Do The Rice Test To Help Decide On The Size And Weight Of The Implants You’d Like.

If you’ve decided to go ahead with breast implants, or indeed, if you’re considering it’s something you would like in the future, a simple test is advised to help you choose the size of implants you’d like.

Weigh out some dry rice then pour it into some pop-socks or stockings. The amount of rice in grams is equal to the CC of the implant.

how-to-choose-a-bra-size1 Continue reading “Do The Rice Test To Help Decide On The Size And Weight Of The Implants You’d Like.”

Breast Implants vs. Breast Lift: Which is Right for Me?

Breast augmentation or enhancement is a popular choice in plastic surgery today, but it can be difficult to know which procedure will provide you with the best results. Many patients question whether they are better suited for breast implants Vs a breast lift. Which procedure is right will depend on the current appearance of your breasts and the specific results you are hoping to achieve. Continue reading “Breast Implants vs. Breast Lift: Which is Right for Me?”

The ‘What Baby’ Job- She feature with Linia patient Amanda

The ‘What Baby’ Job

After giving birth to three children, Amanda McMurtrie, 30, opted for a tummy tuck and breast augmentation.

‘Before I fell pregnant I was always relatively happy with my body. I’d wear whatever I wanted to – bikinis, tight dresses, nothing was off limits. Although I always put on at least a stone during pregnancies, I usually managed to lose it again.

However, after my third baby, my already naturally large DD breasts drooped and I was left with an awful apron of loose skin that hung from my stomach. I tried exercises to tone up but nothing helped. My confidence plummeted; I was 28 but felt that I had the body of someone so much older. Continue reading “The ‘What Baby’ Job- She feature with Linia patient Amanda”

Breast Enlargement Under Local Anaesthetic – Everything You Need to Know (Plus a Patient Testimonial)

Are you happy with your overall body shape? Have your breasts reduced in mass and shape due to recent weight loss? You’ve probably considered breast augmentation but wondered whether you could have it done awake.

We take you through what a patient of Linia Cosmetic Surgery had to say and her experience of the procedure. But first, we’ll take you through the procedure and the benefits.

It may be that you have always had a small chest and have trouble finding the style of clothes you want to wear that will fit you. Perhaps you have already had a tummy tuck, body lift and other cosmetic surgery and want to benefit from further surgery but don’t want to go under again.

That’s what we’re going to tackle today in this blog.

Breast implants can help to combat self-esteem and self-confidence issues you may have, whether you’ve always had smaller breasts nor not.

The problem is that maybe you’ve had enough work done and don’t really want to go under the knife and have full general anesthesia or maybe you are just scared and not keen on the after-effects.

Can you have breast augmentation under local Anaesthetic?

Whatever your reasons, the good news is that you don’t need to have some cosmetic surgery procedures, including breast augmentation, under general anesthesia.

Yes, it is possible and becoming more commonplace for patients to have a breast enlargement and breast augmentation with a local anaesthetic rather than general anesthesia.

Particularly, if the implants are going to placed below the breast tissue, but over the muscle.

For more information on getting a breast augmentation under local procedure, book your consultation today

What type of sedation is used for breast augmentation awake?

With awake breast augmentations (you can read another of our patient case studies by clicking that link) procedures such as breast implant surgery, you are given the sedation and a numbing agent into the area too by the plastic surgeon.

This has been used for many years in other plastic surgery and cosmetic surgery treatments like liposuction and eyelid surgery (to name two extremely popular surgical procedures) and is tumescent and consists of the epinephrine to control the bleeding and the anaesthetic, lidocaine.

What are the advantages of being awake during a boob job?

One of the most important questions you will have to think about when deciding whether you want to have surgery involving general or local anesthesia.

To come to the decision you will have to consider the pros and cons, and whether there are any risks to this kind of breast implant surgery.

Breast surgery, in general, offers many great benefits, so when it is performed by a surgeon with local anesthesia, some patients feel there are even more.

Having breast implants, like other invasive forms of cosmetic surgery, is traditionally performed with the use of anaesthetic.

Although it is relatively safe and can mean that a patient experiences less pain and distress. One of the major issues with anaesthetics is how it works.

woman after breast surgery with local anasthetic talking to surgeon

It cuts off the nerve signals between the body and brain, which means it prevents you from experiencing pain but also paralyses you while the surgery is performed.

Although this still happens when local anesthesia is used, it is far more localised and targeted, therefore, does not carry the same risks.

As you would be awake, though calm, It also means for the duration of the procedure, you will avoid the disorientation and nausea that is often associated with having it done under a general.

Furthermore, you can generally start to recover and get back to doing normal things after having breast implants, a breast reduction, breast lift or any other form of augmentation procedure.

