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Ivan Foo

Consultant Plastic Surgeon

MBBS (London), FRCS (Eng), FRCS (Ed), FRCS(Plast).

Information on Hospitals, Bookings and Private Consultations in a relaxing atmosphere with a highly reputable medical and surgical consultant.


This section contains details of procedures available within Mr Foo's practice.


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Macrolane Breast Enlargement

Macrolane is an alternative to surgical breast enhancement. It is suitable for patients seeking a subtle augmentation without the need for surgery.


What is Macrolane?

Macrolane is made from Hyaluronic Acid (HA) which is a naturally occurring substance in the body. Over half of the body's HA is found in the skin where a matrix of collagen and elastin fibres is suspended in hyaluronic acid. HA is naturally broken down in the body but the stabilisation process in the manufacture of Macrolane provides a longer lasting effect.


Who will be suitable for Macrolane breast enhancement?

Macrolane is suitable for women usually between 20 - 40 years, who are seeking small to moderate enhancement and shaping of their breasts. Those with a size A cup, wishing to go up to a B cup, or from B to C, but perhaps not ready to consider surgical breast enlargement.


Who are not suitable for Macrolane?

Less suitable for the procedure are those with more skin laxity (e.g. after breast feeding), thin breast tissue and with breast ptosis (drooping).
The degree of enhancement is subtle to moderate and therefore if you are seeking a more noticeable degree of enhancement, surgical breast augmentation is recommended.


How is it performed?

Macrolane breast enlargement is usually performed under local anaesthetic and patients go home on the same day. Sometimes sedation is preferred and some may request a general anaesthetic - you will still be able to go home on the day of treatment.


What happens after treatment and what are the side effects?

After it is injected, Macrolane absorbs water and there will be some swelling and hardness which gradually disappears over 3-4 weeks. You will feel some pain and tenderness, bruising and itching for a short period.

After treatment, you are advised to wear a support bra for 2-3 weeks. The treated area should not be exposed to intense heat / cold and exercise is not recommended until the swelling and redness has subsided. Massage and pressure to the area should be avoided as this can dislodge the gel. A sports bra (which is too firm) is not recommended as it could dislodge the Macorlane. You should avoid sleeping on your front.

Like surgical breast augmentation with a silicone implant, there is a risk of capsular contracture where the injected Macrolane may feel hard and become misshapen. If capsular contracture occurs the capsule could be broken down under local anaesthetic however the contracture could happen again.


How long does it last?

Macrolane is gradually broken down and reabsorbed by the body and the effect of Macrolane breast enhancement is not permanent. During the manufacturing process, Macrolane is "stabilised", slowing down its degradation. The results should last up to 12 months but this is variable. Patients will require a "top up" injection at a year.

For more information or a consultation
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