The Harley Medical Group

Nose reshaping is an increasingly popular cosmetic procedure and with the introduction of non-surgical techniques, is becoming more and more accessible. Here we are taking a deep dive into the key differences between surgical and non-surgical nose reshaping procedures.

The difference between surgical and non-surgical rhinoplasty

Surgical Rhinoplasty involves making incisions in the skin and making changes to the shape of the bone and cartilage in the nose. Non-surgical rhinoplasty offers a less invasive alternative to surgical interventions for those searching for a way to correct, enhance or alter the shape and appearance of the nose. Dermal fillers are injected under the skin in specific locations to alter the proportions and contours of the nose to give the illusion of a thinner, straighter or more symmetrical appearance.

Non-surgical rhinoplasty vs surgical: The pros and cons

As with any aesthetic procedure, there are pros and cons that make the different options more suitable for some patients than others.

Non-surgical techniques provide solutions that are less costly, associated with fewer risks and require shorter recovery periods. Whereas surgical Rhinoplasty facilitates a more drastic, permanent change to the shape of the nose.

The nature of surgical Rhinoplasty means that it is associated with greater risk than non-surgical Rhinoplasty, especially when performed under general anaesthetic. A study published in The Aesthetic Surgery Journal found that the overall complication rate of surgical Rhinoplasty was 0.7%[1] and some of the risks include:

Non-surgical rhinoplasty is considered to be safe and complications are rare but there is a risk of swelling, bruising and redness around the injection sites. A safety review published in The Journal of Facial Plastic Surgery and Aesthetic Medicine found that serious events occur in just 0.2% of cases when administered by a Doctor[2].

Non-surgical vs surgical nose job: Who is suitable?

Surgical Rhinoplasty is most suitable for patients who are searching for a permanent solution to their cosmetic concerns and where more significant changes are required. Non-surgical rhinoplasty is a suitable alternative for many patients looking to make minor adjustments to the contours of the nose or smoothen small bumps and irregularities.

However, there are circumstances where it would not be possible to achieve a patient’s desired results with non-surgical Rhinoplasty. Some examples of when this might be the case include:

In these cases, surgical intervention may be more appropriate. In any instance, the most suitable approach for your aesthetic goals should be discussed with your expert at The Harley Medical Group during a free no-obligation consultation. You can read about the most important questions to ask your Rhinoplasty surgeon here.

If you would like to explore how non-surgical Rhinoplasty can help you to achieve your desired results, sk:n, the UK’s leading skin clinic, provides non-surgical nose job treatments administered by highly trained and experienced expert clinician injectors.

 
Sources:

1. Layliev J, Gupta V, Kaoutzanis C, Ganesh Kumar N, Winocour J, Grotting JC, Higdon KK. Incidence and Preoperative Risk Factors for Major Complications in Aesthetic Rhinoplasty: Analysis of 4978 Patients. Aesthet Surg J. 2017 Jul 1;37(7):757-767. doi: 10.1093/asj/sjx023. PMID: 28472446.

2. Rivkin A. Nonsurgical Rhinoplasty Using Injectable Fillers: A Safety Review of 2488 Procedures. Facial Plast Surg Aesthet Med. 2021 Jan-Feb;23(1):6-11. doi: 10.1089/fpsam.2020.0291. Epub 2020 Dec 2. PMID: 33270519.

What is a deviated septum?

The nasal septum is essential in providing the nose with structure and enabling effective passage of warmed and humidified air through the nose. The septum can become deviated in several ways including C and S-shaped deviation, septal outpouching and septal perforation. When this happens it can cause obstruction and interference with the flow of air through the nose, leading to a sensation of blockage in the nose, difficulty sleeping, pain and recurrent nose bleeds.

If you are unsure about whether you are experiencing septal deviation and are wondering how to tell if you have a deviated septum, there are a number of signs and symptoms that are linked to the problem. Alongside the symptoms mentioned earlier, you might have been told that your breathing is noisy during sleep, you might have an unusual awareness of your breathing or a preference for sleeping on one side.

