Enhancing shape and balance with precision and care
Breast Augmentation in London
Breast augmentation is one of the most commonly requested cosmetic procedures worldwide, designed to enhance breast size, volume, and symmetry using implants or fat transfer. For many patients, it’s about restoring balance, feeling that their body reflects their sense of self more accurately.
At her London practice, Dr Nicki Bystrzonowski performs breast augmentation with a focus on subtlety, safety, and proportion. Her background in both psychology and surgery allows her to approach each case with an understanding that confidence comes not just from change, but from results that feel right for the individual.
Every treatment begins with an open, detailed consultation where goals, proportions, and expectations are carefully discussed. The aim is to achieve natural, harmonious results that complement the patient’s overall figure, not to create an artificial look.
What Is Breast Augmentation?
Breast augmentation is a surgical procedure that increases or restores breast volume using silicone implants or, in some cases, fat grafting from another area of the body. It can enhance breast shape after weight loss, pregnancy, or natural asymmetry, helping create a more balanced and proportionate appearance.
During consultation, Dr Nicki works closely with each patient to choose the most suitable implant size, shape, and placement technique. The decision is guided by anatomy, lifestyle, and desired outcome, ensuring a result that appears natural and feels comfortable.
For patients seeking a more subtle enhancement, fat transfer (using the patient’s own fat cells) can be an alternative or combined option. The focus is always on achieving soft, proportionate results that suit the body rather than overpower it.
Key Information
| Detail | Summary |
|---|---|
| Procedure Time | 1–2 hours |
| Anaesthetic | General anaesthetic |
| Hospital Stay | Day case (home same day) or overnight stay |
| Recovery Time | Light activity after 5–7 days; full recovery within 4–6 weeks |
| Scarring | Small incision (usually beneath the breast fold, around the areola, or underarm) |
| Results Visible | Immediate improvement, settling over 3–6 months |
| Longevity | Implants typically last 10–15 years before review or exchange |
| Follow-Up | Regular review appointments to monitor implant integrity and outcome |
How Breast Augmentation Works
Consultation and Planning
A thorough consultation with Dr Nicki Bystrzonowski establishes aesthetic goals and expectations. Measurements are taken, and detailed discussions cover implant type, size, shape, and placement (above or below the muscle). Each decision is guided by anatomy and the desired level of enhancement.
Anaesthetic and Preparation
The procedure is performed under general anaesthetic. Before surgery, incision placement is carefully marked to ensure minimal scarring and natural results.
The Procedure
A small incision is made, typically beneath the breast fold. The implant is inserted into a pocket either under the breast tissue (subglandular) or partially beneath the pectoral muscle (submuscular). The choice depends on existing tissue and desired projection.
Sculpting and Symmetry
Dr Nicki ensures both breasts are positioned evenly with balanced shape and natural movement. Attention is given to subtle details such as slope, spacing, and nipple alignment for an authentic result.
Recovery and Healing
Patients usually return home the same day. Some tightness and mild discomfort are expected for the first few days and managed easily with prescribed medication. Light activity can resume after a week, and most patients return to full exercise after six weeks.
Long-Term Results
As the tissue settles, the breasts soften and assume their natural position. Results are long-lasting and can restore confidence in how clothing fits and how the body feels overall. Periodic follow-up is recommended to ensure ongoing implant integrity and satisfaction.