BREAST AUGMENTATION & BREAST IMPLANT SURGERY, Dubai

nazmi baycin plastic surgeon

Welcome to Dr. Nazmi Baycin’s breast augmentation page

As a Turkish plastic surgeon in Dubai, UAE, here I will share my professional knowledge and personal experience about the techniques such as short scar and scarless breast augmentation, implant models, implant placement, recovery after procedure, tips to avoid unwanted results, risks and complications, side effects and more…. You will also have an idea regarding the breast augmentation prices in Dubai. I can show you my personal breast augmentation before and after pictures during the consultation.

Do you need the best breast augmentation surgeon in Dubai?

Everyone would like their doctor is the best breast augmentation surgeon. Also, you would like to have surgery at the best plastic surgery clinic in Dubai.

However, the best breast augmentation surgeon is pretty relative and varies from person to person. Actually, the surgeon whom you really trust is the best.

If you plan to have breast augmentation in Dubai and need professional support, feel free to contact.

Why do you need breast augmentation?

The breast is an erogenous organ with symbolizing femininity. Also plays an important role in the physical appearance of a woman. Because women with breast implants feel more confident.

Of course, every woman aspires to look beautiful. However, due to bilateral or unilateral underdevelopment or weight loss after delivery, the breast loses volume.

Consequently, they look smaller than normal size. Breast augmentation surgery provides you fuller, aesthetically pleasing appearance for those who are not pleased with their breast size.

Breast augmentation alone for the patients who have loose breast and likely sagged is not proper choice. Because soft tissue of the breast would sag over the silicone after the procedure.

In such cases, a combination of breast lifting or breast reduction procedure additional to breast augmentation provides much more satisfying result.

Autologous Fat Transfer For Breast Augmentation

autologous fat transfer breast augmentationSome surgeons have still been performing autologous fat transfer for breast augmentation insistently, in spite of many drawbacks and less patient satisfaction. That is individually an article subject. However, here, I will explain briefly without diving into the details.

If the volume of the fat transplanted into the breast is less than 150 ml on each side, the difference would not be significant. However, the maximum quantity of fat to be transferred is less than 200 ml in general, which is not adequate to obtain a significant difference. Furthermore, 20-50% of the transferred fat will be resorbed by the body within a couple of months, which leads to volume lessens inevitably.

If the maximum quantity of the fat that can be transferred in one session is assumed as 200 ml, the volume contribution of fat transfer is much less than that of the implant can, which ranges between 250 ml and 400+ ml in general. So, multiple fat transfer sessions may require to achieve a significant difference for breast augmentation.

On the other hand, transferred fat may enlarge the breast; however, it cannot give shape. Whereas, since the breast implant has a particular shape, it can also give shape, besides the volume enhancement.

Most importantly, the mammographic view of the calcifications arising from transferred fat, which looks like snowfall, may mask breast cancer and lead to misdiagnosis.

Despite these disadvantages, autologous fat transfer is a useful method to correct breast asymmetries rather than breast augmentation.

What will I aim in breast augmentation surgery?

My objective is to make you happy as achieving a natural-looking ideal breast size proportioned with your body form with minimum surgical mark. So, breast augmentation will both improve your body image and restore your self-confidence.

Some patients seek a solution as they experienced a failed breast implant surgery before. Inappropriate implant size selection and asymmetric implant positioning are the most common complaint of the patients consulting me. Sometimes, their corrective surgery challenges even more than to do the primary surgery. Therefore your first surgery is crucial. The goal is to achieve the best outcome in a single shot.

How size your breasts would you like to be?

Nobody has unlimited breast capacity. Your breast capacity is limited with current breast size and existing breast base width. The larger the breast, the larger the capacity.

So, the breast size you have been dreaming must be the achievable size as regarding your breast capacity. Implant diameter MUST BE LESS than your breast base width to cover it fully. Otherwise, the edge of the implant exceeds the breast margin, becomes visible and palpable a couple of months after breast augmentation. For this reason, the size you have been dreaming and wishing to realize must be realistic and technically feasible.