How to fix a deviated septum?

Deviated septum can be corrected using specialist deviated septum surgery, or Septoplasty, which can often be combined with nose reshaping in a Septorhinoplasty operation. In Septoplasty, incisions are made in the internal lining of the nose to expose the underlying cartilage and bone. Any corrections that need to be made to the shape of the septum can then be completed.

The operation is one of the most commonly performed facial plastic surgery procedures and is usually completed under general anaesthetic. The procedure is relatively short and commonly takes between an hour and 90 minutes. Similarly to Rhinoplasty, following Septoplasty, the surgeon may place packing inside the nostrils and use splints to maintain the shape of the septum.

A question that is commonly asked by patients is ‘Can I get a nose job with a deviated septum?’. The answer to this question varies depending on the individual and the extent of any breathing difficulty. Your expert surgeon will need to determine whether improving cosmesis with Rhinoplasty could further compromise breathing to an unacceptable level. In cases such as this, it may be necessary to repair the nasal septum alongside Rhinoplasty. So, in short, it is absolutely possible to have a nose job with a deviated septum, but septal correction may be required in tandem.

Benefits of deviated septum surgery

The main advantage of undergoing septum correction surgery is to improve your ability to breathe and eradicate the symptoms associated with septal deviation. Whether it be headaches and sinus pain, or nose bleeds and breathing difficulty that affect your quality of life, Septoplasty with The Harley Medical Group may provide the optimum solution.

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When is the right time? Will a deviated septum get worse?

If you struggle with your breathing and are becoming concerned about how your life is being affected, it is important to understand the cause. There are many potential explanations, but an issue with your septum is something that can be resolved.

If you have been diagnosed with a deviated septum, this will not repair of its own accord and should not be left alone. Crucially, it is possible for deviated septa to worsen with time as the nasal structures change throughout life.

The expert team here at The Harley Medical Group are available to explore your options for septum correction surgery, understand your concerns and create a treatment plan that suits you and your goals. Book a consultation with one of our experienced Patient Advisors to make your breathing difficulties a thing of the past.

Regardless of the type of rhinoplasty, open, closed or even non-surgical, swelling is expected following the procedure and is a normal component of the recovery process. The extent of any swelling depends on a number of factors including the type of reshaping technique, the surgical approach and individual skin properties. With non-surgical rhinoplasty there may be some minor swelling, bruising and itching, particularly around the injection sites. However, this will be minor in comparison with surgical rhinoplasty.

During the consultation process at The Harley Medical Group, your surgeon will explain and discuss the anticipated level of swelling in your personal circumstances but here we will take a look at what you can expect, the stages of swelling after rhinoplasty and what can be done to reduce swelling.

Rhinoplasty swelling timeline

It is no secret that the rhinoplasty recovery process requires patience and determination to achieve your desired results. This is due to the masking of final results by postoperative inflammation due to facial trauma and longer-term swelling as a result of fluid retention.

Here we have created a timeline of rhinoplasty swelling week by week to guide your expectations either in preparation for your procedure or to support you during your recovery period. In a study published in the Journal of Plastic and Reconstructive Surgery, more than 97% of facial swelling resolved within 1 year of rhinoplasty surgery, and 95% within 6 months. It is clear then that the time it takes for the final facial contours to be revealed varies between individuals.

How to help swelling after rhinoplasty?

  1. Ensure that any strenuous activity is avoided during the initial 2-week period
  2. Shower and bathe using lukewarm water only during the first week
  3. Engage with your post-operative care plan provided by the experts at The Harley Medical Group
  4. Stop smoking before surgery and continue to avoid smoking during the aftercare period
  5. There is limited evidence that arnica ointment or supplementation can help to reduce swelling following surgery

What to eat after rhinoplasty to reduce swelling?

