BREAST PROCEDURES

Enhance

BREAST AUGMENTATION

From $10,000+ | 1-1.25 Hour Surgery

As one of the most popular plastic surgery procedures, breast augmentation enhances breast shape, volume, symmetry, and proportion. Dr. Pirani is regarded as a top plastic surgeon for breast augmentation in Toronto. He performs all consultations himself as he believes that each patient is unique and deserves a customized surgical plan tailored to address their goals and anatomy.

or call (416) 360-8772

BREAST PROCEDURES

Enhance

BREAST AUGMENTATION

From $10,000+ | 1-1.25 Hour Surgery

As one of the most popular plastic surgery procedures, breast augmentation enhances breast shape, volume, symmetry, and proportion. Dr. Pirani is regarded as a top plastic surgeon for breast augmentation in Toronto. He performs all consultations himself as he believes that each patient is unique and deserves a customized surgical plan tailored to address their goals and anatomy.

or call (416) 360-8772

Before and After Gallery*

* The results depicted are not guaranteed and may vary between patients.

Breast Augmentation | Breast Implants Toronto

Dr. Pirani is regarded as an expert breast augmentation specialist and a top plastic surgeon in Toronto. Our clinic has been awarded the Top Choice Award for Plastic Surgery Clinic of 2023 and 2022. Our clinic has also been named The Toronto Star Reader’s Choice Award winner for Cosmetic Surgery Services.
Breast Augmentation Procedure in Toronto

Toronto Breast Augmentation at a Glance

At The Toronto Plastic Surgery Center, artistry meets science to create beautiful, natural-looking breasts. As a board-certified plastic surgeon, Dr. Asif Pirani is dedicated to helping you achieve your desired breast shape and size.

Why Choose Us?

  • Expertise: Dr. Pirani brings years of experience and specialized training in breast augmentation. His meticulous approach ensures personalized results tailored to your unique anatomy.
  • Patient-Centric Care: We believe in the power of personalized consultations. Dr. Pirani takes the time to understand your goals, answer your questions, and create a customized surgical plan.
  • Award-Winning Clinic: Our clinic has been recognized for excellence in plastic surgery services. We take pride in delivering exceptional patient experiences.
  • Options for Augmentation:
    • Breast Implants: Choose from saline or silicone implants. Dr. Pirani will guide you in selecting the right type and size for your body.
    • Fat Grafting: Explore the natural option of using your body’s own fat to enhance your breasts.

The Procedure

  • Dr. Pirani performs breast augmentation with precision and artistry. The surgery typically involves small incisions, careful implant placement, and attention to detail.
  • Recovery is manageable, and our team provides comprehensive post-operative care instructions.

Costs and Financing

  • We understand that cost is an important factor. Our estimated range for implant-based augmentation is $10,000 to $11,000. During your consultation, we’ll discuss pricing and financing options.

Schedule Your Consultation

Ready to enhance your natural beauty? Contact us today to schedule a consultation with Dr. Pirani. Let’s embark on your breast augmentation journey together!

What Is Breast Augmentation?

Breast augmentation is a surgical procedure that can enhance the size, shape, and appearance of your breasts. Whether you want to restore your breast volume after pregnancy or weight loss, correct breast asymmetry, or simply improve your self-confidence, breast augmentation can help you achieve your goals. Breast augmentation with implants involves making important decisions about the type, size, and placement of the implants, the location and direction of the incisions, and the recovery and maintenance of the results. It also requires choosing a qualified and experienced plastic surgeon, who can provide you with honest and realistic advice, and perform the surgery safely and effectively.

Breast Augmentation Benefits

Breast augmentation is a cosmetic surgery that can enhance the size, shape, and fullness of the breasts. Many women choose to undergo this procedure for various reasons, such as improving their appearance, confidence, and quality of life. Some of the benefits of breast augmentation are:

  • It can correct breast asymmetry, where one breast is smaller or larger than the other, and create a more balanced and proportional look.
  • It can restore breast volume and shape after pregnancy, breastfeeding, weight loss, or aging, and reverse the effects of sagging and deflation.
  • It can increase the breast size and projection, and create a more feminine and attractive silhouette.
  • It can improve the fit and variety of clothing, bras, and swimwear, and expand the fashion choices and styles.
  • It can boost the self-esteem and body image, and enhance the personal and social relationships.
  •  It can be customized to suit the individual preferences and goals, by choosing the type, size, shape, and placement of the implants.
  • It can be combined with other procedures, such as breast lift, liposuction, or tummy tuck, to achieve a more comprehensive and satisfying makeover.
  •  It can produce long-lasting and natural-looking results, with minimal scarring and downtime.

Breast augmentation is a safe and effective procedure that can provide many benefits for women who are unhappy with their breasts. However, it is important to have realistic expectations, understand the risks and complications, and consult with a qualified and experienced plastic surgeon. By doing so, you can ensure that you get the best possible outcome and enjoy the benefits of breast augmentation.

Breast Augmentation Candidates

Breast augmentation candidates are people who want to enhance the appearance, size, or shape of their breasts for personal or aesthetic reasons. They should meet the following criteria to be eligible for this surgery:

  • They should be in good physical and mental health, without any active infections, untreated cancer, or serious illnesses that could affect the healing process or the outcome of the surgery.
  • They should have realistic expectations about what breast augmentation can and cannot achieve, and understand the risks and complications involved.
  • They should have fully developed breasts that are not sagging, flattened, elongated, asymmetrical, or lacking adequate cleavage or volume. If they have any of these issues, they may need a breast lift or another procedure in addition to breast augmentation.
  • They should not smoke or drink excessively, as these habits can impair the blood circulation, increase the risk of infection, and delay the recovery. Smokers should quit smoking at least four to six weeks prior to surgery.
  • They should be at least 18 years old.
  • They should not be pregnant or breastfeeding, as these conditions can alter the breast tissue and affect the implant placement and results. Patients who have breastfed recently should wait at least 6 months prior to undergoing the procedure
  • They should consult with a board-certified plastic surgeon who has extensive experience and expertise in breast augmentation, and who can help them choose the best type, size, shape, and placement of the implants for their goals and anatomy.

Breast augmentation is a safe and effective procedure that can improve the appearance, confidence, and quality of life of many women. However, it is not suitable for everyone, and it requires careful consideration and preparation. By following the above criteria, potential candidates can ensure that they are making an informed and appropriate decision for their breast enhancement.

Breast Augmentation Procedure: 4 Key Decisions

There are a number of things to consider prior to undergoing a breast augmentation procedure. In addition to addressing your personal preferences and goals, you and Dr. Pirani must also decide upon 4 key choices: 1) implant type, 2) implant size, 3) incision placement, and 4) the plane of insertion. A breast augmentation procedure usually takes 1 to 1.5 hours, and is performed under general anesthesia. The steps of the procedure are as follows:

  1. The surgeon makes the incision in the chosen location, such as under the breast fold, around the areola, in the armpit, or in the navel.
  2. The surgeon creates a pocket for the implant, either under the breast tissue or under the chest muscle, depending on the implant placement option.
  3. The surgeon inserts and positions the implant, either through a funnel device or by hand, depending on the implant type and size.
  4. The surgeon closes the incision with sutures, tape, or glue, and covers the wound with a dressing or bandage.
  5. The surgeon may also place a surgical bra or compression garment over the breasts, to support and protect them during the healing process.

Breast augmentation procedure is a safe and effective surgery that can enhance the appearance, size, and shape of the breasts. However, it is important to follow the surgeon’s preoperative and postoperative instructions, and to attend the follow-up visits, to ensure a smooth and successful recovery.

