What is Breast Augmentation Surgery

Breast augmentation is defined as a surgical procedure that is intended to increase the size and shape of your breasts. It is an elective cosmetic surgery that involves placing an implant into the breast tissue to add volume, fullness and improve your confidence!

The breasts are an important part in a woman's figure and her self-esteem, that’s why at Toronto Cosmetic Clinic our approach to breast enhancement is uniquely tailored to your suit your desires to give you beautiful breast augmentation results.

Reasons for Breast Augmentation

Reasons for Breast Augmentation

Women seek out breast augmentation not only to just make the breasts larger in size, but to add proportion and contour to their feminine form. Adult women of all ages seek to have breast implants due to problems arising from:

  • Hereditary: Being born with small breast size or breasts of two different sizes
  • Pregnancy or Breast Feeding: Has left the breasts looking empty
  • Weight Loss: Breast volume has diminished
  • Aging: Has reduced fullness in the breast tissues
  • Mastectomy: Cancer treatment has left no breast tissue remaining
Dr. Bendago’s Approach to Breast Augmentation

Dr. Bendago’s Approach to Breast Augmentation

Breast augmentation is much more than just making the breasts larger in size. It is about matching breast implants to your lifestyle, preference and anatomy.

Dr Mansour Bendago is Toronto Cosmetic Clinic’s board certified plastic surgeon with over 19 years of clinical operative experience with regards to the breasts. He feels that the breasts should provide a woman with a proportional outcome to improve a woman’s already beautiful physique.

Free Consultation

If you are bothered by the look of your breasts for any reason what-so-ever The first step is to come and explore your options with us... Why not?... Consultation is free!

Planning for Your Breast Augmentation

While it is our job to assist and recommend what breast implants are best suited for your body and preferences, we are also here to help clarify and answer some common questions about these voluptuous medical devices!

There are 4 main components that make up your breast augmentation surgery:

Implant Type

Implant Material

It is best to first decide on what type (the material in breast implants) that you want to have.
There are two main types available:

Silicone (Cohesive Gel Implants)

Silicone implants, or alternatively known as “gummy bear” implants are made of a uniform yet natural feeling and natural looking gel. Despite the reputation that silicone based implants had in the past, they have undergone tremendous modifications and granted to be very safe by the FDA and Health Canada. Silicone implants have several advantages over saline implants, as they do not ripple, have very few visible deformities and do not leak into the body if they were to be ruptured.

Saline Implants

Saline implants are made of salt-water, and been around for several decades. They come deflated and once inserted in the breasts they are they filled with salt water to reach the preferred size. Since saline implants do not come pre-filled, the incisions that are needed to insert the implants into the breasts are typically smaller than when compared to the incisions needed for the insertion of silicone implants.

  • Chance of Rippling
  • Cost
  • Incision Size
  • Detection of rupture (silicone) or deflation (saline)
  • Look and Feel
  • Safety

Silicone

  • Lower
  • More expensive
  • Larger
  • Harder
  • Natural & breast-like
  • FDA & Health Canada Approved

Saline

  • Higher
  • Less Expensive
  • Smaller
  • Easier
  • Soft, but less natural
  • FDA & Health Canada Approved

The most popular type that Toronto Cosmetic Clinic along with many other plastic surgeons prefers to use is a silicone type based cohesive gel implant. Many plastic surgeons prefer to use silicone cohesive gel implants since it mimics the look and feel of real and natural looking breast tissue.

Implant Profile

The profile of a breast implant refers to the projection and width of its shape. Some implants will lay more flat, while others can protrude more outwards. The current width of your breasts is a large factor that helps the surgeon assist in deciding what profile will suit you best. Common profiles include high profile, moderate profile and moderate plus profile. The profile of an implant is most noticed when one views the breasts from the side (ie- the profile) of the body.

Breast Implant Profile

Implant Shape

Breast implants come in 2 shapes- round or anatomical. The round shape is the most traditional and the most popular breast implant shape used today. The round shape is circular and uniform in volume. The anatomical or teardrop shaped breast implant is most suitable for patients who wish to have the majority of volume in a specific area of the breast (for example the bottom half).