  1. Reduce salt intake during recovery to help minimise water retention. Opting for low sodium alternatives can be an easy way to do this
  2. Eat a well-balanced diet incorporating the recommended daily intake of vitamins and minerals. It may be helpful to supplement Vitamins C, A and K if you suspect that your diet may not provide an adequate supply of these

 
Sources:

Pavri S, Zhu VZ, Steinbacher DM. Postoperative Edema Resolution following Rhinoplasty: A Three-Dimensional Morphometric Assessment. Plast Reconstr Surg. 2016

Glancing in the bathroom mirror or reviewing those recent family photos and being met with the surprise of unwelcomed fullness under the jaw is an experience that many people have suffered. A double chin is a result of excess fat tissue or skin underneath the jaw that is a common cause of self-consciousness and discomfort.

Fortunately, a double chin is not something that needs to be accepted and there are solutions that can alter the contours of the jaw and restore self-confidence. In this article we will shed light on the causes of a double thin, some of the available treatments and some examples of results.
 

What causes a double chin?

It is a common misconception that the sole cause of a double chin is weight gain and that only overweight people are affected. However, there are several factors that come together as a group of causes that impact a diverse range of people at various points in their life.

 

How do you get rid of a double chin?

The ideal double chin treatment for any individual depends on the cause. A double chin that is caused by excess fat can be treated effectively using liposuction. A technique known as tumescent liposuction is used commonly to treat the chin area as it is useful in removing smaller volumes of fat. In many cases this type of liposuction requires only local anaesthesia and an overnight hospital stay would not be necessary. Whilst recovery times vary depending on the individual, it is expected that a full recovery would be made within 1-2 weeks. If you would like to, you can read more about the different types of liposuction here.

If a double chin is caused by excess loose neck skin or a dysfunctional platysma muscle, a neck lift procedure (or platysmaplasty) may be more appropriate. During this procedure any unnecessary excess skin is removed, resulting in a tightened, rejuvenated appearance.

If you would like to discover more about how The Harley Medical Group can help you to achieve the results you desire, book a free no-obligation consultation to discuss your circumstances with an experienced patient advisor.

The Advertising Standards Authority (ASA) is the UK’s independent advertising regulator that makes sure ads across UK media stick to the advertising rules. They have announced that the Committee of Advertising Practice (CAP) and Broadcast Committee of Advertising Practice (BCAP) are introducing new targeting restrictions that prohibit cosmetic interventions advertising from being directed at under-18s.

The new targeting restrictions came into effect on 25th May 2022 and essentially require that:

At The Harley Medical Group we acknowledge and appreciate the new rules behind these cosmetic advertisements and why they’ve been put in place. Particularly because this ensures that young people who may be more vulnerable to these advertisements aren’t exposed to them and therefore isn’t impacting on their self-esteem, wellbeing, mental health and behaviours.

Children and young people’s body image perceptions and their susceptibility to pressures to change their appearance are hugely influenced by a number of social and cultural factors.
Evidence shows that exposure to different forms of media including advertising, particularly those that focus on body image ‘improvements’ such as cosmetic intervention procedures, is likely to exacerbate body image dissatisfaction and negativity during vulnerable stages of their lives.

In a paper published by The Harley Medical Group’s Mr Amir Sadri in the Journal of Plastic, Reconstructive and Aesthetic Surgery, the increased media attention on aesthetic surgery was analysed. Between 1991 and 2013, the number of articles relating to the field increased from 45 to over 3500. Mr Sadri shared that accessibility of aesthetic surgery has widened over recent years, but that social media and celebrity culture has led to the significance of surgery being underplayed.*

CAP and BCAP will conduct a 12-month post-implementation review to ensure that the new rules are functioning as intended. The Harley Medical Group openly acknowledges and supports these informative changes.

 
*Amir Sadri, Reza Nassab, Cosmetic surgery and the press: A 22 year review of a growing relationship, Journal of Plastic, Reconstructive & Aesthetic Surgery, Volume 68, Issue 2, 2015, Pages 269-270, ISSN 1748-6815,
https://doi.org/10.1016/j.bjps.2014.10.017.

For years, there has been a stigma around men seeking cosmetic treatment. Yet with an overall 15% year on year increase in enquiries at The Harley Medical Group, it seems men have pushed past the stigma and are starting their journey to prioritising their self-confidence.

