Mr Marsh is an experienced plastic surgeon with a great reputation for high quality breast augmentation giving women the results they are looking for. To optimise his results, Mr Marsh routinely practices short scar breast augmentation
- a technique made possible by the use of the Keller Funnel. This technique hides the scar in the crease under the breast and the incision is usually as short as only 3cm. Careful buried stitches help the scar to be as fine as possible.
London based specialist Dan Marsh offers a variety of breast enhancement and enlargement procedures across several hospitals in London and Hertfordshire, giving patients a broader choice for their convenience.
To arrange a meeting to discuss your breast augmentation requirements please call 0203 733 2083
, and learn more about breast surgery and the options available below...Mr Marsh's breast augmentation pre and post op photos
Breast augmentation – implant size
Deciding what size implant to use is an important decision influenced by:
• The desired end result
• Patient preference
• Chest width
• Present breast size
• Quality of the skin envelope
At your initial consultation, Dan will spend as much time as necessary to ensure that you’re 100% happy with your chosen implant size and you are encouraged to attend for a second sizing appointment if required.
Some patients will already have an idea of the size of implant they want, while others prefer to be guided by Mr Marsh's knowledge and experience. Sizers are available in the clinic to help you determine the appropriate final implant size.
Breast augmentation – implant shape
The choice of implant is influenced by many factors including:
• Patient choice
• Amount of natural breast tissue
• Desired final appearance
Breast implants can be divided into two types according to shape:
• Anatomical (teardrop) – designed to be breast shaped, these implants are more suitable for women with smaller breasts or those who prefer a more subtle and natural look.
• Round – these implants are often selected by women who already have a reasonable amount of breast tissue or who are looking to maximise their cleavage.
Breast augmentation – implant placement
Having chosen the size and shape of the implant, the next decision is whether to go above the pectoralis muscle (sub glandular), below the muscle (sub pectoral) or a combination of the two (dual plane).
Each approach to breast augmentation has its own advantages and Dan will take the time to discuss placement with you to help you decide the optimal position for you, depending on your individual anatomy and preferences.
Breast surgery - skin incisions
The most common skin incision used is the inframammary incision, which is placed in the fold under the breast. This incision has the advantage of allowing optimal positioning of the implant, and control of the 'pocket' where the implant is placed.
Placement of a skin incision around the nipple (peri-areolar) is the second most commonly used approach, and is often used when breast enlargement is combined with a breast lift
as it allows the nipple to be positioned higher on the breast.
A third option for skin incision is in the armpit (trans axillary). Using this approach means there are no scars on the breast – however, the final breast shape is more difficult to control as the surgeon has limited access when placing the implant.
Breast augmentation with your own fat
Recent advances in breast surgery mean that it’s now possible to remove unwanted fat using liposuction (commonly from the abdomen, inner or outer thighs), process the fat and re-inject the fat back into the breast to increase overall breast volume. This technique is suitable for women desiring a small increase in volume without the use of implants.
Mr Marsh is one of the few surgeons in the UK to combine fat transfer with implant based breast augmentation which helps provide a more natural look in women who have very little natural breast tissue.
This technique is of particular value in women who have had previous breast augmentation perhaps with too large implants where the skin has stretched and the edge of the implant is now visible, often in the cleavage area.
Breast surgery for tuberous breasts
This common anomaly affects 1-5% of women and occurs during breast development – it has several components of which some or all are present to varying degrees.
The truly tuberous breast has a constricted base, lack of breast tissue usually in the lower pole, a raised or absent inframammary fold, and a widened areola with herniation of breast tissue into the areola. Tuberous breasts are a common cause of breast asymmetry.
Correction of tuberous breasts cannot usually be achieved by augmentation alone, as the constricted breast tissue must be released and redistributed. This is most commonly achieved through a peri-areolar approach which also allows control of the size of the areola and reduction of the herniated breast tissue to improve the final breast shape.
Revision breast augmentation
A common reason for seeking revision surgery is due to the presence of capsular contracture, which occurs to some degree in all implant-based breast augmentation surgeries.
Placement of a breast implant stimulates the body to form a thin layer of scar tissue around the implant, as part of the body's natural response to the foreign body. In some women, the capsule can thicken and contract which may lead to pain or the breast becoming misshapen.
Treatment for capsular contracture can involve removal of the capsule, exchange of breast implant and possibly a change of implant pocket from sub glandular to sub pectoral. This may be combined with a breast lift and fat transfer to optimise outcomes.
Other patients may seek revision augmentation because they’re dissatisfied with scarring, implant position or size. Dan will spend time assessing each patient, listening carefully to determine the reason they are seeking revision surgery and work out a plan to address the issues.
Book a consultation for breast surgery in London
Dan offers consultations for breast augmentation and other types of breast surgery in London and Hertfordshire, with a choice of clinics available in Harley Street, North London and Hertfordshire – please call 0203 733 2083 to make arrangements
, and also please take a look at the BAAPS patient information
. Mr Marsh's breast augmentation pre and post op photos