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Expert Opinion

Growing trends in breast augmentation

Q&A with Mr Paul Banwell, FRCS(Plast), Consultant Plastic & Cosmetic Surgeon




Q&A with Mr Paul Banwell, FRCS(Plast), Consultant Plastic & Cosmetic Surgeon



There has been a rise in requests for natural breast augmentation for those with small breasts or in mothers who have lost fullness following children and breast feeding.

What trends have you seen in breast augmentation surgery over recent years?

Breast augmentation still remains the number one cosmetic procedure in the UK and there seems to be a huge rise in the desire for a shapely but natural result. Whilst I like to tailor breast enhancement according to patient wishes, the ‘fake’ look even amongst younger patients seems to be becoming less popular.

What type of implants are patients requesting?

I have seen a huge shift over recent years towards a desire for anatomical or ‘tear-drop’ shaped implants. These implants give a much more natural shape and allow a focused tailoring to the patient. As well as the huge choice (matrix) of available implants they carry huge advantages in terms of optimising the eventual breast shape.

What should patients look out for when choosing their breast implants?

There is no doubt that patients are doing more and more research before seeking a consultation and they are becoming more discerning in their questions and requests. However, there are still many aspects that are misunderstood by patients and so I believe the consultation process is crucial to ensure good quality information is imparted and that the patient understands the nuances in breast augmentation. Make sure that you see your surgeon at least twice before surgery and ensure that they use implants with a lifetime guarantee.

Are there any exciting new developments in breast augmentation surgery?

Some of the breast augmentation companies continue to invest heavily into the future in a quest for novel developments in implant materials and in particular into the texturing process. Texturing is critical in terms of maintaining the longevity of implants, optimising integration into the body and minimizing long-term issues. We are looking forward to these developments being introduced into clinical practice in the not too distant future.


Paul Banwell is a leading cosmetic surgeon based at The McIndoe Centre in East Grinstead. The McIndoe Centre is a centre of excellence for cosmetic and reconstructive surgery. To arrange a consultation call 0800 917 4922 
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