I lost 10 stone through sheer
determination and wasn’t going to let
excess skin get in the way
Breast Augmentation is the most popular aesthetic/cosmetic breast surgery procedure and can have significantly positive effects upon self esteem and body image. The procedure involves inserting silicone implants to enhance the size and shape of the breasts. All implants have a silicone outer layer, and can be filled with silicone, salt water (saline), or both. Graham Offer will help you safely and effectively achieve the silhouette you desire through breast augmentation surgery.
There are several factors that need to be taken into account to achieve the perfect result. The type, size, position, and shape of the implant all play a critical role in achieving the final look. From experience, Graham understands that every individual’s body is unique and that there are often slight differences between the shapes of the breasts. In addition, the chest wall/rib cage is not always symmetrical. Therefore, tailoring surgery is key to obtaining your dream outcome, taking into account different breast shapes.
Breast augmentation surgery is performed under a general anaesthetic and usually takes about an hour and a half. For the most natural result, the implant will typically be placed directly behind your breast. However, if you do not have enough breast skin and tissue to cover the implant, it might be recommended to place the implant behind the pectoral muscle instead. The implant is then inserted via a small incision in the crease beneath your breast (inframammary fold), creating a pocket to hold it in place. It is important to remember that breast implants are a long-term commitment. Depending on the age of the patient, the implants will need replacing at some point in the future. As with any operation, there are risks involved, and Graham will prioritise your awareness and understanding of these risks.
Graham Offer is a specialist in breast augmentation surgery and has been asked for his opinions and advice on breast implants and breast augmentation by NICE (National Institute for Health and Care Excellence, and various implant manufacturers such as Allergan and Natrelle. He has also supported sportswear firms, such as the global research and development team (Aqualab) of Speedo International Limited, with his extensive knowledge and experience, to help develop sports support garments designed especially for breast support.
Graham has performed thousands of successful breast augmentations and he believes that these operations are hugely empowering to women. His passionate interest and undeniable experience surrounding breast surgery enables him to provide the finest care to his patients, with safety at the forefront of all his work.
Please see the factfile for more information.
This lady had lost volume, especially in the upper pole of both breasts. In this case, Graham placed the implants in a sub-petrol stroke/dual plane position and lowered the inframammary fold slightly. The result is a pleasing shape and rejuvenation.
This lady had lost a lot of volume in the upper pole of the breasts and the breasts had dropped a little. As long as the nipple hasn’t dropped below the inframammary fold, then a round implant in a pre-pectoral sub-memory position can give a pleasing augmentation without the need for an uplift.
It is important to discuss size with me, during the consultations prior to surgery. This lady wanted a moderate enlargement. The shape of the breasts has been improved and the breasts fit nicely with her frame.
For a more rounded upper pole fullness can be achieved with a rounder implant placed in a sub-memory position.
This lady found that following pregnancy she lost a lot of volume from the breasts. The skin envelope is loose and a breast augmentation can fill this out to create an appearance more like she had before the pregnancy.
This lady had wanted to have a breast augmentation for many years as she felt out of proportion to the rest of her figure. The augmentation has delivered a nice shape that matches her figure well.
Here a loss of volume following pregnancy can be filled with an implant and still give a natural-looking result.
This lady did not want a huge bust. She just wanted to have a fuller, more youthful bust. Similar to the bust she had had prior to having her children. The implants are anatomical/tear-shaped and Graham placed them under the muscle.
Once the nipples have dropped below the inframammary fold (fold under the breast), then it may be difficult to achieve a good result without a nipple lift or breast uplift procedure, in addition. In this case, Graham used the weight of the implant to drop into the lower pole. This improves the shape, without the need for an uplift procedure.
Ladies have breast augmentation for many reasons. For example, the breasts may not have developed in proportion to the rest of the body or pregnancy and perhaps breast feeding may have led to loss of volume and sagging. This lady had round silicone implants placed in a prepectoral position (infront of muscle).For her, this gives a nice result. The exact shape, position and type of implant can affect the cosmetic result. Graham offers whichever implant will give the desired result for each patient as an individual. Graham is not constrained to just one particular type of implant or manufacturer.
For example, this lady had anatomically (teardrop) shaped silicone implants placed in a Subpectoral/Dual plane position (under muscle). This has given her a more natural result than she would achieve with round implants. There are still some differences between the breasts, which is normal. The 5cm long scars are hidden in the crease below each breast, so they are hidden. If you click on the pictures the side views will appear. This shows patient two from a different angle. She has gone to a D cup size. Size and shape need to be discussed in detail before surgery. Many of my patients prefer the more “natural” look. However, some like a very full cleavage area. It is important for my patients to tell me exactly what they are trying to achieve, so that Graham can advise accordingly.
Here Graham placed high profile round implants in a subpectoral (under muscle) position. Note the slight asymmetries between each side still persist a little after the procedure. There was very little breast tissue in the upper poles of the breasts (following pregnancy). In this case, Graham placed the implants under the muscle to give a more natural appearance to the upper poles. The round implants help to give a fuller cleavage in this case.
Again, this lady has had anatomically shaped implants placed. The implants used were in this case made by Allergan. Graham offers implants from the following manufacturers: Natrelle/Allergan/McGhan/Mentor/Nagor. Graham also offers the Polyurethane foam coated implant (Pure) from Silimed (which is thought to have a lower capsular contracture rate)
Breast feeding and age changes have essentially led to some deflation of this lady’s breasts. The markings are made preoperatively and show the position of the pectoralis major muscle which varies between people. The implants have lifted the breasts and improved their shape. In addition the breasts are larger and the cleavage is improved when she puts her bra on. The markings that Graham has drawn on preoperatively show the base of each breast and the position of the Pectoralis Major muscles.
