Breast augmentation (enlargement) or implants are an option for
women dissatisfied with the size of their breasts, when the breasts
do not form properly and in some cases of asymmetary.
here for detailed information about breast augmentation and implants.
Mr Davis does breast augmentation for a fixed price. Please either
email or phone us for the current fixed price and to be sent more
detailed information about breast augmentation. If you are having
this surgery, you should ensure that the highest quality implants
are used. Mr Davis uses implants manufactured in the UK with Form
Stable cohesive silicone that feel and look very natural. They have
a lifetime guarantee from the manufacturer for rupture and severe
capsular contracture (download
EXAMPLES OF BREAST ENLARGEMENTS IN MY PATIENTS
Point to each image
Plastic surgeons perform breast surgery for reconstruction
following cancer surgery, to correct congenital deformity
and for the reduction of large breasts. In each case the desired
objective is an aesthetic breast mound proportional and appropriate
for the physique of the patient.
The same principles apply to breast augmentation or enlargement.
There are many decisions to be made before breast augmentation
and the appropriate choices vary between patients. Below is
a summary of my own personal philosophy.
An estimate of the appropriate volume can be made
by measurements of the breast base and adjustments made according
to the “look” wanted.
Most of my patients want a natural look so that people cannot
tell they have had breast enlargement surgery or implants.
I think it important to have a size that in proportion with
If the breast implants are too large or incorrectly positioned
they will look unnatural and there will be more gravitational
effects and stretching of the breast envelope over time.
At the consultation a range of implants within the appropriate
size range are trialled within a surgical bra. When coming
to a consultation please bring a top that fits closely to
your chest and covers up to the base of your neck.
I use implants filled with a cohesive silicone gel. Reports
during the 1980s that silicone may be linked to breast cancer
or connective tissue diseases have now been conclusively shown
to be incorrect.
This literature involving many thousands of women is now
available. Silicone is used widely in many implantable medical
devices such as Hickman lines for chemotherapy.
Saline implants can feel like a bag of water and slosh around.
The outer shell is still made of silicone. Old silicone implants
had an internal consistency like treacle and could therefore
leak if they ruptured.
Modern silicone implants have a consistency like rubber and
do not leak even if the outer shell ruptures. The implants
I use are 85-90% filled. Decreased fill increases the risk
of wrinkles whilst an increased fill can look and feel unnatural
in some women.
Implants can have a smooth or textured surface. I use a
textured surface because this distributes the vectors of overlying
scar tissue and lessens the chance of a capsular contracture (see
The two main shapes are round or anatomical. In more than
90% of cases I use a round implant. I use an anatomical implant
in women who have a very thin medial upper pole so that the implant
outline cannot be seen when they are wearing a low cut dress.
The modern round implants are very soft and form an anatomical
shape when they are upright. In most women there is sufficient subcutaneous
tissue in the medial upper pole for implants to remain unnoticed.
Round implants are significantly cheaper than anatomical implants.
This is a joint decision and I will use whichever implant a patient
Above or below muscle
I put more than 80% of breast implants in the subglandular
position above the muscle. I reserve the submuscular position for
those women who have a very thin upper pole.
The breast implant can only be partially placed below muscle and
the muscle thins out and becomes relatively deactivated with time.
The risk of postoperative pain and bleeding is increased with submuscular
placement. Cavity bleeding increases the risk of capsular contracture.
Submuscular implants may move abnormally during muscle contraction
with normal exercise.
I usually use a submammary incision below the breast during my breast
augmentation surgery. This cannot usually be seen when viewed undressed
from the front. The average incision length is four cm (for up to
350cc implants). If the implant ever needed to be changed this same
incision would be used even if another incision had been used initially.
This incision gives the best view of the implant pocket to stop
The periareolar incision is acceptable for breast implants less
than 300cc. However some breast ducts must be cut during insertion
which could affect breast feeding and I worry about bacteria within
the superficial ducts contaminating the implant.
The axillary incision was popular in the US for a long time but
the incision can be seen with sleeveless dresses.
The first 24 hours after breast implant surgery are the
most uncomfortable. A dull ache is normal and is well controlled
by oral analgesics.
You are able to shower the next day. The foam tape may be removed
after day five and the breasts supported with a well fitting sports
bra. Avoid bras with an under wire.
It is possible to return to office jobs after two to three days
but a longer break is more sensible.
Strenuous exercise, gym work, heavy lifting and vigorous driving
should be avoided for at least three weeks.
Sutures dissolve by themselves and the incision should be taped
for three weeks
Smoking is strictly prohibited during healing. A supporting bra
helps maintain optimal breast skin long term.
RISKS AND COMPLICATIONS
Mr Davis will cover these risks and others in your consultation
about your breast augmentation.
|Infection, pain, bleeding
||Can happen in any surgical procedure.
||Very uncommon for a scar beneath breast.
||Usually temporary but occasionally patches can be permanent.
||Some pre-existing breast asymmetry is normal. Any asymmetry
postoperatively should be minor. The implant may move after
||1:20 may develop a capsular contracture. Correction may require
a further procedure.
||Surface rippling on the implant may be seen through skin.
||Possible after severe infection or radiotherapy.
||Possible after trauma or mammography.
For a website with some further information and background on breast
augmentation click here >>