Breast implants patients can eat, drink and move around with little to no restriction afterwards.

It’s not quite as simple as having fully non-surgical procedures, as the surgery is still very much an invasive one, but it also means you don’t need to spend time in the operating room and can leave with your new boobs on the same day usually.

What is the risk of being breast surgery under local anaesthetic?

It is important to note that any surgery, whether it’s a tummy tuck, breast augmentation, breast reduction or breast implants, comes with a degree of risk.

This has as much to do with the issues related to general anaesthetic and local anesthesia as it does the actual surgical breast implants.

The best way to avoid any of the complications associated with breast enlargement surgery, whether it is done with local anaesthetic or general anaesthetic is to ensure you have your procedure performed by a surgeon who is suitably qualified and certified.

When you first contact us, one of our friendly staff will arrange for a consultation appoint for you. You will get a chance to meet one of our team of highly experienced plastic surgeons who will be able to explain any of the risks that could.

Before you agree to have implants, the surgeon may advise that fat transfer would be better and still give you the lift and increase in shape and size you were looking for.

It is also important that you take the time to read the terms and conditions of agreeing to surgery.

A Happy Client Story Who Had Breast Augmentation Under Local Anesthesia at Our UK clinic in London

I had my Boob Job Under Local Anaesthetic – “Reveal” feature with Linia patient Tallulah

Reveal APRIL 2011 Article

Tallulah Egan, 23, London


“After the birth of my second daughter, Laila,
two-and-a-half-years ago, I had medical complications that caused me to lose a
lot of weight – and my breasts shrivelled to nothing.

They looked like teabags and I felt as if I’d been stripped of my femininity. I couldn’t wear tight or
revealing tops, and had no confidence in myself. But because I have cystic fibrosis, a genetic lung disease, I thought I’d never be able to have a boob job because it would require a general anaesthetic, which isn’t safe with my

Then, last year, I found a wonderful surgeon at Linia Cosmetic Surgery, who offered me the operation with just a local anaesthetic to numb the area. I’m not squeamish, so I didn’t even close my eyes! It took 45 minutes and I was able to go home half an hour later.

The recovery took as long as a normal boob job, but by summer I was wearing a bikini for the first time in years. I’ve gone from a 36AA to a 36DD and I’m thrilled!”

For more information or to book a consultation, Contact Us today or call us on 0800 170 7171

The Best Thing I’ve Ever Done- Take a Break feature with Linia patient Victoria

The Best Thing I’ve Ever Done

Victoria Buglioni had been thinking about having implants since she was 16, and finally went ahead last year at the age of 25. She told her Harley Street surgeon, Mr Azhar Aslam, that she wanted to go from a 34B to a 34DD. Her operation cost about £4000, paid in three instalments. Victoria, an accounts assistant and part-time model from Enfield, London, explains: Continue reading “The Best Thing I’ve Ever Done- Take a Break feature with Linia patient Victoria”

Day in the Life of a Drop-In Cosmetic Surgery Clinic- Sun feature with Mr Aslam and Linia patients

Would you have a boob job, lipo or a tummy tuck while still awake? Advances in local anaesthetic drugs means it’s becoming increasingly common. The patient remains fully conscious during the procedure, but they feel no pain.

Jenny Francis spent a day with Mr Azhar Aslam at Linia Cosmetic Surgery in London’s Harley Street, to experience the fast pace of today’s booming cosmetic surgery industry. Here, she meets four women who were in and out in hours. Continue reading “Day in the Life of a Drop-In Cosmetic Surgery Clinic- Sun feature with Mr Aslam and Linia patients”

Why Can’t Sick Women Have Great Boobs?- Love It! feature with Linia patient Lula

Lula’s living with a death sentence- so why was she worrying about her breasts rather than the risk of dying?

All around me, on one of the hottest days of the year, women were wearing low-cut tops and strappy summer dresses. Yet here I was, sweltering in a black, baggy jumper to cover up my tiny, flat-chested frame. At the age of 22, I had the body of a pre-pubescent girl and I hated it. Continue reading “Why Can’t Sick Women Have Great Boobs?- Love It! feature with Linia patient Lula”

Awake Through All This! Love It! feature with Linia patient Emma

Emma fancied a few nips and tucks to get back her pre-pregnancy body. And she wanted to keep a close eye on it all, too…

Latex-gloved hands moved toward my breasts. They were clutching a glinting scalpel in their powdery, pale fingers. I couldn’t take my eyes of the blade.

