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Why choose 111 Harley St. for Breast Augmentation

  • We are with you every step of the way and make sure you feel comfortable during the whole process.
  • We offer a wide range of implants to provide you with a completely customisable approach to breast augmentation.
  • We offer both under muscle placement or over the muscle placement according to the patient’s anatomy and visual goal.
  • We use Crisalix during your consultation to give you a virtual simulation of your breast augmentation outcome.
Breast Augmentation London

Why choose 111 Harley St. for Breast Augmentation

  • We are with you every step of the way and make sure you feel comfortable during the whole process.
  • We offer a wide range of implants to provide you with a completely customisable approach to breast augmentation.
  • We offer both under muscle placement or over the muscle placement according to the patient’s anatomy and visual goal.
  • We use Crisalix during your consultation to give you a virtual simulation of your breast augmentation outcome.

Your Breast Augmentation Journey

A breast augmentation surgery can enhance the shape and size of your breasts through inserting implants into the breasts. The surgery can be tailored to your aesthetic goals based on your existing anatomy and limitations. Breast augmentation surgery may be performed in conjunction with a breast lift and areola/nipple reconstruction if necessary.

Breast Augmentation Before and After

Meet Dr Yannis Alexandrides MD FACS
Board Certified Plastic Reconstructive Surgeon
Member of UK General Medical Council Specialist Register

Dr Yannis Alexandrides
Dr Yannis holds numerous qualifications & memberships
  • MD – Qualification as a Doctor
  • FACS – Qualification as a Surgeon
  • UK GMC Specialist Plastic Surgery (GMC)
  • American Board of Plastic Surgery (ABPS)
  • EU Board of Plastic Surgery (EBOPRAS)
  • Greek Board of Plastic Surgery (HESPRA)
  • International Society of Aesthetic Plastic Surgery (ISAPS)
  • American Society for Aesthetic Plastic Surgery (ASAPS)

Dr Yannis Alexandrides is a member of over six globally-certified boards and societies for plastic surgeons, each committed to promoting and maintaining the highest standards of procedural innovation, efficacy and clinical care. Dr Yannis is also the only fully active member of ASAPS that practices within the United Kingdom, giving him unique access and understanding to surgeries that are created and performed in the United States.

ASAPS
ABPS
GMC
ISAPS

He is a widely renowned Plastic Surgeon with internationally recognised societies, qualifications and merits to his name, His unique skill are often sought out by celebrities, musicians, politicians and even royalty. After training in America and practicing in the United Kingdom, Dr Yannis is the epitome of a global medical presence as such he was voted as ‘The Top 100 Doctor’s’ on premier Plastic Surgery review website, The RealSelf. He is the founder of luxury skincare brand 111SKIN, which reflects his own philosophy of medical innovative and preventative care.

Dr Yannis’ Vision of Beauty

Stemming from his focus on prevention, not intervention, Dr Yannis created 111SKIN. The brand, initially focused on post-treatment healing of the skin, has grown to be a globally recognised presence in the market. Each collection is inspired from his patients own niche skincare concerns, utilising innovative ingredients, medical delivery systems and luxurious, sustainable packaging to deliver truly efficacious results.

Encouraged by how well-received the 111SKIN brand was and his own ideas of holistic health, Dr Yannis also founded 111SKIN+ and 111SPA/CLINIC. The first is a temperature and light technology system that biohacks the body for optimal wellness, while the latter is the sensorial brand of the 111 tree, a revolutionary concept in luxury spa. Reflecting Dr Yannis’ approach of holistic aesthetics, the 111 family is integrative beauty at its finest.

Breast Augmentation techniques at a glance

Incision Type

Under The Breast

The surgeons make an incision under each breast, where the breast meets the chest. This incision type works well for those who have large breasts, as the scar can be concealed in the crease.

Around the Areola

Making an incision around the areola is a virtually a scar-free option. The incision point is barely visible due to the colour and texture of the areola. It’s preferable for those who need a lift.

Under The Armpit

The surgeon makes the incisions under the armpit. Residual scarring is not visible when the arms are elevated.

