Written by Dr. Leonard Nenad Josipovic,
German board-certified plastic surgeon (DGPRÄC), Seline Clinic Dubai
Breast augmentation — clinically known as augmentation mammoplasty — is a surgical procedure that enhances breast size, shape, or symmetry using implants or the patient’s own fat. It is consistently the most performed aesthetic surgical procedure in the world, and one of the most commonly revised when performed incorrectly.
The goal of breast augmentation is not simply larger breasts. The goal is a result that is proportionate to the patient’s frame, natural from every angle, and harmonious with their existing anatomy — in clothes and out of them. That distinction determines every technical decision: the implant selected, the technique used, the incision placed, and the pocket created. A surgeon who starts the conversation with cup sizes rather than anatomy has already made a mistake.
Dubai’s patient population for breast augmentation is uniquely diverse — Emirati women, Arab expats, South and Southeast Asian residents, European and American professionals — each bringing different aesthetic ideals, cultural contexts, and anatomical starting points to this decision.
The most common presentations Dr. Leonard sees in consultation:
Volume loss after pregnancy or breastfeeding — the most common across all demographics. Pregnancy and breastfeeding significantly deflate breast tissue, often leaving the breast flatter, lower, and with looser skin than before. Augmentation restores the volume; where significant sagging has also occurred, a combined lift and augmentation is frequently the more appropriate plan.
Natural asymmetry — a degree of breast asymmetry is present in virtually every woman. When the difference between sides significantly affects clothing fit, swimwear, or self-confidence, augmentation — with different implants on each side — is one of the most effective corrections available.
Underdevelopment — breasts that have never developed in proportion to the patient’s frame. This is among the most straightforward indications for augmentation and typically produces the most predictable results.
Post-weight-loss volume loss — patients who have lost significant weight or undergone bariatric surgery frequently find breast volume reduces disproportionately. Augmentation restores the balance between the upper and lower body.
Reconstruction — women who have undergone mastectomy use augmentation as part of their reconstructive journey. This requires specific surgical planning and is discussed in detail during a dedicated consultation.
The most common misconception about breast augmentation is that the decision is primarily about size. It is not. The implant selection is a technical assessment involving multiple variables — getting any one of them wrong produces an unnatural result regardless of the size chosen.
Modern cohesive silicone gel implants are the global clinical standard. They feel closest to natural breast tissue, have an excellent long-term safety record, and are the overwhelming first choice for most patients worldwide. Saline implants — filled with sterile saltwater — are an alternative for select patients, with the advantage that saline is absorbed harmlessly by the body in the event of rupture. The material decision is made based on anatomy and clinical suitability, not personal preference alone.
Round implants create fullness across the entire breast including the upper pole — enhancing projection and cleavage. Anatomical implants follow the natural slope of the breast, creating a subtler, more graduated profile with more fullness at the lower pole. Neither is universally better. The right shape depends on your existing breast tissue, chest wall geometry, skin quality, and aesthetic goals.
Profile refers to how much the implant projects forward relative to its base width. A high-profile implant creates significant forward projection from a narrower base. A low-profile implant creates a wider, subtler result. Choosing the wrong profile for your chest wall measurements is one of the most common causes of unnatural-looking results — it is one of the least-discussed variables and one of the most important.
Subglandular (above the pectoral muscle) — faster recovery, appropriate for patients with sufficient breast tissue for natural implant coverage.
Submuscular (beneath the pectoral muscle) — more natural coverage, reduced rippling, better mammography outcomes. Longer initial recovery.
Dual plane — a hybrid approach where the upper portion of the implant sits beneath the muscle while the lower portion sits beneath breast tissue. Frequently produces the most natural result for patients who have lost volume after pregnancy.
The established approach — implant placed via inframammary (under the breast fold), periareolar (around the areola border), or transaxillary (via the armpit) incision. The inframammary approach offers the greatest surgical visibility, control, and most consistent long-term results. It is Dr. Leonard’s preferred approach for the majority of cases.
A combined approach using both implants and the patient’s own fat — harvested via liposuction from a donor area. The implant provides core volume while fat is used to soften the upper pole transition and fill areas where an implant edge might otherwise be visible. Implant volume with the naturalness that only living tissue can provide.