This lady did not want a huge bust. She just wanted to have a fuller, more youthful bust. Similar to the bust she had had prior to having her children. The implants are anatomical/tear shaped and Graham placed them under the muscle. This gives a more natural look from the side, as you can see here.
Following pregnancy, the breasts lost a lot of volume. Graham has used implants here to bring the breasts into balance with the rest of the figure.
A moderate augmentation. This gives more fullness to the breast especially restoring the upper pole volume.
The breasts here are very much anterior (on the front of the chest wall). So the challenge is to use an implant wide enough to make the figure more hour glass in shape, without being so tall that the cleavage ends up unnatural and too high. This has been achieved with low height, full projection, anatomically shaped cohesive gel implants. This time from the Allergan Natrelle range. Placed in a Dual plane/Subpectoral position.
Breasts are attached to the chest wall at different levels in different ladies. In this lady, the breasts are attached in a low position on the chest wall (low busted). So, when augmented, the breasts sit in a low position on the chest. It would be impossible to get the breasts to sit very high on the chest, for this reason. However, in a bra the cleavage is a full as she wants it to be. The overall appearance is very natural.
When there is very little breast tissue, then the danger is that the breasts can look very round and stuck on. They also sit higher on the chest wall. In this case, using a shaped anatomical implant, in a Sub pectoral/ Dual plane position can look very reasonable, especially in the upper pole towards the armpit, where there is no abnormal dent.
Here Graham has used the implants to lift the breasts. A very natural result has been achieved in a naturally lower-busted lady.
After breast feeding her children, this lady found that her breasts had lost the upper pole volume and had dropped/sagged. After breast augmentation, the volume is restored and this has made a huge difference to the way she feels. She writes “At 35, I had my second and final baby. I always knew that after my first I would want a breast augmentation and spent years researching. I attended consultations with friends who have also had the op and saved hard. Pre children I had an impressive D cup breast which balanced out my frame and made me feel womanly. Since my first child and even the second my figure bounced back with training but my breasts were two sad small floppy objects that training could never fix. This hugely affected my confidence and my sex life hugely suffered.
So why Spire, firstly after visiting several of the “cosmetic companies” I liked the idea that the spire are a private health care provider who specialise in many sectors of health care, not just cosmetic. Secondly, you are dealing with the Surgeon rather than a patient coordinator. This suited me as I ask a lot of questions!! Graham Offer listened to my numerous and probably tedious questions and took the time to answer them in full. He was extremely honest and open about the procedure and it’s possible complications. On the day I was made to feel totally at ease. I had a level of guilt being there as I felt shallow amongst some of the other patients who were seriously ill but the nurses and theatre team treated me with absolute respect and care, they were lovely and non-judgemental. The anaesthetist even referred to my procedure as “rebuilding my breast”- Brilliant. The food was wonderful, homemade and a great choice. The aftercare I cannot fault, any concerns I have spoken to Graham on the day and seen him as and when needed. It’s nearly five months on and they have changed me totally. I love them!!”
Graham has used the implants here to try to give more shape to the breasts. Preoperatively, they are quite “pointy” towards the nipple. The implants gradually shape the breasts over time. Occasionally this can cause stretch marks on the lower poles of the breasts.
Graham has used the implants here to give a full cleavage. With a larger augmentation it is worth wearing supportive bras afterwards to help reduce the long-term risk of sagging of the breasts.
A full abdominoplasty, Bodyjet liposuction and Breast Augmentation. There are a number of patients who would like both breast and tummy surgery at the same operation. This is possible but we would need to discuss this, as not all patients are suitable due to other factors such as medical conditions, etc.
Graham never puts any PIP implants in. I have had to remove many. The French Company PIP fraudulently used non medical grade silicone in it’s implants. Many were put into patients who then developed problems. The whole debacle ended with the manager of PIP being jailed in France and many women left with faulty breast implants. Graham has removed many implants and replaced them, as shown here. (press on pictures for side views, then press again when the pictures appear). Obviously, PIP implants are now banned/ unavailable.
I lost 10 stone through sheer
determination and wasn’t going to let
excess skin get in the way
Every time I look in the mirror, I am reminded it was one of the best decisions. It made such a difference to my face and the fact that the procedure could be performed by local anaesthetic was an added bonus
Just to say that I was very pleased with the pre and post operative treatment and support from you and your team, and I am delighted with the results. This has made such a difference to how I feel about myself
Mr Offer went through my procedure many times so I fully understood what was going to happen. My Offer shaped my nose to how I wanted and I am so happy with the end result. Thank you Mr Offer for making me feel better within myself and giving me more confidence
I would like to say how grateful I am for all you have done for me and what a wonderful person you are. From the very first meeting we had, I knew you were the right person for the job to put things back into place and to give me back my confidence I longed for. The way you handled every stage was perfect to give me the courage to go through with it
Words cannot describe what you have done for me and my self-confidence. You are a truly special person who is so genuine and caring and I will never forget
Thank you are two very inadequate little words to express my gratitude and admiration for your skill, your ultimate professionalism and your warmth and empathy for your patients. I am very lucky to have been in such safe hands!
I feel like I have been given a new lease of life. The care and understanding and workmanship you have showed was above any expectations I had. The results are more than I could have hoped and dreamed of
Thank you so very, very much for what you have done for me. You have been professional, respectful and charming, I can’t put into words how the operation has changed my life. I now feel that I have regained my self-respect, self-worth and feel attractive again