# Paul Harris Plastic Surgeon > Mr Paul Harris is an award-winning expert plastic surgeon in Central London with an international reputation for excellence in breast surgery. Enquire today. Paul Harris is an established plastic surgeon in Central London with an international reputation for excellence in aesthetic breast surgery. He focuses on providing the highest standard of care for his patients. ## Table of Contents - [About Paul Harris](#about) - [Procedures](#procedures) - [Patient Education](#patient-education) - [News & Media](#news--media) - [Medical Conditions](#medical-conditions) - [Contact Information](#contact-information) ## About Paul Harris **Name:** Paul Harris **Qualifications:** BSc MD FRCS(plast) **GMC Number:** 3476419 **Specializations:** Breast Surgery, Implant Exchange, Implant Removal Paul Harris is an established plastic surgeon in Central London with an international reputation for excellence in aesthetic breast surgery. He focuses on providing the highest standard of care for his patients. ### Professional Memberships - Royal College of Surgeons of England - Fellow - British Association of Plastic, Reconstructive & Aesthetic Surgeons (BAPRAS) - Member - British Association of Aesthetic Plastic Surgeons (BAAPS) - Member - International Society of Aesthetic Plastic Surgeons (ISAPS) - Member ### Awards & Recognition - President (2018) - British Association Of Aesthetic Plastic Surgeons (BAAPS) - Vice President (2016) - British Association Of Aesthetic Plastic Surgeons (BAAPS) - Honorary Secretary (2013) - British Association Of Aesthetic Plastic Surgeons (BAAPS) - Medical Director of Private Care (2015) - The Royal Marsden Hospital - Britain’s Top Ten Surgeons for Breast Reconstruction (2010) - The Daily Mail - Recommended for Surgery to the Breast (2022) - Tatler ## Procedures ### What to expect with a Breast Uplift (Mastopexy) A [breast uplift](/procedures/breast-uplift-mastopexy/), or [mastopexy](/procedures/breast-uplift-mastopexy/), is a surgical procedure designed to reshape and lift sagging breasts. Over time, factors such as pregnancy, breastfeeding, weight fluctuations, aging, and gravity take their toll on the breast’s shape and firmness. Mastopexy aims to restore a more youthful and aesthetically pleasing appearance by removing excess skin and tightening the surrounding tissue. #### Initial Consultation The first step in the process is consulting with a board-certified plastic surgeon. During this consultation, the surgeon will evaluate your medical history, discuss your goals, and perform a physical examination to determine the most appropriate surgical approach. This is also the time to address any questions or concerns you might have about the procedure. The surgeon will explain the various techniques available and help you choose the one that suits your needs. #### Preparing for Surgery Preparation for mastopexy involves following specific guidelines provided by your surgeon. You may be required to undergo lab testing or a medical evaluation to ensure you are in good health for the procedure. It is essential to stop smoking, as nicotine can impede the healing process. Additionally, your surgeon may advise you to avoid certain medications and supplements that could increase bleeding. You’ll also need to arrange for someone to drive you home post-surgery and provide assistance for a few days as you begin your recovery. #### The Procedure On the day of the surgery, you will be administered anaesthesia to ensure comfort throughout the procedure. The specifics of the surgical technique will vary based on the degree of lift required but generally involves making incisions to remove excess skin and repositioning the breast tissue and nipples to a higher, more youthful position. Incisions are typically made around the areola, vertically down from the areola to the breast crease, and sometimes along the breast crease itself. #### Recovery and Results After surgery, your breasts will be bandaged, and you may be fitted with a support bra to minimize swelling and support the breasts as they heal. It’s normal to experience discomfort, swelling, and bruising in the days following the procedure. Pain medications and antibiotics are often prescribed to manage pain and prevent infection. Most patients can return to work and normal activities within a week or two but should avoid strenuous activities for about six weeks. The results of a breast uplift are immediately visible, though it can take several months for the final results to fully develop, as the swelling subsides and the breast shape settles. The scars, while permanent, will fade over time and can often be concealed by a bra or swimsuit. The enhanced breast contour and elevated position generally result in improved self-esteem and body image. #### Conclusion A breast uplift can offer a significant improvement in the appearance of sagging breasts, providing a more youthful and lifted look. By choosing a qualified surgeon and adhering to pre and post-operative instructions, you can expect to achieve satisfactory results and a smoother recovery. Always ensure you have realistic expectations and understand that while mastopexy can significantly improve breast appearance, aging and gravity will continue to affect breast shape over time. **Read more:** https://paulharris.co.uk/procedures/breast-uplift-mastopexy-guide/ --- ### What are the different implants available for breast enlargement [Breast enlargement](/procedures/breast-augmentation/), also known as augmentation mammoplasty, is a procedure that has gained popularity among individuals seeking to enhance the size and shape of their breasts. Various types of implants are available to cater to different aesthetic preferences and medical needs. This article will explore the different implant options available for breast enlargement, helping you make an informed decision. ### 1. Saline Implants: Saline implants are filled with sterile salt water. They offer a uniform shape and firmness and are favored for their safety profile. If a saline implant ruptures, the body naturally absorbs the saline solution without causing harm. These breast implants are generally inserted empty and then filled once in place, allowing for minimal scarring. However, some patients feel that saline implants feel less natural compared to other options available. ### 2. Silicone Gel Implants: Silicone gel implants are filled with a thick, cohesive silicone gel that closely mimics the feel of natural breast tissue. They are a popular choice due to their natural appearance and touch. However, regular follow-ups with a healthcare provider are recommended to ensure they remain intact, as a rupture may not be easily detectable. MRI scans are often employed to check the condition of the implants. ### 3. Gummy Bear Implants: Formally known as cohesive gel implants, gummy bear implants are filled with a thicker gel than traditional silicone implants. They retain their shape even if the shell is broken, providing a longer-lasting and natural look. These implants are also known for their teardrop shape, which offers a more natural breast contour. The downside is that they may require a slightly longer incision during placement. ### 4. Round Implants: Round implants are a common choice for achieving a fuller appearance. They are known for their ability to create ample lift, fullness, and cleavage. Due to their shape, rotation of the implant within the breast pocket does not cause a change in appearance, making them a versatile option. They are available in both saline and silicone gel forms. ### 5. Smooth vs. Textured Implants: Implant surfaces can either be smooth or textured. Smooth implants move freely within the breast pocket, which can give a more natural movement and feel. Textured implants are designed to adhere to the surrounding breast tissue, reducing the likelihood of movement and lowering the risk of certain complications like capsular contracture. The choice between smooth and textured implants depends on aesthetic goals and personal health considerations. ### 6. Fat Transfer: Another alternative for breast enlargement is fat transfer, a procedure that involves using the patient’s own fat, harvested from other body areas via liposuction. This fat is then purified and injected into the breasts. Fat transfer is often favored for those looking for a natural option without introducing foreign materials to the body. However, it may require multiple sessions to achieve the desired volume and is generally suitable for those seeking a modest increase in breast size. In conclusion, there are various types of breast implants available, each with its unique benefits and considerations. Saline and silicone gel implants are the most popular, with options like gummy bear and round implants offering additional customization. The choice of implant surface and the availability of fat transfer as a natural alternative provide further personalization to meet individual needs. Consulting with a qualified plastic surgeon is crucial in selecting the best option tailored to your body and aesthetic goals. **Read more:** https://paulharris.co.uk/procedures/breast-implant-types/ --- ### How big can you go with breast augmentation? [Breast augmentation](/procedures/breast-augmentation/) is a popular surgical procedure aimed at enhancing the size and shape of the breasts through the use of implants or fat transfer. One of the most common questions prospective patients have is, “How big can you go with breast augmentation?” The answer to this question is multifaceted, involving medical, aesthetic, and personal considerations. First and foremost, the maximum size achievable with breast augmentation largely depends on the individual’s anatomy. The existing breast tissue, chest width, and skin elasticity play crucial roles in determining how large the implants can be. Surgeons generally recommend selecting an implant size that harmonizes with the patient’s body proportions to achieve a natural look. For example, very large implants may not be suitable for someone with a petite frame, as they can cause complications such as excessive stretching of the skin, pain, and even a higher risk of implant rupture or displacement. Additionally, the choice of implant material and type can influence the size possibilities. Silicone gel implants are known for their natural feel and are available in a wide range of sizes, from 100cc to over 800cc, with some specialized options going beyond that. Saline implants also offer a broad size range but may not feel as natural. Furthermore, new advancements in implant technology, such as highly cohesive silicone gel (gummy bear) implants, allow for larger sizes while maintaining a natural aesthetic. Patient goals and lifestyle should also be considered when deciding on implant size. Some individuals seek a more dramatic change and are willing to accept the associated risks, while others may prefer a moderate enhancement that complements their physique without drawing too much attention. It is important to have an in-depth consultation with a board-certified plastic surgeon who can provide guidance tailored to individual desires and anatomical constraints. Recovery and long-term outcomes are also affected by the size of the implants. Larger implants may require more extended recovery periods and can have a higher incidence of complications such as bottoming out (where the implant descends too low on the chest), back pain, or issues related to physical activity. Patients must weigh these factors against their aesthetic goals. In conclusion, “how big can you go with breast augmentation” is not a straightforward question with a one-size-fits-all answer. It requires careful consideration of the patient’s body, the type of implants chosen, personal goals, and potential medical implications. Consulting with a qualified surgeon will help prospective patients make an informed decision that aligns with both their aesthetic desires and long-term health. **Read more:** https://paulharris.co.uk/procedures/maximum-breast-implant-size/ --- ### Does Replacing Breast Implants Have Benefits? [Breast implants](/procedures/breast-augmentation/), like any medical device, are not intended to last a lifetime. Many women eventually need to replace their implants due to various factors, and understanding the benefits of doing so is crucial for making informed decisions regarding their health and aesthetic preferences. One primary benefit of [replacing breast implants](/procedures/breast-implant-exchange/) is addressing complications that may arise with time. Implants can rupture, leading to silicone leakage or saline deflation, which can cause discomfort and asymmetry. Replacing the implants rectifies these issues, restoring the desired shape and size while ensuring the materials remain safe within the body. Additionally, revised medical technologies have led to the development of more durable and natural-feeling implants. By opting for breast implant replacements, women can benefit from advancements, such as cohesive gel implants, which reduce the risk of complications and provide a more aesthetically pleasing result. Another significant advantage is the ability to adjust the size and style of the implants. Women who had their implants placed several years ago may find that their preferences or body types have changed. Modern trends often lean towards more natural shapes and sizes, so replacing older implants can help achieve a look that aligns with current preferences and fashion. In some cases, women may choose to go smaller or larger or select a different profile that better suits their body contours. Moreover, replacing breast implants offers a chance to address age-related changes in the breast tissue and skin. Over time, factors such as aging, weight fluctuations, pregnancy, and breastfeeding can alter the appearance of the breasts. During implant replacement, surgeons have the opportunity to perform additional procedures, such as breast lifts, to enhance overall breast aesthetics and improve symmetry and firmness, contributing to a rejuvenated appearance. Finally, the psychological and emotional benefits of replacing breast implants cannot be overstated. Women may feel more confident and satisfied with their enhanced appearance, leading to improved self-esteem and quality of life. The process allows for a renewed sense of self and can be particularly beneficial for those who have experienced changes in their body image over the years. In conclusion, while replacing breast implants necessitates additional surgery, the benefits—ranging from addressing complications and leveraging advanced materials to achieving desired aesthetics and boosting confidence—make it a worthwhile consideration for many women. Consulting with a qualified plastic surgeon is essential to understand the options and tailor the approach to individual needs and goals. **Read more:** https://paulharris.co.uk/procedures/breast-implant-replacement-benefits/ --- ### Does breast implant removal cause saggy boobs? [Breast implant removal](/procedures/breast-implant-removal/) is a significant decision, and many women face concerns about the potential outcomes of this procedure, one of which is whether it leads to saggy breasts. The question of sagging, or ptosis, following the removal of implants is multi-faceted and influenced by various factors. First and foremost, the degree of sagging [post-implant removal](/procedures/breast-implant-removal/) primarily depends on the individual’s anatomy and the initial state of their breasts before augmentation. Women with naturally larger, heavier breasts or those who experienced significant stretching of the skin due to large implants might be more susceptible to sagging once the implants are removed. The skin and underlying tissues may not have enough elasticity to retract fully, leading to a droopy appearance. Another critical factor is the duration for which the implants were in place. Long-term implantation can result in stretched skin and weakened breast tissue, which might not bounce back easily when the implants are taken out. Conversely, those who had implants for a shorter period might experience less sagging, as their skin and tissues are less likely to have been significantly altered. The surgical technique used during both the placement and [removal of the implants](/procedures/breast-implant-removal/) also plays a vital role. Skilled surgeons can minimize damage to the breast tissue and skin, which can help maintain better breast shape post-removal. Additionally, some women opt for a mastopexy, or breast lift, simultaneously with implant removal. This procedure involves the removal of excess skin and tightening of the surrounding tissue, which can significantly reduce sagging and enhance the breasts’ appearance. Age is another important consideration. Younger women generally have more elastic skin that can better adapt to changes, while older women may face more sagging due to natural loss of skin elasticity over time. Lastly, it’s essential to understand that each individual’s body responds differently to surgical procedures. Some women may find their breasts maintain a satisfactory shape and firmness after [implant removal](/procedures/breast-implant-removal/), while others might experience noticeable sagging. Consulting with a board-certified plastic surgeon is crucial, as they can assess personal factors and help set realistic expectations. In conclusion, while there is a potential for sagging following [breast implant removal](/procedures/breast-implant-removal/), it is not an inevitable outcome for all women. Various factors, including pre-existing breast tissue characteristics, the duration of implant placement, surgical techniques, age, and skin elasticity, all contribute to the final result. A personalized approach and expert consultation are key to achieving the best possible outcome. **Read more:** https://paulharris.co.uk/procedures/implant-removal-sagging/ --- ### Can a Breast Reduction Help with Back Ache? Back ache is a common issue that affects millions of people worldwide, and for some, it is linked to having large breasts. The weight and size of large breasts can cause significant discomfort and pain in the back, neck, and shoulders. This leads many to consider [breast reduction surgery](/procedures/breast-reduction/), not only for aesthetic reasons but primarily for physical relief. The question then arises: can a breast reduction help with back ache? Breast reduction, also known as reduction mammoplasty, is a surgical procedure that involves the removal of excess breast fat, glandular tissue, and skin to achieve a breast size in proportion with the body. The primary goal is to alleviate the discomfort associated with overly large breasts. For many women, this surgery provides substantial relief from chronic back pain, improving their overall quality of life. Large breasts can strain the musculoskeletal system, leading to poor posture and muscle fatigue. This strain often manifests as chronic pain in the upper and lower back. By reducing the weight of the breasts, the pressure on the spine and surrounding muscles is significantly decreased, which can alleviate back pain. Furthermore, breast reduction surgery allows for better posture and more freedom to engage in physical activities without the burden of discomfort. Numerous studies and patient testimonials support the efficacy of breast reduction surgery in reducing back pain and other related symptoms. For example, a study published in the “Plastic and Reconstructive Surgery” journal found that 80% of women who underwent breast reduction surgery reported significant relief from back pain. These results are consistent with anecdotal evidence from patients who often describe the surgery as life-changing. It is important to note that breast reduction surgery, like any surgical procedure, carries risks and requires careful consideration. Potential risks include scarring, changes in nipple sensitivity, and difficulties with breastfeeding. Therefore, it is essential to have a comprehensive consultation with a board-certified plastic surgeon to discuss the potential benefits and risks, as well as to set realistic expectations. In addition to medical consultations, other non-surgical options, such as physical therapy, exercise, and supportive bras, may also be recommended to manage back pain associated with large breasts. However, for many women, these measures might not provide the same long-term relief as a breast reduction surgery. In conclusion, breast reduction surgery can be a highly effective solution for alleviating back pain caused by large breasts. It not only improves physical comfort but also enhances overall well-being and quality of life. Individuals considering this surgery should seek professional advice to make an informed decision tailored to their specific needs. **Read more:** https://paulharris.co.uk/procedures/breast-reduction-back-pain/ --- ### Considering Breast Implants? Here’s What You Need to Know Breast augmentation surgery, more commonly referred to as getting breast implants, is a choice many women consider for various reasons. Whether you’re seeking to enhance your body’s contour, rebuild your breast following a mastectomy, or boost your confidence, it’s essential to approach this decision well-informed. Here are key points to ponder if you’re contemplating breast implants. #### 1. Types of Breast Implants Primarily, there are two types of implants: Each type has its pros and cons, so discussing these with your surgeon is crucial to decide which is best for you. #### 2. Risks and Considerations While breast implant surgery is generally safe, like any surgery, it comes with its share of risks, such as infection, changes in nipple or breast sensation, and implant leakage or rupture. It’s also important to note that implants may not last a lifetime and could require replacement. #### 3. The Procedure Knowing what the procedure entails can alleviate much of the anxiety surrounding the surgery. Typically performed under general anaesthesia, the surgery lasts one to two hours, followed by a recovery period. Discussing the operation steps, recovery, and follow-up care with your surgeon is vital for a smooth experience. #### 4. Post-Surgery Expectations After the surgery, it’s normal to experience soreness, swelling, and a feeling of tightness in the chest area. Your surgeon will advise on managing post-op discomfort and when it’s safe to return to daily activities. #### 5. Importance of Choosing the Right Surgeon Ensuring your surgeon is board-certified and has extensive experience in breast augmentation is paramount. A skilled surgeon not only enhances your chances of achieving your desired outcome but also minimises the risk of complications. #### 6. Consultation is Key An initial consultation with your surgeon should include a discussion about your expectations, options, potential risks, and outcomes. This is the time to ask questions and express any concerns. Considering breast implants is a significant decision with many facets to consider. By thoroughly researching and consulting with qualified professionals, you can make an informed choice that aligns with your aesthetic goals and health considerations. **Read more:** https://paulharris.co.uk/procedures/breast-implant-guide/ --- ### Understanding Breast Augmentation: A Basic Guide [Breast augmentation](/procedures/breast-augmentation/), often referred to as a “boob job” by patients, stands as one of the most popular plastic surgery procedures worldwide. This surgical option aims to enhance the size and shape of a woman’s breasts through the insertion of breast implants. But there’s more to breast augmentation than just improving aesthetic appeal; for many, it represents a pathway to greater confidence and personal satisfaction. ## The Basics of the Procedure Breast augmentation is typically performed under general anaesthesia and takes about one to two hours. The procedure involves making an incision, through which the surgeon inserts a breast implant. There are various types of implants, mainly silicone or saline, each offering different benefits and feels. The choice between these depends largely on patient preference and the surgeon’s advice. Surgeons may place these implants either under the pectoral muscle (submuscular) or directly behind the breast tissue over the pectoral muscle (subglandular). The method chosen can affect the final appearance and feel of the breast, recovery time, and even the potential for future complications. ## Making the Decision Deciding to undergo breast augmentation is highly personal. Candidates should have realistic expectations and understand both the potential benefits and risks. Consulting with a board-certified plastic surgeon is critical to discuss goals, options, and what the procedure entails, including possible side effects like discomfort or changes in nipple sensation. Importantly, recovery varies among individuals but generally involves a period of rest followed by several weeks of limited activity. Swelling and soreness are normal but gradually subside as one heals. ## Moving Forward Breast augmentation offers a chance to reshape body contours and enhance self-image. However, it’s essential to approach this decision with care, ensuring it’s made for the right reasons and expectations are aligned with what’s achievable. A thorough consultation with a qualified surgeon can provide the guidance needed to make an informed choice. In conclusion, breast augmentation is more than just a cosmetic enhancement; it’s a deeply personal decision. With the right preparation and care, it can be a rewarding experience offering both physical and psychological benefits. **Read more:** https://paulharris.co.uk/procedures/breast-augmentation-guide-2/ --- ### The Ultimate Guide to Male Breast Reduction In recent years, the topic of [male breast reduction](/procedures/gynecomastia-surgery-2/) has gradually emerged from the shadows, breaking societal taboos and allowing men to openly seek solutions for a condition that affects not just their physical health but also their emotional well-being. This guide aims to shed light on the essentials of male breast reduction, catering specifically to those who wish to understand their options and find confidence in making informed decisions. ## Understanding Gynecomastia Gynecomastia, the medical term for male breast enlargement, can affect men at any age. It’s a condition characterised by the excess growth of breast tissue, leading to an appearance that may cause distress or self-consciousness. Several factors contribute to its development, including hormonal imbalances, weight gain, genetics, and the use of certain medications. ## Evaluating Your Options 1. Lifestyle Changes: In cases where gynecomastia is linked to obesity or weight gain, adopting a healthier lifestyle might help. A balanced diet and regular exercise can reduce fat deposits and improve the condition, although it may not eliminate the excess breast tissue completely. 2. Medication: Certain medications can lead to gynecomastia as a side effect. If this is the case, consulting with a healthcare provider about alternative medications could be a step toward resolving the issue. 3. Surgical Intervention: For many men, surgery is the most effective option for achieving a more masculine chest contour. Male breast reduction surgery, or gynecomastia surgery, involves the removal of excess breast tissue and fat, providing a permanent solution to the condition. ## Choosing the Right Surgeon Selecting an experienced, board-certified plastic surgeon is crucial. A qualified surgeon not only ensures your safety but also maximises the chances of a successful outcome. During your consultation, be open about your goals and concerns, and don’t hesitate to ask about the surgeon‘s experience with male breast reduction. ## Recovery and Aftercare Recovery varies from individual to individual but generally involves rest, wearing a compression garment, and avoiding strenuous activities for a few weeks. Following your surgeon’s advice during this period is key to ensuring a smooth recovery and optimal results. ## Conclusion Gynecomastia is a condition that, fortunately, has effective treatments available. By understanding your options and choosing the right path for you, male breast reduction can provide not only aesthetic improvements but also a significant boost in confidence and quality of life. **Read more:** https://paulharris.co.uk/procedures/gynecomastia-surgery-guide/ --- ### Male Breast Reduction Surgery: Unveiling the Benefits for Enhanced Well-being In modern society, where personal appearance and self-esteem are closely intertwined, many individuals seek surgery to enhance their physical appearance and, by extension, their quality of life. For men grappling with [gynaecomastia](/procedures/gynecomastia-surgery-2/)—a condition characterised by the enlargement of breast tissue—[male breast reduction surgery](/procedures/gynecomastia-surgery-2/) stands as a beacon of hope. This surgical procedure not only addresses physical discomfort but also paves the way for psychological and emotional benefits, contributing significantly to a man’s overall well-being. Understanding Gynaecomastia Before delving into the benefits of male breast reduction surgery, it’s crucial to understand what gynaecomastia is. Contrary to common belief, gynaecomastia is not simply a result of excess weight gain. It involves the development of glandular tissue in male breasts, leading to breast enlargement. This condition can affect one or both breasts, sometimes unevenly, and can occur at any age. The causes of gynaecomastia are multifaceted, ranging from hormonal imbalances and medication side effects to underlying health issues. Regardless of the cause, the impact on those afflicted extends beyond the physical symptoms, often leading to emotional and psychological distress. #### The Multifaceted Benefits of Male Breast Reduction Surgery 1. Enhanced Physical Comfort and Appearance The most immediate and obvious benefit of male breast reduction surgery is the improvement in physical appearance and comfort. The procedure removes excess breast tissue and fat, resulting in a more traditionally masculine chest contour. This correction can make clothes fit better and allow men to engage in physical activities without the added discomfort of excess breast tissue. 2. Boosted Self-Confidence and Body Image The psychological impact of gynaecomastia cannot be overstated. Men suffering from this condition often experience diminished self-esteem and heightened self-consciousness, particularly in situations requiring chest exposure, such as at the pool or gym. Post-surgery, the aligning of their physical appearance with their gender identity and societal norms often leads to a significant boost in self-confidence. This newfound confidence can permeate various aspects of life, from professional endeavors to personal relationships. 3. Increased Participation in Physical Activities Gynaecomastia can serve as a barrier to engaging in physical exercise or sports due to physical discomfort or embarrassment. Following surgery, the removal of this barrier not only opens the door to improved physical health through unrestricted exercise but also contributes to mental health benefits associated with regular physical activity. 4. Relief from Skin Irritations Excess breast tissue can lead to skin folds which trap moisture and cause skin irritation or infections. Male breast reduction surgery eliminates these folds, reducing the risk of such dermatological issues and contributing to overall physical comfort. 5. Long-term Health Benefits While the primary purpose of male breast reduction surgery is to remove excess breast tissue, the procedure often entails the removal of fat cells in the chest area as well. This reduction in fat cells can be a motivator for patients to maintain a healthy lifestyle post-surgery, including regular exercise and a balanced diet, which have long-term health benefits. Making the Decision Choosing to undergo male breast reduction surgery is not a decision to be made lightly. Prospective patients should consult with qualified plastic surgeons to discuss their concerns, desired outcomes, and the potential risks and complications associated with the surgery. A thorough evaluation and detailed discussion can help ensure that the patient’s goals align with what the surgery can realistically achieve. Conclusion Male breast reduction surgery offers a holistic path to recovery for men with gynaecomastia, addressing not just the physical symptoms but also fostering psychological healing and improved quality of life. By alleviating the discomfort and improving self-esteem, this procedure has the power to transform lives, allowing men to embody their most confident selves. For those burdened by the effects of gynaecomastia, male breast reduction surgery is a viable and often life-changing option worth considering. **Read more:** https://paulharris.co.uk/procedures/gynecomastia-surgery-3/ --- ### How Breast Reduction Surgery Can Ease Neck and Back Pain: A Comprehensive Guide In the realm of women’s health, the physical discomfort and pain associated with disproportionately large breasts are topics that often go under discussed. However, for many women, the chronic neck and back pain stemming from this issue significantly impacts their daily life and overall well-being. This is where breast reduction surgery emerges not just as a cosmetic procedure but as a potentially life-altering medical intervention. In this blog, we’ll explore the myriad ways in which breast reduction surgery can offer relief from neck and back pain, thereby improving quality of life. Understanding the Link Between Large Breasts and Pain The discomfort attributed to macromastia, a condition characterized by excessively large breasts, is not merely superficial. The weight of large breasts can alter posture, strain muscles, and put undue pressure on the spine. Over time, this can lead to chronic pain in the neck, back, and shoulders, and even induce headaches. It’s a condition that affects both physical and mental health, often limiting activity levels, contributing to self-consciousness, and impacting mental well-being. The Mechanics of Relief: How Does Breast Reduction Help? Breast reduction surgery, or reduction mammaplasty, involves the removal of excess breast tissue, fat, and skin, aiming to achieve a breast size in proportion with your body. But how exactly does this alleviate neck and back pain? Reduces Physical Strain: By decreasing the volume and weight your neck and back must support, the surgery can significantly lessen the strain on your muscles and spine. This reduction in physical burden can dramatically decrease, if not eliminate, the occurrence of pain. Improves Posture: Larger breasts can lead the spine and shoulders to curve forward, promoting a slouched posture that strains the back and neck. Reduction surgery can help in realigning posture by lightening the load, allowing for a more natural and pain-free stance. Expands Activity Range: For many women, the pain and physical limitation associated with large breasts deter them from engaging in exercise or other activities. Post-surgery, the decrease in breast size can make it easier to participate in physical activities, strengthening the back and neck muscles, as well as improving overall health and reducing pain even further. Enhances Psychological Well-being: Chronic pain is not just a physical issue; it takes a toll on mental health as well. The boost in self-esteem and the reduction in physical discomfort following breast reduction surgery can have significant positive effects on mental well-being, indirectly contributing to pain relief by reducing stress and tension in the body. Real-Life Impact and What to Expect Numerous studies and patient testimonials attest to the effectiveness of breast reduction surgery in easing neck and back pain. However, it’s important to have realistic expectations and understand that while many experience immediate relief after recovery, the full benefits may take time. Choosing to undergo breast reduction surgery is a significant decision and should be made after thorough consultation with qualified healthcare providers. Discussing your symptoms, expectations, and any potential risks or concerns with a board-certified plastic surgeon who specializes in breast reduction is crucial. Preparing for Surgery and Recovery Preparation is key to a successful surgery and recovery. Prior to surgery, you’ll likely undergo various tests, and your surgeon might advise you to adjust medications, cease smoking, and arrange for post-surgery support. Recovery typically involves rest, limited movement, and following the surgeon’s advice on aftercare closely. While recovery times vary, most can return to their daily activities within a few weeks, with the full benefits becoming more evident as the body heals and adapts to the changes. Conclusion Breast reduction surgery offers more than just aesthetic benefits; it’s a doorway to alleviating chronic pain and improving quality of life for many women. By addressing the physical root causes of neck and back pain, it can pave the way for a more active, healthier, and happier life. If you’re considering this procedure, remember that informed decisions start with consultations with healthcare professionals. Their expertise can guide you through understanding the potential impacts of surgery on your pain, health, and well-being. **Read more:** https://paulharris.co.uk/procedures/breast-reduction-back-pain-relief/ --- ### Breast Lift After Pregnancy: What New Moms Need to Know Becoming a mother is an incredible experience, filled with moments of pure joy, love, and significant body changes. Pregnancy and breastfeeding can take a toll on your body, especially your breasts. Many new moms notice changes in the shape, size, and lift of their breasts post-pregnancy, which can affect their self-esteem and body image. If you’re considering a breast lift after pregnancy, you’re not alone. This comprehensive guide is designed to provide valuable insights into what the procedure entails, its benefits, and important considerations. ### Understanding Breast Changes After Pregnancy Before we dive into the specifics of breast lift surgery, it’s essential to understand the changes your breasts undergo due to pregnancy and breastfeeding. Hormonal fluctuations during pregnancy prepare your body for breastfeeding, which can result in enlarged milk glands, increased fat tissue, and stretched skin. Once you’ve given birth and eventually stop breastfeeding, these changes can reverse, often leaving breasts appearing deflated, saggy, or with decreased volume. ### What is a Breast Lift? A breast lift, medically known as mastopexy, is a surgical procedure aimed at elevating and reshaping sagging breasts to a more youthful and perky appearance. The process typically involves removing excess, stretched-out skin, repositioning the nipple and areola, and reshaping the breast tissue. It’s important to note that a breast lift does not significantly change the size of your breasts. However, it can be combined with breast augmentation or reduction to achieve your desired size and shape. ### Benefits of a Breast Lift After Pregnancy Restored Shape and Contour: A breast lift can rejuvenate droopy breasts by restoring their youthful shape and contour, improving your silhouette. Enhanced Confidence and Self-Esteem: Many women experience a boost in self-confidence and a positive body image post-surgery, contributing to overall well-being. Expanded Wardrobe Options: With a more youthful breast profile, you may find that clothes fit better, expanding your wardrobe options. Long-Lasting Results: While not immune to the effects of aging and gravity, the results of a breast lift can be long-lasting, especially with a stable weight and proper care. ### Considerations and Timing If you’re pondering a breast lift, here are some critical considerations: Timing: It’s best to wait until you’ve finished having children and breastfeeding before undergoing a breast lift. Pregnancy and breastfeeding post-surgery can negate the results of your procedure. Recovery: Recovery time varies, but most women can resume work and light activities within a week or two, with complete recovery taking several weeks. Scarring: Any surgery comes with scars, but skilled surgeons place incisions strategically to minimize visible scarring. Over time, these scars typically fade significantly. Cost and Insurance: Breast lift surgery is often considered cosmetic and not covered by insurance. Costs vary by location and surgeon expertise. ### Choosing the Right Surgeon Selecting an experienced and board-certified plastic surgeon is crucial for a successful breast lift. Research potential surgeons, review their before-and-after photos, and don’t hesitate to ask questions during consultations. Ensure you feel comfortable and confident in your surgeon‘s expertise and approach. ### Final Thoughts Deciding to undergo a breast lift after pregnancy is a personal choice that should be made based on accurate information and with professional guidance. While the physical transformation can be significant, the emotional uplift and boost in confidence are often the most profound results. For new moms looking to reclaim their pre-pregnancy bodies and boost their self-esteem, a breast lift can be a rewarding option. Remember, every woman’s body and journey are unique, so it’s essential to make choices that align with your individual needs, desires, and health considerations. **Read more:** https://paulharris.co.uk/procedures/breast-lift-after-pregnancy/ --- ### Breast Implant Removal: What to Expect Afterwards [Breast implant removal](/procedures/breast-implant-removal/) is a topic that has been gaining more attention lately within the realms of women’s health and aesthetic surgery. Whether driven by health concerns, lifestyle changes, or simply a desire for a different body image, the decision to have breast implants removed is personal and significant. For many, a pressing question looms: “What will my breasts look like after the implants are removed?” In this comprehensive guide, we explore the process of breast implant removal, what factors influence post-surgery appearance, and what steps can be taken to ensure the best possible outcomes. ### Understanding Breast Implant Removal Breast implant removal, also known as explant surgery, involves taking out the implants from the breast pockets. In some cases, this procedure might include the removal of scar tissue or the performance of a breast lift (mastopexy), depending on the individual’s condition and goals. ### Reasons for Removal The reasons for considering breast implant removal are varied and include: Health issues, such as breast implant illness (BII) or implant-related complications Personal choice or lifestyle changes Aesthetic preference changes over time Need for [implant replacement](/procedures/breast-implant-replacement/) due to aging of the implants ### Process of Removal Typically performed under general anesthesia, the surgery involves making incisions often along the scars from the initial breast augmentation. The surgeon carefully removes the implants and, if necessary, any accompanying scar tissue. ### Factors Influencing Post-Removal Appearance Several factors can affect the appearance of breasts after implant removal, including: The duration the implants were in place: Long-term stretching can affect skin elasticity and breast shape. The size of the implants: Larger implants may lead to more significant changes in breast tissue and skin. Skin elasticity and quality: Greater skin elasticity can help the breast tissue contract better post-surgery. Whether a breast lift is performed: A lift can help adjust the breasts’ shape and position on the chest wall after implant removal. ## Post-Surgery Expectations ### Immediate Aftercare Immediately following surgery, patients will typically experience swelling and discomfort, which gradually subsides over the next few weeks. Surgeons might place drains to remove excess fluid, and wearing a compression garment may be recommended to support healing. ### Long-Term Appearance After the initial recovery period, the breasts will continue to change and settle for several months. Patients often wonder if their breasts will return to their pre-implant appearance. While they might resemble their earlier state somewhat, several factors like those mentioned above mean the outcome varies for each individual. In general: Breasts may appear deflated initially but can regain volume over time as the tissue recovers. Sagging may occur, especially in larger implants or those who have had implants for a long time, due to stretched skin and tissue. ## Enhancing Recovery and Results ### Considering a Breast Lift For many, combining implant removal with a breast lift offers the best outcome by addressing excess skin and reshaping the breast tissue. Discussing goals and expectations with a surgeon is critical in deciding if this additional procedure is right for you. ### Following Post-Care Instructions Adherence to your surgeon’s aftercare recommendations is crucial for healing. This includes attending follow-up appointments, wearing suggested garments, and avoiding certain activities until cleared by your doctor. ### Patience and Realistic Expectations Healing is a gradual process, and final results may not be apparent for six months to a year. Keeping realistic expectations and focusing on the reasons for your decision can help in adjusting to the changes in your body. ## Conclusion Breast implant removal is a deeply personal decision with outcomes influenced by various factors. While post-surgery breasts may not look exactly as they did pre-implant, many women report feeling satisfied with their decision and appearance after recovery. Understanding the process, knowing what factors affect results, and setting realistic expectations can help prepare for life after implant removal. If you’re considering this procedure, consulting with a board-certified plastic surgeon who can provide tailored advice and guidance is essential. **Read more:** https://paulharris.co.uk/procedures/breast-implant-removal-recovery/ --- ### What is Mastopexy surgery? [Mastopexy](/procedures/breast-uplift-mastopexy/), commonly known as a breast lift, is a surgical procedure aimed at elevating and reshaping sagging breasts to a more youthful and aesthetically pleasing contour. Over time, factors such as pregnancy, breastfeeding, weight fluctuations, ageing, and gravity can take their toll on a woman’s breasts, leading to loss of skin elasticity and volume. Mastopexy addresses these changes by removing excess skin and tightening the surrounding tissue to uplift the breasts. Unlike [breast augmentation](/procedures/breast-augmentation/), which focuses on increasing breast size, mastopexy is primarily concerned with improving the position and shape of the breasts. That said, it’s not uncommon for patients to choose a combination of mastopexy and breast augmentation to achieve both enhanced firmness and size. The procedure begins with the surgeon making incisions on the breasts. There are several techniques used, depending on the degree of lift needed, the patient’s anatomy, and personal goals. The most common methods include the “anchor” pattern, “lollipop” pattern, or “donut” pattern, each offering different approaches to scar placement and extent of correction. The surgeon then proceeds to remove excess skin, reshape the breast tissue, and reposition the nipple and areola to a more central and elevated location. In some cases, the size of the areola is also reduced to complement the new breast size and shape. Recovery from mastopexy surgery varies from individual to individual but generally involves a period of rest and limited movement to allow the breasts to heal properly. Patients can typically expect to return to normal activities within a few weeks, although full healing and fading of scars may take several months. Mastopexy offers numerous benefits, including enhanced breast shape and symmetry, improved nipple projection, and the potential to boost self-image and confidence. However, it is crucial for candidates to have realistic expectations and understand that while a breast lift can significantly improve breast appearance, the effects of ageing and gravity will continue over time. Choosing to undergo mastopexy is a personal decision that should be made after thorough consultation with a certified plastic surgeon, who can provide detailed information tailored to the individual’s specific needs and goals. **Read more:** https://paulharris.co.uk/procedures/mastopexy-breast-lift/ --- ### Considering a Change in Breast Implant Size? Here’s What You Need to Know Deciding to undergo [breast augmentation](/procedures/breast-augmentation/) is a significant decision for many, and sometimes, the results might not align perfectly with your initial expectations or desires. Whether it’s due to lifestyle changes, aesthetic preferences evolving over time, or simply seeking a different look, [changing breast implant size](/procedures/breast-implant-revision/) has become a common consideration among many who’ve undergone the procedure. If you find yourself contemplating an update to your implants, here are key points to consider. Understanding Your Motivation: Before proceeding with a change in implant size, it’s crucial to understand why you’re considering this change. Are you seeking larger or smaller implants due to physical discomfort, aesthetic preferences, or a change in lifestyle? Being clear on your reasons will help you and your surgeon make the best decisions to achieve your desired outcome. Consultation is Key: Consulting with a qualified plastic surgeon is the most critical step in this process. An experienced surgeon can provide valuable insight into what a change in size might mean for your body type, overall balance, and aesthetics. They can also address any potential risks or considerations specific to your situation. Weighing the Pros and Cons: Changing implant size isn’t as straightforward as it might seem. There are various factors at play, including the possibility of additional surgeries down the line, the recovery process, potential scarring, and costs involved. It’s important to weigh these factors carefully against your desire for a change. Considering the Procedure: The procedure for changing implant size typically involves removing the existing implants and replacing them with new ones of your desired size. Your surgeon might also recommend adjusting the pocket that holds the implant or the surrounding tissue to accommodate the new size and ensure a natural look and feel. Recovery and Aftercare: Just like your initial breast augmentation surgery, changing implant size requires a recovery period. Instructions for post-operative care might include activity restrictions, wearing a support garment, and scheduled follow-up visits to ensure proper healing. Emotional and Physical Preparedness: Finally, ensure you’re both emotionally and physically prepared for another surgery. Understanding the reasons behind your decision and setting realistic expectations will significantly impact your satisfaction with the outcome. Changing breast implant size is a personal decision and, when approached thoughtfully, can lead to gratifying results. By staying informed and working closely with a trusted surgeon, you can confidently navigate this process towards achieving your desired aesthetic. **Read more:** https://paulharris.co.uk/procedures/changing-implant-size/ --- ### Understanding the Side Effects of Breast Implant Removal Opting for [breast implant removal](/procedures/breast-implant-removal/), a decision made by many for various personal or medical reasons, involves a surgical procedure that carries its set of considerations. While the primary motive might be to reverse a previous [augmentation](/procedures/breast-augmentation/), alleviate symptoms of breast implant illness, or address complications like capsular contracture, it’s crucial to understand the potential side effects associated with this decision. ### Physical Changes The most immediate change post-removal is the physical appearance of the breasts. Depending on the duration the implants were in place, skin elasticity, and the size of the implants, breasts may not return to their pre-implant shape or size. Some individuals experience sagging, loss of volume, or changes in breast contour. Consulting with a skilled plastic surgeon about potential corrective procedures like a breast lift or fat transfer can help address these concerns. ### Emotional and Psychological Impact Breast implant removal can also have an emotional or psychological toll. The change in body image might affect self-esteem and confidence levels. It’s beneficial to seek support from professionals, peers, or support groups who understand the emotional ramifications of this process, ensuring a healthy mental and emotional recovery. ### Physical Side Effects Common physical side effects post-surgery include pain, swelling, bruising, and scarring. These are typically temporary and can be managed with appropriate care and medication prescribed by your physician. It’s crucial to follow all post-operative instructions to minimise these effects and promote healing. ### Potential Complications Although rare, there are potential complications such as infection, bleeding, or adverse reactions to anaesthesia. Furthermore, those who had implants for an extended period might notice changes in breast sensation or unevenness between breasts. Ensuring you’re under the care of a reputable surgeon who follows stringent surgical protocols can mitigate these risks. ### Wrap Up Deciding to undergo breast implant removal is significant and should be approached with thorough understanding and professional guidance. Awareness of the possible side effects enables individuals to prepare, make informed decisions, and set realistic expectations for their post-surgery outcomes. Prioritising both physical and emotional well-being throughout the process is key to a successful recovery and satisfaction with the results. **Read more:** https://paulharris.co.uk/procedures/implant-removal-side-effects/ --- ### Understanding the Journey of Replacing Breast Implants [Breast augmentation](/procedures/breast-augmentation/) is among the most popular surgeries worldwide. However, what many might not realise at first is that breast implants are not designed to last a lifetime. Over time, changing aesthetics, lifestyle, or the natural ageing process can lead to the decision to replace breast implants. In this post, we’ll explore the key considerations and what to expect from the process of [replacing breast implants](/procedures/breast-implant-replacement/). ### Reasons for Replacement There are several reasons why an individual might consider replacing their breast implants, including: Capsular contracture: This occurs when the scar tissue around the implant tightens, potentially causing discomfort or altering the appearance of the breast. Implant rupture or leakage: Though modern implants are robust, wear and tear over years can