How to treat Breast Asymmetry

We specialise in breast reshaping here at the STAIANO Clinic and can perform breast lifts, breast reductions, breast implants and breast lift with implants.

There are many cosmetic clinics which offer breast implants but not all will treat patients with more complicated problems.
Patients with breast asymmetry will often present for surgery.

The first question we would ask is:

Are you happy with either of your breasts or do you want them both changed?

If we can just operate on one side then this will lower the risk of complications and be beneficial for all.

It may not always be possible to just operate on one side, particularly if one breast is sitting lower than the other one with uneven heights of the nipples.

It is possible to lift the nipple, but it is not possible to lower a nipple (at least not without leaving a scar where the nipple was). So we can raise the low one, but is extremely difficult to lower the high one.

The next question to ask is:

Is there a problem with the shape, the volume or both?

In general terms, problems with the shape involve a breast lift and problems with the volume involve breast implants or breast reduction, (depending whether you want them bigger or smaller).

Surgery for breast asymmetry usually involves a combination of breast implants, breast lift and sometimes breast reduction.

Different things need to be done to each breast and so there is always a risk that they will settle differently and you may have to accept some degree of asymmetry.

Everybody is born with a degree of asymmetry and this is quite natural.

What we aim to do with surgery for breast asymmetry is to bring your breasts and your frame back into balance and make it easier for you to wear clothes and bras without needing to use a chicken fillet or external prosthesis in one side.

If you have different size breasts with one sitting lower than the other (usually the bigger one), you could have them made the same size by using different size implants.

The implants come in set volumes and so we would be unlikely to make them identical and would usually need to use a sizer in theatre to work out the best match.

The implants would not do anything about the shape of your breasts and so one would still be sitting lower than the other.

This would probably not be in issue when wearing clothes but may be an issue out of clothes.

In order to correct this you would need a lift of the breast that was sitting lower, which is usually the bigger one and so it would also be possible to perform a reduction at the same time as the lift to balance out the volume.

Then we could use the same size implant in each side.

This is something that we could discuss in the clinic and there is no right or wrong answer.

Some patients would prefer not to have breast tissue removed and then replaced with an implant and would prefer different sized implants.

Others would rather have a reduction to match the size and the same size implants so as you age or undergo weight fluctuations, it is more likely to have a symmetrical change in your breasts.

Treatment of breast asymmetry is complicated and requires a bespoke approach and a partnership between the surgeon and the patient so that a plan can be made that can produce a realistic expectation with acceptable risks and an acknowledgement of the limitations of what we can do.

If you have a breast asymmetry and have any specific questions then I do a live Q&A every Tuesday at 7pm on Facebook and I would be happy to give my opinion.
If you want to come to the clinic for a consultation then you can contact us here or phone (0121) 454 3680. We would love to see you.

You can download my breast implant guide here.

You can download my breast reduction and breast lift guides.


Eat, drink and be merry (as long as you don’t eat too much)

Christmas is a popular time of year for surgery and you might think that odd because you do not really want to be heaving the turkey in and out of the oven whilst loosening your support bra or clutching your abdominal binder.
I can understand the appeal because it is a time where businesses shut down so we all have some time off to rest and recuperate.
You may need to take little or no annual leave and recovery could be done over the festive period.
However, one of the problems with body contouring surgery is that we always tell people that they need to maintain a stable weight, because weight fluctuations after surgery can have an unpredictable effect on the result. 
You see, the problem with putting on weight is that it stretches the skin, and if you then go on to lose it, the skin may stay stretched and lose its elasticity which is why people need body contouring in the first place.
Just because you are having a tummy tuck or a breast lift does not mean that your body will be protected from weight fluctuations.
Your body will behave in the same way as it would have before, but you will be reset to a better place with your tummy and breast skin much tighter.
If you are planning on any weight fluctuation, then it is always best to do this before surgery.
Now I realise that life is not always as predictable as that, much as we would love to have a stable body weight, we all have times in our lives where our weight fluctuates.  However, the festive period is a particular time for indulgence and so you have to be extra careful if you are considering cosmetic surgery.

Our aim is always to do what is right for you and so we are always happy to have a conversation about when the right timing is for your surgery.