From rhinoplasties to liposuction, Mr T K Sankar, Chief Medical Officer and Consultant Plastic Surgeon at The Harley Medical Group, exclusively reveals the top surgical cosmetic treatments men have been turning to.

Surgical Treatments for Men

I’ve seen a large uptake in men enquiring about cosmetic surgery – especially within the last year or so due to the pandemic. With the zoom boom phenomena, people are becoming more aware of their appearances after having to stare at their faces on camera. It has had a significant impact on self-confidence, especially for men who hadn’t previously spent too much time in front of the mirror.

Whilst in the past it may have been more taboo for men to seek out cosmetic treatments, it’s becoming more common, especially in today’s culture where people are feeling empowered to embrace self-confidence. Below are the three most popular treatments enquiries amongst men.

Rhinoplasty

Accounting for 21% of enquiries, Rhinoplasty is the second commonest surgery within our group and one of the most popular facial procedures in the UK and has seen significant growth over the last few years, and especially during the pandemic.

The nose is such a central part of the face, a facial feature that not many people were used to staring at on camera all day long. Before undergoing surgery, it is vital to understand the client’s expectations to ensure they are aligned with what is realistic and achievable.

Brandon, aged 24 from Northamptonshire came to The Harley Medical Group for an open rhinoplasty, amending his septum and removing the bump from the bridge of his nose. 

before and after male rhinoplasty

“I felt self conscious about my nose and breathing was also an issue, I could only sleep in one position making it quite uncomfortable at times. My family has noticed I’m a lot more confident. For anyone that’s looking to get it done, I’d highly recommend The Harley Medical Group!”.

 

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Liposuction

But it’s not always about the faces. We are also seeing an increasing trend towards minimally or non-invasive treatments to aid in reducing stubborn pockets of fat that are hard to shift with diet and exercise. Conventional liposuction, with the assistance of power, water, laser, ultrasound or radiofrequency driven devices, has become more popular in the recent years (accounting for 18% of surgical enquiries amongst men), to achieve precise and desired outcomes.

From spending more time at home and indulging in comfort foods, some men have become increasingly aware of love handles or the increase in tissue around the breasts and are looking to reduce them. Liposuction surgery can be performed on most parts of the body and the technique is often used as part of other cosmetic surgery procedures, such as a tummy tuck or male breast removal to achieve the desired result. Therefore, it is always a popular treatment for our clients.

However, when considering liposuction, it’s important to understand that if you remove a large amount of fat you are likely to have loose skin and therefore you may also need skin removal or skin tightening treatments to take place afterwards to achieve the desired look. It is also important to know that the liposuction is not a weight reduction surgery.

 

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Eye Bag Removal

Getting older can take its toll on your appearance, particularly to the skin around the eyes which can become loose and wrinkled, start to sag, and make the eyes look tired, adding years to the face. Since wearing masks I have noticed an increase in male clients looking to tweak the eye area. Because of this, many have become self-conscious about the appearance of dark circles and under eye bags – which is why eye bag removal surgery has accounted for over 8% of male enquiries.

Blepharoplasty, also known as eye bag removal or eyelid surgery, helps to restore youthfulness to the face and despite the name, this procedure helps to improve the appearance of the overall eye area. If you opt for lower blepharoplasty, or a combination of upper and lower eyelid surgery, this will almost always be performed under general anesthesia.

Your surgeon will make an incision along the lower lash line before removing any excess fat (often known as eye bags) and stretching the skin to ensure a smooth finish. Once the incision has been stitched, any excess skin will be removed and you will be left with smoother, younger looking skin underneath the eyes.

 

Often, we have clients wanting to look like celebrities, however, it’s important to remember that even with surgery you will still look like you, so understanding and accepting this is really important before embarking on your cosmetic surgery journey. Our job as surgeons is all about improving our client’s psychological self-awareness and the quality of their day to day life. This can be achieved only by delivering patient centered safe and appropriate surgical procedures.

