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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 for further information and an appointment.

You can read more about breast implant surgery on this website and by clicking the following links:

Fat transfer for breast augmentation

Many women are unhappy with the natural shape and the size of their breasts, a fact that is proved to us by the consistent popularity of breast implant surgery. However, for many patients who only want to achieve a small amount of extra volume in the breasts, a procedure which avoids breast implants is now available.

Fat transfer for breast augmentation is an increasingly popular surgery, and consists of taking fat from elsewhere in the body via liposuction and injecting into the breasts to enhance them and add volume. It’s not a direct alternative to breast implants since large cup sizes cannot be achieved, but for many women it could be the more considered, practical and natural looking choice. Listed below are a few of the reasons you might want to consider fat transfer over a traditional breast augmentation.

No implants

Breast implant surgery is, especially in the last few years, a safe, reliable treatment. However, there are still risks associated with having implants – there is a chance that they can ‘ripple’ or rupture, and although they last a long time, they will need to be replaced at some point. If you’re only looking for a slight enhancement to your natural breasts, fat transfer can provide this without the fuss of implants.

Natural looking results

Because of the nature of fat transfer there is a limit to the amount of fat can that can be injected into the breasts. Therefore, the increase in size that can be expected  is usually no more than one cup size. This is not a procedure for women who are looking for a moderate to dramatic enhancement, or a full cleavage. However, for those who would just like to slightly increase the size of their breasts will result in natural looking and subtle results.

Dual function

One of the key reasons that patients may choose fat transfer for breast augmentation is because it serves a dual purpose: namely, fat is removed from an area of the body that will benefit from it. Many women choose their stomachs, hips or thighs, for example, in order to slim a problem area of the body whilst enhancing the size of the natural breasts. Also, if your main concern has been stubborn areas of fat and have considered liposuction as well as breast enlargement this is an ideal procedure to consider.

More convenient

Fat transfer for breast augmentation is often a less invasive procedure than full breast augmentation. Therefore, the required resting times are reduced: general recovery takes only a few days, and you will be able to return to work after a week, and to any strenuous activities like sport after 2-4 weeks. Additionally, because the fat is taken from your own body it is a natural form of enhancement.

Less scarring

The fat is removed from the body, using liposuction, through a very fine cannula and therefore the incisions are tiny and well hidden.. After it is purified and extracted, it is injected into the breasts and therefore results in hardly any visible scarring to the breast.

Potential issues

As with any surgery, there are potential limitations and risks associated with fat transfer for breast augmentation. The main risk with this procedure is the failure for the fat to heal or ‘take’ and very often, a repeat procedure is required to achieve the desired results due the fat that ‘fails’. Very occasionally there can be some minor asymmetry if more fat on one breast survives but not the other. Again this can be corrected with a top up procedure.

Infection is possible but uncommon with this procedure. If you do contract an infection following a fat transfer, it can be easily managed by a course of antibiotics.

The procedure

The procedure is performed under general anaesthetic, and will take about two hours. It’s usually performed as a day case, meaning you will not have to stay in hospital overnight, but this depends on your personal reaction to anaesthetic. Mr. Chana uses the very latest Bodyjet liposuction system which uses a gentle water jet to extract the fat cells in a healthy purified form. This fat is then injected into the breasts in a controlled way.


Fat transfer is not the right option for everyone who wants breast augmentation surgery, but it will certainly be more suitable for some patients. The best course of action to ascertain your suitability is to book a consultation with Mr. Chana. During this consultation, you will be able to talk to him about the likely results you can expect to achieve .

You’ll also be able to talk about alternative surgery such as breast implants if you feel that fat transfer isn’t right for you, and ask any questions you might have to ensure that you know all about the procedure and feel completely comfortable with all aspects of your proposed surgery.

For women looking for a little boost to the appearance of their chest, fat transfer is a fabulous option. Whether you’re certain you want to undergo treatment, or would just like to learn a little more about it, contact Mr. Chana’s clinic today for a consultation.

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.

Breast Surgery

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.




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[1]” 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%[2] 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.


[1]The Brazilian Breast Augmentation uses Pure Implants.

[2] 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.


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:

  1. Are you certified by BAAPS (The British Association of Aesthetic Plastic Surgeons)?
  2. How long have you been performing breast implant surgery for?
  3. How many revisions of your work do you, on average, perform?
  4. Can I see some before and after photos?
  5. Can I speak with some of your past breast implant patients?
  6. Is there someone on your staff who has been a patient, and can I speak to her?
  7. If I don’t like the results / I have problems after my surgery, will a second operation be covered within the initial cost?
  8. What are the different kinds of implants available and what would be suitable for me?
  9. What breast size do you suggest for my frame?
  10. What are the possible risks of breast implant surgery?


*1962 in Houston, Texas –

*The global health scare affected –

*1.6% –

**NHS Medical Director –


beach boobs2According to reports the Poker Face singer is revealing that she has issues with her body and wants bigger breasts.

Gaga loves showing off her assets at the best of times, with her see-through costumes but now she wants them even bigger as according to reports she told a waitress she wanted to go fake.

Apparently Gaga told the waitress: “I love your boobs! Are they real? I really want to get implants too, I love false boobs.”


Americans, in the grip of an economic recession, spent $10 billion on plastic surgery procedures last year – that’s down three percent from 2008.

Breast enlargement, nose jobs, eyelid surgery, liposuction and tummy tucks were all down, with liposuction showing the biggest decline, the latest figures from the American Society of Plastic Surgeons (ASPS) showed.

The ASPS figures showed that females made up 91 percent of those undergoing cosmetic procedures including “Mommy makeovers” involving tummy tucks, liposuction and breast lifts.

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© Jag Chana 2014