lead to ruptures, necessitating a replacement. Cosmetic updates: Change in personal preference, body shape, or lifestyle can lead someone to want a different size, shape, or texture of implant. Correction of complications: In some cases, initial breast augmentation might result in asymmetry, rippling, or incorrect positioning that requires rectification. ### The Process of Replacement Replacing breast implants typically involves the removal of the old implants and any scar tissue that may have formed around them, followed by the insertion of the new implants. This surgery often allows patients to adjust the size or type of their implants to better suit their current desires or to correct any issues from the first surgery. ### Recovery and Aftercare Recovery from implant replacement surgery generally follows a similar trajectory to the initial augmentation. Most patients can return to work within a week or two, though strenuous activities should be avoided for up to six weeks. Pain, swelling, and bruising are common but gradually subside. It’s crucial to follow the surgeon’s aftercare instructions meticulously to ensure optimal healing and results. Regular follow-up appointments will be necessary to monitor the progress of recovery and the condition of the new implants. ### Making the Decision Replacing breast implants is a personal decision, often made easier with the support of a qualified and experienced surgeon. Understanding the reasons for replacement, setting realistic expectations for the outcome, and adhering to recommended recovery practices will contribute significantly to a successful and satisfying result. **Read more:** https://paulharris.co.uk/procedures/replacing-breast-implants/ --- ### Regaining Confidence: Breast Implant Surgeries After Weight Loss Losing a significant amount of weight is an incredible and life-changing achievement that requires dedication and hard work. However, after reaching your weight loss goals, you may find that your body doesn’t exactly look or feel as you had anticipated, especially when it comes to breast volume and shape. That’s where [breast implant surgery](/procedures/breast-implant-revision/) comes into play, offering a solution to regain your confidence and achieve the body contour that matches your new self. Why Consider Breast Implants After Weight Loss? After substantial weight loss, the breasts often lose volume and elasticity, leading to a sagging appearance. This change can affect your self-esteem and the way your clothes fit, which might be discouraging after all your efforts to lose weight. Breast implant surgery, possibly combined with a lift procedure, can restore lost volume and create a more youthful and proportionate breast appearance. It’s not just about aesthetics; it’s about aligning your outer appearance with your inner sense of achievement and confidence. Choosing the Right Time for Surgery Timing is crucial when considering breast implants after weight loss. It’s essential to ensure that your weight has stabilised for at least six months to a year before undergoing surgery. Fluctuations in weight after the procedure can affect the results, potentially leading to additional surgeries to correct these changes. Consulting with a board-certified plastic surgeon will help you determine the right time for surgery based on your personal circumstances. Customising Your Procedure Breast implant surgery is not a one-size-fits-all solution. Various factors, including implant type, size, placement, and whether to include a breast lift, must be tailored to suit each individual’s body and goals. An experienced plastic surgeon can guide you in making these decisions, considering factors such as an error occurred during generation. Please try again or contact support if it continues. **Read more:** https://paulharris.co.uk/procedures/breast-implants-after-weight-loss/ --- ### Scarless Breast Reduction using Liposuction Breast reduction surgery has long been a solution for women seeking relief from the physical and emotional burdens of disproportionately large breasts. Traditionally, this procedure has involved significant scarring and recovery time. However, in appropriately selected patients, the use of liposuction can provide a scarless alternative. In this article, I will explain the procedure of scarless breast reduction with liposuction, detailing the benefits, selection criteria, and what to expect during and after the surgery. Understanding Scarless Breast Reduction with Liposuction Scarless breast reduction with liposuction, also known as liposculpture breast reduction, is a minimally invasive procedure designed to reduce breast size without leaving visible scars. Unlike traditional breast reduction surgery, which involves large incisions and tissue removal, this innovative technique relies on the power of liposuction to remove excess fat from the breasts, resulting in a more proportionate and aesthetically pleasing appearance. Benefits of Scarless Breast Reduction with Liposuction: Minimal scarring: As the name suggests, one of the most significant advantages of this procedure is the absence of visible scars. The small incisions made during liposuction are strategically placed and often fade over time, leaving behind virtually no trace of surgery. Reduced risk: Compared to traditional breast reduction surgery, scarless breast reduction with liposuction carries a lower risk of complications such as infection, bleeding, and poor wound healing. Faster recovery: Because it’s a minimally invasive procedure, the recovery time associated with scarless breast reduction with liposuction is typically shorter than that of traditional surgery. Many patients can return to work and normal activities within a week or two. Natural-looking results: By sculpting the breasts with liposuction, rather than removing glandular tissue, this procedure can achieve natural-looking results with minimal disruption to breast shape and sensation. Future ability to breast feed: Although not guaranteed, a breast reduction with liposuction should not disrupt the connection of the breast to the nipple and should not therefore affect the ability to breast feed in the future, unlike traditional breast reductions with scars. Maintenance of nipple sensation: In the majority of patients, the sensation to the nipple is not affected by this surgery. There is often a temporary reduction due to bruising and tissue swelling which settles after several weeks. [Image: Before and 4 months after liposuction breast reduction] Selection Criteria for Scarless Breast Reduction with Liposuction: While scarless breast reduction with liposuction offers numerous benefits, it’s essential to understand that not everyone is a suitable candidate for this procedure. Ideal candidates typically: Have good skin elasticity: Candidates with good skin elasticity are more likely to achieve optimal results, as the skin can contract and reshape effectively after fat removal. Factors that damage skin elasticity include advancing age, multiple pregnancies, smoking and significant weight loss. Desire moderate reduction: Scarless breast reduction with liposuction is best suited for individuals seeking moderate reduction in breast size rather than significant volume reduction. Have excess fat, not glandular tissue: Since this procedure targets excess fat rather than glandular tissue, candidates should primarily have fatty tissue contributing to their breast size. Are in good overall health: Candidates should be in good physical and emotional health, with realistic expectations about the outcome of the procedure. In my practice, I have found that liposuction breast reduction is particularly useful in patients with fatty breasts and well-placed nipples. The other main group of patients is those suffering from breast asymmetry (noticeable difference between the breasts). These patients are usually younger and have very good skin elasticity. The breast size difference is also usually modest. A standard breast reduction leaves permanent scars so there will always be (a new) difference between the breasts because of these visible scars. An example of before and after liposuction breast reduction is shown below in a patient who has breast asymmetry and allowed her photographs to be shared. [Image: Congenital asymmetry - before and 6 months after liposuction reduction to patient's left breast only] The Procedure: Consultation: The journey begins with a consultation with a plastic surgeon specialising in aesthetic breast surgery, as this procedure is not commonly undertaken by more general cosmetic surgeons. During the appointment, the surgeon should assess your medical history, examine your breasts, discuss your goals, and determine your candidacy for the procedure. Pre-operative Preparation: Once you’re deemed a suitable candidate for scarless breast reduction with liposuction, you will be provided with pre-operative instructions. These may include refraining from smoking, avoiding certain medications, and arranging for someone to drive you home after the surgery. Anaesthesia: Whilst it is possible to carry out this procedure under local anaesthetic with sedation, I still prefer a light general anaesthetic for my patients. Total intravenous anaesthetic (TIVA) provides good control of the patient’s vital systems during the operation and allows immediate recovery like sedation. Liposuction: With anaesthesia in place, the surgeon will make small, inconspicuous incisions around the perimeter of the breast. Through these tiny openings, a thin tube called a cannula will be inserted, and excess fat will be gently suctioned out, sculpting the breasts to the desired size and shape. Different types of liposuction machines can be used and some may add an energy source such as ultrasound, radiofrequency or laser to help break up the fat particles. I prefer a machine known as [PAL® by MicroAire](https://www.microaire.com/) which vibrates at the tip and reduces the trauma to the tissues. It allows multiplanar (all levels) liposuction to the whole breast, which is key to the success of this technique. The deeper layers are accessed to remove as much volume as possible and the superficial sub-dermal fat layers to stimulate post-operative skin contraction. Closure: Once the liposuction is complete, the incisions are closed with sutures, which typically dissolve on their own over time. Recovery: Following the procedure, you’ll be monitored in a recovery area before being discharged home with detailed post-operative instructions. While recovery experiences vary, most patients can return to light activities within a few days and resume regular exercise and more strenuous activities after a few weeks. In my practice, you will be provided with two post-operative surgical bras that you should wear for six weeks, day and night. Results: the long-term results from this procedure do not become fully clear until around six months following surgery. Most patients notice a significant reduction in breast volume and an elevation of nipple position. This is associated with a very high level of satisfaction. Complications: Although the complication rate overall is lower that traditional breast reduction surgery, it is important to understand all of the potential complications. These should be discussed with you before surgery so that you can make an informed decision to move forward. The specific complications include bleeding into the tissues (haematoma), potential skin necrosis around the canula insertion site, infection (which is usually treated with antibiotics), retracted nipples (temporary or permanent) and long-term reduced sensation to the nipple. The overall breast reduction cannot be guaranteed and there will always be a degree of natural asymmetry. Recent advances in scarless breast reduction: Some surgeons around the World have recently combined liposuction breast reduction with internal breast loops to act as an internal bra and re-shape the breast. I feel that we do not have enough longer-term data to routinely and safely offer this to patients yet, although it is a very promising development to potentially achieve a greater lift effect. Studies are on-going with the most recently published, combining PAL® – MicroAire and Loops, showing very low complication rates, high satisfaction and an average elevation of the nipple position of 7.3cm. Summary Scarless breast reduction with liposuction offers an innovative solution for women seeking to reduce breast size without the tell-tale scars associated with traditional surgery. By harnessing the power of liposuction, this minimally invasive procedure provides natural-looking results with minimal downtime and risk. However, it’s essential to consult with a qualified plastic surgeon to determine your candidacy and explore all available options before undergoing any surgical procedure. **Read more:** https://paulharris.co.uk/procedures/scarless-breast-reduction-liposuction/ --- ### Breast Implant Options: Exploring Your Choices [Breast augmentation](/procedures/breast-augmentation/) remains one of the most popular plastic surgery procedures worldwide, offering individuals the chance to enhance their figure and boost their confidence. With advancements in medical technology, there are now several types of breast implant surgeries available, each with its own set of benefits and considerations. Here’s a comprehensive look at the various options to help you make an informed decision. #### Silicone gel implants Silicone gel implants are renowned for their ability to provide a natural look and feel. Filled with silicone gel, these implants tend to hold their shape even in the case of a shell breakage, which minimises the risk of silicone leakage. They are available in various sizes and shapes, including teardrop and round, allowing for a customised fit that complements your body’s natural contours. However, they generally require a larger incision for placement. #### Saline Implants Saline breast implants are filled with sterile salt water (saline) and offer a unique benefit; they can be filled after insertion, allowing for a smaller incision and potentially less scarring. Additionally, if a saline implant leaks, the body can safely absorb the saline. While they can provide a uniform shape, firmness, and feel, some argue they’re less natural compared to silicone options. #### Structured Saline Implants Offering a compromise between saline and silicone, structured saline implants include an inner structure aimed at making the implant feel more natural. This option seeks to marry the safety of saline with a feel that more closely mimics natural breast tissue. #### Gummy Bear Implants Also known as form-stable implants, gummy bear implants retain their shape even when the outer shell is broken, thanks to the thick gel inside. They are firmer than traditional silicone gel implants and are shaped rather than round, which some find offers a more natural silhouette. However, these require a slightly longer incision. #### Fat Transfer Augmentation An alternative to traditional implants, this procedure involves using liposuction to take fat from other parts of your body and injecting it into your breasts. This option is ideal for those looking for a modest increase in breast size and a very natural look, as it uses the body’s own tissues. #### Choosing the Right Option for You Selecting the right breast implant involves considering your body type, aesthetic goals, and lifestyle. It’s crucial to discuss your options with a board-certified plastic surgeon who can provide personalised advice based on your unique situation. With the right information and guidance, you can achieve the results you desire safely and effectively. **Read more:** https://paulharris.co.uk/procedures/breast-implant-options/ --- ### Understanding Breast Implant Replacement Breast augmentation is a life-changing procedure that can enhance self-esteem and body confidence. However, few discuss the long-term maintenance. [Breast implant replacement](/procedures/breast-implant-exchange/) is a topic both vital and under-discussed in the plastic surgery community. Many believe that breast implants are for life, but this isn’t the case. Understanding why and when replacement is necessary is crucial for anyone with breast implants. Implants are not permanent devices and have a finite lifespan. The need for replacement might arise due to various reasons such as rupture, leakage, capsular contracture, or simply aesthetic choice. It’s imperative that individuals with breast implants stay informed about the latest research, surgical techniques, and when to seek professional advice. ### The Rationale Behind Replacement Breast implant replacement can be elective or medically necessary. For many women, electing to have a second or even third breast augmentation is driven by a desire to change the size or look of their implants or to address issues that have arisen over time. Conversely, a medical need for replacement might occur if a saline implant deflates or if an MRI detects a silent rupture in a silicone implant. Additionally, some individuals may experience capsular contracture—a complication in which the scar tissue surrounding the implant tightens, leading to pain and a distorted appearance. In such cases, replacement is crucial not just for aesthetics but also for the patient’s well-being. ### Choosing the Right Surgeon and Implant Once the decision to replace implants is made, the next important step is selecting a skilled surgeon. A board-certified plastic surgeon with extensive experience in breast surgeries is vital. They can offer valuable insight and expertise in not only the surgical aspect but also in understanding the patient’s goals and concerns. Selecting the right type of implants is also a significant decision. Whether opting for a similar type to the existing one or choosing a different material, size, or profile, patients should have a thorough discussion with their surgeon to ensure the replacement meets their expectations and aligns with their goals. ### Post-Surgical Care and Recovery Recovery from breast implant replacement is similar to that of the original breast augmentation procedure. While there may be some discomfort, patients can expect to return to normal daily activities within a few days and to exercise routine within a few weeks. It’s also crucial to have regular follow-up visits with the surgeon to monitor healing and to address any concerns promptly. Post-surgical care will help ensure the best possible outcome. Staying informed, understanding the need, and navigating the process with care and diligence will help ensure that breast implant replacement is a positive and empowering experience. is a life-changing procedure that can enhance self-esteem and body confidence. However, few discuss the long-term maintenance. Breast implant replacement is a topic both vital and under-discussed in the plastic surgery community. Many believe that breast implants are for life, but this isn’t the case. Understanding why and when replacement is necessary is crucial for anyone with breast implants. Implants are not permanent devices and have a finite lifespan. The need for replacement might arise due to various reasons such as rupture, leakage, capsular contracture, or simply aesthetic choice. It’s imperative that individuals with breast implants stay informed about the latest research, surgical techniques, and when to seek professional advice. **Read more:** https://paulharris.co.uk/procedures/breast-implant-replacement-2/ --- ### The Path to Comfort: Exploring Breast Implant Removal For many, the decision to get [breast implants](/procedures/breast-implant-removal/) is a significant and life-changing one. However, over time, a variety of personal, medical, or aesthetic reasons might lead individuals to consider removing these implants. As a pivotal part of one’s body transformation, breast implant removal is a process that merits deep understanding and careful consideration. In this blog post, we unpack the journey of breast implant removal, from making the decision to undergoing the procedure, and life post-removal. ### The Decision-Making Process The initial and arguably most crucial phase of the breast implant removal process is making the decision itself. There could be a multitude of reasons behind this – from health concerns, changes in personal aesthetics, or shifting lifestyle preferences. It’s important to note that this decision is a deeply personal one and should be made after thorough research and consultation with trusted medical professionals. Many who advocate for breast implant removal emphasize the importance of feeling comfortable in one’s body above all else. Understanding the potential emotional and physical impacts of removal, as well as the available options, is imperative during this phase. ### Preparing for the Procedure Once the decision to remove the implants is settled, the focus shifts to preparing for the procedure. The pre-operative phase involves detailed discussions with your surgeon regarding expectations, surgical techniques, recovery, and potential complications. It’s paramount to engage in an open and honest dialogue with your medical team to ensure that you are well-informed and that your desires for the outcome are realistic. This phase may also involve addressing psychological aspects, such as body image concerns or insecurities that may arise during the process. ### The Procedure and Recovery Undergoing the implant removal surgery is a significant event in the removal process. Depending on individual circumstances, this may involve a simple outpatient operation or a more complex reconstructive procedure. Understanding the surgical process and what to expect during recovery, including post-operative care, managing pain, and the possibility of revisions, requires active involvement in your treatment plan. The recovery period post-implant removal is a chance to heal and reconnect with your body. It’s a time to practice self-care and consider any future steps, such as breast lift procedures or additional augmentations. Breast implant removal represents a departure from the conventional conversation surrounding plastic surgeries. It stands as a personal choice that reflects an individual’s evolving self-awareness and pursuit of comfort. By documenting the emotional and physical aspects of this transition, we hope to provide a comprehensive resource for those contemplating or starting the process of breast implant removal. Our blog aims to be a guiding light through a transformative phase, enhancing understanding, acceptance, and informed decision-making. **Read more:** https://paulharris.co.uk/procedures/breast-implant-removal-guide/ --- ### The Complete Guide to Breast Augmentation For many individuals, the decision to undergo breast augmentation surgery is both personal and empowering. However, with empowerment comes the essential need for knowledge and understanding of the procedure. This comprehensive guide is your ally in the quest for fuller, shapelier breasts, illuminating the nuances of breast augmentation. Whether you’re just exploring the idea or ready to schedule a consultation, you’ll find valuable insights within these pages. #### Defining Breast Augmentation Why do people opt for breast augmentation? The motivations are as diverse as the individuals themselves. For many, the procedure is about enhancing their body image and self-confidence. Some women have always desired a larger bust, while others seek to restore volume lost through weight fluctuations, pregnancy, or aging. Understanding your reasons is a crucial first step in your breast augmentation journey. Modern breast augmentation offers a range of choices to cater to individual needs and desires. Variables include implant type (saline, silicone, or cohesive silicone gel), size, shape, texture, and placement. Your surgeon will guide you through these options and help you select the best plan for a natural, proportionate look that aligns with your anatomy and aesthetic goals. #### The Consultation Process A successful breast augmentation begins with a thorough consultation. It’s here that you’ll discuss your goals, medical history, and the procedure in detail. You’ll also have an opportunity to become familiar with your surgeon and their approach, ensuring a comfortable and confident partnership. Ask questions. Lots of them. Your surgeon should be patient and informative, providing clear answers and setting realistic expectations. Remember, this is about you and the transformation you envision for yourself. Be open about your concerns, and be sure to understand the recovery process and potential risks involved. The preparation phase is as significant as the operation itself. Your surgeon will provide a detailed pre-surgical plan that may involve medical assessments, adjusting medications, ceasing smoking, and making arrangements for the post-operative period. Proper planning increases the likelihood of a smooth, successful outcome. #### The Surgery and Beyond Breast augmentation surgery typically lasts one to two hours, focusing on precision and aesthetic result. Post-surgery, you’ll enter a recovery period during which care and patience are paramount to the healing process and achieving the final, beautiful result. The day of your surgery will involve pre-operative procedures, the operation itself, and initial recovery steps. You may experience discomfort, but you’ll be in professional care and have a clear plan for managing your recovery and spotting any potential issues. Your body needs time to heal and adjust to the changes. You’ll be provided with detailed aftercare instructions, and you should expect to take it easy for the first week or two. The final result of your breast augmentation will gradually emerge as swelling subsides and the implants settle into place, usually over a matter of weeks or months. Breast augmentation is a personal decision that, when well-informed and thoughtfully undertaken, can significantly enhance one’s quality of life and self-esteem. The more you know about the process, the more empowered you are in your choices. This guide is just the beginning, offering a peek into the world of breast enhancement, and encouraging a dialogue between patient and practitioner to sculpt dreams into reality. Remember, your breasts, your body, your beauty — every question, every step, every choice is yours to make. **Read more:** https://paulharris.co.uk/procedures/breast-augmentation-guide/ --- ### Mastopexy Benefits #### Understanding Mastopexy [Mastopexy](/procedures/breast-uplift-mastopexy/), more commonly known as a breast lift, is a surgical procedure that is gaining popularity among women who seek to rejuvenate the shape of their breasts. While aesthetic considerations are typically at the forefront of one’s decision to undergo mastopexy, the benefits extend far beyond appearance. This comprehensive guide unpacks the advantages of mastopexy, explores the procedure, and offers insight into what you can expect if you’re considering this rejuvenating treatment for your breasts. Mastopexy is a surgical technique that repositions the nipple and areola, lifts the breast tissue, and removes excess skin to improve breast contour. It is a commonly sought solution for sagging or drooping breasts due to factors such as aging, weight fluctuations, or pregnancy. The procedure can be tailored to meet individual needs, with different incision patterns available to address various degrees of ptosis (sagging). Mastopexy is not intended to increase the size of the breasts, but it can be combined with breast augmentation to address volume loss while lifting the breast. It’s crucial for any potential candidate to consult with a board-certified plastic surgeon to discuss their goals and ensure they are well-informed about the procedure and its outcomes. #### Emotional and Practical Benefits Women who opt for mastopexy often report significant boosts in self-esteem and body confidence. The physical changes that come with a mastopexy can resonate profoundly on an emotional level, leading to a more positive body image and a renewed sense of self. Additionally, the repositioning of the breast tissue can relieve discomfort or irritation associated with sagging breasts, improving overall comfort and quality of life. Practically speaking, mastopexy can enhance one’s wardrobe options by correcting asymmetry and offering better support. Women who have experienced a loss of volume in their breasts from breastfeeding or weight loss often find that mastopexy helps them achieve a more youthful, perky breast shape that aligns with their pre-pregnancy or desired look. In the realm of intimacy, many women find that mastopexy can rekindle a sense of sensuality and improve their comfort with their partners. This enhancement of physical well-being and self-assurance can lead to more gratifying personal relationships and an improved outlook on life as a whole. #### The Recovery Journey Recovering from mastopexy typically involves a few weeks of rest and avoiding strenuous activities. Your surgeon will provide post-operative care instructions to facilitate a smooth healing process. #### A Deeper Look at the Procedure Mastopexy is performed under general anesthesia and typically takes two to four hours to complete. The specifics of the surgery depend on the degree of ptosis and the patient’s desired outcome. Incision patterns include: Periareolar incision: This circular incision is made around the areola and is ideal for minor adjustments. Vertical incision: In addition to the periareolar incision, a vertical incision is made from the bottom of the areola to the breast crease, forming a lollipop shape. Inverted T or anchor incision: For more significant corrections, an additional horizontal incision along the natural curve of the breast crease is made, resulting in an anchor shape. Once the incisions are made, the underlying breast tissue is lifted and reshaped. The nipple and areola complex is repositioned, and in some cases, the areola size is reduced. Excess skin is removed, and the incisions are closed with sutures. #### Preparation is Key Preparing for mastopexy involves a thorough consultation with your surgeon. It’s important to discuss your medical history, any medications you’re taking, and your expectations for the procedure. Be prepared to adjust your lifestyle leading up to the surgery, including quitting smoking and adjusting your diet to promote healing. #### The Day of the Procedure On the day of the mastopexy, you’ll arrive at the surgical facility and be prepped for the operation. The procedure is usually performed on an outpatient basis, but some may require an overnight stay for observation. An anesthesiologist will administer general anesthesia, and your surgeon will begin the procedure once you are sedated. #### Post-Operative Care and Recovery Following mastopexy, you’ll experience some swelling, bruising, and discomfort. Your surgeon will provide instructions on how to care for your incisions, manage pain, and support the breasts during the healing process. It’s crucial to attend all follow-up appointments to monitor your progress. Your recovery timeline will depend on the extent of the procedure, but expect to take at least a week off from work and limit physical activities. Strenuous exercise should be avoided for several weeks. Your final results will become more apparent as your breasts settle into their new, uplifted position over the course of several months. #### Real Talk on Risk and Complications Being well-informed and following your surgeon’s instructions meticulously can reduce the likelihood of complications. Choosing a skilled, experienced surgeon is critical for achieving safe, successful results. #### Is Mastopexy Right for You? Deciding to undergo mastopexy is a personal choice that should be made after thorough consideration of the benefits and potential risks. If you’re dissatisfied with the way your breasts look and feel, and non-surgical solutions have not provided the desired results, mastopexy could be the answer. Before moving forward, take the time to research local plastic surgeons, review before-and-after photos, and read patient testimonials. Schedule consultations with multiple surgeons to find one who you trust and who understands your aesthetic goals. #### The Verdict Mastopexy is a life-changing procedure for many women. It has the power to refresh not just your look but also your confidence and comfort. If you feel that sagging breasts are holding you back from living your best life, it might be time to lift your spirits — and your bust — with mastopexy. Remember, the key to a successful procedure and recovery lies in preparation, realistic expectations, and following your surgeon’s post-operative advice. With the right mindset and the guidance of a dedicated medical team, you can enjoy the numerous benefits that mastopexy offers. By investing in your breasts, you’re investing in yourself. Whether it’s for peace of mind, comfort, or simply to rejuvenate your appearance, mastopexy is a step towards enhancing your overall well-being. If you’re ready to explore the possibilities, set up a consultation with a board-certified plastic surgeon and start your mastopexy journey today. **Read more:** https://paulharris.co.uk/procedures/breast-lift-benefits/ --- ### Corrective Breast Implant Surgery: What You Need to Know For many individuals who have undergone breast enhancement procedures, the end result may not match their original vision, or changes over time may lead to a desire for revision surgery. That’s where [corrective breast implant surgery](/procedures/breast-implant-revision/) comes into play – a range of procedures aimed at correcting, improving, or revising the outcomes of previous breast implant surgeries. ### The Art of Revising the Past While the decision to undergo a breast augmentation is deeply personal and often a positive turning point, some find themselves dissatisfied with their initial implant choices or experience complications. This dissatisfaction can stem from various reasons including, but not limited to, ruptured implants, capsular contracture, implant displacement, or changes in personal aesthetic preferences. Corrective breast implant surgery, also known as breast implant revision, is a complex subspecialty of plastic surgery that requires a skilled and experienced surgeon. The objective of this procedure is to improve the shape, size, feel, and appearance of the breasts, restoring or creating a result that aligns with the patient’s aesthetic goals. ### Understanding the Nuances Perhaps a patient initially opted for large implants and now seeks a more natural look, or maybe they’ve experienced a shift in implant position that requires surgical correction. Understanding the nuances of corrective breast implant surgery is crucial for anyone considering a revision. The process involves various techniques such as implant removal with or without replacement, reshaping of the breast tissue, and sometimes simultaneous mastopexy, or breast lift, to ensure the best possible outcome. A comprehensive consultation with a board-certified plastic surgeon is the first step in this complex process. The surgeon will assess the patient’s unique situation, including their medical history, breast implant factors, personal goals, and recommended treatment options. ### Restoring Confidence Not only does corrective breast implant surgery address physical changes, but it can also have a profound impact on a patient’s psychological well-being. Restoring confidence and a sense of femininity are often cited as the most significant benefits of breast implant revision. If you find yourself considering revision surgery, thorough research and open communication with your surgeon are vital. With the right approach and realistic expectations, corrective breast implant surgery can be the next step in your beauty enhancement, offering the opportunity to align your outer appearance with the vision you hold for yourself. **Read more:** https://paulharris.co.uk/procedures/breast-implant-revision-2/ --- ### The Rising Tide of Breast Implant Removal: What’s Behind the Trend A decade ago, the most desired look in plastic surgery was noticeably augmented breasts, however, times have changed. Today, breast implant removal is on the rise, resonating with a wave of women seeking to rebalance their body image with a more natural aesthetic. In this in-depth analysis, we explore the reasons behind this growing trend and what it means for the future of plastic surgery. ### Understanding Breast Implant Removal Redefining Beauty Standards The perception of beauty is a fluid concept heavily influenced by culture, media, and personal values. Over the last few years, the idea of beauty has shifted from extreme enhancements to more natural, body-positive norms. With this, many women who previously sought breast augmentation are now opting for removal. This isn’t just about preference; it reflects evolving societal standards and a movement toward authenticity and self-acceptance. Health and Well-being Another critical driver behind this trend is the increasing concern about potential health risks associated with breast implants. Women are becoming increasingly aware of implant-related complications such as Breast Implant Illness (BII) and Anaplastic Large Cell Lymphoma (ALCL), leading to proactive decisions to remove them. ### The Motivations and Experiences of Patients Personal Identity and Comfort For some women, the shift towards natural breasts is a personal decision that aligns with their sense of identity and comfort in their body. They may have experienced discomfort or a persistent feeling of foreignness with their implants, leading to the desire for removal. Post-Surgery Identification Breast implant removal patients often report a sense of reclaiming themselves post-surgery. This can involve a journey of self-rediscovery and adjustment to what it means to feel feminine and beautiful without artificial enhancements. Patients frequently find that their self-esteem and confidence improve significantly after the removal, solidifying their belief that beauty is an inherent, natural quality. ### Professional Perspectives on the trend Surgeon’s Insights Leading plastic surgeons are seeing a surge in consultations for implant removal. These professionals provide invaluable insights into patient motivations, helping to better understand and support these decisions. They also play a crucial role in managing patient expectations and guiding them towards the best path forward, whether it be removal, replacement, or no surgery at all. Trends in the Industry Within the plastic surgery industry, we’re not just seeing an uptick in removal procedures—newer, less-invasive techniques are also becoming available. Surgeons are now able to cater to a wider range of patient needs, performing explant surgeries with greater precision and reduced scarring, for example, the en bloc capsulectomy technique. ### The Intersection of Pop Culture and Personal Choices Influencer Culture and The ‘Real’ Look Social media influencers and celebrities play a substantial role in shaping beauty ideals. As more public figures opt for a natural look or speak openly about their breast implant removal experiences, they contribute to the normalization of these choices. Their stories and visibility can empower and reassure many individuals who are considering plastic surgery reversals. The Role of Documentaries and Media Documentaries and media coverage have brought empowering stories to the forefront, shedding light on the experiences of women who have undergone breast implant removal. This broader narrative has given a voice to individuals who may have felt alone in their journey, sparking conversations and a community of support. ### Navigating the Decision and Post-Removal Life Decision-making Process Deciding to remove breast implants is a significant and personal choice. It’s essential for individuals to take the time for introspection, research, and consult with medical professionals. By doing so, they can make an informed decision that aligns with their physical and emotional health. Post-Removal Recovery and Support Recovery from implant removal surgery can be similar to breast augmentation recovery, depending on the technique used. Having a strong support system in place, including post-op care, and considering therapeutic support can greatly aid the transition to a more authentic self. ### The Future of Plastic Surgery: Natural and Health-Focused The New Paradigm The landscape of plastic surgery is shifting towards procedures that highlight natural beauty and prioritize health and well-being. This trend reflects a profound change in perspective, where individuals are seeking to align their external appearance with an inner sense of self and vitality. Advancements in Surgical Techniques Technological advancements in plastic surgery are not only making procedures safer, but they’re also allowing for more tailored, natural-looking results. 3D imaging technologies and advanced materials are helping patients and surgeons have a clearer vision and execution of their desired outcomes. ### The ethical and Societal Implications Ethical Considerations The growing popularity of breast implant removal raises ethical questions within the plastic surgery field. Surgeons must navigate their practices in a way that is transparent, empathetic and considers the long-term well-being of their patients. This extends to informed consent processes, cost disclosures, and ongoing health monitoring post-surgery. Societal Impact On a broader scale, the trend toward implant removal is a part of a larger societal movement that values individual health and authenticity. The way society and the medical community adapt to and support these changes will have a lasting impact on the industry and the individuals it serves. ### Conclusion: A Transformational Journey Breast implant removal represents more than just a shift in personal preferences; it is a transformative choice for many women seeking a harmonious balance between their physical and emotional selves. As the trend continues, it signals a cultural shift towards embracing natural beauty and prioritizing health over appearance. This journey, for both individuals and the larger society, is one of growth, acceptance, and redefining the very essence of beauty. **Read more:** https://paulharris.co.uk/procedures/implant-removal-trend-explained/ --- ### The Life-Changing Benefits of Breast Reduction Surgery for Men and Women Embarking on the journey towards a [breast reduction surgery](/procedures/breast-reduction/), be it for a man or a woman, is a personal and transformative decision. Beyond the cosmetic enhancements, this surgical procedure offers a myriad of benefits that can significantly improve one’s quality of life. In this comprehensive post, we’ll delve deep into the advantages of breast reduction—from alleviating physical discomfort to enhancing mental well-being, and everything in between. Whether you’re considering the surgery or want to learn more about its positive impacts, this article is your go-to guide. ## Understanding the Decision Behind Breast Reduction The decision to pursue breast reduction surgery is often the culmination of a long process. For many individuals, excessively large breasts can be a source of ongoing physical pain and emotional distress. But what exactly are the factors that lead someone to choose this transformative procedure? #### Medical Necessity and Quality of Life Large breasts are often associated with health issues such as chronic back, neck, and shoulder pain, postural problems, and skin irritation. Engaging in physical activities can be challenging, and the burden of heavy breasts can even lead to self-esteem issues and social anxiety. #### Emotional and Psychological Impact There’s a profound connection between one’s mental well-being and their body image. For those with disproportionately large breasts, the emotional toll can be substantial. A reduction in breast size can lead to a boost in self-confidence and a more positive self-perception. #### The Aesthetic Aspect The appearance of one’s breasts, particularly in relation to the rest of the body, is a significant factor in the decision to undergo reduction surgery. Reclaiming a more balanced and proportional figure often leads to a significant improvement in one’s overall appearance. ## Physical benefits of Breast Reduction Breast reduction surgery offers a plethora of physical benefits, many of which can alleviate the strain that excessively large breasts place on the body. Let’s explore the transformative effects of this procedure. #### Alleviating Pain and Discomfort One of the primary motivations for breast reduction is addressing the physical symptoms associated with large breasts, including: Back Pain: Heavy breasts can alter the curvature of the spine, leading to chronic back pain. Reducing breast size can relieve this strain. Neck and Shoulder Pain: The constant pull from heavy breasts can lead to chronic pain in the neck and shoulder region, often causing muscle tension and headaches. Skin Irritation: The skin beneath the breasts can become irritated and prone to infections, a condition known as intertrigo. After surgery, patients often experience relief from this discomfort. Postural Issues: The weight of large breasts can contribute to poor posture and may even affect the ability to maintain a balanced gait. #### Enhancing Physical Activity Physical exercise and activities are often limited by the presence of large breasts. While engaging in sports or even in simple workouts, those with heavy breasts may find it difficult to find comfortable sports bras or may experience discomfort and pain. Following a reduction, many patients experience newfound freedom in their ability to participate in physical activities without the constraints of large breasts. #### Improving Skin Health The skin underlying and between the breasts is subjected to a significant amount of stress. This can lead to issues such as chafing, rash, and, in severe cases, open sores. With a reduction, not only is the skin irritation alleviated, but the overall skin health also improves due to a reduction in moisture and friction. ## Emotional and Mental Well-Being The impact of breast reduction surgery goes far beyond the physical, influencing the emotional and mental health of individuals in a myriad of ways. #### Boosting Self-Confidence A primary outcome of reduced breast size is often an increase in self-esteem and confidence. Patients report feeling more comfortable in their own skin and more willing to participate in social and physical activities without the self-consciousness that previously overshadowed their enjoyment. #### Improving Body Image Body image is a complex construct influenced by societal standards and personal perceptions. For individuals who feel their breasts are too large for their frame, this procedure offers a chance to achieve a more balanced body silhouette, which in turn positively impacts their body image. #### Decreased Social Anxiety The psychological burden of large breasts can extend to social interactions, leading to anxiety and the avoidance of certain situations. Post-reduction, patients often report feeling more at ease in social settings, no longer preoccupied with their appearance. ## Aesthetic Advantages The aesthetic benefits of breast reduction are often self-evident, but they bear repeating as they can significantly contribute to a patient’s overall well-being. #### Reclaiming Proportions For many individuals with excessively large breasts, the goal is not only to alleviate discomfort but also to achieve a body proportion that feels natural. Breast reduction surgery enables patients to reclaim their intended proportions, fostering a sense of harmony and balance in their appearance. #### Enhancing Wardrobe Options The daily struggle with finding clothes that fit and flatter isn’t just an inconvenience; it can be a source of stress and self-consciousness. After surgery, patients enjoy the ability to wear a wider range of clothing styles that were previously unsuitable due to their large breast size. ## The Impact on Daily Life With the physical, emotional, and aesthetic benefits of breast reduction, patients experience a fuller, more active, and more comfortable daily life. #### Everyday Comfort Simple tasks such as performing household chores, sitting at a desk, or walking up stairs can be more comfortable without the physical impediment of large breasts. Patients often remark on the newfound ease of movement and a reduction in muscle strain. #### Career Advancement For some, the physical discomfort and emotional distress associated with large breasts can hinder career advancement. After surgery, patients often find they can focus more on their professional growth and less on health-related limitations or image concerns. #### Sexual Health and Intimacy Breast reduction can lead to improvements in sexual health and intimacy. With reduced pain and physical discomfort, patients often experience a more fulfilling and active sex life, which can be a significant contributor to overall quality of life. ## Post-Surgery Life and Long-Term Results While the decision to undergo breast reduction surgery is significant, it is often the positive changes in the post-operative period and the long-term results that validate the decision. #### Recovery and Adaptation The recovery period following breast reduction is typically a few weeks, during which patients gradually resume their normal activities. Physical restrictions are temporary, and most individuals find their energy levels and comfort increase as they heal. #### Maintaining Results With proper care and maintenance, the results of breast reduction surgery are often long-lasting. Support from bras designed for the new breast size, a healthy diet, and regular exercise can all contribute to sustaining the benefits of the procedure. ## Considering Breast Reduction: What's Next? If you’re considering breast reduction surgery, the decision-making process can be daunting. It’s crucial to approach the journey with a solid understanding of your goals and the potential impacts the surgery can have on your life. #### Research and Consultation Begin by researching board-certified plastic surgeons who specialize in breast reduction surgery. Consult with several professionals to find the right fit and to discuss your desired outcomes, as well as the risks and benefits involved. #### Preparing for the Procedure Before undergoing the surgery, you’ll need to go through a preparation phase, which may include medical evaluations, adjusting medications, and refraining from certain activities. Your surgeon will provide detailed guidelines to ensure you’re fully prepared for the operation. #### Recovery Period and Aftercare The recovery from breast reduction surgery involves a period of rest and healing. Your surgical team will provide aftercare instructions to help manage pain, minimize scarring, and promote proper healing. It’s essential to follow these instructions meticulously for the best possible outcome. #### Enjoying the Benefits As you recover and begin to engage in activities that may have previously been limiting, you’ll start to experience the numerous benefits of your breast reduction. Embrace the positive changes and enjoy the newfound comfort and confidence that come with your improved quality of life. ## Conclusion: The Multifaceted Benefits of Breast Reduction For many men and women, breast reduction surgery is more than a cosmetic procedure; it’s a life-changing intervention that can alleviate chronic pain, enhance self-image, and provide freedom from the physical burdens associated with excessively large breasts. By carefully considering the decision, preparing for the surgery, and embracing the post-operative journey, individuals can unlock a multitude of benefits that contribute to a fulfilling and more comfortable life. Whether it’s the relief from back pain, the joy of finding a bikini that fits just right, or the newfound confidence to pursue personal and professional goals, the advantages of breast reduction are vast and far-reaching. Embrace the possibility of transformation and the promise of a brighter, lighter future with the thoughtful consideration of breast reduction surgery. **Read more:** https://paulharris.co.uk/procedures/breast-reduction-benefits/ --- ### The Decision to Downsize: A Comprehensive Guide to Breast Implant Reduction [Breast augmentation](/procedures/breast-augmentation/), a popular surgery, has empowered countless women to feel more confident and comfortable in their skin. However, as time passes, some women find that their larger breast implants no longer align with their aesthetic preferences, lifestyle, or health concerns. This can lead to another pivotal decision in their journey: breast implant reduction, or breast revision surgery. The decision to undergo breast implant reduction is a deeply personal one, and for those contemplating it, a host of questions and considerations may arise. Let’s delve into this transformative procedure and navigate through the multitude of aspects it encompasses. ### Your Motivation: Why Consider Breast Implant Reduction? Understanding your motivation is the critical first step. There are various reasons why women seek breast implant revision, such as experiencing discomfort, desiring a more natural look, or needing the implants removed due to health reasons. It could be the case that the initial size no longer matches your desired aesthetic or perhaps the implants have caused you physical issues like back pain or limited mobility. Identifying and acknowledging your motivations are essential for a successful and satisfying result. ### The Consultation Process: Finding the Right Surgeon Selecting a highly-qualified surgeon is paramount. During your consultations, the surgeon will evaluate your current implants and discuss your goals, medical history, and the options available for reduction. This is also the time to ask about their experience with revision surgery, see before and after photos of past patients, and ensure they are board-certified in plastic surgery. A good rapport with your surgeon is crucial as it fosters trust and open communication throughout your journey. ### Exploring Your Options: Techniques and Aesthetic Goals Breast implant revision comes with various techniques and aesthetic possibilities. Your surgeon will discuss different methods, such as partial or complete breast implant removal, and whether a breast lift, or mastopexy, is recommended to achieve an optimal outcome. If downsizing significantly, patients may also opt for a breast lift to address sagging and ensure a more youthful look. Having a clear vision of your desired outcome and communicating it effectively will aid in the decision-making process. ### Physical Preparation: Lifestyle Changes and Expectations Preparing for breast implant revision is akin to preparing for your initial breast augmentation. Your surgeon will provide a list of preoperative instructions, which may include quitting smoking, altering medications, and maintaining a healthy diet. You should also have a realistic understanding of the post-revision recovery