Jag Chana has over 20 years expertise in Cosmetic Surgery and is one of the most experienced surgeons in the area. He has an NHS practice specialising in breast reconstruction and facial reconstruction which is based at the Royal Free Hospital in London. The expertise in both Reconstructive and Cosmetic Breast procedures means Mr Chana can offer you the best advice in all forms of breast procedures including breast implants, breast uplifts and reductions.
During your Consultation Mr Chana will discuss the best approach to your surgery. There is no restriction to the type of implant and all implant choices are available to you. A final decision is always made after an in-depth discussion and after you have had a chance to try on implants in the clinic to help choose the size. All major decisions such as ‘ round’ or ‘ tear-drop shaped’ implants, the size and manufacturer are fully explained including whether the implant is best positioned under or over the muscle. The exact technique and type of implant will vary from individual to individual. If necessary two consultations may be necessary.
Mr Chana places emphasis on natural results following breast implant surgery in order to avoid the ‘implanted appearance’ which is often displayed in the media by various celebrities.
The Hospital is well equipped for performing all types of cosmetic surgery with specialised and experienced nursing staff to care for patients undergoing plastic surgery. After your surgery there is a dedicated nurse to attend to removal of stitches and dressings who is always at the other end of the phone for advice and support. Unlike very many other hospitals the price of surgery is all inclusive with no extras even if there are extra attendances for any reason.
Holly House Hospital has recently transferred calls to a large call centre and started to take credit card details even before making an appointment which has taken away the personal approach that Mr Chana prefers to advocate for all his valued patients. Mr Chana prefers a more personal and individual approach to your enquiry and so please call his office directly for any advice you may need and if you would like to make an appointment. Mr Chana’s personal team is better informed to take your calls than random call centre staff. Please call 0845 519 1096 or e mail firstname.lastname@example.org for further information and an appointment.
You can read more about breast implant surgery on this website and by clicking the following links:
20 May 2015
Post-pregnancy procedures with Mr. Jag Chana
Although many women think about the changes their bodies will go through during pregnancy and childbirth, fewer considerations are paid to the effects on the body post-pregnancy. However, many women find that their bodies are not the same after they have had children, and this can be debilitating to confidence. There are a number of procedures that are appropriate for getting post-pregnancy bodies back into shape; most commonly the issues relate to post-pregnancy abdominal tissue and skin laxity, together with laxity in breast tissue and quite often loss of breast volume.
What procedures are most suited to a post-pregnancy body?
The most commonly sought after procedures for women who have had children are abdominoplasties and breast procedures. During and after pregnancy, the breasts and abdomen are affected, and so breast uplift surgery, breast enhancement surgery and abdominoplasty are the most commonly required surgical procedures after pregnancy.
Why is mastopexy or breast uplift surgery often required post-pregnancy?
During pregnancy breast hypertrophy occurs with significant enlargement of the glandular tissue in preparation for breast feeding. Following pregnancy and breast feeding, the glandular tissue reduces in size but very often the skin does not retract and the result is that the breast and nipple drops. This situation can be corrected using a breast uplift. For more information on mastopexy surgery click here.
Why is abdominoplasty surgery required post-pregnancy?
Pregnancy causes stretched skin and sometimes stretch marks. Often the skin does not retract after the pregnancy and can leave folds and an overhang of skin. At the same time the enlarging womb can cause the muscles to separate leaving a permanent weakness which does not improve, even after exercising the abdominal muscles. This is called a rectus divarication and amounts to a split in the muscles. Abdominoplasty surgery aims to remove the loose skin and tighten the muscles in order to achieve a flatter appearance.
In some situations where a minimal amount of loose skin is evident on the lower abdomen a mini-abdominoplasty can be performed. This is quite common in women who have had a caesarean section in which case a small amount of skin can be removed above the caesarean section scar. For more information on abdominoplasty, please click here.
Why is breast augmentation required post-pregnancy ?
Following the enlargement of the breasts during pregnancy and breast feeding, an involution of the breast glands takes place and many women find that they have lost volume to their breasts after pregnancy. In these situations, breast augmentation can be carried out using breast implants. For small amounts of enlargement, perhaps one cup size, fat transfer can also be carried out using fat which is taken using liposuction from other parts of the body. However, only a maximum one cup size increase can be achieved using this method. Click here to read more about breast augmentation surgery.
What is the recovery process for post-pregnancy cosmetic surgery?
If you have recently given birth or have small children, you should be aware that you may not be as mobile as usual immediately after surgery, and make arrangements for this accordingly. All types of post-pregnancy surgery will require a general anaesthetic and some form of hospital stay – usually one night. Following this, time off work of one to two weeks is needed and you will need to refrain from exercise for 6 weeks.
