Clinically referred to as augmentation mammaplasty, breast augmentation is a procedure where one or both of the breasts are enlarged for the purpose of increasing fullness or improving symmetry. Breast augmentation can involve saline or silicone breast implants, which are surgically placed behind your breasts, fat that is transferred from elsewhere in your body, or a combination of the two. Breast augmentation is one of Toronto’s most popular procedures in addition to being one of the most common cosmetic procedures performed around the world.
Once it’s been determined that you are a candidate for breast augmentation, you will need to decide which type of breast implant you would like to have. Dr. Mathew Plant is one of the very few plastic surgeons in Toronto that offers all options for breast augmentation (including Allergan, Mentor, and IDEAL® implants). The most common choices for breast augmentation are:
Silicone implants tend to feel the softest and most natural of the three options. Modern generation silicone implants, which include the well-known “gummy bear” implant, have a cohesive gel that sticks together even if the shell is damaged. Because silicone implants are pre-filled to specific volumes, they may require longer incisions for larger implants.
Saline implants feel less natural in comparison to silicone ones but allow for smaller incisions because they are inserted into the breast empty and then filled with the same sterilized saline solution used for an IV. Some patients prefer saline implants to silicone because in the event the shell is damaged the body can safely absorb the saline solution.
The IDEAL IMPLANT is a structured implant that consists of multiple inner and outer shells and uses only saline to fill the implant. This implant feels more natural than a traditional saline implant because the inner shells control the movement of the saline.
Fat transfer allows for your own fat to be used to add volume to your breasts without an implant at all. Using liposuction, Dr. Plant can harvest fat from areas you don’t want it, like the abdomen, love handles or inner thighs, and transfer it to the breasts. Because a round implant is not used, the shape of the breasts remains natural, but the size can be increased by up to one cup size with each round of fat transfer. Multiple rounds can be done over time to achieve desired results. Because the fat is your own living tissue, the results are permanent and require no maintenance over time.
Hybrid breast augmentation uses a combination of a smaller breast implant with fat transfer. This is a great technique for women with mild asymmetries or who want a small increase in size but want the volume targeted to specific areas in her breast.
Dr. Plant will speak to you at your consultation about which scar placement will be best for you, but he uses all options to ensure he can always deliver results that are customized to each patient’s body and goals. Incisions can be in the breast fold (inframammary crease), around the nipple (periareolar) or within the armpit (transaxillary). His incisions are amongst the smallest used by any surgeon in Toronto and can be as short as 4 cm. Dr. Plant uses the most up-to-date suture technology, including antibiotic embedded sutures to minimize inflammation and give the best possible scar.
If you are a healthy woman who is not satisfied with the shape or size of your breasts, you may be a good candidate for breast augmentation surgery in Toronto. If you are tired of using padded bras because your breasts just never reached the size you’d hoped they would; if you have trouble finding a bra because your breasts are different sizes; or feel they’ve been left deflated after pregnancy, breastfeeding, or weight loss, then this may be the procedure for you.
If you find that your breasts are sagging and also need volume then a combined augmentation-lift procedure may be a better choice. If you are happy with the size of your breasts, but want a more perky appearance then you may only need a breast lift. The only way to know which procedure is best to get the results you want is to book a consultation with Dr. Plant so he can examine you and answer all your questions.
If you are considering breast augmentation surgery, you should book a consult with Dr. Plant at his Toronto office so he can personally go over the different options available to get the results you desire, while also answering any questions you may have about your breast augmentation surgery. His office is conveniently located in central Toronto near both the 401 and the Don Valley Parkway which has allowed him to serve breast augmentation patients from the entire greater Toronto area, including Scarborough, Mississauga, Vaughan and Markham. He also sees patients from all over Canada who travel into Toronto specifically for his expertise and natural results.
Dr. Plant is a Royal College Certified plastic surgeon who is widely known for actively listening to what his patients are looking for and delivering those results through his meticulous surgical technique. He is an expert not only in primary breast augmentation, but also in revision breast augmentation. This means that not only does he achieve beautiful, natural results for patients coming for their first breast surgery, but he is also one of only a handful of surgeons willing and able to correct problems from Breast Augmentation surgeries performed elsewhere. Contact us today to schedule your breast augmentation consultation with board certified plastic surgeon Dr. Mathew Plant.
Are breast implants under warranty?
Breast implants do come with a warranty. Although the specifics will vary somewhat from company to company, in general you can expect the company to provide free replacement implants if you get a capsular contracture within 10 years and at any point if your implant ruptures. Some companies will also provide some financial support for the surgical procedure to replace ruptured implants for a certain timeframe, usually 10 years as well.
