Female breasts are every woman's most precious asset. It's the part of us that reveals most of our femininity. Women may choose to undergo a breast augmentation surgery for various reasons. The breasts may be under developed, they may have lost size, shape and firmness after pregnancy or breast feeding. They may have lost fullness after weight loss or simply with age. Breast augmentation surgery can correct the breast shape and size and is one of the most commonly performed procedures incosmetic plastic surgery. Breast enhancement using implants can give women a more proportional body thereby tremendously improving self esteem.
 

You would be a good candidate for breast augmentation if you have small breasts, have lost a significant amount of weight that has caused your breasts to lose volume, have lost your perky breasts after pregnancy and or breast feeding or have breasts that are not proportional in size with your fuller lower body. In some cases, if your breasts are droopy you may need a breast lift along with the breast augmentation procedure to achieve best results. Breast augmentation can be performed starting age 18.

Before your surgery Dr. Metwally will perform a complete evaluation with you. During this evaluation the type, size and placement of implants most suitable for you will be decided upon. Implants are either round or teardrop in shape. Dr. Metwally mostly uses the round shape since it eliminates any risk of distortion if implants were to flip or rotate. Teardrop shaped implants are mainly used in reconstruction since the implant will have more weight on its lower part versus its upper part. Implants also come smooth or textured. Dr. Metwally almost always uses the textured implants since they allow better tissue adherence with the implant. The external shell is made of a strong silicone elastomer shell. The inner content of the shell differs; it could be Para-gel (Silicone + hydro-gel), Hydro-gel (water based gel), soy oil gel or saline. The incision is made either in the infra-mammary fold (breast crease), Transaxillary (armpit), Areola (the dark circle around the nipple), or TUBA / Transambillical (belly button). One incision may be better than the other for you depending on the typeof implant you’re using, the desired size and the placement of the implant. Implants are placed either subglandular (beneath the gland) or submuscular (beneath the muscle). Dr. Metwally almost always uses the submuscular placement since the implant istotally covered by the musclewhich hides the implant edges.
 

It also reduces the risk for capsular contracture (where the breasts form a hard capsule around the implant) and gives better mammogram readings. All these factors will be discussed prior to your surgery, and Dr. Metwally will explain to you the procedure that best serves your case. You will need to arrange for someone to drive you to and from our center the day of the surgery. You should wear loose fitting clothes and bear in mind that your outfit may get soiled. Do not wear jewelry, contact lenses, or bring valuables to the operating room. Removeall body jewelry from pierced body parts.
 

During your surgery an incision will be made in one of the locations mentioned above after which a pocket is created to accommodate the implant. The pocket is made according to the implant placement as described earlier, behind the gland or the muscle. The implant is then inserted; centered behind the nipple and the incision is sutured. Mild dressing will be applied to your stitches and a skin color bandage will cover your breasts for a few days providing support to your breasts to encourage healing.

The beauty of Breast Augmentation is that you can see your initial result immediately after you finish your surgery. However, as mentioned above your breasts will be extra firm and a bit too high, but the size is more or less what you see right then. After that your breasts will swell making them appear larger than they actually will be when the swelling is gone. The final result varies from one person to another depending on many factors. Some people heal faster than others for reasons like age, implant placement and of course the surgeon’s skills. According to Dr. Metwally’s observation of his own patients, most of them see their final results after 12 to 16 weeks.The scar from the incision takes from 12 to 18 months to fade totally.