For patients seeking modest, natural enhancement — typically one cup size — without any implant. Limited in the volume achievable in a single session and requires sufficient donor fat. The most natural result possible — because there is no implant involved — but the degree of augmentation is conservative.
Preservé is a next-generation minimally invasive breast augmentation technique using a patented balloon expansion system. The implant is inserted in a deflated state through a very small incision and expanded in situ — without cutting through breast tissue or muscle in the traditional sense.
For suitable patients, Preservé offers:
Preservé is not suitable for all patients — candidacy is determined during consultation based on anatomy, existing breast tissue, and implant size goals. Dr. Leonard is one of a limited number of surgeons in the UAE trained and certified to perform the Preservé technique.
Breast augmentation produces the best outcomes for patients who:
Breast augmentation requires careful additional assessment for patients with:
Your journey begins with a personal consultation — a clinical conversation, not a sales process. Dr. Leonard assesses your breast tissue, chest wall, skin quality, and existing symmetry before making any recommendations. Pre-operative instructions include avoiding blood-thinning medications for two weeks, stopping smoking at least four weeks before surgery, maintaining a stable weight, and fasting for the required period before your procedure date.
Breast augmentation is performed under general anaesthesia and typically takes 1–2 hours. A small incision is made at the planned site, the implant pocket is created, the implant is positioned with precision, and the incision is closed in layers to support optimal healing. You are monitored throughout by a qualified anaesthetist and nursing team. The majority of patients return home the same day following a monitored recovery period.
A surgical bra is fitted before you leave the operating room. Post-operative care instructions covering bra use, activity restrictions, wound care, and follow-up appointments are provided before discharge. Scheduled follow-up appointments at one week, three weeks, and six weeks monitor healing, implant positioning, and overall recovery progress.
Recovery from breast augmentation is consistently underestimated. Here is an honest account:
Day 1–3
Tightness, pressure, and mild to moderate discomfort — particularly when using the arms. The chest muscles are adjusting to the presence of the implants. Surgical bra worn continuously. Rest essential.
Day 4–7
Significant improvement in comfort for most patients. Light daily activity resumable. Driving avoided while taking pain medication and while arm movement is restricted.
Week 2
Most patients return to desk-based work. Surgical bra continues. Nothing heavier than 2kg lifted — this includes groceries, children, and bags.
Week 4–6
Swelling reduces noticeably. Implants begin to soften and descend into their final position. Shape improving but not yet final.
Week 6+
Final result emerges as all residual swelling resolves and implants fully settle. The breast shape at week two is not the breast shape at month six.
What patients consistently underestimate:
The landscape for breast augmentation in Dubai has shifted meaningfully over the past two to three years. Several trends are now defining what patients are requesting and what leading surgeons are delivering:
Natural results over dramatic volume — the era of overfilled, obviously augmented results is largely over in Dubai’s premium aesthetic market. The dominant request is now for results that look entirely natural — proportionate, soft, and indistinguishable from natural breast tissue. This requires more precise implant selection and surgical planning, not less.
Hybrid augmentation gaining ground — combining implants with fat transfer is increasingly requested by patients who want implant volume with maximum naturalness. The technique requires liposuction skill alongside breast augmentation skill — it is not universally offered.
Surgeon credentials under scrutiny — Dubai patients are increasingly researching surgeon qualifications before booking consultations. International board certifications — particularly European surgical board credentials — are being specifically requested by an informed patient base.
Anatomical implants for the right patient — teardrop implants, previously underused in Dubai relative to global trends, are increasingly selected for patients whose anatomy and goals suit a more natural, graduated result.
Minimally invasive techniques — procedures like Preservé that reduce incision size, tissue disruption, and recovery time are growing in demand among Dubai’s busy professional patient population who value minimal downtime.
This is where the decision matters most — and where patients are most vulnerable to marketing over clinical substance.
Board certification is not the same as a specialist title. A board-certified plastic surgeon has completed a recognised specialist training pathway and passed independent clinical assessment. In Germany, this is the Facharzt designation — a minimum of six years of supervised plastic surgery training followed by specialist examination by an independent board. Dr. Leonard holds this certification through the DGPRÄC — the German Society for Plastic, Reconstructive, and Aesthetic Surgery.
Ask whether the surgeon performs every element of the procedure personally. In some clinics, the consultation is with the senior surgeon but elements of the procedure are delegated. This should be clarified explicitly before booking.
