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Breast augmentation is a frequent part of gender reassignment surgery / GCS for male to female transgender. This not only leads to an increase in the size of the breasts but also leads to more confidence. Male to female transgender individuals may develop some breast tissue after hormonal therapy, but the size may remain small. For larger feminine breasts, a transgender needs breast augmentation surgery (breast implant surgery). In breast augmentation surgery, a breast implant is placed inside the breast to not only increase the size of breasts but also improve the shape of breasts.

As with cosmetic surgery, Breast augmentation is one of the most common transgender procedures.

LBPS are now offering the revolutionary B-Lite Lightweight Breast Implants.

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We support and endorse the Guidelines for the Standards of Care for transgender, trans-individuals set out by the World Professional Association for Transgender Health (WPATH).

Summary of Breast Augmentation Procedure

Procedure Time
1 hour
Downtime
Discomfort: 3 – 5 days.
Activity: 6 weeks.
Back to Work
1 – 2 weeks
Lasting Effects of Treatment
Lifetime
Anaesthetic
General

Your Procedure

  • Does Breast Implant Surgery require a general anaesthetic or hospitalisation?

    Breast Implant Surgery is performed under general anaesthetic with local anaesthetic, commonly as a day-case or overnight procedure.

  • How long is the Breast Enlargement surgery?

    Breast Augmentation with Implants normally takes approximately 1 hour to perform.

  • How long is the recovery time?

    We cannot guarantee a “Rapid Recovery Breast Augmentation” but over 96% of our patients report that their surgery was much less painful than they expected. Moderate pain / discomfort is expected for 3 – 5 days. Patients can go back to their normal daily activities the next day, but avoid strenuous exercise / activity for 6 weeks. It will be necessary to wear a support bra for the first 3 weeks, day and night and the second 3 weeks during the day. The majority of swelling will resolve in 2 – 3 weeks but it will take up to 3 months for the breast to return to normal feel.

  • Will drains be used at the time of Breast Enlargement, Breast Implant Surgery?

    The use of drains (thin tubes from each breast) is a hotly debated topic in Breast Augmentation. At LBPS, we believe that any blood or fluid around the implant leads to inflammation and scarring, which can result in a capsule around the Implant. This capsule can cause firmness or hardening of the breast and a poor result. Therefore, drains will be placed at the time of your Breast Augmentation surgery. These will be removed before you leave Hospital.

Breast Enlargement Surgery FAQ’s

  • How much does Breast Augmentation cost?

    Please contact us for more information! Be sure to ask about our financing options.

  • What happens at the consultation for Breast Augmentation?

    An initial consultation will be carried out to determine the goals for your treatment, make note of any associated asymmetries/abnormalities, and a treatment plan will be determined to achieve the ideal result for each individual.

  • How do I prepare for my surgery?

    The London Transgender Clinic strongly advises that you stop smoking to weeks prior to your surgery. Avoid aspirin/ibuprofen type analgesics for 2 weeks before and after your surgery.

  • What happens on the day of surgery?

    Our treatment plans are individualized for each of our patients. Every treatment will vary. Please contact us to learn more. We are here to answer any of your questions!.

  • What aftercare will be provided for me?

    The care of each patient, before, during and after surgery or treatment at the London Transgender Clinic is second to none. We have on-call nurses available for our patients 24 hours a day and follow up appointments to ensure complete patient satisfaction.

  • What happens if there is a complication?

    All surgical procedures have an inherent risk of complications despite the highest standard of care. The majority of complications, however, are either uncommon ( < 5 % ) or rare ( < 1 % ). It is essential that before you agree to undergo any surgery or treatment that you ask about and fully understand the risks and side-effects of the procedure. Reputable surgeons will always emphasise the risks and side effects and never provide guarantees.

    If a complication develops after your surgery, Mr Inglefield would carry out any further surgery to ameliorate this, at no additional surgical fee to you, the patient. (Hospital and Anaesthetist Fees may apply).

    If you are unsatisfied with the results of your surgery after a suitable amount of time has been allowed for healing and maturation of the surgery within the first year, no additional fees will be required.

    However, Mr Inglefield is unlikely to waive his fee if any of the following pertain

    • The patient ignored the post-operative instructions.
    • The patient failed to attend for the agreed postoperative examinations.
    • The patient sustained physical injury out of our control.
  • Am I the ideal patient for Breast Enlargement Surgery?

    If you would like to improve your breast shape and fullness and have been concerned by this for a long time, do not have any breast disease or serious medical conditions and desire a long term option to achieving fuller, more shapely breasts, then breast augmentation using implants is likely to be suitable for you.

  • What is the cost of Breast Implant Surgery?

    The costs of Breast Implant Surgery will depend on your specific needs and goals. A written quotation will be provided following your consultation with Mr Inglefield. All of your care and follow-up appointments in the first year will be covered.

  • What happens at your consultation?

    Your consultation will be with your surgeon and one of our nurses to understand your concerns and desires. Your medical history with be reviewed to ensure your safety, followed by a full examination of your breasts.

    Measurements of your breast will take place – width, nipple distance, breast drooping/ ptosis and soft tissue thickness will all aid in planning your breast augmentation.