process, which often involves some discomfort and temporary lifestyle adjustments while you heal. ### Emotional Preparation: Coping with Change and Managing Expectations Beyond the physical elements, it’s important to address the emotional aspects of breast implant reduction. Some women may experience a range of emotions, including anxiety, during the transition to a smaller implant or no implant at all. Seeking support from loved ones, engaging in open dialogue with your surgeon, and talking to those who have undergone similar procedures can help manage these feelings and set realistic expectations. ### The Surgery: What to Expect on the Day On the day of your breast implant reduction, you’ll arrive at the surgical facility and meet with your medical team. The procedure can take several hours, and you will be under general anesthesia to ensure your comfort throughout. Your surgeon will follow the agreed-upon surgical plan, which may involve changing the size or type of the implant, altering the pocket where the implant sits, and addressing any aesthetic concerns. ### Recovery and Aftercare: Nurturing Your New You Postoperative care is pivotal for a smooth recovery. You will be given detailed instructions on wound care, medication management, activity restrictions, and what to expect in terms of swelling and discomfort. Follow-up appointments are scheduled to monitor your progress, remove sutures, and make sure that your recovery is progressing as planned. It’s essential to rest and allow your body the time it needs to heal properly. ### Embracing the Result: Final Thoughts on Your Breast Implant Reduction Revising your breast implants is a journey that encompasses physical change, emotional adjustment, and a renewed relationship with your body. Now is the time to revel in the aesthetic results and the relief that comes with resolving any discomfort you may have been feeling. Remember, every step of this process is about your well-being and the enhancement of your own self-perception. ### The Path Forward: Resources and Further Reading Transitioning to a more harmonious and comfortable self is a profound and empowering choice. Whether you’re just starting to contemplate breast implant reduction or you’re deep in the preparation process, this comprehensive guide can serve as a roadmap for your journey. Seeking out additional resources, staying informed, and maintaining a positive outlook are the keys to navigating this period of change with grace and confidence. For more in-depth information and personal accounts, we suggest looking into reputable plastic surgery associations, breast health organizations, and online forums where individuals share their experiences. Knowledge is empowering, and feeling well-informed as you move forward with your decision is an essential component of patient satisfaction and overall well-being. **Read more:** https://paulharris.co.uk/procedures/breast-implant-downsizing-guide/ --- ### Understanding Breast Reduction Surgery ### Understanding Personal Preference and Breast Reduction Surgery The silhouette of the “perfect body” is ever-changing, and society’s perception of beauty is continuously evolving. One surprising shift that’s emerged is the conversation around breast size. While larger breasts have often been associated with femininity and attractiveness, a growing movement is challenging this perception. Emboldened by the concept of body positivity, an increasing number of individuals are exploring options for breast reduction surgery. Let’s delve into the nuances of personal preference, societal standards, and medical interventions, and understand the reasons driving this cultural shift. ### The Preference Paradox: Understanding the Spectrum of Attraction Personal preferences in physical appearance are as varied as the individuals who hold them. Survey data reveals a broad spectrum of attraction, with some individuals expressing a strong preference for smaller breasts, often citing reasons such as comfort, lifestyle, and aesthetic balance. Women with smaller breasts may feel more confident and comfortable without the physical strains or social implications associated with larger busts. On the other hand, the media and popular culture have traditionally perpetuated the notion that larger breasts are more desirable. This distinction can lead to societal bias and potentially influence individual preferences. However, as society becomes more body-inclusive, the narrative around breast size is shifting, highlighting the beauty in diversity and individuality. ### Understanding Breast Reduction: More Than Meets the Eye Breast reduction surgery, scientifically known as reduction mammoplasty, is often misconstrued as a purely cosmetic procedure. However, its medical benefits extend far beyond aesthetic enhancement. Women who undergo this surgery often do so to alleviate discomfort and health issues associated with large, pendulous breasts. Conditions such as chronic back and neck pain, shoulder grooving, and skin irritation can significantly impact a person’s quality of life, making breast reduction a transformative and sometimes necessary solution. Moreover, social and psychological factors also play a crucial role in the decision to undergo breast reduction. Many individuals experience a boost in self-esteem and find relief from the emotional strains of body image dissatisfaction, leading to a more active and fulfilling lifestyle post-surgery. ### The Movement Towards Size Neutrality While the notion of body positivity and size acceptance is not new, the movement continues to gain traction, advocating for a more inclusive definition of beauty. This cultural evolution is reflected in the increasing number of men and women embracing breasts of various sizes. Social platforms have become powerful tools for individuals to share their stories and foster a sense of community, supporting the idea that beauty should not be bound by societal norms. This shift towards size neutrality is not only challenging stereotypes but also influencing the decisions individuals make regarding their bodies. People are now more empowered to make personal choices based on their well-being and happiness, free from the constraints of external expectations. ### Psychological Considerations and Breast Size The relationship between breast size and self-image is complex. While larger breasts are often associated with higher levels of attractiveness, the personal perception of one’s body plays a significant role. Many individuals with large breasts may feel objectified or struggle with feelings of self-consciousness, which can have a detrimental effect on their mental health. Conversely, those with smaller breasts may face their own set of self-esteem challenges, particularly in a society that has historically overemphasized the importance of curves. However, as the conversation around body positivity deepens, it is becoming evident that satisfaction with one’s body is not solely determined by physical attributes. Psychological well-being often stems from a more holistic assessment of factors such as comfort, health, and personal values. ### Cultural Influences on Breast Preferences Cultural perceptions and standards of beauty have a profound influence on individual preferences. From a historical perspective, depictions of idealized female forms have shifted across different eras, reflecting the prevailing cultural attitudes. Today, a globalized media and entertainment industry continue to project an image of beauty that, for some, includes larger breasts. Yet, within various cultures, there are differing ideals of femininity and attractiveness. In some Eastern cultures, smaller breasts are traditionally considered more refined and elegant. These diverse standards highlight the subjective and malleable nature of beauty and its intrinsic link to cultural values and identities. ### Breast Satisfaction in Health and Lifestyle For many, satisfaction with their breast size is intimately connected with their health and lifestyle. Larger breasts can make physical activities more challenging and may contribute to postural issues and discomfort. Engaging in sports or exercise, finding clothing that fits comfortably, and maintaining an active lifestyle can all be impacted by breast size. Breast reduction surgery provides a path to greater satisfaction in health and lifestyle by addressing these practical concerns. Women who choose this option often report a dramatic improvement in their ability to enjoy life’s activities without the encumbrance of their larger breast size, leading to a more positive self-image and sense of empowerment. ### The Surge in Breast Reduction Surgeries The prevalence of breast reduction procedures is rising, reflecting the growing willingness to address the implications of larger breast size. Medical advancements have made the surgery more accessible and safer, compelling those who suffer from the physical and emotional burdens of large breasts to take action. The surge in surgeries is a testament to the shifting priorities of individuals who value their health and personal comfort above societal ideals. Post-surgery, many individuals experience a profound sense of relief and renewed enthusiasm for life. The decision to undergo breast reduction serves as a powerful narrative of self-determination, highlighting the autonomy of individuals in shaping their own experiences and defining their aesthetic choices. ### Navigating the Decision Process Deciding to undergo breast reduction is a deeply personal journey. It involves an assessment of physical discomfort, psychological well-being, and the objectives one has for their body and life. For any individual considering this procedure, it is essential to have a comprehensive consultation with a qualified plastic surgeon, addressing expectations, potential outcomes, and the necessary recovery process. By fully understanding the process and expected results, individuals can make an informed decision that aligns with their own values and goals. Choosing breast reduction is an active step towards taking control of one’s life, well-being, and self-image, and it is a decision that should be celebrated and respected. ### Looking Forward: The Evolution of Beauty Standards The conversation around breast size and personal preference is constantly evolving, reflecting broader shifts in attitudes towards body image and beauty. As we move forward, it is crucial to continue fostering an environment that celebrates diversity and recognizes the intrinsic worth of every individual, regardless of physical attributes. The future of beauty standards will undoubtedly be shaped by the collective voices advocating for inclusivity and acceptance. Embracing this evolution not only liberates individuals to make choices that honor their health and happiness but also paves the way for a more compassionate and equitable society. In conclusion, the choice of breast size is deeply personal and should be made with consideration for health, comfort, and individual preference. As we challenge traditional norms and embrace a more inclusive ideal of beauty, we create space for all bodies to be valued and respected. Breast reduction surgery is just one example of how individuals are taking control of their narratives, and it serves as an empowering reminder that beauty is as diverse and unique as the individuals who possess it. **Read more:** https://paulharris.co.uk/procedures/breast-reduction-surgery/ --- ### Demystifying Male Breast Reduction: Understanding Prevalence and Insights The landscape of male aesthetics has transformed dramatically over the past few decades, with more men finding the courage and resources to address concerns about their physical appearance. One procedure that has steadily garnered attention is male breast reduction, or [gynecomastia](/procedures/gynecomastia-surgery-guide/) surgery. As this topic remains shrouded in misconceptions and curiosity, it’s essential to guide those on the fence through the facts and figures. We will delve into the prevalence of gynecomastia, explore its common causes, discuss the procedure itself, and offer insights into recovery and beyond. ### Understanding Male Breast Enlargement The development of male breasts that are abnormally large, which is medically termed gynecomastia, is a common occurrence among men. According to studies, it affects 30% to 50% of males at some point in their lives. This can cause significant distress and can be a source of shame and self-consciousness, leading many to seek medical intervention. Prevalence in Various Age Groups Gynecomastia is unique in its ability to occur at any age. It can be present during infancy and puberty, persist through adulthood, or develop later in life due to various factors such as hormonal imbalance, medication side effects, or certain medical conditions. Common Causes and Contributing Factors Understanding the root cause of gynecomastia is pivotal to addressing and treating the issue. Common causes include hormonal changes during puberty or aging, use of certain medications or steroids, significant weight changes, and underlying health conditions like liver disease or tumors. ### The Male Breast Reduction Procedure: What to Expect Unlike the common misconception, gynecomastia surgery is not a cosmetic trend but a valuable solution to correct a genuine medical condition. When Surgery Becomes Necessary For many men, especially those whose quality of life or mental health is adversely affected, male breast reduction becomes an essential step. The decision is often informed by multiple factors, including the size of the breasts, the degree of ptosis, and the patient’s goals and expectations. The Surgical Process Unmasked The male breast reduction surgery typically involves a combination of liposuction and excision techniques to remove excess glandular tissue, fat, and sagging skin, ensuring a sculpted, more masculine chest contour. It’s paramount for patients to consult with a board-certified plastic surgeon specialized in gynecomastia. Risk and Complications Clarity As with any surgical procedure, there are inherent risks associated with male breast reduction, including bleeding, infection, changes in nipple sensation, or scarring. It’s crucial to discuss these with your surgeon and understand the steps to mitigate potential complications. ### Life After Male Breast Reduction: Recovery and Beyond The post-operative period is a critical phase in the male breast reduction journey, one that requires patience, good self-care, and a clear understanding of what’s next. Insight into Recovery Recovery timelines vary depending on the extent of the surgery and the individual’s healing capacity but generally involve a few days of rest followed by a gradual return to light activities. Patients are advised to wear a compression garment to minimize swelling and support the newly contoured chest. Managing Expectations While there will be immediate improvements in chest appearance, final outcomes can take several months to be fully realized as swelling subsides and the tissues settle. Patience and adherence to the post-operative care regimen are critical during this period. Long-Term Results and Follow-Up Care Maintaining a healthy lifestyle, including weight management and regular exercise, can significantly contribute to the long-term success of male breast reduction. Routine follow-up appointments with the surgeon are also essential to ensure proper healing and address any concerns that may arise. ### Final Thoughts: The Evolution of Male Aesthetics As we conclude this exploration of male breast reduction, it’s evident that the landscape of male aesthetics is evolving rapidly. More than ever, men are embracing their desires for self-improvement and taking proactive steps towards feeling comfortable in their own skin. Challenges Faced by the Stigma Despite progressive attitudes towards male beauty ideals, societal stigma still exists, often causing men to delay or forgo procedures that could significantly enhance their well-being. Open dialogue and education are key in dispelling myths and normalizing male aesthetic practices. Looking to the Future The future of male aesthetics and gynecomastia treatment is bright, with advancements in surgical techniques and the availability of non-invasive options offering even more possibilities for men’s health and confidence. It is hoped that this evolution will also be accompanied by increased support and understanding within society. In a world where personal empowerment and self-expression are increasingly celebrated, male breast reduction stands as a testament to the importance of individual choice and autonomy. By understanding the prevalence of gynecomastia, the nuances of the surgical process, and the experiences of those who have undergone the procedure, one can navigate this journey with clarity and confidence. If you or someone you know is considering male breast reduction, embrace the opportunity to learn, explore, and ultimately make an informed decision. The male aesthetic journey is yours to sculpt. **Read more:** https://paulharris.co.uk/procedures/gynecomastia-surgery/ --- ### Breast Revision Surgery: Understanding the Need, Process, and Expectations As plastic surgery continues to advance, patients are increasingly aware of the options and expectations of procedures they undergo. One lesser-discussed aspect is [breast revision surgery](/procedures/breast-implant-revision/), a procedure gaining popularity as more women consider or undergo [breast augmentations](/procedures/breast-augmentation/). Beyond just aesthetic desires, several medical, anatomical, and personal reasons may lead to selecting breast revision surgery. In this in-depth exploration, we aim to unravel the nuances of breast revision surgeries, providing a comprehensive guide for those considering or simply curious about this crucial aspect of medicine. ### Why Breast Revision Surgery? Necessity Amidst Unpredictability Breast augmentation is one of the most commonly performed plastic surgeries. Despite the high success rate of the initial procedure, there are instances where revision surgery becomes a necessary step. Issues like dissatisfaction with the initial outcome, implant malposition, capsular contracture, or changes in breast tissue may prompt the patient or surgeon to consider revision. Meeting Clear Personal Goals While some revisions are medically motivated, others stem from personal desires. Women’s aesthetics related to their breasts change over time due to factors such as pregnancy, breastfeeding, weight fluctuations, or natural aging. In the era of body positivity, it’s critical to reinforce that a woman’s choice for revision surgery is as personal as her initial decision for augmentation. ### Understanding the Revision Process The Consultation and Decision-Making The revision process starts with a thorough consultation, during which the patient and surgeon discuss the reasons for revision, aesthetic goals, and the best way to approach the procedure. Clear communication and realistic expectations are imperative here, setting the foundation for a successful outcome. Surgical Techniques and Considerations Unlike a primary breast augmentation, which mainly involves creating a pocket for the implant, breast revision surgeries demand a more meticulous approach. Surgeons must navigate existing scar tissue, assess the condition of the implant, and address any anatomical changes that may have occurred since the initial surgery. Recovery and Aftercare Recovery from breast revision surgery is generally similar to recovery from the primary procedure. Patients are advised to follow post-operative instructions carefully, which typically include wearing a supportive bra, avoiding strenuous activities, and attending follow-up appointments to monitor healing. ### The Emotional Journey of Revision Mental Preparation and Support For many patients, revision surgery represents a second chance to achieve the results they originally desired. It’s important for them to be emotionally prepared, which may include seeking support from friends, family, or support groups. Mental preparation can be as crucial as physical preparation for the surgery. A New Beginning For some, breast revision surgery can signify a fresh start. It’s not uncommon for patients to feel a renewed sense of confidence and contentment with their body image post-revision, solidifying their belief in the power of plastic surgery to positively impact their lives. ### Post-Operative Expectations and Care Potential Challenges and their Management As with any surgical procedure, there are potential risks associated with breast revision surgery. These can include prolonged swelling, implant rupture, or changes in nipple sensation. Understanding these risks and knowing how to manage them is essential for patients undergoing revision. Long-Term Maintenance and Well-Being Long-term care post-revision may include periodic checks to ensure the implants and breast tissue are in good condition. Maintaining a healthy lifestyle, including regular exercise and a balanced diet, can also contribute to the longevity of the revision’s positive outcomes. ### Addressing Common Misconceptions Myth: Multiple Revisions are the Norm While it’s true that some patients undergo multiple revisions, this is not the standard. With a qualified surgeon and careful planning, most patients achieve their desired results with a single revision. It’s essential to convey this reality to dispel unnecessary anxiety. Myth: Revision Surgery is Inherently Risky Like any surgery, revisions carry risks, but when performed by an experienced, board-certified plastic surgeon, the overall risk is significantly reduced. Highlighting the importance of choosing the right surgeon can help reassure patients considering revision surgery. ### Conclusing Thoughts on Breast Revision Breast revision surgery can be a complex but rewarding journey. It offers patients the opportunity to address a spectrum of personal, medical, and cosmetic concerns associated with their initial breast augmentation. By understanding what the process entails, managing expectations, and addressing any misconceptions, patients can approach revision with clarity and confidence. The decision to undergo breast revision surgery is deeply personal and should be made after careful consideration and consultation with a qualified professional. With this guide, we hope to demystify the procedure and provide valuable insights for anyone contemplating this significant step in their journey. If revision surgery is on your radar, remember that your path is unique, and you deserve a result that resonates with your true self. **Read more:** https://paulharris.co.uk/procedures/breast-revision-surgery/ --- ### When should I get my breast implants removed? Deciding to get breast implants is a personal choice that many individuals make to enhance their self-esteem and body confidence. However, as time passes, circumstances and preferences may change, leading some to contemplate the [removal of their breast implants](/procedures/breast-implant-removal/). Understanding when to consider this decision is crucial for overall well-being and satisfaction with one’s body. #### Health Concerns: The primary factor prompting breast implant removal is often related to health concerns. Breast Implants have a lifespan, and as they age, there is a risk of complications such as rupture, leakage, or the development of scar tissue (capsular contracture). Regular check-ups with a healthcare professional and monitoring for any signs of discomfort, changes in shape, or pain can help identify potential issues. #### Lifestyle Changes Shifts in lifestyle, such as pregnancy or weight fluctuations, can impact the appearance of breast implants. Pregnancy, in particular, can cause changes in breast size and shape, potentially affecting the aesthetic results of breast augmentation. Women considering pregnancy should discuss their plans with their plastic surgeon to evaluate the timing of breast implant removal or replacement. #### Personal Preferences As individuals grow and evolve, so do their aesthetic preferences. Some may find that their attitude towards their appearance changes over time, leading them to reconsider the presence of breast implants. In such cases, open communication with a qualified plastic surgeon is essential to discuss options, potential outcomes, and alternatives. #### Implant Ageing Breast implants are not lifetime devices, and over time, they may naturally degrade. While modern breast implants are designed to be durable, their longevity is not indefinite. Regular consultations with a plastic surgeon can help assess the condition of the breast implants and determine whether removal or replacement is necessary. The decision to get breast implants removed is a personal and multifaceted one. Whether driven by health concerns, lifestyle changes, personal preferences, or the natural ageing of implants, individuals must carefully consider their unique circumstances. Consulting with a qualified plastic surgeon is paramount in making an informed decision, ensuring that the chosen path aligns with one’s health, well-being, and aesthetic goals. Ultimately, the goal is to achieve body confidence and satisfaction through choices that best reflect individual needs and desires. **Read more:** https://paulharris.co.uk/procedures/breast-implant-removal-timing/ --- ### What size breast implants should I get? Choosing the right size for breast implants is a personal decision that requires careful consideration. It’s not just about achieving a specific cup size; factors such as body shape, lifestyle, and personal preferences also play a crucial role. Here are some key points to keep in mind when deciding on the size of breast implants. Body Proportions: Consider your overall body proportions when choosing breast implant size. Opting for implants that complement your natural curves can result in a more balanced and aesthetically pleasing outcome. Consult with a board-certified plastic surgeon who can assess your body type and recommend suitable options. Lifestyle and Activities: Your lifestyle and daily activities should influence your decision. If you lead an active lifestyle or participate in sports, you may want to choose a size that allows for comfortable movement and doesn’t hinder physical activities. On the other hand, if you have a sedentary lifestyle, you might have more flexibility in selecting a larger size. Personal Preferences: Clearly communicate your preferences and aesthetic goals with your surgeon. Bring pictures of your desired breast size or shape to ensure that both you and your surgeon have a shared understanding of the desired outcome. Keep in mind that what looks good on someone else may not be the best choice for your body. Implant Profile: Breast Implants come in various profiles, such as low, moderate, and high. The profile determines how much the implant projects forward. The right profile for you depends on the look you desire and your body’s anatomy. A consultation with your surgeon will help determine the most suitable implant profile for your goals. Communication with Your Surgeon: Open and honest communication with your plastic surgeon is crucial. During your consultation, discuss your expectations, concerns, and any questions you may have. A skilled and experienced surgeon will guide you through the decision-making process, taking into account your unique characteristics. Remember that breast augmentation is a personal journey, and there is no one-size-fits-all answer. Take the time to thoroughly research, consult with experts, and make an informed decision that aligns with your individual preferences and lifestyle. **Read more:** https://paulharris.co.uk/procedures/choosing-implant-size/ --- ### Male breast reduction: is this the right surgery for me? Male breast reduction, also known as [gynecomastia surgery](/procedures/gynecomastia-surgery-2/), is a surgical procedure designed to address the condition of enlarged breasts in men. Gynecomastia, often colloquially referred to as “man boobs,” is a common condition that can cause physical and emotional discomfort for affected individuals. The development of enlarged breasts in men can be attributed to a variety of factors, including hormonal imbalances, genetics, obesity, or the use of certain medications. Regardless of the underlying cause, the condition can lead to self-consciousness, reduced self-esteem, and avoidance of activities that may require the removal of clothing, such as swimming or going to the gym. [Male breast reduction](/procedures/gynecomastia-surgery-guide/) surgery aims to reshape and reduce the size of the breasts, creating a more masculine chest contour. The procedure typically involves the removal of excess glandular tissue, fat, and skin. The specific surgical approach may vary depending on the individual case and the extent of enlargement. In some cases, liposuction alone may be sufficient, while in others, surgical excision of glandular tissue may be required. Before undergoing male breast reduction, patients typically undergo a thorough consultation with a board-certified plastic surgeon who specialises in gynecomastia surgery. During this consultation, the surgeon assesses the patient’s medical history, conducts a physical examination, and discusses the patient’s aesthetic goals. It is essential to have realistic expectations about the outcomes of the surgery, as individual results may vary. The actual surgical procedure is performed under general anesthesia, and recovery time varies depending on the extent of the surgery. Patients are typically advised to avoid strenuous activities for a few weeks following the procedure and may be required to wear a compression garment to aid in the healing process. Male breast reduction can have a profound impact on a man’s self-confidence and body image. Beyond the physical changes, many individuals experience improved mental well-being and a greater willingness to engage in activities that were previously avoided due to embarrassment or discomfort. As with any surgical procedure, potential risks and complications are discussed during the consultation, and it’s crucial for individuals considering male breast reduction to make informed decisions in collaboration with their healthcare provider. **Read more:** https://paulharris.co.uk/procedures/male-breast-reduction/ --- ### Liposuction - how long is my recovery time? [Liposuction](/procedures/liposuction-fat-transfer/) is a surgical procedure designed to remove excess fat deposits from specific areas of the body, such as the abdomen, thighs, buttocks, and arms. While it is not a substitute for weight loss and a healthy lifestyle, liposuction can help reshape and contour the body by targeting stubborn fat that is resistant to diet and exercise. Recovery time after liposuction varies from person to person and depends on the extent of the procedure, the areas treated, and individual factors like overall health. Generally, the initial recovery period lasts a few days to a week, but patients may continue to experience gradual improvement for several weeks to months. Immediately after the procedure, patients are likely to experience some swelling, bruising, and discomfort in the treated areas. Surgeons typically recommend wearing compression garments to help minimise swelling and support the healing process. Pain medications may be prescribed to manage any postoperative discomfort. Patients are usually advised to take a few days off work and avoid strenuous activities during the initial recovery period. Light walking is encouraged to promote circulation and prevent blood clots, but more intense exercise is typically restricted for a few weeks. It’s important for individuals to follow their surgeon’s postoperative care instructions diligently to ensure a smooth recovery. The swelling and bruising will gradually subside over the first few weeks, revealing more noticeable results. Complete resolution of swelling can take several months, during which patients may be advised to continue wearing compression garments and avoid sun exposure to the treated areas. While many people can return to their normal activities within a week or two, individual recovery experiences vary. Some may resume work sooner, while others may need a longer recovery period. It’s essential for patients to attend follow-up appointments with their surgeon, as these check-ups allow the medical team to monitor progress and address any concerns. It’s worth noting that maintaining a healthy lifestyle with proper diet and exercise is crucial for long-term success and satisfaction following liposuction. Consulting with a qualified plastic surgeon is key to understanding the specific recovery timeline based on individual circumstances and the extent of the liposuction procedure. **Read more:** https://paulharris.co.uk/procedures/liposuction-recovery-time/ --- ### Is a breast reduction right for me? Many women with larger breasts often face physical and emotional challenges that may lead them to consider [breast reduction surgery](/procedures/breast-reduction/). While the decision to undergo any form of surgery is deeply personal, it’s essential to weigh the pros and cons carefully and consult with qualified medical professionals to determine if a breast reduction is right for you. One of the primary reasons women choose breast reduction is to alleviate physical discomfort. Large breasts can contribute to chronic neck, shoulder, and back pain, as well as skin irritation and posture issues. By reducing the size of the breasts, many individuals experience relief from these physical discomforts, improving overall well-being and quality of life. Apart from physical discomfort, emotional well-being plays a significant role in the decision-making process. Women with disproportionately large breasts may experience self-consciousness, body image issues, and difficulties finding clothing that fits comfortably. A breast reduction can enhance confidence, allowing individuals to feel more comfortable and positive about their bodies. However, before committing to the surgery, it’s crucial to consider the potential risks and complications. Like any surgical procedure, breast reduction carries inherent risks, such as infection, scarring, and changes in nipple sensation. Understanding these risks and discussing them with a qualified plastic surgeon is essential to making an informed decision. Additionally, individuals should assess their motivations for seeking breast reduction. While physical discomfort and emotional well-being are valid reasons, it’s essential to have realistic expectations about the outcome. Open communication with a board-certified plastic surgeon is crucial to discuss expectations, potential results, and any concerns the individual may have. It’s important to note that breast reduction is not only for aesthetic reasons but can also be medically necessary. In some cases, insurance may cover the procedure if it is deemed medically necessary due to the physical discomfort and pain associated with large breasts. Ultimately, the decision to undergo a breast reduction is a personal one that requires careful consideration of both the physical and emotional aspects involved. Seeking guidance from qualified medical professionals and thoroughly researching the procedure can help individuals make an informed decision about whether a breast reduction is right for them. **Read more:** https://paulharris.co.uk/procedures/breast-reduction-candidate-guide/ --- ### Why You Should Consider Breast Implant Replacement Breast implants have been around for decades and have helped thousands of women to feel more confident in their bodies. While the decision to get breast implants is a personal one, it is important to understand that implants are not a lifetime solution. Women who have had breast implants for a few years may need to consider breast implant replacement. In this article, we will explore the reasons why a woman may require breast implant replacement and what the process entails. ### Ageing and Wear and Tear of Implants Breast implants are not meant to last forever. Generally, they last between 10-15 years; after which they may begin to leak, rupture, or become defective over time. This happens as the material – silicone or saline – used in the implant ages. Over time, the implant may become softer or develop scar tissue around the breast, causing it to feel hard or distorted. If you have noticed any changes in the appearance, firmness, or texture of your breasts, it may be time to have them checked by your surgeon for a possible replacement. ### Capsular Contracture Capsular contracture is the most common complication associated with breast implants. It occurs when scar tissue forms around the implant, causing it to harden and distort the breast’s appearance. This can be extremely painful and uncomfortable. Capsular contraction may occur at any time after surgery and can occur in one or both breasts. If you are experiencing discomfort, tightness, or pain in your breasts, you should seek medical attention to determine if a replacement is necessary. ### Change in Breast Size or Shape Weight fluctuations, pregnancy, and age can all affect the size and shape of your breasts. Women who have undergone a breast augmentation may find that their implant shape no longer complements their body as it once did. If you feel that your implants no longer give you the look you want, breast implant replacement can be an ideal solution. You can choose to have implants of a different size, shape, or type to better suit your body. ### Upgrade to Current Technology New implant technology is being developed all the time that offers a more natural feel and appearance. Many women may want to upgrade to the latest implants to improve their appearance. Even women who had their implants placed a few years ago may benefit from today’s advanced technology. ### Psychological Reasons Breast implants can have a significant impact on a person’s self-esteem and confidence. In some cases, a woman may no longer feel comfortable with her previous breast augmentation and seek to improve her appearance via breast implant replacement. Whether due to ageing, capsular contraction, a change in breast size or shape, an upgrade to current technology, or psychological reasons, breast implant replacement is a very common procedure. Women who have had breast implants for several years should be aware of the signs of implant damage and be prepared to undergo the procedure when necessary. Book a consultation to understand the best possible outcome and a renewed sense of confidence in your body. Remember, your body is your temple, and it is essential to take care of it the best you can. **Read more:** https://paulharris.co.uk/procedures/breast-implant-replacement-3/ --- ### Why Women Choose to Remove Breast Implants Breast implants are an excellent way to enhance your figure and boost your self-esteem. However, changing times or medical reasons may create a need to have them removed. Women want to be comfortable with their bodies and sometimes having breast implants does the opposite. This blog post is aimed at providing you with an insight into why women opt to [remove breast implants](/procedures/breast-implant-removal/). #### Capsular Contracture Capsular contracture occurs when the scar tissue that naturally forms around the breast implant begins to thicken. This thickening leads to the implant hardening and distorting the breast’s appearance, resulting in discomfort and pain. Women who experience such complications opt to have the implants removed to alleviate the discomfort. #### Changes in preference Two decades ago, Pamela Andersons’ big-breasted look wasn’t mainstream; people preferred a less pronounced breast look. However, as times have changed, so has fashion and beauty trends. Today, women like Sofia Vergara of ‘Modern Family’ have brought a fresh perspective to the fashion world with a more natural-looking breast appearance. As such, some women choose to remove their implants to fit in with the current beauty trend. #### Medical Reasons Breast implants may interfere with cancer screening and diagnosis, leading to missed cancer detections. Additionally, implants can lead to lymphoma, which is a rare type of cancer that affects the immune system. Women with underlying medical conditions predisposed to developing breast cancer may prefer to have their implants removed to reduce the associated health risks. #### Financial Constraints Breast implant surgery can be costly, and not everyone can afford to keep up with the maintenance and replacements that are required to maintain implants. After a few years, implants may need to be replaced, leading to financial strains on the patient. Some patients, therefore, choose to remove their implants after they are unable to keep up with the costs associated with possessing them. #### Discomfort Large breasts can result in shoulder, neck, and back pain issues. Sometimes, the only way to alleviate this pain is to remove the breast implants. Pain stemming from the implants may cause women to resort to breast reduction surgery even if they were initially intended to augment their breast size. Breast implants are not permanent, and removing them is a personal decision that holds significant physical and emotional effects. It’s important to remember that breast implants require upkeep, and financial constraints may cause them to be removed. Whether it’s due to medical reasons, discomfort, preference, or post-operative complications, at some point, removal may be necessary. Women decide to remove breast implants to keep their appearance natural or to alleviate discomfort. The most important decision is to work with a competent plastic surgeon to ensure that the removal process is safe and healthy. The decision to remove your breast implants is a crucial one that requires careful consideration, medical advice, and guidance. **Read more:** https://paulharris.co.uk/procedures/breast-implant-removal-reasons/ --- ### Male Breast Reduction Surgery - What You Need to Know [Gynecomastia](/procedures/gynecomastia-surgery-2/), commonly known as ‘man boobs’, is a condition that affects many men. It is characterized by an excess of glandular tissue and fat in the breast area, leading to a feminine-looking chest. While diet and exercise can help reduce the excess fat, in some cases, male breast reduction surgery is necessary to remove the additional glandular tissue. In this blog post, we’ll explore all you need to know about this procedure. ### What is Male Breast Reduction Surgery? [Male breast reduction surgery](/procedures/gynecomastia-surgery-2/) is a procedure that involves removing excess glandular tissue, fat, and skin from the chest area. It aims to create a flatter, more masculine-looking chest. There are various techniques that can be used for male breast reduction, including liposuction, excision, or a combination of the two. ### Who is a Good Candidate for this Procedure? The ideal candidate for male breast reduction surgery is someone who: is suffering from gynecomastia has good physical health has realistic expectations about the outcome of the procedure is at a stable weight It’s important to note that male breast reduction surgery should not be considered a weight-loss procedure, and it won’t prevent future weight gain. Therefore, if you are overweight, it’s recommended that you first try to achieve a healthy weight through lifestyle changes before considering surgery. ### What Happens During the Procedure? The specific technique used during [male breast reduction surgery](/procedures/gynecomastia-guide/) will depend on the individual patient’s needs. In general, the procedure involves removing excess glandular tissue and fat, sometimes in combination with skin removal. The surgery usually takes 1-3 hours and is performed under general anesthesia. Patients can typically go home the same day, but it’s important to have someone to drive you back and to stay with you for the first few days. ### What is the Recovery Process Like? The recovery process after male breast reduction surgery can take several weeks. You’ll likely experience some pain, swelling, and bruising in the chest area for the first few days after the surgery. It’s important to avoid strenuous physical activity for at least 4-6 weeks and to wear a compression garment to help minimize swelling and promote healing. Your surgeon will provide detailed instructions on how to care for your incisions and manage any discomfort. Male breast reduction surgery can be life-changing for men suffering from gynecomastia. If you’re considering this procedure, get in touch today to talk to a leading experienced plastic surgeon who can guide you through the process and help you achieve the results you desire. With the information provided in this blog post, we hope you feel more informed and confident in making a decision about male breast reduction surgery. **Read more:** https://paulharris.co.uk/procedures/gynecomastia-guide/ --- ### Breast Surgery After Pregnancy Pregnancy can change a woman’s life in numerous ways. While the experience of being a mother is priceless, there are some physical changes that can affect a woman’s self-esteem. After pregnancy, many women find that their breasts have lost their shape, volume, and firmness. Some mothers take a year or more to bounce back to their pre-pregnancy bodies, while others decide to explore breast enhancement options like surgery. In this blog post, we will discuss breast surgery options available after pregnancy to help you make an informed decision. Breast surgery is an excellent option for women who wish to restore their breasts’ shape and volume after pregnancy. There are three primary breast surgery options available after pregnancy: [Breast Augmentation](/procedures/breast-augmentation/), [Breast Lift](/procedures/breast-uplift-mastopexy/), and [Breast Reduction](/procedures/breast-reduction/). Breast Augmentation: This surgery is for women who desire fuller, larger breasts. The surgeon uses silicone or saline implants to increase the breasts’ size, shape, and fullness. Not only does breast augmentation enhance the breasts’ appearance, but it can also improve a woman’s self-confidence and self-esteem. Breast augmentation is an outpatient procedure that usually requires 1-2 weeks of recovery time. Breast Lift: Breast lift, also known as mastopexy, is an excellent option for women who have sagging breasts after pregnancy. The surgeon removes excess skin and tightens the breast tissue to lift the breasts higher on the chest. This procedure also improves the shape and fullness of the breasts. Women who wish to undergo this surgery can experience discomfort for up to 1-2 weeks after the procedure. However, the results are long-lasting, and women gain self-confidence and feel more attractive. Breast Reduction: Women with excessively large breasts after pregnancy can benefit from breast reduction surgery. This surgical procedure involves removing excess breast tissue and skin to reduce the breast size. Women with large breasts often experience neck and back pain, difficulty in finding comfortable clothes, and self-consciousness about their breast size. Breast reduction can improve the breast shape, relieve pain and discomfort, and boost self-confidence. Recovery time for breast reduction can vary depending on individual recovery time and complications. Finally, every woman’s body is unique, and what works best for one woman may not work for another. We can help you understand the best options for you. Remember, breast surgeries are an investment in your self-confidence, and whether it’s augmentation, breast-lift, or breast-reduction, it’s essential to feel good about yourself. Contact us today to schedule a consultation and learn more about how we can help you achieve the body you desire. **Read more:** https://paulharris.co.uk/procedures/post-pregnancy-breast-surgery/ --- ### How To Change Your Breast Implants ### How To Change Your Breast Implants Breast augmentation is one of the most popular plastic surgery procedures for women. Many women choose to undergo breast augmentation to enhance their physical appearance and boost their self-confidence. Breast implants are typically made of a silicone shell filled with either saline or silicone gel. While breast implants can last for many years, some women may choose to replace them due to a variety of reasons. If you’re considering changing your breast implants, this comprehensive guide will provide you with everything you need to know. ### Why Change Breast Implants? There are many reasons why women may opt to change their breast implants. The most common reason is that the implants have reached the end of their lifespan. It’s recommended that women should replace their implants at around 10 years, but this can vary based on individual factors. Another reason women may choose to change their implants is that they are unhappy with the size, shape, or position of their current implants. Additionally, some women may have experienced complications such as [implant rupture](/conditions/breast-implant-rupture/), [capsular contracture](/conditions/capsular-contracture/), or implant malposition, which may require implant revision surgery. ### Types of Breast Implants The two main types of breast implants used in breast augmentation surgery are saline and silicone gel implants. Saline implants are filled with sterile saltwater, while silicone gel implants are filled with a silicone gel. Another type of implant that has become increasingly popular in recent years is the “gummy bear” implant, which is a silicone implant that has a firmer consistency than traditional silicone gel implants. When considering changing your breast implants, it’s important to discuss your options with your plastic surgeon to determine which type of implant is best for your needs. ### The Implant Replacement Procedure The process of replacing breast implants is similar to the initial breast augmentation surgery. The procedure typically involves the removal of the old implants, and the insertion of new implants. In some cases, additional procedures may be necessary to correct issues such as capsular contracture or implant malposition. During your consultation with your plastic surgeon, they will discuss the specifics of the procedure, including the type of anesthesia that will be used, the incision location, and the recovery process. ### Recovery and Aftercare Recovery from [breast implant replacement surgery](/procedures/breast-implant-exchange/) typically takes between 1-2 weeks. During this time, you will need to avoid strenuous activities and follow your plastic surgeon’s instructions for aftercare. It’s important to avoid lifting heavy objects, bending over, or reaching above your head for at least two weeks after surgery. You may experience some discomfort or swelling, but your plastic surgeon will provide you with pain medication and other medications to manage these symptoms. Additionally, you will need to attend follow-up appointments with your plastic surgeon to ensure that your recovery is progressing smoothly. ### Choosing a Qualified Plastic Surgeon Choosing a qualified plastic surgeon to perform your breast implant replacement surgery is crucial to ensure a successful outcome. When selecting a plastic surgeon, it’s important to look for board certification, experience, and a record of successful surgeries. You should also take the time to review their before and after photos and read reviews from previous patients. By choosing a qualified plastic surgeon, you can rest assured that you are in good hands throughout the entire process. If you’re considering changing your breast implants, it’s important to do your research and seek guidance from a qualified plastic surgeon. By understanding the reasons for implant replacement, the types of implants available, the procedure itself, and recovery process, you can make an informed decision that is best for your individual needs. Book a consultation today. **Read more:** https://paulharris.co.uk/procedures/breast-implant-replacement-guide/ --- ### Breast Reduction After Pregnancy: Is It Right For You? Pregnancy is a beautiful and life-changing experience, but it can also bring some changes to a woman’s body that might be unwelcome. One such change is the increase in breast size, which can persist even after the pregnancy is over. While some women are happy with this change, others may find themselves with breasts that are too large and uncomfortable. [Breast reduction surgery](/procedures/breast-reduction/) can help alleviate this problem, but is it safe and effective after pregnancy? In this blog post, we will explore the topic of breast reduction after pregnancy, and whether it might be the right option for you. #### What is Breast Reduction Surgery? Breast reduction surgery, also known as reduction mammoplasty, is a procedure that removes excess breast tissue, skin, and fat to achieve a smaller and more proportionate breast size. The surgery usually involves making incisions around the areola and down to the breast crease, and then removing tissue and reshaping the breast. The procedure can be done under general anesthesia and takes a few hours to complete. #### Is it safe to Have Breast Reduction Surgery After Pregnancy Breast reduction surgery after pregnancy is generally safe, as long as you wait at least six months after giving birth or finishing breastfeeding. This allows time for your breasts to settle into their new size and shape, and for your body to fully recover from the pregnancy. Your surgeon will also evaluate your overall health and discuss any potential risks or complications with you. #### What are the Benefits of Breast Reduction Surgery After Pregnancy? Breast reduction surgery can provide many benefits for women who are struggling with large and heavy breasts after pregnancy. It can alleviate physical discomfort such as back and neck pain, improve posture and breathing, and increase physical activity. It can also enhance self-image and self-confidence, as well as make it easier to find clothing that fits comfortably. #### What Can I Expect During and After the Surgery? Before the surgery, you will have a consultation with your surgeon to discuss your goals and expectations for the procedure. You will also receive instructions on how to prepare for the surgery, such as quitting smoking and avoiding certain medications. During the surgery, you will be under general anesthesia and the procedure typically takes 2-3 hours. You can expect some pain and discomfort after the surgery, but this can be managed with medication. It is important to follow your surgeon’s instructions on post-operative care to ensure proper healing and minimize the risk of complications. #### How Long is the Recovery Period? The recovery period for breast reduction surgery varies from person to person, but you can generally expect to take a week or two off from work and other daily activities. You will need to wear a special bra to support your breasts during the healing process, and avoid heavy lifting and strenuous activity for 4-6 weeks. You can gradually resume normal activities and exercise after 6 weeks, but it may take several months for