Breast Implant Shape
Breast Implant Placement

Implant Placement

Breast implants are not just ‘shoved’ into the breasts, a pocket needs to be created first to allow for the careful insertion of the implants.

Implants can either be situated behind the pectoralis muscle or in front of this muscle. When the implant is placed in front of the muscle it is referred to “Subglandular Placement”.

When the implant is placed behind the muscle, it is referred to as “Submuscular Placement”.

Your Toronto Cosmetic Clinic surgeon can go through which implant placement would be best suited for you.

  • Recovery
  • Capsular Contracture Risk
  • Look & Feel
  • Interference with Mammography
  • Cost
  • Alleviates breast droop
  • Popularity Amongst Patients

Over the Muscle (Sub-Glandular)

  • Minimized
  • Slightly More
  • Less Natural
  • Slightly Increased
  • Same
  • Provides Less Support
  • Less Popular

Under the Muscle (Sub-Muscular)

  • Longer
  • Slightly Less
  • More Natural
  • Slightly Decreased
  • Same
  • Provides More Support
  • More Popular

Incisions: Making scars the least visible as possible

A trade-off for larger breasts may be a scar for some women. At Toronto Cosmetic Clinic our plastic surgeons try their best to make the smallest, least visible incisions possible. This includes placing the incision in the least conspicuous places.

The periareolar incision is made at the edge of the areola and is a possibility for placing the implant.  Here, the incision will be made where there is darker skin around the nipple and be less visible. This is known to heal beautifully with the least visibility.

The most common of incisions for breast augmentation is the inframammary or “breast fold” incision. The scar can only be seen when the breast is lifted.

Also there is the transaxillary incision, which requires the incision be made through the armpit. In this case you can be sure there will be no visible incisions in the breast area.

And finally the transumbilical incision (TUBA) is the newest incision for saline implants. Here, the incision is made in the navel and the implants will be inflated (filled) after placement.

Visible scarring is one of the risks that can occur with breast augmentation, along with other potential complications. If you do form a bothersome scar, Toronto Cosmetic Clinic has several non-surgical options to reduce them; just ask!

Incisions Making Scars Least Visible As Possible
Breast Implant Size

Implant Size

The size of a breast implant does not come in the traditional “bra” sizes, but are measured in cc’s or grams that range from 200-800. Choosing the size is based on your anatomy, lifestyle and preferences. Some women may want to add just a little bit of volume, while other women may want/need more fullness in the breasts. It is important to remember that no two women are alike and the same size will look different on each woman.

We want to make this choice as easy as possible, which is why we have before/after 3-D imaging technology, medical staff to assist you in trying on implants, along with the professional and experienced recommendations from Dr. Bendago.

Cost of Breast Implant Surgery

Regardless of the implant style or size, at Toronto Cosmetic Clinic, the cost of your breast augmentation surgery is not affected by this, leaving you one less thing to worry about! Pricing starts from $7,000 (includes general anesthesia), and to read more information on this, please visit our page on Breast Augmentation Cost.

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Breast Augmentation Procedure at Toronto Cosmetic Clinic

Performed as a surgical procedure as an outpatient basis (meaning there is no need for you to stay overnight), breast augmentation takes about one hour to perform. In most cases you are placed under general anesthesia; so you will not be able to see, feel or hear what is going on. A tiny incision is either placed around the areola or under the breast or in the breast crease. Through the incision a pocket will be made for the implant to sit. The implant will then be inserted into the breast pocket and tiny dissolvable sutures are used to close the incision. You will then be transferred from the operating room to the recovery room where the nurses will monitor you for 1-2 hours, until you are ready to go home.


Step-by-Step Visual to Breast Augmentation Surgery

Step 1 - Breast appears uneven or small
Before breast augmentation. The breasts may appear uneven or small in size.

Step 2 - Making Scars The Least Visible As Possible
The patient is marked according to where they want their incisions to be; either under the breasts, in the underarm or around the nipple.

Step 3 - Submuscular Placement & Subglandular Placement
The implant is then placed into the breast pocket; either in front of the muscle or behind the muscle.

