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Breast Augmentation

Caring about your appearance extends beyond vanity. For many women, self-image is central to quality of life, social interaction and self-esteem. Royal College-certified plastic surgeon Dr. Marc DuPéré began specializing in breast enhancement surgery back in 2001. He has now become one of the most sought-after plastic surgeons for breast augmentation with implants in Toronto.

Dr. DuPéré will help you reach your expectations by achieving beautiful, natural-looking breast augmentation results. Request a consultation or call our office at (416) 929-9800.

Breast Augmentation Before & After Photos



How Can Breast Augmentation Help?

Breasts come in several shapes and sizes, and every woman has a different concept of her ideal breasts. Dr. DuPéré's Toronto breast augmentation patients select their breast implants with the help of the newest sizers on the market. He creates natural-looking, proportional breasts with:

  • A natural teardrop shape
  • Nice upper pole fullness
  • Soft and smooth margins

Dr. DuPéré will help you choose the right implant for you, the location of the incision, the position of the implants and the right technique to reach your expectations. You can learn more about the procedure on our Breast Augmentation FAQ page. When tailored to your goals, breast augmentation can improve your confidence dramatically.

Dr. DuPéré's Breast Augmentation Techniques

Depending on the patient's needs, Dr. DuPéré offers numerous incision types and implant placement options. He will discuss these options at your consultation. Read on to learn more.

Incision Choices

Dr. DuPéré offers 3 distinct incision options for breast augmentation patients, and each one offers its own set of benefits:

  • The inframammary incision is the most common incision, which traces along the fold beneath the breast. The inframammary incision gives Dr. DuPéré maximum control during surgery and still results in a scar that remains quite well hidden below the breast.
  • The periareolar incision is made along the lower edge of the areola. Although many patients are attracted to its discreet scar (the scar blends with the natural color delineation of the areola), it's most appropriate for patients who have chosen saline implants because they require smaller incisions.
  • The transaxillary incision is made in the armpit. Although this incision doesn't leave any sort of scar on the breast, it's not appropriate for all procedures.

Once he has made the incisions, Dr. DuPéré carefully and meticulously develops a precise pocket, or compartment, where the implants will be placed. In cases involving saline implants, the implants are placed empty and filled once they're in place. He sits the patient slightly during the procedure and evaluates the implants for symmetry and closes the incisions.

Implant Placement Choices

There are 3 options for where Dr. DuPéré can place your breast implants:

  • Submuscular placement is when the implants are beneath the pectoral muscles. This option is common with saline implants and for ladies with thin tissues, as the muscle will provide more coverage for saline-filled implants. For our fitness models, athletic ladies, and exotic dancers, the implants may move unnaturally with muscle contractions and a submuscular placement is favoured.
  • Subglandular placement is when the implants are above the chest muscles but beneath existing breast tissue. This option generally comes with a slightly more comfortable recovery period and without unnatural movement with muscle contractions, yet, breast sagginess can be accelerated with larger implants.
  • Subfascial placement is a very common option today and seems to include the benefits of both above options and avoid the cons of each above option; each muscle is covered by a very strong layer called the fascia. Putting the implants under the fascia provides some "internal" strength and support to the implants, while helping to prevent the progressive and normal sagging of breasts over time. Under-fascia placement is also associated with normal movement of implants with muscle contractions. The subfascial placement of implants is also common with other implant procedures such as calf augmentation, hip augmentation, and buttock (gluteal) augmentation.

Surgery Details

Dr. DuPéré performs breast augmentation while you are under either general anesthesia or local anesthesia with sedation. The type of anesthesia that's appropriate for you depends on the extent of your surgery, your overall health, and other factors. During your consultation and pre-op appointment, you and Dr. DuPéré discuss the details of your surgery, including anesthesia, in detail.

Most breast augmentation procedures last from 1.25 to 1.5 hours, although combined procedures can last a bit longer. During surgery, Dr. DuPéré uses meticulous dissection techniques and always under direct visualization to minimize bleeding around the implant and to create the natural-looking cleavage women seek.

Combining Your Breast Augmentation

Because breasts often sag or droop after pregnancy or weight loss, some patients may also benefit from a breast lift. A breast lift procedure can easily be incorporated into a breast augmentation surgery.

It's also popular to add liposuction or fat transfer to breast augmentation for a softer, more natural look and feel.

Additionally, many patients add a tummy tuck or other treatments as part of a comprehensive mommy makeover to reverse the toll of pregnancy on the body.

Recovering from Breast Augmentation

Breast augmentation patients can usually return home the day of their procedure. On average, women feel discomfort for 3 to 7 days after surgery. Some women will require drains for a few days. In most cases, stitches are internal and dissolving.

We recommend our breast enlargement patients in Toronto initiate walking and stretching on the day of the procedure, avoid exercise for 4 weeks and avoid upper chest exercises for 8 weeks. Most women can return to desk work after 7 to 10 days.

Patients generally wear a compression garment for 2 days, followed by a comfortable sports bra. Push-up and underwire bras should be avoided for 6 to 8 weeks.

Potential Risks and Complications

Every procedure involves inherent risks. Although serious complications are extremely rare, Dr. DuPéré educates every patient about potential risks.

Those risks can include scarring and issues with wound healing, discomfort, bruising, loss of sensation over the breast and, rarely, the nipples, potential breast-feeding issues, palpable or visible implant edges, sagging of the breasts, loss of cleavage, fluid accumulation around the implants, asymmetry, capsular contracture, deep vein thrombosis, and general-anesthesia-related issues.

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