Breast Augmentation

Breast augmentation with Silimed silicone implants or fat transfer. All sizes, profiles, and placements. Silimed 10-year warranty. Day-case under TIVA. CQC-regulated Baker Street facility. From £6,000.

Breast Augmentation Surgery in London

Breast augmentation — also called breast enlargement — is the most performed cosmetic surgery procedure in the UK and the most popular procedure at Centre for Surgery. It increases breast size and improves shape through the placement of silicone implants, fat transfer, or a combination of both.

Patients choose breast augmentation for a wide range of reasons: to increase naturally small breasts, to restore volume lost after pregnancy or weight loss, to address asymmetry, or to improve overall body proportion. The procedure is performed as a day-case under TIVA (Total Intravenous Anaesthesia) and takes approximately 90 minutes. Most patients return to desk work within 7–10 days.

At Centre for Surgery, breast augmentation is performed by consultant plastic surgeons on the GMC Specialist Register at our CQC-regulated Baker Street facility. We use Silimed implants exclusively — a globally recognised implant brand carrying a ten-year warranty covering both capsular contracture and rupture. A two-week cooling-off period applies after your consultation.

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Breast Augmentation Before & After Results

Case 1 — Breast augmentation with round silicone implants, subglandular placement. Natural fullness achieved with preservation of breast contour.

Case 2 — Bilateral breast augmentation. Improved volume and projection. Result demonstrates natural upper pole slope with well-positioned nipple-areola complex.

Case 3 — Breast augmentation with anatomical (teardrop) implants. Subtle, proportionate increase in volume suited to the patient’s frame.

Case 4 — Submuscular dual plane placement. Implant edges not visible or palpable. Natural slope from upper pole to nipple.

Case 5 — Augmentation addressing post-pregnancy volume loss. Restored fullness and projection with maintained breast shape.

Case 6 — Round high-profile implants. Significant increase in projection and cup size. Result shows symmetrical positioning and natural skin envelope.

Case 7 — Moderate volume augmentation. Patient presented with naturally small breast tissue and good skin quality — result demonstrates well-distributed implant volume.

Case 8 — Augmentation with mild asymmetry correction. Different implant volumes used bilaterally to achieve balanced result.

Case 9 — Subglandular placement in patient with adequate soft tissue coverage. Implants sit naturally without visible edge definition.

Case 10 — Dual plane placement with moderate projection implants. Improved lower pole fullness and nipple elevation.

Case 11 — Composite breast augmentation (implant plus fat transfer). Enhanced natural feel and upper pole softness compared to implant alone.

Case 12 — Anatomical implants in patient with narrow chest base. Implant selection matched to breast base width for natural proportions.

Case 13 — Round moderate-profile implants. Conservative augmentation maintaining a natural appearance appropriate to the patient’s frame.

Case 14 — Restoration of volume after significant weight loss. Implants selected to refill the breast envelope without over-projection.

Case 15 — Bilateral augmentation in patient with tubular breast tendency. Dual plane technique used to reshape lower pole and achieve rounded profile.

Case 16 — High-profile round implants. Significant projection increase in patient with small base width and good overlying tissue.

Case 17 — Augmentation in patient post-breastfeeding. Restored volume and improved upper pole fullness. Mild residual ptosis addressed with correct implant positioning.

Case 18 — Combined augmentation and asymmetry correction. Measured volume difference used bilaterally for balanced, symmetrical result.

Case 19 — Moderate augmentation in patient with naturally tubular breast shape. Lower pole expansion achieved through precise pocket dissection.

Case 20 — Round implants, submuscular placement. Natural appearance from all angles with no visible implant edge.

Case 21 — Bilateral augmentation with fat transfer overlay (composite). Improved implant integration and natural feel from fat layered over the upper pole.

Case 22 — Post-pregnancy volume restoration with subglandular implants in patient with good skin quality and minimal ptosis.

Case 23 — Conservative augmentation prioritising proportionality with patient’s frame and existing breast tissue.

Case 24 — High projection implants in patient requesting significant size increase. Dual plane placement for optimal coverage and natural slope.

Case 25 — Multiple-view result demonstrating bilateral symmetry and natural breast contour from frontal and lateral angles.

Case 26 — Bilateral augmentation with correction of moderate asymmetry. Implant volumes calculated to within 25cc of each other for balanced result.

All patients have given written consent for their photographs to be used for educational purposes. Individual results vary. A wider gallery of breast augmentation results is available to view at your in-person consultation. Browse our full range of results at the .

