BREASTS

 

A woman’s breasts are often central to her physical identity. Traditionally, for a variety of reasons, plastic surgeons spoke of breast ‘enhancement’ or ‘reduction’ and not much else in-between. The reality is, many patients that I see are seeking some form of breast rejuvenation.

 

I have done unique research with colleagues to define the optimal way of placing breast implants so they are concealed for a natural look and feel, without the nuisance of a ‘dynamic breast deformity’ which occurs when implants are placed under the muscle and the implants move when the muscle moves. A natural feeling breast is paramount and in most uplift and reduction procedures I ‘recycle’ much of the displaced or redundant breast tissue to enhance the breast appearance whist uplifting and/or reducing at the same time. We call this ‘auto-breast enhancement’ because it’s a natural transformation.

  • Breast Enhancement /

    Augmentation, ‘Boob Job’

    This is one of our most common procedures and Mr Saleh has been invited nationally and internationally to lecture on his research and philosophy for enhancing the breasts.

    The breast implants we use are made of medical grade silicone and have a long track record of safety and we have never used PIP implants. Depending on the findings during your assessment, Mr Saleh will discuss with you whether under the breast, under the muscle, or a partial under the muscle augmentation will give you the best result to meet your preferences.

     

    MINUTES IN THEATRE

    60-90

    NIGHTS IN HOSPITAL

    0/1

    DAYS BEFORE YOU CAN DRIVE

    7

    DAYS BEFORE YOU CAN RETURN TO WORK

     

    14

    WEEKS BEFORE YOU CAN RETURN TO A GYM

     

    8

  • Breast Reduction

    Another very common procedure and arguably the one which generates the most satisfaction amongst many of our patients. A breast reduction does not only rejuvenate the breasts but it also has major functional benefits and shouldn’t be regarded as merely a cosmetic procedure.

     

    Reducing the size of the breasts can dramatically improve the neck and back pain associated with large breasts, and makes wearing clothing more comfortable. The scar used to reduce the breast tissue is often described as an inverted “T” or anchor shape. The vast majority of scars settle very predictably and are difficult to see once the scars mature.

     

    It is Mr Saleh’s preference to reduce the tissue BUT to also recycle some breast tissue to leave a rejuvenated natural shape of the breast.

     

    An increasing number of men are discussing and seeking surgery to improve their appearance. Often referred to in popular culture as ‘moobs’ the development of breast tissue and/or fat under the nipple can be distressing for men and inhibit an number of activities, having a profound effect on psychosocial well-being.

     

    Mr Saleh will consult with you to discuss your exact requirements if this is the surgery that you seek.

     

    HOURS IN THEATRE

    2.5

    NIGHTS IN HOSPITAL

    1

    DAYS BEFORE YOU CAN DRIVE

    7

    DAYS BEFORE YOU CAN RETURN TO WORK

     

    14

    WEEKS BEFORE YOU CAN RETURN TO A GYM

     

    6

  • Breast Uplift / Breast Mastopexy

    &Augmentation Mastopexy

    A breast lift aims to rejuvenate the appearance of the breast by removing and tightening the skin of the breast to restore the shape and to move the nipple and areola back to their original position in youth. A major change in the breast tissue position can occur after pregnancy and the combination of a breast lift and tummy tuck is often called mommy or mummy makeover. We dislike this term because it implies you need some form of makeover following the natural process of having a family. The reality is, these are natural changes to the body but we have effective procedures like the mastopexy, to reverse them should you feel this will have a positive impact. Mr Saleh also thinks of this procedure as an ‘auto-augmentation’ where the breast uplift also appears as if volume has been restored, by re-positioning the loose tissue into a proper position on the chest without needing implants.

    In some cases breast volume is lost following dieting or pregnancy or through the ageing process. This can be significant and an auto-augmentation uplift is not enough to restore the breast appearance. In such cases you may want volume replacement and this is best achieved by using an implant, plus the uplift. This is nearly always done together, in one operation, but on occasions, depending on your case, it may be best done in separate procedures to get the optimal result.

