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Breast Augmentation

A breast augmentation is an operation in which the implant is placed under the breast. The goal is to improve both shape and volume. The modern technique of breast augmentation began in 1963 with the introduction of the first silicone breast implant. The operation has improved and breast implant technology has advanced significantly in the last 50 years. This allows us to achieve patient’s goals more accurately and safely.

What is the Advantage of Breast Augmentation?

Breast augmentation can improve both volume and shape of your breasts. This can replace what has been lost or improve what you currently have. We work with you to help define your goals and achieve them.

Am I a Good Candidate for Breast Augmentation?
If you are a non-smoker and do not have other medical conditions you are a candidate for breast augmentation. A healthy lifestyle will help you to achieve the best results possible.

What is the Advantage to Having Your Surgery Done Close to Home?
Many people think that a plastic surgeon from another city will give them a better operation. The advantage of having your operation close to home is that we all live in the same community and we really care about you as a person. That means that we are willing to “go the extra mile” for you. This level of caring and support is not always available in a larger centre. Having a surgeon that will spend the time with you to help your realize your goals is critical to having the best outcome possible.

Which incisions do you use?
There are three incisions that are commonly used: the border of the areola, the underarm area and at the crease at the bottom of the breast. Although we can use any of these incisions, most breast augmentations are done with the incision below the breast crease. I take great care to ensure that both the size and the location of the incision is exact. As well, I go over an entire process of scar care with you to ensure that you have the best possible result.

How to Get the Best Results With Breast Augmentation

We will walk you through the whole process step-by-step.

What Type of Anesthetic do you Recommend and What are the Risks?
Although breast augmentation can be performed under a number of different types of anesthetic, we typically perform breast augmentation under general anesthetic (put right to sleep). In our surgical facilities we have highly skilled anesthetists. In an otherwise healthy person, the risk of you having a life threatening complication during anesthesia is lower than the risk of driving to the hospital.

Will I be Able to Breastfeed After Breast Augmentation?
Breast implants will not limit your ability to breastfeed. As well, there have been good studies that have shown that they do not pose any harm to your baby. However, with the volume changes to your breasts during breastfeeding, you may require a breast lift after the fact (that may be true with or without breast implants).

Breast Implants

What is the Ideal Implant?
The ideal implant depends on your goals. Silicone implants tend to look and feel more like a real breast. Saline implants tend to have more skin rippling and don’t feel as realistic. Anatomically shaped silicone implants have less cleavage or upper pole fullness. By talking about your goals, we can help you find the right implant for you.

Should I put the implants below the muscle (subpectoral) or above the muscle (prepectoral)?
It really depends on your goals. Plastic surgeons began placing implants below the muscle because we thought it would reduce the risk of capsular contracture. Capsular contracture occurs when the normal tissue that is around the breast implant starts to contract. It can be painful and occurs in 1% of women per year. The biggest disadvantage of placing the implant below the muscle is the chance that when you flex your pectoralis muscle, it will move the implant. We call this “animation deformity”. It occurs to some extent in all women with the implant below the muscle.

There has been some new evidence to suggest that placing the implant above the muscle is just as safe. If we place the implant above the muscle it is in a more anatomic location and therefore does have improved contour in most women. However, some women do not have enough tissue to adequately cover the implant and therefore we have to place it below the muscle to get the best result.