What is your expectation after breast augmentation?

patient safety for breast augmentationYou may desire your breasts to be larger than the suitable size proportionate to your body before having a breast implant. However, to realize it, if I stuff an implant larger than your breast capacity, the surrounding tissue thinners too much due to the excessive expansion. So that, the implant manifests itself after the procedure.

The larger implant, the less natural appearance, the higher risk of late term complication. That is a general rule of breast augmentation surgery. Please note it.

If you wish a huge breast, I can only select an implant as maximum big as your breast capacity and tissue thickness allow. To have a huge breast, do not compel me to select oversized implant. I do not want both you and me to suffer a headache later on.

If you insist to have huge breasts, a serial of gradual breast augmentation requires. So, you will need more than one surgery.

Which implant size is appropriate for you?

On the other hand, implant size is highly discussed topic on the internet forums. Many women share their experiences on breast augmentation surgery and mention about the outcomes they have achieved related to implant size. So you may get an idea regarding the implant sizes; how much cc implant increases the breast volume and makes how much difference in the breast size.

However, there is a point that you overlook… All such information misleads you and makes your mind confused.

Do not forget that every woman has a different body and breast size. Any implant size reveals different outcomes for each woman. For example, while 250 cc implant provides significant increment for a petite woman with small breast, same implant may show little difference for hefty woman.

breast implant size

The importance of proper implant size selection: The image shows breast augmentation effect related to various implant sizes.

So, I as a plastic surgeon, advise you not to determine yourself how much cc you need. Let myself to decide implant size according to your expectation. Just explain me what your expectation is.

What is the ideal breast size for you?

ideal size for breast augmentation

It is crucial to achieving the ideal breast size after breast augmentation.

After this introduction, it is time to discuss the size. What is ideal breast size? Which size should be after breast augmentation?

Most of the woman express the breast size as referring to bra size. A cup, B cup, C cup so on. However, body proportions vary from woman to woman. For example, while B cup may suit for a petite woman, but may not suit for hefty woman. So, I am leaving the letters of cup sizes, A, B, C so on aside…

I describe the ideal breast as follows:

  • Should be in harmony with the body size and as large but natural as to show up themselves
  • Should be large, but never be as large as to exceed body line too much. Otherwise looks unnatural.
  • Should looks symmetrical in terms of both shape and size.
  • The distances between the upper end of the breast bone and two nipples each other must be as equal as possible like an equilateral triangle.

I always design the new breast size as considering above criteria regardless the A, B, C letters. If you agree with me, I would be pleased for you to be my patient.

Now you can get other technical information regarding the breast augmentation below.

Implant Placement Options

The breast consists of milk glands and fat tissue. Chest muscles (pectoralis major and minor muscles) lie between the ribs and glandular tissue. During the breast augmentation procedure, the implant is either placed between the milk glands and the chest muscle or between the muscle and the ribs.

Under the muscle (Submuscular breast augmentation)

Both the muscle and glandular tissue together to cover the implant conceals it better. Therefore, the edge of the implant is not noticeable by direct vision and palpation manually following breast augmentation. Because the muscle contributes to the thickness of the covering tissue.

Dual plane breast augmentation is a modification of the sub-muscular placement technique. In this technique, implant locates partly under the muscle, partly under the glandular tissue. According to plastic surgeon’s vision the muscle attachments cover partly.

Placing the implant under the muscle provides more natural look.

Over the muscle (Subglandular breast augmentation)

Achieving a natural look as well as the placement under the muscle is far in this technique. Usually you would feel the implant when you palpate your breast manually if you have thin breasts. Even, implant edges may be noticeable by direct vision. Sometimes it may look like a ball placed underneath the skin in women who are thin and skinny following breast augmentation. Implant placement over the muscle provides good result and natural appearance only in selected women with adequate soft tissue to cover the implant.

breast augmentation techniques

Implant placement of the breast augmentation surgery. The implant located over the muscle on the left side, the implant located under the muscle on the right side

Incision Sites of Breast Augmentation

There are 3 ways to insert the implants:

periareolar incision technique

Periareolar incision site for breast augmentation

Periareolar incision

Skin incision about 4 cm locates on the lower margin of the brown area called as areola around the nipple. The surgeon reaches the plane, where the implant locates as passing through the breast glands.