What are the risks of post-pregnancy cosmetic surgery?
The risks associated with cosmetic surgery are not enhanced if you’ve had children – provided that you allow your body to recover for some time, and do not pursue cosmetic options immediately after you have given birth. You should not, for example, seek cosmetic breast surgery whilst you are still breastfeeding. For more information on this and other examples of how long you should wait post-pregnancy, speak to Mr. Chana during a consultation. He will advise you as to the time frame you should adhere to for your surgery.
The risks associated with cosmetic surgery – a chance of infection, swelling, bruising etc. – will be explained to you fully well ahead of your procedure.
Please note, it is often advisable that women do not seek cosmetic surgery until after they are done having children. Cosmetic treatments – particularly those performed on the abdomen – are only effective to a certain extent, and putting the same amount of strain on the area for a repeated time has potential to reverse the effects of the procedure. For best results, you should aim to sustain a similar shape and size post-surgery through diet and exercise, so as not to disturb the effects of the procedure and maintain the long term results.
How do I proceed with post-pregnancy cosmetic surgery?
If you are interested in any form of post-pregnancy surgery cosmetic surgery, you should book a consultation with Mr. Jag Chana to discuss your options and to discuss what treatment plan is right for you. Mr. Chana offers a bespoke and personalised service, so your individual needs will be thoroughly assessed before a procedure is suggested and approved. Your psychological and physical suitability to surgery will also be considered.
Your consultation is also an excellent opportunity for you to ask any questions you might have about the procedure. Many patients find that being fully informed about the procedure helps to ease the anxiety related to considering surgery.
If you are interested in booking a consultation with Mr. Jag Chana, please book an appointment today by calling or emailing his clinic.
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18 Oct 2014
Breast Augmentation FAQ’s
Pursuing breast surgery can be a daunting prospect, as can any other surgical procedure. Mr. Jag Chana, who is a skilled and experienced plastic surgeon, answers all your breast augmentation questions, to help ease your worries and give you the confidence you need to continue forward with surgery if you wish.
What is it?
Known widely as the ‘boob job’, breast augmentation is the most popular cosmetic procedure which enhances the size and shape of the breast by inserting a silicone implant.
What is the procedure like?
You will have to have a thorough consultation with Mr. Jag Chana beforehand, to discuss your breast issues, conclude what size implant you will have and to learn more about surgery.
You will be under general anaesthetic and Mr. Chana will make an incision either in the crease underneath the breasts, in the armpit or in the belly button and will insert the implant.
The implant will be placed either in front of, or behind the breast muscle, depending on the suitability which will be discussed in your consultation.
How long will surgery take?
On average, breast surgery takes about an hour to an hour and a half to complete.
Is the procedure painful?
The procedure shouldn’t hurt as you will be under anaesthetic, however, there may be discomfort afterwards as the breasts will be swollen for a while. Taking painkillers regularly and getting plenty of rest will help to relieve any discomfort which usually lasts 3-4 days after surgery.
How old do you have to be to have this procedure done?
Breast surgery is refused to anyone under the age of 18 and you can’t legally have breast implants without your parent’s consent under the age of 16. Your breasts need to be fully developed before you can undergo breast surgery.
Should I have the implants inserted in front of or behind the breast muscle?
There is no right or wrong answer to this and what is best for you will be discussed in your consultation. Usually surgeons tend to place the implant behind the muscle, but this is down to the individual case.
How long does it take to recover?
If you went under local anaesthetic, you can leave the hospital on the same day so long as the nurses are happy that you are ready to go.
- You may be required to stay in overnight if you had the operation done under general anaesthetic.
- Your breasts will be swollen for a few weeks after surgery and you will have to wear dressings to support them.
- You can return to work within about a week if your job requires little movement; 2 weeks if the job isn’t sedentary.
Will my breasts feel different after having implants?
At first your breasts may feel heavy due to swelling and having bigger breasts but soon after you get used to them, most patients forget that they even have implants as it feels that comfortable to them. Some patients believe it will be difficult to sleep as normal i.e. lying on your front, as they fear it may hurt, however, this is not the case and once breasts have fully recovered you can do anything as normal.
How much does it cost?
Breast Augmentation surgery costs just under £5,000. However, a consultation with Mr. Chana will provide you with more information, including the cost of implant choice.
Can I get any size I want?
There is a limit as to what implant size can fit into each individual’s breast as there needs to be a sufficient amount of tissue or muscle to cover the implant. The whole point in this surgery is to make your breasts bigger but Mr. Chana likes to keep results as natural looking as possible. However, this can all be discussed in your consultation and Mr. Chana will always ensure you get the results that you wish for.
What are the risks of this operation?
As with all surgery, there are some risks you must be aware of before undergoing breast surgery, and Mr. Chana will provide you with all of the information and care that you need.
