2. Increase fat transfer
This technique – also called lipofilling or liposuction – was originally used on the face, but is now used in cosmetic surgery to enhance or improve asymmetry. “Fat from areas such as the abdomen or thighs is removed by surgeons at the time of liposuction and can be injected into the breast,” says Banwell.
Professional: Fat transfer augmentation generally has a short recovery period with patients returning to work between one and seven days after the procedure.
Shortchange: This procedure is not available to everyone – it depends on body shape as it takes enough fat to be removed and re-injected into the breast.
3. New breast implant techniques
For those looking for a natural result, new techniques are changing the game. The Banwell Clinic offers, for example, Mia Breast Harmonisation, which uses specially designed instruments and a diamond-shaped (biconvex) implant which can be injected into the breast through the armpit. Performed under local anesthetic with sedation, the concept focuses on tissue preservation and a subtle increase of one to two cup sizes. “Patients who choose it are often looking for the effect of a push-up bra, without having to wear a push-up bra,” says Banwell.
Types of breast implants
There are two main types of implants: saline and silicone.
Saline implants
These implants require a smaller incision, can be adjusted during surgery, and offer a rounder, fuller breast shape. They are often recommended for a more prominent appearance.
Silicone implants
They are light, flexible and offer a more natural shape and feel. Those who prefer a more anatomical shape can choose silicone drop implants, which reproduce the natural shape of the breast.
Gummy Bear Implants
These are an increasingly popular variant of silicone implants and are so named because they are filled with a much thicker silicone gel, which causes them to hold their shape. These are durable and less likely to leak, with a lifespan of around 20 years. However, they are more expensive and may require corrective surgery if they change.
Benefits of breast augmentation surgery
All of our experts agree that breast augmentation is a deeply personal decision that should be well researched and considered.
Dr. Veronika Matutyte, a physician and gerontologist who promotes well-being in older adults, says, “Breast augmentation surgery offers both physical and psychological benefits, especially for women in their 50s. Physically, it restores volume lost with ageing, weight changes, or after childbirth and breastfeeding. Psychologically, many women report increased self-confidence and body satisfaction.
“Studies show that women in this age group seek to feel more comfortable in their bodies as they move into midlife, and the process offers a way to boost self-esteem and assert control over their appearance.”
According to Dr. Matutyte, determining whether breast augmentation is the right choice involves first thinking about your motivations and expectations.
“For midlife women, the decision often goes beyond appearance, addressing deep concerns about aging and self-image,” she says. “While surgery can greatly boost self-confidence, it’s important to make sure you’re not influenced by outside pressures and remember that the procedure isn’t a solution to all emotional issues related to body image.”
Factors to consider before surgery
Things to consider before surgery include:
- Your overall health status
- Lifestyle and expectations
- Recovery time
- Financial cost
“Women over 50 need to ensure they are in good health and may need to stop smoking or adjust medications to minimize surgical risks,” says Dr Matutyte. “A balanced lifestyle before surgery helps recovery.”
“Very sporty or active women should consider how implants might affect their lifestyle,” says Dr. Ducu, “while women over 50 should consider the elasticity of their skin.” This can affect how the breasts settle after surgery, she warns. “Age is not a barrier, but careful surgical planning is essential.”
Women considering implants before having children should understand that placing the implant directly under the glandular tissue and placing an incision around the areola may increase the risk of damage to the milk ducts, glands and nerves , which may affect their ability to breastfeed.
Breast augmentation cost
In Britain, breast augmentation surgery typically costs between £4,000 and £9,000, depending on factors such as the type of implant, surgical complexity and the experience of the surgeon. This cost will increase if a patient needs revision surgeries or implant replacements.
While cost is a consideration, patients should always prioritize safety and expertise. Dr Georgina Williams, consultant plastic and reconstructive surgeon, is in private practice at Montrose London Clinic and Charing Cross and St Mary’s NHS Hospitals. “Choosing a qualified, credentialed surgeon is of utmost importance and key to achieving the best results,” he says. “Check that the surgeon you are going to see is at the GMC [General Medical Council] Plastic surgery specialist register. A surgeon who currently holds or has previously held a consultant position in the NHS is also a sign that they have been vetted and have the required level of training.”
Preparation for breast augmentation surgery
Preparation for surgery is vital and includes physical and psychological readiness.
“We advise patients to stop smoking and avoid blood-thinning medications such as aspirin,” says Dr. Ducu. You should also wait for a pre-op consultation to review your medical history and plan the procedure. “Mentally preparing for realistic outcomes helps achieve post-operative satisfaction,” adds Dr. Matutyte.
What to expect on the day of surgery
Breast augmentation surgery usually takes one to two hours under general anesthesia. You should wait to see your surgeon for a final check-up and be closely monitored after surgery in the recovery room. Most patients can go home the same day.
Recovery and aftercare
Recovery can be relatively straightforward, but it is important to follow medical advice carefully. “Wearing a surgical bra, avoiding vigorous activity, and following an individualized aftercare routine will ensure optimal healing,” says Dr. Matutyte. “Swelling and discomfort are normal during the first week, but can be managed with medication,” adds Dr. Ducu. Full recovery may take a few months, especially for middle-aged women, who may heal more slowly.
Risks and complications
“Like any surgical procedure, breast augmentation carries risks,” says Dr. Ducu. These can include infection, bleeding, and anesthesia-related complications. Specific risks for implants include capsular contracture, where scar tissue forms around the implant, causing induration.
Leakage and rupture are also an issue, with scandals frequently in the news: Beth Hewson, a 49-year-old woman from Yorkshire, spoke out earlier in 2024 after her implants suddenly ruptured, leaving her in agony. Facing a one-year wait to have them removed on the NHS, he was forced to pay £11,000 for the private procedure.
Celebrities including Victoria Beckham, Pamela Anderson and Sharon Osbourne have had their implants removed, while the late Idle Founder Hugh Hefner’s wife Crystal has opened up about her post-surgery woes, claiming her implants slowly poisoned her.
For cases like this, the term “breast implant disease” or BII has been coined. It is thought by doctors to be caused by either autoimmune or inflammatory responses to the implants, which in turn cause a range of mental and physical conditions such as anxiety, rashes and chronic pain, and so far little research has been done in the area.
While implants do not cause cancer, there is increasing research into the link between implants and cancer cells that grow in the surrounding scar tissue after augmentation surgery.
Long-term concerns
Implants are not lifetime devices and may require replacement after 10-20 years.
“Women in their 50s need to think about how the implants will age with their bodies. Future weight changes, hormonal changes and general aging can affect the appearance of the breast and some women may need further procedures to maintain the desired appearance,” says Dr Matutyte.
Whatever your age, monitoring breast health is vital and women should continue self-exams, although regular screening can be problematic. “Regular checkups are essential,” says Dr. Ducu. “I always recommend periodic imaging, such as MRIs, to ensure the implants remain intact. Maintaining a relationship with your surgeon is important to monitor any changes.”