Cutting the glands during the breast augmentation may cause likely breast feed disorder and milk decrement after pregnancy. The nerve involved intimately with the nipple and incision site. Therefore, any possible nerve damage may cause temporary, rarely permanent sensation loss on the nipple.

The surgical wound heals leaving a slight faint mark on the lower margin of the areola.

submammary incision technique

Submammary incision site for breast augmentation

Submammary fold incision

4 cm skin incision locates on the fold line of the lower breast margin. The wound heals leaving a slight faint mark on the lower margin of the breast.

When the surgeon uses this route, the breast glands remain intact. Thus, even after breast augmentation, breastfeeding disorder and milk decrement will not be a matter after possible pregnancy.

Damage of the nerve supplying the nipple, therefore, the sensation loss of the nipple is also unusual.

axillary incision technique

Axillary incision site for breast augmentation

Axillary incision

Skin incision about 3-4 cm locates on the deep fold lines at the underarm region. I create a tunnel toward underneath the chest muscle, then insert implant through the tunnel. Implants usually locates under the muscle through this route.

In this technique, especially when implant placed under the muscle, the risk of the infection significantly reduces after breast augmentation.

Since the surgical wound locates on underarm, there will be no surgical mark over the breast. The surgical mark on the underarm evanesces by the time; because of overlapping with the fold line.

In axillary incision technique, the breast glands remain intact. Thus, even after breast augmentation, breastfeeding disorder and milk decrement will not happen after possible pregnancy.

The nipple damage, therefore, the sensation loss of the nipple is also unusual.

Personal factors affecting the outcome of breast augmentation surgery

  • Distortions in development
  • Current natural size of the breast
  • The shape of the rib cage
  • Laxity, fullness, thickness of the tissue
  • Flabbiness of the breast
  • Skin elasticity
  • Width of the breast base
  • Whether the chest shape is symmetrical

Scarless Breast Augmentation

The standard length of the axillary skin incision is 3-4 cm. Even though the surgical mark will fade, I modified this technique. In order to leave an invisible scar, I designed special instruments developed by myself.

Since the fold line and short scar overlaps, the scar tissue visibility lessens in six months. Then vanishes in one year totally. Thanks to the fact that the surgical wound is as short as 1.5 cm, you will recover quicker with minimal discomfort following breast augmentation.

Where will I perform your surgery?

Joint Commission International (JCI) works to improve patient safety and quality of health care in the international community by offering education, publications, advisory services, and international accreditation and certification. It is the recognized global leader in healthcare accreditation with the highest standards built on maximum safety and minimum risk.

There are a couple of hospital options that I affiliated with, which accredited by JCI. I will perform your surgery at either one of the distinguished, cutting edge hospitals in Dubai. You may opt for one during the consultation.

How will I plan the breast augmentation surgery?

If you are older than 40, it is better if you take mammography before the breast augmentation surgery.

The procedure requires general anesthesia. Surgery will last 1 to 1.5 hours.

You will be able to mobilize few hours after surgery. Most patients feel good enough to return home 4-5 hours after having breast augmentation.

So, you will be able to return your home same evening. However, if you need rest, you may stay at the hospital overnight.

How is the recovery period after breast augmentation?

You will not feel severe pain after the procedure. Although the surgery will be under general anesthesia, I will also inject a local anesthetic to the surgical area. Thanks to long-lasting local anesthetic I will use during the procedure, you will not feel any pain on the first day when the actual pain is mostly felt. Mild or moderate pain you will feel on the following days can easily be controlled by pain medication. I will prescribe both antibiotic and pain medication just after the surgery.

Swelling (edema) inherent to surgery, occasional bruising may occur. Swelling and bruising disappear within 10 days.

You will be able to take a shower 2-3 days after the procedure.

I always stitch the skin with absorbable and hidden sutures. So you will not feel stitch removal stress.