the swelling and bruising to fully subside and for your breasts to settle into their new shape. If you are struggling with large and uncomfortable breasts after pregnancy, breast reduction surgery may be the right option for you. It can help alleviate physical and emotional discomfort, and improve your quality of life. However, it is important to evaluate your overall health and consult with a qualified surgeon to ensure that the procedure is safe and effective for you. With proper preparation and post-operative care, breast reduction surgery can be a life-changing decision that improves your overall well-being. **Read more:** https://paulharris.co.uk/procedures/breast-reduction-after-pregnancy/ --- ### Male Breast Reduction Benefits [Male breast reduction](/procedures/gynecomastia-surgery-2/), also known as gynecomastia surgery, is a procedure that offers several important benefits for men who are dealing with the condition of enlarged or excessive breast tissue. Gynecomastia can be emotionally distressing and impact self-confidence and quality of life. Here are the key benefits of male breast reduction: Improved Physical Appearance: The primary benefit of gynecomastia surgery is the improvement in physical appearance. It helps men achieve a flatter, more masculine chest contour by removing excess breast tissue and, in some cases, excess skin. Enhanced Self-Esteem: Gynecomastia can be a source of embarrassment and lowered self-esteem for many men. Male breast reduction helps restore confidence and self-esteem, allowing individuals to feel more comfortable in their bodies. Body Confidence: Men who undergo gynecomastia surgery often experience a renewed sense of body confidence. They can wear a wider range of clothing styles with greater comfort and look and feel better in swimwear and tight-fitting shirts. Increased Comfort: Enlarged breast tissue can be physically uncomfortable, leading to chafing, irritation, and self-consciousness. Male breast reduction eliminates this discomfort, improving overall well-being. Psychological Benefits: The emotional and psychological benefits of gynecomastia surgery should not be underestimated. The removal of excess breast tissue can significantly boost self-confidence and body image. Customized Results: Gynecomastia surgery can be tailored to address the specific needs and goals of each patient. The extent of surgery and the techniques used can be customized to achieve the desired outcome. Minimally Invasive: Gynecomastia surgery is minimally invasive, often involving small incisions and a shorter recovery period compared to more extensive surgical procedures. Natural-Looking Results: When performed by an experienced plastic surgeon, gynecomastia surgery results in a natural-looking chest contour that is in proportion to the rest of the body. Improved Quality of Life: The physical and emotional benefits of male breast reduction contribute to an improved overall quality of life. Men can engage in activities with greater confidence and enjoy a higher level of well-being. Long-Lasting Results: The results of gynecomastia surgery are generally long-lasting, provided that individuals maintain a stable weight. This means that the improvements achieved through surgery can be maintained over time. Improved Posture and Mobility: In some cases, gynecomastia surgery can improve posture and reduce discomfort related to the weight of excess breast tissue, contributing to better mobility and physical comfort. Youthful Appearance: Gynecomastia surgery can create a more youthful and masculine chest contour, enhancing the overall appearance of the upper body. In summary, male breast reduction (gynecomastia surgery) offers numerous physical and psychological benefits, making it an appealing choice for men dealing with enlarged breast tissue. It not only improves the physical appearance but also enhances self-esteem, body confidence, and overall well-being. It’s essential for individuals considering this procedure to consult with a board-certified plastic surgeon to discuss their specific goals and determine if gynecomastia surgery is the right solution for their unique needs and desired outcomes. **Read more:** https://paulharris.co.uk/procedures/gynecomastia-benefits/ --- ### Breast Reduction Surgery Breast size can greatly affect one’s confidence, self-esteem, and overall quality of life. Women with overly large breasts often experience discomfort, physical limitations, and even emotional distress. This is where [breast reduction surgery](/procedures/breast-reduction/) comes in. Breast reduction surgery, also known as reduction mammoplasty, is a surgical procedure designed to reduce the size and weight of large breasts, as well as reshape and lift them to achieve a more proportionate and aesthetically pleasing appearance. If you’re considering undergoing breast reduction surgery, it’s important to be well-informed about the procedure and what to expect. In this blog post, we’ll delve into the basics of breast reduction surgery, including the benefits, risks, and recovery process. ## Benefits of Breast Reduction Surgery Breast reduction surgery has numerous benefits that go beyond just enhancing one’s physical appearance. For one, it can greatly alleviate the discomfort and pain associated with large breasts, including back and neck pain, skin rashes, and difficulty breathing. It can also improve one’s posture, balance, and ability to engage in physical activities. Moreover, breast reduction surgery can help improve a woman’s overall well-being and mental health. Many women with overly large breasts report feeling self-conscious, ashamed, and even depressed because of their breast size. By reducing their breast size and achieving a more natural and proportional appearance, they can experience increased confidence, self-esteem, and quality of life. ## Risks and Considerations Like any surgical procedure, breast reduction surgery carries some risks and considerations that should be carefully evaluated. Some of the potential risks include bleeding, infection, [scarring](/procedures/scarless-breast-reduction-liposuction/), loss of nipple sensation, asymmetry, and changes in breast shape and size. It’s important to discuss these risks with your surgeon and undergo a thorough evaluation to determine if you’re a good candidate for the procedure. Other factors to consider include the type of breast reduction technique used, the size and shape of your breasts, your age, medical history, and overall health. Your surgeon will work with you to determine the best approach and options for your individual goals and needs. ## The Procedure Breast reduction surgery typically involves making incisions around the areola, down the breast, and underneath the breast fold. Excess breast tissue, fat, and skin are then removed, and the remaining breast tissue is reshaped and repositioned to achieve a more natural and aesthetically pleasing appearance. The procedure is typically performed under general anesthesia and takes 3-5 hours to complete. ## Recovery and Aftercare After breast reduction surgery, you’ll need to take some time to rest and recover. You’ll likely experience some swelling, bruising, and soreness for several weeks, and should avoid strenuous physical activity and lifting heavy objects. Your surgeon will provide you with detailed instructions on how to properly care for your incisions, manage pain, and gradually resume normal activities. It’s important to attend follow-up appointments with your surgeon to monitor your healing progress and ensure that your breasts are healing properly. You should also maintain a healthy lifestyle, wear a supportive bra, and practice good skin hygiene to help optimize your results. Breast reduction surgery can be a life-changing procedure for women with overly large breasts. By reducing breast volume, reshaping breast tissue, and repositioning the nipples, breast reduction surgery can help improve physical and emotional discomfort, enhance appearance, and increase confidence and self-esteem. If you’re considering undergoing breast reduction surgery, be sure to consult with a skilled and experienced plastic surgeon to discuss your options, understand the risks and benefits, and develop a personalized treatment plan that meets your individual needs and goals. **Read more:** https://paulharris.co.uk/procedures/breast-reduction-2/ --- ### Understanding the Reasons Behind Breast Reduction Surgery [Breast reduction surgery](/procedures/breast-reduction/), medically known as [reduction mammoplasty](/procedures/breast-reduction/), is a procedure that has been gaining popularity over the years, and for good reason. Many individuals, primarily women, choose to undergo this life-changing surgery for a variety of physical, emotional, and practical reasons. In this article, we’ll delve into the common motivations behind breast reduction surgery and how it can significantly improve one’s quality of life. 1. Alleviating Physical Discomfort One of the primary reasons people opt for breast reduction surgery is to alleviate the physical discomfort associated with overly large breasts. Excessive breast size can lead to chronic pain in the neck, back, and shoulders, as well as grooves or rashes underneath the breasts. These symptoms can significantly affect an individual’s quality of life, making everyday activities and exercise painful and challenging. 2. Improving Posture Large breasts can also have a detrimental effect on posture. The excess weight in the chest area can pull the shoulders forward, leading to a hunched or stooped posture. [Breast reduction surgery](/procedures/breast-reduction/) can correct this issue by reducing the size and weight of the breasts, allowing individuals to stand tall and with improved posture. 3. Enhancing Physical Activity Engaging in physical activities such as running, jogging, or sports can be uncomfortable and even painful for individuals with large breasts. [Breast reduction surgery](/procedures/breast-reduction/) can remove excess breast tissue, making physical activities more manageable, enjoyable, and less physically taxing. 4. Boosting Self-Confidence The emotional and psychological impact of having large breasts should not be underestimated. Many individuals with disproportionately large breasts may feel self-conscious, experiencing body image issues and a lack of self-esteem. [Breast reduction surgery](/procedures/breast-reduction/) can lead to a significant boost in self-confidence and body positivity, as individuals can enjoy a more proportionate and balanced figure. 5. Finding Relief from Unwanted Attention Large breasts often attract unwanted attention and may lead to uncomfortable or inappropriate comments or stares. Some individuals opt for [breast reduction surgery](/procedures/breast-reduction/) to reduce the attention their breasts draw, allowing them to feel more at ease in social and professional settings. 6. Clothing Options and Comfort Shopping for clothing can be a frustrating experience for those with large breasts. Finding well-fitting bras, swimsuits, and clothing that complements one’s figure can be challenging. After [breast reduction surgery](/procedures/breast-reduction/), individuals have a wider range of clothing options and can finally wear outfits that make them feel comfortable and confident. 7. Correcting Asymmetry [Breast reduction surgery](/procedures/breast-reduction/) is not only about reducing size but also about achieving symmetry. Some individuals have breasts of significantly different sizes, leading to discomfort and self-consciousness. [Breast reduction](/procedures/breast-reduction/) can correct these discrepancies, providing a more balanced and harmonious appearance. In conclusion, [breast reduction surgery](/procedures/breast-reduction/) is a life-changing procedure that goes far beyond aesthetics. It can offer relief from physical discomfort, improve posture, boost self-confidence, and provide emotional well-being. Deciding to undergo this surgery is a personal choice, driven by a variety of factors, and for many, it leads to a happier, healthier, and more fulfilling life. Consulting with a [board-certified plastic surgeon](/education/about/) is the first step in understanding the benefits and options available for those considering [breast reduction surgery](/procedures/breast-reduction/). **Read more:** https://paulharris.co.uk/procedures/breast-reduction-reasons/ --- ### Renew and Revive: The Benefits of Breast Implant Exchange [Breast implant exchange](/procedures/breast-implant-replacement/), also known as breast implant replacement or revision surgery, is a procedure gaining popularity among women who have previously undergone [breast augmentation](/procedures/breast-augmentation/). While many are content with their initial results, others find that over time, their needs and preferences change. In this article, we explore the various benefits of breast implant exchange and why women are choosing this option. #### 1. Updating Implants for a Fresh Look Over the years, personal preferences and aesthetics can evolve. Women may desire a different breast size, shape, or profile to better align with their current style and self-image. Breast implant exchange allows them to update their implants and achieve a refreshed appearance. #### 2. Correcting Implant Issues Sometimes, complications or issues may arise with breast implants over time. These can include implant rupture, leakage, or visible rippling. Breast implant exchange provides an opportunity to address and correct these problems, ensuring the breasts look and feel their best. #### 3. Changing Implant Material As medical technology advances, new implant materials and options become available. Some women may choose to exchange their current implants for the latest innovations, such as cohesive silicone gel or saline implants, which offer improved safety, durability, and natural feel. #### 4. Customizing Implant Profile Breast implant exchange allows individuals to tailor their implant profile to their desired outcome. Whether it’s switching from moderate to high-profile implants for more projection or vice versa, women can achieve the exact look they desire. #### 5. Achieving Symmetry Breast implant exchange is an excellent solution for achieving symmetry when the existing implants have resulted in uneven or asymmetrical breasts. Surgeons can adjust implant size or position to create a harmonious appearance. #### 6. Addressing Aging Effects Over time, gravity and aging can affect the position and fullness of the breasts. Implant exchange can be combined with a breast lift (mastopexy) to restore a more youthful and perky breast appearance. #### 7. Enhancing Comfort As women age, they may find that their lifestyle or comfort preferences change. Some may opt for smaller implants to alleviate back pain or discomfort caused by larger, heavier breasts. #### 8. Restoring Confidence Breast implant exchange can have a profound impact on a woman’s self-esteem and body confidence. The procedure can help individuals regain their confidence, feel more attractive, and improve their overall quality of life. #### 9. Updating Implants After Pregnancy or Weight Loss Life events such as pregnancy or significant weight loss can affect the appearance of breast implants. Breast implant exchange allows women to address changes in their breasts and restore a more youthful, pre-pregnancy appearance. In conclusion, breast implant exchange offers numerous benefits, from achieving a fresh look to addressing complications or changing personal preferences. Women have the opportunity to customize their implants, improve comfort, and enhance their self-confidence. To explore the possibilities and determine if breast implant exchange is the right choice, individuals should consult with a board-certified plastic surgeon who can provide expert guidance and personalized recommendations. **Read more:** https://paulharris.co.uk/procedures/breast-implant-exchange-2/ --- ### Rediscovering Confidence: The Best Breast Surgeries After Weight Loss Weight loss is an incredible achievement that brings numerous physical and emotional benefits. However, one common concern for those who have shed significant pounds is the impact on their breast appearance. Fortunately, there are several breast surgeries that can help restore and enhance the breasts after weight loss. In this article, we’ll explore the best breast surgeries to consider post-weight loss. ### 1. Breast Lift (Mastopexy) A breast lift is a popular choice for individuals who have experienced breast sagging or ptosis after weight loss. This procedure focuses on reshaping and lifting the breasts to a more youthful position. It involves removing excess skin and tightening the breast tissues to create a firmer and perkier breast contour. A breast lift can also reposition the nipples to a more aesthetically pleasing location. ### 2. Breast Augmentation (Augmentation Mammaplasty) Breast augmentation is ideal for those who have lost breast volume and wish to restore fullness and symmetry. The procedure involves the placement of breast implants to enhance breast size and shape. Women can choose between saline or silicone implants and work with their surgeons to determine the most suitable size and type to achieve their desired outcome. ### 3. Breast Reduction (Reduction Mammaplasty) For individuals who have lost a significant amount of weight and still struggle with disproportionately large breasts, breast reduction surgery can provide relief. This procedure reduces the size of the breasts by removing excess tissue and reshaping them to a more proportionate and comfortable size. It can alleviate physical discomfort, improve posture, and enhance overall well-being. ### 4. Breast Lift with Augmentation (Augmentation Mastopexy) Combining a breast lift with breast augmentation is a popular choice for individuals who desire both lifted and fuller breasts. This procedure addresses sagging while simultaneously enhancing volume and shape. It provides comprehensive rejuvenation for a more youthful and balanced breast appearance. ### 5. Nipple and Areola Reduction Weight loss can lead to changes in nipple and areola size and position. Nipple and areola reduction surgery can help correct these issues, creating a more harmonious and balanced breast appearance. ### 6. Breast Implant Revision If you’ve previously undergone breast augmentation and experienced changes in your breasts due to weight loss, breast implant revision surgery may be necessary. This procedure involves replacing or adjusting existing implants to restore volume and symmetry. It allows individuals to achieve their desired results with updated implant options. ### Consulting with a Board-Certified Plastic Surgeon Selecting the most appropriate breast surgery after weight loss depends on individual goals, anatomical factors, and the expertise of a board-certified plastic surgeon. Consultation with a skilled surgeon is crucial to assess your unique needs, discuss available options, and develop a personalized surgical plan. In conclusion, weight loss is a significant accomplishment that can lead to positive changes in one’s life. The best breast surgery after weight loss depends on your specific concerns and goals. Whether you’re seeking to lift, augment, reduce, or combine these procedures, a qualified plastic surgeon can help you regain confidence and achieve the breast appearance that complements your transformed physique. **Read more:** https://paulharris.co.uk/procedures/breast-surgery-after-weight-loss/ --- ### Breast Implant Exchange The realm of plastic surgery is ever-evolving, offering individuals the chance to shape their bodies in alignment with their desires and self-image. Breast augmentation, a popular procedure, has transformed the lives of countless women by enhancing their curves and bolstering self-confidence. However, as time passes and personal preferences evolve, some women opt for a change. This is where breast implant exchange comes into play, offering a pathway to rejuvenated confidence through a personalized choice. ### Understanding Breast Implant Exchange Breast implant exchange, also referred to as implant revision surgery, is a surgical procedure that involves the removal of existing breast implants and the replacement with new ones. Whether driven by medical reasons, aesthetic changes, or evolving desires, this procedure empowers individuals to take control of their appearance and align it with their evolving self-concept. ### Why Choose Breast Implant Exchange? There are several reasons why individuals may opt for breast implant exchange: Size and Proportion: Over time, personal preferences may shift. Some individuals who previously sought larger breasts might now desire a more subtle and proportionate look. Aging and Changes: The aging process can impact breast tissue and skin elasticity, potentially affecting the appearance of implants. Exchanging implants allows individuals to address these changes and maintain a youthful aesthetic. Implant Longevity: While modern breast implants are durable, they are not designed to last a lifetime. Some individuals may opt for exchange as a preventive measure or due to concerns about the longevity of their implants. ### The Breast Implant Exchange Process The process of breast implant exchange typically involves the following steps: Consultation: A consultation with a skilled plastic surgeon is the first step. During this meeting, the surgeon assesses the current implants, discusses the patient’s goals and concerns, and outlines the potential options. Surgical Procedure: The procedure itself is similar to the original breast augmentation surgery. The surgeon will make incisions, remove the old implants, address any issues with the pocket that holds the implants, and insert new implants of the desired size and type. Recovery: Recovery time varies, but patients are usually advised to avoid strenuous activities for several weeks. Pain and swelling are common during the initial recovery period. ### Benefits and Considerations Breast implant exchange offers numerous benefits beyond aesthetic changes. It provides individuals with the power to take control of their appearance and align it with their evolving self-image. It can also lead to increased self-esteem and a renewed sense of confidence. However, it’s essential to approach the decision with careful consideration. Choosing a board-certified plastic surgeon with expertise in breast implant exchange is vital. Realistic expectations about the results and potential risks should also be part of the decision-making process. In conclusion, breast implant exchange stands as a testament to the ever-evolving landscape of plastic surgery. It offers individuals the chance to reclaim their confidence by making a choice that resonates with their current desires and aspirations. With the right guidance and surgical expertise, individuals can embark on a journey toward renewed self-assurance and an appearance that truly reflects their inner selves. **Read more:** https://paulharris.co.uk/procedures/breast-implant-exchange/ --- ### Breast Implant Reduction: A Closer Look at the Procedure Breast augmentation has long been a popular procedure, offering women the opportunity to enhance their appearance and boost their self-confidence. However, the journey to self-acceptance and body confidence isn’t always about amplification; for some, it’s about finding the right balance and comfort. This is where breast implant reduction comes into play, offering individuals the chance to embrace their bodies by reducing the size of their implants. ### Understanding [Breast Implant Reduction](/procedures/breast-implant-revision/) Breast implant reduction, also known as breast implant revision surgery or implant downsizing, is a surgical procedure designed to reduce the size of breast implants that were previously inserted. While breast augmentation focuses on enhancing breast size, implant reduction caters to those who may be experiencing discomfort, dissatisfaction with their larger implants, or changes in personal preferences over time. ### Who is a Candidate for Breast Implant Reduction? Candidates for breast implant reduction typically fall into several categories. These include: Discomfort and Pain: Women who experience physical discomfort due to the size of their breast implants may consider reduction. Overly large implants can strain the back, neck, and shoulders, causing pain and affecting overall comfort. Aesthetic Concerns: Personal preferences change over time. Some women who once desired larger breasts may now prefer a more natural or proportional look. Lifestyle Changes: Lifestyle changes, such as weight loss or changes in physical activity, can influence the suitability of breast implants. A reduction may be sought to align with these lifestyle shifts. ### The Surgical Process Breast implant reduction involves several steps: Consultation: A thorough consultation with a board-certified plastic surgeon is essential. This is when the patient’s concerns, goals, and medical history are discussed. The surgeon will assess the current implants, overall health, and desired outcomes. Surgery: The procedure typically involves making incisions similar to those used in the original breast augmentation. The surgeon may remove excess breast tissue, modify the pocket that holds the implant, and resize the pocket to accommodate the new implant size. Implant Replacement: In some cases, the implants are replaced with smaller ones, while in others, they may be completely removed, depending on the patient’s preference and the surgeon’s recommendations. Recovery: Recovery time varies from person to person, but patients are typically advised to refrain from heavy lifting and strenuous activities for several weeks. Pain, swelling, and discomfort are normal during the initial recovery phase. ### Benefits and Considerations Breast implant reduction offers several benefits beyond physical comfort. It can help improve self-esteem, body image, and overall well-being. However, as with any surgery, there are potential risks and complications to consider. It’s crucial to choose an experienced, board-certified plastic surgeon and to have realistic expectations about the results. In conclusion, breast implant reduction provides an avenue for women to regain physical comfort, align their appearance with their evolving preferences, and restore body confidence. With careful consideration, consultation, and expert surgical care, individuals can embark on a journey toward a balanced and harmonious self-image. **Read more:** https://paulharris.co.uk/procedures/breast-implant-reduction/ --- ### Understanding the Placement of Breast Implants in Relation to the Pectoral Muscles Breast augmentation involves the placement of breast implants to enhance the size, shape, and overall appearance of the breasts. One critical factor to consider during breast augmentation is the placement of the implants relative to the pectoral muscles. This decision plays a vital role in achieving the desired aesthetic outcome and ensuring long-term satisfaction for patients. In this article, I will explain the different placement options and their implications, providing you with a comprehensive understanding of the relationship between breast implants and the pectoral muscles. The Anatomy When a pocket is dissected by the surgeon to place a breast implant, it is usually in a natural interface between tissues known as a ‘plane’. Various different planes have been used for breast augmentation, each of which have advantages and disadvantages. It’s vitally important to understand the relationship of the pectoral muscle relative to the breast gland (shown below) to fully understand these planes. Anatomical arrangement of the pectoral muscles and breast tissue. The white line represents the fascial layer that overlies the pectoral muscles. Understanding breast implant placement: sub-glandular, sub-muscular or somewhere between. 1. Sub-glandular placement The sub-glandular plane is also referred to as sub-mammary or pre-pectoral. This is the original plane described for the placement of implants. In this plane the implant sits against the under surface of the breast and on top of the pectoral muscles. One significant advantage of sub-glandular placement is the potentially shorter and less painful recovery period. Since the pectoral muscles remain untouched during the procedure, patients may experience less discomfort and a quicker return to normal activities. Another advantage of the sub-glandular plane is that the implant fills out the breast fully and is not restricted by the muscle movement or anatomy. It offers greater flexibility for a more accurate placement to enhance the central cleavage area or the outer parts of the breast. The true dimensions of the implants are also much more directly impacted on the breast shape. Hence, I believe that shaped or anatomical implants (also called tear-drop) are better placed in the sub-glandular plane. When round implants are used in the sub-glandular plane, they may appear more projected in the upper half, which some patients desire. The disadvantage of the sub-glandular plane is that, if there is not very much breast tissue then the edge of the implant can be visible. Thinned tissues can also allow the ripples on the implant surface to show through to the breast. When using smooth surfaced implants (see article on textured or smooth surface implants), there also appears to be a higher capsular contracture rate in this plane. Hence, in my practice, if the patient and I decide to use the sub-glandular plane, I will often recommend textured implants. Some patients worry that placing the implant directly under the breast might interfere with mammographic readings and breast cancer detection, although there is little scientific evidence for this, especially using modern radiographic machines and techniques. [Image: Shaped or anatomical implants are best used in the sub-glandular plane. When placed in the sub-muscular plane the upper sloping edge is not fully appreciated because of the bulge of the muscle.] 2. Sub-muscular placement Because of the problems with implant visibility in the sub-glandular plane, surgeons developed techniques to place the implant under the pectoralis major muscle and thereby providing increased tissue coverage for the implants. This additional coverage can contribute to a more natural appearance and feel, especially for women with minimal breast tissue. The muscle acts as a cushion, reducing the risk of visible rippling or implant palpability. However, the original description of this placement involved creating a small entrance to the plane beneath the muscle and squeezing the implant into this space. Because the muscle attachment to the chest wall restricted the implant movement from filling out the lower part of the breast, it often ended up very high and almost separate to the breast. For this reason, purely sub-muscular placement has largely been abandoned in the modern era, and when surgeons talk about sub-muscular placement, they more accurately mean releasing the lower part of the muscle to create a dual plane or bi-planar pocket for the implant. 3. Dual plane or bi-planar placement The dual plane pocket was first described by a very famous surgeon called John Tebbetts, from Texas. He described both releasing the breast tissue off the muscle, and then releasing the lower part of the muscle from the chest wall. This allows the muscle to ride up slightly and the implant is then covered by the muscle in the upper most part and the breast gland in the lower part – hence dual or two planes. There are some variations on this by splitting the muscle slightly higher up to change the amount of implant covered by the muscle and breast gland. These alternatives are often known as bi-planar. The main advantage of a dual plane or bi-planar technique is that the upper part of the implant, which is usually visible above the bra, is covered by additional muscle tissue and the problem of implant edge visibility and rippling is diminished. Yet, the lower part is not restricted by the muscle. Hence, it’s an attempt to secure the advantages of both the sub-muscular placement and the sub-glandular placement combined. Because the pectoralis muscle is attached to the breast bone or sternum in the cleavage area of the chest, implants placed deep to the muscle are limited in how far they can be brought together to enhance this cleavage area. Thus, dual plane breast augmentation can sometimes create breasts with a relatively large gap in the central chest. Release of the muscle in the lower portion can also create some visible notching in this area, so careful surgical dissection is essential. [Image: John Tebbetts published this groundbreaking work in 2001. He demonstrated superb results from the dual plane technique but only with smooth surfaced implants. Textured surface implants do not act in the same way when placed underneath the muscle.] [Image: Sub-muscular implant placement demonstrating widened and notched cleavage from poor surgical technique and decision making] 4. Sub-fascial placement On the front surface of the pectoralis muscle there is a very thin layer of fascia (protective connective tissue covering) that separates the muscle from the breast tissue. This layer can be used to cover breast implants and separate the implant from the breast tissue. Sub-fascial implant placement has gained popularity in recent years due to its potential advantages, which include: Natural Results: Sub-fascial augmentation aims to provide a more natural-looking result compared to other placement options like sub-muscular or sub-glandular. Placing the implant beneath the fascia can help the implant’s edges blend more seamlessly with the surrounding tissues, resulting in a smoother, more natural contour. Reduced Animation Deformity: As mentioned above, in sub-muscular placement, implants can move when the chest muscles are contracted, leading to animation deformity, where the breasts appear distorted during certain movements. Sub-fascial placement may reduce this effect since the implant is not directly under the muscle. Less Postoperative Pain: Some patients report less postoperative discomfort and pain with sub-fascial placement compared to sub-muscular placement. This may be attributed to the fact that the chest muscles are not lifted or stretched as much during surgery. Faster Recovery: Because the chest muscles are not manipulated as extensively, recovery time may be shorter, when compared with sub-muscular placement. Patients might experience less muscle-related soreness and may be able to resume their regular activities sooner. Less Interference with Muscle Function: Sub-fascial placement involves minimal disruption of the chest muscles. This can be particularly beneficial for active individuals, athletes, or those who rely heavily on their chest muscles for work or daily activities. Less Risk of Implant Distortion: In sub-muscular placement, the constant contraction and movement of the chest muscles can potentially lead to implant distortion or displacement over time. Sub-fascial placement may reduce this risk since the muscle’s actions have less impact on the implant’s position. Potentially Reduced Risk of Capsular Contracture: Capsular contracture is a complication that can occur when scar tissue forms around the implant, causing the breast to become firm and distorted. Some studies suggest that sub-fascial placement might have a lower risk of capsular contracture compared to sub-glandular placement. Sub-fascial placement therefore can provide many of the benefits of sub-muscular placement without the disruption to the muscle itself, whilst giving greater coverage compared to sub-glandular placement. Positioning implants beneath the pectoralis fascia can however be a more technically challenging operation in some patients, but clearly there are many advantages to this recent development in aesthetic breast surgery. My own journey and understanding some of the problems that I see When I first became a consultant plastic surgeon in 2004, I think it fair to say that like most surgeons of the time, I was a ‘Tebbetts devotee’. By this I mean that all of the senior surgeons that I worked with recommended the dual plane technique and I too believed this provided the most reliable option for almost all of my patients. However, I think that as a speciality we failed to recognise the significance of implant surface on the longer-term results. In the United States, for historical reasons related to the FDA moratorium of breast implants in the 1990s, over 95% of the breast implants used are smooth surfaced. In contrast, outside of the United States almost the opposite has been true, with textured implants predominating. (N.B. With the recent discovery of ALCL related to some textured surfaced implants the proportion of smooth surfaced implants around the World has increased.) Under the muscle, smooth and textured surfaced implants perform very differently. Smooth implants are quite mobile and in the dual plane technique they fill out the breast fully. Textured implants however, tend to adhere to the surrounding tissue. Over time, when textured implants are placed behind the muscle, they tend to rise higher on the chest wall. When this is coupled with ageing of the breast tissue leading to descent of the breast tissue, this produces a high riding implant and drooped breast. This abnormally elongated shape of the breast is known as a Waterfall deformity or Snoopy breast. The Waterfall deformity is a common problem that I see in patients with textured implants placed in a sub-muscular or dual plane position, and given this has been the predominant technique in the United Kingdom since the 1990s, correction of this problem occupies a significant proportion of my current practice. Added to this, many of my patients are now very active in the gym and they are likely to notice the loss of function associated with release of the muscle from the chest wall to allow the implants to be inserted into this position. I believe it essential to make an individual patient assessment and recommend the most appropriate implant in the most appropriate position for that patient. However, where possible after an assessment of the soft tissue in the upper part of the breast, I now prefer sub-fascial placement for most patients requesting textured implants (this includes shaped implants which are all textured). For many patients, I also like to combine this with some fat transfer in a composite breast augmentation technique. If patients prefer to have a round, smooth surfaced implant, then because of the higher capsular contracture rate in front of the muscle, I will still use a dual-plane technique. Hence, Tebbetts was right all those years ago but only for smooth surfaced implants! [Image: Sub-muscular textured implant placement often rides high over time with breast tissue descent causing a Waterfall or Snoopy deformity] Summary The placement of breast implants relative to the pectoral muscles is a critical consideration in breast augmentation surgery. Each placement option, whether sub-muscular, sub-glandular, dual-plane or sub-fascial, has its advantages and considerations. Sub-muscular placement, including dual plane, offers increased tissue coverage but may involve a more extended recovery period and animation deformity. Over time, textured implants in this position tend to ride high and can lead to a Waterfall deformity. Sub-glandular placement may result in a quicker recovery and enhanced upper pole fullness but is associated with the risk of visible implant rippling. Sub-fascial placement, particularly when combined with fat transfer (composite breast augmentation) has the advantages of both methods for a customised approach in many patients and is currently my preferred technique. Consultation with a qualified plastic surgeon is crucial in determining the best implant placement option based on individual factors, to ensure optimal results and patient satisfaction. **Read more:** https://paulharris.co.uk/procedures/breast-implant-placement/ --- ### Optimising Breast Shape with Auto Augmentation In recent years, plastic surgery has witnessed remarkable advancements, particularly in breast augmentation techniques. One such ground-breaking procedure is auto augmentation, a surgical approach designed to enhance breast shape by only using the patient’s existing breast tissue. This innovative technique has gained popularity among women seeking natural-looking and long-lasting results. In this article, I will explain the concept of auto augmentation, its benefits, and when best to use this technique. What is Auto Augmentation? Auto augmentation is a breast reshaping procedure that utilises a woman’s existing breast tissue to create a fuller and more youthful appearance. Unlike traditional breast augmentation methods that rely heavily on implants, auto augmentation focuses on restructuring the existing breast tissue to achieve a desired aesthetic outcome of redistributing tissue volume higher up in the breast. By utilising the patient’s own tissue, auto augmentation aims to enhance the breasts while maintaining a natural look and feel. The surgical technique involves repositioning the tissue from the lower part of the breast to the upper part. In the standard technique this involves dividing the breast into an upper segment on which the nipple and areolar are still attached and a lower segment of breast tissue only. This lower segment or flap of tissue is then fixed to the chest wall behind the upper segment, in a similar way to the positioning of a breast implant. The breast is therefore fundamentally restructured, with lower breast tissue moved higher up on the chest wall to increase the volume in the upper part. In contrast to silicone breast implants, there is no volume added to the breast, hence the use of ‘augmentation’ in this context is incorrect. Perhaps a more accurate term should be ‘breast restructuring to look like an implant’ although of course this doesn’t roll of the tongue quite so easily! Because many patients are seeking an ‘augmented’ or much more youthful look without the use of silicone breast implants, the technique has gained popularity in recent times. However, some surgeons will now use this term to simple describe reshaping of the breast to a more projected and youthful shape, without actually carrying out the full restructuring procedure. In my own practice, I will sometimes reshape the breast in a breast uplift procedure by using dissolving mesh, which is also designed to produce this ‘augmented look’, although I tend to reserve the use of the term auto augmentation to the exact restructuring procedure. What are the benefits of Auto Augmentation? Improved Breast Shape: Although this procedure does not increase the overall breast volume, it does improve breast shape. Auto augmentation is designed to address issues such as drooping or sagging breasts, resulting in a perkier and more youthful contour. Natural Results: Auto augmentation allows for the creation of fuller breasts using the patient’s own tissue, resulting in a more natural appearance and texture compared to traditional breast implants. Long-Lasting Outcome: By relying on the existing breast tissue, auto augmentation offers a potentially longer-lasting outcome compared to breast implants alone. Silicone breast implants will not last forever and always need to be changed at some point. In contrast, the natural breast tissue used in auto augmentation tends to age more gracefully over time, providing sustained aesthetic results. In what situations is the Auto Augmentation technique used? Breast uplift or mastopexy: This is the main procedure that utilises the auto augmentation technique. No tissue, or very little, is removed and the breast is reshaped and uplifted. For the majority of modest mastopexy procedures the auto augmentation technique is not needed as it can cause significant disruption to the tissue, which might outweigh the benefit in many cases. However, in cases where a major uplift is needed, for example following massive weight loss, this can be an extraordinarily powerful technique to provide better shape long term. Breast reduction: Whilst auto-augmentation can be used as part of a [breast reduction operation](/procedures/scarless-breast-reduction-liposuction/), I do not routinely favour this option for this group of patients. The main reason for this is that, as described above, in auto augmentation the lower breast tissue is preserved and repositioned. When this is used as part of a breast reduction, then in order to reduce the overall size of the breast, some of the upper breast tissue must be removed. In my opinion, this is counterintuitive because it is safer to simply keep the upper breast tissue, which is already in the correct place. I therefore prefer to remove the lower breast tissue in a breast reduction procedure. There is very good evidence that the lower breast tissue flaps (inferior pedicle technique) for breast reduction often sag and ‘bottom out’ over time leading to an unattractive ‘boxy breast’. This is the main reason that I prefer to use a pedicle for the nipple and tissue which is based higher up (superior-medial). I believe, with scientific evidence of support, that this gives greater longevity to the procedure and maintains a better nerve supply to the nipple, thus preserving as much sensation as possible. I have worked hard over several years to optimise my breast reduction technique, which is described [elsewhere on the website](/procedures/breast-reduction/). This is known as the FIT pattern procedure, which I prefer to an auto augmentation technique for routine breast reduction patients. I think it is important to point out here that the definition of auto augmentation is rather vague and some surgeons will simply call their standard breast re-shaping procedure auto augmentation without employing the classic restructuring technique. I believe that my FIT pattern breast reduction produces a superior breast shape that often resembles an implant but I think it would be misleading to call this auto augmentation. Breast implant removal: I have found the use of the auto augmentation technique the most useful in this situation. Once the breast implant has been removed, it leaves a space behind the top of the breast. Left unfilled, this gives a very empty look to the breast even in some cases where a more traditional uplift is performed. The lower tissue flap of an auto augmentation technique is perfect for this situation and truly optimises the shape of the breast using the patient’s own breast tissue after implant removal. I have created an animation to show exactly how this works on my breast implant removal procedure page. [Image: Before and after image, following breast implant removal and auto augmentation] In summary, auto augmentation represents a revolutionary approach to breast enhancement surgery, offering women the opportunity to achieve natural-looking results by utilising their existing breast tissue. With its potential for long-lasting outcomes and improved breast shape, this innovative procedure has gained popularity among those seeking a more authentic and balanced appearance. If you are considering breast reshaping, consult with a well-trained plastic surgeon to explore whether auto augmentation is the right choice for you. Remember, an informed decision is key to achieving your desired aesthetic goals while prioritising your overall well-being. **Read more:** https://paulharris.co.uk/procedures/breast-auto-augmentation/ --- ### Do breast implants need to be changed? A breast implant operation is often perceived as very simple and a ‘quick fix’ for smaller or sagging breasts. However, a careful assessment is required and each procedure should be individually designed to meet the patient’s needs and desires. Decisions should be taken on implant size, shape and texturing, whether the implant is placed above or below the chest wall muscle and what incision is used. Frequently this can be misjudged, and patients seek a second opinion. Given Mr Harris’s background training in reconstructive surgery, he is experienced in correcting breast implant problems. Indeed, he was chosen as the expert surgeon for such problems in five series of a UK TV programme called Botched Up Bodies. He continues to offer a corrective service to many patients, however he does not offer such revisional surgery for at least two years following the initial operation. This allows time for the tissues to settle and any unresolved issues between the patient and the original surgeon to be clarified. Beyond complications from the initial operation, breast implants can develop problems over time. These problems include capsular contracture, breast implant rupture, a very rare white blood cell malignancy called ALCL and a more recently recognised condition known as Breast Implant Illness. Each of these conditions (detailed below) need to be treated differently after full radiological and clinical assessment. Finally, as patients age, their body shape changes and what was right for them ten or twenty years earlier may not be right for them now. Breast implants are never life-long and therefore many patients request revisional breast surgery to improve the look of their breasts to a more age-appropriate shape and size. What’s important for all patients is to keep checking their breasts and if they notice a change to see a plastic surgeon who deals with such issues. Mr Harris spends a great deal of time trying to manage the expectations of patients before implant exchange surgery, so that they fully understand the likely outcome of their operation. In collaboration with other plastic surgery colleagues, Mr Harris has recently created a new company to offer such rapid and combined assessment. This company is called Implant Health and has several centres within the UK. [Link to Implant Health website](https://implanthealth.co.uk/) [BREAST IMPLANT RUPTURE](/conditions/breast-implant-rupture/) Breast implants are usually made of an outer silicone shell and inner silicone gel. These have different consistencies. [CAPSULAR CONTRACTURE](/conditions/capsular-contracture/) Breast implants are usually made of silicone and as such, are a foreign material within the body. The body’s response is to wall the implants off in a layer of specialised scar tissue. [ALCL & BII](/education/alcl-bii-implant-illness/) Breast Implant Association – Anaplastic Large Cell Lymphoma (BIA-ALCL) Around 2015, it became clear from several scientific articles that a white blood cell malignancy was being recognised around some breast implants. **Read more:** https://paulharris.co.uk/procedures/when-to-replace-breast-implants/ --- ### Corrective Breast Implant Surgery Cosmetic breast surgery is not without risk and some patients may be dissatisfied with the outcome of their surgery. This is particularly the case when choices are made based on the lowest price rather than surgeon expertise. Added to this, all breast implants deteriorate over time and breast tissue changes as patients age. For these reasons, an increasing number of patients require corrective, renewal or revisional breast surgery. This type of surgery demands a critical assessment of the breast tissue, the previous surgery, implants and scars, and the likely outcome from further surgery. Such expertise can only be gained from a combined cosmetic and reconstructive plastic surgery background. Mr Harris is amongst the most experienced, trusted and respected breast plastic surgeons in the UK. For over fifteen years he has helped pioneer the development of modern breast surgery procedures and, as an international expert, has presented and written widely on the topic. He is increasingly seeing patients who request corrective surgery and has therefore developed an expertise in this area. [BREAST IMPLANT REPLACEMENT](/procedures/breast-implant-replacement/) Silicone breast implants do not last forever and usually need to be changed at least once throughout a patient’s life. [BREAST IMPLANT REMOVAL](/procedures/breast-implant-removal/) Increasingly, as the modern aesthetic changes to a more athletic look and as we focus more on well-being in society, many patients want to have their breast implants removed. ### Benefits of Corrective Breast Implant Surgery Corrective breast implant surgery, also known as breast implant revision or augmentation revision, is a surgical procedure designed to address issues or concerns related to existing breast implants. This surgery offers several important benefits to individuals who have undergone breast augmentation or reconstruction but are seeking adjustments or corrections. Here are the key benefits of corrective breast implant surgery: Improved Aesthetic Outcome: Corrective breast implant surgery allows individuals to achieve their desired aesthetic outcome, whether it involves changing the size, shape, or position of the implants. It can help address issues such as asymmetry or unsatisfactory results from previous surgeries. Enhanced Self-Esteem: Achieving the desired breast appearance through corrective surgery can significantly boost self-esteem and body image. It helps individuals feel more confident in their bodies and appearance. Customized Results: Corrective breast implant surgery is highly customizable. Patients can work closely with their plastic surgeon to tailor the procedure to their specific goals and concerns. This flexibility ensures that the results align with their preferences. Improved Symmetry: Corrective surgery can address issues related to breast asymmetry, ensuring that both breasts are more evenly matched in size and shape. This is especially important for those who have experienced complications or uneven results from previous surgeries. Resolution of Complications: Corrective surgery can address complications that may have arisen from previous breast implant procedures. This includes issues like implant rupture, implant malposition, capsular contracture, or implant visibility, which can be corrected to improve overall comfort and appearance. Updated Implants: For individuals who wish to replace older or less advanced implant types, corrective surgery allows for the update to newer and more technologically advanced implant options. Restoration After Weight Changes: Weight fluctuations, pregnancy, or other life changes can affect the appearance of breast implants. Corrective surgery can restore the breasts to their desired state following these changes. Enhanced Comfort: Corrective breast implant surgery can alleviate discomfort or pain associated with issues like implant malposition, rippling, or excessive tightness due to capsular contracture. Improved Quality of Life: The physical and emotional benefits of corrective surgery contribute to an improved overall quality of life. Individuals often experience greater self-confidence and satisfaction with their appearance. Resolution of Unsatisfactory Scarring: For those who are dissatisfied with scarring from previous procedures, corrective surgery can address scar revision and minimize the appearance of scars, creating a more aesthetically pleasing result. Minimized Risk of Complications: When performed by a