Breast surgery procedures
If you’re considering cosmetic breast surgery, you must have a GP referral and must answer some questions about your psychological well-being.
This ensures your overall physical and mental health is considered as part of the decision-making process.
Breast augmentation uses implants to change the size and shape of the breasts.
While you may have a preferred size or implant type based on the experiences of friends or influencers, Dr Williams will assess your personal anatomy, skin quality, build and breast tissue before making a recommendation.
3D Vectra imaging may be used to help you understand how different implants could look but final decisions are guided by what is appropriate for your body type. Dr Williams always plans with long-term breast health in mind.
A breast lift involves reshaping and lifting existing breast tissue without using implants. This procedure may be considered when the main concern is skin excess rather than volume. Your cup size doesn’t usually change with a breast lift but the procedure removes excess skin to reshape the breast.
A breast augmentation mastopexy combines the breast lift with breast implants in a single procedure. Combining that surgery addresses both reshaping the existing breast tissue while adding volume through an implant. This procedure is common after pregnancy or breast feeding, and weight loss.
Breast reduction reduces the size and weight of the breasts by removing excess breast tissue and skin.
This may be done for both cosmetic and medical reasons, as women with large breasts may experience symptoms such as neck or back pain, skin irritation or difficulty exercising.
The extent of reduction is determined by your preferences, body proportions and the need to maintain blood supply to the nipple. Dr Williams will discuss this with you in detail.
Explant surgery involves removing breast implants. Patients may request implant removal due to personal preference, implant rupture, or concerns about breast implant illness (BII).
Explant surgery is also necessary in rare cases of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL). This is an uncommon but serious condition that requires implant and capsule removal, along with specialist oncological care.
Fat transfer, or autologous fat grafting, involves taking fat from one part of the body and injecting it into the breasts.
This technique is generally more effective as an adjunct to implants rather than as a standalone procedure. Because it adds significant cost and may not deliver the same predictability as implants, Dr Williams often discusses whether it will truly benefit the patient’s goals before proceeding.