MODEL RELEASED. Cosmetic breast and abdominal surgery. Image 8 of 28. Cosmetic surgeons operating on a middle-aged woman undergoing breast enlargement and abdominal sculpturing. This surgeon is making the first incision in the breast augmentation stage of the operation. This involves inserting a silicone implant into the breasts to increase their cup size. The marks on the breast are guidelines indicating where to make the incisions. For a series showing the entire surgical procedure, see images M590/498 - M590/525.