Implant Placement

Under the Muscle

+ Results yield a more natural look. Ideal for smaller breasts.
+ Lower chances of risks such as rippling, capsular contracture and bottoming out.
– Surgery is more invasive and therefore, maybe more uncomfortable after the procedure and can cause a little more bleeding.
– Breasts may ride high, and ‘fluff and drop’ after around six weeks.
– If a patient has thin skin, sometimes the implants can become visible through the skin and look more unnatural.

Over The Muscle

In most cases, Dr Yannis Alexandrides prefers to adopt an over the muscle approach as he believes the results can be more favourable as it involves less pain and faster recovery.

+ Relatively less invasive, and therefore less discomfort post-op.
+ Implants have more freedom of placement, e.g. if you’d prefer more cleavage.
+ Faster recovery for the patient.
– Results look less natural.
– Stretch marks are more likely.
– Rippling may be more apparent.
– Risk of capsular contracture and bottoming out is higher.

Implant Type

Silicone

+ More natural look and feel.
+ Less likely to rupture than saline.
– Though rupture of silicone implants is more unlikely if it does occur it can often go unnoticed and cause pain in your breast or change the shape of them.
– More of a long-term risk with silicone gel.

Saline

+ A long history of safe use.
+ Can give a more discreet scar as they can be inserted empty and provides more flexibility with filling the implant.
– Results feel less natural.
– Prone to wrinkling under the skin.
– Can potentially rupture at an earlier time (though the body can absorb the saline upon rupture without the body facing harm, replacement would still likely be required.)

Motiva

Dr Yannis Alexandrides favours the use of Motiva implants and doesn’t use saline implants in the practice. They can look like a teardrop-shaped implant when standing but look rounder when lying down. They provide very natural-looking results and are made from ProgressiveGel Ultima Silicone Gel and can offer many benefits that traditional implants cannot.

+ Can narrow cleavage or give a cleavage boost.
+ Can address significant asymmetry.
+ Are suitable for breast reduction (with implants) when the patient desires lifted-looking breasts that are not deflated.
+ Preferable for those that want natural-looking breasts.

Implant Shape

Round

• Rotate freely, so will not change shape if the implant turns.
• Rounder appearance.
• Can help achieve more fullness in upper pole of the breast.
• May look more artificial.

Teardrop

• More natural appearance of the breast shape.
• Might give preferable results for flatter chested women.
• Slight increased risk of rotation of the implant.

Breast Augmentation FAQs

What’s the first step in organising a breast augmentation procedure?

Your breast augmentation journey starts with the consultation. It’s during this time in which you can discuss how you would like your new breasts to look, the type of implant used (saline or silicone), the shape, the procedure itself, risks and potential complications, your medical history and aftercare. We’ll also examine the breasts to get an idea of what we can achieve.

You may wish to bring someone with you to your consultation, as it’s common to feel nervous, anxious or excited, which could cause you to forget your initial questions. It’s worthwhile to take voice notes or bring a notepad with you, as you may find the amount of information provided overwhelming. However, we will do our best to ensure that it’s as digestible and concise as possible so that you feel completely confident and assured in your decision.

The end goal should be a more aesthetically pleasing appearance for your initial shape. Choosing a size too large may result in complications at a later stage such as back and neck pain, stretch marks, sagging, and possible rupture. Your surgeon will help you determine the best size for you by using sizers as well as using a 3D simulation app to help you visualise how your preferred implant size and shape may look.

What does a breast augmentation involve?

A breast augmentation is performed under general anaesthetic and may require an overnight stay in hospital. 

The surgeon will then make an incision either below the breast, around the areola or under the armpit. 

Working through the incision, the surgeon will lift the breast tissue and skin to create a pocket which is usually either directly behind the mammary tissue or underneath the chest wall muscle. 

The surgeon places the implants centrally beneath the nipples and closes the incisions with stitches. You'll then be bandaged with a compression garment.

When can results be seen and are they permanent?

After around six weeks, the results of the breast augmentation surgery will begin to be visible, and swelling should have subsided. However, this varies from patient to patient, depending on the speed of healing. Over the next several months, the implants will begin to soften and settle into their final position.

