Breast Augmentation Surgery: Interview with Dr. G. Zhelev
Breast augmentation surgery is one of the most popular aesthetic procedures worldwide. Women choose breast implants to improve breast volume, correct asymmetry, restore shape after pregnancy, or enhance body proportions. In this interview, Dr. Gospodin Zhelev shares his professional experience, discusses patient expectations, implant selection, and the safety of modern breast augmentation surgery.
About Dr. Gospodin Zhelev
Dr. Gospodin Zhelev has more than 30 years of experience in plastic, reconstructive, and aesthetic surgery. He is among the pioneers of modern plastic surgery in Bulgaria and has extensive experience in both reconstructive and cosmetic procedures.
Besides his work at Medicus Alpha, Dr. Zhelev has practiced for many years in the field of burn treatment and reconstructive surgery. He is a member of national and international professional organizations dedicated to plastic and aesthetic surgery.
How Long Have You Been Practicing Plastic Surgery?
Q: How long have you been practicing plastic surgery?
Dr. Zhelev: I started working at the Burn Treatment Clinic in 1987. Shortly afterward, I specialized in both General Surgery and Plastic, Reconstructive, and Aesthetic Surgery. Since 1993, I have been actively performing aesthetic surgical procedures.
What Are the Most Common Plastic Surgery Procedures?
Q: What surgeries do you perform most often?
Dr. Zhelev: Breast augmentation surgery remains one of the most requested procedures. Some patients seek treatment for aesthetic reasons, while others require surgery because of congenital breast asymmetry, breast hypoplasia, or other medical conditions.
In addition to breast augmentation, breast reduction and breast lift procedures are also frequently performed. Liposuction, abdominal contouring, rhinoplasty, eyelid surgery, and facial rejuvenation procedures have also become increasingly popular in recent years.
Is Breast Augmentation Surgery Different from Reconstructive Surgery?
Q: Is there a major difference between treating burn injuries and performing breast augmentation surgery?
Dr. Zhelev: The difference is significant, but both belong to the field of plastic surgery. Over the years, breast augmentation surgery has become one of the most frequently requested aesthetic procedures. What was once considered uncommon is now a routine operation performed safely and successfully for many patients.
How Is the Best Implant Size Selected?
Q: How do you determine the best implant size for each patient?
Dr. Zhelev: The most important factor is achieving balance between the patient’s wishes and what is medically appropriate for her body structure.
During the consultation, I measure the breasts, chest dimensions, and body proportions. We use implant sizers that allow patients to visualize different implant sizes and shapes before surgery. This helps them make informed decisions and understand what result can realistically be achieved.
Do You Use Computer Simulations?
Q: Do you use computer-generated simulations to predict results?
Dr. Zhelev: Computer simulations often create unrealistic expectations. Every patient has unique anatomy, and many factors influence the final outcome. The goal is not simply to increase size but to create a natural, harmonious silhouette that fits the patient’s body.
Is Breast Augmentation Surgery Safe?
Q: Is breast augmentation surgery safe?
Dr. Zhelev: Modern breast implants have been used successfully for more than four decades. Current scientific evidence shows no increased risk of breast cancer in women with implants compared to women without implants.
At Medicus Alpha, patient safety is our highest priority. Every patient undergoes a comprehensive medical evaluation, laboratory testing, and breast imaging when necessary. We use only high-quality implants from internationally recognized manufacturers.
Have You Ever Refused a Breast Augmentation Procedure?
Q: Have you ever refused surgery to a patient?
Dr. Zhelev: Yes, when a patient’s expectations are unrealistic or when the requested result would compromise safety or aesthetics.
For example, extremely slim patients sometimes request implants that are disproportionate to their body structure. In such cases, it is my responsibility to recommend a safer and more natural solution. Professional standards and patient safety must always come first.
Frequently Asked Questions About Breast Augmentation Surgery
How long does breast augmentation surgery take?
Most breast augmentation procedures take between one and two hours, depending on the surgical technique used.
When can I return to work after breast augmentation surgery?
Many patients return to light daily activities within a few days, while more demanding physical activities may require several weeks of recovery.
Are modern breast implants safe?
Yes. Modern breast implants have been extensively studied and are considered safe when used appropriately and monitored regularly.
How long do breast implants last?
Breast implants are long-lasting medical devices, but periodic examinations are recommended to monitor their condition.
Can breast augmentation improve breast symmetry?
Yes. Breast augmentation surgery is frequently used to improve differences in breast size and shape, creating a more balanced appearance.