You may have compelling reasons to want surgery over Christmas and that is absolutely fine.
You are not alone as it is one of our busiest times for operating.
It is all about informed consent and for you to weigh up the pros and cons in your own mind as to when the best time for surgery is.  We will accommodate you whatever.

If you need time to think or just want to enjoy Christmas, then get out your mince pies and yule logs and go for it.
I do not want to be a party pooper and even if you do have surgery, there is no harm in the occasional mince pie!

I am only talking about significant weight fluctuations and the importance of some degree of stability.

We have had a busy Christmas and we look forward to making some new bodies for the New Year.
Whether or not you go for it with the stuffing or you just stick with the sprouts, I hope you have a wonderful Christmas and let’s look forward to a fantastic 2019.

If you have any questions, you can always join me on Facebook where I do a live Q and A every Tuesday at 7 p.m. and I will be available live to interact and discuss any issues.
Feel free to leave a comment below, or drop us an e-mail.
If you want to come for a free no obligation consultation with one of our plastic surgeons, please call or email us or fill in the on-line contact form.

Merry Christmas and Happy New Year.

Why We Don’t Do The Internal Bra Mastopexy

The problem with mastopexy

…and why the internal bra mastopexy is good

The biggest problem we have with mastopexy (breast lift) is maintaining stable upper pole fullness in the breast.

This is because over time natural tissues will always tend to sag and descend, and so whilst when you first do a mastopexy you can achieve quite significant fullness in the upper part of the breasts, as everything settles that fullness becomes less prominent and turns the initial convexity into a concavity in the upper pole and a softer look, which I often describe as being more natural but patients sometimes do not like it in preference for a fuller look which is after all what most patients are after when they are having a mastopexy.

This fullness can be achieved with breast implants and sometimes patients prefer the look that is achieved with a lift combined with implants, it is not without its potential complications.
Obviously, your breast would be bigger with implants and not all patients want to be bigger.

There has been a lot of research into the possibility of techniques to achieve a more stable fullness in the upper pole and this is always something that I am keen to look into and explore, because if someone can come up with a good solution then that really would be solving a very common problem.

The problem with the internal bra mastopexy

…and why we don’t use it

There has been an internal bra around for some time in various forms and what this involves is using some form of prosthetic mesh which helps to support and hold the breast tissue up to create a more stable fullness in the upper pole.

The science behind it is sound and it seems to give good results which can be stable over the long term.

However, it has not been widely adopted and it is not something that we use regularly here in the clinic because while it can give good results, it does increase the risk of complications.

Whenever a prosthetic material is used, if there is any infection, then the prosthetic material needs to be removed.

The problem with an internal bra mastopexy is that the mesh is incorporated into the breast tissue and so it is more difficult to remove in situations of infection.

Furthermore, the mesh needs to be anchored securely because if it is not securely anchored then it will just drop with the breast tissue.

For this reason they are usually anchored into the bone of the ribs and so this can cause discomfort and again, any infection around the bony fixation can be troublesome.

By definition the mesh has to be placed relatively close to the skin because if there is too much breast tissue on top of it this tissue will sag and defeat the object, and so there is a risk that you might be able to feel the mesh or see it, and the possibility of extruding through the skin can cause problems with the healing of the skin, which is already compromised by virtue of the mastopexy surgery itself.

Personally, I feel that the balance is weighed against these meshes at the moment, but I am excited to see how things develop.

The problem we have here at the clinic is that people will read headlines or see the latest developments being advertised and think that they are the solution to their problems, but when you get down into it and really analyse the science and look at the facts and figures behind these devices being used, rather than just looking at the headline cases, you will see that there is usually no easy solution for these difficult problems.

I find the best thing is to give people a realistic expectation of what can be achieved with mastopexy and then they can make a decision on whether it is right for them or not and perform the surgery in the safest way possible giving the most predicatable outcomes that we can achieve.

At the moment we are not using the internal bra mastopexy, but we will continue to keep at the forefront of the literature and available science and aim to give you the best advice and outcomes that we can.

If you have any questions about the use of prosthetic meshes and the internal bra mastopexy please e-mail us or call us.
Or you can ask our director, Jonathan Staiano, a question LIVE on Facebook at 7 o’clock every Tuesday evening, so feel free to drop in.