You will be mobile, not depend on the bed in recovery period. If you feel good yourself enough, then you can return to work in a few days, even you can fly.

A bandage or special garment is worn for 2 weeks following breast augmentation. You will be able to swim after 15 days which is enough time wound to heal.

How will you feel yourself after breast augmentation?

recovery period of breast augmentation

Diagram shows, how you will feel yourself emotionally during the recovery period of breast augmentation. The effect of the surgery may impair your emotional status. However, as time goes on, you will recover and get rid of surgical effects; and eventually, you will gain your confidence back.

What are the risks and complications of breast augmentation surgery?

patient satisfaction rate after breast augmentation

Patient satisfaction rate after the surgery

The complication rates of breast augmentation are the compilation of medical literature data. That does not mean you will experience all those complications.

The surgical risks such as infection and hematoma (blood collection) are all preventable with thorough surgical technique and medication.

Capsule formation surrounding the implant rarely tends to contract as a result of excessive scar tissue, which is out of the surgeon’s control. Usually, it emerges in the first year following the surgery. Daily regular breast massaging minimizes the risk of capsular contracture. I will show you how the breast augmentation massage is after the procedure.

Although capsular contracture is the most prominent complication among all risks and complications, the probability is pretty far (less than 5% according to world standards of plastic surgery). To have an opinion, in my career so far, I carried out up to 2000 breast surgery; I witnessed about 25 capsular contracture cases. Most of the cases recovered with the intensive massaging program, a few of them needed surgical capsule relieving.

Minor asymmetry of breasts may occur after surgery. Though, asymmetric breasts are already naturally seen most of the women in terms of both shape and size. Less than 10% of women have absolute symmetry.

If your breasts are already asymmetric, although I will do my best to correct it, yet minor, negligible asymmetry may still persist.

If you need information about implants’ risks click here: implant rupture, capsular contracture, cancer risk.

Breast Implant Removal & Exchange (Replacement) Following Breast Augmentation

For the patients who underwent breast augmentation surgery in the past, the necessity of breast implant removal or replacement issue was controversial among plastic surgeons until recently. However, as the implant production technology develops, much more durable implants have come out in recent years. Implants are lifelong devices unless you have any problem arising from the implant or your health. Following the surgery, in particular cases, breast implant removal or exchange may necessitate:

  • The breast implant can be removed arbitrarily due to your desire.
  • If you are not pleased with the size after the first surgery, the current breast implant can be replaced with a smaller or bigger implant.
  • In case of implant rupture or leakage which is possibly due to a trauma, implant removal or exchange requires necessarily.
  • Capsular contracture due to excessive scar tissue surrounding the implant can be treated by medical or surgical methods. If the capsule persists despite all treatment attempts, breast implant removal would be the ultimate solution.
  • If you have a breast disease which needs surgical treatment such as breast cancer, breast implant needs to be removed necessarily.

Would you like to see breast augmentation before after pictures?

UAE rules do not allow to share breast augmentation before and after pictures. However if you visit me for consultation, I will show you plenty of before and after pictures.

 

TESTIMONIALS

 

Checklist Before Having Breast Augmentation Surgery

IMPORTANT ! Before getting the appointment, check your medical conditions yourself.


How much does breast augmentation cost in Dubai?

Breast augmentation costs in Dubai vary from clinic to clinic and depend on also breast lift necessity. In my practice:

  • Breast augmentation price: 28.000 AED  ($7.650)
  • Breast implant surgery with lifting price : 35.000 AED ($9.550)
  • Breast implant removal price : 15.000 AED ($4.100).

The prices include surgeon fee, blood tests, hospitalization expenses, implants, medicines and consumables used in the hospital. Additional overnight stay is subject to extra payment. The price may rise depending on the complexity of the procedure.

Full list of plastic surgery prices


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A decision-making method for breast augmentation based on 25 years of practice

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One Response to BREAST AUGMENTATION & BREAST IMPLANT SURGERY, Dubai
  1. Daysi Elizondo Reply

    Thanks for this inspirational, informative and very well written article.


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