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What is Breast Augmentation?

Breast augmentation, or breast enlargement, is a surgical procedure that enhances the size and shape of the breasts. It is the most sought-after cosmetic surgery procedure both in the UK and globally. The primary aim is to increase breast volume and improve shape — through implants, fat transfer, or a combination of both known as composite breast augmentation.

Many patients choose breast augmentation to add volume and fullness, to correct imbalances in size or shape between the two breasts, or to restore the breast profile they had before pregnancy or weight loss. For some patients, a modest, natural-looking increase is the goal; for others, a more significant change in cup size. The appropriate approach is determined at consultation based on your specific anatomy, goals, and the degree of change planned.

Our specialists have particular expertise in — combining implants with fat transfer to enhance volume while preserving the most natural look and feel. At your consultation at our Baker Street clinic, your surgeon will assess your suitability for the procedure and recommend the most appropriate technique for your specific anatomy and goals.

Benefits of Breast Augmentation

Breast augmentation can produce significant, lasting improvements for patients with the right indications. The most commonly reported benefits:

The primary purpose of breast augmentation. Whether correcting naturally small breasts or restoring volume lost after pregnancy or weight loss, implants allow precise, predictable control over the final result.

Implants can address asymmetry in breast size, shape, or position. Many patients present with one breast noticeably different from the other — augmentation can reduce these differences, though perfect symmetry cannot be guaranteed.

Pregnancy, breastfeeding, and significant weight loss often cause breast tissue to deflate or lose projection. Augmentation restores volume and, where needed, can be combined with a breast lift for more comprehensive rejuvenation.

A breast size in balance with the patient’s frame — hips, waist, and shoulders — contributes to overall body proportion. Implant size selection at Centre for Surgery is guided by individual measurements and frame, not by a standard cup size.

The Silimed implants used at Centre for Surgery can last 10–15 years or more. Results are long-lasting and do not require ongoing treatment to maintain. The 10-year warranty covering capsular contracture and rupture provides additional long-term assurance.

Breast augmentation will not correct significant breast sagging (ptosis). If ptosis is present alongside volume loss, a breast lift — either standalone or combined with augmentation — may be more appropriate. Your surgeon will assess this at consultation.

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Types of Breast Implant

When considering breast augmentation, one of the most important decisions you will make is choosing the type of implant that is right for you. There are several options available, including silicone, saline, and alternative options such as fat transfer.

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Each type of implant has its own benefits and drawbacks, and it is important to consult with a specialist plastic surgeon to determine which option is best for you.

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Silicone implants are filled with a cohesive gel that closely mimics the feel of natural breast tissue. These implants are pre-filled and come in a variety of sizes and shapes. They are known for providing a more natural look and feel compared to saline implants.

Saline implants are filled with sterile salt water and come in a variety of sizes and shapes. They are inserted empty and then filled once they are in place, which can make them a good option for women with smaller breast tissue. They are less expensive than silicone implants.

Alternative options to traditional breast implants include , which uses the patient’s own fat to enhance the size and shape of the breasts. This is a less invasive procedure that results in a natural look and feel, but it does not provide as much volume as silicone or saline implants.

Both silicone and saline implants are available in both textured and smooth varieties. Textured implants are less likely to rotate, which can be beneficial if you are at risk of capsular contracture. However, they have been linked to a rare type of cancer called Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL).

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We also recommend you read the to learn more about the slight risk of BIA-ALCL.

Breast implants are available in two basic shapes: round and teardrop (anatomical) shaped. Round implants tend to look more full and round, while teardrop-shaped implants are designed to mimic the natural shape of the breast.

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Why We Use Silimed Breast Implants

Choosing the right breast implants is a major decision. At Centre for Surgery, we use Silimed implants because they offer safety, reliability, and natural-looking results. With over 40 years of manufacturing experience, Silimed is a globally recognised brand used in over 70 countries.

Silimed implants are made with medical-grade silicone and meet strict international safety standards, including the CE mark. Their textured and polyurethane-coated options are particularly valued for reducing the risk of capsular contracture. Patients benefit from a wide range of shapes and sizes — including round and teardrop designs — allowing for a tailored fit specific to each patient’s anatomy.

