Breast Enlargement

 

1.    Background information
 
2.    Patient Pathway – What to expect!
 
3.    Implant used
 
4.    Complications
 
5.    Prices

 

To see pre and postoperative photographs on patients that I have operated on in the past (photographs shown with patient consent) please follow the link to realself.com. A greater number of pre and post operative photographs can be seen at consultation. www.realself.com/find/United-Kingdom/Manchester/Plastic-Surgeon/Sohail-Akhtar#photos

 

1. Background Information

 

Surgery to enlarge the Breast has become very popular over the last five years and is now the most commonly preformed cosmetic surgical procedure in the Uk.

 

Breast Augmentation as it is formally referred to as in medial literature but also known as breast enlagement an boob job is performed for two main reasons. I’ve observed two specific groups of patients who have attended my clinics requesting help to improve the appearance of the breast area. Either a patient has a small breast size to start with or the patient sees me after having children and the patient has noticed a deflation of the breast volume. The reason for the procedure becoming more popular over the last five years is the improvement in breast implants that are available and this combined with continually improving knowledge and refinement of surgical technique which now allow for good aesthetically pleasing results with low complication rates. Aesthetic results following breast augmentation are also now very natural looking and the tell tale signs of obviously fake breasts have been significantly reduced. My patients are often surprised by how natural the breast look and feel after surgery.

 

2. Patient Pathway- Breast Augmentation – What to expect!

 

  • Booking a consultation -Patients contact my PA and arrange for a consultation at a clinic

    • This appointment will be in one of the private hospital in which I attend such as the BMI Highfield Hospital in Rochdale or The Wilmslow Hospital in Cheshire and between the two hospitals I see patients for breast augmentation from the Manchester, Cheshire, Liverpool and Blackpool areas. I also see breast augmentation patients at the BMI Huddersfield Hospital and from here I am able to offer services to Halifax, Huddersfield and the Yorkshire area.

 

  • The consultation -

    • History - In the consultation I take a thorough history from the patient to include details of how the condition affects the patient, patients expectations, pregnancy and breast-feeding history and any family history of breast disease/cancer. I also ask about which medications taken regularly including whether the oral contraceptive pill is taken and whether the pill is oestrogen based or not. I inquire about whether the individual smokes and if so how much. Knowledge of patient’s employment is also useful particularly if there is any heavy manual work involved.

    • Examination - Examination is then performed and this involves taking measurements of the breast dimensions, as this is a very useful guide as to which size, shape and type of breast implant is best suited to a particular individual. I will then discuss with the patients as to which type of implant is best suited for that individual and how best to place the implant. I will then suggest an implant size range best suited for the patient.

    • Expectations and limitations - We then look through a range of pre and post pictures of my previous patients who have consented to have their photographs shown and from this I can give you a feel of how the result with look, highlighting benefits for the individual as well as limitations.

    • The prcedure/ recovery and complications - I will then discuss post op recovery expected as well as complications that one should be aware of.

    • Trial of implant - Finally, I will then suggest trying different implants in the clinic to give a guide to how the breast will look following surgery based on the implant sizes I have suggested. I then recommend my patients reflect on what has been discussed and should they want to proceed to breast augmentation I then suggest a short second consultation to address any questions and also to help consolidate the information from the first consultation.

 

  • The procedure

    • If you would like to proceed then a date for surgery is booked, pre operative photographs are taken and a pre operative assessment is arranged to look for any issues that may cause a problem with the anaesthetic. The surgery is performed under a general anaesthetic (patient is asleep) and the procedure takes approximately 90 minutes. A majority of the procedures are performed as a day case and usually without drains. Occasionally patients are required to stay overnight.

   

  • Post op

    • I organise to see you a week to ten days later for your first post op check, you ensure the wound is healing and there are no concerns. I am always happy to see you sooner should you have any concerns. I will then organise to see you again at six to eight weeks following surgery to ensure the shape of the breasts have developed adequately. In the first six weeks you should expect the implants to appear high on the chest and also smaller than expected as your skin will be pushing the implant flat and it is only once the skin has stretched that the final result has been achieved.

TSF 415

TSF 385

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