Breast augmentation has become one of the most requested cosmetic procedures in Toronto, and patients today have more options than ever. Walk into a consultation, and you’ll quickly discover just how many decisions there are to make — from the type of implant to the placement technique, and even the choice of surgical facility.
Not all surgeons or clinics approach these choices the same way. Having performed thousands of breast surgeries in Toronto, I’ve seen trends shift, technologies improve, and patient expectations evolve. Here’s a look at what patients commonly encounter in the city, and how my approach stands apart.
For many patients, the first decision is whether to choose silicone or saline implants. While both are available in Toronto, most women today gravitate toward cohesive silicone gel — often called “gummy bear” implants — because of their soft, natural feel. Saline implants are still used in certain situations, but they can sometimes look or feel less natural, especially in slimmer patients.
Shape also matters. Round implants remain the most popular choice because they provide fullness and cleavage while still looking natural when placed properly. Anatomical “teardrop” implants were once a trend but have fallen out of favour due to concerns about safety due to their textured surface.
The way an implant is positioned can dramatically influence the final look. In Toronto, the dual-plane (submuscular) technique is the gold standard. It places the implant partly under the muscle, creating a natural slope, reducing rippling, and lowering complication rates.
For certain athletic or lean patients, I sometimes use the subfascial approach, which sits just under the fascia layer of the muscle. This provides added support without the full recovery demands of submuscular placement.
The subglandular option — directly behind the breast tissue — is less common today because it increases the risk of visible edges. I rarely recommend it, but it still exists in some practices.
Toronto patients often ask about incision placement. The inframammary fold (IMF) incision, hidden beneath the breast crease, remains my preferred choice because it allows the most precise pocket creation and heals discreetly.
Some surgeons offer periareolar or transaxillary (armpit) incisions, but these are less common in my practice. I find IMF incisions provide the best combination of precision, safety, and minimal scarring.
Pricing is always part of the conversation. In most accredited Toronto facilities, breast augmentation ranges between $11,000 and $15,000. While some clinics may advertise lower prices, patients should carefully consider what’s included: accreditation of the surgical facility, anesthesia safety, and the surgeon’s experience.
While the technical options are important, what truly sets one surgeon apart from another is how those choices are applied. At my practice:
Toronto patients have access to many options for breast augmentation, but the surgeon’s experience, technique, and philosophy make the biggest difference.
Whether you’re drawn to the soft feel of cohesive silicone implants, want to understand the pros and cons of dual-plane placement, or simply want to feel confident you’re in safe hands, the goal is always the same: results that look natural and feel right for you.
If you’re considering breast implants or breast augmentation in Toronto, I’d be happy to meet with you personally and guide you through every step of the process.
* The results depicted are not guaranteed and may vary between patients.
Toronto Plastic Surgery Center