1) Implant Type

Saline versus Silicone Implants

Saline and Silicone Breast ImplantsSaline and silicone are the two materials used to fill breast implants in Canada. Saline implants are filled with salt water, while silicone implants are filled with a cohesive silicone gel. Both types have advantages and disadvantages, such as:

  • Saline implants are typically cheaper, easier to insert, and can be adjusted in size during surgery. They also pose less risk of complications if they rupture, as the saline can be absorbed by the body. However, saline implants may look and feel less natural, cause more rippling or wrinkling of the skin, and have a higher chance of deflation over time.
  • Silicone implants are generally more expensive, require a slightly larger incision, and benefit from regular monitoring for rupture. However, silicone implants tend to look and feel more like natural breast tissue, provide a smoother and more uniform shape, and have a low risk of leakage or rupture.

The choice between saline and silicone implants depends on several factors, such as the patient’s anatomy, preferences, budget, and goals. A consultation with a top Toronto plastic surgeon can help determine the best option for each individual.

Gummy Bear Implants (A Cohesive Silicone Implant)

Gummy bear implants are a type of silicone breast implant that have a cohesive and stable gel filling. They are different from regular silicone implants, which have a more liquid and fluid gel filling. Gummy bear implants are named after the candy, because they have a similar consistency and shape.

Some of the benefits of gummy bear implants are:

  • They can create a more natural and anatomical shape of the breast, with a gentle slope and projection.
  • They can reduce the risk of rippling, wrinkling, folding, leakage, and capsular contracture of the implant, which can affect the appearance and feel of the breast.
  • They can maintain their form and position for a longer time, and resist the effects of gravity, aging, and weight changes.

Some of the drawbacks of gummy bear implants are:

  • They are more expensive than other types of implants, as they require more advanced technology and materials.

Gummy bear implants are a safe and effective option for breast augmentation, but they are not suitable for everyone. They require careful consideration and consultation with a qualified and experienced plastic surgeon, who can help determine the best type of implant for the individual goals and anatomy.

Breast Implant Shape

Breast implant shapes refer to the profile or contour of the implant. There are two main types of breast implant shapes: round and anatomical (also known as teardrop or shaped). Both types have advantages and disadvantages, such as:

  • Round implants: These implants have a symmetrical shape that is circular when viewed from the front and semi-spherical when viewed from the side. They are the most common and versatile type of implant, as they can suit different breast sizes, shapes, and placements. They also tend to be cheaper, easier to insert, and less likely to rotate or cause asymmetry. However, round implants may also look less natural, especially in patients with thin or sagging skin, or in patients who choose large or high-profile implants. They may also create more upper pole fullness, which is the volume of the breast above the nipple.
  • Anatomical implants: These implants have an asymmetrical shape that is tapered at the top and fuller at the bottom, mimicking the natural shape of the breast. They are designed to create a more natural and subtle result, especially in patients with little or no breast tissue, or in patients who want a low or moderate profile implant. They may also create less upper pole fullness, which may be preferred by some patients. However, anatomical implants may also be more expensive, more difficult to insert, and more prone to rotation or malposition, which can distort the breast shape and require revision surgery. They may also create less cleavage and projection, which may be undesirable by some patients.

In Canada, we used to offer a choice between teardrop (anatomic) or round implants for cosmetic breast augmentation. In recent years, we have discovered that the textured surface of teardrop implants may be associated with rare but serious complications. Accordingly, Dr. Pirani no longer offers teardrop implants to his patients. Your safety always has been and always will be Dr. Pirani’s foremost priority. Accordingly, Dr. Pirani currently only offers smooth round implants for cosmetic breast augmentation. Fortunately, Dr. Pirani is still able to achieve that natural teardrop appearance in most patients by placing the implants under the muscle. In doing this, the muscle pushes against the upper pole of the breast implant and helps create a teardrop appearance.

2) Breast Implant Size

Choosing a breast implant size is one of the most important decisions for breast augmentation patients. The size of the implant can affect the appearance, comfort, and satisfaction of the patient. There are several factors to consider when choosing a breast implant size, such as:

  1. The patient’s body type: The implant size should be proportionate to the patient’s height, weight, chest width, and shoulder width. A patient with a small frame may not be able to accommodate a large implant without risking complications or unnatural results. A patient with a large frame may need a larger implant to achieve the desired fullness and projection.
  2. The patient’s lifestyle: The implant size should be compatible with the patient’s physical activity, clothing preferences, and personal goals. A patient who is very active may prefer a smaller implant that does not interfere with exercise or sports. A patient who wants to wear revealing or fitted clothes may prefer a larger implant that enhances their curves and cleavage. A patient who wants a subtle or dramatic change may choose a different implant size accordingly.
  3. The patient’s expectations: The implant size should match the patient’s vision of their ideal breast size and shape. A patient should have realistic expectations of what breast augmentation can and cannot do, and should communicate their wishes clearly to their surgeon. A patient can use various methods to visualize their potential results, such as trying on different bra sizes, using sizers or implants during consultation, or using computer imaging or simulation.

The best breast implant size for each patient is a personal choice that depends on several factors. A consultation with a board-certified plastic surgeon can help the patient find the right implant size that suits their body type, lifestyle, and expectations.

It is important to remember that it is not possible to guarantee a specific post-operative size in terms of bra sizes. Bra sizing varies greatly between different bra manufacturers. A size D in one brand can be a full C in another brand for example. Dr. Pirani encourages you to bring a close friend or partner with you to your sizing appointment if you would like their opinion.

3) Breast Implant Incision Placement

Breast implant incisions are the locations where the surgeon makes the cuts to insert the implants. There are four main types of breast implant incisions: inframammary, periareolar, transaxillary, and transumbilical. Each type has pros and cons, such as:

  1. Inframammary incision: This incision is made near the crease under the breast, where the breast meets the chest wall. This is the most popular and versatile type of incision, as it allows the surgeon to have direct access and visibility to the breast pocket, and to insert almost any size and shape of implant. It also has less risk of infection, nipple sensation changes, or breastfeeding difficulties. However, this incision may also result in a visible scar under the breast, especially in patients with small breasts.
  2. Periareolar incision: This incision is made around the lower edge of the areola, the dark area around the nipple. This type of incision may result in a less visible scar, as it blends with the color and texture of the areola. It may also allow the surgeon to adjust the position or size of the areola, if desired by the patient. However, this incision may also have a higher risk of infection, capsular contractures, nipple sensation changes, or breastfeeding difficulties, as it involves cutting through the breast tissue and ducts. It may also limit the size and shape of the implant, as it requires a smaller opening.
  3. Transaxillary incision: This incision is made in the armpit, where the arm meets the chest. This type of incision may result in no visible scar on the breast, as it is hidden in the natural fold of the armpit. It may also avoid any damage to the breast tissue or ducts, and preserve the nipple sensation and breastfeeding function. However, this incision may also have a higher risk of implant malposition, asymmetry, or rotation, as it involves a longer and less direct route to the breast pocket. It may also limit the size and shape of the implant, as it requires a smaller opening.
  4. Transumbilical incision: This incision is made in the navel, or the belly button. This type of incision may result in no visible scar on the breast, as it is hidden in the navel. It may also avoid any damage to the breast tissue or ducts, and preserve the nipple sensation and breastfeeding function. However, this incision may also have a higher risk of implant malposition, asymmetry, or rotation, as it involves a longer and less direct route to the breast pocket. It may also limit the size and shape of the implant, as it requires a smaller opening and can only accommodate saline implants. It may not be widely available or accepted by many surgeons. Dr. Pirani does not offer this option.

The best breast implant incision for each patient depends on several factors, such as the implant type and size, the patient’s anatomy, the quality of the skin and tissue, the patient’s preferences, and the surgeon’s expertise. In general, the inframammary fold incision offers the surgeon the greatest ability to visualize and precisely develop a pocket for your specific implant. A consultation with a board-certified plastic surgeon such as Dr. Pirani can help determine the most suitable option for each individual.

