Cairo Plastic Clinic 

Breast Augmentation or Breast Enhancement (Breast Enlargement) 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 or Breast Enhancement (Breast Enlargement) surgery 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 or Enhancement (Enlargement) surgery 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 current implants are all smooth to follow the new FDA regulations and filled with cohesive gel.

Alternate Methods for Breast Augmentation:

Since 2009, Dr. Wilson has been using fat grafts in select patients to perform breast augmentation (breast enhancment), and since 2012, he has been using stem cells for that same purpose. Accurate patient choice is crucial fot the success of such surgery. Details are found in pages of fat grafting and stem cells.

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.

Sites of Implant Placement

Depending on the anatomy of the breast tissue you have, and the size of your new breast, Dr Wilson will make several measurements and plan the technique of inserting the implant. Choosing the correct technique that suits your body provides superb aesthetic results ad minimizes the risk of complications.

1- Dual Plane : Where 

the top half of the

implant is covered

by muscle.

Offers maximum upper pole fulness.

2- Bra Triple Plane: The top and

lower parts of the implant are covered by

muscle, giving the implant

maximum support and

enhanced cleavage.

3- Inverted Dual Plane:

The the lower half of the implant

is covered by muscle. In revision cases

where the implant has migrated

downwards, or where the breast

anatomy is weak.

Risks of Breast Augmentation or Breast Enhancement (Breast Enlargement) surgery:

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: Submammary Incision: This 39 year old woman had a breast augmentation using smooth cohesive high profile silicone 425 implants. The implants were inserted over the muscle and the incision was made under the breast. A concommitant Tummy tuck was also performed.

Breast Augmentation: Areola 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 42 year old woman had breast atrophy following childbirth, and was treated with textured high profile cohesive gel silicone implants of 325 ccs size inserted under the muscle. 

Breast Augmentation: Areola Incision: This 35 year old woman had a breast augmentation using textured silicon high profile cohesive gel tear-drop325cc implants. The implants were inserted using the new dual plain technique and the incision was made inside the areola. Note the natural perky appearance of the new breast on front and side views. 

Breast Augmentation: Areola Incision: This 29 year old woman had a breast augmentation using textured silicon high profile cohesive gel tear-drop 275cc implants. The implants were inserted using the new dual plain technique and the incision was made inside the areola. Note how the incision practically disappeared in the close up view

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: Fat Injection: This 32 year old woman had a breast augmentation using negative expansion and fat injection. Two year follow up shows excellent take of the fat and perfect shape.

Breast Augmentation: Breast Fold Incision:This 33 year old woman had a breast augmentation using silicone 375cc implants . The implants were inserted under the muscle and the incision was made under the breast fold.

Breast Augmentation: Circumareolar Incision:This 29 year old woman had a breast augmentation using silicone 375cc implants . The implants were inserted under the gland and the incision was made under the areola. Note the excellent contour achieved on both frontal and lateral views.

Breast Augmentation: Fat Injection after previous breast lift: This 42 year old woman had a breast augmentation using 280 ccs of fat grafting in each breast.  Previous breast lift mastopexy performed 4 years earlier had failed to give her the desired shape and size, and these were achieved by adequate fat grafting.

Breast Augmentation: Circumareolar Incision: This 41 year old woman had a breast augmentation using silicone 365cc implants . The implants were inserted in the dual plane and the incision was made under the areola. Note the excellent contour achieved.

Breast Augmentation: Submammary Incision: This 18 year old woman had a breast augmentation using cohesive gel high profile silicone 415cc implants. The implants were inserted under the muscle and the incision was made under the breast.

 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: Fat Injection: This 33 year old woman had a breast augmentation using negative expansion and fat injection. Fat was taken from the abdomen and the breasts were increased one cup size. Follow up shows excellent take of the fat and perfect shape.

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: Peri-areolar Incision:This 31 year old woman had breast atrophy following delivery. Augmentation using contoured silicone 345 cc implants inserted under the muscle was performed.  Note how the Grade 1 Ptosis of the breast improved.

Breast Augmentation: Peri-areolar Incision:This 23 year old woman had small breasts even after pregnancy and lactation. Perioareolar augmentation using round silicone 445 cc implants inserted in the dual plane was performed. Note the improved size from A-cup to D-cup, pert appearance, and almost invisible scar on both frontal and lateral views.

Revision of Breast Augmentation and mastopexy: Submammary Incision: This 32 year old woman had a previous breast augmentation at another clinic, but size was small, breasts deviated and upper pole empty. A revision augmentation enlargement was done using 350 ccs smooth saline implants , using the dual plane, and giving her better cleavage, full upper pole, and a more natural appearance of the breasts.

 Breast Augmentation: Submammary Incision:This 34 year old woman works as a model, and wanted a huge breast, that could be increased in size even more. Prof Wilson inserted 1100 ccs Silicone Expander Implants under the gland. He filled them with 600 ccs of saline and connected them with a valve for future enhancement if the patient requested. Note the excellent contour and better upper pole fulness, as well as improved cleavage.

Breast Augmentation: Peri-areolar Incision:This 39 year old woman had breast ptosis and empty upper pole. Perioareolar lift and augmentation using round silicone 445 cc implants inserted above the muscle was performed. 

Breast Augmentation and Lift: Breast Fold Incision: This 46 year old woman with sagging atrophic breasts had a breast augmentation and lift using  textured high profile cohesive silicon 350cc implants. The implants were inserted in the dual plane and simultaneous lift was performed. Note the enhanced profile and perky breasts.

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.