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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 info@jagchana.co.uk for further information and an appointment.

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

https://www.jagchana.co.uk/breast-augmentation-mr-jag-chana/

https://www.jagchana.co.uk/do-breast-implants-last-a-lifetime/

https://www.jagchana.co.uk/surgery-for-breast-implant-capsular-contracture-with-mr-jag-chana/

https://www.jagchana.co.uk/risks-involved-choosing-large-implants/

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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Breast Augmentation

Breast augmentation or breast implants, colloquially known as a ‘boob job’, is an incredibly popular surgical procedure, with a high satisfaction rate. Having breasts that the individual considers ‘too small’ can be debilitating to one’s confidence, and breast implant surgery can improve this by creating enlarged and naturally appearing breasts.

Types of breast implants

Silicone implants are the commonest type of implants . The quality of implants have improved hugely over the last decade and currently the most appropriate type of implant to use is one which contains a cohesive gel silicone. The cohesivity means that the silicone is not a liquid but a gel which retains its structure but is yet quite soft and mimics the consistency of breast tissue. A further feature which improves the implant is the texturing on the surface since this reduces the incidence of capsular contracture . A capsular contracture is a risk in approximately 10—20% of patients and results in hardening of the implants and if left for a prolonged period of time can cause some discomfort. Mr Chana will always recommend this type of quality of implant which has a cohesive gel and is textured on the surface.

Mr. Chana also offers breast implants with a polyurethane foam coating (often known as ‘The Brazilian boob job’) – a modern innovation in breast implant technology which has considerable advantages over standard implants. These include a further reduced risk of capsular contracture occurring, which is the most common complication in breast augmentation surgery, as well as a more stable and natural looking result.

Round or anatomical (tear drop implants)

Mr. Chana aims to achieve the most natural and bespoke results possible, and for this reason, your consultation is particularly important, as you will need to describe the type of appearance that you are hoping for and Mr Chana will explain how this is best achieved.

During the consultation, you will discuss with Mr. Chana whether you would prefer round or ‘tear drop’ implants. Round implants, as is to be expected, provide a ‘rounded’ breast will a full cleavage, whereas teardrop implants imitate natural breasts but are limited in the degree of fullness achieved in the cleavage area. Your preference will be what primarily affects this decision, although Mr. Chana’s guidance can help you to achieve your goals , so it is best to attend your consultation with an open mind and to decide together on the most appropriate way forward. There is also a risk associated with tear drop implants of twisting or malpositioning over time, although this is very rare.

Above the muscle or under the muscle ?

You will also discuss during the consultation whether the implants will sit on top of the breast tissue, or below it. Placing an implant on the top of the muscle is only suitable for certain patients – you must have enough existing breast tissue to adequately cover the implant, otherwise it will be visible. If you do not have much existing breast tissue, it might suit you better to have the implants placed underneath the chest muscle, which covers the implant and therefore gives a more natural result.

Size of implants ?

The other, most obvious topic of discussion is the size of the implant. Again, this is a personal issue, and depends entirely on the kind of appearance you are trying to achieve. The best way for you to decide what size is right for you is to try on implant ‘sizers’ in a sports bra, where various sized implants can be inserted in the bra so you have a visual idea of what to expect. This exercise gives an approximate estimate of the volume enhancement but is usually reassuring for patients since it means you are involved in the decision process.

What cup size ?

Breast implants are not measured in cup sizes, but rather volume, according to the size of the silicone implant. However, if you come with a cup size in mind, Mr. Chana will easily be able to advise you on the size range of implants which can achieve this this. However, there can never be a guarantee of exact cup size since bras can fit differently after surgery and can vary from manufacturer to manufacturer. The sizing exercise before surgery is very important since this is trhe best method to provide you with an idea of the approximate post surgery result. It is best to attend your consultation with an open mind – with a vague idea of how large you would like your breast augmentation to be but you should be a little flexible in case you may not be suitable for the more suited to a larger or smaller implant.

The surgery

The surgery will take around an hour and a half, and is performed under general anaesthetic. Mr. Chana implements a rapid recovery technique, which uses a fibre optic light to stop all bleeding points inside the breast cavity and combined with specialist anaesthetic techniques, means you will recover more quickly and feel more comfortable and you should be able to return home the same day, without an overnight stay in the hospital. You should take 7-10 days off work, and should avoid high-impact activity like sports for six weeks after your operation.

