and whether the breast has become redundant below the level of the implant. It will still be the case that the bigger the size the more unwanted and permanent effects will appear both in the short and long term, so please be cautious.

How long do implants last?

It depends predominantly on the type of implant used, and the manufacturer. The current generation of Allergan and Mentor implants may well last longer than previous types but there are no recent large MRI based studies that given more accurate information beyond the original post-approval FDA studies. In the biggest study performed to date, the rupture rate was extremely low (ie <5%) at 10-years but this was not MRI based. Mr Turton advises patients to be cautious- We charge just £100 for a clinical follow up appointment. Follow up ultrasounds scans cost around £300, and MRI scans cost around £800. Other procedures are more expensive. These can be done yearly if required. If you develop breast symptoms several years after breast enlargement you should always see a specialist and if you cannot afford to pay privately, you should still be referred to an NHS breast clinic by your GP for assessment.

Not many patients consider clinical check-ups, USS or MRI to assess implant integrity, almost certainly because it is expensive. If all is well, there is no need for premature implant exchange, but I generally advise patients to consider renewal at the 10-year mark as problems and risks of rupture are recognised to increase more and more after this time period. Implant renewal if there are no complications to deal with costs around £4900 in 2019. Please remember that the core FDA studies support a rupture rate of silicone breast implants to be around 10% within the first 10-years, and often these are asymptomatic (silent rupture).

There are many implants available to use for augmentation, and they do not have the same quality, safety, quality assurance, or longevity. Some of these implants may cost a lot less and enable the price of the breast augmentation surgery to be much lower (this is sometimes done by competitors to encourage customers on the basis of price) but is almost certainly a short-sighted approach. Low-quality implants may have a higher rupture rate and capsulation rate.

What pressure will it take to rupture silicone breast implants?

The outer multi-layered shell of the Allergan and Mentor implants is very strong. Each batch of these high-quality breast implants will have been through extensive quality assurance tests by the manufacturer before being released for use. A car accident at 30/40mph could rupture the implants, or for example falling off a horse and hitting the breast area very hard. You would normally have obvious signs of a breast injury (swelling and bruising and tenderness), and a scan would be needed to evaluate this further. Minor trauma is very unlikely to cause a problem n the early years after breast enlargement, but when implants are old it is possible, For example, the modern implants that Mr Turton uses are extremely durable when they are first placed, but they loose strength over many years so by 10-years for example around 10% of implants will have ruptured, even if there are no signs present, reflecting increased fragility with time. Take more care as your implants get older, and my advise is to get them replaced by 10-years.

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WHY so popular?

Boob Job Leeds, UK | Cosmetic Breast Surgeon

Breast augmentation (also referred to as augmentation mammoplasty) is the medical term for breast enlargement (or boob job). It is the most popular cosmetic surgery procedure that Mr Turton performs, and this is mirrored across the UK and indeed across the world. In fact there are in excess of 10-million women who have had the procedure. The first breast enlargement was carried out in 1962! Mr Turton uses specialist techniques both for the implant planning as well as the surgery.

Statistics show that 94% of women who have had implants recommend the surgery to others. And in fact the MemoryGel Breast Implants have a 97% satisfaction rate for primary augmentation patients and a 99% satisfaction rate for primary reconstruction patients, based on Core study data!

Breast enlargement is a socially accepted operation

Estimates are that up to 1-4% of women have implants. This is perhaps not surprising given that women naturally want to maintain an optimum appearance. Breast implants have evolved significantly and are more quality assured than ever. That does not mean there have not been safety fears, and of course we all remember the PIP breast implant scandal relating to the infamous French manufacturer and the fraud committed by the owner. But as over 56 years have elapsed since the first breast enlargement procedure in America it is inevitable that as science and technology evolve so will materials, quality assurance testing, and medical knowledge. Techniques, implants and safety have all evolved too and we have passed through from the 1st Generation devices of the 60s, to the 4th and 5th Generation devices of the 90’s. The focus on safety has never been higher and there are still elements of uncertainty that require better data, which we hope will evolve through changes to the national breast implants registry, scientists, epidemiologists and safety organisations such as the MHRA and FDA. But it does also require that you see a specialist who really understands their subject and has a quality driven approach to managing their patients. You must also have your surgery by a specialist in the field of breast surgery and opt for the safest hospital environment rather than using stand alone small clinics.