‘Are you comfortable?’ the owner of the fingers asked me, and I nodded. Then he drew the scalpel along the underside of my left breast… Continue reading “Awake Through All This! Love It! feature with Linia patient Emma”

Double Bubble Boobs – What is it? How & Why This Deformity Occurs & How it Can Be Fixed

Although it can be a life-changing and successful procedure, as breast augmentation is a highly invasive form of cosmetic surgery, it is not without risks. One of those risks of breast augmentation procedure is double bubble boobs.

While the term may sound a little comical, it is a serious complication. We discuss this deformity which can occur from badly installed breast implants that you should be aware of. What it is, why it happens and how it can be fixed, as well as our patient’s story and experience.

What is double bubble deformity in breast implants?

Double bubble deformity is a descriptive term that refers to a post-operative complication that can happen following breast augmentation, when the implants drop down behind where the chest muscle meets the lower breast, instead of forward. This shift causes an unnatural line or indentation across the bottom of the breast and is seen particularly when the arms are lifted.


double bubble breast deformity diagram
A diagram from an article in the Journal of Aesthetic Plastic Surgery


What Causes Double Bubble?

There are a variety of causes for double bubble deformity. Generally, it most commonly occurs when women have sagging breasts and had their breast implants placed submuscular, that is under the chest muscles.

In this situation, their breast tissue hangs down enough for it to look just like a pair of breasts, while the breast implants look like another pair.

One way to reduce this from happening is by having the implants placed over the muscles, which is referred to as sub-glandular breast implant placement.

As an addition, the surgeon may suggest that the patient needs a breast lift as well as a breast augmentation.

Pregnancy can also cause a double bubble when the breast tissue drops as a result of the excessive weight they gained while they were pregnant, but the implants stayed in place.

Other women that are particularly at risk are those with limited lower breast skin or a shorter than normal distance between the breast crease and areola’s bottom.

Capsular Contracture

Furthermore, a contributing cause of double bubble is what is known as breast augmentation capsular contracture.

Which occurs when the scar tissue around your breast implant tightens up, causing not just aesthetic, but physical issues.

Capsular contracture usually happens during the first couple of years after a breast augmentation procedure. The procedure to fix this is called a capsulectomy and is something we offer here at Linia Cosmetic Surgery


If you would like to book an appointment with one of our friendly, experienced surgeons with no obligation, please Contact Us today 


Several additional problems can lead to a double bubble:

  • When you have implants that are too heavy or big in relation to your chest wall and causes your supporting tissues to migrate, settle or stretch below the inframammary crease.
  • Implants that have not been positioned properly by the plastic surgeon
  • Constricted mammary crease
  • The patient suffers from tuberous breasts
  • There is scarring present from past breast procedures and surgeries

It is important to note that while it is one of the causes, poorly executed breast augmentation procedures and implant placements are just one of many.

Does Double Bubble go away on its own?

The short answer is yes, there are some occasions when treatment for double bubble deformity is not necessary as it will resolve itself.

Often, plastic surgeons dealing with the issue will suggest taking a ‘wait and see’ approach for at least six months following breast augmentation with breast implants, particularly if it has not been caused by misplaced implants or badly executed surgery.

This is ideal for anyone who does not want to endure more “work” as it means they will be able to rest up and recover more naturally.

Additionally, it also means they do not have to have any more disruptions to their normal schedule.

It is not a foregone conclusion that this is going to work, but it is worth considering. Unfortunately, sometimes it does not resolve itself with time and will need a surgeon’s further intervention to fix.

Does Double Bubble get worse over time?

The aim of any plastic surgery, as long as you have it performed by a reputable and qualified surgeon, is to enhance your looks and improve your lifestyle. However, things happen and things go wrong.

As is the case when any form of plastic surgery goes wrong, if the effects are left untreated, they could worsen over time.


woman worried about her double bubble breast implant deformity


We have already established that depending on your situation, body type, placement of the implants and quality of the procedure performed, it may be best to just wait and see.

Sometimes, this means though things will get worse. For instance, the implants may start to shift more, or as you lose weight or gain weight dramatically, it may cause the doubling effect to happen.

It may even be that you do not see any negative or unappealing results following breast implants or augmentation immediately after, but over time, as things settle.

However, if any complications occur or you experience results that you were not expecting, or anything does not feel right at all, you should contact your surgeon to discuss these.

They will be able to assess the situation and come up with the best solution.

How do you fix a double bubble?

While yes, there are some occasions when treatment for double bubble deformity is not necessary as it will resolve itself, often times, it will need intervention.

Often, plastic surgeons dealing with the issue will suggest taking a ‘wait and see’ approach for at least six months following breast augmentation with breast implants, particularly if it has not been caused by misplaced implants or badly executed surgery.