How long do implants last?
Usually, implants last about ten years and once you have reached that limit, you should go back to Mr. Chana to discuss what happens next – which usually requires new replacement of implants as the current ones suffer wear and tear.
Are there any changes in my breast that I should consider?
The nipples may become a lot more sensitive or there may be loss of sensitivity and the bottom of the breast can become temporarily numb, but everything returns to normal.
Can I breastfeed after implants?
You can still breastfeed after having breast implants as they should not affect the baby or mother.
When can I exercise again?
It is recommended that any exercise or strenuous activity is left for at least four weeks and if there is still some discomfort after that, you should wait a bit longer.
16 Mar 2014
There are six different types of breast surgery which all help to improve many different issues.
The most popular breast procedure is Breast Augmentation – widely known as the ‘boob job’.
The aim of this procedure is to enhance the breasts by inserting silicone implants, making them bigger and altering the shape if required.
Breast reduction surgery can be performed on those who have an overly large breast that is disproportioned to the rest of their body, or are experiencing pains from the weight of the breast tissue they are carrying.
As we age and after pregnancy, the breasts can sag, droop or lose its shape. Mastopexy is a form of breast surgery which addresses this issue and lifts up the breast whilst also re-shaping it into its new position.
You may be surprised to hear that breast surgery is not only for women. Men also have breast tissue – some have more than others.
In fact, breast surgery for men is becoming increasingly popular as more men are targeting their chest issues which they may become embarrassed of. The most common issue is the so-called ‘moobs’ (man boobs).
Gyneacomastia is the name for the surgery which reduces the amount of breast tissue on a man’s chest that diet and exercise can’t seem to shift.
Pectoral implants can also be inserted to enhance the muscular appearance of the male chest. These are much firmer than female breast implants and are shaped to increase the size of the pectoral muscle as natural looking as possible.
All of the above procedures aim to solve your issues, improve your confidence and alter your breast/chest shape.
Am I suitable?
If any of the issues described above are familiar to you or if you are considering any of the above procedures and want to find out more, then booking a consultation with Mr. Jag Chana will address your issues and provide you with the information you need.
Mr. Chana will answer all your questions and provide you with the right care to ensure that your surgery is as comfortable as possible.
What is the treatment like?
The treatment is different for each type of surgery and again this is something you will need to discuss with Mr. Chana in your consultation, to make sure that the procedure is right for you.
Breast Augmentation works by the surgeon making an incision into the crease underneath the breasts and the implant is inserted and placed either in front of, or behind the muscle depending on what is advised to you.
Breast Reduction surgery involves a cut around the nipple, down to the bottom of the breast and then along the crease underneath. Excess tissue is removed (the amount depends on the bra size you wish to go down to which will be discussed in your consultation) and the nipples are sewn back into their new position.
There are various ways of performing Mastopexy surgery and this depends on what grade of sagging your surgeon has assessed you as, but generally the surgery involves cuts into the breast, the breast is lifted, excess skin is removed and the tissues are tightened before closing the incisions with stitches.
How long does the procedure take?
This all depends on the type of breast surgery you have but usually breast surgery takes, on average, between two and three hours.
How long do results last?
The results are long-term – with implants lasting ten years before being replaced with new ones and other types of breast surgery results last forever.
However, you can always go back to your surgeon to discuss any problems (should you have any) and alter anything if need be, although this is very rare as most patients are extremely satisfied with their results.
Does it leave a scar?
Breast surgery will scar as it involves incisions into the breast tissue but these are usually well hidden and fade over time.
How much does it cost?
Again, this all depends on the type of surgery you choose, but on average breast surgery starts at around £4,500.
11 Jan 2014
THE BRAZILIAN BOOB JOB HERE IN THE UK
BRITISH WOMEN CAN NOW BENEFIT FROM THE SECRET TO BRAZIL’S VOLUPTUOUS BREASTS
Often voted the sexiest women in the world, the Brazilians are renowned for their stunning beach body beauty. For years, Brazilian women have been relying on a revolutionary breast implant for their bounteous curves, but until recently, the implant was unavailable in the UK. However this is about to change as “Brazilian Breast Augmentation” or the Brazilian Boob Job is being pioneered in the UK by leading cosmetic surgeon, Mr Jag Chana of Spire Healthcare, Bushey.
The secret to the Brazilian Breast Augmentation procedure is a revolutionary implant that is not only shaped to fit many different breast shapes and sizes but has a unique polyurethane coating which encourages the body to accept it. The breast tissue then grows around the implant, securing it in place and reducing the risk of capsular contracture (abnormal immune system response or “rejection”) to just 2-3% compared with 16% for other implants.
