Breast Augmentation in Toronto
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 and fat transfer breast augmentation in Toronto.
Breast Augmentation At-a-Glance
What is it?
Breast augmentation is a cosmetic surgical procedure that enhances a woman's breasts using implants filled with cohesive silicone gel or a saline solution, which are placed behind the breast tissue, behind the muscle, or somewhere under the fascia (a very thin tissue that is between your chest muscle and breast tissue.)
You can Call it...
Augmentation mammoplasty, a "boob job," or breast enhancement
Length of Surgery?
Breast augmentation surgery usually takes 1.5 to 2 hours
Local or General?
Dr. DuPéré performs breast augmentation using a general anesthetic or a local anesthetic with sedation.
Plan to take off at least 7 days from work and don’t engage in strenuous physical activity. Resume strenuous activities after 4 to 6 weeks. Postpone chest exercises for 8 weeks.
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 recommends that patients bring a sports bra that will fit the size of breasts they desire so they can view sizers while looking in a mirror. Dr. DuPéré creates natural-looking, proportional breasts with:
- A natural teardrop shape
- Nice upper pole fullness
- Soft and smooth margins
When you choose breast implants at our Toronto-area clinics, you have several options, including size, material used to fill the implants, smooth or textured, profile, and shape. The illustration shows the difference between round and anatomically shaped implants.
Dr. DuPéré reviews precisely what you can expect during your consultation. In this video, you’ll see examples of different implant types and learn details on how he performs the operation.
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.
Your initial visit with Dr. DuPéré is an important opportunity to candidly discuss how you feel about your breasts, as well as your short-term and long-term goals. You can also expect a thorough examination of the options available to you. As you’ll learn on our breast implants page, implants are so much more than saline and silicone. You can expect to have an honest conversation with Dr. DuPéré regarding the best implant type for you.
You should also expect to talk about your medical history, including any relevant past conditions, surgeries, and any medicines or supplements you presently take. While breast augmentation with Dr. DuPéré is very safe, he may choose to modify his technique depending on your overall health.
Dr. DuPéré also conducts a physical examination of your breasts, taking measurements to help him customise his surgical approach. Together, you’ll plan your incisions, the potential size and shape of your implants, and other factors related to your surgery. You’ll also discuss the recuperation process. Dr. DuPéré wants you to think of your consultation as a 2-way conversation. Come to your visit armed with questions and concerns, and he’ll do his very best to satisfactorily address each of them.
Why Choose Dr. DuPéré?
Dr. Marc DuPéré is one of Toronto's standout plastic
surgeons, and he's especially adept at enhancing and
improving the breasts for many reasons — including the
- His surgical technique reduces recovery time and
minimizes trauma to the delicate tissues of the breast
- His masterful blending of aesthetics and science
creates results that are not only beautiful, but safe and
- He's a fellow of the Royal College, a member of the Canadian Society of Plastic Surgeons, a member of the American Society for Aesthetic Plastic Surgery, a member of the International Society of Aesthetic Plastic Surgeons, and a member of the French Society of Aesthetic Plastic Surgeons (SOFCEP), ensuring his skills stay sharp and up to today's standards
- Practices the "no-touch" Keller Funnel technique in breast augmentation to decrease risk of capsular contracture and uses antibiotics, antiseptic solutions, and nipple shields to improve results
- He completed a fellowship in Paris, France, with two French masters of breast surgery, Dr. Bricout and Dr. Petouin
- As an artistic sculptor, he has a natural eye for the body's proportions, anatomy, and the appearance of a natural-looking result
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.
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.
Cohesive Silicone Gel Implants
Cohesive silicone gel breast implants are the most popular with patients because they generally look and feel more like natural breast tissue. This video demonstrates how the gel remains in place even if the implant ruptures, which is a very rare situation.
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.
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 more thoroughly.
Most breast augmentation procedures last from 1.25 to 1.5 hours, although if you opt for a combined procedure, your surgery will last a bit longer. During your surgery, Dr. DuPéré begins by making incisions based on your preferences and the plans you made in the pre-op process. He uses meticulous techniques to create a pocket within the breast tissue, directly visualizing the area to minimize bleeding and create the natural-looking cleavage desired by most of his patients.
Once he has placed the implants and evaluated them for symmetry, Dr. DuPéré closes the incisions with sutures and bandages, and dresses the breasts with a supportive garment.
Fat Grafting Breast Augmentation
Using purified fat cells taken from an area of the patient’s body where it’s unwanted and then transferring the fat to the breasts is a relatively new technique that’s an option for women who want only a modest increase in breast size. It’s also an excellent technique for correcting breast asymmetry or to camouflage implant ripples for patients with thin breast skin. Fat grafting, sometimes called fat transfer, involves removing fat using liposuction and then separating the cells from impurities with a centrifuge.
Fat grafting can also be used to enhance cleavage with breast implants, but this process requires a plastic surgeon with excellent technical skills to avoid a complication called symmastia (“uniboob”). You can learn more about this procedure in one of my blog posts.
Among the drawbacks of fat grafting for breast augmentation is that this procedure is less precise because some of the transferred fat won’t survive, and it may take additional procedures to fine-tune the results. Fat transfer is only for women who want an increase of a cup size or less. Additionally, cysts or calcified fat—although rare—can develop and require imaging tests or biopsies to rule out disease.
Combining Your Breast Augmentation
Breast augmentation is exceedingly popular as a solitary procedure, but it can also work well as a complementary procedure, enhancing the results of another surgery. Some of the most popular options include:
- Breast lift: Because breasts often sag or droop after pregnancy or weight loss, some patients may benefit from this approach, which can be easily incorporated into a breast augmentation surgery.
- Liposuction or fat transfer: These procedures use your own fat to create a softer, more natural look and feel.
- Tummy tuck: Some patients may add this transformative surgery to breast augmentation. When performed in conjunction with each other, this approach is called a mommy makeover and is especially effective at reversing the toll that pregnancy can take on the body.
- Vaginal Rejuvenation: Mommy makeover patients also may want to improve the tightness, sensitivity, and appearance of their vaginas. Dr. DuPéré offers surgical options that include labiaplasty, vaginoplasty, or a pubic lift.
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.
ALCL: Anaplastic Large Cell Lymphoma
Even though breast implants have been studied for more than 2 decades and very rarely produce side effects, researchers have identified an uncommon condition called breast implant-associated anaplastic large cell lymphoma (BIA-ALCL). This condition has only been documented thus far in patients with textured implants. It is very treatable when diagnosed early. It’s important to know that Dr. DuPéré uses mostly smooth implants. BIA-ALCL symptoms may include swelling, redness, changes in firmness, or lumps around 1 or both implants. If you are experiencing these or any other symptoms, please contact us for an appointment. In the vast majority of patients, these symptoms are not serious and may or may not require treatment.
BII: Breast Implant Illness
Much has been written about this condition, but many misconceptions persist. BII is not a diagnosis but rather an observation of ambiguous symptoms, such as fatigue, hair loss, and joint pain. The term breast implant illness is almost unknown to immunologists. There is no evidence of a causal link to breast implants, but more research is needed to assess any potential links between breast implants and other diseases. Rest assured that Dr. DuPéré remains up to date with the latest research, listens carefully to his patient’s symptoms, and reacts scientifically to whether there is actually a connection between the symptoms described and breast implants. He provides appropriate referrals and testing when needed.Back to Top