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.

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 usual range for implant-based augmentation is $11,000 to $12,000. 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 (silicone or saline breast implants), 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 are the two materials used to fill breast implants in Canada. Saline implants are filled with salt water, while silicone gel 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, and possibly leakage 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 textured 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 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 placement.
• 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.

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. Patients should consult with several surgeons, and choose the one that meets their criteria and matches their vision. By doing so, patients can help ensure that they have the best possible outcome and experience.

Consultation with Dr. Pirani Himself

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.

*Please note that we also offer complimentary initial consultations with our Registered Nurse if you aren’t ready to invest in a consultation with Dr. Pirani. Please contact our office to discuss this option if you would like more information.

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. Patients 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 major 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 an 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 regarding activity and medications.
• Capsular contracture: This is a complication that can occur if the 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 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.

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.

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.

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.

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.

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.

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, patients can help ensure a positive and satisfying experience.

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.