The implants are soft to the touch but hold their shape over time, giving a natural feel that lasts. Centre for Surgery is a specialist centre for Silimed implants, which come with a ten-year warranty covering both capsular contracture and implant rupture. Your surgeon will review your results regularly during the first twelve months after surgery to monitor recovery closely. Our comprehensive aftercare package includes regular follow-up calls, expert nursing support, and surgeon reviews.

Choosing the Right Breast Implant Size

Choosing the right breast implant size is a crucial part of the breast augmentation process. It can have a significant impact on the overall outcome and your satisfaction with the procedure. Here are some factors to consider when choosing the right breast implant size:

The size of the breast implant you choose should be in proportion to your body type. For example, if you have a petite frame, excessively large breast implants may look disproportionate and unnatural. On the other hand, if you have a larger build, smaller breast implants may not be noticeable or provide the desired outcome.

Your current breast size can also play a role in determining the appropriate implant size. If you have little to no breast tissue, you may require a larger implant to achieve the desired volume. Conversely, if you already have some natural breast tissue, a smaller implant may suffice.

Your lifestyle and the activities you participate in should also be considered when choosing the right breast implant size. For instance, if you are an athlete or engage in high-impact activities, larger implants may not be practical or comfortable for you.

The outcome you desire and your personal preferences also play a role in selecting the right breast implant size. For instance, a smaller implant may be the best option if you prefer a more natural look. Alternatively, if you prefer a more dramatic change, larger implants may be suitable.

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Breast Implant Placement - Under or Over the Muscle?

Breast implants can be placed over the pectoralis muscle (sub-glandular) or under the pectoralis muscle (sub-muscular). Technically only the upper part of the implant is under the muscle in the dual plane technique, with the lower part not covered by the pectoralis muscle. The above or below the muscle will influence the final appearance of your breast enhancement and depends on several factors, including the amount of breast ptosis (or sag). Implants placed in a fully submuscular position are used primarily for .

Breast implant placement is an important consideration in breast augmentation surgery. The two most common options are submuscular (under the chest muscle) and subglandular (over the chest muscle) placement. Here are the pros and cons of each option:

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Am I a Good Candidate for Breast Augmentation?

Breast augmentation is appropriate for patients who meet the following criteria. Your surgeon will assess candidacy in detail at consultation.

Breast tissue should be fully mature before augmentation. We operate on patients aged 18 and over only.

Standard fitness for surgery criteria apply — no uncontrolled medical conditions affecting anaesthetic safety, no active infection, and no conditions likely to impair healing. A BMI below 30 is recommended to minimise complication risk and support a smoother recovery.

Breast augmentation increases volume and improves shape within the limits of your existing anatomy. It does not make two naturally unequal breasts perfectly symmetrical, and it does not correct significant sagging — a breast lift may be needed alongside augmentation where ptosis is present.

Smoking significantly increases the risk of capsular contracture, wound breakdown, and poor healing. A minimum of 4 weeks’ smoking cessation before and after surgery is required.

Pregnancy and breastfeeding can alter augmentation results significantly. While breast augmentation does not prevent breastfeeding, patients who are planning pregnancy imminently are often advised to consider delaying the procedure.

For patients considering fat transfer breast augmentation or composite augmentation, sufficient donor fat must be available from the abdomen, flanks, or thighs for harvesting. Your surgeon will assess this at consultation.

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Preparing for Breast Augmentation Surgery

Once the two-week cooling-off period has passed, our pre-operative assessment team will confirm your medical fitness for surgery.

Breast augmentation at Centre for Surgery is performed under TIVA (Total Intravenous Anaesthesia). No food for 6 hours before surgery; clear fluids only (water, black tea without milk, black coffee) are permitted up to 2 hours before. Your pre-operative nurse will confirm your specific fasting times.

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What Does Breast Augmentation Surgery Involve?

Breast augmentation is performed as a day-case at our Baker Street facility under TIVA (Total Intravenous Anaesthesia) — the safest form of general anaesthesia for day-case surgery, using only intravenous agents with no inhaled gases. The procedure takes approximately 90 minutes.

Step 1 — Incision. After TIVA is established, an incision is made in the inframammary fold (beneath the breast). This gives the most direct access and produces the most discreet scar. The incision is typically 3.5–5 cm in length. Periareolar (around the nipple) and transaxillary (in the armpit) incisions are available but are rarely performed at Centre for Surgery.

Step 2 — Pocket formation. A pocket is created either on top of the chest muscle (subglandular) or beneath it in dual plane configuration. The pocket dimensions are precisely matched to the chosen implant.