skilled and experienced plastic surgeon, corrective breast implant surgery is associated with a reduced risk of complications and adverse outcomes. It can provide a more predictable and reliable outcome. Long-Lasting Results: Corrective breast implant surgery aims to provide long-lasting results that align with the patient’s aesthetic goals. When combined with proper postoperative care and maintenance, the results can be maintained over time. In summary, corrective breast implant surgery offers numerous physical and psychological benefits to individuals seeking adjustments or corrections to existing breast implants. It not only improves the physical appearance but also enhances self-esteem, body confidence, and overall well-being. It’s essential for individuals considering this procedure to consult with a board-certified plastic surgeon to discuss their specific goals and determine if corrective breast implant surgery is the right solution for their unique needs and desired outcomes. **Read more:** https://paulharris.co.uk/procedures/breast-implant-revision/ --- ### Breast Reconstruction for Breast Cancer Breast cancer treatment is a complex and often a multi-staged process, in which plastic surgery has a vital role to facilitate optimal reconstructive outcomes. Surgical techniques in this field have developed considerably over recent years and it is vital that patients are offered the most appropriate option, individually tailored to their situation. Mr Harris has extensive experience in breast reconstruction and is acknowledged as one of the leading surgeons in the UK for this specialised area. He has published and lectured extensively, and continues to work closely as part of a multi-disciplinary team. Click to download Your Guide to Breast Reconstruction produced by the British Association Of Plastic, Reconstructive & Aesthetic Surgeons (BAPRAS) ## Implant-based Reconstruction Implant surgery is the most straightforward way of creating a new breast after mastectomy, without taking tissue from elsewhere on the body. Either a saline filled (expander) or a silicone implant is inserted under the muscle and skin to replace the breast that has been removed at the time of mastectomy. This is a relatively simple operation and can be performed at the same time as mastectomy (immediate) or later (delayed). It does not produce the most natural looking or feeling breasts. This procedure may be suitable if both breasts (bilateral) are to be reconstructed or if other procedures are not deemed appropriate. Implant surgery is the most straightforward way of creating a new breast after mastectomy, without taking tissue from elsewhere on the body. ## Acellular Dermal Matrix (ADM) Patients undergoing implant reconstruction may want to consider a one-step procedure. The use of an acellular dermal matrix, such as Surgimend ™, can enable this. These collagen sheets are created from donated human, or calf skin from which the cells have all been removed and hence there is no rejection response. Instead of spending weeks undergoing tissue expansion after mastectomy, the ADM can be used to create the space required for and be used to fully cover the implant at the same time as the mastectomy operation. ADMs may also be used to sculpt any rippling or defects in a previous breast implant reconstruction. ## DIEP Flap A DIEP (Deep Inferior Epigastric Perforator) flap is tissue composed of the fat, skin and blood vessels from the lower abdomen and is used to create a new breast. Because DIEP flaps give warm, soft and pliable reconstructed breasts that resemble natural breast tissue, they are considered the gold standard for breast reconstructive procedures. In addition, the removal of tissue from the abdomen results in a flatter tummy, similar to the result of a tummy tuck (abdominoplasty). It requires a complex operation that takes about 5-7 hours. Mr Harris performs approximately 50 DIEP flap procedures every year and is renowned for his expertise in this area. Mr Harris performs approximately 50 DIEP flap procedures every year and is renowned for his expertise in this area. Mr Harris has pioneered the use of two TUG flaps (one from each thigh) connected to each other in order to maximise the breast volume and reduce the impact on the thighs. ## TUG Flap A TUG (Transverse Upper Gracilis) flap breast reconstruction utilises some of the skin and fat from the inner thigh, thus leaving a relatively discreet scar in the groin. The tissue that is transferred with microsurgical techniques is based on a small muscle of thigh called the gracilis. This muscle is the most superficial muscle of the inner thigh and its loss does not result in hernia formation or functional disability. It is a complex operation that takes about 5-7 hours to complete and results in warm, soft, pliable reconstructed breasts that resemble natural breast tissue. It is a good choice for patients who have small breasts and who do not have adequate skin and tissue in the abdomen or buttock region, or have had previous abdominal surgeries that may have interfered with blood vessels that the DIEP flap requires. ## Nipple Reconstruction Breast reconstruction methods create a smooth breast shape with no nipple. Once optimal symmetry between the breasts has been achieved, the nipple reconstruction can be undertaken. This is usually the final step in the reconstruction pathway and can have a very positive impact on the appearance of the breast(s). The nipple is usually created from the tissue of the breast without surgery elsewhere on the body. The areolar (pigmented area around the nipple) is then usually coloured in at a later date using medically licenced tattooing techniques. ## Lipofilling Lipofilling, often referred to as liposculpture or fat transfer, involves the collection of fat cells from a donor site on the patient’s body (typically the abdomen, thighs or bottom) and are then re-injection in multiple small quantities in the breast. Lipofilling plays a valuable role in reconstructive breast surgery given its ability to fill small and large volume deficiencies. The use of a patient’s own body fat to fill and sculpt the breast can assist in producing a more natural look and is commonly used in conjunction with either implant-based or flap techniques. ## Benefits of Breast Reconstruction after Cancer Breast reconstruction after cancer, whether it follows a mastectomy or lumpectomy, offers numerous physical, emotional, and psychological benefits to women who have undergone breast cancer treatment. These benefits extend beyond the restoration of physical appearance, playing a vital role in the overall recovery and well-being of breast cancer survivors. Here are the key benefits of breast reconstruction after cancer: Restoring Physical Appearance: Breast reconstruction allows women to regain a sense of normalcy by restoring their physical appearance. It can help recreate a natural-looking breast mound, alleviating the emotional distress often associated with breast loss after surgery. Enhancing Self-Esteem and Body Image: Breast reconstruction can significantly improve a woman’s self-esteem and body image. It empowers survivors to feel more confident about their bodies, aiding in the emotional healing process after the trauma of cancer treatment. Reclaiming a Sense of Wholeness: Breast cancer treatment can create a feeling of incompleteness in many women. Breast reconstruction offers a path to regaining a sense of wholeness, allowing survivors to move beyond the physical and emotional scars of cancer. Improved Emotional Well-Being: Emotional well-being is an essential aspect of recovery, and breast reconstruction plays a vital role in this. It offers survivors the opportunity to regain a positive self-image, leading to improved emotional well-being and a sense of empowerment. Choice and Personalization: Women have the opportunity to choose the type of reconstruction that aligns with their preferences. They can select the type of implant, the size, shape, and even the placement of the implant, ensuring a personalized approach tailored to their aesthetic goals and body type. Reduced Clothing Limitations: Breast reconstruction opens up more clothing options for survivors. They can wear a wider range of clothing styles with greater comfort and confidence, as the reconstructed breast closely resembles the natural breast. Minimizing Psychological Distress: The emotional distress associated with breast loss can be alleviated through breast reconstruction. By regaining a more familiar physical appearance, survivors can reduce feelings of anxiety, depression, and insecurity. Reclaiming Control: Breast reconstruction empowers survivors to regain control over their bodies and their lives. This sense of control can be a crucial factor in the emotional healing process and the restoration of personal agency. Support Network: Many survivors find that breast reconstruction fosters a sense of community and connection with others who have gone through similar experiences. Sharing stories, advice, and support can be invaluable in the healing process. Improved Quality of Life: The physical and emotional benefits of breast reconstruction contribute to an overall improvement in the quality of life for breast cancer survivors. It enables them to move forward with greater confidence and positivity. Potential for Immediate Reconstruction: In some cases, breast reconstruction can be performed immediately following a mastectomy, reducing the emotional impact of immediate breast loss. This option is available to many women and provides a smoother transition. Long-Term Satisfaction: Studies have shown that women who undergo breast reconstruction report high levels of satisfaction and improved quality of life over the long term. This indicates that breast reconstruction not only restores physical appearance but also enhances emotional and psychological well-being. Reduced Need for Prosthetics: Breast reconstruction can reduce or eliminate the need for external prosthetics or breast forms, simplifying daily routines and increasing comfort. In conclusion, breast reconstruction after cancer is a valuable option for women who have undergone breast cancer treatment. It not only restores physical appearance but also brings about emotional healing, improved self-esteem, and a renewed sense of wholeness. The choice of reconstruction is deeply personal, and women should have access to information and support to make the decision that best suits their individual needs and preferences. Ultimately, breast reconstruction empowers women to move beyond the physical and emotional scars of breast cancer, embracing life with confidence and strength. **Read more:** https://paulharris.co.uk/procedures/breast-reconstruction/ --- ### Body Contouring after Weight Loss Significant weight loss through diet and exercise or bariatric surgery can enhance your life, leading to a healthier and more active lifestyle. However, after losing a lot of weight, it is common to have sagging, excess skin with stretch marks and extra skin folds. Loose skin can be uncomfortable and may cause patients to feel insecure. Body contouring, also known as body sculpting, is a group of surgical procedures that remove the loose skin that is left after weight loss and improves the shape and tone of your body’s tissue. Frequently patients wish to have several areas addressed at a single operation which limits the combined downtime and recovery. For many people, body contouring surgery for excess skin removal is the final step in their weight loss journey. The areas of the body addressed are often the abdomen (with a tummy tuck or lower body lift), the breasts (with a breast reduction, uplift or breast implants), the arms (with a brachioplasty) or the thighs (with a thigh lift). Frequently patients wish to have several areas addressed at a single operation which limits the combined downtime and recovery. If more than one operation is needed, Mr Harris will usually plan this as a program of care limiting each operation to a maximum of 5 hours of surgery at least 6 weeks apart. Secondary operations are often used to optimise the results of initial operation to achieve the best results possible. ## Benefits of Body Contouring Surgery Body contouring surgery after weight loss offers several significant benefits to individuals who have undergone substantial weight loss. After shedding excess pounds, many people are left with excess skin and tissue that can be both physically uncomfortable and emotionally distressing. Body contouring procedures are designed to address these issues, providing a more toned and sculpted appearance. Here are the key benefits of body contouring surgery after weight loss: Elimination of Excess Skin: One of the most notable benefits of body contouring is the removal of excess skin. After significant weight loss, the skin often fails to contract to the new body shape, leaving folds and sagging. Body contouring procedures remove this redundant skin, resulting in a firmer and more toned appearance. Improved Body Proportions: Body contouring helps to create more balanced and proportionate body contours. This is particularly important for individuals who have lost a substantial amount of weight, as it ensures that their new body shape is more harmonious. Increased Comfort and Mobility: Excess skin can be physically uncomfortable and limit a person’s mobility. Body contouring surgery eliminates this discomfort and allows for greater freedom of movement, making it easier to engage in physical activities. Enhanced Self-Esteem: The physical changes that result from body contouring can significantly boost self-esteem and body image. Many individuals who have lost a considerable amount of weight find that their confidence soars after body contouring surgery. Clothing Fit: Body contouring ensures that clothing fits more comfortably and looks better. It allows individuals to wear a wider range of clothing styles and can make shopping for clothing a more enjoyable experience. Improved Muscle Definition: By removing excess skin and fat, body contouring surgery can enhance muscle definition, particularly in areas like the abdomen, arms, and thighs. This can help individuals achieve a more toned and sculpted appearance. Long-Lasting Results: The results of body contouring surgery are generally long-lasting, provided that individuals maintain a stable weight. This means that the improvements achieved through surgery can be maintained over time. Reduced Skin Infections: Excess skin folds can trap moisture and create an environment conducive to skin infections, particularly in areas where skin rubs together. Body contouring reduces the risk of skin infections by eliminating these folds. Psychological Benefits: The emotional and psychological benefits of body contouring should not be underestimated. Many individuals report feeling a sense of closure and achievement after completing their weight loss journey with body contouring. It can help individuals fully embrace their new, healthier lifestyle. Motivation for Weight Maintenance: For some individuals, body contouring surgery serves as an additional motivator to maintain their weight loss. The investment in their new appearance can drive them to stay committed to a healthier lifestyle. Improved Quality of Life: The physical and emotional benefits of body contouring ultimately contribute to an improved quality of life. Individuals can engage in activities they may have been reluctant to participate in due to their excess skin, and they often enjoy a higher level of overall well-being. Customized Procedures: Body contouring procedures can be tailored to address specific areas of concern. Whether it’s the abdomen, thighs, arms, or other areas, these surgeries can be customized to meet an individual’s unique needs and goals. In summary, body contouring surgery after weight loss offers numerous benefits, both physical and psychological. It helps individuals eliminate excess skin, achieve a more proportionate body shape, and enjoy improved comfort, self-esteem, and overall quality of life. It’s a valuable option for those who have worked hard to shed excess weight and are looking to complete their transformation by addressing the issues associated with loose skin and tissue. **Read more:** https://paulharris.co.uk/procedures/body-contouring-weight-loss/ --- ### Tummy Tuck (Abdominoplasty) [All Surgical Procedures](/procedures/surgical-procedures/) The surgical term for a tummy tuck is an abdominoplasty. It simply means removal of excess skin and fat from the abdomen to achieve a cosmetic enhancement. In some cases, a functional benefit is also gained by tightening the muscles of the abdominal wall to improve core strength. Separation of the rectus abdominis muscles (divarication) is commonly seen following childbirth. It presents with a ridge-like protrusion down the centre of the abdomen and may be associated with lower back and abdominal pain. [Video: https://vimeo.com/837642219] Surgical treatment repositions and tightens the muscles and results in a flatter, stronger stomach. Although this can be approached via a vertical midline incision, it is more common to undertake this procedure via a lower ‘tummy tuck’ incision, allowing for removal of any excess skin and fatty tissue. There are many different types of abdominoplasty ranging from a mini – which is simply the removal of excess skin above the pubic region through to a lower body lift which involves skin removal from both the front and back of the torso. These larger operations are often carried out following massive weight-loss. Mr Harris has created an animation (below) to show the different types of operation that are available, together with the advantages and disadvantages of each. It is vitally important for all patients to be examined by a surgeon who is experienced in performing these operations to help take a decision as to the specific type of operation that is right for each patient. Liposuction is usually carried out as part of the abdominoplasty procedure to help smooth out the remaining skin and the transition areas at the edge of the surgical field. The recovery depends on the extent and type of operation that is carried out and obviously is a little longer for the bigger operations particularly if this involves a muscle repair. However, this is relatively short compared to the life-long benefits. Tummy Tuck (Abdominoplasty) Animation [All Surgical Procedures](/procedures/surgical-procedures/) Tummy Tuck Benefits Here are the key benefits of a Tummy Tuck after weight loss: Elimination of Excess Skin: One of the most notable benefits of body contouring is the removal of excess skin. After significant weight loss, the skin often fails to contract to the new body shape, leaving folds and sagging. Body contouring procedures remove this redundant skin, resulting in a firmer and more toned appearance. Improved Body Proportions: Body contouring helps to create more balanced and proportionate body contours. This is particularly important for individuals who have lost a substantial amount of weight, as it ensures that their new body shape is more harmonious. Increased Comfort and Mobility: Excess skin can be physically uncomfortable and limit a person’s mobility. Body contouring surgery eliminates this discomfort and allows for greater freedom of movement, making it easier to engage in physical activities. Enhanced Self-Esteem: The physical changes that result from body contouring can significantly boost self-esteem and body image. Many individuals who have lost a considerable amount of weight find that their confidence soars after body contouring surgery. Clothing Fit: Body contouring ensures that clothing fits more comfortably and looks better. It allows individuals to wear a wider range of clothing styles and can make shopping for clothing a more enjoyable experience. Improved Muscle Definition: By removing excess skin and fat, body contouring surgery can enhance muscle definition, particularly in areas like the abdomen, arms, and thighs. This can help individuals achieve a more toned and sculpted appearance. Long-Lasting Results: The results of body contouring surgery are generally long-lasting, provided that individuals maintain a stable weight. This means that the improvements achieved through surgery can be maintained over time. Reduced Skin Infections: Excess skin folds can trap moisture and create an environment conducive to skin infections, particularly in areas where skin rubs together. Body contouring reduces the risk of skin infections by eliminating these folds. Psychological Benefits: The emotional and psychological benefits of body contouring should not be underestimated. Many individuals report feeling a sense of closure and achievement after completing their weight loss journey with body contouring. It can help individuals fully embrace their new, healthier lifestyle. Motivation for Weight Maintenance: For some individuals, body contouring surgery serves as an additional motivator to maintain their weight loss. The investment in their new appearance can drive them to stay committed to a healthier lifestyle. Improved Quality of Life: The physical and emotional benefits of body contouring ultimately contribute to an improved quality of life. Individuals can engage in activities they may have been reluctant to participate in due to their excess skin, and they often enjoy a higher level of overall well-being. Customized Procedures: Body contouring procedures can be tailored to address specific areas of concern. Whether it’s the abdomen, thighs, arms, or other areas, these surgeries can be customized to meet an individual’s unique needs and goals. In summary, a tummy tuck after weight loss offers numerous benefits, both physical and psychological. It helps individuals eliminate excess skin, achieve a more proportionate body shape, and enjoy improved comfort, self-esteem, and overall quality of life. It’s a valuable option for those who have worked hard to shed excess weight and are looking to complete their transformation by addressing the issues associated with loose skin and tissue. **Read more:** https://paulharris.co.uk/procedures/tummy-tuck/ --- ### Liposuction and Fat Transfer Mr Harris uses liposuction as a stand-alone procedure to reduce stubborn areas of fat that remain, despite exercise and weight loss. The procedure is very good at bringing difficult areas back into proportion with the rest of the body. Liposuction improves body shape by removing exercise-resistant fat deposits with a tube and a vacuum device. The most common locations for liposuction are the abdomen, hips, and thighs, although it can also be useful for areas such as the chin, neck, upper arms, knees, calves, and ankles. It has been around for several decades and has been improved with many technical refinements and newer energy delivery devices. [Video: https://vimeo.com/837635358] Mr Harris uses liposuction as a stand-alone procedure to reduce stubborn areas of fat that remain, despite exercise and weight loss. The procedure is very good at bringing difficult areas back into proportion with the rest of the body. However, it is not a replacement for weight loss which should be achieved using diet and exercise. Liposuction is also used as an adjunctive or additional adjustment procedure to help [refine the results in breast reductions](/procedures/scarless-breast-reduction-liposuction/), tummy tucks and other body contouring operations. Fat transfer plays a valuable role in both cosmetic and reconstructive surgery given its ability to fill small and large volume deficiencies. In fat transfer, often referred to as lipofilling or liposculpture, fat cells are harvested from a donor site on the patient’s body (typically the abdomen, thighs or bottom) and are re-injected in multiple small quantities at a new site. Not all the fat injected survives, but it has become an established surgical technique, particularly in the face and breast. The use of a patient’s own body fat to fill and sculpt tissues can assist in producing a more natural look and is commonly used by Mr Harris. Mr Harris uses fat transfer in almost all of his breast reconstructive procedures as an adjunctive procedure, like liposuction, to help refine the results and improve the contour of the breast. Whilst fat transfer alone does not produce a reliable result for breast enhancement, it’s particularly helpful in combination with silicone breast implants. This combination of implants and fat is called Hybrid or Composite augmentation. Fat transfer is also used a great deal when removing breast implants, as it minimises the impact of the sudden volume loss, and can improve the quality of the skin. When fat is injected in the buttock, the procedure is known as a BBL or Brazilian Butt Lift. Mr Harris has grave concerns about this procedure due to the high complication rate and even deaths that have been reported. Indeed, he is on record for speaking out against BBL in the UK when he was President of The British Association of Aesthetic Plastic Surgeons (BAAPS). Despite some recent improvements in the safety profile amongst some very specialised surgeons, he does not perform this procedure. Mr Harris is on record for speaking out against BBL in the UK when he was President of The British Association of Aesthetic Plastic Surgeons (BAAPS). Despite some recent improvements in the safety profile amongst some very specialised surgeons, he does not perform this procedure. [All Surgical Procedures](/procedures/surgical-procedures/) **Read more:** https://paulharris.co.uk/procedures/liposuction-fat-transfer/ --- ### Male Breast Reduction (Gynaecomastia) Gynecomastia (pronounced guy-ne-co-mastia) is a medical term meaning male breast enlargement. In the majority of cases there is no known cause and, although rarely talked about, it is a common condition. For men who feel self-conscious about their appearance, surgery can be helpful. The procedure removes tissue from the breasts, and in extreme cases excess skin. The exact procedure depends on the constituency and size of the breasts. If the breast are predominantly glandular (hard) tissue then surgical excision is required, whereas if the breast is predominantly fatty tissue, liposuction alone is usually adequate. Many patients need combination surgery. All patients need a full assessment which may include a hormonal profile to exclude an underlying cause. The majority of patients can then be treated with liposuction under general anaesthetic as a daycase procedure. This involves two small incisions at the periphery of the breast. Patients need to wear a compressive garment afterwards but can return to normal activities by around 7 to 10 days. If excision of the gland is needed, this is usually carried out with a small incision at the edge of the pigmented areolar. It takes a little longer to recover from and the complication rate (bleeding, fluid collecting afterwards, and abnormal scar formation) is higher. Mr Harris often prescribes an anti-oestrogen tablet (Tamoxifen) for six weeks after surgery to prevent re-activation of the gland. There are many potential benefits associated with male breast reduction, these include: Improved Aesthetic Appearance: Gynecomastia surgery can significantly improve the appearance of the chest by reducing the size and prominence of enlarged breasts, resulting in a flatter, more masculine chest contour. Enhanced Self-Confidence: Men with gynecomastia often feel self-conscious and experience reduced self-esteem due to the appearance of their chest. Male breast reduction can lead to increased self-confidence and improved body image. Increased Comfort: Enlarged male breasts can cause physical discomfort, such as chafing, pain, and limitations in clothing choices. Gynecomastia surgery can alleviate these discomforts, making daily activities more comfortable. Correcting Asymmetry: Gynecomastia can result in uneven breast development, where one breast is larger than the other. Surgery can correct this asymmetry, creating a more balanced chest appearance. Restored Masculinity: Many men with gynecomastia feel that their condition detracts from their sense of masculinity. Male breast reduction can help restore a more masculine chest appearance. Improved Quality of Life: With reduced self-consciousness and greater self-confidence, individuals who undergo gynecomastia surgery often report an overall improved quality of life. Easier Physical Activities: Enlarged male breasts can limit physical activities and participation in sports. Male breast reduction can enable men to engage in these activities more comfortably. Customizable Results: Gynecomastia surgery can be tailored to each individual’s specific needs and goals, allowing for a personalized approach to chest reduction. Long-Lasting Results: In most cases, the results of male breast reduction are long-lasting, provided there is no significant weight gain, the use of certain medications, or underlying medical conditions that could lead to recurrent gynecomastia. [All Surgical Procedures](/procedures/surgical-procedures/) **Read more:** https://paulharris.co.uk/procedures/gynecomastia-surgery-2/ --- ### Breast Implant Removal Silicone breast implants also do not last forever and there are several medical reasons why patients might want or need to have their implants removed (see breast implant problem page), and a thorough discussion of the options is needed for each patient. Increasingly, as the modern aesthetic changes to a more athletic look and as we focus more on well-being in society, many patients want to have their breast implants removed. [Video: https://vimeo.com/837630970] Importantly Mr Harris will discuss with every patient, the options for the capsular scar tissue that is positioned around the breast implant. If this is left in place then the surgery can be relatively straightforward, whereas if the capsule is removed (capsulectomy) this can become a much more complex procedure. Despite lots of discussion on social media, this is quite a complex issue at the moment as new scientific data is reported, and recommendations therefore change. Following breast implant removal, and irrespective of the decision on what to do with the capsule, the breast can look very empty or saggy. For this reason, the majority of patients who have their implants removed also request additional procedures to limit the visible impact of the volume loss. These procedures include fat transfer or lipofilling, and breast uplift or mastopexy. These additional procedures are carried at the same time as the implant removal, and there are some specialised techniques in this area of surgery to manage the empty pocket where the breast implant sat. For example, Mr Harris often uses a technique called auto-augmentation which involves positioning the lower part of the breast into the pocket of the implant to produce a more aesthetic and youthful result. This is shown on the animation below. [Video: Breast Implant Removal Animation] There are many potential benefits associated with breast implant removal, some include: Relief from Discomfort: Some individuals may experience physical discomfort or pain related to their breast implants, which can include symptoms like back pain, chest tightness, or discomfort caused by the weight of the implants. Removal can alleviate these issues. Improved Physical Comfort: Breast implant removal can lead to improved physical comfort, as it eliminates the pressure and restriction associated with implants, allowing for more natural movement and freedom. Correction of Complications: Breast implants can sometimes lead to complications such as capsular contracture, implant rupture, or implant malposition. Removal is often necessary to address these issues and restore breast health. Restoration of Natural Appearance: Some people opt for implant removal to return to their natural breast appearance. This may be due to personal preference or a change in aesthetic goals. Simplified Lifestyle: Breast implants can require special considerations in terms of clothing and activities. Some people choose to have implants removed to simplify their lifestyle and return to a more natural state. Peace of Mind: For those who are concerned about the long-term safety and maintenance of breast implants, removal can offer peace of mind by eliminating the need for future revisions or implant replacements. Improved Self-Esteem: Some individuals may feel more confident and at ease with their natural breasts, leading to an increase in self-esteem and body image after implant removal. Reduced Risk of Future Complications: The longer breast implants are in place, the higher the risk of potential complications. Removing the implants can reduce the risk of future problems. Reduced Financial Burden: Breast implants require initial costs and may need replacement or revision surgeries over time, which can add up. Explantation eliminates the need for further financial investment in implant maintenance. Restoration of Breast Health: Breast implant removal allows for a return to normal breast health and can be beneficial for individuals concerned about the impact of implants on breast tissue and overall well-being. [All Surgical Procedures](/procedures/surgical-procedures/) **Read more:** https://paulharris.co.uk/procedures/breast-implant-removal/ --- ### Breast Implant Replacement Silicone breast implants do not last forever and usually need to be changed at least once throughout a patient’s life. There is no exact time point when implants should be exchanged but usually after about 12 to 15 years, the look of the breast will deteriorate to such an extent that patients may request implant replacement surgery. Beyond the look or aesthetics, there are several other reasons why patients might want or need to have their implants exchanged (see breast implant problem page), and a thorough discussion of the options is required for each patient. [Video: https://vimeo.com/837629816] Before deciding on the details of implant exchange, it may be important to undergo an ultrasound or MRI examination of the breasts and implants. This can help in the decision-making and in planning an operation. A breast implant replacement operation, which is carried out under general anaesthetic, can range from a simple to an extremely complex procedure, depending upon the problem that needs to be treated and the desires of the patient. This operation may involve the removal of a tight internal scar around the implant (capsulectomy), the repositioning of the implant to above or below the chest wall muscle, and the alteration of implant size or shape. Patients might want to reduce or increase the size of their implants or they may wish to change the shape of the breast. For this reason, breast implant exchange is often carried out in combination with either fat transfer or uplift surgery. It’s important to recognise that changing breast implants does not mean that patients will get the same result you as their initial implant surgery. This is because the breast tissue will have been damaged by previous surgery, and of course will have aged over time. Mr Harris spends a great deal of time trying to manage the expectations of patients before implant exchange surgery, so that they fully understand the likely outcome of their operation. #### There are many potential benefits associated with breast implant replacement, which may include: Improved Aesthetic Results: Over time, breast implants may undergo changes in appearance, including deflation, rippling, or changes in breast shape. Replacing implants can help restore a more youthful and attractive breast contour. Size and Shape Adjustments: Women who are dissatisfied with the size or shape of their current implants can use replacement surgery as an opportunity to make adjustments. They can choose implants that better suit their aesthetic preferences. Addressing Complications: Sometimes, complications can arise with breast implants, such as capsular contracture (hardening of the tissue around the implant), implant rupture, or implant malposition. Replacement surgery can correct these issues and improve the overall condition of the breasts. Upgrading Implant Technology: Advancements in implant technology and materials occur over time. Women may choose to replace their older implants with newer, more advanced options that offer improved longevity and reduced risks of complications. Changes in Lifestyle: A woman’s lifestyle and personal preferences may change over the years. She may opt for breast implant replacement to better align her breast appearance with her current lifestyle, such as adjusting the size for a more active lifestyle or for career-related reasons. Pregnancy and Breastfeeding: Some women may choose to replace implants after having children and breastfeeding to address changes in breast size and shape that can occur during and after pregnancy. Improved Comfort: Women experiencing discomfort or pain related to their breast implants, such as back or neck pain, may find relief after replacing their implants. Enhanced Self-Esteem: For individuals who experience a boost in self-esteem and self-confidence through breast augmentation, replacement surgery can help maintain these positive feelings as they age. Addressing Aging: As the body naturally ages, the breasts may undergo changes. Breast implant replacement can help address these changes and maintain a youthful appearance. [All Surgical Procedures](/procedures/surgical-procedures/) **Read more:** https://paulharris.co.uk/procedures/breast-implant-replacement/ --- ### Breast Enlargement (Augmentation) A breast enlargement or augmentation procedure involves the use of specially designed implants to improve the size and appearance of the breasts. The reasons for breast enlargement vary but are commonly to enlarge the overall size of the bust, to match up differently sized breasts or to normalise the breast shape and volume consequences of weight loss, ageing and pregnancy. Breast implants can be either saline or silicone, round or tear-drop shaped, and placed under or over the chest muscle. Hence, not all breast augmentation operations are the same and a full consultation is needed with the surgeon who will undertake the procedure. Breast augmentation has come a long way since first undertaken in the 1960’s and is a very popular operation. We now have many more options available, and far greater understanding of the long term consequences of breast implants. [Video: https://vimeo.com/837590782] The history of breast implants has been sadly marred by a series of scandals which means that it’s more important than ever to consult with a reputable surgeon to ensure you are fully informed of the options and all the possible complications. In contrast to many surgeons, Mr Harris takes a very individualised, bespoke approach to all of his patients. He explores desired outcome, and shares lots of photographs of similar patients who have agreed to have their images used to gain an accurate assessment of the patients desired outcome. All implants have pros and cons and there is no perfect breast implant despite what some breast implant companies advertise. It’s also important to recognise that breast augmentation will not be life-long, with implants lasting, on average, around 12 years. Additional surgery will therefore be needed at some stage in the future. Breast implants can be combined with an uplift operation, and Mr Harris increasingly uses fat transfer to provide additional soft-tissue coverage to reduce the visibility problems that some implants have. This combination of fat transfer and silicone breast implants is called hybrid or composite breast augmentation. Despite the potential problems, if considered carefully, breast augmentation is a very good procedure for patients, with a high level of post-operative satisfaction and lots of reports of increased self-confidence. [CORRECTIVE BREAST IMPLANT SURGERY](/procedures/breast-implant-revision/) Whilst a breast uplift operation is extremely effective, one of the difficulties is that the breast can descend again over time. **Read more:** https://paulharris.co.uk/procedures/breast-augmentation/ --- ### Mastopexy with Mesh Whilst a breast uplift operation is extremely effective, one of the difficulties is that the breast can descend again over time. This is a particular problem for those patients who have relatively heavy breasts or significantly damaged skin from several pregnancies or weight loss for example. For this reason, Mr Harris sometimes recommends supporting the uplift with dissolving mesh. In this situation, he performs a standard uplift, but then inside the breast, mesh is overlayed on the gland to act like an internal bra. [Video: https://vimeo.com/837634661] [Product Website](https://www.galateasurgical.com/) It’s important to recognise that this is not the same mesh that has created so many problems in bladder operations. That was permanent mesh that lasted for years and years. Over time, the mesh completely dissolves away and is replaced by new collagen formation, which recreates the supporting framework of the breast. There is no foreign material left in the breast, so this does not affect future mammograms or self-examination. Mr Harris has been using a particular dissolving mesh called GalaFLEX for almost 10 years. This mesh has also been used in the abdomen for over 20 years and there have been no long problems because it completely dissolves away. An animation has been added below to demonstrate the principles of the surgery and there is a link to the product website above. The use of mesh has transformed an uplift operation in Mr Harris’s practice because of the improved longevity of the results. [Video: Mastopexy with Mesh Animation] [BREAST REDUCTION](/procedures/breast-reduction/) Breast reduction, also referred to as a reduction mammoplasty, is a surgical procedure to reduce the size and improve the shape of the breasts. [All Surgical Procedures](/procedures/surgical-procedures/) **Read more:** https://paulharris.co.uk/procedures/breast-lift-mesh/ --- ### Breast Uplift (Mastopexy) [All Surgical Procedures](/procedures/surgical-procedures/) The breast uplift operation involves removal of breast skin, and then reshaping and lifting the breast to produce a tighter, more youthful and projected, fuller breast. The surgery is carried out under general anaesthetic and takes between 2 and 3 hours. Most patients stay overnight in the hospital afterwards but it can be carried out as a day case procedure if needed. A breast uplift or mastopexy reshapes and tightens the breast. It is a very common procedure for Mr Harris to perform, and is very useful in patients with droopy or empty breasts and with a very large areolar. [Video: https://vimeo.com/837633644] Various different scar patterns are used depending on the extent of the uplift needed, and these have different names when combined. All surgery will need a scar around the pigmented areolar, which can then be repositioned higher on the breast and made smaller. If this is combined with a vertical scar running downwards, this is known as the lollipop incision. Occasionally there is also a need for a horizontal scar in the crease of the breast, and this combination is often called the anchor incision. Whilst an uplift operation is extremely effective, particularly after pregnancy and breastfeeding, or in a single breast to match a breast cancer reconstructed breast on the other side, the breast can descend again over time. For this reason, Mr Harris sometimes recommends supporting an uplift operation with dissolving mesh. [Mastopexy With Mesh](/procedures/breast-lift-mesh/) It’s very important to understand that the breast uplift corrects the droop of the breast. This is known as ptosis. It does not reposition the breast higher up on the chest wall or give long term fullness in the highest part of the breast. For this, a combination of a silicone breast implant and an uplift is needed. This mastopexy-augmentation operation is quite specialised and carries higher risks, but can produce a very good result in the right patient. Breast Uplift (Mastopexy) Animation [MASTOPEXY WITH MESH](/procedures/breast-lift-mesh/) Whilst a breast uplift operation is extremely effective, one of the difficulties is that the breast can descend again over time. [COMBINED MASTOPEXY WITH IMPLANTS](https://paulharris.co.uk/contact ) Whilst a breast uplift operation is extremely effective, one of the difficulties is that the breast can descend again over time. **Read more:** https://paulharris.co.uk/procedures/breast-uplift-mastopexy/ --- ### Breast Reduction Breast reduction, also referred to as a reduction mammoplasty, is a surgical procedure to reduce the size and improve the shape of the breasts. Mr Harris carries out over 100 breast reduction operations per year and is acknowledged to be an expert having lectured Nationally and Internationally to other plastic surgeons on his technique. Typically, women who are candidates for a breast reduction have physical symptoms related to the weight or shape of their breasts. The operation can therefore lead to enormous improvements in quality of life that patients report after their surgery. This is measurable using patient questionnaires, which show improvements in psychological, functional and sexual well-being, and may reduce the neck, back and shoulder pain associated with large breasts. [Video: https://vimeo.com/1122819097] The procedure of a breast reduction is carried out under general anaesthetic and takes between 2 and 3 hours. Most patients stay overnight in the hospital afterwards but it can be carried out as a day case procedure if preferred. The operation involves removal of breast tissue and skin, and then reshaping and lifting the breast to give both functional and aesthetic benefits. There will be a scar around the pigmented areolar, which allows the nipple to be elevated. The diameter of the pigmented areolar is also reduced. There is also a vertical scar, running down from the areolar and finally, a horizontal scar in the crease of the breast is often needed. Most breast reduction operations are combined with a small amount of liposuction to the side of the breast to reduce the width overall. The traditional breast reduction can produce a slightly boxy, flat and unattractive breast shape, and Mr Harris has worked extremely hard in the last few years to produce a more youthful and projected breast for his patients. This technique is known as the ‘FIT pattern breast reduction’, the principles of which are shown in the animation below. [Video: Breast Reduction Animation] Despite the scarring, a breast reduction operation produces the highest degree of post-operative patient satisfaction of all plastic surgery procedures. How a breast reduction can benefit you Breasts are a symbol of femininity, but for some individuals, their size can lead to physical discomfort, emotional distress, and a diminished quality of life. Breast reduction can offer transformative benefits that go beyond physical changes. If you’re considering this procedure, here’s how breast reduction can enhance your well-being and help you embrace a more comfortable and confident life. Relief from Physical Discomfort Large and heavy breasts can lead to a variety of physical discomforts. Back, neck, and shoulder pain are common complaints among those with overly large breasts, as the weight strains the supporting muscles. Additionally, bra straps can dig into the shoulders, causing painful indentations. Breast reduction surgery can alleviate these discomforts by reducing the size and weight of the breasts, allowing for better posture and reduced strain on the upper body. Enhanced Physical Activity Engaging in physical activities and exercise can be challenging for individuals with large breasts. High-impact activities like running or even basic cardio exercises can be uncomfortable due to breast movement and lack of proper support. Breast reduction can open the door to a more active lifestyle, enabling you to participate in exercises and sports without the hindrance of overly large breasts. Improved Body Image and Self-Esteem Breast size can significantly impact body image and self-esteem. Many individuals with large breasts may feel self-conscious, struggle to find clothing that fits well, and even experience difficulty participating in social activities due to insecurity. [Breast reduction surgery](/procedures/scarless-breast-reduction-liposuction/) can help individuals achieve a more proportionate and balanced body shape, leading to improved body image and heightened self-confidence. Clothing Options Finding clothing that fits comfortably and flatters your figure can be a challenge when you have disproportionately large breasts. Often, individuals find themselves choosing clothes to minimise the appearance of their breasts, which can limit their fashion choices. After breast reduction, you’ll have a wider range of clothing options available, as your new breast size will be better suited to different styles and cuts. Emotional Well-Being The emotional impact of overly large breasts should not be underestimated. Many individuals experience emotional distress, including feelings of self-consciousness and even depression, due to their breast size. Breast reduction can alleviate these emotional burdens, fostering a sense of liberation and empowerment that positively impacts overall well-being. Customised and Personalised Procedure One of the greatest benefits of breast reduction is its customisation. The procedure is tailored to your unique needs and desires, ensuring that the results align with your goals and preferences. Mr Harris will discuss your expectations, evaluate your breast size and shape, and develop a personalised plan to achieve the best possible outcome for you. In conclusion, breast reduction is not just about reducing breast size; it’s about enhancing your quality of life and overall well-being. By alleviating physical discomfort, boosting confidence, and providing a renewed sense of freedom, breast reduction empowers individuals to embrace their bodies with comfort and pride. If you’ve been contemplating breast reduction, consider the transformative benefits that await you on the journey toward a more comfortable and confident you. **Read more:** https://paulharris.co.uk/procedures/breast-reduction/ --- ### Surgical Procedures A cosmetic surgery operation should be a very positive and life-enhancing event. It is however a very personal choice and understandably, there are a number of questions that arise. It is also critical that patients are made fully aware of the expected outcome, recovery and risks. The information in this section is a general guide for patients considering a surgical procedure under the care of Mr Paul Harris. Aesthetic and Reconstructive plastic surgery requires a surgeon with a broad range of experience, technical skill, sound clinical judgement, and the ability to critically evaluate and adapt to new surgical techniques. [Who is Paul Harris?](/education/about/) [BREAST REDUCTION](/procedures/breast-reduction/) Breast reduction, also referred to as a reduction mammoplasty, is a surgical procedure to reduce the size and improve the shape of the breasts. [MASTOPEXY WITH MESH](/procedures/breast-lift-mesh/) Whilst a breast uplift operation is extremely effective, one of the difficulties is that the breast can descend again over time. [CORRECTIVE BREAST IMPLANT SURGERY](/procedures/breast-implant-revision/) Cosmetic breast surgery is not without risk and some patients may be dissatisfied with the outcome of their surgery. [BREAST IMPLANT REMOVAL](/procedures/breast-implant-removal/) Increasingly, as the modern aesthetic changes to a more athletic look and as we focus more on well-being in society, many patients want to have their breast implants removed. [BREAST UPLIFT (MASTOPEXY)](/procedures/breast-uplift-mastopexy/) The breast uplift operation involves removal of breast skin, and then reshaping and lifting the breast to produce a tighter, more youthful and projected, fuller breast. [BREAST ENLARGEMENT (AUGMENTATION)](/procedures/breast-augmentation/) A breast enlargement or augmentation procedure involves the use of specially designed implants to improve the size and appearance of the breasts. [BREAST IMPLANT REPLACEMENT](/procedures/breast-implant-replacement/) Silicone breast implants do not last forever and usually need to be changed at least once throughout a patient’s life. [MALE BREAST REDUCTION (GYNAECOMASTIA)](/procedures/gynecomastia-surgery-2/) Gynecomastia (pronounced guy-ne-co-mastia) is a medical term meaning male breast enlargement. Mr Harris prides himself on providing an exceptional, personalised service with the utmost standards of patient confidentiality. It is for this reason that he chooses not to display pre and post-operative images on the website. [LIPOSUCTION & FAT TRANSFER (LIPOFILLING)](/procedures/liposuction-fat-transfer/) Liposuction improves body shape by removing exercise-resistant fat deposits with a tube and a vacuum device. [TUMMY TUCK (ABDOMINOPLASTY)](/procedures/tummy-tuck/) The surgical term for a tummy tuck is an abdominoplasty. It simply means removal of excess skin and fat from the abdomen to achieve a cosmetic enhancement. [BODY CONTOURING AFTER WEIGHT-LOSS](/procedures/body-contouring-weight-loss/) Significant weight loss through diet and exercise or bariatric surgery can enhance your life, leading to a healthier and more active lifestyle. [BREAST RECONSTRUCTION FOR BREAST CANCER](/procedures/breast-reconstruction/) Breast cancer treatment is a complex and often a multi-staged process, in which plastic surgery has a vital role to facilitate optimal reconstructive outcomes. **Read more:** https://paulharris.co.uk/procedures/surgical-procedures/ --- ## Patient Education ### Breast Surgery: Navigating the Healing Journey Undergoing breast surgery, whether for aesthetic reasons or as part of cancer treatment, is a significant life event. The physical changes are accompanied by a healing process that demands patience, care, and understanding. Here are some key insights into navigating this delicate period, ensuring a recovery that’s as smooth as possible. ## Initial Recovery Phase The first few days after surgery are critical. You’re likely to experience discomfort, swelling, and bruising, which are normal parts of the healing process. Your surgeon will prescribe medication to manage pain and prevent infections. It’s important to follow these instructions closely. #### Rest is Paramount Give your body the rest it needs. Avoid straining the surgical area by limiting physical activity and following any weight-lifting restrictions your surgeon advises. Sleep in a recommended position—usually on your back—to avoid pressure on your breasts. #### Monitor Your Health Keep an eye on your body’s signals. Any signs of infection, such as excessive redness, heat, or unusual discharge, should prompt an immediate call to your physician. Remember, early detection of complications can significantly ease the healing process. #### Long-Term Care and Adjustment As weeks pass, you’ll notice gradual improvements. Swelling subsides, and scars begin to heal. This phase varies greatly among individuals, influenced by factors like the extent of surgery and personal health