Keogh report on cosmetic surgery awaited: possibility of VAT on cosmetic surgery in the future, only recognised specialists likely to be able to undertake cosmetic surgery.

Dedicated non-surgical clinic at Spire Cambridge Lea Hospital now available on Wednesdays with reduced prices.

Mr Price to give open talk in Fitzwilliam Hospital, Peterborough on 24th April 2013 - contact hospital for details.

Breast Implants

Breast Implants come in a variety of shapes, sizes and manufacturers. At first the number may seem daunting and because of this Mr Price will advise you which implant he feels is most appropriate for you. This will be based upon what look you want to achieve and the shape of your breasts before the procedure.

Implants come in a variety of sizes and shapes. For any given shape, there is a range of sizes. In contrast, there are essentially only two shapes of implant – so-called ‘round’ and ‘anatomical’ (or teardrop-shaped).

Round implants are named because they are round on front view and dome-shaped on side-view – a bit like an orange cut in half. The flat surface rests against the chest wall, and the dome adds projection and size throughout the area of the breast.

Anatomical implants are oval shaped on front view and teardrop shaped on side view, and come in a complex variety of shapes and sizes. They try to mimic the natural shape of the breast and so are thinner above, with more volume in the lower part of the breast. Despite this apparently obvious advantage, anatomical implants are not necessarily the right choice for you and Mr Price will discuss this with you at the pre-operative consultation.

All implants are made of a silicone outer shell and either a silicone (most common) or, rarely, a saline (salt water) filling. Historically, the silicone within the implant was in a liquid form and this sometimes resulted in leakage. More modern implants have a ‘cohesive gel’ form of silicone within them, a bit like a jelly sweet – when cut in half these implants look like a piece of jelly and no silicone leaks from them.

A number of years ago there was the so-called ‘Silicone Controversy’, predominantly in the USA, and amid scares for the safety of the implants (and patients who might receive them), the United States FDA removed them from the US market. Subsequently these fears were proven unfounded. Silicone implants have always been available in the UK and, generally, are the first choice for most British Cosmetic Surgeons. The UK Department of Health have published guidance on implants (see below).

All silicone implants develop what is known as a ‘capsule’ – a thin wall of scar tissue around the implant. Usually, this cannot be felt but in some ladies, over time, the capsule shrinks over time (years) in a process known as Capsular Contracture. This can result in a stiffer implant then normal, or even one that becomes painful. In these circumstances it may be necessary to exchange the implants.

Otherwise, guidelines at the time of writing state that the newest generation of implants should last a lifetime. What is probably more realistic is that you should have them checked once every 5-10 years or so. They should only require exchanging if there are problems.

Older implants are known to ‘wear out’ with time and if you have received these then you should have your breasts examined regularly. However there is no convincing evidence that you should routinely exchange your implants if they are not causing any problems. Mr Price will be happy to advise you if you have any concerns.

To make an appointment to discuss Breast Implants surgery in Peterborough or Cambridge, please contact Mr Price’s secretary.

Useful websites for implant information:

Department of Health

Australian Government Booklet

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