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Breast / Breast Augmentation

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.

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Breast Augmentation in Toronto

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.

The demand for breast augmentation to enhance one’s figure and confidence is ever-growing. If individual styles of clothing make you feel self-conscious, or if you’ve dreamed of balanced proportions and life without padded bras, breast implant surgery could make a significant difference for you. Dr. DuPéré will help you reach your expectations by achieving beautiful, natural-looking breast augmentation results.

Who Is A Good Candidate For A Breast Augmentation?

A breast augmentation may be beneficial to you if any of the following apply:

  • You wish to have a larger breast size.
  • You would like your chest to look good in a swimsuit or bikini.
  • You have differences in the size of each breast.
  • You may have gone down a cup size as a result of having a baby, breastfeeding, losing weight, or simply becoming older.
  • You have had some volume loss, which has resulted in a modest sagging of your breasts.
  • You are considering a full Mommy Makeover and would like to include Breast Augmentation as part of it.

Additional Requirements For Potential Candidates:

  • Patients should be in good general health — Before you undergo any kind of surgery, Dr. DuPéré will always do a checkup to evaluate your overall health and determine whether or not you are a candidate for the procedure.
  • Quitting smoking at least two weeks before surgery is strongly recommended for smokers.
  • Patients who are breastfeeding are advised to delay surgery for anywhere between four and eight weeks after they have stopped breastfeeding so that their true breast size can be ascertained.

How Can Breast Augmentation / Boob Job 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

Thousands of Toronto breast augmentation patients restore post-baby breasts, enhance their curves, and gain the feminine shape they’ve always wanted through a quick-recovery breast augmentation at the VISAGE Clinic.

Breast Augmentation Options

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.

It’s hard to describe the positive impact increased cleavage, volume and balanced body proportions can have. Today’s breast implants are incredibly natural-looking and available in a diverse range of sizes and shapes to suit any personal style or unique measurements. Your ideal fit is waiting for you.

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.
Incision Graphic

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.
Breast Implant Options

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 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.

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. 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.

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.

  • Some women will require drains for a few days.

  • Most women can return to desk work after 7 to 10 days.

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.

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.

Breast Augmentation FAQ

  • Can Someone With Breast Implants Breastfeed? 

    It is safe and definitely viable to breastfeed after a breast augmentation. Dr. DuPéré is able to perform the operation utilizing tactics and techniques that maximize the potential for nursing, even though there are some risks involved that could still affect your ability to breastfeed. If you intend to breastfeed your child as well as have further children in the future, it is vital that you communicate this information to Dr. DuPéré during your consultation. This will enable him to customize your procedure to meet your specific needs.

  • Does Pregnancy Have An Affect On Your Breast Augmentation Results?

    In relation to breastfeeding, it’s crucial to be aware that pregnancy may have an effect on how the breasts look. You can experience these changes whether or not you’ve had breast augmentation. Increased skin laxity, sagging, and a reduction in breast volume are a few physical changes brought on by pregnancy and breastfeeding. These modifications may affect the procedure’s outcomes and harm your breast beauty if you get breast implants. For this reason, when considering whether to get breast augmentation, the timing of a potential pregnancy should be taken into consideration. Dr. DuPéré suggests that you think about delaying your surgical plans until after childbearing if you want to get pregnant soon.

    That said, not every woman who has breast augmentation will experience changes to the appearance of her breasts after giving birth. In fact, the majority of patients who have had breast augmentation in the past don’t require additional surgery. If the enhanced breasts do noticeably change after delivery, plastic surgery can fix the problem. The procedure may involve a Breast Lift in addition to changing the implant’s size. The best course of action to prevent the need for additional surgeries would be to delay surgery until after childbearing, even though the timing may not be ideal for younger patients.

  • Are Scars After A Breast Augmentation Visible? 

    Dr. DuPéré takes special care to put the incisions in discreet locations for unnoticeable post-surgical scarring, even though any form of surgery is likely to leave some sort of scar. The typical incision sites for the surgery are either within an underarm fold, around the areola, or along the breast fold. The majority of patients report that scars are almost imperceptible or well covered beneath a bra or bikini once healing is complete.

    Following surgery, all scars will go through a maturation process. Because minimal scar tissue has formed, the incision line may not even be visible in the first few weeks. The scar may actually get pinker, higher, and slightly firmer over the next months. This stage corresponds to the time when the body is forming scar tissue to strengthen the incision site. The scar then starts to heal after this phase. The scar will then get softer, lighter in color, and less apparent throughout this stage as well. That said, the visibility of any scarring can be reduced by adhering to Dr. DuPéré’s post-operative advice on good wound care.

  • What Are The Less Commonly Known Benefits Of Breast Augmentation?