conditions. #### Follow-Up Visits Regular appointments with your surgeon are crucial for monitoring your progress. These visits are opportunities to address any concerns and ensure that your healing is on track. #### Emotional Adjustments The emotional impact of breast surgery is profound. Many experience a range of feelings, from relief to uncertainty about their new appearance. Support from loved ones, along with professional counselling, if necessary, can be invaluable. #### Scar Care Scars are an inevitable outcome of surgery, but their appearance will improve over time. Your surgeon can recommend products or treatments to help minimise scarring. ## Conclusion The road to recovery after breast surgery is both physical and emotional. With proper care, patience, and support, you can navigate this journey toward healing and self-discovery. Remember, each person’s path is unique—listening to your body and maintaining open communication with your healthcare provider are key. **Read more:** https://paulharris.co.uk/education/breast-surgery-recovery-timeline/ --- ### Navigating Breast Implants and Pregnancy: What You Need to Know For many women, the decision to get breast implants is deeply personal and often made well before considering starting a family. However, as life unfolds, pregnancy becomes a reality for many, leading to a common concern: “How will breast implants affect my pregnancy and vice versa?” This brief guide aims to shed light on the most crucial aspects of navigating pregnancy with breast implants. #### The Impact on Breastfeeding One of the predominant concerns among pregnant women with breast implants is whether they’ll be able to breastfeed. The good news is that most women with breast implants can breastfeed successfully. Implants are usually placed under the breast tissue or chest muscle, which generally doesn’t disrupt the milk ducts. However, the type of surgical incision used during the augmentation might affect this ability. Incisions made under the fold of the breast or through the armpit are less likely to interfere with milk supply than those around the areola. #### Changes During Pregnancy Pregnancy and the subsequent breastfeeding period naturally induce changes in a woman’s body, which can alter the appearance of breast implants. The breasts typically enlarge and may change shape due to hormonal shifts, milk production, and subsequent nursing. Some women notice minimal changes, while others might observe more pronounced differences in size and shape during and after pregnancy. #### Post-Pregnancy Considerations Once you’ve completed your family, and if you feel your implants have shifted or changed, a consultation with a plastic surgeon can address concerns and discuss options, such as breast lift or implant exchange, to restore the desired appearance. #### Key Takeaways Breastfeeding is usually possible with implants, though factors like incision type can affect it. Body Changes are inevitable during pregnancy and postpartum, which can alter the appearance of implants. Consult a Professional post-pregnancy to explore options if you’re concerned about changes in your breast implants. Ultimately, pregnancy with breast implants is manageable, and concerns can often be mitigated with proper planning and consultation with your healthcare provider. Navigating these changes with informed expectations will ensure that the experience is as rewarding as envisioned. **Read more:** https://paulharris.co.uk/education/breast-implants-pregnancy-guide/ --- ### Breast Surgery Guide: Which is the Best Option for Me? Navigating the world of breast surgery can be overwhelming, whether you’re exploring it for aesthetic reasons, following a mastectomy, or considering it for health-related prophylactic measures. Understanding the various procedures and knowing which one aligns with your goals and medical history is pivotal. This guide aims to shed light on the options available, helping you make an informed decision in consultation with your surgeon. Breast Augmentation Breast augmentation remains one of the most popular plastic surgeries worldwide. It’s sought by women desiring to enhance the size and shape of their breasts through implants or fat transfer techniques. This option suits those who are looking to improve asymmetry, restore volume post-pregnancy, or simply increase their breast size. Breast Lift (Mastopexy) A breast lift addresses issues of sagging and improves the position and shape of the breasts without significantly altering their size. Ideal candidates for this surgery are those experiencing droopiness due to aging, weight loss, or postpartum changes. It can be combined with augmentation or reduction for tailored results. Breast Reduction Women experiencing physical discomfort or self-consciousness due to overly large breasts may find relief in breast reduction surgery. This procedure removes excess breast tissue and skin to achieve a breast size in proportion with your body, aiming to alleviate pain and improve quality of life. Reconstruction Breast reconstruction is a beacon of hope and healing for those undergoing mastectomy as part of breast cancer treatment. It aims to restore the breast(s) to near normal shape, appearance, and size. Reconstruction can be performed using implants or autologous tissue (flap surgery) and can occur immediately following mastectomy or after the completion of cancer treatments. Choosing Your Path Deciding on breast surgery is deeply personal. Factors such as body type, medical history, and desired outcome play crucial roles. Consultation with a board-certified  plastic surgeon who can provide expert advice and tailored options is essential. Remember, the best choice is one that aligns with your health, aesthetics, and well-being. Making an informed decision involves understanding your options, reflecting on your personal goals, and discussing these with a trusted surgeon. Your journey to feeling more confident and comfortable in your skin starts with taking that first step. **Read more:** https://paulharris.co.uk/education/choosing-right-breast-surgery/ --- ### Understanding scarring after Breast Surgery Breast surgery, whether for augmentation, reduction, reconstruction, or lift, is a significant decision many individuals make for a variety of personal reasons. Alongside the excitement and anticipation for the new change often comes a common concern: scarring. For those considering breast surgery, the question of whether surgery leaves scars and how noticeable these might be is a crucial aspect of the decision-making process. The Inevitability of Scars First and foremost, it’s important to understand that any surgical procedure will likely result in some form of scarring. The body’s natural healing process involves creating scar tissue at the site of an incision or injury. However, the visibility and extent of scarring can vary significantly depending on several factors. Factors Influencing Scar Formation Surgical Technique: The type of breast surgery and the skill of the surgeon play a critical role in determining scarring. Surgeons aim to make incisions in less visible areas, such as under the breast fold, around the areola, or under the arm, to minimize noticeable scarring. Individual Healing: Everyone’s body heals differently. Some people may have a genetic predisposition to heal with thinner, less noticeable scars, while others may develop thicker, more visible scar tissue. Post-operative Care: Following your surgeon‘s guidelines for post-operative care is critical. Proper wound care, avoiding sun exposure on the healing scars, and not smoking can significantly affect the healing process and the appearance of scars. Scar Management Techniques: There are treatments available to help minimize the appearance of scars, including silicone sheets or gels, steroid injections, laser therapy, and microneedling. Discuss these options with your surgeon to find out which might be suitable for you. Healing and Time Patience is key when it comes to healing and the evolution of scars. Scars typically go through several stages of healing and can take up to a year or more to fully mature and fade as much as possible. During this time, scars may appear red, raised, and more prominent but gradually become flatter, softer, and lighter in colour. Emotional and Psychological Impact It’s normal to have concerns about scarring after breast surgery. Many patients worry about the aesthetics of scars and how they might affect self-image or confidence. Discussing these concerns with your plastic surgeon before the procedure can help set realistic expectations and reassure you about the outcomes. Choosing the Right Surgeon Selecting a board-certified plastic surgeon with extensive experience in breast surgeries is one of the most important steps you can take to ensure the best possible outcome, including minimal and well-healed scarring. A skilled surgeon not only employs techniques to reduce scarring but also supports you through the healing process with appropriate care recommendations and scar management strategies. Conclusion While scarring is an inevitable part of surgery, modern surgical techniques and comprehensive post-operative care have made it possible to minimize and effectively manage scars from breast surgery. Understanding the factors that influence scarring, having realistic expectations, and choosing the right surgeon are critical elements in your breast surgery journey. By focusing on the positive changes that breast surgery can bring to your life and knowing that scars can diminish over time, you can approach your decision with confidence and peace of mind. If you are considering breast surgery, remember to discuss all your concerns, including those about scarring, with your surgeon. They can provide you with detailed information on what to expect and how to achieve the best possible outcome for your specific situation. **Read more:** https://paulharris.co.uk/education/breast-surgery-scarring/ --- ### The Impact of Breast Surgery on Confidence: A Deep Dive In a world where personal appearance and self-esteem are undeniably intertwined, breast surgery stands out as a beacon of hope for many. It’s not just about aesthetics; it’s about feeling comfortable in your own skin and reclaiming your confidence. Whether it’s [augmentation](/procedures/breast-augmentation/), [reduction](/procedures/breast-reduction/), [lift](/procedures/breast-uplift-mastopexy/), or [reconstruction](/procedures/breast-reconstruction/), the psychological benefits of breast surgery can be profound and life-changing. In this post, we explore how these procedures can positively impact self-confidence and why many women consider them. ### Understanding the Connection Between Appearance and Confidence Our society, whether we like it or not, places a high value on appearance. For women, breasts can be a significant part of their identity, affecting how feminine they feel and how confident they are in their bodies. Issues such as asymmetry, size dissatisfaction, or changes post-pregnancy can significantly impact one’s self-esteem. ### The Transformative Power of Breast Surgery Augmentation Breast augmentation is sought by women desiring more volume or a specific shape to enhance their natural figure. This procedure often leads to a boost in self-esteem, making women feel more proportionate, feminine, and confident in how they present themselves. The ability to wear clothes that fit better or to simply look in the mirror and feel happy with what one sees is a powerful transformation. Reduction Conversely, breast reduction is sought by women who may suffer from physical discomfort due to the weight of their breasts or from unwanted attention that affects their mental health. The relief from back and neck pain or the newfound freedom to engage in activities previously hindered by large breasts brings an incredible sense of liberation and empowerment. Lift A breast lift addresses issues of sagging and loss of elasticity, which can occur with aging, after pregnancy, or significant weight loss. Restoring the breasts to a more youthful position not only enhances the silhouette but can also rejuvenate a woman’s confidence, affecting how she sees herself and interacts in social and intimate settings. Reconstruction For women undergoing mastectomy due to breast cancer or other conditions, breast reconstruction is a critical component of their healing process. Reconstructing the breast can provide a sense of wholeness and recovery, helping to restore body image and self-perception that can be deeply affected by such a traumatic experience. ### Psychological and Emotional Benefits Studies have shown that breast surgery can have numerous psychological benefits, including improved body image, greater satisfaction with one’s appearance, and increased feelings of self-worth. The effects extend beyond vanity; they touch on fundamental aspects of personal well-being and mental health. Feeling good about one’s appearance can lead to a more positive outlook on life, improved social interactions, and a greater willingness to participate in various physical activities. ### Making an Informed Decision While the benefits are significant, it’s crucial for anyone considering breast surgery to do so for the right reasons—to improve their own sense of self rather than to meet someone else’s expectations or societal standards. Consulting with a board-certified plastic surgeon who understands your goals and concerns is the first step toward ensuring the outcome aligns with your vision for yourself. ### Conclusion Breast surgery offers more than physical changes; it provides a pathway to emotional and psychological growth. By aligning one’s outer appearance with their inner self-perception, women can reclaim their confidence and step forward into the world with a renewed sense of self-assurance. Whether it’s feeling more feminine, alleviating physical discomfort, or recovering from illness, the positive impact on confidence is a compelling reason many choose to pursue breast surgery. In the end, it’s about feeling at home in one’s body and moving through life with confidence and grace. **Read more:** https://paulharris.co.uk/education/breast-surgery-confidence/ --- ### Breast Implants and Breast Cancer Many patients considering breast implants are understandably concerned about the possibility of breast cancer in the future. There is no doubt that the incidence of breast cancer is on the rise, with current estimates of 1 in 7 lifetime risk in Western populations (1). Many of these patients also have breast implants in place, hence we need to ask whether breast implants can somehow lead or predispose to breast cancer. To help us understand a potential link, some recent studies have produced particularly interesting data which, when considered together suggest positive news. I will go through the main points in a step-by-step approach below and apologise upfront that some of the terminology is necessarily complicated. Because of the sensitivity of these issues, I have also included the scientific references at the bottom of the page to support my interpretation, and provide further reading for those interested. Breast implants do not increase the chances of breast cancer We have known for many years that patients who have cosmetic breast implants in place have a very small reduced chance of developing breast cancer (2). It was thought that this finding was an anomaly due to population bias. What this means is that if you decided to have breast implants then you were usually more athletic with smaller breasts and more health-conscious overall. These factors could mean that you are less likely to develop breast cancer than the normal population. Hence this group of patients had a reduced chance of developing breast cancer, but this was not a direct effect of the implants themselves. Could there be a direct effect from breast implants to reduce the chances of developing breast cancer? In some animal studies, it appears that the presence of silicone may reduce the development of breast cancer (3). It’s difficult to draw conclusions from this in human populations and also difficult to understand how such an effect could come about. Theories have included a physical pressure effect of the implant on the breast tissue or the fact that the breast tissue is pushed forward away from the body, which might have a slight cooling effect on the cells. With a greater understanding of the relationship between the immune system and cancer development, it has more recently been theorised that antibodies (one part of the body’s immune response to fighting off unwanted substances) generated in response to the implant could cross-over and also work against certain types of breast cancer. We now understand that cells within the body transform into potential cancer-causing cells more often than previously thought. Our immune systems watch out for these transformations and kill off the cells before they become dangerous. This is known as immunological surveillance or ‘immunosurveillance’. A study from Chicago published in 2021 (4), showed that patients with breast implants had an elevated level of serum antibodies against two breast cancer antigens (Mammaglobin-A and mucin-1). The hypothesis from this study is that breast implant-induced local inflammation may stimulate immunosurveillance recognition of breast tumour antigen. This means that a specific immune response to silicone breast implants could also act to fight off some cancer cells and limit the development of breast cancer. There was no significant difference in overall antibody levels in the study groups, so the implants don’t appear to be stimulating the entire immune system. However, in patients with a breast implant in place, specific antibodies that act against some breast cancer antigens were elevated. This is only a hypothesis at the moment and certainly not proven but it may begin to explain the observed reduction in breast cancer in patients with silicone breast implants. Does the data from breast cancer reconstruction help with our understanding? Some surgeons and oncologists have recommended caution with breast reconstruction following the treatment of breast cancer, as they feel additional surgery could lead to an increased chance of local recurrence (the breast cancer coming back at the site of the previously treated tumour). It has been difficult to prove or disprove this supposition because there are so many variable factors involved in the treatment of breast cancer. These factors include the extent of the disease at the time of treatment, the treatment modalities such as radiotherapy and chemotherapy, and the fact that breast reconstruction can consist of fat grafting, tissue transfer from elsewhere on the body or silicone breast implants. However, it is now generally accepted that breast cancer reconstruction with implants is not directly linked to breast cancer recurrence (5). Looking into the data in more detail, one study from Korea in 2020 linked textured surface implants to an increased chance of breast cancer recurrence (6). This caused significant alarm amongst breast reconstructive surgeons, however the design of the study was widely criticised as the cancer types between those patients with and without breast implants were not closely matched. A more recent and rigorous study (7), again from Korea, with 848 patients and greater matching showed breast cancer recurrence was categorically not affected by breast implant surface type. Hence, although we continue to monitor new data, the current data strongly suggests that breast implants (textured or smooth) when used in breast cancer reconstruction do not change the chances of the cancer returning. Can breast implants delay the diagnosis of breast cancer? Some individual small studies have suggested that the presence of a breast implant may delay the detection of a breast cancer. However, larger grouped studies have not shown this (8). In many cases, the implant allows a lump to be felt more easily, partly because patients with breast implants have heightened awareness, and also because lumps close to the breast implant can more easily be detected by being pushed forward towards the skin surface. Modern imaging techniques with computerised mammography also mean that the implants are not an obstruction to assessing the entire breast. Hence, it is clear that the presence of breast implants does not delay the detection of a breast cancer. Even though research indicates that breast cancer in women with implants is not diagnosed at a later stage compared with women without implants, it is important that all women participate in a routine program of breast cancer detection, including both breast self-examination and mammography. In addition, women with implants should undergo mammography with standard compression views plus additional modified views to allow better imaging of the breast. We are also entering an era of increased implant surveillance, and patients in my practice are now recommended to have an ultrasound check of their implants every three years through a linked service called Implant Health. What about BIA-ALCL and other rare cancers? It has become clear in recent years that a type of white blood cell cancer can develop in the capsule scar tissue that surrounds aggressively textured implants. This is known as [Breast Implant Associated-Anaplastic Large Cell Lymphoma (BIA-ALCL)](/education/alcl-bii-implant-illness/). Numbers vary in the literature but it would appear that the chances of developing this are around 1 in 2,500 breast implants inserted if the textured implants are from a company called Allergan (9). These implants have now been taken off the market and the link to the remaining less aggressively textured implants is significantly lower. Although this link may still cause concern for patients, there are some advantages to texturing on the surface of many implants. These advantages include a potentially reduced rate of capsular contracture and greater implant position control. Thus, a decision on whether to use textured implants is individualised and something that you should discuss with your specialised plastic surgeon. BIA-ALCL is not a classic breast cancer (from breast tissue) and recent developments in treatment mean that this type of cancer is curable for most patients. Such treatment usually only involves surgery. Hence, the risk to patients has been determined to be so low that regulatory authorities have not mandated that Allergan implants be removed. Again, if you have concern then you should seek advice from a plastic surgeon who specialises in this area of surgery. There are also other cancers linked to breast implants that are exceptionally rare. In particular, there is a cancer called Implant Associated-Squamous Cell Carcinoma (IA-SCC). This is a cancer that also appears to emanate from the breast implant capsule and is not considered a true breast cancer. A total of 30 cases have been reported over the last 30 years across all types of implants. It is important to recognise that these 30 cancers have occurred in close to 10 million patients with breast implants (in 2011, the US Food and Drug Administration estimated that there are 5 to 10 million breast implant recipients worldwide (10)), and that more than 60 cases of very similar dental implant associated cancers (11) have also been reported, which puts these numbers into perspective. Summary As you can see from the data above, this is a very complicated area of study and therefore difficult to draw absolute conclusions. What we can say is that silicone breast implants do not increase the chances of breast cancer, and indeed they may lead to a reduction in breast cancer on a population basis. A possible immune-system link to explain this effect has been theorised. However, we don’t fully understand the immune response to breast implants because in some patients with very aggressively textured implants, the inflammatory stimulation can lead to different rare cancers of the immune system. The great majority of patients who undergo breast implant surgery do not experience any serious complications, although it is important to be fully informed. If you are considering breast implants, or if you have breast implants in place and have concerns, then it is important to see a specialised plastic surgeon who understands the latest data available and can advise you on your own individualised risk before you move forward with surgery. References [Cancer Research UK](https://www.cancerresearchuk.org/health-professional/cancer-statistics/statistics-by-cancer-type/breast-cancer#:~:text=Breast%20cancer%20risk&text=1%20in%207%20UK%20females,caused%20by%20post%2Dmenopausal%20hormones) Breast implants and the risk of breast cancer: a meta-analysis of cohort studies. Noels EC, et al. Aesthetic Surg J 2015. Jan:35(1):55-62. PMID: 25568234 Silicone implants and the inhibition of cancer. Su CW, et al. Plast Reconstr Surg 1995. 96(3):513-518. PMID: 7638276 Can breast implants induce breast cancer immunosurveillance? An analysis of antibody response to breast cancer antigen following implant placement. Fracol N, et al. Plast Reconstr Surg 2021. 148(2):287-298. PMID: Breast cancer recurrence after reconstruction: know thine enemy. Brett EA, et al. Oncotarget 2018. 9(45):27895-27906. PMID: Association of implant surface texture used in reconstruction with breast cancer recurrence. Lee KT, et al. JAMA Surg 2020. 1;155(12):1132-1140. PMID: 7542523 Impact of implant surface type on breast cancer relapse after breast reconstruction: a propensity score-matched study. Ha JH, et al. British Journal of Surgery 2023. :1-5. PMID: 37307506 Breast implants and cancer: causation, delayed detection, and survival. Hoshaw SJ, et al. Plast Reconstr Surg 2001. 107(2):1393-1408. PMID: M. Clemens. 3rd International BIA-ALCL Consensus Conference, Rome November 2021 [FDA Update on Safety of Silicone Gel Filled Breast Implants](https://www.fda.gov/files/medical%20devices/published/Update-on-the-Safety-of-Silicone-Gel-Filled-Breast-Implants-%282011%29.pdf) Clinical retrospective analysis of peri-implant oral malignancies. Seo MH, et al. Int J Implant Dent 2024. Feb 6;10(1):5. PMID: 38321262 **Read more:** https://paulharris.co.uk/education/breast-implants-cancer-risk/ --- ### A Guide to Reduction Mammoplasty For many, the decision to undergo plastic surgery isn’t just a matter of aesthetics; it’s often linked to deeper, more personal needs. And when considering a [reduction mammoplasty](/procedures/breast-reduction/), or a breast reduction, there are a variety of psychological, social, and physical aspects to weigh. Whether you’re a breast reduction candidate seeking information or an individual simply curious about the procedure, this comprehensive guide will walk you through everything from the surgery’s basics to the psychological benefits of going under the knife. ### The Basics: What Is Reduction Mammoplasty? Reduction mammoplasty is a surgical procedure to reduce the size and reshape the breasts, commonly sought by individuals looking for relief from the physical discomfort of overly large breasts. The reasons for seeking a breast reduction can range from back pain, shoulder grooving, and skin irritation to difficulty exercising, finding clothes that fit well, and a desire to achieve a more balanced physical appearance. ### Who Should Consider a Breast Reduction? While personal preferences certainly play a role, there are several common indicators that may suggest a reduction mammoplasty could be beneficial. These include: Chronic back, neck, and shoulder pain Skin irritation beneath the breasts Bra straps that dig into the shoulders Limitations on physical activities due to breast size Psychological or social discomfort due to breast size It’s important to consult with a qualified plastic surgeon to discuss your specific case and determine if you’re an ideal candidate for the procedure. ### The Procedure: What to Expect During a Breast Reduction During a reduction mammoplasty, the surgeon removes excess breast tissue, fat, and skin, which can reduce the size of the breasts significantly. This process often involves repositioning the nipple-areola complex to a more aesthetically pleasing location on the newly shaped breast. Recovery typically involves several weeks of healing, during which time activities are limited to allow for proper wound closure and prevention of complications. ### The Psychological and Social Impact of Reduction Mammoplasty While physical relief is often a major motivator for individuals considering a breast reduction, there are also significant psychological and social benefits that can be gained. Patients commonly report feeling a boost in self-confidence, improved body image, and a greater willingness to participate in social activities and exercise. This surge in well-being post-surgery is one of the most rewarding aspects for many reduction mammoplasty patients. Ultimately, whether one decides to pursue reduction mammoplasty is an intensely personal choice. It’s crucial to gather ample information, seek advice from healthcare professionals, and reflect on your motivations. The decision process for this or any procedure should be multifaceted, considering both the potential challenges and the positive outcomes. And always remember, your body is a canvas, and you are the artist—whether or not you choose to alter it, the most important beauty is the one that radiates from within. **Read more:** https://paulharris.co.uk/education/breast-reduction-guide/ --- ### How often should my breast implants be replaced? The question of how often [breast implants should be replaced](/procedures/breast-implant-replacement/) is a common concern among individuals who have undergone [breast augmentation surgery](/procedures/breast-augmentation/). It’s important to note that breast implants are not designed to last a lifetime, and periodic breast implant replacement may be necessary. However, the specific timeline for implant replacement can vary from person to person. The lifespan of breast implants depends on several factors, including the type of implant, the surgical technique used, and individual factors such as age, lifestyle, and changes in body weight. On average, breast implants are expected to last about 10 to 20 years. However, some individuals may need implant replacement sooner, while others may go longer without any issues. Regular monitoring and follow-up with a qualified plastic surgeon are crucial in determining when breast implants should be replaced. Routine check-ups allow the surgeon to assess the condition of the implants and address any potential concerns. Diagnostic imaging, such as mammograms or ultrasound, may also be recommended to detect any issues early on. Certain signs may indicate the need for implant replacement. These include changes in the shape or size of the breasts, pain or discomfort, rupture or leakage of the implants, and the development of scar tissue (capsular contracture). If any of these issues arise, it is essential to consult with a plastic surgeon promptly. It’s worth noting that advancements in implant technology and surgical techniques have improved the durability of breast implants over the years. However, even with these improvements, regular monitoring remains crucial. Ultimately, the decision to replace breast implants should be based on individual circumstances and medical advice. Open communication with a plastic surgeon is key, as they can provide personalised guidance based on the patient’s health, lifestyle, and the condition of their implants. Staying informed, attending regular check-ups, and being proactive about any changes in breast health are essential components of ensuring the longevity and well-being of breast implants. **Read more:** https://paulharris.co.uk/education/breast-implant-replacement-timeline/ --- ### Understanding the Different Types of Breast Surgery [Breast surgery](/procedures/surgical-procedures/) has become increasingly popular in recent years with more and more people opting for this procedure to correct various medical and cosmetic issues related to their breasts. Maybe you are considering breast surgery, but you don’t quite understand the different types of breast surgery available. Well, look no further as this post aims to educate you on the various types of breast surgeries, and what each of them entails. ## Breast Augmentation [Breast augmentation](/procedures/breast-augmentation/), also known as breast enlargement, is a surgical procedure that involves the use of breast implants to enhance the size and shape of the breasts. This type of surgery is ideal for women who want to increase the size of their breasts to help balance their body proportions or improve their self-confidence. Silicone and saline implants are the most common types of  breast implants used in breast enlargement surgery. ## Breast Reduction [Breast reduction](/procedures/breast-reduction/) surgery aims to reduce the size of the breasts and reshape them to relieve the discomfort or pain caused by excessive breast tissue. Women with larger breasts often experience pain in the back, shoulders, and neck, which can be alleviated by removing the extra fat and tissue. This type of surgery is popular among women who suffer from neck and back issues, as well as those who cannot find clothing that fits properly due to their larger chest size. ## Breast Lift [Breast lift](/procedures/breast-uplift-mastopexy/), also known as mastopexy, is a type of surgery that aims to remove excess skin and reshape sagging breasts. As we age or after significant weight loss, breasts tend to lose their natural shape, firmness, and volume, causing them to sag. Women who want to reverse the effects of gravity on their breasts may opt for this type of surgery. ## Breast Reconstruction [Breast reconstruction surgery ](/procedures/breast-reconstruction/)is performed on women who have undergone a mastectomy, which involves the surgical removal of the breast tissue or the entire breast. This type of surgery aims to reconstruct the breast mound to restore a woman’s natural appearance. Breast reconstruction surgery typically involves using tissue expanders or breast implants, or a combination of both. ## Breast Implant Removal [Breast implant removal](/procedures/breast-implant-removal/), also known as explantation, is a surgical procedure that removes the breast implants entirely. Women who have experienced problems with their implants, such as rupture, leakage, or capsular contracture, may consider this type of surgery to correct the issue. Women who no longer wish to have breast implants and desire to return to their natural breast size may also opt for implant removal. Breast surgery can be life-changing for many women, improving their physical appearance, well-being, and self-esteem. However, it is essential to thoroughly research and understand the different types of surgeries available to make an informed decision on which type of surgery is suitable for your goals and needs. Talk to a board-certified plastic surgeon to discuss your options and find the best type of breast surgery to help you achieve your desired results. Remember, you are unique, and the type of breast surgery that will work best for you depends on your individual anatomy, preference, and goals. **Read more:** https://paulharris.co.uk/education/types-of-breast-surgery/ --- ### The Real Deal on Scarring After Breast Implant Surgery [Breast implant surgery](/procedures/breast-augmentation/), often chosen for its transformative effects on one’s appearance and self-esteem, can raise questions and concerns about scarring. Many individuals considering breast augmentation worry about whether the scars will be obvious or visible. In this article, we’ll provide insights into the factors that influence scarring after breast implant surgery and how surgeons work to minimize their visibility. ### 1. Incision Placement Matters One crucial factor in scar visibility is the choice of incision placement. Surgeons typically offer several options, including inframammary (under the breast crease), periareolar (around the areola), transaxillary (in the armpit), or transumbilical (through the belly button). The visibility of scars can vary depending on the location chosen, with some incisions being less noticeable than others. ### 2. Surgeon's Skill and Technique The skill and experience of the plastic surgeon play a significant role in scar appearance. An experienced surgeon employs [precise techniques to minimize scarring](/procedures/scarless-breast-reduction-liposuction/). They ensure the incisions are made with meticulous care, using fine sutures and strategic closure methods to achieve optimal healing and minimal scarring. ### 3. Scar Care and Aftercare Post-operative scar care and aftercare also contribute to the final appearance of scars. Patients are typically advised to keep incisions clean and dry, apply recommended scar creams or gels, and protect the incision area from excessive sun exposure to promote proper healing and minimize scar visibility. ### 4. Scar Maturation Process Scars go through a maturation process that can take several months to a year or more. Initially, scars may appear red, raised, or slightly bumpy. Over time, they tend to fade, flatten, and become less noticeable. The body’s natural healing processes contribute to this transformation. ### 5. Individual Healing Factors Individual factors, including genetics, skin type, and how well an individual’s body heals, play a role in scar visibility. Some people naturally have a tendency to develop more noticeable scars, while others may experience minimal scarring even after surgery. ### 6. Scar Revision Options In cases where scarring is more pronounced or unsatisfactory, scar revision procedures may be considered. These surgical techniques aim to improve the appearance of existing scars by refining their texture, color, or overall visibility. ### 7. Choosing the Right Surgeon Selecting a board-certified plastic surgeon with extensive experience in breast implant surgery is critical to achieving the best possible outcome with minimal scarring. A skilled surgeon will discuss incision options, explain the scarring process, and provide guidance on scar care and aftercare to help patients achieve the most discreet and aesthetically pleasing results. In conclusion, while scars are an inevitable part of breast implant surgery, they need not be overly obvious or conspicuous. With careful planning, skilled surgical techniques, proper aftercare, and patience during the scar maturation process, individuals can enjoy the benefits of breast augmentation with minimal scar visibility. Consulting with an experienced plastic surgeon is the first step toward achieving the desired results and addressing any concerns related to scarring. **Read more:** https://paulharris.co.uk/education/breast-implant-scarring/ --- ### When Breast Implant Surgery Goes Wrong and Treatment Options [Breast implant surgery](/procedures/surgical-procedures/), a popular procedure for enhancing one’s appearance and self-confidence, is generally safe when performed by a skilled and experienced plastic surgeon. However, like any surgical procedure, there can be risks and complications. In this article, we’ll discuss what can happen when breast implant surgery goes wrong and explore the treatment options available for individuals facing such challenges. ## Complications After Breast Implant Surgery Goes Wrong: Infection: Infections can occur after breast implant surgery and typically present with redness, swelling, pain, and fever. If not treated promptly, an infection can lead to more severe complications. [Capsular Contracture:](/conditions/capsular-contracture/) This condition occurs when the scar tissue (capsule) that naturally forms around the implant tightens and squeezes the implant. It can result in pain, discomfort, and a distorted breast appearance. [Implant Rupture or Leakage:](/conditions/breast-implant-rupture/) Although modern implants are durable, they are not immune to rupture or leakage. A breast implant rupture can cause deflation or leakage of silicone or saline into the surrounding tissue. Implant Displacement or Malposition: Sometimes, implants may shift from their original position, causing asymmetry or an unnatural appearance. This can result from improper surgical technique or the body’s reaction to the implants. Visible Rippling or Wrinkling: In some cases, particularly with saline implants or thin breast tissue, visible rippling or wrinkling of the implants can occur, making the breasts look unnatural. ## Breast Implant Surgery Goes wrong: Treatment Options for Complications: Breast Implant Infection: If an infection occurs, antibiotics are typically prescribed to clear the infection. In severe cases, the implant may need to be removed temporarily until the infection is completely resolved. Capsular Contracture: Treatment options for capsular contracture range from medication to surgical intervention. Revision surgery may involve removing and replacing the implant, along with addressing the capsule. Breast Implant Rupture or Leakage: In the case of a breast implant rupture, surgical removal and replacement of the implant are necessary. The choice between saline and silicone implants may be considered during the revision surgery. Implant Displacement or breast implant Malposition: Correction of implant displacement typically requires revision surgery to reposition the implant or adjust the capsule, ensuring a more natural appearance. Visible Rippling or Wrinkling: If visible rippling or wrinkling is a concern, changing the type of implant (e.g., switching from saline to silicone) or adjusting implant placement may help improve the cosmetic outcome. ## Consulting with a Skilled Surgeon: If complications arise after breast implant surgery, it is crucial to consult with a board-certified plastic surgeon experienced in breast revision procedures. The surgeon will conduct a thorough evaluation, discuss treatment options, and develop a personalized plan to address the specific issues and achieve the best possible outcome. In conclusion, while breast implant surgery is generally safe and effective, complications can occur. Prompt recognition and appropriate treatment of these complications are essential. Individuals who experience issues after breast implant surgery should not hesitate to seek professional medical advice and consult with a qualified plastic surgeon to explore treatment options and regain their desired breast appearance and overall well-being. **Read more:** https://paulharris.co.uk/education/breast-implant-complications-treatment/ --- ### Breast Implants and Pregnancy: Understanding the Changes Pregnancy is a transformative journey, both emotionally and physically. For women who have previously undergone [breast augmentation ](/procedures/breast-augmentation/)with implants, there are unique considerations regarding how pregnancy can affect their breasts. In this article, we’ll explore the changes that can occur in breast implants during pregnancy and what individuals should know. ## Breast Changes During Pregnancy: Breast Enlargement: One of the most common changes during pregnancy is breast enlargement. Hormonal fluctuations, increased blood flow, and the development of mammary glands in preparation for breastfeeding can lead to noticeable breast growth. Breast Tenderness: Many pregnant women experience breast tenderness and increased sensitivity, which can be uncomfortable. Vein Visibility: The veins in the breasts may become more visible as the body’s blood volume increases to support both the mother and the developing fetus. Nipple and Areola Changes: The nipples and areolas often darken in color, and the areolas may become larger and more prominent. ## Breast Implants and Pregnancy: Breast implants, whether saline or silicone, can interact with these pregnancy-related changes in various ways: Implant Displacement: Breast implants may shift or become displaced due to the increased size and weight of the breasts during pregnancy. Breast Sagging: The stretching of breast tissues during pregnancy can lead to breast sagging or ptosis, which may affect the appearance of the implants. Stretch Marks: Rapid breast growth during pregnancy can result in the development of stretch marks on the skin, which can impact the overall appearance of the breasts. Nipple Sensitivity: Changes in nipple sensitivity can be more noticeable for women with breast implants, as they may already have altered sensation due to the surgery. ## Breastfeeding with Implants: One of the primary concerns for women with breast implants during pregnancy is whether they can breastfeed successfully. In most cases, women with implants can breastfeed without issues. However, there are considerations to keep in mind: Implant Placement: Implants placed under the chest muscle (submuscular) are less likely to interfere with breastfeeding compared to those placed above the muscle (subglandular). Nipple Incisions: Breast implant surgeries that involve nipple incisions may increase the risk of breastfeeding difficulties, as these incisions can disrupt milk ducts. Milk Supply: Some women with breast implants may experience a slightly reduced milk supply, but it’s essential to note that many factors contribute to milk production, and implants alone are not the sole determinant. ## Post-Pregnancy Considerations: After pregnancy and breastfeeding, some women may consider breast revision surgery to address changes in the appearance or position of their implants. Procedures such as breast lift, breast implant replacement, or both can help restore the breasts to their desired shape and position. ## Consultation with a Plastic Surgeon: For women planning to become pregnant or who are already pregnant, consulting with a board-certified plastic surgeon is advisable. Surgeons can provide personalized guidance and recommendations to help manage and address any potential concerns related to breast implants and pregnancy. In conclusion, pregnancy can bring about significant changes in breast appearance and can interact with breast implants in various ways. With proper planning, care, and consultation with a qualified surgeon, women can navigate pregnancy with breast implants while making informed decisions to maintain their desired breast aesthetics. **Read more:** https://paulharris.co.uk/education/breast-implants-pregnancy-changes/ --- ### Addressing the Myth: Do Breasts Become Saggy After Implants are Removed? The decision to remove breast implants is a personal one, often influenced by changing preferences, health considerations, or a desire to embrace a more natural look. One common concern that arises when considering implant removal is whether the breasts will become saggy after the procedure. However, it’s important to dispel the myth and understand the nuanced reality of how breasts respond to implant removal. ## Understanding the Physiology Breasts are complex structures composed of glandular tissue, fat, and ligaments, all of which contribute to their shape, volume, and firmness. When breast implants are initially inserted, they can create an illusion of uplift and fullness. However, this added volume can sometimes lead to concerns about potential sagging after implant removal. ## Post-Removal Changes Contrary to popular belief, breasts don’t inevitably become saggy after implant removal. While there might be some initial changes in the breast’s appearance, they are not synonymous with sagging. The skin and tissue need time to adapt to the new size and shape, and there may be a period where the breasts appear less full. However, this phase is usually temporary as the body adjusts. ## Factors Influencing Changes Several factors influence the changes that occur after [breast implant removal](/procedures/breast-implant-removal/): Skin Elasticity: The elasticity of the skin plays a significant role in how the breasts respond post-implant removal. If the skin has maintained good elasticity, it is more likely to retract and adjust to the natural breast tissue without significant sagging. Implant Size and Duration: The size of the implants and the duration they were in place can affect how the breasts look after removal. Larger implants or longer periods of implant presence might lead to more stretched skin, which could result in a longer adjustment period. Breast Health: Overall breast health and lifestyle factors also contribute. Staying hydrated, maintaining a healthy weight, and avoiding excessive sun exposure can all positively impact skin elasticity and breast appearance. Combating Sagging with a Lift For individuals who experience some degree of sagging after breast implant removal, a breast lift (mastopexy) is a viable option. A breast lift can address excess skin and reposition the breasts, providing a more youthful and lifted appearance. This procedure is particularly beneficial for those who have concerns about sagging or excess skin post-implant removal. ## Embracing Natural Beauty Ultimately, breast implant removal offers the opportunity to embrace natural beauty and authenticity. While there might be an adjustment period as the breasts return to their original form, they don’t necessarily become saggy. Every individual’s body reacts differently, and factors like skin elasticity play a pivotal role in the final outcome. In conclusion, the notion that breasts will inevitably become saggy after breast implant removal is a misconception. The body’s ability to adapt and adjust is remarkable, and many individuals find that their breasts return to a natural, harmonious appearance over time. For those concerned about sagging, a breast lift is a viable option to restore a more youthful and lifted contour. Ultimately, the journey toward natural beauty is about embracing the unique journey that each body takes post-implant removal. **Read more:** https://paulharris.co.uk/education/breasts-saggy-after-implant-removal/ --- ### What Happens to Breasts After Implants are Removed? The decision to have breast implants removed is a personal one, often driven by changing preferences, health concerns, or a desire to embrace natural beauty. While the procedure of [breast implant removal](/procedures/breast-implant-removal/) is relatively straightforward, what happens to the breasts afterward is a topic that garners curiosity. Understanding the post-implant removal changes can provide insight into the journey individuals undertake as they reclaim their original selves. ### Breast Tissue Adjustments After breast implant removal, the breast tissue undergoes a period of adjustment. Initially, the breasts may appear slightly deflated due to the absence of the implants. This change in volume might lead to a softer and more natural feel compared to the firmness of augmented breasts. The skin that was stretched by the implants may also gradually retract, adapting to the new size of the breasts. Natural Shape and Size The natural shape and size of the breasts, pre-implant, will become more prominent as the swelling subsides and the body’s natural healing processes take place. While it may take several months for the final results to become fully evident, many individuals find solace in returning to a shape that feels more familiar and in harmony with their body’s proportions. Breast Lift Considerations In some cases, individuals who opt for breast implant removal may also choose to undergo a breast lift procedure simultaneously. A breast lift can help address issues such as sagging skin and tissue, resulting from the stretching effect of the implants. This additional procedure can elevate the breasts and provide a more youthful and aesthetically pleasing appearance. Psychological Impact The emotional journey following breast implant removal is just as crucial as the physical changes. Many individuals report a sense of liberation and renewed self-confidence as they embrace their natural appearance. The decision to remove implants signifies a journey toward self-acceptance and authenticity, which can have a positive impact on overall well-being and body image. Post-Operative Recovery The recovery process after breast implant removal varies from person to person. Swelling, bruising, and discomfort are common in the initial stages, but these symptoms gradually subside as the body heals. Patients are often advised to avoid strenuous activities and heavy lifting during the initial weeks to ensure a smooth recovery. Final Thoughts Breast implant removal marks a transformative chapter for individuals seeking a return to their natural selves. The post-implant removal changes are a testament to the body’s resilience and ability to adapt. As the breasts gradually adjust to their original form, many individuals find themselves not only physically liberated but also emotionally empowered. This journey allows them to embrace their authentic appearance, paving the way for a renewed sense of self-confidence and a closer connection with their true selves. In conclusion, the changes that occur after breast implant removal encompass both the physical and emotional aspects of the journey. As the body adjusts to the absence of implants, individuals may witness a return to their natural shape and size. The journey toward authenticity and self-acceptance can be both transformative and empowering, ultimately leading to a newfound sense of confidence and well-being. **Read more:** https://paulharris.co.uk/education/breasts-after-implant-removal/ --- ### The Rise of Mini Boob Jobs and Slimplants: Enhancing Natural Beauty In recent years, there has been a growing trend in the field of breast surgery towards the “mini boob job” and “slimplants”. These procedures focus on enhancing and refining the natural beauty of a woman’s breasts, providing subtle yet noticeable improvements without the need for extensive surgery. In this article, I thought it important to take a deeper dive into the world of mini boob jobs and slimplants, discussing their benefits, considerations, and the increasing popularity of these procedures. As the aesthetic trends change over time, we are definitely moving into an era of smaller breasts being more attractive. This fits with healthier lifestyles and a trend towards wellbeing. The 1980’s and 1990’s look of large fake breast implants has most certainly passed and the majority of patients now desire a very natural, elegant look from their breast implants. I am seeing such requests from patients who have never had implants before and many patients who want to downsize their current implants. The terms mini boob job and slimplants both imply the use of small breast implants but there are subtle differences. Mini Boob Job Mini boob jobs, also referred to as mini breast augmentations, are designed to provide modest size and shape enhancements to the breasts. This procedure involves using smaller implants or fat transfer techniques to add volume and achieve a more proportionate appearance. Mini boob jobs are ideal for women who desire a subtle change, such as correcting asymmetry, enhancing cleavage, or restoring breast volume lost due to pregnancy or weight loss. Slimplants Slimplants, on the other hand, are a type of breast augmentation specifically designed to provide a natural-looking result with a