Breast Augmentation

Breast augmentation, also known as a boob job, breast enlargement or breast implants is the UK’s most popular cosmetic surgery procedure for women.


Breast enlargement is a surgical procedure to enlarge or reshape the breasts. It involves the addition of a breast implant via a small incision under the breast. It is typically requested by women who seek to alter the shape and size of their breasts to achieve a fuller appearance.

A breast enhancement procedure is often selected by women who may have a naturally smaller breast size. This may be due to a decrease in the size of their bust following pregnancy, breastfeeding, or weight loss.

Whatever your reasons are for wanting a larger breast size, our expert Consultant Breast Surgeons will work with you to ensure that you receive reassurance and honest advice about your breast surgery options and breast implant choices. Finding your confidence and happiness after your operation is what we work hard to achieve.

What happens at a Breast Augmentation Consultation?

During your consultation, you will talk about your goals and expected outcomes as well as hearing recommendations from your surgeon about the ideal implant type, size, and shape. They will detail what to expect from your breast enlargement procedure whilst also informing you of all risks associated with breast implant surgery.

Your breast enlargement decisions

There is an entire range of options and decisions that you will be required to make for your breast enlargement procedure. Our breast surgeons are experts in helping you to understand the differences and pros and cons of each one so that you can make an informed decision.

There are many different reasons why patients choose to have breast enlargement surgery. These include personal preferences and lifestyle changes. A breast enlargement procedure is most suitable for patients with small boobs / breasts. Common reasons include:

  • Increase fullness and/or size of breasts.
  • Breast asymmetry can be improved if different sizes are used.
  • May improve sagging (an additional breast uplift may be needed for considerable sagging)
  • Can help increase lost volume after pregnancy, breastfeeding or weight loss.
  • Feeling confident in your clothing.

There are several types of breast implants. The most commonly used are saline breast implants or silicone implants.

In the UK, silicone implants are the popular choice. Silicone is a safe and durable material that is able to achieve a natural look and feel to the breasts.

Saline implants are breast implants that are filled with sterile salt water. They are not commonly used in the UK. Saline implants are known to be more visible under the skin compared to silicone and can feel hard and firm.

Breast Implants are sized by CC which stands for cubic centimetres not by cup size. Most patients have an idea in their mind about which cup size that they want to be, together with that information and after being measured, our expert surgeons can provide recommendations for which size of implant they feel is going to give the best result.

The same sized implant on two different patients can give hugely different results as it all relies on the patients existing breast tissue, body frame and the amount of available skin.

Find out more about breast implant sizes here.

Breast Implant’s come in a variety of different shapes which will give different results. Round implants are the most popular choice in the UK as they are very well suited to the majority of patients. Round implants can give volume to both the upper and lower breast due to their spherical shape.

Teardrop implants or anatomical shaped implants are used when a more natural result is wanted. The implants will give more volume to the bottom of the breast and are ideal for patients who have very little natural breast tissue in order to achieve a natural result.

As well as different sizes and shapes, breast implants also come in a variety of different profiles. The most common four are low profile, medium profile, high profile, and extra high profile. The profile of a breast implant determines how wide the base of the breast implant is. The correct profile for the patient usually depends on the width of the chest so that the implant does not exceed the width of the breast giving an unnatural appearance.

Breast implant placement refers to where the breast implant sits within the chest, traditionally over (sub glandular) or under (submuscular) the breast muscle were the two options. Over or in front of the muscle is when breast implants are placed over the chest or pectoral muscles, it is the most straightforward option and is known to have a quicker recovery time. Under or below the muscle is when implants are placed below the pectoralis muscle. It is a common placement for patients who don’t have a huge amount of existing breast tissue to help achieve a more natural result.

However surgical techniques have advanced a lot since then and more often than not, what was known as under the muscle is actually being performed as a dual plane placement which is where the upper portion of the implant is placed under the pectoral muscle, but the lower portion is left uncovered. This variation lessens the risk of implants feeling high and tight on the chest and a less complicated procedure.

There are a selection of different breast implant incisions sites, but under the breast within the inframammary fold is the most commonly used in the UK. The majority of our surgeons use a Keller funnel to insert the implant meaning the incision is usually between 3-5cm. A Keller funnel is a device used by breast surgeons to insert the breast implant into the chest pocket without the need to touch it. This reduces the risk of bacterial contamination as well as reducing the size of the incision required.

Other breast enlargement incisions include the arm pit (transanxillary Incision), nipple (periareolar incision) and belly button (trans-umbilical breast augmentation /TUBA).

The breast enlargement incision will be closed using dissolvable stitches which are commonly used in many medical procedures. This means you will not require the stitches to be taken out, but our team of nurses will be able to check on the stitches at your follow-up appointments should you feel concerned.

Patients who have asymmetric or tuberous breasts will require a more personalised approach to their breast enlargement surgery depending on what results they are hoping to achieve.

Our breast surgeons are very experienced in tailoring their procedures to ensure that patients get the best results. Patients may require additional breast uplift or reduction procedures or different sized implants to help correct the asymmetry.

Breast asymmetry or Tuberous Breasts can be corrected as part of a breast augmentation procedure however, complete symmetry cannot be guaranteed after any type of breast surgery procedure.

Find out more about Breast Asymmetry Correction here.