If you would like to explore how The Harley Medical Group can help you achieve your goals, book a free-no obligation consultation with a patient advisor today.

Medically reviewed by Mr T K Sankar - Consultant Plastic Surgeon and Chief Medical Officer for The Harley Medical Group

Causes | Large breasts problems | Treatments | Breast reduction surgery | Summary

Boobs come in all shapes and sizes, and if you have overly large breasts then you’ll know how heavy and uncomfortable they can be. But did you know that heavy breast problems can actually impact your health too?

Big boob problems can include back pain, neck pain and rashes, as well as a number of lifestyle issues such as unwanted attention and difficulty in finding clothes that fit well. Thankfully, these are not things that you have to just live with, as there are a number of solutions available – such as a breast surgery.

If you are at the very start of your research journey and are weighing up whether a breast reduction procedure could have a positive impact on your quality of life, read on to find out more about common problems with larger breasts in our latest blog.

 

What causes large breasts?

If you have heavy boobs, you might be interested to know what causes large breasts. Here are some of the most common reasons why you might have overly large breasts:

 

What are the most common problems with large breasts?

Unfortunately, having large breasts can cause a number of problems, including:

 

Treatments 

If you suffer from large boobs health problems, you’ll be pleased to know that you don’t have to put up with this unnecessarily, as there are a range of treatment options available – both non-surgical and surgical:

 

Is breast reduction surgery right for me?

At Harley Medical Group this frequently performed procedure is carried out by experienced surgeons who have reported outstanding results.

If you suffer from embarrassment as a result of your breast size, pain in your back or neck or even rashes, and would like to feel more comfortable with your breast size, then breast reduction surgery is worth considering.

 

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Summary

At The Harley Medical Group, we understand that for many women with large breasts, they can be a cause of poor body confidence and self-esteem – not to mention pain and discomfort. However, with the help of our team of breast specialists, heavy breasts are not something that you have to suffer with – and you’ll also receive the highest level of care and expertise too!

If you’d like to give your confidence a boost and make back and neck pain a thing of the past, as well as deep shoulder strap marks from ill-fitting bras, then we are here to help you get the results and look that you want.

If you’d like to learn more about breast reduction surgery, find your nearest clinic or book a virtual consultation with our friendly patient advisors. 

 

Sources

[1] Malahias, Marco & Soylu, Erdinc & Sadri, Amir & Bantick, Giles. (2010). Does breast reduction improve back and neck pain: Fact or fiction?. Turkish Journal of Plastic Surgery. 19. 5-8. 

Here at The Harley Medical Group, we want our patients to know what to expect from their breast surgery. We asked our expert plastic surgeons and nurses ‘What were the most popular questions and concerns following a breast enlargementbreast reduction or breast lift? And what do you say to our patients to explain what they might experience?’. Considering surgery? Read on to discover their boob job recovery tips.

Breast Augmentation Recovery Process

Chief Medical Officer and Plastic Surgeon at The Harley Medical Group, Mr T K Sankar explains the recovery process and downtimes after breast enlargement surgery.

Returning home

You should be able to return home on the same day as your breast augmentation surgery. If you require additional aftercare, you may need to stay overnight in one of our hospitals. Your surgeon will be able to discuss your breast augmentation recovery and what is best for you after your surgery. It is important to note that you will not be able to drive a car yourself on the day of the surgery, and possibly for a few days after. You may feel physically up to it, but many insurers will not cover you immediately following the administration of a general anaesthetic.

 

Reducing the risk of infection

One of the most important risks associated with breast surgery is the risk of infection. Whilst this is important and should be considered when weighing up whether to undergo surgery, experts are regularly investigating how to reduce the likelihood of these infections occurring. Mr Ashley Topps, one of our breast surgeons at The Harley Medical Group recommends infection screening before surgery and treatment with antibiotics to prevent infection. There are also specific techniques that breast surgeons can implement to prevent infection such as double gloving preparing the skin with an alcohol wash. [1]

 

Signs of surgery

Minor scarring on the underside of the breast and bruising around the breast area is common after surgery. Most of your breast augmentation scars should fade after six to seven weeks, however, each case is different.