 After Surgery
After breast augmentation.

No-Touch-Technique to Breast Augmentation

No-Touch Technique to Breast Augmentation

To reduce risks associated with surgery, Dr Bendago uses the no-touch technique to breast augmentation. This super sterile technique involves the use of a Keller Funnel™ to assist with the placement of the breast implant into your breast pocket.

This means the breast implant goes from its sterile packaging, through the sterile funnel, directly into your breast by avoiding skin contact and any possible contamination. This technique thereby greatly reducing the chance of an infection and symptomatic capsular contractures.

Recovering from Breast Augmentation

Recovering from Breast Augmentation will vary from patient to patient however, most patients will be only sore for a few days after. Swelling in the chest areas will occur, along with some slight bruising along the incision lines. Pain medication is given to help alleviate any discomfort you may feel. On average patients return to work or school in a few days depending on how strenuous their job is. We provide you with post-operative instructions so you can ensure that you take all the necessary steps to beautiful, natural looking breasts!

Risks and Complications

With any type of cosmetic and plastic surgery there will be associated risks and/or complications. We take every step to ensure that your health and safety are well-taken care of, however there is always a chance of unforeseen events occurring. Even though they are rare, the most common complications from breast augmentation surgery include capsular contracture, infection, anesthetic reactions, hematoma and implant rupture (if silicone implant) or implant deflation (if a saline implant). Read more...

Book Your Consult

Our complimentary consultations not only provide you with the answers you need to your questions but half the fun of proceeding with breast augmentation is choosing your implants, especially with our 3-D Visualization Technology.

Alternatives and Associated Procedures

Fat Transfer to Breasts

Some patients may even prefer to use their own fat, instead of having an implant placed into their breasts. Fat transfer to the breasts involves taking fat (through means of liposuction) from an area(s) of your choice (usually the abdomen, or thighs) and having the fat placed into your chest. The procedure gives a dual benefit: fat removal from an unwanted area, and enlarged breasts. A limitation to fat transfer is that can only provide you with a more minimal result, about a one bra cup size in difference.

Mastopexy

If your main concern is breast sag and the downwards positioning of your nipples, then you may be better suited for a mastopexy. A breast lift, which instead of adding volume to the breasts, lifts and perks them up.

Mastopexy Augmentation

If your main concern is both lack of volume AND breast sag, then a breast lift with implants would be the better choice for you.

Inverted Nipples & Areola Reduction

Nipple inversion can be rather common; this is where the nipples point inwards instead of outwards. Post- pregnancy and after breast feeding, the areolas can also become stretched and enlarged. A breast augmentation can correct some nipple inversion (depending on the degree) and areola reduction can be performed at the same time as your augmentation as well.

We of course don’t expect you to make these decisions all alone, which is why our plastic surgeon along with the medical staff are here to assist you in every which way to help you make the right decision based on your body type and the results you are looking for.

Alternatives and Associated Procedures
What Else Can Breast Augmentation Do For You?

What Else Can Breast Augmentation Do For You?

Besides the obvious result of gaining larger and evenly shaped breasts, there are many other benefits that breast implants can give you.

It has been proven that breast augmentation is healthy for women in more than one way!

A new study reported in the official medical journal of the American Society of Plastic Surgery found that the overall impact breast augmentation has on a woman’s life is very positive, in more than one aspect. The researchers developed a questionnaire that evaluated six key areas of quality of life. The researchers followed 41 women, 6 months before, and 6 months after their breast augmentation.

More than 80% of women reported significant improvement in 3 areas: satisfaction with breasts, psychosocial well-being, and sexual well-being. “The gains in quality of life were considered very large-- similar in magnitude to the improvement in symptoms after hip replacement surgery”.

A reported 30,000 breast augmentations are performed each year in Canada. Breast augmentation at Toronto Cosmetic Clinic is our most popular procedure and now we have more proof as to why!

Breast Augmentation Q & A

  • How long do implants last?