Tuberous breast deformity

Tuberous Breast Deformity

Tuberous breast deformity is a term that I see quite a lot, particularly on blogs and forums.

It is used as a label to encompass quite a wide range of breast deformities.

Patients can get quite upset and anxious when they hear the term and think that there might be something wrong with them when they are given this diagnosis, but it is really just a term used to describe a combination of features of the breast and it is nothing to fear.
In fact, I often see people who have been labelled as having a tuberous breast deformity, when in its mildest forms, it is simply a variation of the normal breast shape.
At the end of the day, it does not really matter what label you are given and as doctors, we are beholden to treat the patient rather than the condition.
This means that if you are unhappy with the size and shape of your breasts it might be possible to do something to improve them, but if you are happy with things it does not matter whether you are told you have a tuberous breast deformity or not and I would suggest you are best off leaving things well alone.

Features Of The Tuberous Breast

The features of a tuberous breast deformity include deficiency in the lower pole of the breasts, so that the line from the nipple to the chest wall is much shorter than normal and the breast lacks the natural fullness in the lower part.
This often goes along with a raised or ill-defined inframammary fold (the fold where the bra sits).
The base of the breast is said to be constricted and the nipple areola complex is often enlarged and herniated, which means that the areola (the pigmented area around the nipple), can look puffy and prominent.
It is also often associated with breast asymmetry. 

Treatment Of The Tuberous Breast

Treatment, as with any form of breast re-shaping is aimed at targeting the patient desires.

In its mildest forms, breast implants alone may restore volume to the breasts and careful selection of shape and profile can restore a natural contour to the breast.
In more severe cases of tuberous breast deformity, expansion of the lower pole may be required.
This can be performed internally by using the same incision as used to put the breast implants in and releasing the lower gland to help the implant to expand the deficient lower pole.
It might also be necessary to perform some scoring internally to help expand the herniation of the nipple areola complex to give a smoother shape to the breast.
There is only so much that can be done by internal scoring and implants, and if a more comprehensive correction of the breast shape is required, then a breast lift can be performed to re-arrange the breast tissue, and it might be necessary to combine this with implants to add the volume.

In order to address the herniation of the nipple areola complex, an areola reduction might be required which is an integral part of a breast lift and this will leave a scar circumferentially around the areola.
It is hard to encompass all of the surgical options for tuberous breast deformity, particularly since in cases of asymmetry, different things may be required to be done to each breast.

Cost Of Correction Of Tuberous Breast Deformity

This means that it is difficult to provide an accurate quote for patients asking about the cost of correction of tuberous breast deformity as I discuss below (starts at 4;04):

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There is no substitute for a personal consultation with a Consultant Plastic Surgeon, and it is cases like these that are often best treated by surgeons who specialise in cosmetic breast surgery.

For more information about finding such a surgeon you can read my book ‘Never Accept a Lift from Strangers‘, which is available from Amazon or my website.

If you have any questions we’d love to hear from you.  You can e-mail us or call us.
Or you can ask our director, Jonathan Staiano, a question LIVE on Facebook at 7 o’clock every Tuesday evening, so feel free to drop in.

Treatment for Breast Asymmetry

Treatment for breast asymmetry

All patients have a degree of breast asymmetry to a greater or lesser extent and when performing a breast reduction or a breast augmentation it is often possible to correct minor degrees of asymmetry, but we always warn people that there will be some residual asymmetries as it is quite natural to have differences between the two halves of our body.

It is cases of severe breast asymmetry that can pose a challenge and often require a little more thought and planning.

The first question to ask if you have a breast asymmetry, is whether you are happy with one of your breasts.

If you are happy with one of your breasts then it might be possible to just operate on one side to try and make that breast look like your ‘good’ breast.
If you are unhappy with both your breasts, then you may need surgery on both sides.

The next question is whether it is the size or the shape, or both the size and the shape that you are unhappy with.

If it is just the size that you are unhappy with and both breasts are of an acceptable shape, then it will be possible to make the big one smaller by doing a breast reduction or the small one bigger by using breast implants and sometimes and combination of these is required.