There is a lot to consider in breast augmentation, as there many options available to ensure your implants fit naturally and remain proportional to your overall body size. Mr. Chana will be able to answer any questions you may have about the procedure, your options, and the aftercare required during your consultation.

Risks involved in choosing very large implants

Breast augmentation can be advantageous when pursued sensibly, and is an excellent option for women who are self-conscious about the shape or size of their natural breasts. However, Mr. Jag Chana advises against extreme augmentation, which has recently been nicknamed ‘Jordan Syndrome’ in the media, thanks to model Katie ‘Jordan’ Price.

Figures taken for the year 2012/2013 show that the number of women admitted into medical care for complications of one sort or another related to breast implants has risen over 500% since 2009. In part this may be due to the PIP crisis highlighting some of the concerns but in actual fact the number of women with ruptured PIP breast implants has been a small extra number and does not explain the whole story.  This increase has been attributed in the press to patients insisting on increasingly larger implants, to imitate the trend for disproportionately large breasts brought about by celebrities and glamour models.

The Department of Health point out, however, that around 30,000 breast augmentation procedures are performed each year, of which the problematic ones are a small proportion. Breast augmentation is largely successful, with the majority of patients happy with the end result and not facing any further complications or problems – particularly when performed by a highly qualified and experienced plastic surgeon.

Although large breast implants can cause complications they are not necessarily more likely to rupture. When an excessively large breast implant is used the overlying tissue is stretched to such an extent it becomes very thin. This causes the implant to be more palpable with a tendancy to see a rippling or fold in the implant through the skin. The main complications are long term. The weight of the implant ultimately can cause the breast to ‘drop’ and this can compromise the shape which can then only be corrected using an uplift. Also, if a smaller implant is used in the future for replacement the skin will be too loose and again an uplift will be needed to tighten the skin envelope. The secondary surgery in this situation is fraught with complications since the thin stretched breast tissue has a poor blood supply and any surgery can result in healing complications and even loss of the nipple.

When considering breast augmentation, it is imperative that you consider the long term risks and benefits thoroughly before proceeding. A consideration of the size of the breast implant is important and although the desire for a large implant is at the forefront of that decision for many women this is not always beneficial. In order to avoid the long term risks Mr Chana will always advise on the most suitable size of breast implant which would meet your expectations but if this expectation is unrealistic and could cause long term complications Mr Chana will always advise against it.

Although the shape and size of a client’s breast augmentation is largely down to personal discretion, Mr. Chana’s experience and expertise should form part of the patient’s decision. During consultation, he will carefully discuss any specific patient requests, outlining the pros and cons and offering a much-valued expert opinion.

Breast augmentation can have a myriad of benefits because concerns about having small breasts can be psychologically detrimental to women’s confidence levels. Breast augmentation methodology is currently incredibly sophisticated with a number of techniques and types of breast implants available. The entire procedure usually takies between one and one and a half hours under general anaesthetic, a week off work is required and the total recovery time is around 4-6 weeks. If you do decide to undergo breast augmentation surgery, discovering the right surgeon who will provide honest and realistic advice for you can be the biggest challenge of all.

Mr. Jag Chana is an award-winning consultant plastic surgeon with over 20 years experience in the sector. He works out of Spire Bushey Hospital, one of the most highly acclaimed plastic surgery institutions in the UK.

Furthermore, the divisive issue of ‘under or over’ the muscle for breast augmentation is not an issue at Mr Chana’s practice, as he often uses a specialist ‘half and half’ technique which combines the advantages of both methods; the natural cleavage of under-the-muscle surgery combined with the palpable shape achieved through over-the-muscle procedures. The exact position of the implant will be discussed at the consultation according to suitability and in each patient this may be different.

Mr. Chana also utilises a rapid recovery method, meaning many patients will be home the same day able to return to work and their normal lives only 7-10 days after surgery.

If you would like more information on breast augmentation – or any other cosmetic treatment, both surgical and non-surgical – book your consultation with Mr Jag Chana today.

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.

bikiniThe X-Factor judge has revealed to an Australian magazine how she put some “fun” and “happiness” back in her life following her divorce from the actor, Julian McMahon.

Talking about the end of the marriage, she said: “It felt like all my innocence had gone. It was over so fast. I was not only broke, but in debt.” So she pulled herself back together, starting with increasing the size of her chest. “I was proud of them, very happy. I needed that fun and happiness back in my life.”

beachboobsThe 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.

beachboobsOne 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.


© Jag Chana 2014