Reasons for Breast Augmentation

Patients consider breast augmentation for many reasons, including:

• Enhancing Breast Size: Increase breast volume for a fuller, more proportional appearance.

• Restoring Volume: To restore volume lost due to aging, pregnancy, breastfeeding, or significant weight loss.

• Correcting Asymmetry: To improve symmetry if one breast is noticeably smaller than the other.

• Boosting Confidence: To enhance self-image and improve body confidence.

Types of Breast Implants

Silicone Gel Implants / Gummy Bear

Filled with silicone gel, these implants mimic the natural feel of breast tissue. These are the best and most common types of implants used.

Saline Implants

An implant filled with sterile saltwater. Not our recommendation — it is a cheaper option available only in the USA.

Breast Augmentation with Fat Transfer

Not the best option for breast augmentation. It usually requires liposuction to extract fat, and the fat transfer will remain only a few cc.
It doesn’t provide the same shape or volume as traditional implants.
However, it can be used to make small enhancements or improve symmetry after/during breast augmentation — known as hybrid surgery (breast augmentation + fat transfer).
This combination can deliver excellent refinements.

The Procedure

Breast augmentation is performed under general anesthesia and typically takes around 1 hour.
The patient stays in the hospital for a few hours before going home. There are no movement restrictions like older techniques.

Incisions

• Inframammary Fold (beneath the breast): The most common and best option to preserve nipple sensation and breastfeeding ability.

• Periareolar (around the nipple): Not recommended due to higher risk of nipple sensation loss and breastfeeding difficulties.

• Transaxillary (in the armpit): Performed via video surgery; avoids visible scars on the breast.

For small to medium implants, the incision is approximately 2 cm; for larger implants, 3–4 cm.
Incisions are discreet and well hidden long term.

Implant Placement

• Subglandular: Above the chest muscle and below the breast tissue.

• Submuscular (Dual Plane): Below the chest muscle, creating a more natural contour and stable long-term position.
  This Dual Plane technique is our preferred and the most advanced method available today.

Fast Recovery Technique

We use a fast recovery technique that allows patients to return to normal life quickly:

• Return to regular activities: 3–5 days after surgery

• Resume full exercise: 4–6 weeks

• Swelling and soreness are normal initially

• A supportive surgical bra may be recommended

This modern approach ensures minimal downtime and greater comfort.

How to Select the Implant

The consultation is fundamental for choosing the right implant.
During the appointment, Dr. Paulo will examine your chest and take precise measurements to determine the implant that fits your body perfectly — ensuring natural, balanced, and beautiful results.

Photos are also taken to create a breast augmentation simulation, allowing you to visualize your possible outcome.
You may bring reference photos to assist in defining your ideal shape.

Implants Used

We work primarily with Motiva, Mentor, and Polytech implants.
Other brands can be used upon request, provided they are available in the UAE.

Internal Bra Technique

All our surgeries use a method called the Internal Bra — a technique that recreates the inframammary fold (the natural breast base).
It is not an external product, but a surgical reinforcement that prevents implants from sagging over time, ensuring a stable and long-lasting result.

High Profile vs. Moderate Profile Implants

• High Profile: Fuller upper breast, more projection, and rounder shape — ideal for patients seeking more volume and definition.

• Moderate Profile: Softer projection and natural cleavage — ideal for patients seeking a subtle, natural look.

There is no “right” or “wrong” choice.
The best option will be determined during consultation, based on your anatomy and desired results.

Potential Risks and Complications

Our complication rate is less than 1%.
Although breast augmentation is generally safe, potential risks include:

• Capsular contracture (scar tissue around the implant)

• Implant rupture or leakage

• Changes in nipple or breast sensation

• Infection

• Unsatisfactory results requiring revision surgery

Choosing the Right Surgeon

Selecting a qualified, board-certified plastic surgeon with extensive experience in breast augmentation is crucial to ensure the safest and most beautiful outcome.
Dr. Paulo is a Brazilian Board-Certified Plastic Surgeon specializing in breast augmentation using the latest technologies and techniques available.