Breast Enlargement

Incision Types

UNDER THE BREAST

The surgeon makes 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 Shape

The Motiva Ergonomix implant is a hybrid implant, and is a round implant that looks more like an anatomical implant when upright, but with a bit more upper-pole fullness.

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.

Implant Placement

An over the muscle approach is usually preferable as it involves less pain and faster recovery.

UNDER THE MUSCLE

PROS

• Results yield a more natural look. Ideal for smaller breasts.
• Lower chances of risks such as rippling, capsular contracture and bottoming out.

CONS

• Surgery is more invasive and may be 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

PROS

• 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.

CONS

• 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

Your surgeon will discuss the best implant type for your needs. Dr Yannis Alexandrides favours the use of Motiva implants and doesn’t use saline implants in our 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.

SILICONE

PROS

• More natural look and feel.
• Less likely to rupture.
• Less rippling and wrinkling.

CONS

• Though rupture of silicone implants is 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.

MOTIVA

PROS

• Can narrow cleavage or give a cleavage boost.
• 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.
• Suitable for smaller chested women.

CONS

• Some patients don’t like the idea of the microchip technology in the implant, but you do have the choice to opt out. It can be useful for collecting medical data or if you require a re-operation.

Other Breast Augmentation Options

Fat Transfer To The Breast

A fat transfer extracts fat through liposuction. The surgeon will purify the fat and re-inject it back into the breasts. Since the fat is a natural substance taken from the patient’s body, it’s a more natural approach to breast augmentation that carries fewer risks.

Fat transfer to the breasts is generally suitable for women who have excess fat (that may be residing in undesirable areas) and are looking to increase their breast size by 1-2 cup sizes. Fat can be removed from areas like the thighs, flanks, bra rolls, hips or any other areas. It’s an ideal option for those looking to take advantage of the body sculpting benefits that this operation offers, by distributing fat in a more aesthetically-pleasing way.

Why 111 Harley St?

• We are with you every step of the way and make sure you feel comfortable during the whole process. You will have complimentary follow-up appointments to assess your progress and healing.
• During your consultation, we will discuss your aesthetic goals until we have reached an agreement on what size will be the most appropriate for you, focusing on ‘enhancement’ of your natural self. At 111 Harley St., we offer a wide range of implants to provide you with a completely customisable approach to breast augmentation.
• We are one of the few clinics that provide both over the muscle and under the muscle placement according to the patient’s anatomy and visual goal.
• Here at 111 Harley St. the patient’s satisfaction is of utmost importance to us, and we ensure that anyone considering a breast enlargement is aware of all the surgical options available.
• We are one of the few providers that will offer the armpit incision as it requires an endoscopic technique and special equipment and a surgeon who is highly-skilled and trained.
• At 111 Harley St., we favour 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.