     

    HOURS IN THEATRE

    2.5

    NIGHTS IN HOSPITAL

    1

    DAYS BEFORE YOU CAN DRIVE

    7

    DAYS BEFORE YOU CAN RETURN TO WORK

     

    14

    WEEKS BEFORE YOU CAN RETURN TO A GYM

     

    6

  • Breast Fat Transfer / Lipofilling

    Women that want a natural tissue solution to enhance the breast size can consider a fat transfer. This is a method whereby your own fat is taken in a specific way from parts where there is fat under the skin, and the fat is processed and reinjected into the breasts to enhance the volume. This method of enhancement can mean more than one procedure because placing too much fat transfer in one sitting can lead to problems with the fat not ‘taking’ to its new position in the breast.

     

    HOURS IN THEATRE

    1

    NIGHTS IN HOSPITAL

    0

    DAYS BEFORE YOU CAN DRIVE

    7

    DAYS BEFORE YOU CAN RETURN TO WORK

     

    7

    WEEKS BEFORE YOU CAN RETURN TO A GYM OR SWIM

     

    6

  • Breast Implant Exchange

    Many women that have breast implants can have changes in the breast tissue in relation to the position of the implants over time. The natural changes in anatomy, particularly during and after pregnancies can have a particular effect on how implants may appear. Therefore, it is not uncommon to seek a further rejuvenation of the implants which typically means removing the existing ones, modifying the natural scar the body forms around the implant (the implant capsule) and placing a new prosthesis into the breast to re-establish a natural appearance. This can also involve small uplift procedures to change the nipple position as well.

     

    HOURS IN THEATRE

    1.5

    NIGHTS IN HOSPITAL

    0/1

    DAYS BEFORE YOU CAN DRIVE

    7

    DAYS BEFORE YOU CAN RETURN TO WORK

     

    14

    WEEKS BEFORE YOU CAN RETURN TO A GYM

     

    8

  • Breast Implant Removal

    If implants rupture, leak or you no longer want them we can remove the implants whether under local anaesthetic or general anaesthetic depending on your preferences.

     

    Straightforward removal of implants is possible, but this procedure is usually accompanied with auto-augmentation uplift.

     

    MINUTES IN THEATRE

    NIGHTS IN HOSPITAL

    DAYS BEFORE YOU CAN DRIVE

    DAYS BEFORE YOU CAN RETURN TO WORK

    45

    0

    7

     

    7

    WEEKS BEFORE YOU CAN RETURN TO A GYM

     

    4

  • Correction of Inverted Nipples

    Inverted nipples can be distressing, reduce the erogenous function, and have an impact on breast appearance. Mr Saleh corrects inversion using local anaesthetic as a day case procedure placing the scars within the areolar so they are well concealed and, in the vast majority of cases, very difficult to locate once the scar matures.

    MINUTES IN THEATRE

    NIGHTS IN HOSPITAL

    DAYS BEFORE YOU CAN DRIVE

    40

    0

    5

    DAYS BEFORE YOU CAN RETURN TO WORK

    WEEKS BEFORE YOU CAN RETURN TO A GYM

     

    7

     

    2

  • Nipple/Areolar Reduction

    For a variety of reasons, the size of the nipple and/or the areola can increase over time. This can be a functional nuisance and reduction can be performed as a day case procedure under local anaesthetic with quick recovery.

     

    MINUTES IN THEATRE

    45

    NIGHTS IN HOSPITAL

    0

    DAYS BEFORE YOU CAN DRIVE

    5

    DAYS BEFORE YOU CAN RETURN TO WORK

     

    7

    WEEKS BEFORE YOU CAN RETURN TO A GYM

     

    4

  • Gynaecomastia Surgery

    An increasing number of men are discussing and seeking surgery to improve their appearance. The development of breast tissue and/or fat under the nipple can be distressing for men and inhibit a number of activities, having a profound effect on psychosocial well-being.

     

    HOURS IN THEATRE

    1-2

    NIGHTS IN HOSPITAL

    0/1

    DAYS BEFORE YOU CAN DRIVE

    5

    DAYS BEFORE YOU CAN RETURN TO WORK

     

    14

    WEEKS BEFORE YOU CAN RETURN TO A GYM

     

    6

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