If the above does not work, there are a number of different ways to correct double bubble deformity, all of which include surgery of some form.

  • One of the most common options is revision breast augmentation surgery that involves a mastopexy or breast lift and the submuscular placement of the breast implants.
  • An alternative involves the removal of the breast implants and placement of new implants to the front of that muscle. Although this placement can help by filling out any sagging skin, it can cause rippling to occur.
  • The crease in the breast can be modified. For this, a small incision is made into the crease, which is then tightened up and raised by inserting sutures along the bottom pole of the breast. This process eases the breast implant back into the correct position.
  • The best double bubble correction for your situation, body shape and type will be discussed when you have your consultation appointment with the original plastic surgeon. If it is only recently you had the breast augmentation surgery, the “wait and see” approach may be taken so you are fully recovered.
  • However, if time has moved on a considerable amount since the date of your surgery, you may need to have revision surgery.

Another factor to consider is the payment side of things. All plastic surgeons and practices have a different policy.

If you are going back to the same surgeon, it may be that you do not need to pay the surgical fee but may have to pay facility and anaesthesia fees.

Many clients don’t want to go back to the same surgeon who may have caused the double bubble boob effect through negligence or incompetence.

In this case, of course, a separate payment will need to be made to the surgeon fixing the issue for you.

We Fixed Our Patient’s Bubble Boobs

Suki was horrified by the effect of cosmetic surgery on her breasts…here’s her experience which was picked up be the media and her testimonial.

Throughout my teens, all my friends seemed to have bigger boobs than me. I’ll catch up eventually, I thought, looking at my modest 34B bust.

But my boobs never did get any bigger. By the sixth form, I was stuffing my bra with tissues and promising myself I’d boost my cup size with surgery when the time was right.

double bubble boob deformity fixed

That time came sooner than I’d anticipated. When I was 19, a flat-chested colleague at my council job had her boobs done.

I’m getting my done too! I thought, admiring her amazing new curves. Why wait? Within weeks, I’d had consultations at two different clinics, both claiming they could take me up to a DD cup for £4,000.

I’d heard cosmetic surgery was cheaper abroad, so I emailed a Polish clinic, which swiftly responded. The woman was friendly.

She explained the price was £3,000- which included the operation, flights and a stay in a hotel. Then she phoned and emailed frequently. ‘If you want to go ahead, we need a deposit,’ she insisted.

My boyfriend Tom was hesitant. ‘Are you sure it’s the right thing?’ he asked. My gran Linda, who I lived with, advised against it. ‘You’ve got a decent bust already, love,’ she told me.

But I had my heart set on new boobs, plus this way I could keep the surgery a secret from friends. So I paid my deposit, and a few months later boarded a plane, Tom and Gran in tow.

At the clinic, I met the surgeon and felt reassured by the letters after her name. The day after the op, when the bandages were snipped off, my boobs were swollen and cone-like.

But I was happy with the size, and three nights later, we flew home.

But over the next few weeks, as the swelling settled, I became increasingly alarmed. There was a ridge through the lower half of each boob.

It looked as if I had four breasts! Panicking, I emailed pictures to the clinic, but they replied that nothing was wrong. I was distraught.

Gran said I should seek a second opinion. So I went back to the first clinic I’d been to, Linia Cosmetic Surgery in London. The surgeon explained I had a ‘double bubble.’

The implants had been placed under the muscle instead of over my breast tissue. The price to reposition them would be £5,000.

Waiting for the operation over the summer, I felt self-conscious shopping, refused to go topless on holiday in Turkey and pushed Tom away when he touched my chest.

But to any other readers considering surgery, I’d make sure you do your research before going abroad. For me, it’s been a tough journey and a very expensive lesson.

Thankfully, I’ve since had the corrective op and I’m proud of my new boobs. But to any other readers considering surgery, I’d make sure you do your research before going abroad. For me it’s been a tough journey and a very expensive lesson.

If you would like to book an appointment with one of our friendly, experienced surgeons with no obligation, please Contact Us today 

Would you have a nip/tuck wedding? Wedding Magazine feature with Linia patient Amanda

Boob job with your bouquet, madam? Pre-wedding plastic surgery is becoming increasingly popular with British brides. We asked women if they’d go under the knife to look their best on the big day…

“Yes!” says Amanda McMurtrie. I used to be one of those women who was totally against cosmetic surgery. I didn’t understand why others felt they needed to take such extreme action on their bodies. However, by the time my fiancé Andrew popped the question last year, I had entirely different opinions on the matter. Continue reading “Would you have a nip/tuck wedding? Wedding Magazine feature with Linia patient Amanda”