# Dr Thomas Colson — Breast Surgery, Abu Dhabi

> Dr Thomas Colson is a double board-certified plastic surgeon (SOFCPRE, EBOPRAS) and Head of the Department of Plastic Surgery at Sheikh Khalifa Medical City (SKMC), a government tertiary hospital in the SEHA network, Abu Dhabi, UAE. DoH licence GD47532. 18+ years of experience. Breast surgery is performed on a day-case basis under a PECS II regional block, using a Keller Funnel no-touch implant technique, with a systematic Crisalix 3D simulation at consultation. Composite surgery (implant plus the patient's own fat) is his usual approach rather than the exception, for a made-to-measure result.

## Key facts
- Surgeon: Dr Thomas Colson, Head of Department of Plastic Surgery, SKMC Abu Dhabi (SEHA network).
- Certification: double board-certified — SOFCPRE (France) and EBOPRAS (Europe). DoH licence GD47532.
- Implants: Mentor and Motiva, smooth or nano-textured. Plane: dual-plane when pinch test < 3 cm, retroglandular when > 3 cm (unless patient preference). Incisions: inframammary, periareolar, transaxillary.
- Signature approach: composite (implant + fat) augmentation to correct natural asymmetry; the natural, modest-volume "French" approach (often < 300 cc).
- Anaesthesia/setting: ambulatory day-case; PECS II regional block; local + sedation for small prepectoral cases.
- Functional/reconstructive indications (symptomatic macromastia, tuberous breast, developmental asymmetry, Poland syndrome, complication correction) may be eligible for insurance pre-authorisation (Daman, Thiqa) within the SEHA network — assessed case by case.
- DoH compliance: no before/after imagery published online; results reviewed privately in consultation with a Crisalix 3D simulation.

## Pages
- Breast Surgery overview: https://breast.drthomascolson.ae/
- Breast Augmentation (Mentor/Motiva, dual-plane vs retroglandular): https://breast.drthomascolson.ae/breast-augmentation
- Hybrid (Composite) Augmentation (implant + fat; fat-only option for native breasts): https://breast.drthomascolson.ae/hybrid-breast-augmentation
- Breast Lift / Mastopexy (periareolar, vertical, inverted-T; single-stage augmentation-mastopexy): https://breast.drthomascolson.ae/breast-lift
- Breast Reduction (superomedial pedicle / Hall-Findlay; Thorek for gigantomastia; possible insurance pre-auth): https://breast.drthomascolson.ae/breast-reduction
- Breast Implant Revision (en-bloc capsulectomy for grade III/IV contracture; exchange; regenerative lipofilling; malposition and fold correction): https://breast.drthomascolson.ae/breast-implant-revision
- Tuberous Breast Correction (glandular scoring; high-projection implant; composite fat; round-block scar; congenital — possible coverage): https://breast.drthomascolson.ae/tuberous-breast-correction
- Breast Asymmetry (made-to-measure composite; different implant sizes; Poland syndrome; developmental — possible coverage): https://breast.drthomascolson.ae/breast-asymmetry

## Contact
- Hospital: Sheikh Khalifa Medical City (SKMC), Karamah Street, Al Tibbiya, Abu Dhabi, UAE.
- Direct line: 80050. WhatsApp (SEHA): 02 410 2200.


## النسخة العربية (ar-AE)
الدكتور توماس كولسون — جراح تجميل حاصل على البورد المزدوج (SOFCPRE، EBOPRAS)، رئيس قسم جراحة التجميل في مدينة الشيخ خليفة الطبية (SKMC) بأبوظبي، ضمن شبكة «صحة». ترخيص دائرة الصحة GD47532. الجراحة المركّبة (غرسة + دهون ذاتية) هي نهجه المعتاد. جراحة اليوم الواحد تحت حصار PECS II، وتقنية Keller Funnel بدون لمس، ومحاكاة Crisalix ثلاثية الأبعاد. لا تُنشَر صور قبل/بعد (إرشادات دائرة الصحة)؛ تُستعرض النتائج في الاستشارة.

