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, 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. 

Your surgeon will help you determine the best size for you by using a 3D simulation app to help you visualise how the size and shape of the implants may look.

At 111 Harley St., we also provide you with the opportunity to feel the implants and try the implants on to gage an idea of the weight, feel, and how they will look when wearing clothing.

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

The surgeon will 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.

After around six weeks, the results of the breast augmentation surgery will begin to be visible. 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 you’ve opted for under the muscle placement, 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.

Enhancing the appearance of your breasts doesn’t always require a breast augmentation. Depending on your aesthetic concerns, you may require a combination approach to breast enhancement or a single procedure. It’s important to remember that there is not a ‘one-size-fits-all’ approach to breast enhancement, and each pair of breasts is unique and come in various shapes and sizes. Many factors may influence your decision, including, scarring options, implant types and side effects, and overall look and feel.

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.

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

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.

The duration 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.

During the consultation, we will perform an analysis of the facial anatomy and the changes to the structure that signify ageing.  You may wish to combine this with a brow lift and neck lift to achieve optimal results.

We can perform a facelift as a day case procedure under general anaesthesia. However, we can administer a local anaesthetic for less extensive cases.

Generally, the operation aims to lift the skin by separating it from the fat and muscle below. The surgeon will tighten the underlying SMAS muscle and membrane, hoisting and trimming the excess skin. If the operation involves addressing neckbands, an incision is made under the chin, and the muscles may be tied together to smooth their appearance. Depending on the method adopted, the surgeon may staple the incision, and use non-dissolvable sutures to close the incision around the ears. The surgeon will remove the stitches and clips within two weeks after surgery, depending on how you are recovering.

Occasionally, we may place a temporary drain under the skin behind your ear following the surgery to remove excess fluid, though this is usually not necessary. Your head will be wrapped in bandages immediately after surgery to minimise bruising and swelling for 24 hours.

We may recommend minimally invasive submental liposuction around the neck and chin to improve the contour of the jawline. In other instances, you could combine the operation with a fat transfer to restore volume to the facial contours. Or, with a brow lift and blepharoplasty to address ageing around the eyes.

A mini facelift minimises scarring and dissection, concealing the incision site as much as possible. Usually, incisions are placed within the hairline or behind the earlobes, and the soft tissues (and occasionally muscle) and the surgeon lifts and trims the excess sagging skin. Dissolvable sutures secure the skin in place. As the incisions are much shorter, the results of a mini-lift are less dramatic.

Many patients can benefit from a facelift as young as their thirties and as old as their eighties. It’s important to remember that a facelift does not stop, reverse or slow down ageing. Performing a second and third facelift later on in life is a possibility.

A facelift works by lifting the skin to smooth its appearance but will not prevent external forces from affecting the skin’s elasticity, bone loss, and muscle weakening. It also cannot prevent wrinkles and lines from forming or address other age-related concerns such as pigmentation.

A good candidate might be someone who has (but is not limited to) neck banding, fat accumulation around the neck, loss of jawline structure and deep lines around the mouth. A facelift patient will achieve the best results when they have treated their skin in the years leading up to their procedure, as collagen and elasticity will be enhanced.

Improvements will be visible upon the removal of your cast. Over six months to a year, your nose will continue to change shape. During this time, swelling should reduce and you should start to see the final results towards the end of 1 year.

Most patients return to work between 1-2 weeks after the operation. Swelling, bruising and numbness after a traditional facelift typically last for 6-8 weeks which will subside gradually. Significant swelling should subside within 10-14 days. We will require you to wear a facial support garment for 24 hours. Numbness may take 4-6 weeks to resolve. Overall recovery usually takes around two weeks, and vigorous activity can resume after four weeks. Sutures are removed about 5 to 10 days after surgery.

We will provide you with aftercare instructions following your procedure. However, general recommendations and aftercare advice include trying to keep the head elevated and as still as possible for a couple of days after surgery.

The incisions and scarring vary depending on the case. They’re usually inconspicuously made around the ear, concealed within their natural folds. They often begin just above the hairline at the temples, extending in a natural line from the front of the ear just inside the cartilage and continuing behind the earlobe to the lower scalp.

We usually recommend the use of Kelo-cote  for three months to help minimise scarring. We also advocate the use of our complimentary dramatic healing serum – the product contains healing ingredients proven to reduce the appearance of scarring. Our light therapy system Celluma can also reduce scars.

This minimally-invasive procedure requires a local anaesthesia with the possibility of IV sedation to minimise downtime.

The surgeon will make a periareolar incision which encircles outline of the areola to conceal scarring.

They will then remove the excess area of the areola and re-stitch to the surrounding skin. The scarring becomes virtually undetectable as it’s hidden within the perimeter of the areola.

Both men and women may benefit from areola reduction if they do not like the size or the appearance of their areolas.

It’s a suitable procedure for those with:

• Asymmetry
• Large areolas – due to genetics, breastfeeding, or weight loss

Depending on the severity, areola reduction could also address the puffiness of the areola. It can be an option for tuberous breasts where the areola is often disproportionately large in comparison to the breast. Correcting tuberous breasts would require a combination of corrective techniques.

INVERTED NIPPLE

You should see immediate results, but optimal results will show after around two weeks.

NIPPLE REDUCTION

After ten days, the nipples should be healing well, but optimal results will show between 3-6 months.

NIPPLE REMOVAL

After around two weeks. You may have a small scar which will fade over time.

NIPPLE LIFT

Results will be immediate, but you may have swelling that lasts for a few weeks.

Recovery is approximately one week. You may wish to take a couple of days off work, after which point, you can return. We may require you to wear a surgical bra for 2-6 weeks while the areolas heal. During this time you might also see some bruising around the site which will resolve within the coming weeks.

The procedure takes about two hours.