What is it? Lipofilling or lipomodelling is a fat transfer procedure used to improve the volume, contour, and quality of the breasts. It involves taking fat from areas of excess washing and filtering it then injecting it into the target area. The result can give a natural feel and appearance. The procedure is minimally invasive with minimal scarring.

Who would benefit from it? Well informed, pragmatic individuals with realistic expectations. The procedure is suitable for those looking for a natural alternative to breast implants to improve asymmetry and achieve a moderate increase in breast size. They will also need to have sufficient donor fat elsewhere on the body (e.g. in their thighs, flanks, abdomen).

How will Dr Rozina Ali perform the procedure? Fat is harvested from donor sites elsewhere on the individual’s body via small 3-5mm incisions into the skin (often the thighs, flanks, or abdomen, occasionally the back), in a procedure superficially similar to liposuction. Fat is harvested gently, without harm to the adipocytes or stem cells and is then washed, filtered, and concentrated before being injected in small aliquots under low pressure into the subcutaneous tissues of the breast. This procedure is offered under a general anaesthetic depending on the volume of fat required and the area to be lipofilled.

What can I expect from my recovery? A surgical compression garment is provided for the fat donor site (abdominal binder, leggings) and a first stage, post-operative, fat transfer bra to support the breasts without compressing the transferred fat. Mild swelling and bruising may be experienced in both the recipient and donor sites. Discomfort can be managed with painkillers and rest. Strenuous activity should be avoided in the immediate recovery period and normal activities may be resumed within a few days/weeks after the procedure.

What is it? The art of breast enhancement is to create a breast that is pert, shapely, sits correctly on the curved chest wall and feels soft. The goal is to enhance breast appearance not just size.

Who would benefit from it? Individuals wishing to enhance breast size, improve breast proportions, restore lost volume following pregnancy or weight loss, improve breast symmetry, projection and size.

How will Dr Rozina Ali perform the procedure? Dr Ali is skilled in selecting the appropriate shape and type of implants depending on the natural breast tissue quality and the dimensions of the breast. The size of implant is determined by the patient and the breast dimensions. The plane of implant insertion is determined by the implant size requested and the dimensions of the breast envelope. The selected implants are inserted into the breast ‘envelope’ through a short (4-5cm) incision at the level of the inframammary fold – the crease beneath the breasts, or where suitable, through a peri-areolar incision. The procedure itself consists of placing implants either under the pectoral muscle in the area between the muscle and the ribcage or on top of the muscle in the area between the muscle and the breast tissue. Breast augmentation surgery is carried out under general anaesthetic, usually as a day case procedure.

What can I expect from my recovery? Some swelling and bruising in the chest area can be expected. Discomfort can be managed by rest, a supportive post-surgical bra and painkillers. Antibiotics are prescribed to reduce infection risk. Most individuals can return to working from home within days, commuting to work within 1-2 weeks, but strenuous activities including heavy lifting should be avoided for 8-10 weeks to optimise the scar.

What is it? A Mastopexy, more commonly known as breast lift, is an increasingly sought-after surgical procedure for those wanting to achieve a more youthful, pert, and aesthetically pleasing décolleté. The intention is not to change the size of the breasts; however it is possible to combine a mastopexy with a breast augmentation or reduction if desired.

Who would benefit from it? Individuals with breasts that have drooped, lost firmness or volume. Sagging can be due to age, weight change, genetics, lifestyle or most commonly the hormone changes of pregnancy, breastfeeding, or menopause.

How will Dr Rozina Ali perform the procedure? Surplus skin is removed from around the areola (peri-areola lift) or in three triangles under the breast. The breast tissue itself is remodelled into a tighter higher cone and the nipple-areola complex (NAC) repositioned at a higher level so that the nipples lie at the most projecting point of the tightened lifted breasts. This surgery is normally carried out as a day case procedure under a general anaesthetic, but if combined with implants, fat transfer or a more major reduction in size, the option for an overnight stay in hospital is available, depending on the extent and size of the procedure.