Main reasons to request breast enlargement:

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  • Never had satisfactory breast development
  • Want to look more feminine
  • To have breasts that are in proportion with your body
  • After childbirth, weight loss; loss of volume or shape with age
  • In order to satisfy the desire for a fuller bustline.

Lacking breast shape commonly affects confidence. Getting an attractive breast shape and a reasonable breast size requires a skilled surgeon to create it where that shape has never existed at all before. Or, it might be a case of restoring or improving on shape that used to exist when the patient was younger but has been lost subsequently. This occurs more typically from age related changes or after having children. Some women want very natural looking enlarged breasts and others want their breasts to be bigger and occasionally noticeably bigger. Mr Turton can really help with the planing here and give his advise and recommendations. Above all it is important that women having breast enlargement decide to do so for themselves and never because someone else wants them to have it done. When done correctly, in addition to the positive cosmetic results, data has shown patients often receive a substantial psychological boost. It can improve body image and restore confidence.

How do I choose my implant size?

Most women ask for a natural and proportionate result, and Mr Turton will use his extensive experience to give them exactly that.

Best breast implant size for breast enlargement by Philip Turton

Detailed assessment of dimensions guides optimum implant size selection by Mr Turton

Patients may ask to be as full as they can be and achieve a natural appearing breast that is safest for their tissues in the long-term. They leave the choice of implant size under these circumstances entirely to Mr Turton, and will accept the size of breast that he feels is safest for their tissues long-term.

This is done by using a detailed combination of analysing your chest wall and breast measurements, an assessment of your tissue characteristics, and taking into account your height, weight and body shape. It enables Mr Turton to determine what will work and what won’t.

There are hundreds of implant sizes that Mr Turton can choose from to provide you with the optimal result. Using your characteristics, Mr Turton will be able to determine the best base width to the implant, then the implant height (for a round implant, these dimensions are the same), followed by the thickness of the implant at it’s maximum point (this is called projection), and then the lower pole ventral curvature (LVC), and finally the curve in the upper pole of the breast. This will give an optimum volume measurement in cc for your starting point. He will help you choose between textured, microtextured (nano textured) and a smooth shell, taking into account the latest safety data, as well as the potential advantages and disadvantages. And he will recommend any changes to the cohesiveness (gel thickness) and fill properties of the implant.

What if want to go bigger than recommended?

A small increase above optimal size can give a poor result. For example, the nipple position on the breast may look too low just by increasing the implant size by 50cc. A lot depends on your starting characteristics, your nipple position on your current breast in relation to the level of the crease under the breast and how loose your tissues are.

Can I request a specific bra size and certain cc of implant?

Implants do not come in bra sizes and there is no exact formula that a specific implant size translates into a specific bra cup size. There is no universal way of assessing bra size, and there is no easy way of measuring it during surgery. We therefore cannot guarantee a specific bra size as a measure of your outcome- it is simply too crude.  However, women naturally use it in the conversation and I don’t think that is a problem, as it is one way of communicating desires for shape! Where you are wanting to achieve a certain outcome it is best communicated by a detailed consultation in various formats and having further review. We can take 3D images and create a Crisalix 3D simulation to guide you. This enables you to communicate if this outcome is close to the results you are hoping for. However, you need to be realistic and understand that simulations are approximations and not a guarantee. Your tissue charactertistics will determine if your tissue can accommodate an implant of a certain size. Although tissue can stretch, it has limits. Choosing larger implants than is optimal causes more tissue stretch and a greater likelihood of sag and needing future procedures such as mastopexy (uplift), other revisions, or even removal.