Complete healing usually takes around 18 months. Following your post-op consultation, if your surgeon agrees, you can use Bio-Oil to help the healing process. Your surgeon will be able to explain at length the kind of scarring you should expect after your surgery.

 

Recovery time

During your boob job recovery time, your breasts may feel numb, tingly, sensitive or swollen for several weeks after surgery. From six weeks onwards, your breast implants should begin to feel more natural.

A week-by-week guide can be found below, detailing typical recovery times for breast augmentation patients. Please note, breast augmentation recovery time may vary between patients.

Breast augmentation recovery stages

Week 1

Week 2

Week 3

Week 4

Weeks 5 and 6

Week 7 onwards

How long does swelling last after breast augmentation surgery?

For most patients, any swelling will have gone down when reaching the three week mark post surgery. However, it’s normal to experience some swelling for up to three months.

Tips to reduce swelling after breast augmentation

When does tightness go away after breast augmentation?

Experiencing temporary post-operative breast tightness is normal. This is due to the implants pressing at the skin and the tissue of the chest, as well as the implant pocket created to accommodate the augmentation.

Patients will typically experience tightness in the breast area for several weeks, but this tends to gradually subside. Since every patient is different, the level of tightness and its duration will vary on a case-by-case basis.

 

What you should avoid

Strenuous exercise and stretching should be kept to a minimum for at least six weeks post operation, as vigorous movement can cause stitches to open. Your stitches will be removed once the healing process begins.

Immediately following surgery, we advise you do as little as possible, including washing your hair, as it may be difficult and uncomfortable to raise your arms too high. After the first week to 10 days you will notice more free movement. At this point, we recommend gentle stretches to keep your muscles agile.

After the first month, you can begin low impact cardio provided it doesn’t impact your recovery process. If your breast implants have been placed below the muscle, you may wish to avoid pectoral exercises, such as push-ups, for the first 12 weeks.

Any breast lift scars should be kept out of direct sunlight and artificial UV for around one year, as skin in this area is much thinner and prone to burning. Our experts recommend wearing a broad spectrum sunscreen with SPF 25 or more.

Driving should be avoided for one week following surgery as your mobility and reaction times will be impacted. If you are on any strong pain medication, you should avoid driving long distances for the first few weeks. Medicine can make you drowsy and may impair your reflexes.

 

Breast augmentation recovery tips

We recommend wearing a sports bra 24 hours a day for a minimum of six weeks after your breast surgery. Depending on the rate at which you heal, a breast augmentation recovery bra may need to be worn after three months. Your surgeon should be able to advise you on the appropriate measures to take.

You will be advised to sleep sitting up, which can impact the quality of sleep experienced. Even if you sleep for eight hours, if the quality is poor it can impact how efficiently your brain functions. Sleep deprivation impacts everyone differently but can make you slower to respond or short tempered. You may want to consider how poor quality sleep will impact you and anyone around you.

You will have limited mobility for at least one week following your breast surgery which should be considered if you have young children. We recommend you arrange child care, or at the very least someone to help with the lifting during the first stage of your recovery.

Women who have undergone breast enlargement surgery should seek an MRI scan three years after surgery, and every two years following that, as a precaution.

If you have more questions or would like more information about what you might experience following breast surgery, please don’t hesitate to contact a member of the team or click here to book your free virtual consultation.

Alternatively, click here for more information about breast augmentation aftercare.

 

Sources

[1] Barr SP, Topps AR, Barnes NL, Henderson J, Hignett S, Teasdale RL, McKenna A, Harvey JR, Kirwan CC; Northwest Breast Surgical Research Collaborative. Infection prevention in breast implant surgery - A review of the surgical evidence, guidelines and a checklist. Eur J Surg Oncol. 2016 May;42(5):591-603. doi: 10.1016/j.ejso.2016.02.240. Epub 2016 Feb 27. PMID: 27005885.