4) Breast Implant Placement (Plane of Insertion)Breast Implant Over or Under

Breast implant placement refers to the position of the implant in relation to the chest muscle and the breast tissue. There are four main options for breast implant placement:

  • Subglandular placement: The implant is placed under the breast tissue but above the chest muscle. This option may be suitable for patients who have enough natural breast tissue to cover the implant, who want a more prominent and rounded shape, and who have less physical activity. However, this option may also result in more visible implant edges, more interference with mammograms, and a higher risk of capsular contracture.
  • Submuscular or subpectoral placement: The implant is placed under both the breast tissue and the chest muscle. This option may be suitable for patients who have thin or sagging skin, and who want a more natural shape.

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

However, this option may result in more movement of the implant during muscle contraction (animation).

  • Subfascial placement: The implant is placed below the breast tissue and above the pectoralis major muscle, but under the thin layer of tissue called the fascia that covers the muscle. This technique can provide some advantages over subglandular or submuscular placement, such as limiting implant distortion or animation, providing extra soft tissue coverage and support, and reducing postoperative pain and recovery time. However, this technique may not be suitable for patients with thin skin or little breast tissue, as it may not provide enough coverage or concealment for the implant. Subfascial placement may also not be possible if your fascia is too thin to provide any benefit over subglandular palcement.
  • Dual-plane placement (a type of submuscular or subpectoral placement): The implant is partially placed under the chest muscle and partially under the breast tissue. This option may be suitable for patients who want to combine the benefits of both subglandular and submuscular placement, such as a natural shape, improved implant coverage, and less complications. However, this option may also require more surgical skill and experience, and may not be available for all implant types and sizes.

The best breast implant placement for each patient depends on several factors, such as the implant size and shape, the patient’s anatomy, the quality of the skin and tissue, and the patient’s expectations. Dr. Pirani regularly performs dual plane subpectoral breast augmentations in addition to offering complete subglandular and subfascial placements, altering the technique he uses depending on your unique anatomy and aesthetic goals.

Dual Plane Breast Augmentation

The “No Touch” Technique of Breast Implant Insertion

The “no touch” technique of breast implant insertion is a method of placing the implant into the breast pocket without touching it with the surgeon’s hands or instruments. The implant is delivered through a funnel device (such as the Keller funnel), and is pushed into the pocket with gentle pressure. This technique can reduce the risk of infection, capsular contracture, and implant contamination.

Some of the benefits of the “no touch” technique are:

  1. It can minimize the contact between the implant and the skin, which can lower the chance of bacterial transmission and infection.
  2. It can prevent the implant from being damaged or scratched by the surgical tools, which can cause implant rupture or leakage.
  3. It can reduce the trauma and inflammation to the breast tissue and the implant, which can lead to capsular contracture, a condition where the scar tissue around the implant tightens and hardens.
  4. It can shorten the surgery time and the recovery time, as it involves less manipulation and bleeding.

Some of the drawbacks of the “no touch” technique are:

  1. It may not be compatible with all types and sizes of implants, especially large or textured implants, as they may not fit through the funnel device.
  2. It may not be suitable for all types of incisions, especially periareolar or transumbilical incisions, as they may not allow enough space or access for the funnel device.

The “no touch” technique of breast implant insertion is a safe and effective option for breast augmentation, and is used by Dr. Pirani for most cases.

Breast Augmentation Recovery

Breast augmentation recovery is the period of healing and adjustment after the surgery. It typically takes six weeks, but may vary depending on the patient’s health and healing rate. The recovery process may involve some pain, swelling, bruising, and tightness in the chest, which can be managed with pain medication, and conservative measures. In general, most patients will remain in the recovery area for a few hours before being allowed to go home the same day. You must have an adult accompany you home from our facility and stay with you for at least 24 hours after surgery. We generally recommend that you have someone at home to help you for at least the first week after surgery.The recovery process typically also involves some restrictions and precautions, such as:

  • Wearing a surgical bra or compression garment for several weeks to support and protect the breasts, and to reduce the swelling and bleeding.
  • Avoiding strenuous activities, heavy lifting, and exercise for at least four to six weeks, to prevent any pressure or trauma to the breasts, and to allow the implants to settle and stabilize.
  • Sleeping on the back to reduce the swelling and discomfort, and to avoid putting any weight on the breasts.
  • Keeping the incisions clean and dry, and applying antibiotic ointment or cream, to prevent infection and promote healing.

Most patients are able to return to work a week after receiving a breast augmentation. Patients should expect to continue to see changes in their breast shape and implant position for at least six months after surgery.

Choosing the Best Breast Augmentation Surgeon in Toronto

Choosing the best breast augmentation surgeon in Toronto is an important decision that can affect the outcome and safety of the surgery. Some factors to consider are the surgeon’s credentials, experience, reputation, portfolio, reviews, and rapport.

The surgeon should:

  • Be board-certified by the Royal College of Physicians and Surgeons of Canada, which means they have met the highest standards of education, training, and ethics in plastic surgery.
  • Have extensive training and expertise in breast augmentation, and perform the procedure regularly and successfully.
  • Have a good track record of satisfied patients, and a low rate of complications or revisions.
  • Show before and after photos of their work, and demonstrate their artistic and technical skills in creating natural and beautiful results.
  • Have positive feedback from previous clients, and a high rating on online platforms such as RealSelf, RateMDs, or Google Reviews.
  • Make the patient feel comfortable and confident, and listen to their goals and expectations.
  • Provide honest and realistic advice, and explain the risks and benefits of the surgery.
  • Offer a personalized and comprehensive consultation, and a customized treatment plan.

Choosing the best breast augmentation surgeon in Toronto is a personal and subjective choice, but it can be made easier by doing some research and comparison. The patient should consult with several surgeons, and choose the one that meets their criteria and matches their vision. By doing so, the patient can ensure that they get the best possible outcome and experience.

Consultation with Dr. Pirani Himself (Not a Consultant)

For a breast augmentation consultation, Dr. Pirani will spend approximately 45 minutes with you going over all of your surgical and implant options, after which he will create a custom surgical plan that addresses your concerns and goals. He will go over risks and possible complications and give you an idea of what you should expect in terms of results and recovery. You can usually try on implants at this initial consultation to see how different implant sizes look on your body. Dr. Pirani’s goal is to educate you so that you fully understand your customized surgical plan and feel confident and informed. 

To schedule a consultation with Dr. Pirani, call 416-360-8772 or complete a contact form here.

Breast Augmentation Results

Breast augmentation with implants are generally associated with excellent patient satisfaction rates. Breast augmentation results usually take several months to finalize as swelling subsides and the implants “drop and fluff”. The results may also change over time, due to aging, gravity, weight fluctuations, hormonal changes, and implant-related issues. The results may last for many years, but are not permanent, and may require revision surgery to maintain or improve the appearance over time.

Some of the factors that may influence the breast augmentation results are:

  • The type, size, and shape of the implant: These factors affect the volume, projection, and contour of the breasts, and may create different aesthetic effects, such as natural or artificial, subtle or dramatic, or round or teardrop. The patient should choose the implant that matches their goals and anatomy, and consult with their surgeon to find the best option.
  • The placement and position of the implant: These factors affect the relationship between the implant and the breast tissue. This can impact implant visibility or palpability. Patients should choose the implant placement that best suits their lifestyle and aesthetic goals.
  • The incision choice and closure of the wound: These factors affect the healing and scarring of the breasts, and may impact final cosmesis, such as scar visibility or discolouration. The patient should choose the incision location that minimizes the scar appearance while also limiting surgical complications.
  • The patient’s skin type and quality: These factors affect the elasticity and support of the breasts, and may create different physical effects, such as stretching, sagging, or rippling. The ideal patient has good quality, thick skin with minimal stretch marks. Thin, poor quality skin which has lost elasticity is more likely to sag and stretch over time. It is critical that large heavy implants be avoided in patients with poor tissue quality.
  • The patient’s expectations: Patients need to have realistic expectations of what breast augmentation can and cannot do, and communicate their wishes and concerns to their surgeon before surgery. The patient should appreciate the limitations of their tissues, and what an implant can achieve.

