A breast implant is a sac (implant shell) made of highly durable silicone, and filled with either saline or a cohesive silicone gel to add volume.
Breast Augmentation has remained the #1 cosmetic procedure in North America for many years. Many women intimately associate their breasts with a sense of femininity; An enhancement in breast size, shape and symmetry can have a dramatic effect on a woman’s self-confidence. Women seek out a breast augmentation to increase fullness, achieve rounder cleavage, replace volume lost after pregnancy and weight loss, and to achieve overall body aesthetic balance and proportion. Our highly skilled team is equipped with elite technical skill and surgical finesse to ensure that your Breast Augmentation procedure is tailored to your unique vision and is sure to be a smooth process from start to finish.
Breast Augmentation, alternatively known as Augmentation Mammoplasty, is a surgical procedure where an implant is placed underneath the breast tissue. A breast augmentation is used to enhance or restore the volume and shape of your breasts. While each body is beautiful in its own right, some women feel deprived of their femininity when genetically predisposed to smaller breasts or when the breast shape and fullness they once had diminishes.
Our approach takes half the time and leaves half the evidence
Scarring and recovery time are two significant factors influencing a woman’s decision of whether or not to undergo a breast augmentation. TCSI surgeons combine state of the art technique and a unique surgical approach to offer the Tiny Scar Breast Augmentation, which minimizes scarring, reduces surgery length, and accelerates recovery time.
Typically, breast augmentation surgery will leave you with a 4-8 cm scar. This can be a discouraging fact for some women and ultimately deter them from wanting the procedure. The team understands your desire for discrete scarring, and through years of experience and innovation developed a unique surgical solution —The Tiny Scar Breast Augmentation. This technique is performed with a small 2 cm incision for saline implants and a 2.5-3 cm incision for silicone.
The miniature scar is not the only benefit from this elite surgical method. The fine-tuned technique can be performed in half an hour under local or general anesthesia as opposed to the typical one to two hours that a traditional breast augmentation will take. While recovery looks different for everyone, this approach has proven quicker recovery times where patients may return to regular activities in 5-7 days and resume more strenuous activities in approximately six weeks.
A woman may consider a Breast Augmentation for many reasons:
Some women are born with breasts that appear small or disproportionate to the rest of their body. While this is perfectly normal and acceptable, it may be negatively impacting your self-esteem. If this is the case, breast augmentation could be the perfect solution for you.
Breast deflation (loss of fullness) can occur under several circumstances. Some women notice reduced breast fullness following pregnancy and breastfeeding. Other women notice a significant decrease in breast volume after weight loss. Breast deflation and loss of firmness is also a natural process that may take effect with aging. If you notice that your breasts have lost the shape and firmness that they once possessed, breast augmentation can help bring them back to life by adding youthful fullness.
You may perceive your body as disproportionate or you find that your breasts appear unevenly positioned.
Congratulations! You have made the choice to prioritize your health and get into shape. Unfortunately for many, this also results in fat loss in the breasts. If this has been the case for you, a breast augmentation will allow you to restore your breasts without having to compromise additional weight elsewhere.
Perhaps you are a breast cancer survivor and have had to undergo a mastectomy as part of your treatment. If this has taken a toll on your confidence, a breast augmentation can help to be a great resolution.
There are several considerations to be made during the breast augmentation process. While each step will be addressed during your initial consultation, the Team puts emphasis on empowering the patient with the information needed to enhance your understanding of the surgery. Consider your pre-operative consultation a time in which you and your plastic surgeon work together to construct the ultimate plan to achieve your desired result. By the end of your consultation, you will have agreed upon an implant with a specific filler, width, volume, and shape.
Your surgeon will use their extensive experience and cosmetic artistry to help you choose the perfect implant. Some factors which will be taken into consideration include:
Measurements will be taken of your chest and breast size along with your height and weight in order to determine the optimal implant for you to fit your natural proportions, a method commonly referred to as Dimensional Breast Augmentation. You will be given the opportunity to look at, feel and try on samples of various implants available to you.