Step 3 — No-touch implant insertion. The implant is inserted using a Breast Funnel — a sterile device that allows the implant to be placed without direct contact, minimising contamination risk and reducing capsular contracture rates.

Step 4 — Closure. The incision is closed in three layers using dissolvable sutures only — no suture removal appointment is needed.

Step 5 — Post-surgical bra. A specially designed post-surgical bra with a breast band is applied before you leave theatre.

After the procedure, you recover in our monitored day suite before discharge the same day with your responsible adult caregiver, post-operative medications, written instructions, and a direct 24/7 clinical support number.

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Recovery After Breast Augmentation Surgery

Recovery after breast augmentation is well-defined and predictable. Here is a week-by-week guide:

Rest as much as possible. Wear your post-surgical bra continuously — do not remove it. Avoid all strenuous activity and lifting above shoulder height. You will experience swelling, tightness, and some discomfort — paracetamol is usually sufficient and most patients find it very manageable. A responsible adult should remain with you for the first 24 hours. Our nursing team will call you regularly during this first week.

Return to light activities — gentle walking and light desk work. Continue avoiding upper body exertion, heavy lifting, and driving if your movement is restricted. Continue wearing the surgical bra. Bruising typically resolves by the end of week 2.

Most patients return to desk work by the end of week 1–2. Light exercise (walking, lower body work) can typically resume from week 3. Continue to avoid any chest-focused exercise. The surgical bra continues throughout.

Wound check with our nursing team at 7–10 days; surgeon review at 6 weeks. After 6 weeks, you can resume most physical activity including upper body exercise and sports. You may transition from surgical bra to a well-supporting sports bra.

Full activity resumes. Continue wearing a supportive bra (underwired is now permitted). High-impact exercise and contact sport can typically resume.

The implants settle into their final position over 3–6 months as swelling fully resolves and the overlying tissue softens. Most patients see 80–90% of their final result by 6 weeks; the full settled result is visible at 3–6 months. Scars fade from pink to pale over 12 months.

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Risks of Breast Augmentation Surgery

As with any surgical procedure, breast augmentation carries risks that should be understood before proceeding. Your surgeon will discuss all risks specific to your planned procedure at consultation.

The most common significant complication of breast augmentation. Scar tissue that forms around the implant can tighten and harden, causing the breast to feel firm and potentially distort in shape. Risk is reduced by the no-touch insertion technique, Silimed implant choice, and dual plane placement where appropriate. The Silimed 10-year warranty covers capsular contracture.

Modern cohesive gel silicone implants — including Silimed — are designed so that if the outer shell is damaged, the gel remains contained within the implant shell. Rupture rates with modern implants are low. The Silimed 10-year warranty covers rupture.

A rare type of lymphoma linked primarily to textured implants. The absolute risk is very low. We recommend reading the . This will be discussed in full at your consultation.

Accumulation of blood or fluid around the implant in the first 24–48 hours. Small collections typically resolve spontaneously; larger ones may require drainage.

Uncommon given the sterile no-touch insertion technique. Signs include increasing redness, warmth, or discharge. Most infections respond to oral antibiotics; severe infection may require implant removal.

Temporary or permanent changes in sensation are possible. Temporary numbness or hypersensitivity in the first 4–8 weeks is common; permanent significant change is less common.

Implants can occasionally shift or rotate from their intended position, requiring revision surgery. Correct pocket formation and post-operative bra compliance significantly reduce this risk.

All breast augmentation produces a scar at the incision site. Inframammary scars typically fade to near-invisibility over 12 months. Patients with keloid tendency have higher risk of abnormal scar formation.

Modern implants are not lifetime devices but can last 10–15 years or more. The most common reason for implant exchange is a desire to change size or style, not complication. Implant rupture, capsular contracture, and implant displacement are less common reasons.

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How Much Does Breast Augmentation Cost in London?

At Centre for Surgery, breast augmentation with Silimed silicone implants typically costs £6,000–£8,000 for a standalone procedure. The final price depends on implant type and profile, the degree of complexity, and whether the procedure is combined with other surgery.

Breast augmentation is a cosmetic procedure and is not covered by the NHS or private health insurance. Your full itemised quotation is confirmed after your consultation. Call to speak to a patient coordinator for an indicative price before booking.

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Breast Augmentation Finance — 0% APR Available

Centre for Surgery is fully approved to offer finance for breast augmentation through Chrysalis Finance — the UK’s leading specialist medical finance provider. 0% APR is available, allowing you to spread the cost of your procedure in monthly instalments without interest.

