Q&A with Consultant Plastic & Reconstructive Mr Paul Banwell

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 breastfeeding.


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 among 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.

Breast enlargement patient

"They look natural and most importantly they are now proportionate to the rest of my body which is just what I wanted, so thank you.”

Read patient story

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.

Mr Paul Banwell is a Plastic & Cosmetic Surgeon based in the South East of England. Paul has developed an international reputation in the fields of cosmetic surgery, skin health and skin cancer and lectures worldwide on these subjects.
Page last reviewed on 22/09/2016

Find out more about The McIndoe Centre

We provide outstanding patient experiences

As a nationally recognised hospital of excellence in plastic, reconstructive, ophthalmic and maxillofacial surgery, we have demonstrated ourselves to be: effective, responsive, caring, safe and well-led. Recently rated ‘good’ by the CQC, we are committed to treating our patients and each other with kindness, respect and dignity resulting in life-changing outcomes. 

Read our patient testimonials

Find out what it’s like to be a patient, from the people who matter the most.