Breast augmentation/enlargement surgery requires an incision to be made in the breast so that a surgical grade implant can be inserted behind or in front of the chest muscle, underneath the natural tissue. When the implant is in position, the incision will be closed with stitches, and depending on the patient’s individual circumstances, these may dissolve or may need removing at your first pre-operative appointment in clinic.

The procedure requires going under general anaesthesia and is expected to take between approximately 60 minutes, depending on the extent of surgery required.

When the day of your surgery arrives you will be greeted at the hospital by our staff and shown to your comfortable and spacious room. They’ll be a quick check-up to make sure you’re feeling well and healthy enough for the operation and then you’ll be taken to theatre for the surgery.

The operation, which will take two hours, will then begin and the implants you have selected will be placed either behind or infront of the breast muscle.

A nurse will perform a series of checks on your health prior to your surgery, so we request that you come in for an appointment. Here you will be checked for MRSA as well as possibly undertaking a urine or blood test. We just want to make sure there are no complications further down the line and calm any nerves or anxieties you might have!

Your surgeon will also check your chest and take photos so that we have a medical record before the changes occur. Please use this opportunity to ask any questions or raise any concerns and our amazing team will be happy to help.

After this surgery, you will be able to go home on the same day however you will be required to wear a sports bra for several weeks to help your breasts settle. We will also arrange for you to come in for further appointments after one week, two weeks and six weeks. This way we can manage your progress and also give you the support so you don’t feel alone and anxious about any complications.

Please bear in mind that everyone recovers at their own rate, but avoid your normal activities for at least 2 weeks.

Our aftercare programme put you at the centre and our staff are committed to helping you at every stage of your recovery. We’ll be in contact with a 24/7 support line to connect you to our industry-leading nurses and make sure you are completely happy with your surgery.

At Pall Mall Cosmetics we recommend the use of Mentor, the market leaders in terms of breast implants in the UK with both FDA and CE approvals. There is also a range of other implants available.

Your surgeon will discuss the best implant options for your individual cosmetic requirements during a free of charge consultation. If you prefer an alternative brand, the surgeon can talk to you about the pros and cons of the implant and whether it is suitable.

If you decide to proceed with your breast surgery, Pall Mall Cosmetics will arrange for this implant to be selected for your procedure.

Mentor Implant Warranty

Free implant replacement in the rare event of rupture or deflation as part of the Mentor Promise Protection Plan for up to 10 years. You will also receive financial assistance.

Financial assistance for capsular contracture (Baker Grade III/IV), double capsule and late seroma complications for up to 10 years.

Lightweight Implants: B-Lite

We are pleased to be able to offer B-Lite implants. B-Lite implants are up to 30% lighter than other implants and are suitable for women who are active in the gyms or regular partake in other sports. B-Lite implants also often require less recovery time and women endure less pain. If you would like to know more about this option, your surgeon will gladly discuss this with you during the consultation.

How do I choose the size, shape and profile of a breast implant?

Undergoing breast enlargement is an important decision and one that should not be rushed. Part of that decision is to ensure you choose the correct and most appropriate size of breast implant.

Each person is different – a certain size and profile in one person might look completely different in another. Many patients will know a friend or colleague who has had breast enlargement and like their results – again, the implant size/profile they had may not be suitable for you and the look you want to achieve.

During your consultation, your chosen Breast or Plastic Surgeon will:

• Listen to what you want to achieve
• Discuss what options exist
• Recommend what is most suitable for you to achieve the look you are hoping for
• Show you the options and, using specially designed “sizers”, will give you an idea of the end outcome

Many previous patients of Pall Mall have positively commented how refreshing it is that our Surgeons didn’t simply agree to whatever they wanted – but actually discussed the advantages & disadvantages of each option and recommended what was best and most suitable. Some Surgeons at other clinics will just agree with whatever the patient says – we don’t do this at Pall Mall! It is a huge decision for you and it’s important you understand all the options available to you.

As no two bodies are the same, breast implants come in a variety of sizes to suit different shapes and frames. The two most common shapes of implants are round and anatomical (teardrop shaped). Round implants are generally used to achieve a more dramatic, uplifted look with volume at the upper part of the breast, whereas teardrop shaped implants create a more natural, discreet look.

Another term to look out for when considering implants is ‘profile’. This is a guide to how far the implant will stand out or ‘project’. High and extra high profiles will achieve a larger projection whereas medium and low achieve a more subtle effect.

• Implant size is measured in cubic centimetres (cc) not bra cup size. Larger implants mean a larger “cc”
• Implant profile or projection is based on the side profile/distance of the implant from your body

All of our highly skilled & experienced surgeons go through a rigorous Practising Privileges process at Pall Mall Cosmetics, hold substantive NHS posts across the North West and hold full indemnity insurance.

