before & after
This surgery, also known as an augmentation mammoplasty, increases the size of your breasts with implants. One of our most popular plastic surgeries, the goal with this procedure is to make your breasts both larger and in better proportion with the rest of your body.
What to expect from breast augmentation surgery
This procedure improves size, shape, contour and symmetry of the breasts with either saline or silicone implants. Other surgical decisions include pocket placement (above or below the chest muscle) and incision location (inframammary, transaxillary or areolar).
While there are several choices for incision location, such as around the areola and in the armpit (axilla), our doctors most commonly use the inframammary incision. This incision is made in the fold where the lowest part of your breast meets your chest and provides the greatest success and the lowest rate of surgical complications. We occasionally make exceptions, and your surgeons will go over this in your consultation, if necessary.
This surgery typically takes one hour. During the procedure, a pocket is created within your breast tissue for the implant, which is placed and shaped based on your specifications. Then the incision is closed and you are ready to recover.
While today’s efficient techniques make recovery quicker and more comfortable than ever, it is important to give yourself plenty of time to rest and heal at home during the initial recovery period—our surgeons generally instruct patients to plan for 1 week off from work. We also recommend wearing the recovery bra provided for support and to manage any pain and swelling.
In the weeks and months following your surgery, your doctor will gradually clear you to get back to your favourite activities, including exercise.
Pre- & post-surgery
The info you need to plan your breast augmentation surgery.
Frequently asked questions
- How much does breast augmentation surgery cost?
Breast augmentation is a highly customized procedure, so no two surgeries are priced identically. We consider several factors when estimating the cost of breast augmentation, including the type of implants used, complexity of the procedure, and fees associated with the operating room and surgical staff. During your consultation, we offer you a written quote that reflects the details of your particular surgery.
- What incisions do you offer?
We offer all incision types, but our preferred is inframammary (under the breast). With this incision, scars are subtle, there is minimal disruption to existing breast tissue, and it allows easy access to place the implant with the most accuracy.
Incisions are determined on a patient-by-patient basis. We also offer areolar (around the nipple) or axillary (under the armpit) incision types, although areolar incisions are associated with a higher rate of complications and axillary incisions can make it difficult to place the implant precisely and may also result in a more visible scar.
- Should I have my implant placed above or below the chest muscle?
In general, it is preferable to place the implant either under the muscle, or partially under the muscle. This depends on individual patient factors, such as their build, breast shape, or amount of pre-existing breast tissue.
Placing the implant under the muscle will provide extra soft-tissue coverage to the implant, which is especially important in the upper portion of the breast when there is a small amount of pre-existing breast tissue. The implant is better supported over time, and the edges of the implant will be less easy to see and feel after surgery in the sub-muscular location. As well, some women can develop excess scar tissue around the implant after surgery, known as a capsular contracture, which can make the breast hard or distort its shape. This adverse occurrence seems to be less likely, or at least less visible, when the implant is placed under the muscle.
Placing the implant above the muscle (subglandular) is also possible, and some surgeons feel that this approach is preferable. Subglandular placement is best indicated for those patients who already have a moderate or large amount of pre-existing breast tissue present, or who have a breast that is located low on their chest wall, where there is little to no muscular coverage.
- What size breast implants should I choose?
This is the most difficult question for many women. Most women state that they do not want to be too large, and do not wish to look “fake”, and that their greatest fear is that they will look unnatural after surgery. Fortunately, my patients tend to feel very comfortable with their results.
There are many different strategies that can be employed when helping you to select an implant size during consultation. Your preference of final cup size will be discussed, and the dimensions of your breasts and chest wall will be determined, as well as your overall body shape and physique. From all of these factors, sizes will be suggested. Trial implants will then be worn inside a bra, in order to give an approximation of how you might look after your surgery.
Additionally, we routinely employ computer imaging technology to assist in evaluation, planning, and communication with our patients. This can be very helpful in visualizing what your ultimate results might look like.
- What shape breast implants should I get?
Implants can be either round or tear-drop shaped (anatomical). Round implants are recommended for most patients.
Sometimes, implants can rotate inside the breast, and if they have a specific shape, this can affect the projection of the breast, whereas a round implant is unaffected by rotation. In many patients, it is often quite difficult to notice a significant difference between the round and anatomic shaped implants after surgery. Additionally, there have been recent health concerns related to the use of textured surface implants leading to a withdrawal of these implants from the Canadian market, as well as many other countries. Shaped implants must be textured to avoid rotation, so use of a shaped implant is not generally recommended at present in our practice.
These decisions can be best discussed during your personalized consultation with Dr. Silverman or Dr. Boyd.
- What’s the difference between saline and silicone gel implants?
Both implants can give excellent results, and the choice between saline and silicone depends on individual preference. Both saline or silicone implants are safe and approved for use in breast augmentations in Canada and the United States.
Silicone implants typically last longer than saline implants (25 years compared to 10-15 with saline), and have a softer, more natural consistency and feel. They will also show less rippling in the implant shell in patients with small amounts of pre-existing breast tissue and can provide a more durable and long-lasting result. However, silicone implants require a slightly larger incision for placement.