Breast augmentation results are not fixed or guaranteed. They are influenced by many factors, and they vary from person to person. The same implant will look different in every person and every breast. An informed patient that follows their surgeon’s advice and instructions is more likely achieve high satisfaction with their final breast augmentation results. Dr. Pirani wants his patients to have the best possible outcomes and surgical experience, which is why he spends so much time with his patients personally.

Breast Augmentation Risks

Although breast augmentation is a safe and common procedure, it is not without risks, and patients should be aware of them before undergoing breast augmentation surgery. Some (but not all) important risks are listed below:

  • Infection: This is a rare but serious complication that can occur after surgery. Should an infection occur, additional treatment including antibiotics, hospitalization, or additional surgery may be necessary. It is possible to lose your implants due to an infection.
  • Bleeding: It is possible, though unusual, to experience a bleeding episode during or after surgery. Should post-operative bleeding occur, it may require emergency treatment to drain accumulated blood. Increased activity too soon after surgery can lead to increased chance of bleeding and additional surgery. The risk of bleeding can be reduced by avoiding aspirin, ibuprofen, or other anti-inflammatory drugs, and by following your surgeon’s instructions on activity and medications.
  • Capsular contracture: This is a complication that can occur if the scar tissue that forms around the implant tightens and squeezes the implant. It can cause pain, hardness, distortion, or displacement of the implant, and may require surgery to release or remove the scar tissue or the implant. The risk of capsular contracture can be reduced by choosing the right implant type and placement, massaging the breasts as directed, and following your surgeon’s instructions.
  • Implant rupture or leakage: This is a complication that can occur if the implant shell breaks or tears, due to trauma, aging, or defect. It can cause deflation, change in shape or size, or migration of the implant material. It may or may not cause symptoms, depending on the type of implant and the extent of the rupture. The risk of implant rupture or leakage can be reduced by choosing a reputable implant manufacturer, following the surgeon’s instructions on implant care, and monitoring the implant regularly.
  • Changes in sensation: This is a complication that can occur if the nerves that supply the breast or the nipple are damaged or stretched during the surgery. It can cause numbness, tingling, pain, or hypersensitivity in the breast or the nipple, which may be temporary or permanent. It may affect pleasure with sexual stimulation.
  • Implant malposition, asymmetry, or dissatisfaction: These are complications that can cause aesthetic or functional problems, such as uneven or unnatural appearance, poor cleavage or projection, or difficulty in fitting clothes or bras. They may require revision surgery to correct or improve the implant position or size. The risk of implant malposition, asymmetry, or dissatisfaction can be reduced by choosing a qualified and experienced plastic surgeon, communicating your expectations and goals clearly, and having realistic expectations.

Some of the rare but serious risks are:

  • Anaplastic large cell lymphoma (ALCL): This is a type of cancer that can develop in the scar tissue around the implant, especially in patients with textured implants. It can cause swelling, pain, lumps, or fluid accumulation in the breast, and may require chemotherapy, radiation, or surgery. The risk of ALCL is low, but the patient should be aware of the symptoms and report any changes to the surgeon.
  • Breast implant illness (BII): This is a condition with systemic symptoms that may be related to breast implants, such as fatigue, joint pain, hair loss, headaches, or autoimmune disorders. The cause and diagnosis of BII are not clear, and the symptoms may vary from person to person. The treatment of BII may involve implant removal. The risk of BII is not well established, but the patient should be aware of the possibility and consult with their doctor if they experience any symptoms.

Breast augmentation risks are usually rare and manageable, but they should not be ignored or underestimated. Patients should be informed and prepared for the risks, and should follow their surgeon’s advice and instructions to prevent or minimize them. By doing so, the patient can help ensure a safe and successful breast augmentation experience.

Breast Augmentation FAQs

What Is Natural or Fat Transfer Breast Augmentation?

Fat transfer breast augmentation is a type of breast augmentation that uses the patient’s own fat to increase the size and improve the shape of the breasts. It involves harvesting fat from one or more areas of the body, such as the abdomen, thighs, flanks, or hips, and then injecting the purified fat into the breasts, using a syringe or a cannula. It is also known as natural breast augmentation, autologous fat transfer, or breast fat grafting.

Some of the advantages of fat transfer breast augmentation are:

  • It can create a more natural and subtle result, as the fat is similar to the breast tissue, and can blend well with the existing contours and texture of the breasts.
  • It can avoid the potential risks and complications of breast implants, such as infection, capsular contracture, implant rupture, or leakage.
  • It can also enhance the appearance of the donor sites, by removing excess fat and creating a slimmer and smoother silhouette.

Some of the disadvantages of fat transfer breast augmentation are:

  • It can only achieve a modest increase in breast size, usually one or two cup sizes, and may not be suitable for patients who want a significant or dramatic change.
  • It can have unpredictable and variable results, as some of the transferred fat may not survive or may be reabsorbed by the body, leading to asymmetry, loss of volume, or need for touch-ups.
  • It can be more expensive and time-consuming than breast implants, as it requires multiple procedures, such as liposuction, fat processing, and fat injection, and may need more than one session to achieve the desired outcome.

Fat transfer breast augmentation is a safe and effective option for breast enhancement, but it is not for everyone. It requires careful consideration and consultation with a qualified and experienced plastic surgeon, who can help determine the best type of breast augmentation for the individual goals and anatomy.

Do Breast Implants Need To Be Replaced Every 10 Years?

No. In Canada, we do not currently recommend implants be replaced unless there is a problem with them.

Do Breast Implants Cause Breast Cancer?

There is an association between textured implants and a rare form of lymphoma (ALCL). Dr. Pirani does not offer textured implants and has never used them since being in independent practice.

Breast Implant-associated Squamous Cell Carcinoma is a rare type of cancer associated with breast implants. It is important to investigate any changes in your breasts after breast augmentation with implants.

What Is Capsular Contracture?

When you place a foreign object in the body, such as a breast implant, the body reacts by creating a layer of tissue around the foreign object. We refer to this as the capsule. In most people, it resembles a layer of wet tissue paper around your implant and is not an issue. In some rare cases, however, the capsule can thicken and begin to distort the implant and even become painful. We refer to this as a capsular contracture. This usually requires surgical correction. It can be a recurring problem in very rare cases. There are off-label options to help prevent the progression of an early capsular contracture such as using Singulair for up to 3 months. If you feel that your breasts are beginning to feel firm after a breast augmentation with implants, it is important to see Dr. Pirani immediately so he can initiate such preventative care.

How Long Will I Stay In The Surgical Facility Before I Can Go Home?

In general, patients will stay with us for a few hours before going home. Patients have the option of staying overnight in one of our private overnight stay rooms, which are luxuriously furnished. 2 nurses will care for you overnight if you do choose to stay in one of these rooms. There is an additional fee if you choose to stay overnight in our facility. If you prefer to stay in a local hotel, our office has obtained special rates at a number of local hotels so please ask our staff about these.

Can I Exercise After My Procedure? 

Very low impact exercise such as slow walking is highly encouraged for the first 6 weeks after your surgery. Generally, you should avoid anything high impact to avoid complications during this 6 week period.

Right after surgery: You actually should start walking around right after your surgery. You should not do anything extreme or strenuous, but taking frequent, brief walks will keep your circulation up and promote healing.

Six weeks later: You should be well enough to return to all of your normal exercise routines.

How Much Does It Cost To Have A Breast Augmentation With Implants in Toronto?

Breast augmentation cost is the total amount of money that the patient pays for the surgery and related expenses. In Toronto, most implant based breast augmentations cost between $9000 and $11,000. The cost may vary depending on the type and size of the implant, the surgeon’s fee, the facility fee, the anesthesia fee, the geographic location, and the additional procedures or treatments. The average cost of breast augmentation in Canada is about $10,000, but it can range from $5,000 to $15,000 or more. The cost is usually not covered by insurance, unless it is medically necessary.

