It is important always to remember that the breast is an organ, designed for the production of milk. Cosmetic procedures, therefore, should always be carried out with the utmost respect for this primary role, prioritising the preservation of the glandular tissue in order to avoid any compromise of this function.

Procedures are carried out exclusively in appropriate theatre settings, in private hospitals dedicated exclusively to cosmetic surgery 

In order to guarantee the highest standards of care, I operate in private hospitals that are accredited with the Care Quality Commission. I only use the most up-to-date surgical equipment and premises that meet the highest standards of quality and safety.

Anaesthetic Team

As of 2011, I operate exclusively with a team of selected Consultant Anaesthetists that I have personally chosen throughout the years.  They all have more than 20 years of experience each in the NHS and have a vast experience with cosmetic procedures. They all regularly work or have worked in Intensive Care Units within the NHS, hence are perfectly capable of dealing with unexpected events and with the risks associated to surgery and general anaesthesia. 

Dr Oliver Sykes 

Dr Sheena Irvine

Dr Massimiliano Guglielmi

Dr Ah-fee Chan

Dr Priti Ghandre

Dr Philip Barclay 

This exceptionally experienced team of Anaesthetists guarantees extreme safety in surgery and the most skilful and ideal assistance at any stage throughout the patient’s journey. 

I have made the professional choice to operate exclusively in central London, in order to guarantee my presence and hands-on assistance at any time. 

After the surgical procedure, each one of my private patients will be given a private mobile number, active 24 hours a day and 7 days a week, answered by my personal Assistant Nurse.  

This allows better patient safety for an immediate response to any problem. 

Minor issues such as nausea/sickness, skin rash, constipation will be dealt with by the Nurse Assistant under my direct supervision. 

Should a severe surgical complication arise (for example bleeding), I shall be personally on the other end of the phone, and available for immediate patient assessment. 

The perfect breast… is the breast that is pleasing to the woman who carries it.

It ultimately makes no sense to talk about measurements – whether in terms of centimeters or bra/cup sizes. A natural result is simply the one that is in harmony with the rest of the body.

It is important always to remember that the breast is an organ, designed for the production of milk. Cosmetic procedures, therefore, should always be carried out with the utmost respect for this primary role, prioritising the preservation of the glandular tissue in order to avoid any compromise of this function.

I do not judge other peoples choices … however I would not want to be responsible for an extreme result.

If this is the result you’re after, it is perhaps worth being aware of all the risks involved.

As the use of breast cosmetic surgery has increased over the last 20 years, we have become accustomed to seeing all sorts of extreme transformations, dictated by fashion or by distorted aesthetic models. However, surgeons now have the moral obligation to help patients reach more sensible decisions, based on the awareness of the problems arising from oversized prostheses.

It is often the plastic surgeon him or herself who – in order to honour the requests of a patient, or in order not to lose a patient – tends to underestimate the risks associated with large implants. On more than one occasion, I have had to turn down a request for surgery because I felt that I was being asked to provide a result that was completely out of proportion with the patient’s overall frame.  This situation occurs particularly with very young patients, who may be so determined to achieve the extra-large result that they have dreamt of that they are unwilling to accept an explanation of possible risks.

Larger breast implants, because of the pressure they exert on the gland tissue,  subcutaneous tissue and on the skin envelope, can cause atrophy (thinning) of these tissues. In the best-case scenarios this will lead to visibility of the implants, chronic discomfort, stretch marks, loss of sensation, loss of the ability to breastfeed, sinmastia (breasts touching each other along the chest midline) and ptosis (sagginess). In the worst-case scenarios this can lead to skin ulceration, with exposure and extrusion of the implant.

The larger the implants are, the heavier they will be. Heavier implants are more likely to drop and sag because they will end up stretching and  overexpanding the skin envelope.

It is an extremely simple procedure to replace implants with slightly larger ones. Having to replace implants that are too large, however, usually requires any skin excess to be addressed, and so having to proceed with a breast uplift with subsequent major scarring.

Patients need to understand that, although it is always possible to have revision surgery in order to rectify an incorrect implant choice, the complications and scarring caused by the secondary procedure may produce an even worse result.

The correct choice regarding implant size should therefore be made from the very beginning, and it is the surgeon’s responsibility to make the patient fully aware of the possible consequences of an incorrect choice.

Safety

Procedures are carried out exclusively in appropriate theatre settings, in private hospitals dedicated exclusively to cosmetic surgery 

In order to guarantee the highest standards of care, I operate in private hospitals that are accredited with the Care Quality Commission. I only use the most up-to-date surgical equipment and premises that meet the highest standards of quality and safety.

Breast Implants with FDA (Food and Drug Administration) Certification

The Food and Drug Administration (FDA) is the US federal agency responsible for protecting and promoting public health through the control and supervision of food safety, medications and medical devices.

Only three manufacturing companies for breast implants have obtained FDA approval – Mentor, Allergan and Silimed.

These are more expensive because they are of better quality!

Anaesthetic Team

As of 2011, I operate exclusively with a team of selected Consultant Anaesthetists that I have personally chosen throughout the years.  They all have more than 20 years of experience each in the NHS and have a vast experience with cosmetic procedures. They all regularly work or have worked in Intensive Care Units within the NHS, hence are perfectly capable of dealing with unexpected events and with the risks associated to surgery and general anaesthesia. 

Dr Oliver Sykes 

Dr Sheena Irvine

Dr Massimiliano Guglielmi

Dr Ah-fee Chan

Dr Priti Ghandre

Dr Philip Barclay 

This exceptionally experienced team of Anaesthetists guarantees extreme safety in surgery and the most skilful and ideal assistance at any stage throughout the patient’s journey. 

I have always deemed sensible and appropriate for the patient to be assisted in all the stages of her journey (pre- intra- and post– operative) by the one person upon whom her entire trust is placed, that is the surgeon.

In the professional relationship with my patients I do not rely on any intermediary figures (such as patient-care coordinators, commercial advisors).

It is my specific responsibility to personally assist each one of my private patients before surgery (during consultations), on the day of surgery and after surgery (with wound checks, change of dressings and follow-up appointments). 

I have made the professional choice to operate exclusively in central London, in order to guarantee my presence and hands-on assistance at any time. 

After the surgical procedure, each one of my private patients will be given a private mobile number, active 24 hours a day and 7 days a week, answered by my personal Assistant Nurse.  

This allows better patient safety for an immediate response to any problem. 

Minor issues such as nausea/sickness, skin rash, constipation will be dealt with by the Nurse Assistant under my direct supervision. 

Should a severe surgical complication arise (for example bleeding), I shall be personally on the other end of the phone, and available for immediate patient assessment. 

For the first 2 years, patients will be able to have surgical follow-ups and checkups completely free of charge. 

For any complication, during the first 2 years, patients will be entitled to the assistance programme (please refer to the “Aftercare programme” document, in order to select the most appropriate option). 

With Mentor Breast implants, the Life-Time guarantee will be automatically activated with the manufacturing  company.