MODEL RELEASED. Cosmetic breast and abdominal surgery. Image 10 of 28. Cosmetic surgeons operating on a middle-aged woman undergoing breast enlargement and abdominal sculpturing. The surgeons are using a cautery (blue), an instrument that burns through tissue. This helps to seal off any sources of bleeding before inserting a silicone implant into the breast to increase the cup size. Metal retractors are being used to keep the breast open while it is being cauterised. For a series showing the entire surgical procedure, see images M590/498 - M590/525.