My Philosophy

Natural Results + Highest Safety + Personal Assistance

Natural Results

Evaluation of Body Proportions

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.

Respect for the Anatomy

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.

No to Extremes

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 the best private hospitals in appropriate theatre settings

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 small team of anaesthetists that I have chosen over the years. Each has more than 20 years’ experience in the NHS, and a vast experience with cosmetic procedures. They all work regularly in intensive care units within the NHS and are therefore perfectly capable of dealing with unexpected events, and highly familiar with the risks associated with surgery and general anaesthesia.

This exceptionally experienced team of anaesthetists guarantees full safety in surgery, and the most skilful assistance throughout the patient journey.

Dr Sylva Ambrozova

Dr Sylva Ambrozova

Dr Francesca Rubulotta

Dr Francesca Rubulotta

Dr Sergei Vaganov

Dr Sergei Vaganov

Dr Ah-fee Chan

Dr Philip Barclay

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!

Assistance

Always Direct

I have always believed that it is important for a patient to be accompanied through all the phases of her journey (pre-, intra- and post–operative) by the person in whom her entire trust is placed – that is, her surgeon.

For this reason, I do not rely on any intermediary figures (assistants, patient-care coordinators or commercial advisors, for example), but prefer to communicate with my patients direct. I undertake to assist each one of my private patients personally during consultations prior to surgery, on the day of surgery and after surgery (with wound checks, changes of dressing and telephone assistance).

On-Call Cover and Immediate Availability

I operate exclusively in central London, in order to guarantee my presence and assistance at any moment.

After the surgical procedure, my private patients are given a private mobile number, active 24 hours a day and 7 days a week, so that they can communicate with me personally. This ensures better patient safety, and an immediate response to any problem.

Aftercare

For the first 5 years, patients will receive surgical follow-ups and check-ups completely free of charge.

For any complication during the first 2 years, patients will be entitled to an assistance programme, which includes a 50% reduction of hospital fees, and zero costs for surgical fees.

With Mentor and Allergan implants, a lifetime guarantee will be activated with the manufacturing companies themselves.