Female Patients in the Middle East area are usually patients that have more than 3 children sometimes 5-6 pregnancies  are the rule. And there are those young ladies that , never married before ,  were overweighted and then they were submitted to gastric sleeve or bypass and ends up developing very saggy breasts with no structural gland to rebuild them. So a lot of major variations that give us a more difficult task to achieve a similar and beautiful results to reshape again those breasts.

1-hanging thin breasts with hanging nipples looking down to the floor

2- very thin skin

3-overstretched skin with lots of stretch marks

4-huge degree of deficient gland tissue without any firm support

Those are very difficult variables to deal with and sometimes need more than one procedure to fix everything properly

But all of them can be addressed almost perfectly at the first time

Today , thanks to properly harvested fat in small lobules or small drops , the survival rate can be excellent but it is very time demanding surgery. So we combine breast lift surgery plus implant insertion u der the muscle to isolate the implant from the greats and decrease the rate of breast implant rejection that was very high before in this type of surgery. Besides we Inject fat around the implant in the muscular layer u der direct vision to avoid dangerous movements that can perforate the rib cage and we add under the skin as well. So a combined 3 surgeries in one help us achieve excellent results that were much more difficult to get before the fat revolution. But patients have to be alerted that the fat injection may not have a complete retention and more would be needed in another procedure , smaller procedure oriented to add o my fat to achieve a more soft touch for the breast.

Remember that patients with such breasts without any soft tissue before the surgery need lots of fat to get the old soft natural touch that only fatty tissue can provide for the patient. This is why we usually alert the patients in the first consultation that possibly one extra procedure would be necessary …not to shape the breast or to lift it but just to transform in a more natural feeling breasts without the implant feeling.

As usual patrol ends that undergo such surgery have to prepare for the surgery and every health problem has to be fixed prior to the surgery or at least under control and exams of the breasts such as mammogram and ultrasound are mandatory to compare to after the surgery if needed by the patient on her future breasts control.