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 email@example.com for further information and an appointment.
You can read more about breast implant surgery on this website and by clicking the following links:
09 Mar 2015
Mastopexy or breast uplift?
Why undergo a breast uplift?
Breast sagging is a common issue for many women, and can be brought about by weight loss, pregnancy, breastfeeding or simply as a result of the natural ageing process. Particularly for women with larger breasts, the effects on the body can be noticeable and can alter the silhouette. This is often detrimental to self-esteem, and is well-renowned as one of the most loathed effects of ageing.
A mastopexy, otherwise known as a breast lift, is a procedure to reverse these effects. It doesn’t really fall under the category of ‘boob job’ as it is not about making the size of the breasts larger or smaller, so much as a procedure to restore the youthful lifted and pert appearance.
How do you know if a breast uplift is needed?
The degree of breast sagging is established on a scale ranging from 1-3, and it is based on how low the nipple is in relation to the crease under the breast . This also determines the type of breast uplift surgery that is required. The severity of breast drop ( or ptosis) will be determined by Mr. Chana in your pre-surgery consultation, and will affect how the surgery is performed. Mr. Chana will discuss this with you at length – and any implications it may have on recovery or scarring – during your consultation.
How is a breast lift performed?
The surgery itself is performed under general anaesthetic, and so you will be required to stay in hospital overnight. The surgery involves moving the nipple to a higher position and reshaping the breast tissue to sit higher on the chest. This will involve a scar around the nipple and a vertical scar which extends downwards to the level of the crease under the breast. Sometimes if the nipple is very low a scar is also required in the crease under the breast ( the so called ‘anchor’ shaped scar). There is also a type of procedure where the scar is just hidden around the nipple itself but this only possible in very mild degrees of nipple drop and not normally suitable for the majority of women. The procedure takes around two hours to perform
Can a breast uplift be combined with an implant ?
An uplift will not increase breast size and therefore if you want an increase with an uplift an implant will be required . Also in many cases an uplift will only reposition the nipple and uplift the breast tissue but will not provide a full cleavage at the upper pole of the breast. If this is a main consideration then again an implant will be needed.
What is the recovery after a breast uplift?
You should take 1-2 weeks off work, and avoid vigorous activity such as sport for six weeks after your procedure. You should also sleep upright for the first few nights after your surgery, in order to reduce any excess bruising or swelling. Any discomfort you may experience can be easily dealt with by mild painkillers that will be prescribed by Mr. Chana – you should not take aspirin though, as this can thin the blood and cause excessive bruising and bleeding.
You should expect some degree of bruising after surgery, although this should subside within a matter of two weeks. Your scarring may appear slightly ‘puckered’ at first, and this can take up to 6 months to settle completely. The scars will continue to mature for up to 18 months after surgery.
What are the risks of a breast uplift?
Serious complications of mastopexy are very rare, but as with all surgeries, you should be aware of the potential minor risks. There is a chance of infection during any surgical procedure, but if you carefully follow Mr. Chana’s aftercare advice and take the prescribed antibiotics, you will greatly minimise this risk. Bleeding is also a minor risk but this can easily be identified during your hospital stay and is rare in any case and easily treated. You may lose some sensation along with nipple sensation and it is highly unpredictable to what degree this may occur. Some women may lose the feeling in the nipple altogether and others not at all. Some minor degree of asymmetry is also a minor risk but some degree of asymmetry is normal in all breasts.
As with all cosmetic procedures, the most important part of the whole process is your pre-surgery consultation. During this meeting , Mr. Chana will be able to assess your situation and give you a realistic idea of the likely result you can expect to achieve.
Your consultation is also an excellent opportunity for you to learn all about the surgery and what it entails. Undergoing cosmetic surgery is not a decision to be taken lightly, and it is not the right option for everyone. By getting to know Mr. Chana, asking questions and exploring potential alternatives, you will be able to feel safe in the knowledge that you are making a measured and informed decision.
02 Mar 2015
Breast reduction FAQ’s
Why undergo breast reduction surgery?
