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Few things have as dramatic an impact on your shape and silhouette, as well as your confidence, than your breasts. Almost one-third of cosmetic surgery procedures are related to the breasts, and the most common procedure is breast augmentation; a procedure which aims to increase the size, shape or fullness of the breast. Ideal for those who wish to either enlarge naturally small breasts, restore shape post-partum or after weight loss, there are two main techniques, namely fat transfer and implants.

Fat transfer is the surgical process by which fat is transferred from one area of the body to another, in this case the breast area. Excess fat is usually taken from the hips, thighs or abdomen. Fat transfer augmentation procedures are really limited to patients who are a dress size of UK10 and only desire a modest increase in size, while implants can be used to increase breast size – in theory, to any extent – in all patients.

Implant surgery takes around two hours and is done under general anaesthesia and the implants most commonly used are silicone gel implants and these implants can be round, or teardrop shaped. Shaped implants have a tapered upper edge and give more projection behind the nipple. The base width of your chest should define the parameter of implants. Your skin may impose a size limit too, particularly if there’s a tight envelope to your breast tissue.

Aside from the size of the implant and its shape, you will need to decide on the placement of your implant too. “High Riding” breast implants occur in cases where the implants were placed too high on the breasts, putting pressure on the soft tissue beneath. This incorrect implant placement can create an unnatural or masculine appearance, causing the patient to undergo breast revision surgery to correct the problem. For this reason, it’s important to carefully consider where the implant should go. A sub-muscular placement goes under the pectoral muscle and this positioning is recommended if you are very lean because the muscle can conceal implant characteristics, edges and rippling may be less visible. Sub glandular placement goes behind the breast tissue, over the pectoral muscle. The advantages of this include a better cosmetic result with no interference with pectoralis muscle function and no requirement for stretching of muscle for the implant to settle into its final position. Three to six months is required for your new breasts to fully heal and settle into their proper position.

Aside from the breasts, it is worth noting the importance of the décolleté – a part of the body that can all too readily betray your age or lifestyle choices i.e. whether you enjoyed a little too much sun! But for those who need a little help restoring youthful radiance to this area, Ulthera is the perfect treatment. This is the only FDA-cleared, non-invasive ultrasound procedure that lifts the neck and chin, and improves lines and wrinkles on the upper chest. Best of all, it can be used to complement surgical procedures to transform the chest area and results last many years.

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