slimmer profile. Unlike traditional implants, which can sometimes create a rounder or fuller look, slimplants are intended to create a more streamlined and slender breast contour. They are an excellent option for women seeking a subtle enhancement while maintaining a naturally athletic or slender physique. One of the primary advantages of mini boob jobs and slimplants is that they deliver natural-looking results. These procedures aim to enhance existing breast tissue, complementing the body’s contours rather than drastically altering them. The smaller implant sizes and tailored placement techniques contribute to a subtler, more proportionate outcome. One of the fundamental distinctions here is that the natural breast supporting anatomy, such as the infra-mammary fold and outer border of the breast is not disrupted when using smaller implants. Traditional breast augmentation damages these anatomical boundaries which can lead to a very unnatural result. Eventually when the implants are removed many years later, the breast can also be extremely damaged necessitating reconstructive surgery. When carrying out a mini boob job or slimplants with smaller implants, the ligamentous supporting framework of the breast is protected and hence the result is not only much more natural but also removal is much more straightforward. Mini boob jobs and slimplants offer a personalised approach to breast enhancement. I take into account each patient’s unique body shape, desired outcome, and lifestyle to create a customised treatment plan. This individualised approach ensures that the results align with the patient’s aesthetic goals while maintaining a harmonious balance with their overall physique. Whilst it might appear much easier to achieve a natural result by simply using smaller implants, it’s actually not so straightforward. Much of this is to do with implant dimensions and placement. If the volume of an implant is reduced, then often so is the area that it covers. Placing a very small implant in a broader breast can look like a golf ball sticking out of the breast which can make the overall breast aesthetic very strange. Thus, implants that have less forward projection, maintaining a proportionate width perform better for most patients. Many patients who request small implants are also usually quite athletic with relatively thin soft-tissue to disguise or hide their implant edges. Careful planning is therefore needed with not only a broader range of implants used than would be usual but also I have found 3D photographic simulation essential in this patient group to achieve consistent results. To achieve greater implant coverage and fewer visibility problems like noticeable rippling of an implant, I usually recommend placing the implant partially under the muscle in a dual plane technique. However, this can lead to some movement of the implant, known as animation deformity, during exercise. The combination of fat transfer with the implant, known as Hybrid or Composite Breast Augmentation, can also be very helpful in this patient group with an athletic physique. Shaped or round implants? I use anatomical (also known as shaped or teardrop) implants for breast reconstruction and many breast augmentation patients in my practice. One might assume these implants to be helpful when selecting for mini boob jobs or slimplants, however at lower implant sizes the actual variation from the top to bottom of these implants is far less, hence the advantage of the shape is lost. Furthermore, the concept of a shaped implant is that it is used to define the breast shape, whereas in a mini boob job we are simple enhancing the natural shape of the breast that already exists not redefining it. Textured or smooth implants? When using smaller implants, I also favour smooth-surfaced silicone implants. Textured-surface implants tend to be more fixed in their position particularly when placed under the muscle. In contrast, smooth implants remain quite mobile after an initial settling down period. This normally produces a much more natural and subtle result which sits within the breast when naked and can be pushed up to enhance the cleavage when in a bra. Hence, the standard implant to choose with the group of slim patients is lower profile, round, smooth silicone implants. In summary, mini boob jobs and slimplants have gained popularity due to their ability to enhance a woman’s natural beauty with subtle and personalised improvements. These procedures offer numerous advantages, such as natural-looking results and a tailored approach to each patient’s unique needs. However, it is essential to consult with a qualified plastic surgeon and thoroughly understand the procedure, potential risks, and post-operative care. Ultimately, mini boob jobs and slimplants can be transformative, empowering women to feel confident and beautiful while maintaining the integrity of their natural physique. **Read more:** https://paulharris.co.uk/education/mini-boob-jobs-slimplants/ --- ### ALCL & BII Breast Implant Association – Anaplastic Large Cell Lymphoma (BIA-ALCL) Around 2015, it became clear from several scientific articles that a white blood cell malignancy was being recognised around some breast implants. This condition has since been termed Breast Implant Associated – Anaplastic Large Cell Lymphoma or BIA-ALCL. We now understand a great deal more about this condition which is related to some textured breast implants. In the data collected so far, it appears that not all breast implant textured surfaces act in the same way and over 90% of the Worldwide cases of ALCL have occurred in the presence of a textured surface called Biocell. This surface has been used by an implant company called Allergan. These implants have now been taken off the market but not recalled from patients because it is thought that the surgery to remove them has greater risk than leaving them in. That’s because the rate of ALCL is probably around 1 in 3000 Biocell textured Allergan implants inserted. Other textured surfaces have a much lower rate of something like 1 in 30,000 to 50,000 implants inserted. The treatment of ALCL is usually thorough investigation with detailed imaging and assessment within a cancer unit. It usually involves the removal of the implant and capsule together, this is known as an ‘en bloc excision’. There is usually no need for any additional oncology management, although new immunotherapy treatments have been developed. [Video: https://vimeo.com/837548423] Breast Implant Illness Breast Implant Illness or BII is a description for many varied body or systemic symptoms that patients put down to their breast implants. These symptoms include things like brain fuzz, excessive tiredness, hair loss, muscle aches or joint pains. Although theories exist linking silicone, heavy metals in breast implants or bacterial contamination of the implant surface, so far there is no known scientific link between breast implants and these problems. Hence BII is not an actual medical diagnosis. That said, many plastic surgeon including Mr Harris, have seen these symptoms getting better if the breast implants are removed. A lot of research is underway to find out the cause of these problems in patients and to agree on the best treatments. Many patients believe that the problem comes from the capsular scar tissue that the body creates around implants. For this reason, they request an ‘en bloc excision’ of the implant and the capsule together, in a similar way to treating BIA-ALCL. However, this is quite aggressive and damaging surgery so patients need to fully understand the consequences of their request, which can be based on bad information from the internet. It’s vitally important that if any patient feels that they have BII, then they should seek the advice of an expert surgeon who deals with such patients regularly but doesn’t prey on their worries and rush to very aggressive surgery in all cases. It’s essential to state here that Mr Harris has a professional relationship with an implant company called Mentor who are owned by Johnson & Johnson, the biggest healthcare device company in the World. He provides some of the educational output for other surgeons around the World and is paid to do this on an hourly rate. He does not have any other relationship or benefit such as share deals and does not get paid to use their implants. Hence, he is a completely independent plastic surgeon who acts in the best interests of his patients and never implant companies. [Do breast implants need to be changed?](/procedures/when-to-replace-breast-implants/) [Capsular Contracture](/conditions/capsular-contracture/) [Breast Implant Rupture](/conditions/breast-implant-rupture/) **Read more:** https://paulharris.co.uk/education/alcl-bii-implant-illness/ --- ### Managing Patient Expectation Managing patient expectation is a critical aspect of aesthetic plastic surgery. Patients often have specific goals and desires, and it is the surgeon’s responsibility to ensure that these expectations are realistic. It’s very clear having carried out aesthetic and reconstructive surgery for many years that we all look at outcomes or results differently, so I thought that I would share some observations and advice about this in my blog. When patients come for their final check, I occasionally have a little surge of apprehension before they are called into the consultation room. This is not because I am expecting a bad result, but because I can sometimes be caught out by an unexpectedly disappointed patient. This is because patient satisfaction does not always correlate with the objective quality of the result. So I have seen some patients who have a truly perfect result, yet they are unhappy and others in whom I think “well that perhaps could look better”, who are over the moon with delight at how good their body looks. Why then does patient satisfaction not clearly relate to the quality of the surgical result? For the main part this is about patient expectation before the surgery. Here are a few tips for managing your expectations when considering aesthetic surgery. Have an open and honest conversation with your surgeon: Before the surgery, the surgeon should try to understand what the patient is hoping to achieve. I often say to patients “we need to understand what a good outcome would be in your eyes”. I then try to explain what can be realistically achieved and how this compares with the patient’s ideal or perfect outcome. This helps set realistic goals and can prevent any misunderstandings or disappointments later on. Some things that I might say during the consultation to help manage expectations include: “It’s not about producing a particular result that you have seen on the internet, it’s about applying the tools and techniques I have to the best of my ability on your body, to produce as a good as a result as we can. This may fall short of your ideal result.” “The biggest determinant of outcome is the starting point and your natural body or breast shape will therefore affect the result that we can achieve.” “There are no guaranteed outcomes or specific results. We should make things much better but the results will not be perfect. I can guarantee that I will take great care of you and work hard to produce the best result I can.” “We should not necessarily carry out the operation that you want, we should consider everything properly and do what we think will work best for you.” “Ultimately, this is not just about treating your breasts, it is about you as a person, your confidence, your self-esteem, and how you feel about yourself” Consider all the information given to you very carefully: The surgeon should always provide detailed information about the procedure, including risks, benefits, and recovery time. I do this during the initial consultation and it is followed up with a summary in my detailed and individualised letter to every patient. This information is reinforced at additional consultations and from the standard procedure information sheets given to all patients. Consider before and after photographs: It’s clear from my social media and website publications, that I am not a fan of multiple before and after photographs. These can be manipulated and they do not apply to every patient. Indeed, I think these advertising techniques lead to unrealistic expectations for many patients. During the consultation however, I do show many untouched before and after photographs of my own patients. I have a collection of photos from patients who have agreed to have their images shared. I then try to match the patient body type and procedure to give a realistic expectation of outcome. I show both very good and not so good outcomes pointing out the deficiencies, such as bad scarring, when present. This helps set realistic expectations and gives patients an idea of what can be achieved for them. Follow up after the procedure: Regular follow up visits are essential to ensure patients heal properly and that we, as a team, are meeting their expectations. I also show patients their own before-surgery photographs and we always take a post-operative set at around three months. We can then compare the change and see the benefits. Comparing post-operative photos to pre-operative photos allows patients to easily see the gains. In aesthetic plastic surgery, the overwhelming majority of patients are extremely happy they chose to go through with their operation. This can be seen from the many positive reviews and testimonials published on various review sites. Patient satisfaction is, however, not just about achieving a particular result that looks good in a photograph. It’s about, setting realistic goals and being looked after in a sensitive and supportive manner together with the surgical skills to achieve the best result possible. **Read more:** https://paulharris.co.uk/education/realistic-surgery-expectations/ --- ### After Surgery Care After surgery care is often as important a factor as the surgeon, or the surgery itself, and can make a big difference to the final result. Mr Harris believes that your postoperative surgical care begins with your consultation before surgery. Following your consultation you will receive a full explanation of any proposed treatment, including the expected outcome and the possible complications. Information sheets may also be given to reinforce your discussion with Mr Harris so that you fully understand what is being planned and can ask as many questions as necessary for you. Following your consultation you will receive a full explanation of any proposed treatment, including the expected outcome and the possible complications. You will usually be offered a second pre-operative consultation free of charge to allow you to think about any proposed treatment. This ensures that there is plenty of time before surgery to address any questions about the procedure and allows the proper support systems to be put into place for an uncomplicated post-surgery recovery. #### #### Minor Surgery Following minor surgery at 5 Devonshire Place, written instructions will be provided together with contact details in the event of an issue. Dressings are routinely applied to most small wounds and you don’t normally need to change these until you return for a standard one-week follow appointment. You can usually shower daily and exercise after 48 hours. #### Major Surgery Following major surgery in a private hospital, it is sensible, where possible, to ensure that a family member or friend is available to look after you in the first few days following discharge. Follow up appointments will be arranged by Mr Harris’s team. An appointment with Mr Harris and his practice plastic surgery nurses for dressing changes will usually be made a few days following the operation. Specific instructions about bathing, compression garments, physical activity, returning to work and driving will be explained before you are discharged from hospital. These instructions will depend on the nature of the surgery and your general health. You may also be given some discharge medications including painkilling tablets, which you should take as instructed, even if the pain is not too bad. In some cases, you may also require postoperative antibiotics. Specific instructions about bathing, compression garments, physical activity, returning to work and driving will be explained before you are discharged from hospital. These instructions will depend on the nature of the surgery and your general health. #### Recovery & Follow-ups For most aesthetic breast surgery patients, it is advisable to have a week of doing very little after the procedure. You should be able to shower and go for daily walks. Post-operative bras designed by Mr Harris are routinely provided as part of your package. These should be worn for up to six weeks, day and night. After one week, you will have an appointment with the nursing staff for a dressing change and more specific instructions are then given depending on the surgery details and Mr Harris’ recommendations. There is then a progressive six week recovery until most patients feel completely normal. You can usually return to work and travelling by 7-10 days. Lower body exercise can start at approximately 10 days but often upper body exercise needs to be delayed beyond this time point. Routine follow-up appointments with Mr Harris take place at two weeks, six weeks and three months following surgery, although these can be more frequent if needed. Once you have recovered from your surgery you may still require longer-term regular follow up or be discharged back into your GP’s care. Unless there are special circumstances, Mr Harris will write to your GP summarising the treatment that you have received. Specific instructions about bathing, compression garments, physical activity, returning to work and driving will be explained before you are discharged from hospital. These instructions will depend on the nature of the surgery and your general health. [Registration & Appointments](/education/book-consultation/) **Read more:** https://paulharris.co.uk/education/aftercare-recovery/ --- ### Hospitals Assisted by his team of regular anaesthetists, Mr Harris performs major surgical procedures at carefully selected venues that offer only the highest levels of medical and support care. #### The London Clinic The London Clinic is the largest independent private hospital in the United Kingdom and is located in the heart of London’s world-famous medical district. The London Clinic holds a strong focus on combining the warmth of individual patient care with internationally acclaimed medical, surgical and technical expertise delivered by the highest calibre consultants and staff. Patients under the care of Mr Harris are usually admitted to the dedicated plastic surgery ward and attended to by specialised nursing staff with extensive experience in the management of plastic surgery procedures. The London Clinic 5 Devonshire Place London W1G 6HL Appointments: [020 7927 6520](https://paulharris.co.uk/contact/) Email: [appointments@paulharris.co.uk](https://paulharris.co.uk/contact/) Consultations: All day Monday, all day Thursday and Saturday mornings. [Registration & Appointments](/education/book-consultation/) **Read more:** https://paulharris.co.uk/education/hospitals/ --- ### Anaesthesia For Plastic Surgery If your procedure requires a general anaesthetic or sedation, this will be provided by a consultant anaesthetist with specialist training in anaesthesia for plastic surgery. Mr Harris works with a small team of dedicated consultant anaesthetists who cover both his private practice and also work in the NHS. You will meet your anaesthetist on the day of your surgery and you will have an opportunity to discuss your anaesthetic at this time. Your anaesthetist is present with you throughout the whole of your anaesthetic and your vital signs are very closely monitored. The use of modern anaesthetic techniques such as total intravenous anaesthesia (TIVA) and monitoring the depth of anaesthesia with bispectral index (BIS) have improved recovery and decreased post-operative nausea to very low levels. Overall, you can be reassured that anaesthesia delivered by a consultant anaesthetist in a well-equipped modern hospital is very safe and well tolerated. You may feel that you have a pre-existing medical condition that might affect your anaesthetic or make you feel that you are at a higher risk. This should be mentioned early in your consultation with Mr Harris and any relevant pre-operative investigations will be organised. It is quite understandable to have concerns and anxieties regarding your anaesthetic. While minor side effects after anaesthesia such as sore throat and nausea are not uncommon, serious problems are extremely rare. If you would like to discuss your anaesthetic in advance of your surgery with one of our consultant anaesthetists, this can be arranged through Mr Harris’s office. **Read more:** https://paulharris.co.uk/education/anaesthesia-options/ --- ### Considerations & Decisions It is vital for anyone considering plastic surgery that they see an experienced and qualified surgeon for independent professional advice. All surgical treatments should include a full discussion of suitability, results, complications and expected recovery. Cosmetic and reconstructive plastic surgery requires a surgeon with a broad range of experience, high level of technical skill, sound clinical judgement, and the ability to critically evaluate and adapt to new surgical techniques. The best treatment comes from a careful analysis of each patient’s specific needs, planning appropriate surgical techniques and not from providing the same surgery to all patients. Mr Harris practices within a group of plastic surgeons, dedicated plastic surgery nurses, and support staff, whose aim is to care for patients in a professional and friendly manner. Mr Harris has also chosen to operate in hospitals that offer only the highest levels of medical and support care. All consultations take place directly with Mr Harris and he will perform all surgical procedures and undertake any follow-up surgical treatment. Consulting Mr Harris about surgical treatments will include a full discussion of suitability, results, possible complications and expected recovery time afterwards. Mr Harris does not believe that appropriate surgery can be provided by consulting an advisor and meeting the surgeon on the day of operation. In addition to a comprehensive consultation, Mr Harris will arrange for photographs to be taken, with your permission, both to help with the analysis for any surgery and as an important medical record. Patients are cared for post-operatively and for appropriate dressings and wound care by Mr Harris and his team of specialist plastic surgery nurses who can be contacted 24 hours a day. Mr Harris’ consultation fees will be quoted at the time of making the appointment booking. Following the consultation, Mr Harris will submit a fee to you, or in some cases, directly to your private medical insurance company. A full quotation of costs will also be provided before undergoing any surgical procedure. Mr Harris does not employ or use other surgeons in his practice, and you will only ever be operated on by Mr Harris. After the operation, he will visit you on the ward to explain what was done and check on your recovery. If you stay in hospital, he will also visit you the next morning. **Read more:** https://paulharris.co.uk/education/surgery-consultation-guide/ --- ### Registration & Appointments Your initial enquiry will usually be answered on the same day, but at the very least, within two working days. Mr Harris’ admin team are trained to discuss your needs with you, and there can be a wait for the first actual meeting or consultation. Some patients, such as those with ruptured breast implants for example, might need to be prioritised. All contact with the practice, irrespective of the hospital should be made to: Appointments: [020 7927 6520](https://paulharris.co.uk/contact) Email: [appointments@paulharris.co.uk](https://paulharris.co.uk/contact) Administration & billing: [020 7927 6521](https://paulharris.co.uk/contact) Email: [admin@paulharris.co.uk](https://paulharris.co.uk/contact) Nursing staff: [07496 228 878](https://paulharris.co.uk/contact) Email: [nurse@paulharris.co.uk](https://paulharris.co.uk/contact) The team will send you a registration document which, once completed, will allow us to communicate with you in a safe way, protecting your data. Mr Harris consults privately in his practice at 5 Devonshire Place, which is part of The London Clinic Consulting Rooms and Outpatient Centre. This well-appointed centre houses consulting rooms, treatment rooms and a fully equipped minor operating facility, allowing Mr Harris to deliver a comprehensive range of plastic surgery treatments. Along with a number of clinical outpatient services, patients are offered specialist care, tailored to individual needs, within friendly and attractive surroundings. Main Practice: 5 Devonshire Place London W1G 6HL Consultations: All day Monday, all day Thursday and Saturday mornings. [Hospitals](/education/hospitals/) The initial consultation with Mr Harris takes around 45 minutes for most patients. It will be followed by a comprehensive, personalised summary letter, along with information sheets and relevant quotations. All patients are seen at least twice and often more, prior to surgery. It is vitally important that you consider all the options, benefits and risks before moving forward, hence the need for a wait, or cooling off period, before the operation. Some consultations can be carried out virtually but no surgery can take place unless we have met face-to-face at least once. There is a one-off standard fee for this entire consultation process, irrespective of the number of visits. **Read more:** https://paulharris.co.uk/education/book-consultation/ --- ### Terms & Conditions #### Privacy Policy At Paul A Harris Ltd your personal and medical information is of the utmost importance and we take every step necessary to ensure we are legally compliant under current Data Protection legislation. Our privacy statement outlined below provides information about how your personal data is collected, stored and transmitted. #### What Information Do We Collect? Mr Harris’ admin team will collect information from you or a second party involved in your medical care. The personal details we will require from you are your full name, date of birth, correspondence address, email and telephone contact details as well as any GP or referring clinician details and your payment particulars. If you are insured, we will require your insurance details including your membership and authorisation number for your appointment or procedure. We may also collect medical notes, prosthesis information, correspondence from second parties involved in your care including insurers, guarantors, clinicians, GPs etc. Following payments, invoices will be kept on file along with any receipts for accounts and auditing purposes. These are confidentiality destroyed at the end of their retention period and in line with current legislation. Mr Harris may also collect surgical photographs during your consultation. You will be asked as part of your patient consents whether you permit us to use or share this information. #### What is Our Legal Basis For Collecting And Retaining This Information? We require your personal and medical data to ensure good and safe medical practice and collect this in line with the current Data Protection Act. Mr Harris has a legal obligation to collect your personal data and this is in line with the legitimate and vital interests of your medical care and Mr Harris’ legal obligation as a medical professional. We collect and process this information using your consent. We also process your medical information, otherwise known as special category data under Article 9 of the Data Protection Act. We collect this data using your explicit consent to do so and in line with our legal duties to process and retain information in the event of exercising or defending a legal claim. #### Where And How Is Your Personal Data Stored? Your personal and medical information is kept securely on our electronic systems. Any paper copies of medical notes are securely stored to ensure adequate patient confidentiality. This information is securely destroyed after suitable medical data retention periods. We will share your personal and medical information when necessary and appropriate for your care and treatment in line with good and safe medical practice. We will not share your information with third parties outside the below mentioned groups unless you have specially requested that we do so. #### How Do We Use Your Personal Data? Our information may be shared with any of the below second and third parties directly involved in your care and in line with our business requirements: General Practitioners Clinicians Any hospital where your procedure, test or consultation is taking place Your insurer or guarantor Solicitors A third party of your choosing (If you wish correspondence to be sent onto your next of kin or a particular consultant) Our accountant and HMRC Surgical and prosthetic companies The NHS Implant Registry Transcription services Should you wish for us to not correspond with any of the above parties please ensure you inform us in advance or at the time of your initial consultation. You can choose to change this consent at a later date but you must do so in line with our Right to Rectification procedures. Under new legislation you also have the Right to be Forgotten. Please contact us for further information. We will only share your information with second and third parties who will look after your information in the same meticulous way that we do. These parties are also regulated by the Information Commissioners Office and must comply with current legalisation. Should you wish us to share your information with a party we do not normally correspond with, this will be at your own risk as we cannot guarantee they will comply with the necessary legislation to keep your information secure. #### Keeping In Contact We will need to contact you to send you vital information concerning your medical care. We may contact you via email or post to send letters and correspond with you regarding procedures, appointments and general medical queries. Any emails you receive from us will be encrypted and you will be asked to sign into Egress which is an online encrypted server in order to access the email. You only need to register once and any subsequent emails can be accessed by signing in. Although this can be time consuming it is a requirement in order to keep your online information safe. We may also contact you by telephone and in the event that we cannot reach you, we will leave a voicemail. We will not identify the reason for our call but will state that we are calling from Mr Harris’ office and ask that you call us back. We will also contact you by text message to confirm appointments. You should inform us if you do not wish us to communicate with you via any of these methods. #### Updating Your Information And Your Legal Rights We ask that you keep us updated with any changes in your personal details. Please see our Right to Rectification procedures for further information. #### Access To Information You are legally entitled to request the information we hold about yourself on our systems. Please contact our office for further information about our Subject Access Request Procedure or our Data Portability Procedure should you like to request your personal or medical information. Please contact our office on [0207 927 6521](https://paulharris.co.uk/contact ) who will escalate any concerns to our Data Protection Officer. Alternatively, you can contact the ICO directly. **Read more:** https://paulharris.co.uk/education/terms-conditions/ --- ### Who is Paul Harris? ### PHILOSOPHY Aesthetic and Reconstructive plastic surgery requires a surgeon with a broad range of experience, technical skill, sound clinical judgement, and the ability to critically evaluate and adapt to new surgical techniques. Mr Harris is committed to providing the highest standards of care, customised to the individual needs of patients, using the latest proven surgical techniques combined with sound clinical judgement. Mr Harris prides himself on providing an exceptional, personalised service with the utmost standards of patient confidentiality. It is for this reason that he chooses not to display pre and post-operative images on the website. I’m committed to providing the highest standards of care, customised to the individual needs of patients, using the latest proven surgical techniques combined with sound clinical judgement. Mr Harris’ educational background and international training have provided a solid base for him to develop an acknowledged expertise in the field Plastic and Reconstructive Surgery. #### BACKGROUND AND TRAINING Mr Harris graduated from The University of London in 1991 to embark upon his surgical career. After four years of training in general surgery at a number of London teaching hospitals, he became a fellow of the Royal College of Surgeons of England (FRCS). He then undertook eight years of training in plastic surgery in London as well as periods spent at specialist centres in Australia and Belgium. In 2002, he gained the Specialist Fellowship in Plastic Surgery (FRCS Plast) and was entered on the GMC Specialist Register for plastic surgery in 2004. In 1999, Mr Harris was awarded the higher post-graduate degree of Doctorate in Medicine (MD) having spent two years at the Restoration of Appearance and Function Trust (RAFT) developing a laboratory produced artificial skin replacement. This research was sponsored by The Royal College of Surgeons of England. Throughout his career, Mr Harris has continued to publish his work within the plastic surgery and scientific literature, and present nationally and internationally at plastic surgery conferences. He is actively involved in teaching at postgraduate level and has lectured at the British Association of Plastic, Reconstructive & Aesthetic Surgeons (BAPRAS) instructional meetings. [Video: https://vimeo.com/837643933] He has continued to develop his skills in plastic surgery as a consultant and now regularly teaches junior plastic surgeons. His main interests are breast surgery, and body contouring. Following the completion of his surgical training in England, Mr Harris was awarded a travelling fellowship by the British Association of Plastic, Reconstructive & Aesthetic Surgeons (BAPRAS) to study with one of the world’s leading authorities in cosmetic surgery in Melbourne, Australia. Since then, he has continued to develop his skills in cosmetic surgery as a consultant and now regularly teaches junior plastic surgeons. His main interests are breast surgery, and body contouring. In 2004, Mr Harris was appointed as a Consultant Plastic Surgeon at The Royal Marsden Hospital in London where he specialised in reconstructive surgery following ablative cancer excision. He left the NHS in 2018 to devote his efforts to full-time private practice. He currently operates in Central London at The London Clinic, and in Southwest London at Wimbledon Parkside Hospital. He is a member of the British Association of Plastic, Reconstructive & Aesthetic Surgeons (BAPRAS), the British Association of Aesthetic Plastic Surgeons (BAAPS) and the International Society of Aesthetic Plastic Surgeons (ISAPS). He is a previous President of BAAPS (2018-2020) and has worked within Council for over 10 years. He is the current Aesthetic lead for BAPRAS (appointed 2022) and comments regularly in the media on topical plastic surgery issues. He has also been featured in several television documentaries. Away from work, Mr Harris is married to another doctor and they have three children who are all around the University stage of their lives. He enjoys cycling and spending time away from work in the Alps. **Read more:** https://paulharris.co.uk/education/about/ --- ### Patient Journey We aim to provide a responsive, individualised service, offering the highest level of clinical care backed up by the latest research, ensuring that patients are offered the best options, whatever their surgical needs. Mr Harris has been a Consultant Plastic Surgeon for over fifteen years. He aspires to the highest level of care for his patients, working at two of London’s most prestigious hospitals. He is assisted in his practice by three permanent administrative staff, two anaesthetic consultants and three specialist nurses in Plastic and Reconstructive surgery. [Video: https://vimeo.com/837637697] **Read more:** https://paulharris.co.uk/education/patient-journey/ --- ## News & Media ### 100% Patient satisfaction in PHIN survey **Media Outlet:** PHIN All private healthcare activity in the UK is assessed and published by the Private Healthcare Information Network (PHIN). This is an independent, government-mandated organisation publishing performance and fees information about private consultants and hospitals. Mr Harris’s operation data and fees have been published for several years, although PHIN have recently expanded their activity to include patient questionnaire feedback. This feedback is carried out by PHIN independent of Mr Harris. We are pleased to announce that this initial survey has shown 100% patient satisfaction from those 57 patients questioned by PHIN. The detailed breakdown of the questions and results can be found here. “I am so pleased to see this satisfaction survey results produced independently by PHIN. We work very hard to make sure that the patient experience is a top-quality one for all patients that come through the practice, and I believe this survey together with my online reviews reflect this.” says Mr Harris. **Read more:** https://paulharris.co.uk/news/perfect-patient-satisfaction-phin-2024/ --- ### Television & Radio **Published:** 2025-07-30 Mr Harris has been featured in several television programs to highlight the issues facing reconstructive surgery patients and also to rectify the drift towards the increasing trivialisation of cosmetic surgery. 2017 TV series – Featured Surgeon – Celebrity Botched Up Bodies For this series, Mr Harris undertakes a revision breast implant and uplift procedure for a former model Emma B, and then undertakes a breast reduction for TV presenter Gail Porter. 2016 TV series – Featured Surgeon – Celebrity Botched Up Bodies For this series, Botched Up Bodies moves on to “follow a team of top surgeons as they set about repairing the damage of British household names”. Mr Harris undertakes a revision breast uplift procedure in a singer and advises on some buttock injections that have gone wrong in a reality TV celebrity. 2015 TV series – Featured Surgeon – Botched Up Bodies (Series 5) Season 5 of this documentary series continues to profile people whose cosmetic surgery procedures have gone disastrously wrong. In this series, Mr Paul Harris’ expertise is required to treat two patients – one with significant wound breakdown following a breast uplift procedure and another whose prior surgeries have resulted in an horrendous scar problem. TV series – Featured Surgeon – Botched Up Bodies (Series 4) Returning for a third series, Botched up Bodies follows some of the UK’s top corrective cosmetic surgeons as they treat patients, many of whom have previously undergone unsatisfactory cosmetic procedures. In this series Mr Harris performs two cases of revisional breast surgery to correct the results of prior substandard surgeries. 2014 TV – News interview – Cosmetic Surgery Tourism As part of Channel 5’s Cosmetic Surgery feature of the week, Mr Harris was an invited guest onto the News Desk to discuss the problems associated with Cosmetic Surgery Tourism. Being interviewed by Matt Barbet, he condemned the trivialisation of cosmetic surgery abroad and the lack of safeguards, including any form of psychological assessment. TV – News interview – Teenage Cosmetic Surgery In this Channel 5 News special report, Mr Harris was interviewed alongside Amy Childs about the pressure on young adults to look good, forcing some to turn to cosmetic surgery. TV series – Featured Surgeon – Botch Up Bodies (Series 3) A documentary series that profiles some of Britain’s leading plastic surgeons in their efforts to correct cosmetic surgery disasters and give the victims a new lease of life. In this series, Mr Harris consults and operates on a gentleman who has suffered from uneven chest scars after prior substandard cosmetic surgery treatment. 2013 TV series – Featured Surgeon – Botch Up Bodies (Series 2) A documentary series that follows some of Britain’s leading plastic surgeons in their efforts to correct cosmetic surgery disasters and give the victims a new lease of life. In this first series, Mr Harris removes excess skin from a patient who has had too much liposuction and then changes ruptured breast implants in a second patient. TV lifestyle programme – Peter Andre’s Cancer Diaries In the first instalment of the cancer diaries Mr Harris performed breast reconstruction surgery on a 51 year old patient who was diagnosed with breast cancer in 2009 and had mastectomy in 2010. 2011 TV – News interview – British woman dies after American cosmetic surgery This Channel 4 news item centred on the story of a young British woman who tragically died as a result of complications following buttock enhancement surgery in the USA. Mr Harris was quoted as a leading plastic surgery expert and warned of the risks associated with having unlicensed cosmetic surgical treatment abroad. 2006 TV series – Say No To The Knife In an effort to redress the balance towards an ethical approach in Aesthetic Surgery, this program detailed the physical and psychological journeys of several patients considering surgery. As an independent Plastic Surgeon, Mr Harris explained the potential benefits and risks of many aesthetic procedures. TV documentary – The Woman Who Lost 30 Stone This documentary tracked the incredible story of Connie, an American patient who lost over 30 stone in weight after gastric bypass surgery. Following several operations in California to remove excess skin from her body, she travelled to London to consult with Mr Harris, requesting breast augmentation and brachioplasty (arm lift surgery). Radio interview – Guest of the Day – Morning Talk Show – BBC Radio Surrey Featured because of the development of a plastic surgery service at Clare Park Hospital in Farnham. Mr Harris spoke of his normal working week and how reconstructive and cosmetic surgery have a great deal in common. TV series – Featured Surgeon – Make Me Perfect This day-time programme followed fifteen women who had suffered emotional trauma because of their looks, through a total transformation with a combination of psychological counselling and major cosmetic surgery. Mr Harris was one of the three plastic surgeons invited to undertake the surgery. **Read more:** https://paulharris.co.uk/news/media-appearances/ --- ### In The Press **Published:** 2025-07-30 Mr Harris has also been a member of The British Association of Aesthetic Plastic Surgeons (BAAPS) Council for over 10 years and as such, he is also frequently quoted on their behalf of regarding topical controversies and media campaigns. Mr Harris regular comments in the written press, as a recognised authority in many aspects of Plastic Surgery. ## 2022 Magazine interview – The London Clinic magazine – Quality surgery stands out through the results. Mr Harris is interviewed by the in-house media team about the changes in plastic surgery since Sir Harold Gillies set up the World’s first private plastic surgery unit at The London Clinic. [Article Link](https://www.thelondonclinic.co.uk/media-hub/features/quality-plastic-surgery-stands-out-through-results) ## 2021 Magazine – Tatler’s Cosmetic Surgery Guide – Best Breast Surgeons in the UK Mr Harris was once again named in Tatler’s guide to cosmetic surgery as one of the selected best breast surgeons. [Article Link](https://www.tatler.com/article/best-breast-surgeons-uk) Magazine interview – Sheerluxe – What to know about getting a breast reduction In this interview Mr Harris explains the process, benefits and possible complications from a breast reduction procedure. [Article Link](https://sheerluxe.com/life/what-know-about-getting-breast-reduction) ## 2020 Magazine – Tatler’s Cosmetic Surgery Guide – Best Breast Surgeons in the UK Mr Harris was once again named in Tatler’s guide to cosmetic surgery as one of the selected best breast surgeons. [Article Link](https://www.tatler.com/article/best-breast-surgeons-uk) ## 2019 Medical Journal Interview – BMJ – Commentary on new television programme exploiting vulnerable patients As president of BAAPS, Mr Harris commented on the prospect of a TV program panel or jury deciding on whether patients should go through cosmetic surgical procedures or not. [Article Link](https://www.bmj.com/content/366/bmj.l5478) Magazine – Tatler’s Cosmetic Surgery Guide – Best Breast Surgeons in the UK Mr Harris was once again named in Tatler’s guide to cosmetic surgery as one of the selected best breast surgeons. [Article Link](https://www.tatler.com/article/best-breast-surgeons-uk) ## 2018 Newspaper article – The Daily Mail – Meet the best surgeons for breast cancer This article focused on using the tummy to reconstruct the breast after breast cancer surgery and Mr Harris was named as first in the list of top surgeons in the UK for breast reconstruction. [Article Link](https://www.dailymail.co.uk/health/article-5810027/Meet-best-surgeons-breast-cancer.html) Magazine interview – The Aesthetic Journal – The Aesthetic Journal reports on Mr Harris becoming BAAPS President Following Mr Harris’s appointment to become President of BAAPS, the Aesthetic Journal cover his plans for the future. [Article Link](https://aestheticsjournal.com/) ## 2017 Newspaper supplement commissioned articles – The Guardian – Reconstructive Solutions in Breast Surgery Mr Harris writes two articles and comments on a further in this special health supplement for The Guardian newspaper. Magazine – Tatler’s Cosmetic Surgery Guide – Best Breast Surgeons in the UK Mr Harris was once again named in Tatler’s guide to cosmetic surgery as one of the selected best breast surgeons. [Article Link](https://www.tatler.com/article/best-breast-surgeons-uk) Multiple media outlets – Daily Mail & ITV Loose Women – Gail Porter reveals how breast reduction changed her life Mr Harris undertook a breast reduction for celebrity Gail Porter and she openly tells how the operation changed her life both in the published press and ITV’s Loose Women. ## 2016 Newspaper article – Correcting aged breast implants As part of the Botched Up Bodies TV series, Mr Harris exchanged old implants and undertook a breast uplift for former model, Emma B. Emma tells of her earlier botched surgery and how important it has been to put things right. Nursing Journal – Commissioned editorial – Patient safety more important than profit Mr Harris was commissioned to write an Editorial in the Journal of Aesthetic Nursing to comment on how some of the bigger clinics in the UK were prioritising profit over patient safety. He called for the UK Government to legislate to clamp down on rogue clinics and surgeons. [Article Link](https://www.magonlinelibrary.com/doi/full/10.12968/joan.2016.5.3.110) Mr Harris was named in Tatler’s authoritative guide to cosmetic surgery in the UK as being one of five surgeons who are “best for breast”. [Article Link](https://www.tatler.com/article/best-breast-surgeons-uk) ## 2015 Magazine articles – Royal Marsden Private Care magazine – Specialists in Surgery and New Medical Director in Private Care During his two year tenure as the Medical Director of Private Care, Mr Harris will focus on exploring growth opportunities in the private patient sector. Mr Harris is also profiled as a specialist in surgery – particularly for his breast reconstruction work and his role in gene therapy research, in collaboration with the Institute of Cancer Research. [Article Link](https://www.royalmarsden.nhs.uk/private-care/news-and-blogs) Newspaper article – The Telegraph – One hundred years of plastic surgery Mr Harris comments on the advances that have taken place in plastic surgery from reconstructive procedures to treat war victims to the latest cosmetic surgery trends. He particularly explains that most of his cosmetic surgery patients no longer want to look ‘operated’ but rather prefer a fresher and healthier look. [Article Link](https://www.telegraph.co.uk/women/womens-health/11731223/100-years-of-plastic-surgery.html) Newspaper article – The Daily Mail – Tummy Tuck Surgery Mr Harris comments on the advantages and risks of an abdominoplasty (tummy tuck). [Article Link](https://www.dailymail.co.uk/lifestyle/article-3142433/Would-brave-mum-tum-tuck-costs-6-000-carries-drastic-risks-s-Britain-s-fastest-growing-cosmetic-surgery.html) Newspaper article – The Telegraph – Acellular Dermal Matrix (ADM) in Reconstruction Mr Harris’s patient tells her story of abdominal wall reconstruction using a tissue engineered product derived from calf skin, that has had all the cells removed (ADM). Mr Harris explains that this product is frequently used in breast reconstruction and other forms of tissue repair, particularly after cancer treatment. [Article Link](https://www.telegraph.co.uk/lifestyle/wellbeing/11480770/The-natural-product-transforming-the-lives-of-cancer-patients-after-surgery.html) ## 2014 Newspaper article – The Daily Mail – Good Health section – TUG Breast Reconstruction Mr Harris’s patient tells of her experience with a tissue reconstruction from the inside thigh, with expert comment from Mr Harris. [Article Link](https://www.dailymail.co.uk/health/article-5810027/Meet-best-surgeons-breast-cancer.html) Magazine article – The Aesthetics Journal – Collaboration and Regulation in Cosmetic Treatments Mr Harris writes an editorial in ‘The Word’ calling for greater collaboration between surgeons and cosmetic doctors to improve standards in the sector. ## 2013 Newspaper article – The Independent – Rebuilding Lives – patient story “They had to find a way to rebuild my womanhood”. One of Mr Harris’s patients tells her story of vulval reconstruction. [Article Link](https://www.independent.co.uk/life-style/health-and-families/features/they-had-to-find-a-way-to-rebuild-my-womanhood-8573923.html) Online article – Daily mail Online – Plastic Surgery Apps The plastic surgery apps which encourage women use to see themselves post-procedure; but is the phenomenon a step too far in our body-conscious culture? Mr Harris provides expert commentary on the dangers of technology applications that trivialise the seriousness of undergoing life-changing cosmetic surgery procedures. [Article Link](https://www.dailymail.co.uk/news/article-2525018/The-plastic-surgery-apps-allow-users-post-procedure-phenomenon-step-far-body-conscious-culture.html) Newspaper article – Scottish Daily Mail – Good Health section – The Revolution in Breast Reconstruction The plastic surgery apps which encourage women use to see themselves post-procedure; but is the phenomenon a step too far in our body-conscious culture? Mr Harris provides expert commentary on the dangers of technology applications that trivialise the seriousness of undergoing life-changing cosmetic surgery procedures. [Article Link](https://www.pressreader.com/uk/scottish-daily-mail/20130604/282252368073945) ## 2012 Magazine article – Royal Marsden Magazine – Spotlight on Surgery A profile on some of The Royal Marsden surgeons, including Mr Paul Harris, who are performing ground breaking procedures in the treatment of cancer. [Article Link](https://issuu.com/royalmarsden/docs/rm13_winter12/14) Newspaper article – Daily Mail – Life after breast cancer – patient story “I lost a breast to cancer…. but surgeons made me feel beautiful again.” A former model’s brave account of why there is life after breast cancer. One of Mr Harris’s patients tells of the success of a DIEP flap breast reconstruction under his care. [Article Link](https://www.dailymail.co.uk/health/article-2223988/I-lost-breast-cancer--surgeons-feel-beautiful-A-models-brave-account-life-mastectomy.html) ## 2010 Newspaper article – Daily Mail – Mr Harris voted by colleagues as one of Britain’s Top Surgeons Revealed: Britain’s top surgeons for breast cancer reconstruction surgery – as voted by the specialists themselves. The Daily Mail canvassed 50 leading breast cancer and reconstructive surgeons within Britain and asked them to rate the top practitioners, their peers, based on the questions: “If your nearest and dearest were to be diagnosed with breast cancer, to whom would you refer them”. [Article Link](https://www.dailymail.co.uk/health/article-1292354/Britains-surgeons-breast-cancer-reconstruction-surgery--voted-specialists-themselves.html) ## 2008 Magazine article – Tatler Beauty and Cosmetic Surgery Guide – Top UK cosmetic surgeons Mr Paul Harris was voted among the best surgeons in the country – “The plastic surgeon other surgeons use for their families” as quoted by one GP of Paul Harris. **Read more:** https://paulharris.co.uk/news/media-coverage-highlights/ --- ### Masterclass in Jordan Throughout 2023, Mr Harris has been invited to operate and lecture at several prestigious International surgical meetings. Scheduled trips will include visits to Madrid, Spain and the Gold Coast, in Australia. In March, he was the headline speaker at the Jordanian Royal Medical Services meeting in Amman and The Dead Sea. This trip included a workshop of reviewing some local Jordanian patients and teaching the plastic surgery department on his opinion for surgical options in these patients. He then spent a day operating and finished off with four 30 minute talks at the academic sessions in the Dead Sea Conference. Mr Harris commented that, “It’s been an incredible honour to be invited to share my opinion and experience on some challenging cases in both reconstructive and aesthetic breast surgery. The hospitality of the host team has been overwhelming and it’s also been an incredible opportunity to tour Jordan after the academic component of the trip. Petra and The Dead Sea should be on everyone’s ‘bucket list’ and are truly amazing. We can’t wait to return in the future to explore the delights of the region in more detail”. **Read more:** https://paulharris.co.uk/news/jordan-breast-surgery-masterclass/ --- ### Presentations **Published:** 2025-07-30 He is frequently invited to share his work by presenting nationally and internationally at Plastic Surgery conferences. Listed below are some of his main presentations as a consultant. Mr Harris is considered an expert in the field of plastic surgery, particularly related to aesthetic and reconstructive breast surgery. ## 2023 Mastopexy augmentation masterclass Mentor Breast Symposium: Advances in Surgery; Madrid, Spain – June Breast implant choice: does shape matter? Mentor Breast Symposium: Advances in Surgery; Madrid, Spain – June What have we learned from 50 years of breast implant surgery? 