Breast Enlargement (Boob Job)

Patient Background

Sarah* came to see me in the early part of this year to enquire about a breast augmentation. She is 32 yrs old and had 2 children and had decided that she did not want any more children. She had started back to work in an office role but since having her last child had become increasingly concerned about the changes in her bust. She had breastfed both of her children and had been pleased with the initial increase in her bust size she had while breastfeeding she felt overall more in proportion but her breasts became very much smaller after breastfeeding finished and she had developed a slight droop too.

First Breast Enlargement Consultation

Sarah* wanted to know about the length of time she would have to be off work as she was keen to have her cosmetic surgery done fairly soon but did want to take much time off work as she was only recently back after having maternity leave with the children.

I explained that the first 3 days tend to be the most uncomfortable but after that the vast majority of my patients are able to return to office-based work.

Questions at Consultation

She was keen to know about the types of breast implants and whether I used silicone or saline breast implants. I explained that all breast implants are made of a silicone shell and then the inside is made of a gel which is silicone too but much more pliable. I explained how old-style implants were more prone to rupture but that the modern ones very rarely fail and if they ever did I am able to remove them without any silicone spill as they are similar in texture to a jelly baby when it is cut in half.

I explained about the breast surgery taking one hour under general anaesthetic and that I close all of my wounds with 3 layers of dissolving stitches and that I would see her in 10 days post op, then 6 weeks after that and 6 months after that and also provide her with lifetime cover for her breast implants too.

She was keen to know if she needed her implants to go under or over her muscle and I could see from looking at the top of her chest that she was very slim so answered that it was most likely she would need a dual plane technique in which I cover the top half of the breast implant with her muscle and this is by far the most frequent technique I now use on patients who have little excess fat in their chest area.

She wasn’t sure about whether to have a shaped or round implant and so I scanned her in to our Crisalix 3D software and was able to simulate the shaped implant and round implants in a range of projections for her. She was quick to decide on her favourite 2 implants but wasn’t sure and therefore I gave her full written information and discussed possible dates for the operation and made an appointment to see me again. More FAQs can be found below.

Second Consultation

At her second Consultation, she had some questions about getting back to the gym after surgery. She was not into lifting heavy weights but I explained that I let people go back to upper body weight lifting after 4 weeks but exercises that are low impact like the bike are able to be re-introduced after only 10 days.

Breast Enlargement Options

She had a further look at the 2 implants and used the Boob Goggles to confirm that she wanted to go with the 250cc round implants and so I ordered the implants that day and completed her booking form. I then took her pre op pictures so that all we had to do on the day was a quick mark up of where I was going to insert the implants.

The Day of Surgery

On the day of surgery she came with her husband and I was pleased to see she didn’t have any other questions other than could she go first on the list as she was hungry!
All went well in theatre and as she was coming from a distance she stayed overnight in the hospital. I like to see all my patients the next day as they often have more questions about bras which I advise to wear when the patient feels comfortable and I recommend using a sports bra with a front zip as this is more practical and comfortable than stretching round the back.

Post Operative Care

I then saw her again 10 days later and removed the dressings and check the wounds are healing nicely. I also trim a little suture that I leave coming out of the skin.

She was very happy with her initial appearance and had very little swelling.  After 6 weeks she was overjoyed as she now was able to wear clothes that she previously could not and because she had not opted to go too big she was able to avoid people noticing in work but when she wanted to wear low cut dresses she was getting flattering remarks from her friends and colleagues.

Patient Feedback

 I was recommended to visit Mr Lambe when I decided to have a Breast Enlargement. He was extremely thorough in my Consultation and asked to see me again before we went ahead with the breast aug surgery to ensure I was completely happy to go through with it.

He uses 3D goggles which give you a really good idea of how you will look with different sizes. I am currently 2 months post op and I am delighted with my results! They look so natural (which was very important to me) I am so happy now when I look in the mirror!

Mr Lambe is such a professional and a perfectionist which is clear in his amazing work! I wouldn’t trust anyone else with my body. I would recommend him to anybody, you will be in very safe hands. Thank you so much for giving me so much confidence and Thank you to all the amazing staff at the Manchester Spire who looked after me so well!