Going bigger than the optimum size produces more negative results on the breast tissue. If you choose to have an implant that is larger than Mr Turton feels is optimal for your tissues, you must understand that you may not have a natural appearing breast. You will need to accept the increased risk of re-operations, complications, deformities, and additional costs. Think also of the time off from work and normal activities in the future that may result from selecting an implant that is larger than is ideal for your tissues. You need to remember that no implant regardless of size or shape can guarantee upper breast fullness long-term, and the larger the implant you select, the more likely stretch of the lower breast envelope, which will allow loss of upper fullness.

What does it cost?

  • The average total cost is £7500
  • If you require breast enlargement and a breast uplift the cost is higher, usually £12,000 -£13,000
  • Simple Breast implant exchange costs around £7000 with conventional implants
  • The predominant variability in cost relates to the type of implants, additional surgery, and the 20-years of specialty experience provided by Mr Turton
  • Beware of low cost set ups in the UK. In a competitive market, achieving cheaper surgery usually means a compromise in quality of surgeon, quality of facility or quality of your implant- it is not worth it! Beware the false or misleading advertising promising lifetime implants- these do not exist- no implant is actually guaranteed to last for life.
  • Implant exchange is the renewal of your breast implants. Replacing breast implants might require capsulectomy and this is a higher cost.

Which is the best implant manufacturer?

There are many things to take into account when choosing a specific implant manufacturer and  Mr Turton would suggest you allow him to help you choose.

All of the implants that Mr Turton uses are CE approved (the European regulation) or FDA approved (the American regulation).

Examples:

Mentor: FDA approved and extensively studied. Established implant type, good quality assurance. Choice between micro textured (Siltex) and smooth, anatomical and round. Mr Turton prefers to use the Memory gel and Memory Gel XTRA varieties. The modern generation Mentor implant has the manufacturer’s name imprinted on the back of the implant together with the serial number, lot number, size in cc and the implant style. Mentor offer a good manufacture’s warranty. This has become the most popular UK implant in 2019.

Allergan: These lost their FDA approval in 2019.

Since then just their smooth shell implants were available in Europe pending the manufacturer resubmitting quality assurance data on their textured implants.

 

Sebbin: CE approved. Choice between microtextured and smooth. A smaller company than Mentor but established for many years in France and recently made available in the UK.

Motiva: CE approved. Choice between microtextured, nano textured and smooth. A smaller company than Mentor and available in the UK.

Polytech: This is a German company that has a long history for manufacturing quality breast implants. They have a huge range that includes standard implants as well as micro polyurethane (MPU) coated: CE approved. The MPU coating sticks firmly where it is placed. Some evidence of a lower capsular contraction rate, but needs careful consideration when using as pros and cons. Uncommon risks of BIA-ALCL thought to be higher.

 

What is the Implant Guarantee?

Whichever manufacturer you choose, you will find there is a broadly similar manufacturer’s guarantee. This may state ‘a lifetime guarantee against implant rupture’ – this does not mean the implant will not rupture! It also does not mean the manufacturer will pay for your surgery if they do rupture, as they will not! The guarantee should be caefully read as it relates to each manufacturer to understand it. The manufacturer’s implant warranty for the main implants used in the UK, usually means that in the event that your implant ruptures the manufacturer will provide you with a replacement ‘implant’- the cost of purchasing that implant might then be deducted from the cost the hospital charges you for the operation. It is a small saving. Some manufacturers also reimburse around €1000 towards the cost of the surgery if the rupture has occurred within the first 10-years. Hospitals such as the Nuffield Health Leeds also offer a more robust ‘patient promise’ on aftercare, but even then surgical costs are met by the patient. Fixed price packages for surgery at the Nuffield Health Leeds provide a very comprehensive package so that if you have any significant complications within a year of surgery you do not have to pay for outpatient reviews or further surgery during that year.

Is implant surgery safe?

Breast augmentation is a relatively safe operation in the hands of an experienced specialist but is never risk free, and so it must be carried out to exceptional standards and with patient safety as paramount. Your surgeon needs to spend plenty of time with you at a consultation. Be particularly weary of places that are run by nurses suggesting your choice of implants, that are often underpinned by dubious marketing practices. There are lots of potential risks< from having breast implants and these should be minimised by staying under the care of the best specialists for Breast Enlargement Surgery.