Typical monthly payments range from approximately £150–£220 per month depending on the procedure cost and term length selected. Applications are straightforward with fast decisions. Finance is available for standalone breast augmentation and for combined procedures including breast augmentation with lift.

Chrysalis Finance is the only specialist medical finance provider in the UK — unlike general consumer credit, their plans are designed specifically for elective procedures and include provisions relevant to cosmetic surgery. All finance is subject to status.

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Combining Breast Augmentation with Other Procedures

Breast augmentation is frequently combined with other procedures to achieve more comprehensive results in a single operation and recovery period.

A elevates and reshapes the breast by removing excess skin and tightening surrounding tissue. When combined with augmentation, the result addresses both volume and position simultaneously — appropriate for patients whose primary concern is both deflation and sagging after pregnancy or weight loss. Augmentation alone does not lift the breast; if ptosis is present, a combined approach typically produces a significantly better outcome.

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A addresses the abdomen — removing excess skin and tightening abdominal muscles. Combining breast augmentation with abdominoplasty in a single operation is commonly referred to as a and is particularly popular among patients who have experienced physical changes from pregnancy. One anaesthetic, one recovery period, and a single planned treatment produces a more efficient overall process than two separate procedures.

Why Choose Centre for Surgery for Breast Augmentation?

All breast augmentation at Centre for Surgery is performed by consultant plastic surgeons on the GMC Specialist Register — the highest surgical qualification available in the UK. Our surgeons are members of BAPRAS and ISAPS. We do not use cosmetic doctors, aesthetic practitioners, or non-specialist surgeons for breast surgery.

We use Silimed implants exclusively — a globally recognised implant brand with over 40 years of manufacturing history, CE-marked to the highest EU standards, and backed by a 10-year warranty covering both capsular contracture and implant rupture. The warranty terms are reviewed with you at consultation.

Surgery takes place at our purpose-built private hospital at 95–97 Baker Street, Marylebone, independently inspected and rated "Good" by the Care Quality Commission — the independent regulator of health and social care in England.

All breast augmentation at Centre for Surgery uses TIVA (Total Intravenous Anaesthesia) — the safest form of general anaesthesia for day-case surgery. Faster recovery, less post-operative nausea, and quicker discharge than traditional inhaled general anaesthesia.

We use the Breast Funnel no-touch insertion technique for all implant placements — minimising contamination risk and reducing the rate of capsular contracture compared to manual insertion.

If breast augmentation alone would not achieve your goals — for example, if significant ptosis means a lift is also needed — we will advise this at consultation rather than performing a procedure that will leave you disappointed with the result.

A mandatory two-week cooling-off period applies after every consultation before surgery is booked. Standard practice and non-negotiable.

Our postoperative support programme was described as ‘outstanding’ by the CQC. 24/7 surgeon-led support for the first 48 hours. Wound check at 7–10 days. Surgeon review at 6 weeks. 3-month assessment.

Your initial consultation is £100, redeemable against the cost of your procedure.

FAQs

What To Expect

Your first step is a face-to-face consultation with your consultant plastic surgeon at our Baker Street clinic. Breast augmentation consultations typically take 45–60 minutes. Your surgeon will take precise measurements of your chest — base width, tissue thickness, skin quality, degree of ptosis, and nipple-areola position — and use these measurements to guide implant selection. You will discuss your goals, the degree of size change you want, and your preferences on shape and feel. Your surgeon will explain the full range of implant options available (round vs anatomical; smooth vs textured; standard vs high-profile), recommended placement (subglandular vs dual plane), and incision position. Sizers are available to help you visualise different volumes. Clinical photography is taken from multiple angles for surgical planning. Your surgeon will explain the specific risks relevant to your anatomy and planned procedure, including capsular contracture, BIA-ALCL, implant longevity, and the implications of the Silimed 10-year warranty. A mandatory two-week cooling-off period applies before surgery is booked. The initial consultation fee is £100, redeemable against your procedure cost. You are welcome to attend further consultations at no additional cost before committing to surgery.

Once the two-week cooling-off period has passed and surgery is confirmed, our pre-operative assessment team will contact you to confirm your medical fitness. Stop smoking at least 4 weeks before surgery — smoking significantly increases the risk of capsular contracture, wound breakdown, and implant complications. Continue to avoid smoking for 4 weeks after surgery. Stop aspirin, ibuprofen, and anti-in