Medically reviewed by T K Sankar, Consultant Plastic and Reconstructive Surgeon

When it comes to considering breast augmentation (or breast enlargement), one of the most important questions that you should ask yourself is: “Should I have my breast implants placed under or over the muscle?”.

Unfortunately, there is not a one-size-fits-all approach when it comes to this decision, and the placement you decide depends on a range of factors, such as the results that you are looking for.

If you are considering breast augmentation surgery to help boost your self-esteem and confidence, here we explain the difference between under the muscle breast implants vs over, and examine the pros and cons of both to help you make an informed decision. 

Boob job types

Your first decision is to decide on the type of boob job you want to have. Your options for breast surgery include:

Breast implant types

Next, you need to decide on the type of breast implant that you want to have, there are two main types:

Think of a typical boob job and we’re sure these implants will come to mind! Round breast implants help to achieve more fullness in the top part of the breast, giving a curvaceous figure that is more in proportion as a result. 

These give a more natural, subtle shape as they slope gently from the nipple to the breastbone.

breast implant shapes

Learn more about the difference between teardrop vs round breast implants

The position of your breast implants

Once you have decided on the above, you need to choose your breast implant positioning option:

breast implant insertion

With breast implants under pectoral muscle, “the muscle” refers to the pectoralis major which is large and fan-shaped. When the breast implant is placed underneath it, the surgeon will detach the muscle from its lower origin along the ribs. As a result, the muscle will only cover about half of the implant, so the bigger your implant is, the less your muscle will cover. 

With breast implant over the muscle, “the muscle” refers to the pectoralis minor and serratus muscles, and the implant will also be placed below the pectoralis major muscle.

Breast implant under the muscle vs over

There are many differences, pros and cons between over the muscle and under the muscle breast implants. Our Consultant Aesthetic and Oncoplastic Breast Surgeon, Mr El-Gammal explains the difference. 

Over the Muscle (subglandular)

If you have a moderate amount of breast tissue (such as a B cup or larger), this type of breast implant placement can produce breasts that are very natural looking and will also age well. 

In addition, you will normally achieve your end results in a matter of weeks, and if your implant is placed completely on top of the muscle, you will not experience muscle tightness or breast deformity when the muscle contracts during exercise or day to day activities. 

If smooth implants are placed over the muscle, this may increase the risk of rippling. Around 70% of cases occur in the upper and inner aspects of the breasts, especially when the woman has smaller breasts to start with and has a more slender build.

Furthermore, it is also more likely that you will be able to see the upper edges of the implants too.

Under the Muscle (subpectoral)

When smooth implants are placed under the muscle, the risk of rippling is less than 10%. If you are of a thinner frame, by adding muscle bulk over the upper and inner aspects of the implants, it will be less likely that you will see the visible edges of the implant, and will have a more natural curve to your breast. 

Results may take longer to be achieved, and you may need to wait several months for your breasts to fully recover. It’s also important to be aware that when exercising or completing some normal daily movement, your pec muscle will contract and flatten the implant as it does, meaning they get pushed outward and your breast shape is caused to change. 

In some cases, you may see an indentation along the edge of the muscle, and if you have a moderate amount of breast tissue to start with, then in time, you may get a “waterfall deformity” from sagging, especially if it is lax or becomes lax in time.

 

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Recovery time

When the breast implant is placed above the muscle, the recovery is usually a lot easier and less painful. However, with under the muscle breast implants, you will normally have a longer recovery time, and for several days you may experience quite a bit of discomfort. Following this, it may take several months for any swelling to subside.

What else do I need to keep in mind? 

When considering the pros and cons of breast implants under the muscle vs over the muscle, it’s important to be aware that if placed completely under the muscle, you may have breasts that form a tight half-dome shape. This is not a result that most women want to achieve, so this is a key factor to keep in mind.  

Can breast implants come out from under the muscle?

If you have ever wondered this or whether breast implant under muscle movement will be an issue, then let us explain the risk in more detail. 

If you have under the muscle breast implants, it is possible that they can slip out or move as only the top half of the implant is covered by the muscle. If you are concerned about this, speak to your surgeon.