    Breast implants are not meant to last a lifetime. Either because of rupture or some other complication, your breast implants will need to be either entirely removed or replaced eventually. While breast implants typically last 10 to 15 years, a variety of reasons can necessitate early removal, including a change in personal preference and unexpected changes to the body. Some women may desire a different contour or change in breast size, at which point their breast implants can either be replaced; you may also consider breast lift surgery.

  • What can breast augmentation not achieve?

    Breast augmentation is not intended to lift the breasts up. While a minimal amount of lift is achieved with breast implants, for patients who need a large degree of lift, a mastopexy would be the best procedure.

  • Are there non-surgical options to breast augmentation?

    No creams, pills, massages or devices will be able to enlarge and correct volume inadequacies in the breasts, except for breast augmentation through the use of an implant or your own fat. Certain life events may cause the breasts to increase such as pregnancy, weight gain or the use of birth control pills, but these are not intended to be an alternative to breast augmentation surgery.

  • How about the safety of silicone implants?

    “There is no evidence that silicone implants are responsible for any major diseases of the whole body. Women are exposed to silicone constantly in their daily lives.” From the Institute of Medicine. In fact, special studies have shown that silicone appears at a much higher level in cow's milk and commercially available infant formula that in women breastfeeding with silicone implants.

  • How do I know if I am a good candidate?

    Most likely if you are reading this you are interested in having larger breasts. The most important factor is that you are in good health- healthy enough to be placed under general anesthesia. Once you are cleared for that, as long as you have realistic expectations of the outcome, and understand the risks to the surgery most women are great candidates. Your assessment with Dr Bendago will ensure you are a good candidate and if not he will discuss any alternatives with you.

  • What is the recommended age to have breast implants?

    Whether you are 19 years old or 55 years old, being in good health is more important than age. You do need to be at least 18 years of age in order to undergo breast augmentation as you want the breasts to have developed from the onset of puberty. As long as you have realistic expectations and have thought about the decision, age is only a number!

  • Is it best to be at my ideal weight for the breast augmentation procedure?

    It is recommended that you be close to your ideal weight prior to surgery as significant weight loss following the breast augmentation procedure can alter results. Possible negative side effects to significant weight loss may include breast ptosis (drooping) and a decrease in breast volume. Significant weight gain can also adversely affect breast size and appearance.

  • I don’t want my breasts to look “fake”, how do I prevent this?

    This is when the consultation process comes into play. It is important that you communicate to your surgeon your desired outcome from surgery. Your surgeon will then proportionally match a size to fit your anatomy, lifestyle and preference. Breast implants that are placed under the muscle, have a lower set profile, and comprised of silicone gel tend to look the most natural.

  • Where is the surgery performed?

    The surgery is performed in our operating room at Toronto Cosmetic Clinic (5400 Yonge Street, suite #110). Since breast augmentation is performed as an outpatient procedure you will rest in the recovery room for 1-2 hours after surgery, then can be released to go home.

  • What type of anesthesia is used?

    General anesthesia is used most of the time as it is much more comfortable for you. Unless you have a health concern where you can not receive general anesthesia, other options can be discussed with our surgeon.

  • What is a capsular contracture?

    After the implant is placed into your body, as a natural response to any foreign device, our bodies will form a fibrous capsule around the implant. When the capsule becomes too thick, it will squeeze the implant, deforming the pocket and your breast. This becomes rather uncomfortable and become visibly noticeable and is referred to as a capsular contracture. This is a complication of breast augmentation, and sometimes an additional surgery will be needed to either release or remove the capsule. There are ways that our surgeon does to help prevent capsular contracture formation, such as using Keller Funnels and guiding patients how to properly massage the breasts.

  • How do I massage my breasts after surgery?

    The point of massaging the breast is to help keep the capsule soft and natural. By allowing the capsule to not be extremely tight around the implant, this allows for the implant to have some slight movement around in the pocket- just as a natural breast would move around.
    Dr Bendago will instruct and show you how to properly massage your breasts for the first time, and usually you need to start 1 week after surgery. “Massaging” is actually just pushing the implant from one direction to other in order to stretch the pocket a bit. He will instruct you to cup each breast using the opposite hand and to move it around in a circular direction. Squeezing the implants together and also in a downwards motion is also part of the massaging technique that he recommends. Massaging is recommend up until about the 4 week part as this is when the pocket has healed and formed.