For many women, the idea of wanting smaller breasts is unlikely, and with breast implant surgery still the most popular cosmetic surgery of all, reducing naturally large breasts goes against the grain of typical surgery trends.
But having disproportionately large breasts can be rife with issues. Not only can it affect your posture and cause back pain, but finding underwear, swimwear and clothes to fit can be problematic, not to mention everyday tasks that people take for granted like sports. What’s more, overly large breasts can affect the whole silhouette and can make many women appear larger than they actually are.
Obviously, none of these effects are desirable, and all of them can have a large impact on day-to-day life. By undergoing a simple breast reduction surgery, many women find that they have a new lease of life – not only do they look slimmer and find clothes that will fit them more easily, but they find movement easier and experience less discomfort.
Who is best qualified to perform your breast reduction surgery?
Breast reduction surgery is a straight-forward and well-practiced procedure. However, for a successful outcome it is important that you visit a plastic surgeon with experience in cosmetic breast surgery procedures, like Mr. Jag Chana. Although many surgeons ,including breast cancer surgeons, may carry out breast reduction it is important to seek the opinion of a plastic surgeon who is trained purely in cosmetic surgery since you get the benefit of cosmetic and artistic experience in in order to achieve bespoke, natural looking and artistic results.
What happens during your consultation for breast reduction surgery?
During your consultation, you’ll be able to learn all about the procedure, so that you can make a fully informed decision about whether it’s the right thing for you. Mr. Chana will be able to make a full assessment and examine your breasts to determine the type of breast reduction procedure which is best suited. During the examination the level of your nipple will be measured and this determines how far the nipple has to be lifted during the surgery. Based on these measurements the majority of patients undergo a procedure where the nipple remains attached to a pedicle of tissue and is moved upwards. A variable amount of breast tissue is removed. If the nipple is very low indeed then the nipple may have to be removed and replaced as a skin graft.
How can you prepare for the surgery?
Prior to the treatment, there are some steps you can take to ensure that your procedure and recovery runs smoothly. For example, smokers are advised to quit for at least a few weeks before their treatment, because smoking affects the way in which wounds heal and can cause skin loss and even loss of the nipple. Mr. Chana advises at least a few weeks in advance of your treatment, but the longer you can leave the time between smoking and your surgery, the better.
If you are overweight it is advisable to lose weight before the surgery . Being overweight also increases the risks of delayed healing but also there is an increased risk of clots in the legs.
What is the anaesthetic required for breast reduction surgery?
The surgery itself is performed under general anaesthetic and you will be required to stay overnight in hospital. Mr. Chana works with highly trained and experienced consultant anesthetists to ensure your surgery is undertaken under maximum safety.
How is the surgery performed?
Breast reduction surgery takes around two and a half hours to perform. During the procedure, excess breast tissue is taken from above, below and around the nipples, as well as any excess skin. The nipples are then lifted so that the breasts sit higher on the chest. For the majority of patients the nipple is moved upwards whilst being attached to a pedicle of breast tissue. However, in a small proportion of women who have huge breasts the nipple may have to be removed and replaced as a skin graft. Incisions are closed with sutures, and a supportive dressing is applied to the wound to assist the healing process.
How is the size of the new breast decided?
The level to which the breasts are to be resized is something that will be discussed mutually between you and Mr . Chana prior to surgery. Mr. Chana will be able to advise what size will be appropriate for your proportions while at the same time meeting your expectations. However, it is important to realise that it is not possible to guarantee an exact cup size.
What are the scars like following surgery?
With breast reduction surgery, there will always be a degree of scarring, and this is an unavoidable side effect from removing the breast tissue. This scarring will extend circumferentially around the nipple and extend in a vertical line down to the crease under the breast. In most cases there will in addition be a scar running horizontally in the crease under the breast. This is the so called ‘anchor’ shaped scar. In a small proportion of women undergoing a small breast reduction the horizontal scar can sometimes be avoided. This is the ‘vertical scar’ technique .
What is the recovery?