The hospital environment may present a glossy waiting room, but what is it really like behind the scenes? The Care Quality Commission (CQC) is the national body that checks hospitals. The Leeds Nuffield Hospital where Mr Turton holds his specialist clinics and surgery is rated as OUTSTANDING by the regulator. It is one of only six private hospitals to achieve such a high rating. He also works at Spire Hospital Leeds, and this was also highly rated achieving GOOD overall. Check your hospital’s rating 

Are silicone breast implants safe?

  • Breast Augmentation with silicone implants has been performed for over 55-years; but it is still not a completely safe operation. There will always be some future uncertainties.
  • The manufacturing and quality checks of Silicone Breast Implants have evolved during this time frame
  • Consider renewing implants or MRI surveillance to reduce problems such as prolonged rupture and silicone leak. 10 years should be considered even if you have not had any problems.
  • The overall safety of silicone breast implants is reasonably established and is published in a number of independent reviews. There have actually been 4 such independent reviews and they essentially reached the same conclusions. Despite this, there are always potential concerns that some systemic disease might be associated in very small numbers of patients, but that it has never shown up in the big studies.
  • No obvious increase in breast cancer or autoimmune disorders. The vast majority of patients implanted with medical devices have no adverse reactions. The device works and performs as expected to treat medical conditions or help patients better manage their health. However, a growing body of evidence suggests that a small number of patients may have biological responses to certain types of materials in implantable or insertable devices. For example, they develop inflammatory reactions and tissue changes causing pain and other symptoms that may interfere with their quality of life.
  • Rare association of some textured devices to an uncommon type of breast implant lymphoma (ALCL)

How long do implants last?

Mr Turton advises that you should consider and plan for replacement by 10-yrs, or have regular MRI surveillance. Many places and even manufacturers give rupture rates that are not scientifically based and lack validity. The most reliable data came from compulsory 10-year studies and only a few manufacturers undertook these. There is therefore no reliable data to say one manufacturer is better than another, and it it is wise to refer to the robust data from the FDA submission for McGhan and Mentor implants.

Symptomatic rupture is now rare (<5% at 10-yrs) but increases with time. If a cohesive implant ruptures the gel doesn’t “run” initially. The gel in a good quality implant has a consistency like a jelly that has just come out of the fridge. You can push your finger into it and withdraw it slowly with the silicone staying together in the implant. The outer layer of the implant is the strong elasticated shell that holds the silicone gel. This outer shell is made from several layers of a stronger denser silicone that resists stretch and pressure. If it breaks or splits, silicone doesn’t usually immediately escape. In fact it rarely does so and you may have no idea as you would not normally have any symptoms early on. You also have another line of defence – your body forms a strong but thin tissue layer around your implant within a few weeks of surgery – this is called the capsule. It is like a membrane and is an important structure as even with a silent rupture it serves as a further protective layer between your implant and the breast tissue.

Even with no symptoms, and a normal clinical examination, silent ruptures may be detected in about 10% of patients on MRI at 10-years. This was shown in the original FDA data submitted by the manufactures McGhan and Mentor when they applied for the rigorous process of regulatory approval in America. It is robust data and serves as the best guide to current implant behaviour. Having an exchange at the 10-year mark is therefore a good safe practice to follow because of this, even thought the implant manufactures state the lifespan of their implants is 10-20 years, and even though the implant manufactures offer a lifetime guarantee in case of rupture. The guarantee provides a new implant and not the full cost of your revision surgery. Some manufactures now claim rupture rates of <1% at 9 years but the data on which this is based is different to the FDA data that used MRI studies! The patients could have silent ruptures.

If a silent rupture goes on to get worse, the gel in the implant may partially fragment and become more liquid with time; this might cause symptoms of inflammation (might cause discomfort), capsule contraction (the breast implant feels harder, the breast shape may become distorted, the breast may ache), or silicone leakage into the breast tissue, lymph nodes or into the organs in the body. Any changes should always be investigated urgently by an experienced breast specialist. It is harder and more expensive to revise implants once complications occur and cosmetic results may not be as good.

