Breast
Breast Augmentation
Volume that suits your frame — chosen with you, in your own underwear, in front of a mirror.
Duration
1.5 – 2 hours
Anaesthesia
General anaesthesia
Stay
Day case or 1 night
Indicative cost
EGP 90k – 135k
Augmentation is, more than any other procedure, an exercise in restraint and in fitting the implant to the patient — not the patient to the implant. Dr. Saeed uses dimensional planning: chest width, soft-tissue thickness, skin envelope and lifestyle decide the implant rather than a desired cup size. Sizers are tried on in the consultation room.
How this is approached at the practice
- Round and anatomic Mentor or Motiva implants from a personally curated range.
- Dual-plane placement most often; sub-fascial in athletic patients.
- Inframammary incision in the natural fold for predictable scar placement.
- No-touch technique with Keller funnel; antibiotic irrigation throughout.
Who is suited to breast augmentation
Augmentation is appropriate for patients with constitutional volume loss, asymmetry, or post-pregnancy involution who are at a stable weight and have realistic expectations. We do not operate on patients seeking a specific cup size as a primary goal.
- Aged 21 or older for primary augmentation
- Stable weight
- Non-smoker for six weeks before and after
- No active breast disease
- Up-to-date breast imaging in patients over 35
Dual-plane augmentation
The procedure, step by step.
An inframammary incision of approximately 4 – 5 cm is placed in the natural fold. A pocket is dissected, partially behind the pectoralis major and partially behind the breast tissue. The implant is delivered through a Keller funnel for a no-touch insertion.
01
1. Sizing in clinic
External sizers worn in your own bra, in front of a full-length mirror. Photographs taken with sizers to compare during decision-making.
02
2. Marking
Standing markings the morning of surgery — fold position, pocket dimensions, asymmetry compensation.
03
3. Pocket creation
Dual-plane dissection. Haemostasis is meticulous. Pocket irrigated with triple antibiotic solution.
04
4. Implant insertion
No-touch insertion using a Keller funnel. Position is confirmed and symmetry verified intra-operatively.
05
5. Closure
Three layers: deep dermal, intradermal, topical glue. Surgical bra applied in theatre.
Recovery
Week by week — what to expect.
Final aesthetic settling at 3 – 6 months · Social downtime: Time off work 7 days, full activity at 6 weeks
Day 1 – 3
Tightness and swelling
Tightness across the chest as the muscle accommodates. Sleep semi-upright for the first week.
Day 7
Return to desk work
Most patients return to office work in week two. Surgical bra worn 24/7 for six weeks.
Week 6
Implants settling
Implants drop to their natural position over six weeks (the 'drop and fluff'). Light cardio resumes.
Month 3
Final shape emerging
The breast is soft, the implant is no longer palpable as a separate entity, and the upper pole is in its natural proportion.
Risk disclosure
We tell you everything that can happen.
Surgery carries risk. The most important conversation in any consultation is the one about what could go wrong, what we will do if it does, and what we cannot guarantee. The list below is a partial summary; the full discussion happens in person.
Capsular contracture
Around 3 – 5% over ten years with current technique. We use antibiotic irrigation, no-touch insertion, and careful patient selection to minimise.
Implant rupture
Modern cohesive silicone implants have rupture rates under 1% per year. MRI surveillance is recommended at year 5 and every two years thereafter.
BIA-ALCL
Anaplastic large-cell lymphoma associated with textured implants is exceptionally rare. We use only smooth-surface implants from manufacturers with the lowest reported incidence.
Sensation changes
Nipple sensation is reduced in approximately 15% temporarily; permanent change in around 3 – 5%.
Asymmetry
Pre-existing asymmetry is improved but rarely eliminated entirely. This is discussed in detail at consultation.
Frequent questions
Before you book.
How do I choose the size?+
Through a sizing session — not a number. You will try external sizers in your own bra and discuss feel, look and lifestyle implications. The number on the implant box is the last thing we decide.
How long do implants last?+
Modern implants are not lifetime devices. Most patients with a primary augmentation can expect 15 – 25 years before considering exchange.
Will I be able to breastfeed?+
Inframammary incisions preserve breastfeeding ability in the great majority of patients.
What about mammograms?+
Implants do not preclude mammography. Inform your radiographer; specific implant-displacement views are performed.
Begin with a written surgical plan.
A consultation lasts 60 – 90 minutes and ends with a printed plan and quotation. There is no pressure to decide in the room.
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