Breast Augmentation Surgery, Cheshire & Manchester

 Treatment Time:

 1 – 1.5 hours

Hospital Stay:

One Night

Walking:

Day one

Bathing:

Showers after 3 days, no bathing until healed.

Driving

3 weeks

Exercising:

8 weeks

Aftercare

Sports Bra for 6-8 weeks

Time Off Work:

2 weeks for sedentary roles

A Breast Augmentation, commonly known as a ‘boob job’ involves a Surgeon inserting implants into your breasts to increase your cup size, correct asymmetry or replace volume in the breasts which has been lost after pregnancy and breast feeding.

It is the ideal procedure for ladies who are unhappy with the present size or volume of their breasts and is sometimes combined with a Breast Uplift (Mastopexy).

 

The Results

The results are usually great and the majority of women are delighted with their new shape.

It is normal for the breasts to be a little swollen after the operation and it can take a number of months to see the final results.

Silicone implants have been extensively investigated and found to have no association with any diseases. we use high quality implants from reputable companies.

Reviews From Patients

``You've changed my life..``
“Mr Lambe was excellent, he makes you feel at ease I knew I could trust him. I love my results he’s done an awesome job. This man knows what he’s doing there’s no doubt about that, I would recommend him to anyone as he listen to what you want and if it’s possible he will give you that look.. he has a 3D sizing too I found that really helpful to see what my results would be and they are the same! I can’t thank mr Lambe and his team inuff.. you’ve changed my life”
MeghanDidsbury
``A truly able and talented surgeon``
“I absolutely love my results. I couldn’t have asked for better Mr Lambe is the best, he’s so professional and is good at his job… boob god! I’m so glad I went to him he’s given me my confidence back I can’t thank him enough… I want to the spirDidsburysbury it was out of this world beautiful hospital”
Mrs GCheshire
``I'm 22 years old and have always been paranoid...``
“I’m 22 years old and have always been paranoid about my breasts, so a Couple of months ago I decided to do something about it, I heard Dr Lambe was one of the best so I went for a consultation and booked in straight away. 1 month later I had my surgery where everyone took care of me and I have never been happier! I am so much more confident about my breasts now and love how natural they look. Thank you so much.”
TamaraManchester


 

FAQ About Breast Implant Surgery

  • Before-Breast Augmentation Surgery
    After-Breast Augmentation Surgery
    Before Breast Augmentation Surgery After
  • Before-Breast Augmentation
    After-Breast Augmentation
    Before Breast Augmentation After
  • Before-Breast Augmentation
    After-Breast Augmentation
    Before Breast Augmentation After

A Breast Augmentation is an operation to increase the size of a woman’s breasts. This is most often performed by inserting a silicone implant into each breast but modest increases can also be achieved using the fat transfer method.

The most important thing is to have an open consultation. For a patient undergoing a Breast Augmentation, the key decisions are: A) Choosing the right size for you B) Choose the position of your implant
By size we mean do you wish to be a D or a double D like your friend? Each individual is different so what suits your friend will by no means mean that that particular size would look right on your chest.  To ensure you make the best decision for you we now have new virtual reality 3D technology which allows you to be scanned, see your “virtual reality” self in the mirror and change the size of the implants to see how you would look with a variety of sizes to achieve the look you want.  You can even take the images home to discuss with your friends, family or partner. By position we mean whether the implant is inserted under the breast alone or under the chest muscle. It is covered with muscle in patients who are slimmer on the top part of their chest and you can test this yourself by pinching the tissue on the top part of one of your breasts, a 2cm thickness is ideal but if you are unsure your Surgeon will make the final decision with you.

Choosing the size of your breast implant used to be a very difficult decision and many patients would regret choosing a size that was too big or too small to achieve “the look” they aspired to. However, we now have an amazing new technology that is able to scan you as a 3D model into an application on an Ipad and then simulate a number of different sizes and shapes of implants and how they will look on your body. These can then be visualised using the 3D Virtual Reality application from Crisalix. I am able to share these images with you so that you can view your virtual reality post op result at home and discuss the choice with your husband, partner, friends and family. This really gives you the best chance of making the right decision. If you wish to preview a different size you can request this via the application and I am able to upload additional simulations without you having to come in again for a further consultation.

Choosing the size of your breast implant used to be a very difficult decision and many patients would regret choosing a size that was too big or too small to achieve “the look” they aspired to. However, we now have an amazing new technology that is able to scan you as a 3D model into an application on an Ipad and then simulate a number of different sizes and shapes of implants and how they will look on your body. These can then be visualised using the 3D Virtual Reality application from Crisalix. I am able to share these images with you so that you can view your virtual reality post op result at home and discuss the choice with your husband, partner, friends and family. This really gives you the best chance of making the right decision. If you wish to preview a different size you can request this via the application and I am able to upload additional simulations without you having to come in again for a further consultation.

Patients often say that they know a friend who has had a Breast Augmentation and they had a particular sizes or shapes of implants. It is very important to remember that every woman is different in size, shape, ribcage, amount of breast tissue they start with and how much volume their breasts can accommodate. All of the above factors influence the final result greatly so therefore you cannot hope to get exactly the same result as a friend and this is why we now use the VR system which is personalised to you.

