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25 MARCH 2018 HEALTHCARE INNOVATIONS B


reast augmentation remains the most popular cosmetic procedure performed in the UK. The desired shape and size of


augmentations has changed throughout the years with women now opting for breasts with a more natural and subtle look. According to consultant plastic surgeon


Mr Hyder Ridha, “Patients are now able to have their breasts enlarged without sacrific- ing a natural appearance or feel to them.” Mr Ridha, an expert in the field of plastic


and aesthetic surgery, runs successful private practices in both London and Hertfordshire. He says: “Although selecting implants accord- ing to chest and breast dimensions, and using shaped implants — also known as anatomical implants — help to create a natural look, they may not necessarily feel natural when the sur- gery has been completed.” Mr Ridha adds: “Composite breast aug-


mentation (CBA) is the latest in breast en- largement techniques; it allows surgeons to achieve the combined goal of a natural look- ing and feeling breast with minimal scarring — providing the best result for patients.” CBA can be performed as a day-case procedure under general anaesthetic, and takes approx- imately 90 minutes to complete. This advanced technique combines an


implant to augment the volume and the pa- tient’s own fat to give a more natural look and feel to the breast. Mr Ridha says: “Many women wish to opt for a subtle change, but they still desire youthful, symmetrical and full breasts while maintaining a contoured and proportioned silhouette.” The ideal breast for every woman is sub-


jective and so the implant utilised must be tailored to the individual, based on their own goals and expectations. Implants vary in their shape, size and content. The im- plant profile will determine how the breasts will project from the chest wall. Generally, the different types of implant profiles are low, medium and high. A low-profile im- plant is the ‘flattest’ implant, and will give the breasts a less projected and more nat- ural look. A medium-profile implant will give a more projected appearance. Finally, a high-profile breast implant will give the


Women who are nervous about having larger implants to achieve their desired look, are delighted when they realise they can have the shape of breast they want purely by using their own body fat — especially when it involves using the fat that’s been difficult to shift through diet and exercise... the technique has been refined and proven to be versatile, safe and reliable


COSMETICS & AESTHETICS 43


breast the maximum projection and is more suitable for women wanting a fuller look. A breast augmentation expert will use their


knowledge and cosmetic artistry to recom- mend the perfect implant that’s best suited for the patient. Factors such as breast width, body shape, size and the desired look are fac- tored in when recommending the right im- plant to fit each unique individual. Fat transfer, also known as lipofilling or fat


grafting, involves harvesting fat from areas where there’s excess, such as the abdomen, hips, thighs or buttocks. In a similar way to liposuction, the fat is removed, but at a lower pressure to prevent damage to the important adipocytes (fat cells) and adipose-derived stromal cells (stem cells). The fat can then be reinjected around the implant producing a customised augmentation. Mr Ridha adds: “One can sculpt the breast


to give a natural look as well as a natural feel, since the implant isn’t as palpable through this additional layer of tissue. This technique


preserves the all-important soft tissue to im- plant ratio. The higher the proportion of soft tissue relative to the implant in making up the volume of the breasts, the more natural the augmentation will appear.” The extra layer of transferred fat has other


advantages, including covering the implant edges thereby making them less palpable, and also concealing the appearance of any rippling of the implant. Surgeons can more frequently opt to place implants in a subglan- dular position rather than a submuscular one, thereby avoid disrupting the muscle. “Women who are nervous about having


larger implants to achieve their desired look are delighted when they realise they can have the shape of breast they want purely by using their own body fat — especially when it in- volves using the fat that’s been difficult to shift through diet and exercise,” says Mr Ridha. “This technique has been used in post-cancer reconstruction treatment, and over the years the technique has been refined and proven to be versatile, safe and reliable. “More recently, the concept has been in-


troduced into aesthetic breast surgery. The procedure is ideal for patients wanting to correct breast deformities or irregulari- ties. This includes patients who’ve already undergone a breast augmentation, but wish


Many women wish to opt for a subtle change, but they still desire youthful, symmetrical and full breasts while maintaining a contoured and proportioned silhouette


Meet the expert


Mr Hyder Ridha MB BS, BSc (Hons), FRCS (Plast) is a plastic, reconstructive and aesthetic consultant. He specialises in facial and breast surgery, plus body contouring. He’s a full member of the British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS).


either to rectify or enhance the appearance of their existing implants to achieve more natural results.” To achieve the desired look, it’s


crucial for patients to seek an experienced and highly skilled certified plastic surgeon to perform the surgery. Mr Ridha explains: “All forms of surgery are associated with risks, and this includes composite breast augmenta- tion. If considering such surgery, always seek a fully qualified plastic surgeon, trained in


both augmentation techniques.”


For more information, contact Amanda Laws, secretary to Hyder Ridha T: 020 3907 6830 / 0800 585 112 E: amanda.laws@spirehealthcare.com


Teresa Jellis, specialist plastic surgery nurse T: 01582 714 450 E: teresa.jellis@spirehealthcare.com spirehealthcare.com


and fat transfer


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