Choose breast implant size carefully warns UK plastic surgeon, Ms Angelica Kavouni

Female doctor choosing mammary prosthesis in the office.  As the trend of young women seeking implant downsizing continues to rise, Cosmetic Surgeon Ms Angelica Kavouni bemoans the celebrity led fashion fads that influence young people today.

I started my private practice in the late 90’s and was then inundated with young women wanting overly large implants – driven by the actions of many high profile celebrities of the time.  In my professional opinion this was a trend too far and I rarely agreed to operate (I believe in body proportion and not extremes).  Now I’m seeing a growing number of women asking for chest ‘downsizing’ – and I’m very happy to help.

When the producer of BodyShockers approached me I was a little sceptical of the programme as the content is too extreme for my taste, however their underlying goal of educating the young against extremes of beauty is sound and of interest.  I have now collaborated on three series of the programme and Andrea’s story  (aired on January 20th on Channel 4) is very typical.

Andrea admits she made a mistake.  She had large implants to fit in with her colleagues at work and as the years passed realised her error. Large, disproportionate breasts cause many negative issues, many Andrea faced daily.

With support from her fiance, Andrea made the decision to downsize her chest.   During consultation Andrea indicated that she wasn’t keen on having scarring associated with breast uplift surgery (mastopexy) and chose to have her implants removed from an incision around the areola.   This turned out to be a good option for her as she didn’t want implant replacement and was lucky to have good quality skin.

Other women aren’t so fortunate.  These oversized implants can stretch both the skin and ligaments that have to hold them up.  Surgery often involves a breast uplift which has a longer  anaesthetic, longer recovery and scars that I try to keep in a ‘lollipop*’ shape but sometimes have to be anchor* shaped.

On the show the producers filmed a young girl who was 100% convinced she wanted overtly large implants (to go from A cup to F cup).  Andrea talked to her before surgery and the girl watched the operation. There was a positive outcome as the young girl decided against huge implants and settled on a DD cup.

My message to anyone seeking breast enlargement is to think very carefully about implant size.  Some helpful hints:

  1. Put some rice into the foot of a stocking and take to a bra shop – use the stocking to fill a bra and put on a tight T shirt, is is the look you want?
  2. Ask a friend to come with you for advice
  3. See around 3 surgeons before you choose the right one for you
  4. Ask to see some of the surgeon’s work

Ultimately don’t be a victim of fashion.  If you want breast enlargement surgery then do it for the right reason, because YOU want it – don’t be influenced by others (family, friends, lover or employer).

To read Andrea’s full story in Daily Mail:


*Lollipop – incision around the areola and down to the crease of the breast

*Anchor – again around the areola, down the the crease but this tup can travel around the base of the breast

About Ms Angelica Kavouni FRCS EBOPRAS Cosmetic Surgeon

Ms Angelica Kavouni MD FRCS EBOPRAS With a wealth of experience in private practice spanning 15 years and a regular TV, online and print media contribution, Angelica has secured her place as one of London’s prominent cosmetic plastic surgeons. Angelica has developed a reputation for her signature natural result Career Facelift® which blends minimal procedures with state-of-the-art anti-ageing treatments.  Her expertise also includes post pregnancy breast and body contouring and vaginal rejuvenation. Angelica is committed to safety and standards and her attention to detail is legendary. The Kosme Skin Clinic …where anti-ageing professionals and state-of-the-art skin rejuvenation meet Kosme Skin Clinic is a unique skincare destination. Not only a stand-alone non-surgical unit housing state-of-the-art solutions for all skin issues, the Kosme Skin Clinic acts as an invaluable adjunct to the surgical facility also based at 129 Harley Street. Our experienced aesthetic nurse practitioners work to Medical Director Ms Angelica Kavouni’s own exact standards, delivering high-end care to all patients. Def: Kos-me…preservation, restoration, or enhancement of natural appearance Ms Angelica Kavouni GMC: 4002006 129 Harley Street London W1G 6BA t: 020 7486 9040 w:
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