Can I move my arms after breast augmentation?
Not only can you move your arms after breast augmentation, we personally encourage it starting the same day. With augmentations that involve placing all or part of the implant underneath the pec muscle it is important to keep that muscle stretched out so it does not contract and cause pain. Patients are instructed to do slow jumping jack like motions of the arms (without jumping of course) in order to keep the pec muscles fully lengthened
Can breast implants last 30 years?
Breast implants absolutely can last 30 years, but it may not be wise to keep them that long. While breast implants do not have a specific expiration date, they are not considered lifetime devices and therefore should most likely be replaced every 10-15 years. These are subject to stress and strain from the repetitive movements of the arms over the years and the shell can lose integrity, so at the very least patients should have an ultrasound or MRI done by the 10 year mark.
Do you have to replace breast implants every 10 years?
Breast implants do not need to be replaced every 10 years, however they will probably need to be removed or replaced at some point. While breast implants do not have a specific expiration date, they are not considered lifetime devices and therefore should most likely be replaced every 10-15 years. These are subject to stress and strain from the repetitive movements of the arms over the years and the shell can lose integrity, so at the very least patients should have an ultrasound or MRI done by the 10 year mark.
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 patients weight by about 450g per side, so roughly 1 pound per breast.
How do you know if you have capsular contracture?
It is first important to note that ALL breast implants form a capsule around them, and this is normal and desired. This is natural scar tissue that helps to hold the breast implant in place over time. A capsular contracture occurs when this tissue starts to tighten around the implant, squeezing and deforming it. The most common signs of a capsular contracture are a gradual hardening of the implant, a gradual ascent higher on the chest and a more spherical appearance to the implant. There is also often pain associated with it as well.
What is the difference between a breast augmentation and breast implants?
On the internet these terms are often used interchangeably, however they do mean different things. Breast augmentation is the surgical procedure that increases the size of the breasts. Breast implants are the medical devices that are most commonly used to augment the breasts during this procedure, however they are NOT the only way to augment breasts. Transferring fat from elsewhere on the body to the breasts is an increasingly popular form of breast augmentation that does not involve an implant. The first breast augmentation ever performed actually involved transferring a benign fatty tumour (Lipoma) from one location on the patients body to behind one of her breasts to treat an asymmetry. Numerous different techniques were tried after that (and failed), until breast implants were invented nearly 70 years later!
Is Breast Augmentation Surgery safe?
All surgery comes with risks and benefits. Complications can happen with any procedure, however breast augmentation is amongst the safest elective procedures. All breast implants used by Dr. Plant have been approved by both Health Canada and the FDA after rigorous review and Dr. Plant himself has visited one of the factories in Dallas, Texas to personally see the manufacturing and quality control processes involved.
What Can I Expect from Breast Augmentation Surgery?
When choosing this procedure for the right reasons, women who have had breast augmentation generally report a boost in self‐confidence that can last a lifetime. They can enjoy form‐fitting blouses or shirts and find it easier to wear certain styles of swimwear without being self-conscious. Specifically, when having a Breast Augmentation performed by Dr. Plant, patients can expect to have results that are customized to their own specific goals and body shape. From a subtle change that only you know about, to a larger, more dramatic look that no one can miss, Dr. Plant listens to each patient’s goals so he can choose from the thousands of possible combinations of breast implants, pocket and incision to deliver what YOU want. He feels very strongly that no man, surgeon or not, should be telling a woman what she should be doing with her body!
How Long is the Downtime from Breast Augmentation Surgery?
Recovery from a breast augmentation surgery is different for each patient and includes a post-surgical healing period of anywhere from one night to one week. The majority of patients find they feel well enough to resume light activity the following day, but some will take longer to feel back to themselves. During the first 24 hours, you should have some help from family or friends, but after that most patients do not need much assistance. Dr. Plant will prescribe antibiotics and pain medications, however most patients find they only need one or two of the prescription strength painkillers on the first night and are comfortable on regular Tylenol by the next day. It is not uncommon for patients to be out running errands or shopping the following day, but we recommend that patients do not actually plan anything important for at least a few days after surgery.
What is the “24 Hour Recovery” or “Flash Recovery” Breast Augmentation Surgery?
