Breast Augmentation

Consultations offered at our four convenient locations in 10 Harley Street, London, Princess Margaret Hospital, Windsor, Spire Thames Valley, Gerrards Cross and Kings' Oak Hospital, Enfield

Breast augmentation is one of Maisam Fazel’s most frequently performed cosmetic surgery procedures and can give women with small or uneven breasts a fuller, firmer, more proportioned look through the placement of silicone implants in the breast.

Before and After Photos


Maisam Fazel’s patients choose to undergo a breast augmentation for many different medical and aesthetic reasons, including:

  • enhancing breast size to achieve better proportion
  • replacing lost volume after pregnancy or weight loss
  • correcting congenital breast defects
  • as part of a breast lift
  • to make the breasts perkier
  • to provide fuller breasts
  • to improve breast asymmetry
  • to assist with correcting nipple inversion

At a Glance

  • Duration: 45 mins
  • Daycase / Overnight: Daycase
  • Type of Anaesthetic: GA (may be possible under sedation)
  • Bra / Garment to be worn for: 6 weeks
  • Return to Work (depending on job): 4-5 days
  • Return to Gym: 2 weeks (lower body) 6 weeks (upper body)


Maisam Fazel is a widely recognised specialist in cosmetic breast surgery and is known for his natural looking breast augmentations. His success rests on listening to each patient’s individual aesthetic goal to ensure that he can appropriately advise on the brand, shape, size and position of the implant. As part of the consultation, he performs a sizing test to help a patient decide on the size of the implant.

In addition to performing this procedure under general anaesthesia, Maisam Fazel also has extensive experience in performing breast augmentations under local anaesthesia for patients who prefer this.

Depending on a patient’s anatomy, Maisam Fazel may sometimes recommend combining a breast augmentation with procedures such as a breast lift or fat transfer to breasts.


How is the breast implant selected?

This is one of the most important aspects of the consultation. To determine the most appropriate implant, the patient’s existing breast tissue, body frame and aesthetic expectations are taken into account. Additionally, Maisam Fazel performs a sizing test in clinic to give the patient an idea of how they may look after the breast augmentation. This helps the patient to select the implant size and shape that best suits them.

What implant brands does Maisam Fazel use?

No one implant is suitable for all patients and thus Maisam Fazel uses a variety of implant brands based on the patient’s aesthetic goals and anatomical considerations.  However, Maisam Fazel will only use implants with a proven strong track record of safety. The implants that he frequently uses include B-lite, Motiva and Nagor.

Is a breast augmentation with silicone implants safe?

While any surgical procedure carries certain risks, there are also certain risks associated specifically to a breast augmentation with implants.  Recently, there has been a link made between textured breast implants and a condition known as Breast Implant Associated Anaplastic Large Cell Lymphoma (BIA-ALCL). The lymphoma forms in the capsule (scar tissue) that surrounds the breast implant. BIA-ALCL is very rare and tends to respond well to treatment. Currently, the advice from the UK government is that BIA-ALCL poses a very small risk. Maisam Fazel will discuss this in detail during the consultation.
Separately, very rarely, some patients report a wide range of auto-immune like symptoms which they attribute to their breast implants. Although this is not recognised as a disease, these symptoms are collectively called Breast Implant Illness. Many of these patients report feeling much better once the implants are removed together with the entire capsule, in a procedure known as an en bloc capsulectomy, which Maisam Fazel is an expert in.

Can one breastfeed after breast augmentation surgery?

It is difficult to predict whether a patient will be able to breastfeed after a breast augmentation. Many women successfully breast feed after a breast augmentation while others have difficulty breast feeding even when they have not had breast implants. The ability to breast feed after an augmentation may depend on where the incision is made and where the implant has been placed in relation to the chest wall muscle.

Do breast implants have to be changed?

All the implants used by Maisam Fazel are of a very high quality and do not need to be routinely changed unless there is an issue with them or if the patient wants a change. Conversely, a breast implant is not considered a lifetime device and thus surgery may be required in the future to replace the implants.

Is a breast lift needed with implants?

This depends on the position of the nipple in relation the main volume of the breast tissue as well as its relation to the breast crease. Maisam Fazel can advise on the need for this after examination. If needed, Maisam Fazel is happy to perform a breast lift at the same time as a breast augmentation using either a lollipop (vertical) lift or his famous donut (periareolar) lift.

What shape of implant can be used?

Breast implants have either round or tear-drop (anatomical) shape. Tear-drop implants are thought to be more ‘natural’ and can provide a small internal breast lift. However, they can occasionally rotate and end up lying in an abnormal position within the breast. Maisam Fazel uses both implant shapes and will advise on the shape after evaluating a patient’s anatomy and their aesthetic goal.