Breast implants are very effective at increasing the size of the breasts and although they come in a variety of different shapes and profiles, they do not have a dramatic effect on the shape of the breast.
If it is the shape that you are unhappy with, then your best option would be a breast lift (or a breast reduction if you wanted your breasts to be smaller).

As you can see, surgery for breast asymmetry can often be complex involving a variety of techniques including breast implants which often have to be of different shapes and profiles to give different effects to each breast, breast lifts, and breast reductions.

Whenever different surgery is done to each breast there is a risk that as you age, the breasts will settle differently.

If one breast is smaller and has an implant in, but the other side does not have an implant, then it is likely to be more pert and have a fuller look than the opposite side which is made up of breast tissue, because breast tissue will naturally droop or sag as the years pass.

This is where conversations come in where some patients might want a reduction of a bigger breast to match the volume of the smaller one and then to have the same size implants put into both so that they age in a similar way.

However, this then does bring in the complications associated with implants into a breast that may not have needed them.  It is swings and roundabouts.

Plastic surgery is really an art more than a science

and so there is often no easy answers in these situations and it requires a full and frank discussion with your surgeon.

You need to spend time exploring all of your options and will often have to accept that there will be a degree of asymmetry whatever surgery you have.

The aim of surgery is usually to restore symmetry as best as possible to make you balanced while wearing clothes and sometimes out of clothes you will still see some asymmetries and these are often magnified because you have lived with a more significant symmetry in the past.

I think it is important to realise at the beginning that all patients have a breast asymmetry to some degree, so it is usually a case of bringing it back into normal limits rather than achieving perfect symmetry.
We look at the consultation as a partnership between us and you and while we will help and guide you through the process, we will always aim to come to a mutual decision as to what might be the best option for you.

Don’t worry if this does not come in the first consultation.

It often takes two, three, or more consultations before you come up with a clear plan and that is why we only charge for the initial consultation because we want you to feel that you can come back as often as you need to go over things and make sure that you are happy with the plan.

As ever, it is always important to wait until your breasts have stopped developing so ideally you should wait until you are at least 18 before having surgery for breast asymmetry and you should also be happy and stable with your weight before having your breast asymmetry corrected.
You will need to be aware that as time goes on, particularly if you put on weight or have children, your breasts can change and so we always offer all our patients unlimited follow ups in the future because we know that life can be unpredictable.

For more information please download one of my guides and if you would like to arrange a consultation with us, the only plastic surgery clinic in the UK that specialises in breast surgery, call us now to arrange a consultation so that we can go over all of the possible options.

Do I Need A Mastopexy To Make My Breasts More Perky?

Do I Need A Mastopexy?

A mastopexy is a great way to reshape the breasts but when it comes to achieving a good outcome, it is important for us to communicate what might be possible so that we can align our goals.
Over time the shape of the breasts can change and these changes can be accelerated by having children or losing weight, resulting in a droopy or saggy appearance to the breasts.
Many patients want to achieve a more perky appearance to rejuvenate the breast contour.
The reasons that breasts lose their perkiness is because the skin gradually stretches.
This happens over time in all of us because of the effect of gravity.

The Alternative To Mastopexy

It is not possible to give elasticity back into the skin, and so there are two options to combat the problem.

  1.  To remove the extra skin and tighten the breast.
  2. To add volume to the breast to fill the skin envelope and tighten the skin.

So for this reason, patients often wonder whether it is a mastopexy they need or breast implants; with a mastopexy doing the former, and implants the latter.


Option 1: Mastopexy to remove the skin and tighten the breast


Breast Implants instead of mastopexy

Option 2: Breast Implants to fill the skin (without a mastopexy)

The main difference is the size of the resulting breasts and that will be about the same size after a mastopexy, but bigger after implants.

So it depends on how big you want your breasts to be.

If you want the breasts to be the same size as they are or smaller, then it is a mastopexy or a breast reduction that would restore the perkiness, but if you wanted them to be bigger, then implants might be all that is required.
However, if the breasts have sagged significantly, implants might not be able to fill the skin envelope enough and you may need to combine it with a mastopexy.  You can read more about a mastopexy combined with implants here.
Often if restoring the breasts to a more perky shape is the primary goal, then a mastopexy on its own is the best option. 

