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Video

Voiceover:
21-year-old Sarah came to see Dr Christian about her lack of breasts.

Sarah:
I’m worried I’ve got the chest of a boy.

Dr Christian:
Wow, right, okay. What size are you?

Sarah:
Um, smaller than an A.

Voiceover:
He reassures her there’s nothing wrong biologically, and sends her to see Yannis Alexandridis to discuss her options.

Dr Alexandridis:
It’s quite common that women do not develop big breasts. Normal variations depend on a lot of things; they depend on your family background, they depend on the hormonal background, um, and the overall build, um, but again I want to stress that there’s nothing wrong with that. But is this something that has affected you psychologically, do you think?

Sarah:
It affects me every day, just getting changed in front of the mirror, getting changed in front of my partner, um, I don’t feel comfortable taking my little boy swimming, being in a bikini, um, because I don’t feel comfortable wearing one.

Voiceover:
Sarah is currently smaller than an A cup, which is well below the national average breast size of 34C. After further discussion, Sarah opts for surgical implants.

Dr Alexandridis:
We have to be careful not to go on a very big implant. My decision making is depending on your anatomy, on how broad you are, how tall you are and how much breast you have. We cannot make it too wide, because then the two breasts will touch each other or can actually rub on your arm, so it would not be very comfortable for you.

Sarah:
Okay.

Dr Alexandridis:
We will do this operation under general anesthetic.

Sarah:
Okay.

Dr Alexandridis:
Usually this operation takes between one hour, an hour and a half, and it’s done as a day case.

Voiceover:
It’s the day of Sarah’s operation, and Dr Alexandridis marks her up in preparation. It’s a relatively quick procedure, and Yannis starts by making a small incision at the base of the breast.

Dr Alexandridis:
Now I’m going through the breast tissue, to make a place for the implant. We need to create a space to put this in. We are separating the breast tissue from the wall of the chest. So the key is to create a nice round pocket.

Voiceover:
He then washes the pocket with a special solution to minimise the chances of infection. It’s now ready for the implant.

Dr Alexandridis:
We’re going to squeeze the implant through the small opening. It’s soft and elastic so yeah, it allows it to become small and go through. So next step, I position the implant in the right spot, there we go. And we’re going to close the scar. We’ll put a double layer suture, so it heals very well. With time it becomes a small wrinkle. And because it’s placed right underneath the breast, it looks like the crease that the breast creates.

Voiceover:
He then moves on to the other side and repeats the procedure.

Dr Alexandridis:
I make sure with my hands and my fingers that the implant is in the right position, exactly where I want it to be.

Voiceover:
With both implants in place, Yannis lifts Sarah up to check the symmetry.

Dr Alexandridis:
After checking, uh, how the breasts look on both sides, from different angles, um, I’m happy with the shape, the roundness, uh, the position. So I can start closing on this side too.

Voiceover:
Steri-strips are placed as an extra barrier to infection, and help the skin to heal.

Dr Alexandridis:
Yes, it went very well, and there were no problems, and her breasts are natural-looking. It’s a good size for her, so I think she will be very happy.

Voiceover:
Four months later, Sarah’s back to show Dr Christian the results.

Dr Christian:
Sarah, welcome back. How long has it been since the operation?

Sarah:
It’s been about four, five months.

Dr Christian:
And you had no complications afterwards?

Sarah:
No, none at all.

Dr Christian:
Good. No bleeding, no infections?

Sarah:
No.

Dr Christian:
Excellent. And are you happy now?

Sarah:
Very happy.

Dr Christian:
You are.

Sarah:
Yes.

Dr Christian:
Is it what you had hoped?

Sarah:
Definitely.

Dr Christian:
So what size are you now?

Sarah:
I’m a 30D.

Dr Christian:
Can I have a look, do you mind? Just to check them. Let’s pop them right down. I mean, the real artistry, I think, of breast implants is to make sure that you get them equal and symmetrical. Because the danger is you put the implant a little bit too high, and actually it’s a question of choosing the right size implant. Did you, were you involved in that decision, or did the surgeon decide for you?

Sarah:
He advised me what he would recommend, and I went along with that.

Dr Christian:
You did. Can I see the scars, which should be underneath, aren’t they. They’re very neat little scars, they’ve healed beautifully. They’re still a little bit pink, that’s normal for scars that old, and they will fade even more. But I mean, they’re not noticeable at all, are they? Um, and do they feel normal, have you got normal sensation in the skin or not?

Sarah:
Not all the sensation. I can feel to about here—

Dr Christian:
And then it gets numb.

Sarah:
Yes.

Dr Christian:
I mean, that numbness really is because somebody’s gone in and stuck a load of instruments in there and disrupted all the normal tissues, and probably damaged a lot of the nerves. That’s inevitable in an operation like this. But they will actually, they’ll grow back again. Good, I’m happy if you’re happy.