These are nothing more than marketing terms to describe the same breast augmentation procedure that Dr. Plant and most skilled breast surgeons are already performing. Dr. Plant does not market this procedure because he feels, as a medical professional and not a used car salesman, he should not make claims that don’t apply to 100% of patients. While most patients feel fine to resume light activities the following day, not all patients will, so Dr. Plant would feel unethical making such a claim. As someone who understands that patients have to balance a busy schedule outside of surgery, he knows that it’s much easier to schedule a few days off and return to work early than it is to plan to come back after one day only to have to extend the time off if you are in the small percentage of patients that don’t recover in time. The ‘proprietary technique’ claimed by surgeons who offer this procedure is actually nothing more than the minimal trauma, no-touch technique that Dr. Plant feels should be the absolute bare minimum standard of care, not something to be marketed as a reason one surgeon stands above any other. Honesty seems like a better reason to stand out from the crowd.
How Painful is Breast Augmentation Surgery?
While each patient has different pain thresholds, Breast Augmentation Surgery is typically described by patients in their post-operative period as much less painful than expected. How painful the procedure is depends in part on the size and placement of the implants and the quality of the breast tissue. A large implant placed into a tight breast pocket will be more painful than a smaller implant placed into a loose breast. Dr. Plant will be able to give you a good sense of how painful your specific procedure will be after your consultation. Before your procedure he will give you a prescription that includes multi-modal analgesia, a specific protocol designed by pain specialists to address every aspect of the body’s pain response. This includes an anti-inflammatory to minimize the pain reaction at the surgical site, a ‘nerve calming’ agent to slow and minimize the transmission of pain signals from the surgical site to the brain as well as a few “centrally acting” agents that minimize the brain’s response to the pain signals. On top of this, he uses a long-lasting local anaesthetic at the surgical site so that your body doesn’t even feel the initial incision.
What is the Recovery Process from Breast Augmentation Surgery like?
Each surgeon has a different protocol and Dr. Plant’s is customized to make your life as easy as possible during the recovery process. When you wake up from surgery you will be in the recovery room where you will have your own personal nurse looking after you. She will help you put on your recovery bra that will gently support your breasts for comfort. Once you are awake enough and comfortable you will be allowed to go home accompanied by a friend or family member. Your dressings will be waterproof, so you are free to shower the following morning and because Dr. Plant secures the implants internally, you do not need to wear the bra 24/7 like may be necessary elsewhere. There will be swelling and soreness the first few weeks after surgery and frequently by the second or 3rd day following surgery the breasts appear larger than expected and sit higher up on the chest than expected. With time this swelling will decrease, the breast tissue will relax and the implants will settle into the pocket that Dr. Plant designed specifically for them. This is the so-called “Drop and Fluff” period. The incision scars may appear red at first but will fade within the first year. You must follow the specific instructions which include caring for your breasts following the surgery. Dr. Plant will prescribe oral medication to help with any pain and (when wearing a bra) you must wear the recovery bra or a sports bra of your own during the recovery process. You will be able to resume the use of underwire bras at 6 weeks once the incision has fully healed.
Should I Massage my Breast Implants After Surgery?
Dr. Plant does not believe in breast massage after Breast Augmentation Surgery. This is an older technique that was at one time felt to decrease the rate of capsular contracture, however with time we have come to understand that all it does is create oversized pockets that can delay, but not prevent capsular contracture from occurring. These large pockets do come with their own problems, most frequently malposition of the implants. In order to avoid implant malposition, during your breast augmentation surgery he carefully creates a pocket customized for your implants and body type and does not want the implant moved from where he placed it.
When will I see my final results?
As with all surgical procedures, the final results cannot be claimed for one year after surgery, however you will see near final results after 6-8 weeks after the ‘drop and fluff’ process has taken place. As the minimal amount of residual swelling resolves over the next 10 months the implants take on a softer and more natural appearance and the scars fade.
When Do I Need to Replace my Breast Implants?
There is no rule when it comes to replacing breast implants. They are not lifetime devices, so they will likely need replacement or removal at some point, but there is no specific expiry date on them, so the need to replace them every 10 years is a very common misconception. The warranty for the implants with most manufacturers is 10 years, so some women will choose to swap them out at that point electively when there are no problems in order to get a new warranty and reduce the potential for needing a procedure at an inconvenient time because an issue has developed. In general, Dr. Plant feels that implants do not need to be replaced unless there is an issue with them. The most common reasons for needing to replace a breast implant are rupture (which sounds horrible, but is usually just a small pinhole in the shell) and capsular contracture. If you have silicone implants it is worth checking them with an ultrasound or MRI after a few years to ensure there is no silent rupture. If you have saline implants they will deflate if the shell is damaged, so you will know there is a problem that needs to be addressed without any need for medical imaging. Capsular contracture is usually obvious regardless of which type of implant a patient has and can be recognized as a tightening of the pocket around an implant and sometimes pain.
Who Will My Consultation Be With?
