Featured Question of the Week

Can a breast reduction, tummy tuck and liposuction be safely combined in a healthy patient?

While each case is unique and every patient needs to be examined by a surgeon to know if they’re a good candidate, in general terms combining those three procedures is not a problem. It can safely be done in less than 6 hours which means that it would still be day surgery in Ontario.

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How much downtime do I need after a breast lift with implants?

I would generally recommend that patients take about a week to recover from a combination mastopexy-augmentation (lift + implants). If you aren’t lifting anything heavy you may be ok to get back to work earlier, but it will be difficult to know until you’ve had your procedure and can see how you actually feel.

Can compression garments help mould the breasts following a breast lift?

Garments can’t actually mould the body but they can help to support it during recovery. Compression is good for liposuction but for a breast lift a supportive bra is usually all that is necessary. The “moulding” of the breasts will be done by your surgeon on the operating room table and there should not be much left to settle into place afterwards

How will I be able to tell if my breast implant has ruptured or if there is a problem with my breast implants?

It really depends on what type of implants you have. If you have saline then a rupture will be obvious because your breast will deflate. If your implant is silicone it will be more subtle and an ultrasound or MRI will be needed to assess the implant. If you are having other issues with your implant they will typically present with pain or a change in appearance in the breast that will prompt you to go see your surgeon and find out what is going on.

Will a mammogram give obscure results or rupture my breast implant?

If you have breast implants and are getting a mammogram then make sure to let the technician know. They will take special views of the breast to make sure they capture all the breast tissue in a way that is not obscured. Usually the mammogram will compress the breast tissue on top of the implant, so it would be very rare for a mammogram to damage an implant.

At What Age Do Your Breasts Stop Changing?

In general most women will reach full breast maturity between 18-20 years of age however the breasts continue to change over a woman’s entire life. In addition to age and gravity, things like pregnancy, breastfeeding and menopause will cause changes in the breasts as well.

Will having my nipples pierced cause any complications during a breast augmentation and/or the healing process?

For the breast augmentation they will have to be removed because they’ll interfere with my judgement of the appearance and if they’re metallic they can cause the electricity from the cautery to cause a burn to the nipple. It won’t cause a problem during the healing process but I wouldn’t recommend putting it back in for at least a few weeks after your surgery.

Will silicone implants make my osteoarthritis worse?

There is absolutely no evidence to support the claims that breast implants cause inflammatory diseases but the weight of large implants could impact hip or knee osteoarthritis depending on how bad it already is.

How do you shower after a breast lift?

This answer is very surgeon specific and depends on the dressings used. In most practices you will have traditional gauze bandages that get removed after about 5 days at which point you can shower. In some practices, such as ours, waterproof dressings are used allowing you to shower the next day!

Does getting breast implants make you gain weight?

Breast implants will cause you to gain the weight of the breast implants that are inserted, but should not cause you to gain any weight above and beyond that. While there will be some swelling initially after surgery that will definitely add to the number on the scale, this is temporary and will resolve with time. The only weight a patient gains should be the number associated with the volume of an implant. A 450cc implant, for example, will increase the patient’s weight by about 450g per side, so roughly 1 pound per breast.



How much weight can I lose from a tummy tuck procedure?

Although the tummy tuck is not a weight loss procedure, it can help patients lose several pounds in loose skin and tissue and take inches off their waistline. The amount of weight lost will depend on the patient and how much excess skin they have. You should not expect to lose a significant amount of weight from your tummy tuck alone. The best results will come to those who are already within their ideal weight range and suffer from mostly excess skin (not skin and fat) and are committed to maintaining a healthy lifestyle through proper diet and exercise after their procedure.

Is it safe to have a tummy tuck after a sleeve gastrectomy?

Absolutely! It is very common for patients who have had any sort of bariatric/weight loss surgery to undergo tummy tuck and other skin removal surgeries once they have lost the weight. When you have reached your goal weight and are stable for about 3 months then book a consultation to see what your options for body contouring are. Hope that helps!



Can Botox help to prevent teeth grinding?

Yes it absolutely can. Botox to the masseter muscle will weaken it enough to reduce grinding and clenching. Typically 30 units per side is needed as a starting dose but some patients require more. It is not a permanent solution so you will need to repeat the dosing every 3-6 months to maintain the results.



When can I start dieting after surgery? Do you really need extra calories for breast lift scar healing?

You do not need any extra calories for healing a breast lift scar. If you eat a well rounded diet with enough protein then you should not need to make any modifications to it for healing. Wait 4-6 weeks after surgery before starting any type of diet to ensure that your body has had enough time to heal the scars solidly. Hope that helps!

How long after surgery can I expect to have post-op appointments for?

It really depends on the procedure but I personally like to follow-up with every surgical patient for at least a year and ideally annually from that point on for as long as they are willing to come in for follow-ups. In particular, I try to have all of my breast implant patients follow-up annually so I can make sure that there are no issues with the implants or capsules.