Sarah:
I am happy.

Dr Christian:
Good, pop your things back on, that’s great.

Sarah:
Thank you.

Read the video transcript

20 yr old Sarah came to see Dr Christian about her flat chest. Although capable of producing milk it was so limited it prevented Sarah from breastfeeding her baby. After an examination, Dr Christian is able to confirm that there is nothing biologically wrong with Sarah’s breasts as such, and that there was a minimal amount of breast tissue present. Therefore he sent Sarah to see breast specialist Dr Yannis Alexandridis to discuss her options. After deliberation Sarah decided to have breast enlargement surgery. 7 Months later Sarah returned to show off her enhanced chest to Dr Christian who noted a good job had been done with minimal scarring and that sensation in the breasts would eventually return.

Patient name: Sarah Meiris
Condition: Flat Chest
Specialist: Yannis Alexandrides
Clinic:
111 Harley Street
111 Harley Street
Hospital: London Welbeck Hospital
Length of procedure: Approx 1 hour

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Hi I am 26 years old and I have a three years old child.but my brest size is 32A.one look small and the other look big.i m also brast feeding.I m really embarrassed for this.my husband doesn't like that.when we had sex I need to ware bra or top.its feel really bad.please help me for this.





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Hi my name is tanya, I'm 23 years old my breast are so small that I will only have sex with my partner only in the dark and with a top on its getting me so depressed that I cut my self . When its nice out I will wear jumper and coat so people don't look at my breast size. Please help me I love to get my life back and be happy xx





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I am 38 yrs old I have always want an augmentation but been deterred due to bad press. I get deeply down and have recently discovered my husband on an online website and flirting with other women. This has only served me to be more determined. I have no breast tissue. Please help





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Hi am Laura and 31 I've had 3 kids and my breast have always been small one looks saggy and the other a bit bigger. I've not been able to breast feed them for long as I dry up. Now they gt sore and lumpy and can't wear a bra due to getting sore. So i can't wear one when I need to because there's nothing there other wise. I've been to my doctor about all this and been refereed to the plastic team near by. It's cause me a life time of issues and still does. I've got my consultation next month and so worried that I get sent away.





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Hi am Laura and 31 I've had 3 kids and my breast have always been small one looks saggy and the other a bit bigger. I've not been able to breast feed them for long as I dry up. Now they gt sore and lumpy and can't wear a bra due to getting sore. So i can't wear one when I need to because there's nothing there other wise. I've been to my doctor about all this and been refereed to the plastic team near by. It's cause me a life time of issues and still does. I've got my consultation next month and so worried that I get sent away.





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hi there im 32 years of age and i have 5 kids and since i had my kids my breasts are gone very small even a 32a bra is getting to big for me i was wondering what do u think about breast inplants





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I'm hardly a 34AAA in the U.S. I'm getting breast augmentation in 6 days to go to a B cup





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I WAS REFERRED BY MY GP AS I HAVE ALWAYS BEEN FLAT CHESTED AND NEVER GROWN BIGGER THAN A 32A SINCE I WAS 16 AND I AM 35 NOW.I WAS TURNED DOWN THE REASON GIVEN WAS THAT OF MY AGE I WAS 32 AT THE TIME AND THAT I HAD TWO CHILDREN :( I WAS REALLY UPSET BY THIS AS I FELT AS THOUGH I HAD BEEN UNFAIRLY TREATED AND IT MADE ME MORE DEPRESSED THAN I WAS TO BEGIN WITH AND WISHED I HAD NOT GONE TO MY GP TO DISCUSS HOW I FELT AS IT MADE ME FEEL WORSE.EVEN NOW I STILL FEEL THE SAME ABOUT MU BREAST'S I HAVE GAINED A LITTLE WEIGHT BUT YET I AM STILL THE SAME SIZE BRA THANK GOD FOR BOOSTER BRA'S AND BIKINI'S OTHERWISE I WOULD NOT HAVE LEFT THE HOUSE.





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I am 20 years old i have a cup size of a 32a i could fit into a 32aa possibly i am wondering if there is anything i can do it effects my emotions, i daren't get changed in front of my loved ones.It also stops me from doing many sports activities.I try to put on weight, ive tried various home remedies, exercises, massages etc nothing works is there any chance they could still spring out? Or not at my current age?





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I am 14 and I am a 32C. my problem is the shape. They are a little odd in the fact that they grow outward. My best friend is the same size but her shape is perfect and round and perky almost as if she was wearing a bra. I get self conscious and I would like to know what to do. Because I am so young I cant have surgery, nor do I want it, but I would like to know some ways to naturally grow my breasts. I message them every night but that's it.





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