    The most suitable implant to achieve the best result following your Breast Augmentation will be discussed at your consultation.

    Your age, skin laxity, loss of volume of the breasts will all be considered in determining the optimum treatment(s) or surgery.

  • What are my options for the type of implants?

    Various types of Breast Implants are available and the optimum implant for you will depend on your goals and existing size and shape. LBPS are now offering the revolutionary B-Lite Lightweight Breast Implants.

  • Do I need a mammogram before my Breast Enlargement?

    Working in close collaboration with our Breast Cancer Specialists, the guidelines are that any woman over the age of 40 should have a mammogram before any breast surgery including Breast Implant Surgery. Under the age of 40, no screening is necessary if there is not a family history of Breast Cancer or other cancers. A screening mammogram can be arranged for you at the time of your consultation, if required.

  • Where will the implants be placed in Breast Augmentation Surgery?

    Breast implants can be placed either behind the breast tissue or under the pectoral muscle, usually partial muscle – Tebbetts 1, 2. The position suitable for you will depend on the amount of your own tissue available to cover the implants. If the soft tissue is thin over the breast region “upper pole”, then it will be recommended that the breast implants are positioned under the pectoral muscle. In either position, what you will see and feel is your own breast tissue. The goal is to achieve the optimum natural appearance of your breasts.

  • What about the scars following Breast Augmentation?

    Unfortunately, it is necessary to have a scar as a result of Breast Enlargement Surgery, but every effort is made to minimize the scars and ensure that these are as inconspicuous as possible. The goal is to achieve a scar which is as short as possible for the safe placement of your implants, and which, once fully healed is barely visible. Scars can be placed in the crease under each breast, in the armpit, or within the areola. The optimum scar for you will depend on your size, breast shape and desired cup size/shape.

  • What are the risks of Breast Augmentation Surgery?

    Common to all surgical procedures there are always risks associated with Breast Implant surgery. However, Breast Augmentation with implants is a very safe procedure if performed by a fully qualified and trained Plastic, Cosmetic Surgeon using good implants in hospitals with a high standard of care – as recommended by LBPS. The common risks are bleeding inside the breast (less than 0.1%), infection (less than 0.1%) and capsular contraction (less than 2%). Each of these risks may require revision surgery. Other risks that may occur are; implant displacement or rotation, loss of nipple sensation, poor scars, asymmetry of the breasts and implant rupture which are rare.

  • Can Breast Implant Surgery be performed with a Breast Uplift, Mastopexy?

    Yes, some women with significant drooping of the breasts together with loss of fullness may require Breast Augmentation combined with a Breast Uplift, Mastopexy. The extent of uplift required will depend on the degree of drooping and the amount or volume necessary to shape the breast.

  • What about the results of Breast Implant Surgery?

    The results are first and foremost natural. The goals of Breast Augmentation with implants are to enhance the size and shape of your breast to achieve an improved aesthetic appearance. Your breast implant surgery result should boost your self-confidence; allow you to wear the clothes you wish and look and feel as natural as a normal breast.

  • What is BIA-ALCL?

    The FDA and the World Health Organization agree that BIA-ALCL is a rare T-cell lymphoma that can develop following breast implants. At this time, most data suggest that BIA-ALCL occurs more frequently following implantation of breast implants with textured surfaces rather than those with smooth surfaces. BIA-ALCL is not breast cancer.

    The main symptoms of BIA-ALCL are persistent swelling or pain in the vicinity of the breast implant occurring more than 1 year after surgery.

    BIA-ALCL is usually found near the breast implant, contained within the fibrous scar capsule, and not in the breast tissue itself.

    The type of implant fill does not appear to be a risk factor for BIA-ALCL

    This is a very rare disease – only 14 cases reported in UK up to March 2016 with a risk somewhere in the region of 1:10,000 to 1:30,000.

    Removal of the breast implant along with the capsule (scar tissue) is curative in most cases. A small number of women have required radiotherapy or chemotherapy.

    You should monitor your breast implants and contact your doctor promptly if you notice pain, swelling or any changes in or around your breast implants. There is no reason to contact your doctor if you have no symptoms.

    Size of implants

    FDA
    https://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/ImplantsandProsthetics/BreastImplants/ucm241086.htm

    MHRA UK
    https://www.gov.uk/drug-device-alerts/medical-device-alert-all-types-makes-and-models-of-breast-implants-potential-increased-risk-of-anaplastic-large-cell-lymphoma-alcl

“Extremely professional, friendly and helpful”

5 5 Star Rating Written on October 10, 2018

Septo-Rhinoplasty and Breast Augmentation Surgery

After much researching I decided to have Breast Augmentation and Septo-Rhinoplasty with London Transgender Clinic and Weymouth Street Hospital. I found Mr Inglefield, Phyllis, Lynsey and all the staff extremely professional, friendly and helpful. They treated me with respect and always had time to answer any questions or queries that I had. Although I am at 6 weeks post op I am more than happy with the results so far with no visible scars on my nose and minimal scarring on my chest that will gradually fade. Thank you LTC 😀

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