    Breast augmentation is not just about increasing the size and shape of your breasts. It offers a range of benefits that go beyond aesthetics. One less commonly known advantage is the boost in self-confidence it provides. Many women who undergo breast augmentation report feeling more comfortable and satisfied with their bodies, which can have a positive impact on their overall self-esteem.

    Additionally, breast augmentation can improve body proportion, creating a more balanced silhouette. It can also open up new clothing options, allowing you to confidently wear outfits you may not have considered before.

  • Can Breast Implants Affect The Accuracy Of Mammograms?

    Breast implants can indeed present challenges when it comes to mammogram readings. The implants can sometimes obstruct parts of the breast tissue, making it harder for radiologists to obtain clear images. However, this does not mean that mammograms are ineffective for women with breast implants. Experienced radiologists are trained to perform specialized techniques, such as implant displacement views or ultrasounds, to ensure accurate results. It is important to inform the mammography technician about your implants beforehand so they can take the necessary steps to obtain the best possible images.

  • What Role Does The Surgeon’s Experience Play In Breast Augmentation Outcomes?

    The experience of the plastic surgeon is a critical factor in determining the safety, precision, and aesthetic outcomes of your breast augmentation procedure. An experienced surgeon such as Dr. DuPéré has performed numerous breast augmentation surgeries and has a deep understanding of the various techniques and implant options available. He can guide you through the decision-making process, recommend the most suitable implant size and shape for your body, and ensure that the procedure is performed with the highest level of skill and expertise. Choosing a board-certified plastic surgeon with a proven track record in breast augmentation is essential for achieving satisfactory results.

  • Can Breast Augmentation Help Correct Asymmetry?

    Breast asymmetry, where one breast is larger or shaped differently than the other, is a common concern among women. Breast augmentation can indeed help correct this asymmetry and achieve a more balanced appearance.

    Depending on the degree of asymmetry, the surgeon may choose to use different-sized implants or adjust the pocket size during the procedure to create symmetry. This tailored approach allows for a customized solution that addresses the specific needs and goals of each individual. By choosing an experienced plastic surgeon, you can ensure that your breast augmentation procedure is carefully planned and executed to achieve optimal symmetry and balance.

  • What Is Capsular Contracture, And How Can It Be Prevented?

    Capsular contracture is a potential complication that can occur after breast augmentation surgery. It is a condition where scar tissue forms around the implant, causing it to harden and tighten. This can lead to breast firmness, distortion, and discomfort. While the exact cause of capsular contracture is not fully understood, several strategies can help minimize its occurrence. 

    First and foremost, choosing appropriate implant placement, such as submuscular placement, and selecting implants with textured surfaces can reduce the risk of capsular contracture. Following post-operative instructions diligently, including proper implant massage techniques, can also play a role in preventing this complication. Regular follow-up appointments with your plastic surgeon will allow for close monitoring and early detection of any signs of capsular contracture, ensuring prompt intervention if necessary.

  • Are There Any Age Restrictions For Breast Augmentation?

    There is no specific age limit for breast augmentation surgery. The most important consideration is whether a person’s breasts have fully developed. It is generally recommended to wait until breast development is complete before undergoing breast augmentation. This typically occurs by the late teens or early twenties. However, the decision to undergo breast augmentation should be based on individual circumstances and personal goals. During the consultation process, your plastic surgeon will assess your physical maturity, emotional readiness, and overall health to determine if you are a suitable candidate for the procedure.

  • How Long Do Breast Implants Typically Last Before Requiring Replacement?

    Breast implants are not considered lifetime devices, and it is generally recommended to plan for implant replacement or revision surgery at some point in the future. While individual experiences may vary, the average lifespan of breast implants is typically around 10 to 15 years. However, it is important to note that some implants may last longer without complications.

    Regular follow-up appointments with your plastic surgeon are crucial to monitor the condition of your implants and detect any signs of potential issues, such as implant rupture or capsular contracture. If you experience changes in the appearance or feel of your breasts, it is important to consult with your surgeon promptly. They will assess the condition of your implants and recommend appropriate measures, including potential implant replacement, if necessary.

  • Can Breast Augmentation Correct Sagging Breasts?

    Breast augmentation alone is not typically recommended for correcting significant breast sagging, also known as ptosis. In cases of mild sagging, breast augmentation with implants may provide a slight lifting effect due to the added volume. However, if you have moderate to severe breast sagging, a breast lift procedure may be necessary in combination with breast augmentation. A breast lift removes excess skin, repositions the nipples to a more youthful position, and tightens the breast tissue to achieve a firmer and lifted appearance. Combining a breast lift with breast augmentation can address both the size and position of the breasts, resulting in a more youthful and proportionate outcome.