All consultations are with Dr. Plant himself, not a salesperson or nurse-consultant. He does it this way for several reasons. First, he feels patients are entitled to meet and get to know their potential surgeon before booking a procedure. Second, he strongly believes that only the surgeon truly knows what they can accomplish in surgery and he does not want someone who doesn’t actually operate making promises that cannot be delivered. Third, patients come having researched the procedure and are prepared with questions about the procedure that he feels can only be answered completely by the surgeon.
What Can I Expect at My Consultation?
At your consultation you can expect to be greeted upon arrival and asked to complete a registration form and provide your OHIP card. Once you have completed the form you will be taken to the examination room and asked to change into a gown. Once you have changed, Dr. Plant will come and speak with you about your specific goals for breast augmentation surgery. He will also take a medical history to make sure you are safe for surgery. Once he has a good sense of what you are looking for, he will examine you to see the current state of your breasts. First he will show you any pre-existing asymmetry in the mirror (remember they’re sisters not twins!) and take A LOT of measurements. These help him choose the right implant, pocket and incision for you as well as determine if you will require a lift at the same time. After he has examined you he will tell you what he thinks the best options for you will be and discuss them with you. This includes the incision, the type of implant and whether the placement should be above or below the muscle. He will also address whether the asymmetry is significant enough that something specific should be done about it, or if it’s simply something you should be aware of before having your procedure. He will then provide you with pricing for the procedure and provide the opportunity for you to have all of your questions answered.
How do I know what size implant to choose?
Dr. Plant does not believe in simply telling a patient what size implant they should get, so we let you “try on” different sizes to see what you like best. Breast implant sizing is done during your pre-operative visit which usually takes place 2-3 weeks before your procedure. After reviewing your consent forms and answering your questions, Dr. Plant will provide a range of sizers for you to try on. He has carefully selected this range from the thousands available based on the measurements he took at your initial consultation to ensure that all options presented to you will work for your body. These special sizers fit into a sports bra and allow you to see in the mirror what different size implants will look like and then you can choose what you like best.
how much does breast augmentation cost?
Breast Augmentation pricing will vary depending on the exact nature of the procedure you need to achieve your desired results. The cost for the operation has been carefully calculated and will vary with the incision, type of implant chosen and length of surgery. In general, you can expect breast augmentation surgery to cost anywhere from $9,000-$12,000.
Do I Have to Buy a Special Garment for After Surgery?
No Way! We like to make things easy for our patients, so all of our pricing is all-inclusive, meaning the price you are given by Dr. Plant is the price you will pay. There are no hidden fees for garments or fancy pre-surgical vitamins that magically appear after you’ve placed a deposit. The only cost you may incur above and beyond the quoted price is what you pay the pharmacist to fill your prescription and this is typically less than $100 for patients who do not have drug coverage.
How Many Follow-ups Are Included with My Breast Augmentation and When Will They Be?
While other surgeons limit follow ups, Dr. Plant feels that surgical patients should always have access to their surgeon and not be charged for it. In addition to the standard followup appointments at 1 week, 6 weeks, 3 months, 6 months and 1 year, Dr. Plant is happy to see his patients in follow up as much as they feel is necessary and for as long as he is in practice. Instead of limiting you to a year of follow ups, he actually wants to see you every year to make sure that your breasts are still looking great!
Can I Combine a Breast Augmentation with Other Procedures?
While Breast Augmentation is a very popular procedure on its own, combining a breast procedure with other cosmetic surgeries is very common. Dr. Plant very frequently combines Breast Augmentation with a Breast Lift, Tummy Tuck, Liposuction, Labiaplasty.
Why Does A Breast Augmentation with Dr. Plant Cost More Than Some Other Surgeons?
In a nutshell, good plastic surgery is rarely cheap, and cheap plastic surgery is rarely good. In order to provide inexpensive surgery costs need to be cut somewhere, and this means using lower quality equipment and/or rushing the procedure to get more done in a day. We firmly believe that when it comes to both Parachutes and Plastic surgery, quality takes precedence over all else, including cost. To ensure the best possible results, Dr. Plant takes as long as necessary to do the work properly and uses only premium products in the operating room. This includes Stratafix sutures, the Keller Funnel and the ONETRAC single-use lighted retractor. He also provides a level of hands-on service that is incredibly rare in this industry – Dr. Plant personally does all consults and follow ups himself. This is in stark contrast to the typical office where the majority of the consult and most of the follow ups will be with a staff member. He also does not place limits on follow ups, whereas some offices will limit patients to a certain number of follow ups, or limit them to a certain timeframe (1 year for example) before they charge you for further appointments. If you have a concern, Dr. Plant will be happy to see you 10 years after your procedure with no additional charges!