If your implants have been placed behind the muscle, the breasts may appear slightly higher due to the tension on the pectoralis muscle. The implants will ‘drop and fluff’ after around six weeks as the muscle starts to relax, and the implants shift from the upper portion of the breast to the lower pole.

Smooth or textured implants?

Smooth implants can be more prone to displacement. Textured implants feel a little firmer and can be both round or teardrop-shaped. The texture helps the implant adhere better to the breast tissue. Using a textured implant reduces the risk of capsular contracture and ‘bottoming out’.

What does 'drop and fluff' mean?

In what's known as the 'drop and fluff' process, breast implants will begin to soften as the chest tissues stretch and the implants settle in their pocket into their final position. This process can take several months and is normal. Until then, the breasts may remain firm and sit high on the chest and may look unnaturally full in the upper pole of the breast.

The 'drop and fluff process' happens whether you have saline or silicone, or round or teardrop implants. 

Breast implants placed partially under the muscle take longer to settle than those placed over the muscle. It's also not uncommon for one breast to drop faster than the other.

The 'drop' refers to when the skin stretches and the muscles start to relax, causing the implants slowly shift downward and outward.

The 'fluff' refers to when the implants fill out the lower pole of the breast, taking on a more natural teardrop shape.

Understanding this process and having patience is particularly important. Your surgeon may recommend that you wear a breast band or strap and give you breast massage techniques to practice during this phase.

What does high, low and moderate profile mean?

Projection relates to how high the implant should be and how perky the breasts appear. Low projection implants are quite flat and therefore don't provide much volume. 'Moderate profile' refers to average projection. High profile gives a perkier shape. 

What implants does Dr Yannis Alexandridis prefer to use at 111 Harley St.? 

Dr Yannis Alexandrides favours the use of Motiva Ergonomic breast implants that come in a wide variety of shapes and sizes that allows us to achieve the best results. They have a particular gel that appears round in the horizontal position. In the standing position, they become more teardrop looking and look more natural. They have the benefits of the anatomical implant, without the increased chances of rotation. Also, these implants have a new nanotexture. The belief is that this texture does not lead to the rare type of lymphoma that other types of textured implants have done in the past.

How long is recovery?

Recovery varies from patient to patient, but we encourage patients to be as healthy as possible before surgery to accelerate the speed of healing.

As your mobility may be limited for the first one or two weeks, you may wish to consider taking a week or so off work and arrange help with driving, childcare etc. The general recovery time is six-eight weeks.

Will there be scarring?

The severity of scarring will depend on the extent of your tummy tuck procedure. Generally, an incision is concealed along the underwear line. It can take up to a year for the scar to begin to fade. 

If you have good skin laxity and don't require much removal of excess skin or fat, a mini tummy tuck might be the best approach. A full tummy tuck might involve some muscle tightening, removal of excess skin and liposuction. Therefore, the operation is more invasive and would leave a more significant scar. 

Are breast implants suitable for tubular breasts?

Depending on the circumstances, breast implants can be used to improve tubular breasts. However, this depends on the patient and the complexity of the issue. It's a more complicated procedure than a standard breast augmentation. 

I don't want breast implants. What are my options?

If you don't like the idea of breast implants, fat injections are suitable for small breasts. A breast fat transfer can increase the size of the breasts by 1-2 cup sizes and uses the patient's fat. However, the operation does come with its risks and side effects such as lumpiness, mammogram implications, and fat reabsorption. 

How long does the procedure take?

The length of the procedure varies on the extent of the surgery itself. If you require a breast lift in addition to breast implants, this will take longer. Typically, it takes around 1 ½ hours to 3 hours perform the procedure.

Will there be scarring?

No matter how skilled the surgeon, there will always be some scarring left behind when performing a breast augmentation procedure. You can discuss the incision placement with your surgeon before proceeding. If the incision is placed under the armpit or around the areola, scarring will be less visible. In any case, scarring should fade significantly over two years. 

If scarring is of great concern with you, we recommend Fraxel scar revision technology or Endermologie as a treatment plan as part of recovery.