The Limitation Of Mastopexy

You will need to be prepared for the sort of shape that you can achieve with a mastopexy.
We always stress that gravity will continue to operate on the breast and so it tends to settle to a more natural shape without the round and full look that is associated with breast implants.
The problem comes when people want the rounded look and do not want to be bigger, because sometimes you may consider having implants just to achieve this look.
This is an option, but does carry with it the potential complications and limitations associated with implants.
This is why an in-depth consultation is always advisory, so that you can discuss your aims and objectives with your surgeon to see if a mastopexy would be suitable for you.
We can discuss whether the shape you could achieve, which can often be quite transformational to the breast, will be in line with what your goals are.
When you have a mastopexy, there will be a full and rounded look in the upper part of your breast to start off with, but over time they will settle to a more natural shape.

Mastopexy settling

After mastopexy, the fullness in the upper part of the breast settles into the lower part of the breast

Our primary goal is to have a happy patient and a happy patient is one who knows what to expect and can make an informed decision as to what might be the right operation for them.
We will not dictate to you what surgery you should have, and we will always inform you of what likely outcome you can reasonably achieve.
There is never any obligation to proceed.
If you have any concerns or doubts, then it is always best to go away and think about things and consider what surgery might be the best for you.
If you would like to come to the clinic for a chat, you can email or call us on 0121 454 3680.

For more information you can download one of our guides below:

Request Our Mastopexy Guide

Request Our Breast Augmentation Guide

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Life After Breast Implant Removal

Are you thinking about breast implant removal?

If you are considering breast implant removal but are worried what your breasts might look like afterwards, you are not alone.
As your body and your circumstances change, you might find that the breast implants that you once loved, become uncomfortable and out of keeping with your frame.
There are many reasons that people want to have their implants removed or you may just be worried and think that your implants need to be changed.

When should you change your breast implants?

If you are concerned, then you can read my blog post about when you should change your breast implants here.
If you are considering breast implant removal, then you may have many questions about what would be involved and what you will do once your implants are removed.
The Staiano Clinic is the only clinic in the UK that specialises in cosmetic breast surgery and is owned and run by a Plastic Surgeon.

Should you have your implants replaced?

If you would like a consultation with one of our surgeons, then we can go over your options for breast implant removal and talk about whether you would need to have implants replaced, or whether you would be happy to be without implants.  If you are having your implants replaced, then you can think about whether you have implants of the same size, or if you have bigger or smaller implants.  It may be that all the options are feasible, but you will need to consider the consequences of changing the size of your implants.
You can read more about what to do if you are considering replacing your implants here.

Will I need a breast lift after implant removal?

If you are thinking of changing or removing your breast implants, then you might be concerned about how your breasts will look afterwards, or more specifically, will you need a breast lift after your implants are removed?
Jonathan speaks about whether you will need a breast lift after implant removal in this video and shows some examples of cases of breast implant removal with and without breast lift:

If you would like a copy of our Frequently Asked Questions Guides, please click the links below:

Breast Lift Frequently Asked Questions Guide

Breast Implants Frequently Asked Questions Guide

If you have any questions you can give us a call on 0121 454 3680 or email us at

What Happens To My Nipples During A Breast Lift Or Breast Reduction?

What Happens To My Nipples During A Breast Lift Or Breast Reduction?

People often ask ‘What happens to my nipples during a breast lift or breast reduction?’.  It is commonly believed that the nipples are removed during a breast lift or breast reduction and then put back on at a higher place on the breast mound once the extra skin and volume from the lower part of the breast is reduced.
However, whilst this is certainly one of the recognised techniques for breast reduction, it is usually reserved for massive breast reductions and is not something that is commonly performed during one of the more standard breast reductions or breast lift procedures.
When the nipple is removed it is known as a free nipple graft and when doing this, there can be problems:

  • with healing of the nipple
  • often the nipple itself lacks projection
  • the pigmentation of the nipple skin may not be normal
  • and there is always altered sensation in the nipple.

