• Augmentation adds volume when size is the main concern.

• Lift (mastopexy) repositions and reshapes the breast when there is sagging/ptosis.

• Reduction decreases volume and weight to improve symptoms and proportion.
  Many patients benefit from combined procedures (e.g., augmentation-mastopexy). For asymmetry, different techniques may be used on each side to achieve balance.

• Augmentation: day case; desk work in ~3–7 days; most exercise by 4–6 weeks; short scar (inframammary/periareolar/axillary).

• Lift: day/overnight; desk work in ~1–2 weeks; supportive bra 6 weeks; scars around the areola with vertical ± horizontal line (“lollipop/anchor”).

• Reduction: often overnight; desk work in ~2 weeks; similar “anchor” pattern; symptom relief (neck/shoulder/back).

• Implant removal/exchange: day case; ~1–2 weeks to desk work; may combine with lift or fat transfer.

• Areola reduction: local or general anaesthesia; circular scar at the areola edge; desk work in ~3–7 days.

Removal or exchange is considered for capsular contracture, rupture, malposition, cosmetic change, or patient preference. After removal, options include implant replacement, lift (mastopexy) to tighten the envelope, and/or fat transfer to restore contour. Suitability is confirmed with examination and, if needed, imaging.

Asymmetry is corrected by adding volume (implant or fat transfer), reducing volume (reduction), and/or lifting one or both sides. Areola reduction or repositioning can be performed at the same time to improve alignment. Perfect symmetry cannot be guaranteed, but noticeable improvement is typical.

Mr Pieri operates in the private sector and accepts all major UK medical insurers (e.g. Bupa, AXA PPP, Aviva, WPA). Self-funding (“self-pay”) packages are also available and can be tailored to include surgery, anaesthesia, hospital stay, and follow-up care. Our team can liaise directly with your insurer to obtain authorisation and provide detailed cost estimates before you commit.