Some of the factors that may influence the breast augmentation cost are:

  • The type and size of the implant: Different types and sizes of implants may have different prices, depending on the manufacturer, the material, and the quality. Generally, silicone implants are more expensive than saline implants, and larger or shaped implants are more expensive than smaller or round implants.
  • The surgeon’s fee: This is the amount of money that the surgeon charges for their services, expertise, and reputation. The surgeon’s fee may vary depending on the surgeon’s qualifications, experience, and skills, and the complexity and duration of the surgery. Generally, a more qualified, experienced, and skilled surgeon may charge more than a less qualified, experienced, and skilled surgeon, but may also provide better results and fewer complications.
  • The facility fee: This is the amount of money that the facility charges for the use of their equipment, staff, and resources. The facility fee may vary depending on the type, quality, and location of the facility, and the availability and demand of the services. Generally, a more advanced, reputable, and convenient facility may charge more than a less advanced, reputable, and convenient facility, but may also provide better safety and comfort.
  • The anesthesia fee: This is the amount of money that the anesthesiologist or the nurse anesthetist charges for the administration and monitoring of the anesthesia. The anesthesia fee may vary depending on the type, amount, and duration of the anesthesia, and the qualifications and experience of the provider. Generally, a more complex, extensive, and longer anesthesia may cost more than a less complex, extensive, and shorter anesthesia, and a more qualified and experienced provider may charge more than a less qualified and experienced provider, but may also provide better safety and comfort.
  • The geographic location: This is the area or region where the surgery is performed, and may affect the cost of living, the supply and demand of the services, and the taxes and regulations of the area. Generally, a more urban, popular, or expensive area may charge more than a less urban, popular, or expensive area, due to the higher overhead and competition.
  • The additional procedures or treatments: These are the other procedures or treatments that the patient may need or want before, during, or after the surgery, such as breast lift, liposuction, tummy tuck, lab tests, medications, or follow-up visits. These procedures or treatments may add to the total cost of the surgery, depending on the type, extent, and frequency of the procedures or treatments, and the provider of the services.

Some of the tips and recommendations for breast augmentation cost are:

  • The patient should do some research and comparison, and consult with several surgeons, to find the best price and quality for their breast augmentation. The patient should also ask for a written estimate of the cost, and understand what is included and excluded in the price.
  • The patient should budget and plan for the cost, and consider the financing options, such as savings, loans, credit cards, or payment plans. The patient should also be prepared for any unexpected or additional costs, such as complications, revisions, or maintenance.
  • The patient should not compromise on the quality or safety of the surgery, and should not choose the cheapest or the most expensive option, based on the price alone. The patient should also not be influenced by the discounts or promotions, and should be wary of hidden or extra fees.
  • Breast augmentation cost is a significant and variable factor that can affect the decision and satisfaction of the surgery. The patient should be informed and aware of the cost, and should compare and evaluate the options carefully. By doing so, the patient can find the best value and quality for their breast augmentation.

How Long Do Breast Implants Last?

On average, breast implants last many years. The longevity of the implant depends on the individual. Implant manufacturers state that you should not expect your implants to last forever and they will eventually need to be replaced at some point.

The reason for replacement has to do with the natural wear and tear of the implants by your body and various activities. Sometimes you might have experienced a weight change that affects the appearance of the implants or you could have a rupture in the implant itself, making a replacement necessary.

With saline implants, it’s easier to determine when a rupture has occurred because the implant will physically decrease in size. Silicone implants, however, usually do not visibly shrink when they have ruptured.

Can Pregnancy Affect My Breast Augmentation? 

Breast augmentation and pregnancy are generally compatible, as long as the surgery does not interfere with the normal development and function of the breasts. Some women may experience changes in their breast shape, size, or sensation during or after pregnancy with implants.

Some of the factors that may influence pregnancy with implants are:

  • The size of the implant: Large implants may compress the breast tissue and affect the breast changes during pregnancy. They may also cause more stretching and sagging of the skin and tissue, which may affect the nipple position and function.
  • The placement of the implant: Subglandular implants (over the muscle) may be more likely to affect the breast changes during pregnancy, as they are closer to the breast tissue. Submuscular implants (under the muscle) may be less likely to affect the breast changes during pregnancy, as they are farther from the breast tissue.
  • The location of the incision: Periareolar incisions (around the nipple) may be more likely to damage the milk ducts and nerves, as they involve cutting through the breast tissue. Inframammary incisions (under the breast fold) may be less likely to damage the milk ducts and nerves, as they avoid the breast tissue. Transaxillary incisions (in the armpit) or transumbilical incisions (in the navel) may have no effect on the milk ducts and nerves, as they are away from the breast tissue.

Some of the changes that may occur in the breasts during or after pregnancy with implants are:

  • Increase or decrease in size: The breasts may enlarge or shrink due to the hormonal changes and the milk production during pregnancy and breastfeeding. This may make the implants more visible or palpable, or create a gap or overlap between the implants and the breast tissue.
  • Sagging or drooping: The breasts may sag or droop due to the weight and volume changes of the breasts and the implants, and the loss of skin elasticity and tissue support. This may make the breasts look deflated or uneven, or lower the nipple position.
  • Changes in sensation: The breasts may become more or less sensitive due to the nerve stretching or compression caused by the implants and the breast changes. This may affect the pleasure or pain of breastfeeding or sexual stimulation.

Some of the treatments or solutions that may help with the changes in the breasts during or after pregnancy with implants are:

  • Revision surgery: This is a procedure that can correct or improve the appearance or function of the breasts during or after pregnancy with implants. It may involve replacing or removing the implants, adjusting the implant position or size, or performing a breast lift or reduction.
  • Non-surgical treatments: These are methods that can enhance or restore the shape or size of the breasts without surgery. They may include exercises, massages, creams, or supplements. However, they may not be very effective or reliable, and they may have side effects or interactions.
  • Acceptance and support: This is the attitude that can help the patient cope with the changes in their breasts during or after pregnancy with implants. The patient should remember that the changes are normal and natural, and that they do not affect their beauty or worth. The patient should also seek support from their partner, family, friends, or professional, and celebrate their achievements and experiences.

Breast augmentation and pregnancy are not mutually exclusive, and many women can have both without any problems. However, they may also face some challenges or changes, and they should be prepared and informed for them. By consulting with a qualified and experienced plastic surgeon, and following their advice and instructions, the patient can help ensure a safe and satisfying breast augmentation and pregnancy.

If you have already gone through a breast augmentation or are wondering how a future augmentation could be affected by pregnancy, we can help.

Can I Breast Feed after Breast Implants?

Breast implants and breast feeding are generally compatible, as long as the surgery does not damage the milk ducts, nerves, or glands. The type, size, and placement of the implant, and the location of the incision, may affect the ability and amount of breast feeding. Some women may experience changes in their breast shape, size, or sensation after breast feeding with implants.

Some of the factors that may influence breast feeding with implants are:

  • The size of the implant: Large implants may also compress the breast tissue and reduce the milk supply or output. They may also cause more stretching and sagging of the skin and tissue, which may affect the nipple position and function.
  • The placement of the implant: Subglandular implants (over the muscle) may be more likely to affect the milk ducts and glands, as they are closer to the breast tissue. Submuscular implants (under the muscle) may be less likely to affect the milk ducts and glands, as they are farther from the breast tissue.
  • The location of the incision: Periareolar incisions (around the nipple) may be more likely to damage the milk ducts and nerves, as they involve cutting through the breast tissue. Inframammary incisions (under the breast fold) may be less likely to damage the milk ducts and nerves, as they avoid the breast tissue. Transaxillary incisions (in the armpit) or transumbilical incisions (in the navel) may have no effect on the milk ducts and nerves, as they are away from the breast tissue.