For these reasons it is usually better to keep the nipple attached to the breast on what we call a pedicle which is a stalk of tissue which maintains a nerve and blood supply to the nipple and so gives a greater chance of it healing and having improved sensation compared to a free nipple graft.
However, there is still a risk of altered sensation and the possibility of healing problems even when a pedicle is used.
When performing the surgery, we cannot see the blood vessels and the nerves travelling in the pedicle and so we have to leave enough volume attached going to the nipple and hope that the blood supply and nerve supply is sufficient.
Similarly, there will be milk ducts in the pedicle and so you may be able to breastfeed following a breast lift or breast reduction; however, this is not guaranteed because of all the tissue around the pedicle is released and removed in order to allow the nipple to be moved into a higher position on the chest.
It can be a balance especially when doing a very big breast reduction between removing enough tissue from around the pedicle in order to give a significant reduction in the volume of the breast, but not too much so that the blood or the nerve supply is compromised.
This is something that comes with experience and is why it is important to have a full discussion with your surgeon pre-operatively around the sort of results you can expect to achieve.
We will not be able to tell you the exact cup size you are likely to be, because this is not something that is possible to predict, but we will be able to give you a realistic expectation of what might be possible and what your chances of needing a free nipple graft are.
Breast reduction and breast lift can be revolutionary operations and transformational, not only in terms of the cosmetic outcomes they deliver, but also the functional aspect by removing the weight and lifting the breasts on the chest to make them so much more comfortable.
However, moving the nipple is an integral part of the operation, and so you need to be fully aware of the potential for scarring and complications so that you can make an informed decision as to whether surgery might be right for you.

Want to find information on pricing?

Find out prices here for Breast Lift or Breast Reduction.

For more information, please contact the clinic on: 0121 454 3680, or email us.
You can also join our Director Mr Jonathan Staiano on Facebook Live at 7pm every Tuesday evening, where he does a live Q&A.
Please feel free to comment on the blog.

Download our guide with frequently asked questions about Breast Lift and Breast Reduction

Mommy Makeover, 1 Op or 2?

Mommy Makeover In Birmingham




The Mommy Makeover is a term popularised by our American colleagues (hence the ‘o’ in Mummy) and is used to describe plastic surgery operations of the breast and abdomen combined.
The abdominal operation would usually be a tummy tuck or a mini tummy tuck and the breast operation could be a breast lift, breast reduction, breast implants or breast lift with implants. It is so called because it is surgery that might be needed following pregnancy due to stretching and descent of tummy and the breast.

However, the Mommy Makeover is not limited to post-pregnancy women and may be required by anyone who has had significant weight loss, because this too will cause the tissues to stretch and descend causing a redundant apron of skin in the abdomen and droopy breasts that have lost volume.

A Mommy Makeover is a significant operation, that is something that we quite commonly perform here at The STAIANO Clinic. You would need a full and frank discussion with your Surgeon, in fact you would normally need more than one consultation to go over all the pros and cons of having a Mommy Makeover, rather than having a tummy tuck and breast surgery at different times. As is the case with most things in plastic surgery, there are no right or wrongs. It is a question of weighing up the benefits against the risks to see what would be right for you.


Tummy tuck and breast reshaping operations done separately are relatively major undertakings, and so to combine them does make it into quite a big operation. Either operating time would be longer than either one separately, but it would be slightly less than the time taken for each combined. Much of the time during surgery is involved in setting up, prepping and draping and anaesthetic time, and so there will be economies in performing it all in one go. However, the length of time of anaesthetic for a Mommy Makeover is usually between 5 and 8 hours and so this can knock you back and you will need to factor in adequate time for recovery.


Again, the recovery following Mommy Makeover is much less than the tummy tuck and breast shaping if performed separately because your abdomen would be healing at the same time as your breasts, so essentially there is only one recovery period which is not much longer than it would be if you were having a tummy tuck on its own. This means that the time off work following a Mommy Makeover would be much less than if you were to have two operations and it might be easier for your employer if you were to take just one period of sick leave.


