Going under the knife

NowCover-Nov2003If nothing else is giving you a boost then a boob job is an option. Here, Laurence Kirwan gives us the ins and outs of all the latest developments.

Implant info

Saline: These tend to wrinkles more than silicone and have a less natural look. ‘They’re often more likely to rupture or deflate,’ says Mr. Kirwan. But as it’s a salt-water solution, it can be absorbed in the body.

Soya: They were taken off the market in 2000 after concerns about what rancid Soya oil could do to the body if ruptured. ‘Soya implants did have a very high incidence of infection,’ says Laurence. ‘I never put any of that type of implant in.’

Silicone: The preferred choice of many surgeons, silicone has checkered history. After woman complained of feeling ill post-implant, the government investigated but decided they posed no danger. Mr. Kirwan says: ‘Silicone looks better, it’s considered safer and there’s generally less wrinkling.’

The hot new techniques

Auto-augmentation: Hurrah – not all women need an implant, according to Mr. Kirwan. ‘It’s possible to use existing tissue to provide the contours and lift that women want,’ he says the procedure most suitable for women with droopy boobs.

During the operation, the gland in the lower part of the breast is moved up, then your own skin is tightened over it and – hey presto! The cup size will stay the same, but the breast will be more pert and full.

SAMBA (Simultaneous Areolar Mastopexy/Breast Augmentation) This procedure, developed by Mr. Kirwan, combines a breast enlargement with an uplift. Other surgeons practice a similar technique called Breast Augmentation and Mastopexy, but it doesn’t seem to limit the scar to just around the nipple. Perfect for anyone who’s drooping and has too much skin for just a straight enlargement, it lifts the breast and adds the implant at the same time.

But Mr. Kirwan warns: ‘Those whose breasts have sagged too much will need a ‘lollipop masteopexy’, which leaves a vertical scar from the nipple down.’

Call Mr. Laurence Kirwan’s office at 020-7637 4455 or visit www.drkirwan.com.

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