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Breast Augmentation Toronto

Breast augmentation is one of the most popular procedures performed by Toronto plastic surgeons. Although the results from breast augmentation can be incredible, it is important that a board-certified plastic surgeon performs the procedure.

Dr. Asif Pirani has extensive experience with breast augmentation. As a board certified Toronto plastic surgeon, Dr. Pirani will listen to your concerns and develop a custom surgical approach to address your goals.

What is a breast augmentation?

The breast augmentation procedure is designed to enhance breast shape and volume. It can improve body image, symmetry, and balance.  Breast augmentation is also useful in rejuvenating breasts that have lost volume and shape after having children or losing a significant amount of weight.  Many patients find that their clothes fit better after breast augmentation.

What are the different options for breast augmentation?

Breast augmentation can be performed a number of ways. A new method is to use a patient’s own fat taken from the abdomen or the buttocks and use that to augment the breast.

The more common way to perform breast augmentation is to use implants to enhance the size and shape of breasts. There are two basic types of implants. These can be filled with either saline or silicone.

Saline is essentially intravenous fluid composed of a saltwater solution. Saline implants require smaller incisions and are generally less expensive. There are a number of downsides to using saline implants. Generally, they do not feel as natural as silicone implants and you are more likely to see ripples in these implants under the skin.

Silicone breast implants are filled with silicone gel. They feel the most natural and you are less likely to see rippling with these implants. Gummy bear implants are a new type of silicone implant which have a teardrop shape. These implants help shape an augmented breast.

Dr. Pirani can use any of the above techniques to enhance a women’s breast shape and size. Your personal preferences, goals, and anatomy will determine which method Dr. Pirani uses to enhance your natural beauty.

How do you perform my breast augmentation?

There are a number of things to consider prior to performing a breast augmentation. In addition to addressing a woman’s personal preferences and goals, Dr. Pirani must also decide upon implant type, implant size, incision placement, and plane of insertion. Dr. Pirani considers all of these factors as well as your own breast/chest size to determine the best method to augment your breasts and improve your breast shape.

Generally in order to perform the procedure, an incision is made in the skin and then a pocket is developed either under or over the muscle. The implant is then inserted in this pocket and the pocket is adjusted in order to achieve the most optimal cosmetic result. The pocket is irrigated and closed in a layered fashion. A dressing is applied over the small incision and a postoperative bra is applied.

How to choose a breast implant size

During your consultation Dr. Pirani will take a number of measurements of your breasts and chest to determine an ideal range of breast implants best suited for your body type and skin quality. After providing you with a set of implant sizes you will then decide on a final size in consultation with Dr. Pirani. In order to do this, Dr. Pirani will have you place the selected implants under a special implant sizing bra and look in the mirror to choose the size that appeals to you the most. Dr. Pirani believes that this is the best way to determine a final implant size as it allows you to actually get a sense of your final breast size after augmentation.

Should the implant be under or over the muscle?

Dr. Pirani can place the implant either above or under the muscle. Placing the implant under the muscle is termed a subpectoral augmentation. Placing the implant on top of the muscle is termed a subglandular augmentation.

In most women, the advantages of a subpectoral augmentation make it the best option, however, Dr. Pirani will make this decision with you after reviewing all of the advantages and risks associated with both subglandular and subpectoral augmentations.

Generally, subpectoral augmentation is associated with:

  • A lower incidence of capsular contracture (thick scar formation around the implant)
  • Decreased rippling
  • Maximal preservation of nipple sensation
  • Less implant visibility and palpability
  • Less tissue stretch over time
  • Better mammogram visualization

Who is a good candidate for breast augmentation?

A woman is a good candidate for breast augmentation if you are interested in having any of the following:

  • Larger breasts
  • Breast asymmetries resolved
  • The appearance of increased cleavage
  • Your breast volume and shape restored after childbirth/breastfeeding
  • Your breast volume and shape restored after significant weight fluctuations
  • If you feel that your breasts have dropped slightly

In addition good surgical candidates should be relatively healthy. Smokers should quit smoking for at least 3 to 4 weeks prior to surgery. Patients who have breast-fed recently should wait at least eight weeks prior to pursuing breast augmentation.

How long does it take to recover from breast augmentation surgery?
Patients generally take 2 to 4 weeks to recover from breast augmentation. Many patients are able to return to work a week after breast augmentation. Depending on the type of augmentation performed, postoperative bras may be required for an extended amount of time. Patients should expect to continue to see changes in their breast shape and implant position for at least six months to a year after breast augmentation.

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View Before & After Photos

The Breast Augmentation Consult

There is a large amount of information to review during a breast augmentation consult. Dr. Pirani will usually spend over an hour with you during this consultation to go over all of the surgical and implant options prior to creating a custom surgical plan for you. He will go over risks and complications and give you an idea of what you should expect in terms of results and recovery.

Dr. Pirani’s goal is to educate you so that you fully understand your customized surgical plan.

To schedule a consultation with Toronto Breast Augmentation surgeon Dr. Pirani, call 416-360-8772. We look forward to meeting you.