Tummy tuck and breast reshaping surgery are not without their complications and you must be aware of this before contemplating surgery. There will be several wounds to heal and so the risk of some wound healing problems is greater than each separately, but no more than them combined. In fact, if there is a minor wound healing problem in the tummy or the breast then they can both be healing at the same time and so while the rate of complications might not be less, if you do get a complication in both areas, it can be easier to deal with as complications usually involve things like minor wound breakdown requiring dressing. Clearly, if you had a major complication in both areas it would be difficult to cope with, but fortunately the scenario is rare. As I mentioned the anaesthetic is quite long for a Mommy Makeover, but from an anaesthetic point of view it is safer to have one slightly longer anaesthetic than two shorter ones. It is a bit like air travel where the danger times are take-off and landing, it does not matter that much how long you are flying for. Similarly, for a general anaesthetic, dangerous times are on induction and when waking up from an anaesthetic.


The psychological aspects of cosmetic surgery should not be under-estimated and any time you are changing the shape of your body there will be an emotional element to deal with. It can be a rollercoaster because in the initial post-operative stages the tissues are swollen, the scars are fresh and it is not uncommon for one side to behave differently to the other giving asymmetry. Most of these things settle but can take many months to do so and so you need to work closely with your Surgeon for the support to get you through this period.

Breast reshaping or a tummy tuck can induce immense psychological and emotional changes usually very positive, but can be difficult to acclimatise to particularly in the early stages. You may struggle to cope physically or emotionally and it is always best to address these issues before surgery and here at The STAIANO Clinic we have dedicated Counsellors who can help to support you, as well as the office and nursing team who will be with you throughout your experience.

If you feel that a Mommy Makeover is too much to take on then do not worry, it is very common to have the procedures in two stages, and to simply deal with the area of most concern in the first instance and recover and then consider having the other area done. This can be months or even years later depending on how you feel.


There is a cost saving to having a Mommy Makeover compared to having the operations separately. It may not be as dramatic as you might think. The time spent in the operating theatre is very expensive and so the fact that the operating time is slightly reduced does have a bearing on the final cost. However, there is often not a dramatic difference in hospital stay as the tummy tuck usually has a 2 night hospital stay and breast reshaping a 1 night hospital stay, whereas a Mommy Makeover would be a 3 night hospital stay on average. And so, whilst there is a reduction in the overall cost this will probably not be the sole reason for choosing a Mommy Makeover. The other thing to consider is that payment is all required up front, whereas if you were to stage the procedures you would have time in between to prepare for the cost, although the hospital’s do provide 12 month interest free credit to help you spread the payments for any cosmetic procedure.

In summary…

I think it comes down to the individual as to whether you think a Mommy Makeover might be right for you. If you want one period of recovery and feel mentally and physically prepared for the changes that will take place, then there are definite benefits in having one period off work and one period of recovery and healing. However, if you are unsure or have one overwhelming area that you would like addressed then it might be worth having this addressed first and seeing how that heals and how you recover from it before considering having the other area dealt with.
If you want more information then please visit our pages on:

Breast Reduction, Breast Lift, Breast Augmentation and Tummy Tucks

Or, if you have any questions, then Jonathan is on Facebook Live every Tuesday night at 7 pm. Or you can email the Clinic or give us a call on 0121-454 3680 with any questions, we would love to hear from you.

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Breast Uplift With Implants

Have you been looking for more information on having a breast uplift with implants?

In this video Jonathan talks about the combined procedure of having a breast uplift with implants.

Not all plastic surgeons will perform the operation of a breast uplift with implants because it is a difficult operation with a relatively high complication rate.

Here at The Staiano Clinic, we do offer breast uplift with implants as a single operation, but we discuss the potential risks as well as the benefits of performing it in a single operation.
Like many things in plastic surgery, there are no rights or wrongs and it is up to you as an individual to get as much information as you can to allow you to make a balanced decision about what is right for you.
There is no doubt that a breast uplift with implants can produce dramatic changes to the breast and in selected cases is the best way to improve the shape of the breasts.  However, you might want to consider either staging the procedure or maybe even just having a breast uplift or breast implants as you may be happy once the shape or the volume have been improved.
Listen to Jonathan discuss the benefits and risks of a breast uplift with implants with examples of his work.

If you have any questions, you can find Jonathan on Facebook Live every Tuesday at 7pm for a live Q&A, so please like our page and join in.
If you would like any further information, please visit our page at
You can also call us on 0121 454 3680 or email: