• Micro-textured implants form thicker capsules therefore are more palpable in thin patients but are less prone to implant displacement.

    • Smooth implants form thinners capsules therefore are less palpable in thin patients but are more prone to implant displacement with time. They also carry a higher risk of capsular contracture in the subglandular pocket.

    • Long chain silicone have increased viscosity and will stay cohesive if the implant ruptures. It has a more natural feel and less wrinkling.

    • Saline is safely absorbed by the body and therefore completely deflates in case of implant rupture. It can be overfilled or underfilled to correct minor asymetries. There is a less natural feel and more wrinkling.

    • Round implants are circular so they give upper pole fullness. They do not change breast shape in case of a malrotation.

    • Microtextured anatomic implants give a more natural breast shape (less upper pole fullness and more lower pole fullness) and are form-stable (breast shape conform to it). There is a slight risk of malrotation which could change breast shape.

    • Inframammary incisions are usually preferred because they offer the highest degree of precision and control, and avoids contact with breast ducts. It is well hidden in the fold and usually fades away at 1 year.

    • Peri-areolar incisions can be used if no manipulation of the inframammary fold is planned but is associated with a possible risk of bacterial contamination (passage through the breast tissue).

    • Dual Plane pocket where the implant is covered by the pectoral muscle at the upper pole and the breast gland in the lower pole

    • Subglandular (over the muscle) where there is a higher risk of implant palpability in thin patients, and a higher risk of capsular contracture with smooth implants. It is used in very active patients to minimize implant deformation by the muscle)

Breast Augmentation

Dr Zogheib follows the breast implant technique popularized by Dr Per Heden known as the Akademikliniken method. It is a specialized approach to breast augmentation that emphasizes achieving natural-looking results with reduced long-term complications.

Our breast augmentation expertise include three principles:

  • Customized Implant Selection: selecting implants that closely match the patient's breast anatomy and desired outcome. This involves choosing implants that fit the breast envelope well, which can help minimize potential complications such as implant malposition or unnatural appearance.

  • Detailed Pre-operative Assessment: conducting a thorough pre-operative assessment to understand the patient's anatomy, breast characteristics, and aesthetic goals. This allows for a personalized surgical plan that considers factors such as breast size, shape, symmetry, and tissue quality.

  • Emphasis on Natural Results: by selecting implants that fit the breast envelope properly, the method aims to reduce the likelihood of long-term issues such as implant displacement or visibility.

Are you a good candidate?

  • Usual contraindications to breast augmentation are patients responding to peer, spousal, or parental pressure, women <18 years and if there is a significant breast disease (severe fibrocystic disease, ductal hyperplasia, high-risk breast cancer)

  • Implant volume is chosen via a patient-surgeon cooperative approach. Bra sizes are not accurate in predicting final cup size (125–150 ml may increase one cup size, but larger frames may need more).

  • Patient measurements are taken to determine breast capacity and tissue coverage and accurate methods are used to find a range of the most appropriate sizes from which the patient chooses - To create a long-lasting result, harmony between patient’s desires and what the tissue characteristics and envelope will allow is essential.

  • Under regional anesthesia + anesthetic infiltration into tissues + sedation (thoracic spinal anesthesia) or general anesthesia.

  • Presurgical scrub, intraoperative antibiotics, antibiotics irrigation of the pocket and minimal manipulation of the implant reduce infection and capsular contracture

  • Moderate pain usually controlled with pain medication

  • Diazepam may be given for pectoral muscle relaxation

  • Postoperative antibiotics are of no proven benefits

  • Implant pushes up and in at day 3 for a month when minimal pain

  • Medical brassiere with downward pushing strap for 6 weeks, worn day and night (no push-up bras or harsh manipulation)

  • Aerobic exercises at 2 weeks (gently at first)

  • Heavy lifting at 6 weeks

  • Swelling for 1 month usually, implant descends during the first 3 months and conforms to the breast envelope

  • Scar usually fades in about a year

Check the American Society of Plastic Surgeons consent form for more details.