Cairo Plastic Clinic 

Breast augmentation surgery is a procedure performed to enhance the size and shape of a woman’s breasts by surgically placing an implant behind each breast to increase its volume and enhance its shape. You may want to restore your breasts due to changes that occur after weight loss, childbirth or as a result of aging. In each of these types of cases, the effect of breast augmentation is not only an improved physical appearance but can also enhance your self-esteem.

Am I a good candidate for the surgery?

Breast augmentation can enhance your appearance and your self-esteem, but it won’t necessarily change your looks to match your ideal, or cause other people to treat you differently. Breast augmentation is designed to increase the size of small or underdeveloped breasts. Breast surgery can also restore and enhance your breast volume if it has decreased as a result of pregnancy and breast feeding.

The best candidates for breast augmentation are women who are looking for improvement in the way they look. If you’re physically healthy and realistic in your expectations and have a reasonable desire to have your breasts enlarged you may be an appropriate candidate.

Breast Implant Options for the 21st Century

The availability of FDA-approved silicone gel implants created new options for women considering breast surgery.

What type of breast implants can be used for breast augmentation?

  All breast implants include a solid silicone rubber outer shell, called a lumen. 

Breast implant options include:

• Saline breast implants: Filled with sterile salt water.  Saline implants may be pre-filled to a predetermined size. Saline may also be  filled at the time of surgery to allow for minor modifications in implant size. 
• Silicone filled breast implants: Filled with soft, elastic gel. All silicone breast implants are pre-filled and modern implants are usually textured to avoid capsular contraction and filled with cohesive gel.
  

What should I expect from my consultation?

During the consultation, you will be asked about your desired breast size and anything else related to the appearance of your breasts that you feel is important.  Dr. Wilson will examine your breasts and will consider such factors as the size and shape, the quality of your skin and the placement of your nipples and areolas. If your breasts are sagging, a breast lift may be recommended in conjunction with augmentation. You may find it helpful to bring examples of breast sizes from magazines to illustrate  your desired breast size. You will be asked whether you have a family history of breast cancer and about results of any mammograms. It is important to provide complete information.

How is the surgery performed?

 The method of inserting and positioning your implant will depend on your anatomy, individual factors and personal preferences. Dr. Wilson will help you determine your appropriate breast size, the location of incisions, and whether the implants will be placed on top of or underneath the chest muscle. The incision can be made either in the crease where the breast meets the chest or around the areola. Every effort will be made to assure that the incision is placed so resulting scars will be as inconspicuous as possible.

Working through the incision, Dr. Wilson will gently lift your breast tissue and skin to create symmetrical pockets, either directly behind the breast tissue or underneath your chest wall muscle (the pectoral muscle). He will then insert the implants and fill them with saltwater. The surgery usually takes 1 to 2 hours to complete. Sutures are used to close the incisions, which may also be taped for greater support. A surgical bra may be applied over your breasts to help with healing and to reduce swelling.

Risks of Breast Augmentation:

There is no scientific evidence that breast augmentation increases the risk of breast cancer. The presence of breast implants, however, makes it more technically difficult to take and read mammograms. This may be a special consideration for women who perhaps are at higher risk for breast cancer because of their family history or other reasons. Placement of the implant underneath the pectoral muscle may interfere less with mammographic examination, but other factors may also need to be considered with regard to implant placement. Your plastic surgeon will discuss this with you.

If you are planning to lose a significant amount of weight, be sure to tell your plastic surgeon. He or she may recommend that you stabilize your weight prior to undergoing surgery.

 Breast Augmentation: Areoal Incision: This 37 year old woman had a breast augmentation using textured cohesive high profile silicone 390 implants. The implants were inserted over the muscle and the incision was made in the areola.

Breast Augmentation: Breast Fold Incision: This 17 year old woman had a breast augmentation using smooth saline 275 implants filled to 300ccs. The implants were inserted under the muscle and the incision was made under the breast fold.

 Breast Augmentation: Areola Incision: This 23 year old woman had a breast augmentation using  textured high profile 350cc silicone implants with cohesive gel. The implants were inserted above the muscle and the incision was made inside the areola.

Two years later, she decided that she liked bigger breasts. A surgery was performed to replace her 350 cc implants with another pair of textured high profile 450cc silicone implants with cohesive gel, giving her even bigger breasts.

Breast Augmentation: Areola Incision: This 24 year old woman had a breast augmentation using  textured silicon high profile cohesive gel tear-drop 350cc implants. The implants were inserted above the muscle and the incision was made inside the areola.

 Breast Augmentation and mastopexy: Submammary Incision: This 41 year old woman had sagging small breasts after repeated pregnancy and weight loss. A breast augmentation using  textured silicone 350cc implants with simultaneous breast lift was performed. The implants were inserted above the muscle and the incision was made under the breast.

Breast Augmentation: Areola Incision: This 38 year old woman had a breast augmentation using  smooth saline 350cc implants. The implants were inserted above the muscle and the incision was made inside the areola.

Breast Augmentation: Breast fold Incision:This 43 year old woman had breast atrophy following delivery. Augmentation using contoured silicone 425 cc implants inserted under the muscle was performed.  The incision was made under the breast fold.