- نظرة عامة على جراحة الثدي: https://breast.drthomascolson.ae/ar/
- تكبير الثدي: https://breast.drthomascolson.ae/ar/breast-augmentation
- التكبير المركّب (الهجين): https://breast.drthomascolson.ae/ar/hybrid-breast-augmentation
- رفع الثدي (Mastopexy): https://breast.drthomascolson.ae/ar/breast-lift
- تصغير الثدي: https://breast.drthomascolson.ae/ar/breast-reduction
- مراجعة غرسات الثدي: https://breast.drthomascolson.ae/ar/breast-implant-revision
- تصحيح الثدي الحدَبي: https://breast.drthomascolson.ae/ar/tuberous-breast-correction
- تباين الثديين: https://breast.drthomascolson.ae/ar/breast-asymmetry
ملاحظة: تتضمّن كل صفحة إجراء قسماً مستقلّاً بعنوان «المخاطر ومعناها» (المرساة: ‎#risks) بالعربية والإنجليزية، وفقاً لقواعد دائرة الصحة بشأن توازن المعلومات الطبية — بما في ذلك التقفّع المحفظي وتمزّق الغرسة وتغيّر إحساس الحلمة واحتمال الجراحة الإضافية واللمفوما النادرة المرتبطة بالغرسات (BIA-ALCL).


ملاحظة: قد يكون الداعي الوظيفي/الترميمي (ضخامة الثدي المصحوبة بأعراض، الثدي الحدَبي، التباين التطوّري، متلازمة بولندا، تصحيح المضاعفات) مؤهلاً لموافقة تأمينية مسبقة («ضمان»/«ثقة») ضمن شبكة «صحة».

## Risks and informed consent
Every procedure page on this site carries a dedicated "Risks and what they mean" section (anchor: #risks), in English and Arabic. This is required under UAE Department of Health rules on health media and advertising, which mandate balanced patient information.
- Implant-based surgery: capsular contracture, implant rupture, change or loss of nipple sensation, haematoma, infection, rippling or malposition, and the likelihood of further surgery over time — implants are not lifetime devices and have no fixed expiry date, but are not routinely exchanged at ten years either.
- BIA-ALCL: breast implant-associated anaplastic large cell lymphoma is a rare lymphoma of the scar capsule, not a breast cancer. Described almost entirely with textured implant surfaces; highest reported figures relate to macro-textured devices no longer in use. Typically presents late as a new one-sided swelling or fluid collection, and is generally curable when diagnosed early and treated by complete removal of implant and capsule. Device details (manufacturer, reference, lot) are recorded at SKMC for traceability.
- Lift and reduction: permanent scarring whose extent depends on the pattern used, altered or lost nipple sensation, delayed healing at the T-junction, recurrence of ptosis, and uncertainty about future breastfeeding (more often affected after reduction than after lift). Rarely, compromised blood supply to the nipple-areola complex — markedly more likely in smokers. A free nipple graft (Thorek) for gigantomastia means permanent loss of nipple sensation and of lactation.
- Fat grafting: partial resorption over the first months, fat necrosis, oil cysts and calcifications that a radiologist must interpret. Fat grafting does not prevent breast screening and does not cause breast cancer; routine screening continues as normal and the radiologist should be told lipofilling was performed.
- Revision: contracture can recur, dissection is more extensive with a higher bleeding risk, pneumothorax is a rare complication of capsulectomy near the chest wall, soft-tissue cover may be thin after repeated surgery. Removed capsules are sent for histology.
- Asymmetry correction: symmetry is improved rather than made perfect; a second balancing procedure is more likely than after a symmetrical operation.
Risk pages: /breast-augmentation#risks, /hybrid-breast-augmentation#risks, /breast-lift#risks, /breast-reduction#risks, /breast-implant-revision#risks, /tuberous-breast-correction#risks, /breast-asymmetry#risks (Arabic equivalents under /ar/).

## Breast implant concerns / conditions (educational)
- Capsular Contracture (hard breast after implants) — Baker grades, causes, treatment: https://breast.drthomascolson.ae/capsular-contracture (AR: https://breast.drthomascolson.ae/ar/capsular-contracture)
- Breast Implant Rupture — signs and what to do: https://breast.drthomascolson.ae/breast-implant-rupture (AR: https://breast.drthomascolson.ae/ar/breast-implant-rupture)
- Pain After Breast Augmentation — normal vs warning signs: https://breast.drthomascolson.ae/pain-after-breast-augmentation (AR: https://breast.drthomascolson.ae/ar/pain-after-breast-augmentation)

هذه صفحات تثقيفية حول مضاعفات/حالات حشوات الثدي (التقفّع المحفظي، تمزّق الحشوة، الألم بعد التكبير) — متوفرة بالعربية ضمن مجلد /ar/.