Mr Chana, one of the UK’s leading Consultant Plastic Surgeons says: “The most common complication from breast implants is capsular contracture, which is an abnormal response of the immune system to foreign material. This response hardens the breast implant and distorts its shape.
“The brilliance of the Brazilian breast augmentation is the implant’s polyurethane coating which reduces risk considerably and allows the implant to be more stable and natural looking. My patients have been amazed by the results; they’re the most natural looking implants, with the lowest complication rates available today.”
Five styles of implant are tailored to your breast shape which can be round, natural teardrop, conical, enhance and nuance. Each of the five styles has low, moderate, high and extra high projection for added lift and height.
PRICE: From £4,200 with final price dependent upon recommended procedure.
CLINIC: Spire Healthcare, Bushey Hospital.
DURATION: The procedure takes approximately 1 ½ hours and is carried out under general anaesthetic. Patients are required to stay at the hospital usually for the day or occasionally overnight for monitoring and recovery.
AFTER CARE: Patients wear a supportive bra day and night for at least two weeks following surgery to help the breasts to settle and feel comfortable. Time off work is recommended. Full recovery from the surgery usually takes six weeks.
The Brazilian Breast Augmentation uses Pure Implants.
 2009 study by Allergan shows that on average after seven years, 16% of women with implants in the survey sample developed capsular contracture and required replacement.
25 Sep 2013
The positive outcome of PIP implants
Since the first breast augmentation took place in *1962 in Houston, Texas, cosmetic surgery has been a big business all over the world. However, in 2010 a nationwide scandal occurred when it was discovered that French company PIP had been making breast implants using silicone from an unapproved source, and according to the French authorities they had a higher than usual rupture rate. They were consequently banned and the scandal peaked in December 2010 when France recommended the routine removal of all PIP implants. *The global health scare affected an estimated 300,000 women in over 65 countries with over 42,000 women in Britain alone receiving the implants.
The founder of the French company that made the PIP implants, was charged with aggravated fraud over the scandal and according to BAAPS, there was a consequential dip in the demand for breast augmentation; dropping by *1.6%.
One result the PIP implants scandal has had on the cosmetic surgery industry is that those women still willing to undergo surgery are much better informed. In the first year following on from the scandal, questions specifically relating to PIPs came up in every consultation, such as who manufactured the implants, their product history, whether the implants had a warranty and their expected longevity.
Certainly the most beneficial aspect has been the review of the industry in which *NHS Medical Director, Professor Sir Bruce Keogh stated that he was working with experts from the plastic surgery field to ensure higher degrees of safety measures. He also said: ‘There is already considerable support for a comprehensive register of significant surgical devices – from breast implants to heart valves to replacement joints. We will be looking critically at the value and feasibility of such a register and at how best to put this into action.’
From a surgeon’s point of view having a breast implant registry can only be a good thing – it ensures that anyone considering a breast augmentation will be in the safest possible hands with the best care and attention available.
If you are seeing a surgeon for a breast enlargement or reduction, important questions to ask include:
- Are you certified by BAAPS (The British Association of Aesthetic Plastic Surgeons)?
- How long have you been performing breast implant surgery for?
- How many revisions of your work do you, on average, perform?
- Can I see some before and after photos?
- Can I speak with some of your past breast implant patients?
- Is there someone on your staff who has been a patient, and can I speak to her?
- If I don’t like the results / I have problems after my surgery, will a second operation be covered within the initial cost?
- What are the different kinds of implants available and what would be suitable for me?
- What breast size do you suggest for my frame?
- What are the possible risks of breast implant surgery?
*1962 in Houston, Texas –
*The global health scare affected –
**NHS Medical Director –
26 Oct 2010
The different types of breast reconstruction, or breast injury for that matter, can affect a woman’s ability to produce milk. The main concern is not whether a foreign element is placed inside the breast. Only surgeries that damage or cut the milk duct and nerves will affect someone’s breast feeding abilities. The waiting period between the surgery and the feeding period is also a factor in the equation. The longer the wait is, the more successful you will be.
Before undergoing any type of breast surgery, make sure to consult the doctor who will be performing the operation. You may specifically ask your doctor to leave your milk ducts untouched or unaffected.
21 Sep 2010
One of the decisions a woman contemplating breast augmentation needs to make with her surgeon is whether to remain awake during the operation.
The most common alternative to general anesthesia is a combination of sedation and local anesthesia. This method induces a state of reduced consciousness, so that the patient is only dimly aware of her surroundings and what’s being done to her. In this very relaxed state, she may drift off to sleep, although she will not be fully unconscious. A local anesthetic injection is used to numb the surgical site.
Your plastic surgeon will discuss the risks and benefits of each anesthesia method and help you decide which is most appropriate for your procedure.