Breast Surgery


What is cosmetic breast surgery?

The aim of cosmetic breast surgery is to create beautiful and symmetrical breasts. What defines a beautiful breast shape depends on the individual patient’s body stature and what she considers attractive, as well as her particular cultural concepts of beauty.

What are cosmetic breast surgeries?

  • Breast augmentation: Increase in the size of the breasts.
  • Fat grafting.
  • Mastopexy: Firming of the breasts.
  • Reduction Mammaplasty: Reduction in the size of large breasts.
  • Breast reconstruction: Usually done after breast cancer surgery.

Breast Augmentation

Augmentation is a procedure to increase the size of the breasts. This can be done with:

1. Autologous tissue like fat grafting
2. Breast Implants.

Breast Implants

All implants on the market today are made of two separate components: an outer silicon shell and an inner filling that can be of Saline or Silicone.

What are shapes of Implant?

Breast implants may be round or anatomical in shape. The newest generation of implants – the cohesive silicon gel implant – promises increased gel integrity and a more natural appearance.

What are the approaches for breast agumentation?

  • Inframammary.
  • Sub-areolar (Trans-nipple).
  • Transaxillary.
  • Periumbilical.

Commonly, dual-plane breast augmentation is done in which the implant is placed under both muscle and breast tissue.

Advantages of dual-plane implant placement:

  •  Minimal capsular contracture.
  • Implant is not visible hence no rippling.
  • No alteration in normal breast function such as breastfeeding.

What are complications?

The most common complication is capsular contracture. Other complications include:

  • Implant malposition
  • Asymentry
  • Infection and implant removal.


  • Augmentation of the breast in patients with small breasts, tuberous breast, or Poland syndrome, or when the patient refuses silicone implants.
  • Correction of breast contour deformity or asymmetry after removal of breast implant or breast lumpectomy or after reconstructive surgery.
  • Creation of a thick envelope of breast tissue after placement of silicon implant.

The most common donor sites are:

1) Abdomen.
2) Thigh.


The procedure is performed under general or regional anesthesia. Fat is aspirated manually with a liposuction cannula attached to a syringe or vacuum pump. The liposuctioned fat is washed with 0.9% normal saline solution, followed by centrifugation at 1000 rpm for 2 minutes. Then this purified fat is injected into the breast.


Mastopexy is aesthetic breast surgery in which the breast is lifted and reshaped without increasing the size of the breast to look aesthetically pleasing and more youthful. In modern mastopexy, restoration of upper pole fullness with possible parenchyma rearrangement can be an essential part of the procedure, even without implant augmentation.

Why breast reconstruction


The presence of breasts is a defining feature of adult mammalian gender. Therefore, it must be considered an essential element of human femininity, and the role it plays in female psychology cannot be understated. Hence, breast reconstruction is almost exclusively consequent to surgery for breast cancer.

What are the aims of breast reconstruction?

Creating a symmetrical ptotic conus precisely positioned on the breast footprint embodies the art of breast reconstructive sculpture. The ultimate goal of breast reconstruction is to create symmetrical, natural-looking breasts and not necessarily a specific shape or volume.

Indications for breast reconstruction:

  • Mastectomy for breast cancer.
  • Development of breast conservative surgery for breast cancer.
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