Your Breast Surgery can be done as a day case meaning you do not have to stay in the hospital overnight. The surgery is done while you are asleep (under General Anaesthestic) and it takes approximately one hour. A small incision, approximately 5cm long is made in the new breast crease and using a special instrument that seals blood vessels as it cuts, a “pocket” is carefully made to hold each implant. The implant that you have chosen is then carefully positioned. In order to reduce any infection we clean the skin again and use a special funnel that prevents the implant touching the outer skin. This helps to reduce a complication known as capsular contracture that can affect implants in the long term. The wound is then stitched together with 3 layers of dissolving stitches and a dressing is applied to keep your stitches clean and dry.

You should feel comfortable as Local Anaesthetic is injected into the wound and the pocket and so you will be able to go home the same day. You should wear a soft and supportive sports bra and rest at home. You should only need paracetamol for any pain and you should keep the wounds clean and dry.

There has been a lot of controversy surrounding Breast Implants in recent years. Back in the 1990s there was alarm that patients may had been developing diseases that were related to Breast Implants. People were concerned that arthritis and chronic fatigue syndromes may have been associated with Breast Implants and so a huge investigation was performed in the US looking into all the data and it quite firmly concluded that there was NO association between these conditions and breast implants. Patients can develop illness despite having Breast Implants and these conditions can occur in those that have Implants in place but it does not mean the Implant has caused the disease and this is what the FDA concluded.

PIP Implants were made by a French manufacturer and at one point in the Company’s history they started using non-medical grade silicone to fill the implants in order to save money and this was illegal. A number of patients had these Implants which had poor quality silicone fillings and they leaked or ruptured leading to symptoms and problems.  I have spoken on this issue hear more.  I only use the highest quality breast implants made in Germany by Polytech. I am certain that these are made to a very high standard and they come with a warranty. Here is a link to the details of the warranty.

Capsular contracture is a problem that can happen long term with Breast Augmentations and this is when a scar forms around the Implant that gradually becomes harder over time. It is normal for the body to form a scar around the implant and this is known as a capsule but when it becomes hard it can give rise to ripples or can change the shape or position of the implant. To counteract this problem, I therefore use polyurethane coated implants which reduce this complication as they have the lowest incidence of capsular contracture. Other issues include infection and this is why I take numerous precautions to prevent infection as this can mean the implant will need to be removed. Low grade infection can also lead to an increased rate of capsular contracture.

It can take up to 6 months for all of the swelling to completely subside after breast surgery and so you should wait until then before treating yourself to expensive new underwear to show off your new feminine shape!

Your implant is placed through a small incision (or cut) in the crease of the breast, measuring approximately 5cm. This is closed with a dissolving stitch and trimmed when you are reviewed after 2 weeks. (They shouldn’t be tampered with before this!)
All patients are repaired with the same technique but the final scar depends on how you heal and this is not under the control of the Surgeon. Usually the scars will start pink and then fade to a silvery line but in rare cases they can become thick and lumpy, this is known as a hypertrophic scar and very rarely keloid scars can develop, these are scars that spread outside the original incision site. These can be treated over time. Fortunately, most patients develop very good scars!
All operations are done under direct vision where any bleeding is controlled. There is a small chance that you can bleed after any surgery and develop a haematoma (or solid swelling of blood). This would require a return to theatre to stop the bleeding point. The implant can then be replaced if necessary.
Most breasts are asymmetrical (non-identical) and there are always some small differences which will be addressed at a consultation (as some can become more obvious post-op) but most great Surgeons will try and address these slight differences during the operation.
All implants develop a scar around them known as a capsule and this is perfectly normal. However, over time in some patients the capsule can become hard, painful and change the shape of Polyurethane implants have a lower incidence of this particular ca complication which is why Mr Lambe uses them.
Anaplastic Large Cell Lymphoma (ALCL) is a very rare cancer that MAY be associated with breast implant capsules. Approximately only 3 in 100 million women in the US are diagnosed per year. The relationship between breast implants and ALCL is unclear and is currently under investigation.
No particular cup size is guaranteed but every effort is made for the patient to pick an implant of the correct dimensions to achieve the look they want. A fantastic development in ensuring patients are happy with their new breasts is to use 3D modelling software which enables patients to be scanned and have a clear picture of what they will look like post surgery.
You must allow time for all post-op swelling to settle before assessing your final size and buying new bras. The implants tend to sit a little high to start and settle under the influence of gravity into a more natural shape over time. This varies in each individual but is generally between 8-12 weeks.
The breast is lifted up to create a space for the implant and this can stretch the nerve to the nipple sometimes leading to either temporary or permanent change in sensation in the nipple area.
A soft cotton sports bra is best to wear post-op with no under-wiring so that it does not rub on any incisions. It is often more comfortable to have a front fastening style as the less stretching initially, the better the scars will heal.
Implant companies can only guarantee their implants for 10 years for legal reasons but they do not wear out in 10 years. If your implants are not causing you any problems and you are happy with them you do not need any further surgery.
Breastfeeding should be perfectly possible after a Breast Augmentation and there is no evidence of an increase in silicon in breast milk.
Shaped implants may rotate but the chance of this is reduced by careful dissection of the pocket and the use of textured implants which is why Mr Lambe uses them.
You will need a private consultation to discuss your personal requirements as everyone is different.