Some of the changes that may occur in the breasts after breast feeding with implants are:

  • Loss of volume or fullness: The breast tissue may shrink or deflate after breast feeding, which may make the implants more visible or palpable.
  • Sagging or drooping: The skin and tissue may stretch or loosen after breast feeding, which may make the breasts sag or droop.
  • Changes in sensation: The nerves that supply the breast or the nipple may be affected by the surgery or the breast feeding, which may cause numbness, tingling, pain, or hypersensitivity.

Some of the treatments or solutions that may help with the changes in the breasts after breast feeding with implants are:

  • Revision surgery: This is a procedure that can correct or improve the appearance or function of the breasts after breast feeding with implants. It may involve replacing or removing the implants, adjusting the implant position or size, or performing a breast lift or reduction.
  • Non-surgical treatments: These are methods that can enhance or restore the shape or size of the breasts without surgery. They may include exercises, massages, creams, or supplements. However, they may not be very effective or reliable, and they may have side effects or interactions.
  • Acceptance and support: This is the attitude that can help the patient cope with the changes in their breasts after breast feeding with implants. The patient should remember that the changes are normal and natural, and that they do not affect their beauty or worth. The patient should also seek support from their partner, family, friends, or professional, and celebrate their achievements and experiences.

Breast implants and breast feeding are not mutually exclusive, and many women can successfully breast feed with implants. However, they may also face some challenges or changes, and they should be prepared and informed for them. By consulting with a qualified and experienced plastic surgeon, and following their advice and instructions, the patient can help ensure a positive and satisfying experience.Breastfeeding after breast augmentation

Can Breast Implants Interfere With Mammograms?

Breast implants and mammograms are compatible, but may require some special considerations and precautions. Breast implants can interfere with the detection and diagnosis of breast cancer, as they can obscure some of the breast tissue and create false shadows or distortions on the images. Therefore, women with breast implants should inform their mammogram technician, and request additional views or a special technique called implant displacement or Eklund technique, which can improve the visibility and accuracy of the mammogram.

Some of the benefits of breast implants and mammograms are:

  • They can help detect and diagnose breast cancer early, which can increase the chances of survival and recovery.
  • They can help monitor and evaluate the health and condition of the breast tissue and the implant, and detect abnormalities or complications.
  • They can help prevent or treat breast cancer, by providing information and guidance for further tests or treatments.

Some of the drawbacks of breast implants and mammograms are:

  • They can cause discomfort or pain, as the breast and the implant are compressed and squeezed by the mammogram machine.
  • They can cause damage or rupture, as the pressure or force of the mammogram machine can break or tear the implant shell.
  • They can cause false positives or negatives, as the implant can hide or mimic the signs of breast cancer, and lead to unnecessary or missed diagnosis or treatment.

Some of the tips and recommendations for breast implants and mammograms are:

  • Women with breast implants should have regular mammograms, as recommended by their doctor, and follow the screening guidelines for their age and risk factors.
  • Women with breast implants should inform their mammogram technician about their implants, and provide any relevant information, such as the type, size, and placement of the implant, and the date and location of the surgery.
  • Women with breast implants should request additional views or a special technique, such as implant displacement or Eklund technique, which can move the implant away from the breast tissue, and provide a clearer and more complete image of the breast.
  • Women with breast implants should check their breasts and implants regularly, and report any changes or symptoms, such as lumps, pain, swelling, or leakage, to their doctor or surgeon.

Breast implants and mammograms are not mutually exclusive, and women can have both without any problems. However, they may also face some challenges or risks, and they should be prepared and informed for them. By following the above tips and recommendations, women with breast implants can ensure a safe and effective breast cancer screening and prevention.

Are Breast Augmentation Scars Noticeable?

Breast augmentation scars are the visible marks that remain after the incisions heal. The size, shape, color, and location of the scars depend on the type and size of the implant, the location of the incision, the patient’s skin type and quality, and the surgeon’s skill and technique. The scars usually fade and improve over time, but do not disappear completely. Some treatments and products can help reduce the appearance of the scars, such as silicone gel sheets, scar creams, massage, laser therapy, and microneedling.

Some of the factors that may influence the breast augmentation scars are:

  • The type and size of the implant: Larger or textured implants may require larger or longer incisions, which may result in larger or longer scars.
  • The location of the incision: Inframammary incisions (under the breast fold) may result in scars that are hidden by the breast or the bra, but may be visible when wearing low-cut or revealing clothes or swimsuits. Periareolar incisions (around the nipple) may result in scars that blend with the color and texture of the areola, but may be noticeable when the nipple is erect or exposed. Transaxillary incisions (in the armpit) may result in scars that are hidden by the arm or the hair, but may be visible when raising the arm or wearing sleeveless clothes. Transumbilical incisions (in the navel) may result in scars that are hidden by the navel, but may be visible when wearing belly-baring clothes or swimsuits.
  • The patient’s skin type and quality: The patient’s skin color, thickness, elasticity, and healing ability may affect the appearance and healing of the scars. Darker skin may be more prone to hyperpigmentation, which is the darkening of the scar. Thinner or looser skin may be more prone to hypertrophic or keloid scars, which are raised or thickened scars. Poor healing may result following infection, inflammation, or dehiscence, which are complications that can worsen the scars.
  • The surgeon’s skill and technique: The surgeon’s experience, expertise, and artistry may affect the quality and outcome of the scars. The surgeon should use the appropriate type and size of implant, the optimal location and direction of the incision, and the proper closure and dressing of the wound, to minimize the trauma and tension to the skin and tissue, and to create a smooth and fine scar.

Some of the treatments and products that may help with the breast augmentation scars are:

  • Silicone gel sheets: These are self-adhesive sheets that are applied over the scars, and can help flatten, soften, and lighten the scars. They can also protect the scars from irritation, infection, or sun exposure. They should be worn for several hours a day, for several months, to see the best results.
  • Scar creams: These are topical products that are applied over the scars, and can help moisturize, nourish, and heal the scars. They may contain ingredients such as vitamin E, aloe vera, onion extract, or silicone, that can help reduce the inflammation, itching, or redness of the scars. They should be used regularly, for several months, to see the best results.
  • Massage: This is a manual technique that involves rubbing, kneading, or pressing the scars, and can help improve the blood circulation, elasticity, and appearance of the scars. It can also help relieve the pain, stiffness, or numbness of the scars. It should be done gently, for several minutes a day, for several months, to see the best results.
  • Laser therapy: This is a non-invasive procedure that involves using a beam of light to target the scars, and can help stimulate the collagen production, smooth the texture, and lighten the color of the scars. It can also help treat the complications of the scars, such as infection, inflammation, or hypertrophy. It may require several sessions, spaced several weeks apart, to see the best results.
  • Microneedling: This is a minimally invasive procedure that involves using a device with tiny needles to create micro-injuries in the scars, and can help trigger the natural healing process, increase the collagen production, and improve the texture and appearance of the scars. It may require several sessions, spaced several weeks apart, to see the best results.

Breast augmentation scars are the inevitable and permanent consequences of the surgery, but they can be minimized and improved with proper care and treatment. The patient should follow the surgeon’s instructions on how to care for the scars, and use the appropriate treatments and products to reduce the appearance of the scars. By doing so, the patient can enjoy the results of breast augmentation without being bothered by the scars.

What Kind Of Anaesthesia Is Required For Surgery?

Dr. Pirani only offers procedures with general anaesthesia provided by a board certified anaesthesiologist. Our facility is fully accredited by the Canadian Association for the Accreditation of Ambulatory Surgical Facilities (CAAASF). Our surgical facility has also passed inspection by the College of Physicians and Surgeons of Ontario (CPSO). Our anaesthesiologists are staff anaesthesiologists at the Toronto East General Hospital.

How Long Does The Operation Take?

On average, the procedure will take 1 to 1.5 hours to perform. Some more complex cases may take more time. If a mastopexy or breast lift is also performed at the same time, then the surgery can take up to 4 hours.

What Sort Of Things Are Required For Post-Operative Care?