Our specialist Consultant Plastic & Breast Surgeons are registered with BAPRAS (British Association of Plastic, Reconstructive and Aesthetic Surgeons) and/or BAAPS (British Association of Aesthetic Plastic Surgeons) accredited so you receive the gold standard of patient care and a commitment to excellence in aesthetic surgery.

We work with many amazing surgeons for Breast Augmentation & Enlargement:

• Mr Ramachandran Prasad – Consultant Breast Surgeon
• Mr Vummiti Krishnan – Consultant Breast Surgeon

And more.

Our cosmetic surgery service is consultant-led, meaning you get to meet your chosen surgeon at each and every consultation you require. This will be from the first visit and the same surgeon who will performs your surgery.

Our breast surgeons are highly attentive, providing quality time to answer all of your questions and provide you with a thorough consultation and aftercare service.

It is a myth that all implants need to be replaced 10 years after the original procedure. Many women have not needed an implant change 20 years after their original procedure, whereas some may need it in less than 10 years. Implants typically require to be removed and/or replaced if:

• There is a rupture/deflation of an implant

This is very rare and in such cases, the implant manufacturer will provide free of charge implant replacement and financial contribution to the replacement surgery.  Pall Mall Cosmetics may also waive our surgeon, anaesthetist and hospital fees.

• Capsular contracture takes place

Again, this is very rare. Should this occur, you may be entitled to free of charge implant replacement and financial assistance from the implant manufacturer. Pall Mall Cosmetics may also waive surgeon, anaesthetist and hospital fees.

• The appearance of breasts has changed due to: Weight loss / Child-birth / Natural ageing process or a desire to change implant size

Breast Augmentation is a big decision and our surgeons will work with you to ensure you are choosing the optimum size and profile implants for you. However, women sometimes wish to change their implant size & profile in later stages of their life – for various reasons.

At Pall Mall Cosmetics, our surgeons will discuss all aspects of the implants with you – risks of implants, etc. Should you require implant removal or replacement, our team of Patient Coordinators and Surgeons will walk you through the whole process.

Breast Mastopexy (Uplift)

Breast implant removal & replacement

Breast Reduction Surgery

Breast enlargement surgery is the most popular cosmetic procedure for women in the UK and indeed worldwide. Each woman has a different reason for wanting the procedure – some may feel their breasts haven’t developed as much as they’d desire, some women believe their breasts are not symmetrical, some women undergo changes to their body that has affected the shape of their breasts, and some women are simply not happy with their breasts!

In our experience, the most common reasons women opt for breast enlargement surgery include:

• Breasts are underdeveloped or not fully developed – even after puberty
• Asymmetrical breasts
• Tubular breasts (tuberous)
• Post weight loss
• After pregnancy
• Simply enhance the shape, size & fullness of existing breasts to achieve the desired look!

For many women, the breasts play a huge part in levels of confidence and self-esteem! After surgery, most women will see numerous psychological benefits, and say that they:

• Have higher levels of confidence & self-esteem
• Are able to wear a wider range of clothes that they couldn’t previously wear – strapless dresses, bikinis, bathing suits, new bras…
• Feel confident to go on holiday, go out with friends, live freely in general!
• Have an increased feeling of femininity
• Feel happier with their symmetry of the bust!

The NHS does not commonly carry out breast augmentation or enlargement surgery unless there is an associated and significant distress or pain. For this reason, many women choose to have the procedure done at a private healthcare clinic such as Pall Mall Cosmetics. There is no waiting list, and you do not need any referral to have an operation performed.

We can ensure your safety at our CQC (care quality commission) regulated hospital in Newton-le-Willows and city centre clinics in Manchester, Liverpool or Leeds. Our surgeons mostly come from the NHS, so you get the same quality of surgery, but in a safe, clean and professional private clinical environment.

Placement: Under the muscle, over the muscle or partial?

Implants can be placed in 3 different locations – under the muscle (“submuscular”), over the muscle (subglandular” or retromammary) or partially below the muscle.

Over the muscle: implants as placed above the pectoral (chest) muscles, yet beneath your skin/fat/glandular tissue. This is often most suitable if you either already have breast tissue or your breasts are deflated and you wish to restore their original shape.

Under the muscle: implants are placed behind the muscle, and is most suitable if you have small breast and little breast fat/tissue. This method of placement may provide a more natural and subtle look, however, it is sometimes more difficult to insert larger breast implants.

Where the implant is placed depends on you and your desired outcome. Each option has its own advantages and each person will be more suited to a particular placement. The surgeon will discuss this in full with you during your consultation.