10th International Conference of the Royal Medical Services and Jordan Health Exhibition; Dead Sea, Jordan – April Breast reduction: Making the Wise pattern FIT. 10th International Conference of the Royal Medical Services and Jordan Health Exhibition; Dead Sea, Jordan – April My best save in aesthetic breast surgery Mentor Breast Symposium: Advances in Surgery; Madrid, Spain – June New developments in aesthetic breast surgery 10th International Conference of the Royal Medical Services and Jordan Health Exhibition; Dead Sea, Jordan – April The expanding range of techniques needed to provide breast reconstruction for all. 10th International Conference of the Royal Medical Services and Jordan Health Exhibition; Dead Sea, Jordan – April ## 2022 Should we be using smooth or textured implants? The 22nd International Scientific Congress for Vietnam Society of Plastic & Aesthetic Surgery; Ho Chi Minh City, Vietnam (Virtual) – July Mapping the patient experience. The BAAPS Support Business day; London – April BII: managing patient concerns. Mentor Invited Surgeon Webinar in Netherlands (Virtual) – March Implant selection: my preference and why? Mentor Invited Surgeon Webinar (Virtual) – Feb Breast augmentation with anatomical implants: case series. Milan Aesthetic Breast Meeting; Milan, Italy – December Pre-pectoral vs retro-pectoral placement: the long-term view. Mentor Breast Surgery Symposium – Strategies for Long-Term results; Athens – May Society & Breast implants: where are we? Mentor Invited Surgeon Webinar in Netherlands (Virtual) – March Discussing safety with patients. Mentor Invited Surgeon Webinar (Virtual) – Feb Revision surgery after breast reduction. Milan Aesthetic Breast Meeting; Milan, Italy – December Placement decision making in breast augmentation. (Sponsored talk by Mentor) Milan Aesthetic Breast Meeting; Milan, Italy – December ## 2021 Anatomically-based decision making in mastopexy-augmentation. ISAPS Educational Symposium (Virtual) – November Making the Wise Pattern Fit. 7th International Breast Surgery Workshop; Rome, Italy – October The advantages of precision-filled implants in my changing breast practice 43rd Annual Australasian Society of Aesthetic plastic Surgery (Virtual) – October Bottoming out implants: defining the problem, risk factors and correction. 31st Thailand Plastic and Reconstructive Surgery Meeting (Virtual) – October Mentor Breast Implant Selection Symposium – Implant Selection. ISAPS European Meeting – Vienna, Austria – September Basics in breast reduction. ISAPS Educational Symposium (Virtual) – June FIT pattern breast reduction BAAPS Masterclass series (Virtual) – June Bottoming out masterclass: defining the problem, risk factors and correction. Mentor EMEA Breast Surgery e-Conference: Revision Surgery (Virtual) – May Revision surgery in mastopexy-augmentation. ISAPS Educational Symposium (Virtual) – November Safety and effectiveness of silicone breast implants in breast augmentation. 7th International Breast Surgery Workshop; Rome, Italy – October Structured approach to breast implant selection: evidence base and surgical experience. 31st Thailand Plastic and Reconstructive Surgery Meeting (Virtual) – October Rejuvenation of the post-bariatric breast. EURAPS Educational Symposium (Virtual) – October Advanced mastopexy. ISAPS Educational Symposium (Virtual) – June Mastopexy with mesh. Association of Breast Surgeons Annual Scientific Meeting (Virtual) – May Breast reduction: the basics and beyond. Ibreast book Webinar, Basics of Cosmetic Breast Surgery – improving techniques and outcomes (Virtual) – March ## 2020 Implant removal and mastopexy. Milan Aesthetic Breast Meeting (Virtual) – December Breast reduction: making the Wise pattern FIT. Milan Aesthetic Breast Meeting (Virtual) – December Why I use Mentor implants. Mentor Southeast Asia Webinar (Virtual) – October Surgical challenges in removing an implant. Mentor Breast Educational Webinar Series (Virtual) – April The need for both textured and smooth implants in aesthetic breast surgery. 7th Breast Care Surgical Excellence Symposium (Mentor event); Webinar – March Mastopexy with dissolvable mesh. Milan Aesthetic Breast Meeting (Virtual) – December Breast Re-reduction. Milan Aesthetic Breast Meeting (Virtual) – November Do we still need anatomical implants. Mentor Southeast Asia Webinar (Virtual) – October Caring for patients with breast implant illness (BII). 7th Breast Care Surgical Excellence Symposium (Mentor event); Webinar – March ## 2019 Improved aesthetic outcomes from mastopexy using dissolvable mesh. British Association of Plastic, Reconstructive & Aesthetic Surgeons (BAPRAS); Monaco – December This house declares that BBLs should be banned. British Association of Aesthetic Plastic Surgeons (BAAPS) Annual Meeting; London, UK – October Optimising outcomes in mastopexy-augmentation: a treatment algorithm. The London Breast Meeting; London, UK – September Recent advances in breast reduction surgery. International Course Training for Plastic Surgeons (ICTPS) & ISAPS Symposium; St Petersburg, Russia – June The role of BAAPS in aesthetic medicine education. FACE Meeting; London, UK – June The stored energy concept. 6th Breast Care Surgical Excellence Symposium (Mentor event); Hamburg, German – May Reduction mammoplasty: making the Wise pattern FIT. British Association of Plastic, Reconstructive & Aesthetic Surgeons (BAPRAS); Monaco – December Mastopexy with mesh: video instruction session. The London Breast Meeting; London, UK – September Improved outcomes in mastopexy using bio-absorbable mesh. International Course Training for Plastic Surgeons (ICTPS) & ISAPS Symposium; St Petersburg, Russia – June Revision breast implant surgery. International Course Training for Plastic Surgeons (ICTPS) & ISAPS Symposium; St Petersburg, Russia – June Navigating the latest from ANSM and other health authorities. 6th Breast Care Surgical Excellence Symposium (Mentor event); Hamburg, German – May Mapping the customer experience. 6th Breast Care Surgical Excellence Symposium (Mentor event); Hamburg, German – May ## 2018 Implant options in revision surgery. Milan Breast Meeting, Milan, Italy – December Optimising outcomes in mastopexy augmentation using the minus plus concept. ISAPS World Congress; Miami, USA – November Fat grating to improve outcomes in aesthetic breast surgery. 2nd London ISAPS Symposium; London, UK – October Fat grafting for aesthetic results: why and why not? 5th Breast Care Surgical Excellence Symposium (Mentor event); Hamburg, German – May The great texture debate and future of implants: experiences from the UK. 5th Breast care Surgical Excellence Symposium (Mentor event); Hamburg, German – May Complex decision making in mastopexy augmentation. Doctors Update Meeting; Val d’Isère, France – January How to measure and choose the correct implant and new IMF position when using round implants. Milan Breast Meeting, Milan, Italy – December Treatment strategies in revision breast augmentation. BAPRAS Celtic Plastic Surgeons Meeting; Dunkeld, UK – November Anatomical decision making in mastopexy-augmentation. 2nd London ISAPS Symposium; London, UK – October How to deal with negative online reviews. 5th Breast Care Surgical Excellence Symposium (Mentor event); Hamburg, German – May Ethical marketing: all in the best possible taste. Royal Society of Medicine, Aesthetics Section; London, UK – March ## 2017 Anatomical-based decision making in mastopexy augmentation. British Association of Plastic, Reconstructive & Aesthetic Surgeons (BAPRAS); London, UK – December DIEPs with implants. 47th Annual Meeting of The Portuguese Plastic, Reconstructive and Aesthetic Surgery Society; Lisbon, Portugal – October Flaps and implants. Multi-unit Pan-Thames Day on Breast Reconstruction, The Royal Society of Medicine; London, UK – June Revising mastopexy augmentation – perspectives and experience. Mentor Course in Surgical Excellence; European Surgical Institute, Hamburg, Germany – May How does the ethical plastic surgeon compete in the current marketplace? British Association of Aesthetic Plastic Surgeons (BAAPS) Annual Meeting; London, UK – October Treatment strategies in revision breast augmentation. ISAPS Lisbon Symposium; Lisbon, Portugal – October Advanced implant-tissue techniques in breast reconstruction. Mentor Course in Surgical Excellence; European Surgical Institute, Hamburg, Germany – May ## 2016 Augmentation-mastopexy: Single stage, two stage and patient selection. UK Oncoplastic Fellows Training Meeting; Liverpool, UK – June Autologous flap salvage of the failed implant-based breast reconstruction. BAPRAS Advanced Educational Course – Breast; Manchester, UK – April The use of the Keller Funnel in breast implant surgery and complex case discussion. Doctors Update Meeting; Val d’Isère, France – February Mastopexy augmentation techniques: how I do it. The Association of Breast Surgeons Annual Conference; Manchester, UK – May Measurement, photography and 3D analysis. BAPRAS Advanced Educational Course – Breast; Manchester, UK – April ## 2015 Should implant reconstruction replace autologous reconstruction? The argument against. Oncoplastic Breast Surgery and ADM Reconstruction; London, UK – July Autologous flap salvage of implant-based breast reconstruction. Doctors Update Meeting; Val d’Isère, France – February ## 2014 Targeted gene delivery using free tissue transfer. Swedish Annual Surgical Meeting; Karlstad, Sweden – August Facelifting: techniques and cadaveric demonstration. European Society of Plastic, Reconstructive & Aesthetic Surgery (ESPRAS); Edinburgh, UK – July Refinements in TUG flap breast reconstruction. Advances and Controversies in Reconstructive Microsurgery; Norwich, UK – May Oncoplastic breast surgery in the UK (Jointly with Miss F MacNeill). Swedish Annual Surgical Meeting; Karlstad, Sweden – August Targeted gene delivery using free tissue transfer. Advances and Controversies in Reconstructive Microsurgery; Norwich, UK – May Variations and versatility of the TUG flap. The London symposium on reconstructive microsurgery, The Royal Society of Medicine; London, UK – May ## 2013 Post-mastectomy breast reconstruction – current concepts. Clinical Cosmetic & Reconstructive Expo; London, UK – October Facial aesthetics – the ageing process. Clinical Cosmetic & Reconstructive Expo; London, UK – October Mastopexy – the relationship between volume and the envelope. Clinical Cosmetic & Reconstructive Expo; London, UK – October The gracilis flap in breast reconstruction. UK Oncoplastic Fellows Training Meeting; Liverpool, UK – September ## 2012 Cosmetic surgery trends and economic indicators – comparisons across The Pond. Invited to ‘Voice of Europe’ section at European Association of Societies of Aesthetic Plastic Surgery (EASAPS); Istanbul, Turkey – June ## 2011 Flap reconstruction in cancer care. Undergraduate Plastic, Reconstructive and Aesthetic Surgery Conference 2011; London, UK – November Biplanar breast augmentation: How I do it. Annual Aesthetics Day, Royal Society of Medicine; London, UK – May ## 2010 Reconstructive surgery for limb threatening sarcomas. British Sarcoma Group Conference; London, UK – February Ageing of skin and fat. Interventional Cosmetics; Recent Advances in Facial Procedures. Royal Society of Medicine, London; UK – February ## 2009 Surgery of the chest wall: Soft tissue reconstruction. Advances in Thoracic Surgery; London, UK – November ## 2008 Reconstructive surgery. The International Federation of Head and Neck Oncology: Current Concepts in Head and Neck Surgery and Oncology; London, UK – September Applied surgical anatomy. Upper lid and brow rejuvenation: an advanced course. Imperial College of Science & Technology; London, UK – May DIEP based breast reconstruction. Indian Association of Surgical Oncology (IASO) & British Association of Surgical Oncology (BASO) Joint Meeting; Hyderabad, India – September ## 2007 Limiting the complication rate of DIEP flap breast reconstruction by maintaining a flexible approach to rectus muscle harvest. British Association of Plastic, Reconstructive & Aesthetic Surgeons (BAPRAS); Deauville, France – July An algorithmic approach to reconstruction of the lip. British Association of Plastic, Reconstructive & Aesthetic Surgeons Educational Programme (BAPRAS); Manchester, UK – April ## 2006 Flap reconstruction following gynaecological tumour resection of advanced and recurrent disease: The Royal Marsden experience. The Royal Society of Medicine combined Plastics & Gynaecology sections meeting, The Royal Society of Medicine; London, UK – December Applied facial anatomy. The Royal Society of Medicine Aesthetic Surgery Day; Royal Society of Medicine; London, UK – May The surgical anatomy of the face. Current Concepts in Aesthetic Facial Surgery Conference; Guys Hospital; London, UK – April Applied surgical anatomy. Lower lid blepharoplasty: an advanced course. Imperial College of Science & Technology; London, UK – September Periorbital anatomy. Current Concepts in Aesthetic Facial Surgery Conference; Guys Hospital; London, UK – April ## 2005 Myocutaneous flaps following BCT. Plastic and Reconstructive Surgery of the Breast – Third European Conference; Milan, Italy – December The role of microvascular tissue transfer in cancer reconstruction. Junior Oncology Club, The Royal Society; London, UK – June Autologous breast reconstruction. The College of Surgeons of Sri Lanka and British Association of Surgical Oncology Joint Meeting; Columbo, Sri Lanka – August Blepharoplasty: applied anatomy. British Association of Plastic Surgeons (BAPS) Educational Programme “Eyes, eyelids, ears and nose”; Manchester, UK – May **Read more:** https://paulharris.co.uk/news/international-conference-presentations/ --- ### Publications **Published:** 2025-07-30 This has been during a formal time spent studying for his MD, during time supervising PhD students at The Institute of Cancer Research or from many clinical projects during his training and as a consultant. His work has been published within the plastic surgery and wider scientific literature. Listed are all of Mr Harris’s scientific publications in reverse order. Throughout his career, Mr Harris has been involved in research related to plastic surgery. ## 2023 Reply to: Mortality rate in breast implant surgery: Is additional procedure worthwhile to mitigate BIA-ALCL risk? N. Rocco, C. Andree, Y. Barea, G. Catanuto, B. Celet Ozden, R. De Vita, M. Hamdi, P. A. Harris, P. Mallucci, P. Montemurro, M. Pacifico, L. Fernando Perin, S. Pompei, A. Rancati, C, Stan & M. B. Nava Aesthetic Plastic Surgery 2023; 47(3): 927-929 - ## 2021 Preoperative volume estimation in transverse upper gracilis flap surgery: A pilot study. A. R. Hurley, G. Zoccali, M. K. Tasoulis, M. Chrysopoulo, A. Blackburn, S. E. James, M. S. Morgan, P. A. Harris & T. Nanidis Journal of Plastic Reconstructive & Aesthetic Surgery (JPRAS) 2021; 74(11): 2891-2898 Reducing postoperative venous thromboembolism in DIEP free flap breast reconstruction: Extended pharmacological thromboprophylaxis within an enhanced recovery programme. A. R. McKean, J. Knox, T. Nanidis, A. Khan, P. A. Harris, K. Ramsey, S. James & K. T. Power Journal of Plastic Reconstructive & Aesthetic Surgery 2021; 74(9): 2392-2442 ## 2020 Consensus research priorities for “Brazilian Butt Lift” (BBL) in the UK: A BAAPS-led Delphi survey of expert clinicians and researchers H. Sadideen, M. Akhavani & P. A. Harris Plastic & Reconstructive Surgery (PRS) 2020; 73(2): 391-407 - ## 2019 International expert panel consensus on fat grafting of the breast M.B. Nava, P. Blondeel, G. Botti, F. Casabona, G. Catanuto, M. W. Clemens, D. De Fazio, R. De Vita, J. Grotting, D. C. Hammond, P. A. Harris, P. Montemurro, A. Mendonça Munhoz, M. Nahabedian, S. Pompei, A. Rancati, G. Rigotti, M. Salgarello, G. Scaperrotta, A. Spano, C. Stan, & N. Rocco Plastic & Reconstructive Surgery Global Open 2019; 7(10): e2426-e2430 - ## 2018 Comparison of immediate versus delayed deep inferior epigastric artery perforator (DIEP) flap reconstruction in women who require post mastectomy radiotherapy R. L. O’Connell, R. Di Micco, K. Khabra, A. M. Kirby, P. A. Harris, S. E. James, K. Power, K. W. D. Ramsey & J. E. Rusby Plastic & Reconstructive Surgery (PRS) 2018 ; 142(3): 594-605 A single-centre, retrospective proof-of-concept review of salvage of infected or exposed implant based reconstructions with explantation and one-stage free flap replacement R. J. Bramhall, I Hernan & P. A. Harris Journal of Plastic Reconstructive & Aesthetic Surgery (JPRAS) 2018; 71(2): 194-200 Genetically modified lentiviruses that preserve microvascular function protect against late radiation damage in normal tissues A. Khan, J. T. Paget, M. McLaughlin, J. N. Kyula, M. J. Wilkinson, T. Pencavel, D. Mansfield, V. Roulstone, R. Seth, M. Halle, N. Somaiah, J. K. R. Boult, S. P. Robinson, H. S. Pandha, R. G. Vile, A. A. Melcher, P. A. Harris & K. J. Harrington Science Translational Medicine 2018; 10(425) ## 2017 Intra-operative techniques to reduce the risk of capsular contracture in patients undergoing aesthetic breast augmentation: a review J. D. Horsnell, A. E. Searle & P. A. Harris The Surgeon 2017; 7(1): 75-80 Audit of venous thromboembolism in DIEP free flap breast reconstruction R. McKean, J. Knox, P. A. Harris, K. Ramsey, S. James & K. T. Power Journal of Plastic Reconstructive & Aesthetic Surgery (JPRAS) 2017; 70(7): 970-972 ## 2016 Bilateral breast reconstruction with deep inferior epigastric perforator flaps in slim patients M. Mani, S. Saour, K. Ramsey, K. Power, P. A. Harris & S. James Microsurgery 2016; 36(7): 552-558 Adenovirally delivered enzyme prodrug therapy with herpes simplex virus-thymidine kinase in composite tissue free flap shows therapeutic efficacy in rat models of glioma R. Seth, A. A. Khan, T. D. Pencavel, M. J. Wilkinson, J. N. Kyula, G. Simpson, H. Pandha, A. Melcher, R. Vile, P. A. Harris & K. J. Harrington Plastic & Reconstructive Surgery (PRS) 2015; 135(2): 475-487 ## 2015 Adenovirally delivered enzyme prodrug therapy with herpes simplex virus-thymidine kinase in composite tissue free flap shows therapeutic efficacy in rat models of glioma R. Seth, A. A. Khan, T. D. Pencavel, J. Wilkinson, J. N. Kyula, G. Simpson, H. Pandha, A. Melcher, R. Vile, P. A. Harris & K. J. Harrington Plastic & Reconstructive Surgery (PRS) 2015; 135(2): 475-487 A review of three-dimensional (3D) photography and laser imaging for oncoplastic, reconstructive and aesthetic breast surgery: the information that can be obtained and its clinical use (review) R. L. O’Connell, R. J. G. Stevens, P. A. Harris & J. E. Rusby The Breast 2015; 135(2): 475-487 ## 2014 Microvascular modifications to optimize the transverse upper gracilis (TUG) flap for breast reconstruction J. E. Hunter, S. P. Mackey, R. Boca & P. A. Harris Plastic & Reconstructive Surgery (PRS) 2014; 133: 1315-1325 - ## 2013 Irradiating autologous flaps: reconstruct in haste and repent at leisure? Khan & P. A. Harris Association of Breast Surgery Yearbook 2013; 69-71 Cosmetic Surgery Growth and Correlations with Financial Indices: A Comparative Study of the United Kingdom and United States from 2002-2011 R. Nassab, & P. A. Harris Aesthetic Surgery Journal (ASJ) 2013; 33: 604-608 Post-mastectomy breast reconstruction (clinical review) P. T. R. Thiruchelvam, F. McNeill, N. Jallali, P. A. Harris & K. Hogben British Medical Journal (BMJ) 2013; 347: 28-33 ## 2012 Targeted gene delivery by free-tissue transfer in oncoplastic reconstruction (review) R. Seth, A. A. Khan, T. Pencavel, K. J. Harrington & P. A. Harris Lancet Oncology 2012; 13(9): 392-402 A safe approach to sparing the rectus muscle in abdominal-based microvascular breast reconstruction – TRAM, MS-TRAM, DIEP or SIEA? J. Adamthwaite, A. D. H. Wilson, S. James, A. E. Searle & P. A. Harris European Journal of Plastic Surgery 2012; 35: 653-661 Surgical management of radiation-induced angiosarcoma following breast conservation therapy N. Jallali, S. James, A. E. Searle, A. Ghattaura, A. Hayes & P. A. Harris American Journal of Surgery 2012; 203(2): 156-161 ## 2011 The surgical management of radiation-associated cutaneous breast angiosarcoma (invited commentary) P. A. Harris Journal of Plastic Reconstructive & Aesthetic Surgery (JPRAS) 2011; 64(8): 1042 Mastectomy and reconstruction in Stage IV breast cancer: a survey of UK breast and plastic surgeons A. T. Durrant, M. Khatib, F. MacNeill, S. E. James & P. A. Harris Breast 2011; 20(4): 373-379 Oncoplastic multidisciplinary meetings: a necessity or luxury? J. E. Rusby, J. Gough, P. A. Harris & F. A. MacNeill Annals of The Royal College of Surgeons of England 2011; 93(4): 273-274 ## 2010 Basic plastic surgery techniques N. Jallali & P.A. Harris Chapter in “Oncoplastic and Reconstructive Surgery of the Breast – Second Edition” 2010 Ed: G. Q. della Rovere, J. R. Benson & M. Nava, London: Informa Healthcare The transverse myocutaneous gracilis flap S. Mackey & P. A. Harris Chapter in “Oncoplastic and Reconstructive Surgery of the Breast – Second Edition” 2010 Ed: G. Q. della Rovere, J. R. Benson & M. Nava, London: Informa Healthcare The current role of tissue engineering in head and neck reconstruction (review) N. Jallali, S. James, B. Elmiyeh, A. E. Searle, A. Ghattaura, R. C. Dwivedi, R. Karzi & P. A. Harris Indian Journal of Cancer 2010; 47(3): 274-279 One hundred cases of abdominal-based free flaps in breast reconstruction. The impact of preoperative computed tomographic angiography A.Ghattaura, J. Henton, N. Jallali, Y. Rajapaksi, C. Savidge, S. Allen, A. E. Searle, P. A. Harris & S. E. James Journal of Plastic, Reconstructive & Aesthetic Surgery (JPRAS) 2010; 63(10): 1597-1601 The DIEP flap and variants S. Mackey, A. E. Searle & P.A. Harris Chapter in “Oncoplastic and Reconstructive Surgery of the Breast – Second Edition” 2010 Ed: G. Q. della Rovere, J. R. Benson & M. Nava, London: Informa Healthcare Nipple reconstruction Ghattaura & P. A. Harris Chapter in “Oncoplastic and Reconstructive Surgery of the Breast – Second Edition” 2010 Ed: G. Q. della Rovere, J. R. Benson & M. Nava, London: Informa Healthcare Case report: Pyoderma gangrenosum following deep inferior epigastric perforator (DIEP) free flap breast reconstruction Y. Rajapaksi, C. B. Bunker, A. Ghattaura, N. Jallali, J. Henton, S. E. James, P. A. Harris & A. E. Searle Journal of Plastic, Reconstructive & Aesthetic Surgery (JPRAS) 2010; 63(4): e395-e396 Safety of neonatal cleft lip repair P. A. Harris, N. K. Oliver, P. Slater, L. Murdoch & A. L. Moss Journal of Plastic Surgery and Hand Surgery 2010; 44(4-5): 231-236 ## 2009 Flap reconstruction following gynaecological tumour resection for advanced and recurrent disease – a 12 year experience J. J. Staiano, L. Wong, J. Butler, A. E. Searle, D. Barton & P. A. Harris Journal of Plastic, Reconstructive & Aesthetic Surgery (JPRAS) 2009; 62(3): 346-351 Microvascular free tissue transfer for gene delivery: in vivo evaluation of different routes of plasmid and adenoviral delivery V. K. Agrawal, K. M. Copeland, Y. Barbachano, A. Rahim, R. Seth, C. L. White, M. Hingorani, C. M. Nutting, M. Kelly, P. A. Harris, H. Pandha, A. A. Melcher, R. G. Vile, C. Porter & K. J. Harrington Gene Therapy 2009; 16(1): 78-92 Melanoma recurrence confined to a free flap after isolated limb perfusion B.E. S. Roberts, P. A. Harris & J. M. Thomas Journal of Plastic, Reconstructive & Aesthetic Surgery (JPRAS) 2009; 62(8): e277-e279 Evaluation of hand circulation before radial forearm free flap surgery A.S. Khan, J. N. Henton, T. S. Adams, R. C. Dwivedi & P. A. Harris Laryngoscope 2009; 119(9): 1679-1681 ## 2007 Eyelid & Mid Cheek Anatomy P. A. Harris & B. C. Mendelson Chapter in “Putterman’s Cosmetic Oculoplastic Surgery – 4th revised edition” 2007 Ed: S Fagien, Philadelphia: Elsevier - ## 2005 Leg length preservation with pedicled fillet of foot flap after traumatic amputations S. Ghali, P. A. Harris, U. Khan, M. Pearse & J. Nanchahal Plastic & Reconstructive Surgery (PRS) 2005; 115(2): 498-505 - ## 2004 The use of a pectoralis major muscle turnover flap to cover anterior shoulder defects following rotator cuff repair P. A. Harris, M. Kelly, P. Calvert & D. Gateley Journal of Shoulder and Elbow Surgery 2004; 13(2): 235-238 The role of allogenic fibroblasts in an acute wound healing model R. D. Price, V. Das-Gupta, P. A. Harris, I. M. Leigh & H. A. Navsaria Plastic & Reconstructive Surgery (PRS) 2004; 113(6): 1719-1729 ## 2003 Percutaneous extensor tendon division V. Rose, P. A. Harris & A. L. H. Moss Injury 2003; 34(11): 868-869Percutaneous extensor tendon division V. Rose, P. A. Harris & A. L. H. Moss Injury 2003; 34(11): 868-869 - ## 2002 The 6q deletion syndrome: a new orofacial clefting syndrome and its implications for antenatal screening A.Topping, P. A. Harris & A. L. H. Moss British Journal of Plastic Surgery 2002; 55(1): 68-72 - ## 2001 Keratinocyte biology and dermal-epidermal interactions P. A. Harris, I. M. Leigh & H. A. Navsaria Chapter in “Cutaneous Wound Healing” 2001 Ed: V. Falanga. London: Martin Dunitz Publishers - ## 1999 Development of autologous human dermal-epidermal composites based on sterilised human allodermis for clinical use K. H. Chakrabarty, R. A. Dawson, P. A. Harris, C. Layton, M. Babu, L. Gould, J. Phillips, I. M. Leigh, C. J. Green, E. Freedlander, & S. MacNeil British Journal of Dermatology 1999; 141(5): 811-823 Reconstruction of acquired sub-total ear defects with autologous costal cartilage P. A. Harris, K. Ladhani, R. Das-Gupta, & D. T. Gault British Journal of Plastic Surgery 1999; 52: 268-275 A closed continuous irrigation system for the treatment of hand infections P. A. Harris & J. Nanchahal Journal of Hand Surgery (British & European Volume) 1999; 24B(3): 328-333 Use of hyaluronic acid and cultured autologous keratinocytes and fibroblasts in extensive burns P. A. Harris, F. di Francesco Eklund, D. Barisoni, I. M. Leigh & H. A. Navsaria The Lancet 1999; 353: 35-36 ## 1998 Pre-confluent keratinocyte grafting: the future of cultured skin replacements? P. A. Harris, H. A. Navsaria & I. M. Leigh Burns 1998; 24: 591-593 Hand lacerations: An audit of clinical examination J. Patel, R. Coull, P. A. Harris & N. J. Percival Journal of Hand Surgery (British & European Volume) 1998; 23B(4): 482-484 ## 1997 Pelvic Trauma P. A. Harris & P. Baird Chapter in “Case Presentations for the MRCS & AFRCS – Volume 1” 1997 Eds: P. I. Hornick, J. S. P. Lumley & P. A. Grace. Oxford: Butterworth Heinemann Benign breast disease P. A. Harris & H. D. Sinnett Chapter in “Case Presentations for the MRCS & AFRCS – Volume 2” 1997 Eds: P. I. Hornick, J. S. P. Lumley & P. A. Grace. Oxford: Butterworth Heinemann ## 1996 Tricuspid valve replacement in patients who have undergone prior open-heart surgery P. I. Hornick, P. A. Harris & K. M. Taylor Journal of Heart Valve Disease 1996; 5: 20-25 - ## 1995 Nocardia asteroides purulent pericarditis P. I. Hornick, P. A. Harris & P. Smith European Journal of Cardiothoracic Surgery 1995; 9: 468-470 Assessment of the immediate post-operative chest radiograph following adult cardiac operation P. I. Hornick, P. A. Harris, C. Cousins, K. M. Taylor & B. Keogh Annals of Thoracic Surgery 1995; 59(5): 1150-1153 ## 1994 The Slome Course for Primary FRCS: a personal view P. A. Harris Surgery 1994; 12 (10), Scalpel 3 - **Read more:** https://paulharris.co.uk/news/research-publications/ --- ### Launch of Implant Health As increasing concerns grow globally about the safety of silicone breast implants, many surgeons and patients have called for a greater ongoing surveillance program for both reconstructive and aesthetic surgery patients with breast implants. To provide a solution to this healthcare need, Mr Harris and three colleagues have set up a new company in collaboration with several UK imaging facilities to offer a one-stop service for breast implant imaging and a breast health check. “Patients have been asking what they should do about checking their implants and clearly this sort of service is vitally needed given all the scandals that we have seen over the years with silicone breast implants” says Mr Harris. If you would like to find out more about this service please visit the new website www.implanthealth.co.uk, call for an appointment on [020 7118 1520](https://paulharris.co.uk/contact) or email [hello@implanthealth.co.uk](https://paulharris.co.uk/contact) **Read more:** https://paulharris.co.uk/news/breast-implant-health-service/ --- ### Straight Six! **Published:** 2022-02-01 **Media Outlet:** Tatler For the sixth year running Mr Harris has been named in the prestigious Tatler’s Beauty & Cosmetic Surgery Guide, as being recommended for surgery to the breast. Mr Harris commented that, “It’s an enormous honour to be named again in Tatler’s respected guide for patients. The editorial team at Tatler really know the industry inside out and make a valued judgement each year as to who they mention. To be recommended like this for six years running is truly an honour and I hope it reflects all the hard work that I put it to give my patients the best possible outcome from their surgery”. **Read more:** https://paulharris.co.uk/news/tatler-guide-sixth-year/ --- ### Specialists in Plastic Surgery Mr Harris is pleased to announce that a major change has taken place in the structure of his practice. Since leaving the National Health Service, Mr Harris has run a single-handed practice, based at The London Clinic. He has had many plastic surgeons in training spend time with him to learn some of the more challenging areas of aesthetic breast surgery. The long-term aim has also been for Mr Harris to form a group practice with some of these appropriately skilled surgeons once they had become independent consultants. This year Mr Harris has joined with Mr Aadil Khan, a Consultant Plastic Surgeon at The Royal Marsden Hospital and Mr Amir Sadri, a Consultant Plastic Surgeon at Great Ormond Street Hospital. The new group, now called Specialists in Plastic Surgery (SPS), will combine administrative and clinical governance structures to offer a comprehensive service in all areas of plastic and reconstructive surgery. As Mr Harris is the senior partner in the new group, he will mentor the less experienced consultants as they establish their individual practices. It is planned for this group to grow to 6 – 8 consultants in total and to remain at The London Clinic. Mr Harris commented that “Group practices can be difficult to establish but they offer significant benefit to patients, in particular with economies of scale and greater peer-oversight of clinical governance (safety) systems. I will continue to run my practice as an individual surgeon for my patients but this will be backed with a greater safety and administrative framework. Patients can be reassured that no other consultants will be involved in their care but with pooled resources, they should have a much more streamlined experience of their surgical journey”. **Read more:** https://paulharris.co.uk/news/specialists-plastic-surgery-launch/ --- ### Honorary Lecturer Appointment at UCL Mr Harris is excited to announced that he has been appointed to Honorary Lecturer at University College London. This is to lead on the teaching of young surgeons specifically enrolled in the Masters of Aesthetic Surgery programme. UCL will become the first-ever global academic institution to offer a comprehensive Masters of Surgery focused in Aesthetic Surgery. **Read more:** https://paulharris.co.uk/news/ucl-aesthetic-surgery-lecturer/ --- ### FIT Breast Reduction Masterclass In recognition of Mr Harris’s expertise in the field of breast reduction surgery, he was invited by The British Association of Aesthetic Plastic Surgeons (BAAPS) to give a one-hour webinar lecture to the plastic surgeon members of the Association. In this teaching session, Mr Harris explained his technique to the audience and showed many example results. Mr Harris commented that “It’s such a huge honour to be asked to give this Masterclass to the main group of UK plastic surgeons. I’ve worked extremely hard in the last decade refining my techniques for this procedure and I believe the excellence of my results speak for themselves”. **Read more:** https://paulharris.co.uk/news/fit-breast-reduction-masterclass/ --- ### One of Tatler’s “Best Breast Surgeons in the UK” again! **Media Outlet:** Tatler For the fifth year running Mr Harris has been named in the prestigious Tatler’s Beauty & Cosmetic Surgery Guide. The quote reads: “Harris may have handed over the BAAPS baton (he stepped down as President in October) but he’s still in hot pursuit of ways to achieve a successful surgery. ‘For many, lockdown allowed patients the headspace to re-evaluate where they want to be in five to 10 years,’ he says. ‘For some, that might mean having their implants replaced, while others may now be considering removing them entirely.’ When it comes to those implants, he favours a lighter, textured model (‘The B-Lite implants hold their shape beautifully without impacting on exercise or lifestyle’) and prefers to place them on top of the muscle: ‘Evidence shows that cut- ting the pectoralis impacts arm movement,’ he explains, ‘and women, who are fitter than ever, notice that loss of power.’ His Crisalix 3D scanner, which enables patients to upload their photographs securely ahead of a virtual consultation, reassures those considering surgery. Also comforting is his ‘Paul Harris bra’, which gives greater compression to the chest wall, thus reducing post-operative swelling. ‘Because wearing the wrong garment creates all sorts of problems,’ he says. ‘This is simply another way for us to keep things under our control so we can achieve a better result.’” **Read more:** https://paulharris.co.uk/news/tatler-best-breast-surgeon-2021/ --- ### COVID-19 and the suspension of surgery We are pleased to announce that after a difficult four months of the COVID-19 pandemic, our Outpatient clinic at 5 Devonshire Place in Central London is back open! In line with Government and Public Health England advice on the ‘stay alert’ policy and ‘social distancing’ that continues to be in place, Mr Harris will have reduced capacity for all out-patient clinics probably until the end of the year. However, we are currently open and have restarted surgery with new precautions in place to ensure patient safety from COVID-19. Despite the clinics having limited capacity, we are still available as usual by phone and email for existing patients and new enquiries. Video consultations and urgent reviews are available. For any new enquiries, please telephone (0207 927 6520). We will advise and facilitate these as soon as we can. We apologise for any inconvenience caused at what is a very difficult time for everyone. Thank you for your understanding and ongoing support. **Read more:** https://paulharris.co.uk/news/clinic-reopening-covid-safety/ --- ### COVID-19 and the suspension of surgery In line with the National ‘lockdown’ and Government and Public Health England advice on the ‘stay alert’ policy and ‘social distancing’ that is now in place, Mr Harris has now closed the physical practice at 5 Devonshire Place and stopped operating on routine cases. The London Clinic will be used for NHS patients that require non-COVID treatment during this extremely difficult time and Mr Harris has volunteered to work for the NHS. He is yet to be deployed. Despite not being able to see patients face-to-face, we are still available as usual by phone and email for existing patients. Video consultations and urgent reviews are also available. We apologise for any inconvenience caused at what is a very difficult time for everyone. Thank you for your understanding and ongoing support. **Read more:** https://paulharris.co.uk/news/covid-surgery-suspension-2020/ --- ### Named in Tatler cosmetic surgery guide for 4th year! **Media Outlet:** Tatler Mr Harris was again named in the Tatler Cosmetic Surgery Guide as ‘Best for Breast’. This is the fourth year running that Mr Harris has been named. This year the guide focused on Mr Harris’s recent developments in breast reduction surgery: “It’s been an eventful year for the new BAAPS president, but Paul Harris, the man who rose to prominence on Channel 5’s Botched Up Bodies, still finds time to perform some first-class, rather forward-thinking surgeries. He champions a more aesthetic approach to breast reductions. ‘In the past, this was very much a functional operation,’ says Harris. ‘However, tweaking the order of the procedure gives a better aesthetic outcome. For example, addressing the outer fullness of the breast before the central portion can result in a much nicer-shaped bust.’ ‘Mummy makeovers’ are still big business (his combined breast augmentations and tummy tucks bring lost definition back to abdomens while restoring breasts to former fullness).” **Read more:** https://paulharris.co.uk/news/tatler-best-breast-surgeon-2024-2/ --- ### BAAPS President! At this year’s Annual Meeting of the British Association Of Aesthetic Plastic Surgeons (BAAPS), Mr Harris was appointed President for the next two years, taking BAAPS through their important 40th birthday! Mr Harris commented that “It’s just a huge honour to lead BAAPS at these important times for the industry. We are faced with lots of issues including breast implant safety, Brazilian Butt Lift deaths, Cosmetic Surgery Tourism and the unregulated filler market. The BAAPS Charity is dedicated to patient safety and I will work hard over the next two years to uphold this aim. I am also keen to start a new organisation called ‘BAAPS Support’ which will help our members in the business of aesthetic surgery”. **Read more:** https://paulharris.co.uk/news/baaps-president-2018/ --- ### Major European Breast Implant Meeting Mr Harris was asked to be one of only two UK surgeons to present his work to over 250 surgeon delegates at this major European breast implant educational meeting. Mr Harris commented that “It’s a huge honour to present at this meeting alongside some of the best surgeons in the World, and being able to spend two days dedicated to the clinical and scientific aspects of breast implants will no doubt benefit my practice and ultimately my patients”. **Read more:** https://paulharris.co.uk/news/european-breast-implant-conference/ --- ### Increased focus on Private Care In January this year Mr Harris moved to focus solely on private practice. He has worked as a Consultant Plastic Surgeon at The Royal Marsden Hospital for almost 15 years, dedicating this time to building and providing a cancer reconstruction service. Whilst there he became the Clinic Lead for the department, headed a research team into gene therapy and more recently worked as the Medical Director of Private Care. He now feels that his focal point has shifted more towards aesthetic surgery and is unable to fully dedicate his time to this specialist area whilst still working in the National Health Service. His main office and contact details remains at The London Clinic. Mr Harris commented that “It has been an immense privilege to work at The Royal Marsden Hospital with a World-class team of colleagues. However, delivering a high quality service in private care and maintaining my activity in the NHS is increasingly difficult. It would be wrong of me to compromise in one of these areas and I have therefore taken the difficult decision to resign from The Royal Marsden. This should allow me to focus full-time on my private patients and provide the service they deserve”. **Read more:** https://paulharris.co.uk/news/private-practice-transition-2024/ --- ### New publication to help reduce capsular contracture rates **Published:** 2017-03-22 **Media Outlet:** The Surgeon Mr Harris and colleagues have produced and published a major review of surgical factors that can help reduce the likelihood of capsular contracture after breast implant surgery. Mr Harris commented that “Capsular contracture remains the major cause of re-operation in breast implant surgery. We have undertaken a review of the available published literature to help surgeons reduce their own rates of this debilitating problem in the future”. **Read more:** https://paulharris.co.uk/news/reducing-capsular-contracture-research/ --- ### Best for Breast Again! **Media Outlet:** Tatler For the second year running, Mr Harris was named in Tatler Magazine’s Cosmetic Surgery Guide as “Best for Breast”. The guide comments: “He’s tipped for the top job in 2018, but the current vice-president of BAAPS is as humble as ever (despite much publicity since he performed a breast reduction for Gail Porter and made regular appearances on Channel 5’s Botched Up Bodies). In fact, what’s most concerning Harris right now is the impact of ALCL (anaplastic large cell lymphoma), a condition that occurs in response to textured-silicone implants, which can lead to the formation of cancerous cells. ‘It’s not another PIP scandal [implants made with unapproved silicone gel], but I do think it will change the agenda, so that more surgeons look to using smooth varieties.’ Interestingly, he’s seeing more women requesting to have their implants downsized. ‘Patients want to look in proportion,’ he says. ‘They come in wearing their gym kit, they’re healthier and more body-conscious.’ If a large implant has caused the breast to stretch, he might perform an uplift: tightening the skin before inserting a more petite alternative. But few women have them removed entirely, he says. It seems size still does matter after all”. **Read more:** https://paulharris.co.uk/news/tatler-best-breast-surgeon-2024/ --- ### Best for Breasts in Tatler! Mr Harris has been selected to be “Best for Breasts” in the prestigious Tatler Magazine’s Beauty & Cosmetic Surgery Guide for 2016. Talter summarises Mr Harris’ approach as – “Sensible, square-jawed Harris divides his time between reconstructive work at the Royal Marsden Hospital (botched jobs and post-cancer reconstruction – his skill lies in creating a new breast using tissue from the tummy) and cosmetic work in the private sector (wives and mothers of his fellow surgeons swear by him). ‘My clientele are often fortysomething and still in fabulous shape, but their bosoms have deflated with age or from breastfeeding,’ he says. ‘They want to restore a natural shape – well proportioned and not too overprojected.’ His latest technique – a combination of an implant with an uplift – repositions the breasts higher on the chest wall and adds volume in the upper pole (above the nipple) to keep things looking pert. He’s also one of a handful of surgeons in the UK using the new Keller Funnel – a sort of sterile piping bag that helps the implant slip into the breast without unnecessary prodding or risk of infection”. **Read more:** https://paulharris.co.uk/news/tatler-best-breasts-2016/ --- ### Busy Spring on the Lecture Circuit Mr Harris has been busy during April, May and June in 2016 lecturing to breast and plastic surgeons. In recognition of his work in aesthetic and reconstructive breast surgery, he was invited by The British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS) to teach on their Breast Surgery Instruction Course on flap salvage of implant problems and 3D imaging. He then lectured at The Association of Breast Surgeons (ABS) meeting on how to undertake the combined procedure of a breast uplift with additional implants (mastopexy – augmentation). Finally, he taught at an Oncoplastic meeting to junior consultants again on patient selection for the mastopexy – augmentation procedure. Mr Harris commented that, “it is a huge honour to be asked to speak at such prestigious meetings and I hope this reflects how well I am regarded by my colleagues. However, it can also be quite time consuming to prepare the lectures and then take time away from my practice, so I can’t always accept such invitations”. **Read more:** https://paulharris.co.uk/news/bapras-abs-lectures-2016/ --- ### BAAPS Vice President Appointment Having served on the British Association of Aesthetic Plastic Surgeons Council since 2010, Mr Harris has now been appointed to the Association’s Vice President position and is due to become President in October 2018. “It is a real honour to have been voted by BAAPS to become Vice President and then President in two years” said Mr Harris. “BAAPS has become such an influential body in UK aesthetic surgery and to be able to shape the future through them, is likely to be a highlight of my career”. **Read more:** https://paulharris.co.uk/news/baaps-vice-president-2017/ --- ### New Medical Director of Private Care at The Royal Marsden Hospital Mr Harris has recently been appointed the Medical Director of Private Care at The Royal Marsden Hospital, where he holds his substantive consultant position. This is a two-year post aimed at providing a clinical input into non-NHS patient care. The Royal Marsden Hospital has a long history of providing both NHS and private care, with all of the profit from private care being recycled into the hospital to support NHS patients. Mr Harris commented that, “Since the financial crisis in 2008, the Government’s payment for NHS care has only covered approximately 80% of the actual cost and hence most NHS Trusts in the UK are in the red. The Royal Marsden has been able to maintain financial viability by growing the non-NHS work and cross subsidising the service. We hope to develop this further to give our NHS and private patients access to the latest developments in cancer care. This role will enable me to help shape future developments and make sure that the hospital remains a world leader in cancer treatments.” **Read more:** https://paulharris.co.uk/news/royal-marsden-medical-director-appointment/ --- ### Major Publication Accepted in 3D Imaging **Published:** 2015-03-22 **Media Outlet:** Elsevier As a member of the breast and plastic surgery research team at The Royal Marsden Hospital, Mr Harris has been involved in the review of all three-dimensional (3D) surface imaging systems available for clinical use in breast surgery. This publication has been accepted by the prestigious medical journal ‘Breast’ and is due to be released in 2015. Mr Harris commented that “3D imaging is not only becoming an integral part of the pre-operative assessment, surgical planning and outcome evaluation for all types of breast surgery, but it is now vitally important in the communication process between surgeon and patient. It provides a clear understanding of what the existing problems are and what the possible outcome might be, helping patients make an informed choice about surgery”. Using an iPad mounted infra-red camera, Mr Harris is now able to offer instant 3D analysis and simulation for those patients considering breast augmentation. Personalised access is also provided for patients to view these images confidentially from their own electronic devices. **Read more:** https://paulharris.co.uk/news/3d-breast-imaging-research/ --- ### New 3D Photography & Simulation Paul Harris is now able to undertake 3D photography and cosmetic surgery simulation. This software allows standard images to be converted into a three-dimensional model and then alterations made in real time with the patient to assess the potential impact of these changes on surgical outcome. “This new software from Crisalix, not only allows patients to see their own image in three dimensions but that image can also be altered to simulate the effects of surgery. This can aid surgical planning, particularly in breast augmentation, and is such a fantastic communication tool for patients and myself. For the first time, it allows patients to visualise how that might look after surgery, and heralds a new era for the speciality”. **Read more:** https://paulharris.co.uk/news/3d-imaging-consultation-technology/ --- ### CSIG Working Group Appointment Following the PIP breast implant scandal, the Chief Medical Office, Sir Bruce Keogh undertook a review of the Regulations of Cosmetic Interventions. As a result a Cosmetic Surgery Interspecialty Committee (CSIC) at The Royal College of Surgeons of England was established to take forward the recommendations from that review. The Committee met for the first time in November 2013 and agreed that they would divide their work into three main areas: standards for training and certification, quality and outcomes, and patient information and decision aids. Mr Harris has been invited to sit on the Clinical Quality and Outcomes working group as a representative of The British Association of Aesthetic Plastic Surgeons (BAAPS). This vital group will help develop measurement tools for all cosmetic surgeons in the UK, so that baseline standards for safety can be set and individual providers can be compared. **Read more:** https://paulharris.co.uk/news/csig-clinical-quality-appointment/ --- ### BAAPS Honorary Secretary Appointment Having served on the British Association of Aesthetic Plastic Surgeons Council since 2010, Mr Harris has now been appointed to the Association’s Secretary position which oversees all membership matters. “It is a real honour to be asked to undertake this post for BAAPS and I hope it reflects the hard work that I have already undertaken for the Association” said Mr Harris. “We are entering a complicated time for the regulation of Cosmetic Surgery in the UK and membership of the BAAPS will be an important badge of credibility in the future”. **Read more:** https://paulharris.co.uk/news/baaps-honorary-secretary/ --- ### Britain’s Top Ten Surgeons for Breast Reconstruction **Published:** 2018-06-08 **Media Outlet:** The Daily Mail Paul Harris was voted to be one of the top ten breast reconstructive surgeons in Britain. The Daily Mail canvassed 50 leading breast cancer and reconstructive surgeons and asked them to rate the top practitioners, their peers based on the question: ‘If your nearest and dearest were to be diagnosed with breast cancer, to whom would you refer them?’ They then published the list of most frequently named surgeons. Mr Harris commented that, “Although this was not a scientific assessment of surgeon’s outcomes, I am extremely flattered to have my name placed alongside some superb surgeons, many of whom I have trained under”. **Read more:** https://paulharris.co.uk/news/top-breast-reconstruction-surgeon/ --- ## Medical Conditions ### Breast Implant Rupture Breast implants are usually made of an outer silicone shell and inner silicone gel. These have different consistencies. The internal gel can leak out of the implant and this is known as an implant rupture. The chances of an implant rupture happening increases as the implants age and is around 5-10% of the first 10 years after insertion. Implant ruptures can lead to changes in the breast which are noticed by patients, such as swelling, pain and altered shape. However, some implant ruptures occur without any symptoms or changes and hence we are moving into an era of greater implant checks with ultrasound or MRI scans. There are three main different types of rupture: #### Gel bleed In some patients, the filler material in the implant can leak through an intact implant shell. This happens when the filler material is small enough to fit through the tiny gaps in the shell, similar to car tyres that become flat even though there is no obvious puncture. #### Intracapsular rupture Breast implants, because they are foreign material, are walled off by the body in scar tissue. This is known as a capsule. Intracapsular rupture means that the implant shell is damaged, but the filler material is contained within the capsule. Most women with intracapsular rupture are completely unaware of this. Some may notice a slight change in shape of the breast or how the breast feels. #### Extracapsular rupture When silicone from ruptured implants spreads beyond the capsule, patients are usually symptomatic. There may be a change in breast shape, lumps you can feel, or redness of the overlying skin (inflammatory changes). Having an implant rupture is not thought to be dangerous to an overall patient’s health. However, if the silicone travels to the axilla (arm pit) then it can cause some lumps which can be uncomfortable. Very rarely, the silicone can travel beyond the axilla to the neck tissues. Treatment consists of removal of the ruptured implant, complete evacuation of any free silicone, removal of the capsule, and, if desired, insertion of a new implant. Such surgery is not urgent but the longer the silicone is left in the tissues rather than in the implant, the higher the chance of it travelling to the axilla. [CAPSULAR CONTRACTURE](/conditions/capsular-contracture/) Breast implants are usually made of silicone and as such, are a foreign material within the body. The body’s response is to wall the implants off in a layer of specialised scar tissue. [ALCL & BII](/education/alcl-bii-implant-illness/) Breast Implant Association – Anaplastic Large Cell Lymphoma (BIA-ALCL) Around 2015, it became clear from several scientific articles that a white blood cell malignancy was being recognised around some breast implants. **Read more:** https://paulharris.co.uk/conditions/breast-implant-rupture/ --- ### Capsular Contracture Breast implants are usually made of silicone and as such, are a foreign material within the body. The body’s response is to wall the implants off in a layer of specialised scar tissue. This is known as a capsule. All women with breast implants develop a capsule to a certain degree. Only if the capsule becomes thickened and problematic do we call this a capsular contracture or encapsulation. This causes hardening and usually requires a replacement operation. It occurs in approximately 10% of patients in the first five years after breast implant surgery. Although there are several generally agreed on factors, a specific cause of capsular contracture has not been found. Research has suggested that biofilms (a thin but robust layer sticking to a solid surface and containing a community of bacteria and other microorganisms), infection, haematoma (blood collection), implant rupture, and irradiation (x-ray treatment) may be possible causes of capsular contracture. Capsular contracture is grouped into 4 different categories Grade 1 – Normal soft implants Grade 2 – Hardening around the implant that you can feel Grade 3 – Hardening around the implant that is visible and may change the shape of the breast Grade 4 – Painful contracture Capsular contracture is normally treated with surgery. Primarily, this involves exchanging your breast implants and removal of the capsular contracture. It may also require changing the location of the implant, for example, from on top of the muscle (sub-glandular) to below the muscle (sub-pectoral). Once you have developed capsular contracture there is an increased risk of it recurring even with surgery to correct it. There is no urgency or timescale in getting capsular contracture treated and it depends entirely on how problematic the contracture is for you and how soon you want to get it treated. [ALCL & BII](/education/alcl-bii-implant-illness/) Breast Implant Association – Anaplastic Large Cell Lymphoma (BIA-ALCL) Around 2015, it became clear from several scientific articles that a white blood cell malignancy was being recognised around some breast implants. **Read more:** https://paulharris.co.uk/conditions/capsular-contracture/ --- ## Contact Information **Phone:** 020 7927 6520 **Email:** appointments@paulharris.co.uk ### Main Address 5 Devonshire Place London, England W1G 6HL England ### Practice Locations **5 Devonshire Place** 5 Devonshire Place London, England W1G 6HL Appointments: 020 7927 6520 Email: appointments@paulharris.co.uk **Website:** https://paulharris.co.uk