Common Questions

How long does the operation take?

Breast augmentation is a low risk surgical procedure if done with the right specialist surgeon and in the right hospital. Mr Turton uses specialist techniques and the surgery takes around 60 minutes. One of the major goals of Mr Turton’s technique is to perform a near bloodless dissection. It is done under a general anaesthetic with an experienced team.  Mr Turton will always schedule you for an overnight stay when you are under his care, for your enhanced safety and comfort, and this has remained  the preference of his patients for over 15-years.

Is it painful?

Mr Turton injects a long-acting local anaesthetic into the deep tissue before the implant is placed and the incision closed, so when you wake up the breast area often just feels tight straight after surgery. Usually a paracetamol and ibuprofen combination is then all that is required to managed tenderness and an ache.

The operation

We conduct a full preassessment in advance of surgery so that on the day everything is relaxed and un-rushed. You are told when to arrive at the hospital and you will have been instructed when to fast from (no food or drink after this time please). We allow a good amount of time to settle you into your own private room. Most patients  will relax and watch a film or use the complimentary wifi. You can of course bring a friend or your partner. You will have a further check from our nursing team to ensure you are well on the day. You are always seen in person by Mr Turton and the breast care nurse. A series of photographs are taken and your will have markings drawn on your breasts which serve as guidance during the operation. The option for incision will usually have been made in clinic. Although it is possible to use the areola or under-arm area the optimum place to reduce complications is in the crease just under your breast .

When can I drive?

  • Individual advice varies
  • From 4-days to 2-weeks

When can I return to work?

  • Usually after 1-week, but avoid lifting please. If your job involves lifting, you will need 2-weeks minimum.

How do I decide on the size of the implants?

  • Take advantage of Mr Turton’s 3D Crisalix simulation of your before and after results. At your consultation a 3D scan will be taken, and the advanced software will show you your body as it is now in 3D and as your surgeon is planning for your results with implants. This is one of the best ways to help you decide.
  • Asking for a natural shape and proportionate augmentation is common and advised
  • The average natural breast size in the UK is a “B” cup. Most patients desire to be a “C” or “C-D” cup, but as body frame size is variable the actual shape and width of the breasts is more important than any ‘bra size’ measurement.
  • Bring pictures with you, & review your surgeon’s album
  • Listen to your Mr Turton’s advice about your optimum size implants based on his expertise, very thorough assessment of your tissue characteristics and starting point
  • There are specific cosmetic techniques that can be used to give you a proportionate result
  • If you have a lot of breast sag (nipples close to the lower breast fold or below), implants on their own do not give a nice result. If one breast has more sag than another you will still notice differences after implant surgery, unless you have a mastopexy (uplift) to correct it. The degree of difference you have prior to surgery is therefore important to understand. Patients with a lot of breast sag (ptosis) may require a mastopexy (uplift) at the same time (mastopexy-augmentation) or if it is severe, doing the mastopexy first, waiting four months then having the augmentation. Some patients may have an augmentation and then decide on a mastopexy to improve the nipple position at a later date. Read my section on mastopexy-augmentation in the Uplift Information Sheet.

To see anonymous pre and post operative photos of patients who have had Breast Augmentation Surgery performed by Mr Turton in his Cosmetic Breast Surgery Leeds practice, please review the images section.

 

Risks and complications

As with any surgery there are associated risks. In general the sort of complications we see are minor swelling, and dull aches during the first week. Bruising is usually very minor or not at all. You can get loss of nipple sensation, although this usually recovers in a few months. Redness around the scar usually settles naturally with scar maturation.

There are some uncommon risks for example haematoma, seroma, and infection which on occasion may require further surgical intervention. You are monitored closely after surgery and have our contact number after discharge if you require assistance after discharge form the hospital. Our hospital remains open 24-hrs per day and 365 days per year.

Uncommon complications include ALCL a type of lymphoma in the tissue capsule around the implant.. Please read Mr Turton’s Augmentation Information Sheet thoroughly. Further detailed information provided by Allergan is very useful to read and can be found here.

Get in touch with us today to find out what will work best for you.

 

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