Breast Augmentation Bra

After your surgery, Dr. Pirani will provide you with specific post-operative instructions. You will also receive a handout detailing your post-operative instructions. Generally, the following can be expected following surgery:

• Bra worn 24-7 for 1 week
• Expect some discomfort for 2-5 days
• No underwire bras for 6 weeks
• No heavy lifting or strenuous upper body exercises for 6 weeks
• Your first follow-up appointment with Dr. Pirani will be 5-7 days after your surgery.

Do Any Stitches Need To Be Removed?

Dr. Pirani usually uses absorbable sutures that do not need to be removed. In the rare case where a patient is prone to poor scarring, he will use non-absorbable sutures that are usually removed 7 days after the surgery.

How Do I Choose the Right Bra? 

Following your breast enhancement, you will need to purchase new bras. As your breasts will continue to change for several months after the surgery, we advise you to wait at least six to 12 weeks before purchasing a large number of new bras.

After surgery, Dr. Pirani will provide you with a post-operative surgical bra. During your follow-up appointments, he will reassess your bra requirements and direct you about what type of bra you can wear. In most cases, Dr. Pirani will have you continue to wear a supportive bra for the first six weeks after surgery; however, in some cases he may direct you to avoid wearing a bra to help your implants descend. In some cases, Dr. Pirani may request that you wear an underwire bra.

When it is time to purchase a new set of bras, it is very important to purchase bras that fit well. There are several specialized stores in Toronto that cater to women who have had a breast augmentation. Dr. Pirani and his team are more than happy to help you find the right bra following your procedure.

What implant size should I choose?

This is always a difficult decision for some. In my opinion, the best thing to do is have a thorough sizing session. I provide my patients with a range of about 3-4 implants that are appropriate for their specific measurements. I then have them try these implants on in a special sizing bra. With this process, my patients have been able to choose their own implants. I have found this to be the best method for implant sizing. Your surgeon should be willing to spend the time with you doing this.

What is a silent breast implant rupture?

This refers to an implant rupture or failure that is not evident clinically. That is, you may have an implant that has ruptured but not actually be able to tell from looking at or feeling your breasts. This is more common with gummy bear silicone breast implants as the implants are cohesive. These types of ruptures are usually found incidentally during breast ultrasounds and mammograms. Dr. Pirani generally recommends replacing implants when a silent rupture is detected.

Are There Any Increased Risks Associated With Larger Breast Implants?

Yes—larger implants generally lead to more sagging (ptosis) and this occurs earlier than with smaller implants. They may also lead to increased thinning of your natural breast tissues over time and are more likely to bottom-out over time. Dr. Pirani finds that implants over 400cc generally lead to increased complications over time but this does vary by body type and tissue quality.

Can I Be Awake For My Breast Augmentation Surgery?

There are surgeons that will do awake surgery for breast augmentations, but I do not. Most surgeons in North America do not offer awake breast augmentation surgery. There may be a cost advantage to being awake; however, I believe that the safety and comfort of my patients is paramount. Accordingly, I prefer to have my patients asleep for breast augmentation surgery.

What Exactly Does The Phrase “The Pocket” Refer To In Breast Augmentation?

The pocket refers to the space that is created for the implant to be inserted into. We have to create a space in which to place the implant—that’s the pocket.

How Do I Sleep After My Breast Augmentation?

Sleeping on your back is your best option in the early post-operative period. Sleeping on your side is your next best option. I tell my patients that sleep will be an issue in the first few weeks after breast augmentation surgery, as you now have two weights on your chest which can make it more difficult to fall asleep.

Will My Nipple Sensation Be Altered By Having A Breast Augmentation?

The literature would indicate that there is a 15% chance of losing sensation to your nipple-areolar complex. Having said that, I think the numbers in the literature are very high. I certainly haven’t had this high a rate in my patients.

Although the rates of sensation loss may be as high as 15%, a significant proportion of these cases will be temporary. It all depends on the degree of injury to the nerves that provide sensation to your nipple. If the nerves are just bruised (neuropraxia), your sensation should return within 6-12 weeks. Increased sensation or hypersensitivity is also a possibility.

How Much Pain Will I Have After a Breast Augmentation with Implants?

Recovery really depends on a few factors. Adequate pain control is likely the most important. Individual pain tolerances differ greatly. I find that women who have had children generally have less post-op pain, as they have a much higher pain tolerance. From a surgical point of view, there are several things the surgeon/anaesthesiologist can do to decrease your post-op pain.

I generally perform breast blocks prior to making any incisions with a mix of short- and long-acting local anaesthetics. I have found this greatly reduces post-op pain. I also encourage patients to take the prescribed pain killers regularly for the first 24-48 hours. If you don’t stay on top of the pain in the immediate post-operative period, it is extremely difficult to “catch-up”. Most of my patients experience very little post-op pain after their breast augmentation surgery.

Of course, the type of breast augmentation you have will also determine your post-operative discomfort. Larger implants, and subpectoral implant placement will also increase post-op discomfort. This doesn’t mean you shouldn’t get large implants, or place them under the muscle—you simply need to know what to expect. Many women also experience difficulty with sleeping in the first few weeks after augmentation due to the weight of the implants on their chest.

Should I Avoid Breast Implants If I’m An Athlete Or Involved In Contact Sports?

Being an athlete or playing contact sports is not a contraindication for breast augmentation. Generally, contact sports may be resumed once you have healed well following breast augmentation. You may generally resume exercise and routine sports after 6 weeks following breast implant surgery.

Am I Too Skinny Or Athletic For Breast Implants?

Slender patients with limited breast tissue can still be great candidates for breast augmentation with implants. Having less soft tissue coverage does increase the risks of implant visibility, rippling, and implant palpability. Nonetheless, these risks can be mitigated by placing the implants under the pectoralis major muscle and not choosing extra high projection implants. Adding fat grafting when possible to augment tissue coverage can also help with achieving natural appearing breast augmentation results. It is important to discuss your aesthetic goals with Dr. Pirani so he can help you get the best aesthetic results.

Can Breast Implants Rupture And Leak Silicone In My Body?

As with any mechanical device, breast implants will eventually fail and/or rupture. Fortunately, the newest generation of silicone implants have very low rupture rates and excellent longevity. In addition, the new cohesive gel silicone (gummy bear) implants make it much less likely that silicone will leak in the event of a rupture.

Can I Move My Arms After Breast Augmentation?

Dr. Pirani generally prefers that you keep your elbows at the sides of your body for most activities during the first 6 weeks after your surgery. You will have to alter how you perform regular activities during this period but most patients are able to cope quite well once they get used to this restriction. Washing your hair is the most common issue due to this restriction so we recommend getting help from a friend or family member. Dry shampoo products are also quite helpful.

Are Breast Implants Under Warranty?

Breast implants are generally covered by a manufacturers warranty for their lifetime. Following breast augmentation surgery, you will receive an implant registration card that lists your implant size, model, type, and serial number. It is important that you save this in a secure location for future claims. Patients are encouraged to take the time to review the details of their specific implant warranties.

Do Breasts Sag After Breast Augmentation?

Breasts certainly may sag after breast augmentation and this may be related to the increased weight added to the breasts by the implants and/or normal tissue aging, pregnancy, breastfeeding, weight changes, UV exposure, and nicotine use. Larger and heavier implants are more likely to develop sagging or ptosis with time. There is no way to predict when this will happen. 

After breast augmentation surgery with implants, it is recommended that you wear a supportive bra as much as possible to limit ptosis. This is especially important when performing high-impact activities.

How Do I Know If My Breast Implant Is Leaking or Has Ruptured?

This will depend on the type of breast implant you have. Saline implant ruptures are usually associated with a sudden loss of volume although it is possible that a small saline leak could result in a gradual decrease in size over a few days. Cohesive gel silicone implants are more likely to have silent ruptures if a small defect is present. Silicone implant ruptures are best detected through imaging modalities such as ultrasound or MRI scans.

What Is A Normal Breast Shape?