Key Learnings

When it comes to thinking about whether to have your breast implants placed over or under the muscle, there are a number of factors to keep in mind and speaking to your surgeon will help you to ensure that you get the best results for you and your body.

If you would like to improve your confidence, contact us to book your consultation with one of our expert professionals, where you’ll be able to discuss your enhancement expectations and requirements.

Our years of experience in the field of cosmetic surgery ensure that you can rely on The Harley Medical Group to assist you with a tailored treatment programme for breast surgery. We offer free non-obligation consultations with qualified Medical Professionals, as well as a thorough aftercare service to ensure that your experience is positive throughout your entire journey.

If you’re considering abdominoplasty (or a tummy tuck) to remove excess skin following significant weight loss or pregnancy, it is important to know what to expect in terms of scarring. Read on to discover more about abdominoplasty scarring and what can be done to reduce scar visibility.

As with any surgery, over time the scar will fade and become less noticeable but will not disappear entirely. So it is important that the benefits of the procedure have been weighed up against the impact of scarring to ensure that the surgery will be worthwhile. There are some important factors to consider in preparation for surgery that can minimise scarring, most notably is the skill and experience of the surgeon. At The Harley Medical Group our surgeons are experts in the use of surgical techniques that minimise scarring.

 

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Tummy tuck vs mini tummy tuck

Regardless of the type of tummy tuck surgery performed, incisions must be made in the skin and this will cause scarring. However, there are some differences that depend on the surgical technique used, the patient’s goals and partially on genetics.

In mini tummy tuck surgery a single incision is placed in the lower abdomen, just below what would be considered the waist line. The incision is smaller than in full abdominoplasty and is therefore more easily concealed and can even be undetectable after the full recovery period.

When it comes to full tummy tuck surgery, larger incisions across more sites are needed to remove sufficient excess skin to achieve the patient’s desired outcome. The procedure involves making a relatively large incision across the trunk from hip to hip in the bikini line. Incisions may also be made around the belly button and possibly vertically along the trunk if necessary.

What to expect from a healed tummy tuck scar

Throughout the recovery process, the appearance of a tummy tuck scar changes, starting off as a red or deep pink colour as blood supply to the area is increased, moving towards a thinner line of a colour that more closely resembles the skin tone of the patient. Scar fading continues for up to 2 years after surgery and scars are unlikely to change further after this point. Click here to discover more about tummy tuck recovery.

How to fade a tummy tuck scar

Before making the decision to undergo tummy tuck surgery, it is crucial to realise that scarring is not only expected, but almost guaranteed. Whilst this is true, there are certainly things that can be done to minimise scarring as much as possible, we have compiled a list of examples here:

  1. Follow the advice provided by your surgeon regarding postoperative care – This is the single most important step you can take in taking control over your recovery and the extent of scarring. If recommended, make sure you wear your compression garment as directed to optimise wound healing.
  2. Stop smoking at least 6 weeks before surgery – Smoking has a significant impact on the body’s ability to heal and also increases susceptibility to infection.
  3. Avoid sun exposure and apply SPF once you are permitted to do so - UV damage can hinder the wound healing process and lead to more extensive scarring. Even once the recovery process is complete, careful attention should be paid to scar tissue to avoid sun damage. Therefore SPF should always be applied to the area when the skin is exposed, or the area should be kept covered with clothing if possible.
  4. Ensure you eat the recommended daily allowance of protein – Protein plays a crucial role in the wound healing process, so be sure to eat 0.8 g of protein per Kg of bodyweight.
  5. Avoid irritating ointments, lotions and creams during the healing process - Applying anything not recommended in your aftercare program can cause irritation, itching and skin softening that may lead to reopening of the incision.

If you are considering abdominoplasty to remove excess skin and refresh your sense of self-confidence, you can discover more by booking a free no-obligation consultation with a patient advisor today. You can also browse our website for more information on the tummy tuck process for men and women, learn more about our surgeons and view our gallery of before and after images.

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