The right answer to “what size should I get?” is never immediate. A surgeon who answers this question before examining your anatomy has not done the necessary clinical assessment. Implant size recommendations should come after a thorough physical assessment of your chest measurements, existing tissue, and skin quality.
Training institution tells you the standard. Surgeons trained at internationally recognised university hospital programmes carry those standards into their practice. Dr. Leonard’s training pathway included Frankfurt University Hospital, Rosenpark Klinik (internationally recognised for body contouring and breast surgery), UCLA, and Imperial College London.
The cost of breast augmentation in Dubai varies depending on the implant type selected, the surgical technique used, the facility, and the complexity of your individual case. Factors that influence the overall cost include the implant brand and type, whether additional procedures are combined, the surgical facility and anaesthesia fees, and any post-operative care requirements.
Dr. Leonard provides a detailed, personalised cost breakdown during your consultation — after assessing your anatomy and treatment goals. There are no hidden fees and no obligation to proceed after your consultation.
To receive an accurate quote, book a consultation with Dr. Leonard.
“Breast implants always look fake.”
They can — when the wrong size, profile, or placement is chosen. When implant selection is made correctly for the patient’s anatomy, results are indistinguishable from natural breast tissue. The difference between a natural result and an obviously augmented one is almost always a surgical decision.
“You can’t breastfeed after augmentation.”
Many women breastfeed successfully after breast augmentation. The procedure may affect milk production depending on the incision site. If breastfeeding is a priority, discuss this explicitly during consultation so technique choices are made accordingly.
“Implants last forever.”
Modern implants are not lifetime devices. They are designed to last many years — often well beyond 10–15 years — but periodic monitoring is recommended and replacement may eventually be required.
“Bigger is always better.”
Implants that exceed what the patient’s chest wall anatomy can support produce results that look and feel wrong. The best result comes from the largest implant appropriate for the patient’s anatomy — not the largest the patient requests.
“Recovery takes months.”
Recovery to light daily activity takes days. Recovery to final results takes months. These are different things.
“All surgeons offer the same standard of care.”
They do not. Training pathway, board certification, facility accreditation, implant brand, and personal surgical performance all vary significantly. The difference matters — especially for a procedure whose results you will live with long-term.
Breast augmentation performed by a board-certified plastic surgeon in a DHA-licensed facility using FDA-approved implants is a safe, well-established procedure with a strong international safety record. As with any surgery, risks exist and are discussed in full during consultation.
Breast augmentation adds volume. A breast lift (mastopexy) repositions the breast on the chest wall and removes excess skin. They address different problems — augmentation alone does not lift a sagging breast. Many patients require both procedures combined.
Implant size is determined through a structured clinical assessment — your chest measurements, existing breast tissue, skin laxity, and goals. A surgeon who recommends a size before examining your anatomy has not done the necessary assessment.
Yes — most commonly with a breast lift where both volume loss and sagging are present. It can also be planned alongside liposuction, tummy tuck, or other body contouring procedures depending on clinical suitability.
Light walking from day 2–3. Lower-body exercise at 3–4 weeks. Upper-body exercise at 6 weeks, subject to clinical assessment at your follow-up appointment.
Light walking from day 2–3. Lower-body exercise at 3–4 weeks. Upper-body exercise at 6 weeks, subject to clinical assessment at your follow-up appointment.
Implants can partially obscure mammographic imaging. Radiologists experienced with implant patients use additional views to ensure thorough screening. Always inform your radiologist that you have implants at any future mammography appointment.
Most surgeons recommend avoiding long-haul flights for a minimum of two weeks. Short-haul travel may be possible from 7–10 days subject to clinical assessment. International patients should plan a minimum two-week stay in Dubai.
— Book your consultation The first step is a conversation — not a commitment.
Every Breast Augmentation journey with Dr. Leonard begins with a personal, one-to-one consultation. During this
appointment, Dr. Leonard will assess your areas of concern, answer every question you have, and give you an honest, clinical opinion on what is achievable for your specific anatomy and goals. There is no obligation to proceed — only the information you need to make the right decision for yourself.
Consultations available at Seline Clinic, Jumeirah and Mubadala Health Dubai, Jumeirah Beach Road.
Contact us at booking@drleonard.ae or call
+971 544 215 215