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Breast augmentation surgery is the most performed cosmetic surgery procedure in world.

Breast Augmentation with implant (silicone)

Breast augmentation is a cosmetic surgical procedure that involves the use of breast implants to increase the size, shape, or fullness of the breasts. In traditional breast augmentation surgery, a drain tube is often used to help remove excess fluid and blood from the surgical site. However, some surgeons may choose to perform the procedure without the use of a drain tube.

The use of a drain tube after breast augmentation surgery is generally considered to be a safe and effective way to help prevent the accumulation of excess fluid at the surgical site. However, there are some potential drawbacks to using a drain tube, including the risk of infection and the possibility of discomfort or irritation.

I routinely choose to perform breast augmentation without a drain tube may do so in order to minimize these risks and to provide a more comfortable and convenient recovery experience for my patients. It is important to note, however, that the decision to use or not use a drain tube should be made on a case-by-case basis, as each patient's individual needs and circumstances will be different.

In order to ensure the best possible outcome from breast augmentation surgery, it is essential to choose a surgeon who is highly experienced and skilled in this procedure. Surgeons who have a long track record of success in performing breast augmentation, and who have received specialized training in this area, are likely to be the most qualified to provide the highest quality care and results.

Breast augmentation is one of the most commonly performed cosmetic surgical procedures in the United States. Modern breast augmentation has evolved with the development of various implant options, as well as surgical techniques. To achieve ideal result, it is important for the surgeon to develop a systematic approach to evaluate each patient.


My colleagues Roger Khouri from Miami, USA and Dr.Stuardt Mc Kirdy from England at the breast symposium

dr Lois Perin Mario Pelle Ceravolo

My colleagues Mario Pelle Ceravolo and Luis Perin from Italy and France

The 5 key steps in determining the best surgical plan include:

(1) assess the need for concurrent mastopexy,

(2) implant selection,

(3) pocket plane,

(4) inframammary fold position,

(5) choice of incision.

The purpose of consultaion is to discuss the principles behind each of these key concepts and how to utilize them in achieving the optimal outcome in breast augmentation.

Before having Breast Augmentation (Breast Enhancement & Breast Enlargement) Procedures there are several things for you to consider. What size would you like your Breasts to be after the Enhancement Surgery? Are you interested in Saline or Silicone Breast Implants? Where would you like the incisions to be placed? Should you have the implants placed above or below the Muscle (Pectoralis Muscle)?Or are there any different ways of surgical techniques to breast enlargement ( Dual,subfascial,)

At first glace, these decisions may seem overwhelming but Dr. Demir believes that after you have a thorough explanation, of your options for Breast Augmentation, you’ll be well suited to make an informed decision about your Breast Enhancement and Enlargement Procedure.

 There are several factors that are taken into consideration when deciding on the size of breast implants.

One of the main factors is the patient's desired breast size. The surgeon will discuss the patient's goals and expectations with them, and together they will come up with a plan that will achieve the desired look. The patient's body type, skin elasticity, and current breast size will also be taken into account when deciding on the size of the implants.

The surgeon will also consider the patient's chest width and the amount of breast tissue that is present. This will help determine the appropriate size and shape of the implants. The surgeon will also consider the patient's lifestyle, including their physical activities and clothing preferences, to determine the most appropriate size for their needs.

In addition, the surgeon will consider the patient's medical history and any underlying health conditions that may affect the surgery or the healing process. This may include factors such as the patient's age, weight, and overall health.

Overall, the decision on breast implant size is a collaborative process between the patient and the surgeon, and it is important that the patient trusts and has confidence in the surgeon's recommendations. The surgeon will use their expertise and experience to help the patient achieve the desired look while also ensuring that the surgery is safe and successful.

  Suction drainage is routinely applied in the breast for at least 2-3 days by many plastic surgeons.But  Dr.Demir  doesn't use drains in the breast enlargement procedures. His new concept called ''don't touch and leave dry'' performs not to the use of drains.

You can able to choose  the one all brands of implants


Breast Augmentation with Lipoinjection (fat injection of breasts):

Fat Transfer Breast Augmentation

Breast augmentation with fat transfer is a procedure in which fat is harvested from other parts of your body with liposuction, and then re-injected into your breasts in order to moderately increase their size, improve their shape, or correct underlying asymmetry.



1- Wise Pattern versus Transverse Pattern Mastectomy in Two-Stage Implant-Based Breast Reconstruction: A Propensity Score–Matched Analysis 

Joseph M. Escandón, MD1 James A. Butterfield, MD1 Jose G. Christiano, MD1 Jessica C. Gooch, MD2 Ann Therese Olzinski, MD2 Peter A. Prieto, MD, MPH2 Kristin A. Skinner, MD2 Howard N. Langstein, MD1 Oscar J. Manrique, MD1 ,Rochester, NY 

Plast Reconstr Surg. 2024;152(4S):1s–80S. 

2-An Expert Consensus Study for Informed Consent in Primary Breast Augmentation Surgery

Chelsea O. Hagopian, DNP ; Thomas M. Hagopian, MD;

Aesthetic Surgery Journal 2022, Vol 41(4) NP162–NP176

3-Transitioning From Conventional Textured to Nanotextured Breast Implants: Our Early Experience and Modifications for Optimal Breast Augmentation Outcomes

Aesthetic Surgery Journal 2021, Vol 41(2) 189–195 © 2022 The Aesthetic Society. Reprints and permission: [email protected] DOI:  10.1093/asj/sjaa169