Silicone breast implants contain a highly durable, elastic silicone shell prefilled with a viscous medical grade silicone gel which has a consistency similar to that of natural breast tissue. Available in a wide range of sizes and profiles, silicone can be a great option for achieving your desired result. Previously, silicone implants had a bad reputation for causing safety concerns. The current generation of silicone implants are approved as safe as they contain a cohesive gel which mimics that of a gummy bear, giving them their colloquial name, “gummy bear implants.”
Saline implants are safe and natural, and are filled with salt-water which naturally exists in the human body. While the implant consists of saline, the shell is made with highly durable silicone. Available in a wide variety of shapes, sizes, profiles and textures, there’s a saline implant to meet the needs of a vast array of surgical goals. Saline implants have the unique benefit of being filled with fluid after the implant has already been inserted under the breast tissue, allowing them to be placed through the smallest scar possible. This means the size of the implant does not influence the incision and ultimately the scar.
|Content of Implant||
A silicone shell with a cohesive gel fill.
A silicone shell with a saline (salt-water) fill.
Set fill volume and sizes
Flexible fill volume that is adjustable during the procedure
|Chance of Rippling||
Softer, More Natural Feel
Less Soft, these implants have the consistency of water
|Detection of Rupture||
More difficult and removal of silicon may be required
Immediately detectable and saline will be safely absorbed by the body
FDA & Health Canada Approved
FDA & Health Canada Approved
Breast implants come in two shapes, round or teardrop shaped (also referred to as anatomical shaped). Round implants are symmetrical while teardrop shaped implants have more volume and projection on the lower half, mimicking the shape of a natural breast. While teardrop shaped implants provide a more natural look, most women prefer round implants for their balanced and full aesthetic.
Selecting your implant profile will determine the projection of your implant, in other words, how far your breast will protrude from your body. A low profile implant achieves a flatter and more natural look, while a higher profile implant will create a more prominent breast and a fuller, rounder look. Factors that may come into play when deciding on your profile size include the current width of your breasts as well as personal preference and surgical goals.
SEE MORE IMPLANT PROFILES
The two main FDA-approved manufacturers of breast implants are Allergan and Mentor; implants from both manufacturers are available at our clinic. Allergan and Mentor have years of research experience and a high safety standard. A wide range of reliable and durable silicone and saline implants that vary by implant density, profile, shape and/or texture are available from each manufacturer.
For more information on the manufacturers and their specific products, Click here.
Selecting your implant size can be one of the most difficult decisions in the entire process. Rather than measuring implants based on bra size, the sizing is categorized by the amount of liquid or gel that it contains. The standard unit of measurement used is cubic centimeters (cc). Our team will guide you through the sizing process to ensure you are choosing an implant that will best achieve your goals.
During your consultation, you will be shown volume sizing charts and will be given the opportunity to try on various sizers. This will help you have a real life visual of what each size will look like on your body. There are a few factors that will come into play when determining the best size for you. Aside from personal preference, the team will assess the amount of breast tissue you have to ensure you are choosing an implant that will be able to be sufficiently hidden behind your natural breast.MORE ON CHOOSING THE PERFECT IMPLANT
All Breast Augmentation procedures initially involve the careful placement of a small incision through which a breast pocket is then created. At the Toronto Cosmetic Surgery Institute the incision can be made in one of three possible places on a woman’s body:
40% of procedures implement the incision in the breast fold, 20% make the incision around the areola, the armpit is used as the incision site in 40% of Breast Augmentations
Alternatively known as the breast fold incision, this incision is made where the breast meets the rib cage. The scar hides nicely within the breast fold under the breast tissue, and is very discrete.
The Trans-Axillary incision is made inside the armpit utilizing the natural fold that exists. The advantage to the Trans-Axillary incision is that it can only be seen when the arms are lifted and there are no scars on the breast.
This incision is administered along the edge of the areola. The skin is darker in this area allowing the scar to hide within the natural colour transition.
Breast Augmentation involves the creation of a breast pocket that allows for the placement of the breast implant. The breast pocket is an empty space either above or below the chest muscle (pectoralis major) into which the breast implant is inserted.The position of the implant above or below the chest muscle will influence the final appearance of the breast enhancement.
