In our Toronto Yorkville aesthetic center, breast implants are available filled with saline and silicone, in various shapes, sizes, projections, and textures. Dr. Marc DuPéré exclusively uses implants approved by Health Canada and the United States FDA. He offers the entire line of breast implants, ranging from Mentor® (Johnson & Johnson) and Natrelle® (previously McGhan, now owned by Allergan, also the maker of BOTOX®). Dr. DuPéré also offers the IDEAL® breast implant, a saline-type of implant made to feel almost like silicone. The IDEAL® implant has a series of implant shells nested together (baffles) and contains two chambers of saline solution. They are made of standard implant material.
Royal College-certified plastic surgeon Dr. DuPéré and his team will assist you with picking the appropriate implant fill material, size, and shape, guided by your chest and breast anatomy, body proportions, and preferences. Dr. DuPéré has special breast sizers for you to try at the office, so bring a sports bra of the size you are dreaming of to ensure you pick the correct implant size. Our sizers are much more accurate than using old implants externally or imagining your look with a bag of rice.
The Basics of Breast Augmentation
Surgical breast augmentation is one of the most popular aesthetic procedures in North America and the word. Throughout the years, the techniques used by plastic surgeons have been refined and improved, making way for today’s efficient, streamlined procedure that creates natural-looking results and very little visible scarring.
During a breast augmentation procedure, Dr. DuPéré makes an incision, typically along the fold beneath your breast, through which he places the implant you’ve selected. Dr. DuPéré takes careful precautions to reduce the risk of infection and complications, such as using a device called the Keller Funnel® and following the so called “no-touch” technique. This device allows him to place implants without touching them, which also enables him to use smaller incisions.
Breast augmentation is an outpatient procedure that typically lasts less than 2 hours. After a brief period of recuperation, you may return to light activities before resuming vigorous exercise several weeks later. The recovery will vary slightly depending on the plane where your implants are inserted (sub-pectoral/muscular, sub-fascial or sub-glandular). In the long term, the results of your breast augmentation have the potential to last for more than 15 years.
What Is a Beautiful Breast?
Dr. DuPéré understands what makes breasts look naturally beautiful. He observes the following principles when determining implant size and shape:
- Implants that are too large will give an unnatural and augmented look, sometimes pornographic; but implants that are too small may not provide the desired fullness.
- The implant should match the width of the existing breast.
- A small drop in the breasts provides a normal and natural look.
- The margins of the breast should be soft and have a smooth transition to the surrounding areas of the chest.
- The breasts should always shift slightly down a woman’s sides when she lies on her back.
- A nice cleavage is usually desired, and depending on your anatomy and breast implant selected, some fat grafting procedure might be suggested.
Your Breast Implant Options
Saline or Silicone?
Our breast augmentation patients in Toronto have a choice of silicone or saline breast implants. Canada also now offers the IDEAL implant, a saline-filled implant made to feel almost like a silicone implant with silicone baffles inside. While Dr. DuPéré can provide beautiful results with all types, his patients typically prefer silicone implants. Each type has its own benefits and drawbacks.
All of the silicone implants Dr. DuPéré offers are filled with cohesive silicone gel, which means that the filling stays together like a solid. Silicone implants range in firmness from soft to those that are firmer and made with form-stable, highly cohesive silicone gel.
- Benefits: Results look, move, and feel more like natural breasts than saline
- Drawbacks: Slightly costlier than saline, man-made medical-grade fill materials usually require a slightly larger incision than saline. Silicone implant volume cannot be adjusted during surgery, but breast volumes can be adjusted by excising a small amount of breast tissue.
Saline implants, while not as popular for breast enlargement in Toronto as silicone, are filled with sterile saltwater.
- Benefits: Natural fill material, slightly less costly than silicone, volume can be mildly adjusted while implants are placed
- Drawbacks: Rippling and wrinkling possible, less natural feel than silicone, prone to a slight deflation every year by evaporation
Because breast implants are measured in volume (cubic centimeters, or cc) or weight (grams) and not bra cup size, choosing the right size is both a science and an art. Even if you’d like your breasts to be the same size as a friend’s, you might not need the same size breast implants.
Dr. DuPéré has the latest implant sizers that may be placed in a bra to help you visualize the breast size you want, so please bring a sports bra of the size you are interested in.
The implant profile specifies how much the implant pushes the breast forward from the chest wall. Different brands use different profile terminology, such as low, moderate, and high (Mentor implants) and very low, low, moderate, full, and extra full (Allergan’s Natrelle). These profiles are available in a range of widths, which should be selected to match the widths of your breasts.
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
Breast implants are available in 2 shapes: round and anatomical (also called contoured or teardrop).
Pregnancy and aging can lead to a loss of fullness in the upper portion of the breast. Round implants are more popular because they increase that fullness and enhance cleavage.
Anatomical implants are shaped to match a natural breast silhouette, with fullness at the lower end and a thinner, tapered upper end. This shape is occasionally considered in cases of very small A-cup breasts, in tuberous breast deformity, in reconstructive procedures, for breasts with mild sagging, and for MTF transgender patients. In approximately 2% to 5% of women, anatomical implants may rotate and require corrective surgery. All anatomical implants are textured. There is a decrease in use of textured implants in Canada and the USA due to some rare and unwanted complications. Round implants do not have a top or bottom end and therefore do not cause concerns about rotation.
The outer covering of both silicone and saline breast implants is made of high-strength, elastic silicone. The surface of the implant covering can either be smooth or textured. Round implants are available with smooth and textured coverings; anatomical implants are only available with a textured cover because the texture helps these implants stay properly oriented.
You have many choices for breast implants in our Toronto center for your breast augmentation procedure, with or without a lift (mastopexy). To review your options with Dr. DuPéré, request a consultation or call our office at (416) 929-9800.Back to Top