Side effects and risks

Side effects and risks include (but are not limited to): loss of sensation on the nipple and breast, puckering of the breast (ripples), asymmetry (creasing or rotating of the implant), extrusion (implant becomes visible through skin), hematomas, infection, redness, swelling, scarring, inflammation, bruising, blood clot, soreness and pain, necrosis, and palpability (feeling implant through skin).
 
If you experience any complications following a previous breast enlargement surgery, you may require a replacement or revision surgery.

RUPTURE, DEFLATION AND LEAKAGE
Despite the excellent quality of many implants, there's still a possibility of unexpected rupture when the implant tears or splits which can cause the breast to shrink, change shape, or size. A rupture can be particularly problematic with silicone implants as the silicone is not well tolerated by the body. As a result, patients can develop granulomas and lumps, or their breasts may deflate (saline) and reduce in size. On the other hand, saline will be metabolised by the body and will pass as urine.

CAPSULAR CONTRACTURE
Capsular contracture occurs when the scar tissue around the implant shrinks around one or both implants. A capsule will be graded depending on its severity. At grade three or four, the cosmetic symptoms are more apparent, and the breast may look misshapen and feel hard. At this point, it's worth considering having the capsule removed. 
There are ways to minimise the risk of capsular contractures, such as opting for saline implants over silicone and having the implants placed over the muscle. However, many other factors can contribute to the formation of capsular contraction. Your surgeon will work with you to choose the safest option and minimise risks where possible.

BOTTOMING OUT
'Bottoming out' is an unwanted side effect of breast implants. It's more likely to occur when implants are placed over the muscle.
Bottoming out occurs when the implant drops, which creates an unwanted line under the natural crease of the breast, known as the inframammary fold. Pregnancy increases the risks of these occurrences, as well as opting for an implant that is too large. Bottoming out and the double bubble effect can usually be differentiated because with 'bottoming out', the nipple or areola might be visible above the bra or bikini.  

DOUBLE BUBBLE EFFECT
This complication can present a similar appearance to 'bottoming out'; however, it occurs when the implant is pushed upwards or if the pocket is not strong enough to support the implant. The breast tissue sits below the implant, giving the appearance of two breasts or breast folds. 
It can also occur when the pocket for the implant is made below the existing inframammary fold, and the weight of the implant creates a new fold whereby there is skin or a 'bubble' poking out in between the two folds.

RIPPLING
Rippling of the skin on the breasts can occur when the implants are too large and may also occur if implants are placed over the muscle. Rippling is also more common with saline implants.

REVISION SURGERY AND CHANGING OF IMPLANT
Breast enlargement surgery can carry risks (as with all surgeries). If you've experienced any of the possible complications as mentioned above, you may require a change of implant(s) as part of a revision surgery.

The possible complications usually present themselves within the first year but can also develop within the first several years. We recommend that prospective patients wait at least six months before considering a revision surgery to minimise future risks. The breasts will continue to evolve during this time and having a second operation requires much thought and consideration.

If you decide to proceed with revision surgery, we will address the problems you've faced with your previous surgery. Depending on the concerns, the implants may need to be removed or replaced. In other instances, we may not need to remove or change the implant but will make changes to the appearance of the breast instead.

Watch Dr Yannis Explaining: How To Pick A Surgeon

Prices for Breast Augmentation start from £5995

Technologically Advanced
We combine the most advanced surgical and non-surgical treatments from the US and Europe, enabling us to provide bespoke treatment plans that aim to satisfy patient needs.
Expert Practitioners
We believe in continuous learning and insist our surgeons, nurses and all support staff receive ongoing training in the UK and overseas, ensuring patients receive the highest level of medical standards and expertise.
Trusted Heritage
Our flagship practice is located in the heart of the Harley Street medical community, globally recognised as a centre of medical excellence. We have been here since 2001 and have been growing from strength to strength.
£200 Consultation Fee* – What’s included?

1. You will be consulted directly with the surgeon.
2. Price quoted will include your aftercare and follow-up appointments.
3. Patient promise covers you from medical complications.
4. Complimentary bottle of Dramatic healing serum given post surgery.*fee redeemable against cost of surgery
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