Breast Augmentation

We understand what a big step is for some women to come to a consultation about their breasts. It is your body, it is deeply personal, and it matters.

The consultation is usually a 2-3 step ‘analysis phase’ at either our London or Essex clinics. Alternatively we can arrange a video consultation from the comfort of your own home.

1. Discretionary free-of-charge video-call

Jonathan will enjoy introducing himself to you in a free video-call to discuss your request. It would be very useful if you could send us some selfie photographs (to medsec@jonathanbritto.com; held securely as part of your medical record), which will help inform the conversation.

2. Face-to-face consultation

If you would like to receive a detailed written analysis, with a quote for treatment, Jonathan will meet you in the clinic for a face-to-face appointment. You are welcome to bring a friend or family member for support. The medical history and physical analysis in the privacy of the consulting room is an essential part of making the treatment plan.

Mr Britto will firstly spend some time going through the options available and explaining the technicalities of the procedure. You will then be examined in a private, warm room providing you with your privacy and dignity and chaperones are provided if you wish. Diagrams and markings on the breast at the mirror are used to fully explain the plan, the technique and the scars which result.

After this meeting you will receive a detailed plan and a written quote, together with a suite of information about our ’twilight’ surgeries, relevant comments from prior patients, and some insights about the psychology and holistic care that is part of our commitment to you.

3. Face-to-face or remote catch up…

Jonathan recommends that you open a “procedure diary” on your phone, into which you can drop any questions that occur to you throughout the day, and after receiving the clinic letter and information from your face-to-face consultation.

This third conversation is to answer any questions you have, and to allow Jonathan to ask you about any reflections he has had to refine your care.

…. Step 4…..

In truth, our door is always open, and Jonathan will be very happy to see you face-to-face or remotely if you have further questions about your requested procedure.

Consultation fees: £295 is charged prior to Step 2

Data Security:

Please be aware we use a data security software to encrypt any correspondence that we send you which includes your personal data. These emails may fall into your junk folder, so following your consultations please keep a regular check on this folder.

If you wish to receive unencrypted, ‘open’ email to your inbox – please can be requested via an online, ‘one click’ consent form.

You will leave the hospital with clean dressings, which stay on for a week and are changed in the clinic. The sutures (stitches) dissolve and do not need removing. You can shower as normal with a gentle towel and hair dryer onto the skin and dressings. The dressings that are used following the surgery will be water resistant.

Bathing or swimming should be avoided. An unwired bra or close fitting ‘crop – top’ is worn for 6 weeks (day and night) and physical activity is restricted for one month until the tissues settle in their new position. The best sleep position is on the back, in a bra, to prevent movement of the tissues in position until all has healed. Driving, household chores and professional activity is usually after one week.

Every surgical procedure carries a potential risk, and in breast augmentation this relates to each aspect of the surgery (the incision, the breast, and the implant position), and each aspect of the emotional response to the expectation of outcome.

All procedures for appearance change risk an ‘expectation gap’, which we shall discuss in detail to make sure that the surgery is a well – planned and appropriate choice.

The risks and responsibilities of each procedure are discussed and documented so that surgery will only proceed on an open and honest understanding.

Yes – with good understanding of all the issues in context.

Recent years have raised concerns about breast implant illness, capsular contracture, breast capsule associated cancers, and implant integrity. These concerns are discussed in the consultations with all the available evidence at hand.

The overall risk of early secondary surgery for implant failure or implant rotation is extremely low (less than 5%). The risk of capsular contracture is very low in modern implants, and the risk of capsular associated cancers is extremely low (emerging figures).

Breast implants remain a safe option for women who seek both emotional and appearance related benefits.

A soft non-wired bra, sports bra or ‘crop top’ is the best form of wear to support the breast and provide comfort. When the swelling has settled down and the scar is soft, any form of comfortable bra can be worn, and the freedom of choice to express femininity in clothing is a key reason why many women choose breast augmentation.

Breast feeding is not compromised by breast augmentation. There is no danger to the mother or child in breast feeding after implants have been placed. Breastfeeding is a very individual relationship between mother and child and relates to both emotional and physical factors. Failure to breastfeed after breast implants may therefore be due to a wide range of influences other than the presence of breast implants, and there is no data to suggest consistently that the presence of an implant behind the breast will in any way compromise the physiology or emotional aspects of breastfeeding.

Modern generation breast implants can be considered to be ‘lifelong’ in integrity in a normal life. That said, most women with breast implants will have a further surgery to the breast for implant related reasons (breast surgery for non – implant related reasons may also become advised).

Implant related secondary surgery may be for reason of appearance change – ‘I want to be bigger/smaller/uplifted’ – or for comfort and relief of symptoms related to change in the breast or the implant capsule. The most common reasons are for appearance change – new implants, or implant-uplift surgery.

The cost of breast augmentation surgery is divided into surgical fee, which includes a schedule of follow-up for one year (in practice unlimited), the anaesthetic fee, the implant fee and the facility fees (hospital or clinic). If further complexity arises by requesting combined breast uplift, the management of previous implants/capsules, or a complex breast history then fees are adjusted accordingly; always in advance of the procedure.

A full explanation of terms and conditions, including fees for secondary surgery or return to theatre is provided during the ‘analysis phase’.