Mr Andrew Yelland

Consultant Breast Onco-plastic & Cosmetic Surgeon

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Frequently Asked Questions

We hope the following section will answer many of your questions about your surgery and recovery.

I think I want cosmetic surgery, where do I start?

Firstly you should decide which surgeon you would like to see. It is vital that you ensure they are a properly trained and experienced cosmetic surgeon.

Do your research! Make sure they have the right qualifications and don't be worried about asking how many times they have carried the procedure out, if you can see any before and after photos or speak to any past patients.

Do I need a referral letter?

No, but your general practitioner will be notified unless you Mr Yelland not to.

Will I see the consultant surgeon throughout?

Yes. Mr Yelland will be with you from the initial outpatient consultation, the operation and the follow up period and is always happy to answer any questions you may have. No high pressure sales persons or nurse advisors are used.

Where will my treatment take place?

All outpatient consultations and surgery take place at Mount Stuart Hospital which is fully registered with The Healthcare Commission.

Will pressure be put on me to have surgery at the initial consultation?

Definitely not. Your suitability will be discussed along with the expected results, risks and complications. If you are not suitable you will be told.

Are there any hidden costs?

No. Following your confidential consultation you will be given a fully inclusive price for surgery.

How will I know what I will look like afterwards?

Once you and your surgeon have decided on the best size implants you should be able to see how you will look, many surgeons will suggest you wear a sports bra and weigh out some rice into bags (your surgeon will tell you how much) then put the bags in your bra cups.

I like to take this one step further and invite all of my Patients to meet with a representative of the implant company and use the actual implants inside the sports bra rather than rice. This gives a really good idea of how you will look after the surgery, how your body shape will change and how clothes will look on you.

Are the implants safe?

There has been a lot of controversy about the safety of implants and you should discuss this with your surgeon at your consultation. Make sure you are happy with their answers and with the products they use. I use implants by a company which have the lowest rupture rate of any other make of implant. I personally have never used the PIP implants you may have heard about.

I'm not happy with my breasts but I don't want implants.

The shape of a women's breasts change with age, they can lose their fullness and also start to droop more. An effective procedure in this case is a breast uplift (Mastopexy). During the operation excess skin from the breasts is removed, the breasts are reshaped and the nipples repositioned.

Will the results last?

The results of a mastopexy will last but not forever. Gravity and the general ageing process will eventually affect your breasts again. You can delay this tendency by supporting your breasts in well fitting bras.

What happens after surgery?

After any surgery there will be a certain amount of bruising and discomfort. You will be up and about after a breast enlargement or a mastopexy after a couple of days but you will need to take it easy. Healing is a gradual process and your surgeon will give you clear instructions about what you can and can't do.

I think I need breast reduction surgery for men, can someone help?

Yes of course. Breast reduction surgery for men is becoming more and more common. It may be you have a condition called "Gynaecomastia" where your breast tissue is enlarged, giving the appearance of an overdeveloped breasts, it could affect both breasts or just one It is more common that you may think, affecting an estimated 40 to 60% of men.

What causes the Gynaecomastia?

In most cases there is no known cause for Gynaecomastia although in some cases it is has been linked to certain drugs and medical problems.

What happens if I do have Gynaecomastia?

You will have an initial consultation with your surgeon who will take a complete medical background. It is very important that you are totally honest with your surgeon and that you also ask any questions you might have, don't be worried about this, a good surgeon is there to give you the answers you need to make an informed decision.

What does the surgery involve?

To remove the excess fat in your breasts liposuction will be performed under either a local or a general anaesthetic. Several small incisions (2mm ? 3mm) will be made into the skin and a solution containing an anaesthetic and a substance to help prevent bruising will be injected into the fat through these incisions.

One the area is fully numbed the fat is removed using a fine needle, called a cannula which is attached by tubing to a strong suction machine.

How long will it take me to recover?

You will recover quickly although do expect some bruising and discomfort for a while. The worst of the swelling will go down in a couple of weeks but it could be up to 2 months before the full effect of the surgery is apparent.

I don't have Gynaecomastia I am just unhappy with the shape of my chest.

Breast surgery for men is not restricted to sufferers of Gynaecomastia. If you want to increase the appearance of chest muscles you can have pectoral implants. Solid silicone implants are inserted behind your real muscle.

Taking the next step

If you'd like to know more get in touch online or call our office at 01803 321631.