After your surgery, you should sleep upright for the first few nights to reduce excess swelling or bruising, and you should take around 1-2 weeks off work to aid your recovery. Any discomfort you might experience can easily be managed with a short course of painkillers that will be prescribed to you by Mr. Chana – you should avoid aspirin after your surgery though, as again, these thin the blood and can affect the way in which your wounds heal. Heavy exercise should be avoided for 6 weeks following surgery.
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.
21 Oct 2013
Dangers of the Cosmetic Industry
If you type the word ‘liposuction’ into Google, the first result states ‘subscribe for 20% off’; the second offers £400 off when a free consultation is booked. There are also a number of advertisements that pop up offering 0% and flexible finance. Such is proof of the huge demand for both the surgery itself and competitive prices.
What many don’t realise, however, is the desire for cheap or so-called ‘all inclusive’ surgery deals has fuelled an unregulated market where doctors – who are trained in medicine but not in surgery – are performing surgical procedures when they are not adequately qualified to do so. Despite government recommendations that they should be banned, more than half of the top 50 aesthetic cosmetic surgery providers still offer promotional deals often tied in with freebies such as photo shoots. The research published at the annual meeting of the British Association of Aesthetic Plastic Surgeons in London also found that many deals had an expiry date, with statements such as ‘book by Friday’.
All cosmetic surgery carries risks – ones that affect a small percentage of patients – but risks nonetheless. However, when carried out by a doctor who has not undertaken appropriate training those risks greatly increase. Not dissimilarly is the growing popularity of non-surgical cosmetic treatments such as Botox, derma-fillers and liposuction which are increasingly being offered by so called walk-in clinics, spas and beauty salons on the high street and in shopping malls.Experts have recently warned consumers that although many anti-ageing treatments are categorised as non-surgical cosmetic procedures, it is still vitally important to ensure that only fully qualified and experienced doctors with appropriate specialist knowledge and training are actually carrying out these treatments.
The Royal College of Surgeons recently published landmark standards that clearly states that only doctors with a postgraduate surgical qualification should be carrying out procedures such as liposuction whereas the industry seems to be dominated by non-surgically qualified doctors performing liposuction.
Worryingly, there is even a 2 day course teaching doctors how to carry out vaser lipo – in contrast it takes a minimum of 6 years to train as a plastic surgeon – so many general practitioners will attend a 2 day course, buy the equipment and start offering liposuction.
It is thus of great importance, now more than ever, that anyone considering liposuction, carries out thorough research before choosing both a surgeon and a practise in order to ensure that they receive the very best care available. It is vital that potential customers are not tempted by short-lived offers, nor swayed by heavily cut prices. Otherwise, what may seem like a good deal in the short term may turn out to have disastrous consequences in the long.
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 –
10 Dec 2009
A surprising study from the United Kingdom shows that many cosmetic surgery patients would just as soon keep their operations a secret until long after they’ve been under the knife.
Although plastic surgery is as popular in the United Kingdom as the U.S. women here in the UK prefer to keep quiet about the procedures they’ve had while their American counterparts are more open about it.
A thousand patients, mostly women, were surveyed post-op and it was found that on average, 85 percent of them hid their surgeries from colleagues until after recovery.
Nineteen percent of them kept their surgeries a secret from family members. Often, they stayed quiet about it because they felt awkward admitting to having had plastic surgery, even if they enjoyed finally showing off the results.
18 Nov 2009
Women who desire to reduce the size of their breasts usually do so for health benefits. Now there is one more advantage to having the surgery. The tissues and fats coming from the breast reduction surgery could be tested for cancer and thus any anomalies could be found early.
The American Society of Plastic Surgeons (ASPS) are already looking to encourage more surgeons to do this after they looked at many studies.
In one such piece of research two hundred women were tested. Malign cells or their pre-formation tissue were discovered in 12.4% of the studied women. The age of the patients was in a strong relationship with the negative cancer diagnosis. The study recorded that 6.2% of women who were 40 years of age presented cancer cells while 7.9% of the patients who were 50 years of age or older presented cancerous cells in their breasts.
The researchers recommended testing the tissues and fats coming from patients who underwent breast reduction surgeries in order to discover the cancer risk. The researchers also suggested these tests should be done expressly on women who are older than 40 years.