What can I expect from my recovery? Following the operation, and for a short period of time, small tubes may rarely be placed to enable blood to drain You will be given painkillers for the discomfort you experience in the first few days and a post-operative surgical compression bra to support the breasts and reduce bruising, swelling and pain following surgery. You should refrain from strenuous physical exercise for 4-6 weeks.

What is it? Breast reduction, also known as reduction mammaplasty, is a procedure to remove excess breast fat, glandular tissue, and skin to achieve a breast size in proportion with your body and to alleviate the discomfort associated with overly large breasts.

Who would benefit from it? Breast reduction is a good option if you are physically healthy, concerned by feeling that your breasts are too large, have breasts that limit your physical activity, you experience back, neck, and shoulder pain caused by the weight of your breasts, have shoulder indentations from bra straps or skin irritation between or beneath the breasts (intertrigo).

How will Dr Rozina Ali perform the procedure? Breast reduction involves making incisions on the breast to remove the excess breast tissue and skin. If breast size is largely due to fatty tissue and excess skin is not a factor, liposuction alone may be used for breast reduction. The technique used to reduce the size of your breasts will be determined by your individual anatomy, breast composition, amount of reduction desired, your personal preferences and the surgeon’s advice. If the breast reduction required is very large or the nipple areola complex is very droopy, free nipple grafting may be advised

What can I expect from my recovery? After the procedure, dressings and a post-operative surgical compression bra should be worn to minimise swelling, bruising and pain and support your breasts as they heal.

What is it? Dr Rozina Ali offers a range of procedures to address concerns with the nipple, and/ or areola; be it addressing an inverted nipple, reconstructing a nipple after breast reconstruction, or altering the shape, size, appearance, or position of the areolas. Nipple shortening, reduction and nipple sharing are also possible.

Who would benefit from it? individuals who may wish to make changes to their nipples or areolas because they unhappy with how they look, or to address abnormalities such as asymmetry, inverted nipples, or oversized areolas, or who require nipple/ areola reconstruction as part of breast reconstruction.

How will Dr Rozina Ali perform the procedure? Treatment is dependent on the type of procedure required, but usually this is a local anaesthetic day case procedure. Excess tissues are removed, and the areola repositioned. Nipple ducts may need to be released to correct an inverted nipple. Nipple reconstruction is the pinnacle of skin origami.

What can I expect from my recovery? Depending on the procedure you could expect some mild swelling and bruising in the treated area; a garment or dressing to aid healing should be worn. Heavy lifting and strenuous activity should be avoided immediately after surgery.

What is it? The goal of breast reconstruction is to restore one or both breasts to give near normal shape, appearance, symmetry, and size following mastectomy, lumpectomy, or other surgery or trauma. Breast reconstruction often involves several procedures performed in stages and can either begin at the same time as mastectomy (immediate reconstruction) or be delayed until a later date or adjuvant treatments are completed (delayed reconstruction).

Who would benefit from it? Women who have undergone either a partial removal of the breast (lumpectomy, quadrantectomy, wide local excision), or the removal of one or both breasts (mastectomy) due to treatment for breast cancer or genetic risk.

How will Dr Rozina Ali perform the procedure? The choice of reconstruction technique depends on factors such as the patient's cancer treatment plan, anatomy, and individual wishes. Breast reconstruction generally falls into two categories: implant-based reconstruction or flap reconstruction. Implant reconstruction relies on breast implants to help form a new breast mound. Flap reconstruction uses the patient’s own tissue from another part of the body to form a new breast. Additionally, a technique known as ADM-assisted reconstruction can be used, where tissues in the body are supported to rebuild and grow using a special material called acellular dermal matrix (ADM). Immediate or delayed reconstruction using fat, or a combination of modalities is also possible.

What can I expect from my recovery? Recovery is dependent on which procedure is performed. A stay in hospital may or may not be preferred. Swelling and discomfort that will need to be managed by medication and temporary drains to remove excess fluid from the surgical site may be required. Normal activities can gradually be resumed over several weeks to months, but strenuous exercise and heavy lifting will need to be limited.