  • Do I go home the same day as my breast augmentation?

    Breast augmentation is performed as an outpatient procedure, meaning you are able to go home the same day. After the surgery, you are monitored in our Recovery Room for about 1-2 hours all based on how well you are feeling and how normal your vitals are. You will find it more soothing to be at home in the comfort of your own surroundings. You are provided with the cell phone number of your surgeon in case you have any concerns. You will also receive a follow-up call the next day from one of our medical staff and will be booked in a few days to one week for your follow-up with Dr Bendago.

  • When will I see the final results?

    Results are immediate as when you awake from surgery your breasts will be enlarged. There is some expected amount of swelling that can take about a month to go down.

  • What if I decide later I no longer want large breasts after breast augmentation?

    If you really do not like the size of larger breasts, you can either switch your implant size to something smaller or have the implants removed all together (explantation). It is important to remember that when the implants are exchanged for a smaller size or removed, your skin will most likely have stretched and will look different from before you had implants placed in. That is why it is important to make it clear to your surgeon, your lifestyle and the type of results you want after surgery.

  • How long after giving birth and breastfeeding can I get implants?

    It is recommended to wait at least 3 months either from pregnancy or from breastfeeding to make sure the breasts have settled back down to a stable volume and shape.

  • Can pregnancy affect my breast augmentation?

    If you are pregnant prior to breast augmentation, you will be asked to come back for the procedure after you have given birth. If you have already had the procedure and get pregnant, your breasts with breast implants will still naturally enlarge. To what extent your breasts enlarge will depend on your individual physicality and the size/type of your breast implants.

  • If I have breast implants, can I breastfeed?

    Studies have shown that silicone levels in the breast milk of women with breast implants are not higher than in those without breast implants. Many women have no problem breastfeeding with breast implants.

  • Will my nipples lose sensation following breast augmentation?

    It is normal for a change in nipple sensation (increase or decrease) following a breast augmentation. This can be either temporary or permanent, with the latter potentially being a sign of nerve damage. Breast implants may also affect sensation during breast feeding and sexual activity.

  • Do breast implants prevent me from having mammograms?

    If you have breast implants you are able to still have mammograms done and they do not interfere with the readings. Your radiologist will just use a different technique than if you did not have implants.

  • When can I wear an underwire bra?

    Most surgeons recommend women wait for at least 1-3 months, and should only wear underwire bras intermittently after this healing time.

  • Can I get stretch marks from breast implants?

    It can happen, but rarely does. You can minimize the stretching of your skin that can cause stretch marks by getting smaller implants.

  • Will my breasts move naturally after breast augmentation surgery?

    It depends on the type of implant, how your body holds it, the existence (if any) of capsular contraction, and other such factors.

  • Is there a relationship between the occurrence of breast cancer and breast implants?

    Extensive research and studies have proven that this is not a concern.

  • When Can I Start to Exercise?

    The time frame of when you are able to return to your full workout schedule will depend on how you are healing and what exact exercise you want to participate in. As a general guide you do not want to participate in activities where you will put strain on the newly formed breast pocket, ie- avoid bouncing the breasts. You want to wait until the capsule has properly formed to still be strong enough to support the implant. If you do not wait until it has formed you could risk, bottoming out. With that being said, low impact cardio activities that mostly use the leg muscles like spinning and elliptical can be done 3 weeks post-op. You should listen to your body and you can increase the intensity if you do not feel too sore after exercise. By the 6 week mark you can most likely return to your full exercise regime after checking with your surgeon.

  • After I've healed, can I suntan?

    Of course, visiting a sun tanning salon or sunbathing will not hurt the breast implant, but the implant might become a bit warm while tanning, and cool down more slowly. However, we generally recommend that the incision site is shielded from direct sunlight during the first year after surgery, as tanning in this area might permanently darken the scar.

  • When can I start flying again after the breast augmentation surgery?

    We recommend that you can fly about 24 hours after surgery. There is no interference with the elevation as airplane cabins are pressurized and will not affect breast implants.