Although breasts come in many different shapes and sizes, a “natural” breast classically has a teardrop shape with a sloped upper breast and a rounded or fuller lower breast. Having said this, many women actually prefer a more rounded upper breast and/or a round appearance throughout the breast. Dr. Pirani will take the time to understand your aesthetic goals and help you achieve these goals.

Can Breast Implants Last 30 Years?

Breast implants can potentially last decades. Having said that, we do not know how may decades the new generation of implants will last as they haven’t been around for 30 years.

Can Breast Implants Cause Pain Years Later?

Capsular contractures, implant ruptures, and breast implant illness are but a few potential causes for breast pain years after breast augmentation with implants. If you have late-onset breast pain you should always first see your primary care physician to investigate and determine the cause. If indicated, they can refer you to your surgeon if the implants are the source of your pain.

Does Getting Breast Implants Make You Gain Weight?

Most weight gain from breast implants is usually limited to the weight of the implants themselves. This is usually minimal unless very large implants are chosen. It is important to maintain healthy lifestyle choices after surgery as you will be not be allowed to perform high-impact exercises for 6 weeks after surgery.

Does Insurance Cover Breast Implants?

Breast implant surgery is usually considered cosmetic surgery and therefore not usually covered by most insurance providers. Dr. Pirani does not perform OHIP procedures and does not accept payment directly from any insurance providers for cosmetic procedures. We encourage you to check with your insurance provider prior to your consultation for details.

How Dangerous Is Breast Augmentation Surgery?

Breast augmentation comes with risks like any other surgery. The best way to mitigate risks is by selecting an experienced, board-certified plastic surgeon.

Is Breast Enlargement Possible Without Surgery?

There are injectable treatments being used off-label to increase breast size in Canada. Dr. Pirani does not offer these off-label procedures currently as their safety and efficacy have not been established and do not yet meet his standards.

What Are Natrelle Breast Implants?

Natrelle breast implants are manufactured by Allergan and include a wide range of implant types and sizes. Dr. Pirani offers the full range of Natrelle implants including the very popular INSPIRA silicone implants.

What Are Mentor MemoryGel Implants?

Mentor MemoryGel breast implants are manufactured by Mentor and include a wide range of cohesive gel silicone implant types and sizes. Dr. Pirani offers the full range of MemoryGel breast implants including the very popular MemoryGel Xtra silicone implants.

What Is The Difference Between A Breast Augmentation And Breast Implants?

Breast augmentation refers to any procedure that adds volume to the breasts. Breast implants are one way to augment the breasts. Other methods include fat transfer or fat grafting.

How Do I Prepare For Breast Implants?

Our office will provide you with instructions on how to prepare for your surgery. Ideally, you should avoid all nicotine use/exposure for 6 weeks prior to surgery. You should also avoid any medication or supplement that increases bleeding such as ibuprofen, Advil, Motrin, ASA, Aspirin, blood thinners (warfarin, etc.), vitamin E, omegas, fish oils, turmeric, Gingko biloba, garlic, ginseng, ginger, dong quai, feverfew, St. John’s wort, valerian root, and echinacea. You should also avoid drinking alcohol a few weeks before and after your surgery.

How Do You Know If You Have Capsular Contracture?

The most common early sign of a capsular contracture is increasing firmness. At the earliest sign of breast firmness, be sure to contact your surgeon. There are off-label treatments that can be started in the case of an early capsular contracture to potentially prevent progression to breast distortion or pain.

How Long Are Breast Augmentation Incisions Sore and itchy?

It is expected for breast augmentation incisions to feel tender and sensitive for about two weeks after surgery. Incision itchiness is also usually a normal part of healing.

Is Getting A Breast Augmentation Worth It?

Breast augmentation with implants is associated with one of the highest rates of patient satisfaction of any cosmetic plastic surgery procedure.

Is There An Alternative To Breast Implants?

Breast fat grafting (fat transfer) or off-label injectables are possible. Dr. Pirani can discuss these with you but he usually recommends breast implants for more significant changes in breast volume and for consistency of results.

What Are Cohesive Breast Implants?

Cohesive gel implants refer to the newest generation of silicone implants. These implants are filled with a silicone gel with increased cross-links between gel molecules. This results in the silicone maintaining its shape more effectively than previous generations of silicone implants which were much more liquid in terms of consistency.

What Is The Most Common Breast Implant Size?

Breast implant sizes are measured in cubic centimetres (cm3 or cc). Most patients choose breast implants in the 250-400cc range.

What’s The Safest Breast Implant?

There are benefits and risks of all implants. Generally, saline implants are safer than silicone implants as the saline should simply be absorbed by the body in the event of a rupture.

Will the breast implants drop?

In the first few days following the surgery, the breasts may appear round and unnaturally high. Over the next few weeks to months, the implants should drop and fluff out to look more natural.

Do implants need to be replaced regularly?

Breast implants can last decades. They are not permanent, however, and will eventually need to be replaced.

What If I Have A Problem After Surgery?

All of Dr. Pirani’s surgical patients receive detailed instructions regarding what to watch for in terms of emergency situations that may arise after surgery. In case of an emergency, patients should call 911 or proceed to the nearest emergency department.

What is capsular contracture?

Capsular contracture is a complication of breast augmentation in which tissue around the implant becomes thick and tight, causing the breast to feel hard and painful.

What is the difference between a breast lift and breast augmentation?

A breast lift, or mastopexy, is a procedure to lift and reshape sagging breasts, while breast augmentation is a procedure to increase the size and fullness of the breasts.

Can I have breast augmentation surgery if I have asymmetrical breasts?

Yes, breast augmentation can be used to correct asymmetrical breasts, but it may require different sized implants and/or a breast lift to achieve greater symmetry.

How can I reduce the risk of complications after breast augmentation surgery?

To reduce the risk of complications after breast augmentation surgery, follow your surgeon’s instructions for aftercare, avoid strenuous activity, and attend all follow-up appointments.

How do I care for my incisions after breast augmentation surgery?

To care for your incisions after breast augmentation surgery, keep the area clean and dry, avoid soaking in water, and follow your surgeon’s instructions for wound care.

Can I have breast augmentation surgery if I have stretch marks on my breasts?

Breast augmentation surgery can be performed on women who have stretch marks on their breasts, but it is possible that the stretch marks may increase after breast augmentation.

Can I have breast augmentation surgery if I have a history of keloid scarring?

If you have a history of keloid scarring, you may still be a candidate for breast augmentation surgery, but you should discuss your options with your plastic surgeon.

What is the difference between smooth and textured breast implants?

The main difference between smooth and textured breast implants is the surface of the implant. Smooth implants have a smooth surface, while textured implants have a rough surface.

Textured implants are thought to be less likely to develop capsular contracture, which is a hardening of the scar tissue around the implant. However, textured implants are also thought to be more likely to cause BIA-ALCL, a rare type of lymphoma.

The best type of implant for you will depend on your individual circumstances.

How long should I wait before getting pregnant after breast augmentation?

There is no specific waiting period required before getting pregnant after breast augmentation. However, it is generally recommended to wait at least a few months to allow your body to heal. Pregnancy and breastfeeding can potentially affect the appearance of your augmented breasts, so it’s best to discuss your plans with your surgeon.

Is it possible to remove or replace breast implants?

Yes, it is possible to remove or replace breast implants. Some women may choose to have their implants removed or replaced due to personal preferences, changes in their lifestyle, or to address complications. Your surgeon can discuss the options available and help you make an informed decision based on your individual circumstances.

Can I have breast augmentation surgery if I smoke?

Smoking can increase the risk of complications after surgery, so it is recommended that you quit smoking for several weeks before and after breast augmentation surgery.

Is breast augmentation covered by OHIP?

No, breast augmentation is usually not covered by OHIP. However, there are some exceptions. For example, breast augmentation may be covered if it is done as part of breast reconstruction after a mastectomy. Dr. Pirani does not offer OHIP procedures.

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