The breast pocket can be made in one of two places: under the breast itself (subglandular or sub-mammary), or under the chest muscle (submuscular or subpectoral). There are advantages and disadvantages for both approaches; a below the muscle placement can also be performed using one of three different variations.
Our exceptional team is experienced and skilled in a variety of breast augmentation surgical techniques. In your consultation, you and your surgeon will discuss the pros and cons of each technique and agree upon the method best suited to your breast anatomy and desired result.
Our Tiny Scar Breast Augmentation procedure uses the most advanced surgical techniques that leave you with a 2 cm scar (saline implant) or 2.5-3 cm scar (silicone implant). The incisions can be made in the breast fold (inframammary), the arm-pit (Trans-Axillary) or around the areola (periareolar). The entire procedure can be accomplished in 30 minutes leading to an expedited recovery time. Traditional methods leave behind a 4-8 cm scar and can take up to 2 hours. With these benefits it is no surprise that this is the most highly requested technique in our clinic.
Fat transfer breast augmentation is a procedure where fat is removed from other areas of your body using Liposuction and then reinjected into the breasts. This procedure is an ideal alternative for someone who does not want to introduce implants into their body and is looking for a subtle size increase. This surgical technique yields natural results and a soft natural feel. While this method of augmentation has its advantages, it is important to note that it will only bring you up approximately half a cup size to one cup size.
Asymmetrical breasts can significantly affect a woman’s self-esteem making it a common reason that women consider Breast Augmentation. Creating symmetry in the chest is a a more intensive procedure than a simple Breast Augmentation or Breast Lift making it obligatory that this specific procedure is carried out by a reputable reconstructive surgeon. The Team has a strong background in Breast Reconstruction After Breast Cancer and our surgeons possess the surgical expertise to strategically correct any degree of breast asymmetry. Click here to learn more about breast asymmetry.
As you age, it is not uncommon to find that your breasts have lost their youthful shape, elasticity and fullness. This can hinder a woman’s confidence and leave you feeling discontent with the shape, size and position of your breasts. Augmentation Mastopexy or alternatively known as Augmentation Breast Lift, is a comprehensive procedure that will transform the appearance of deflated, sagging breasts and restore shape and volume. This surgical procedure can provide confidence boosting results for women with:
(+ $2500 when added to a liposuction procedure)
depending on the type of repair required
Our patients commonly inquire about how their cleavage will change after a breast augmentation and whether it will become narrower. It is important to understand that the procedure will not significantly alter your cleavage. The reason for this is because we place the implant directly behind the nipple. This means, if you have naturally wide set breasts, your implants will be placed wider apart.
If implants are placed too close together in an attempt to tighten the cleavage, they will sit unnaturally under the medial portion of the breast while the rest of your breast tissue falls to the side due to the curvature of the implant. This will ultimately force your nipples to appear sideways, creating an unnatural and unaesthetically pleasing result. For this reason, we perform all breast augmentations in a way that aligns the implant with your existing tissue to ensure favorable outcomes.
With over a decade of experience, we have cultivated a team of renowned Board-certified Plastic Surgeons known for their surgical excellence and exceptional capabilities. Our team is made up of highly skilled surgeons who have undergone rigorous and extensive training at some of the world’s most prestigious programs, allowing each surgeon to become true masters of their craft.
Our surgeons offer a variety of methods for Breast Augmentation including our exclusive Tiny Scar Breast Augmentation technique. During your consultation, your plastic surgeon will go over each unique approach to the procedure and collectively you will decide on the best technique to achieve your surgical goals.
In addition to our expert team and elite approach to Breast Augmentation, it is assured that you will have an unmatched experience in our state-of-the-art facility and under our inimitable care. From the moment you enter our facility, you become our top priority which will be evident in the level of care and attention that you receive.
A breast implant is a sac (implant shell) made of highly durable silicone, and filled with either saline or a cohesive silicone gel to add volume.
Breast implant augmentation is not guaranteed to last a lifetime and future surgery may be required to replace one or both implants.
A Breast augmentation is a procedure to insert implants beneath the breasts to enlarge them. The implant shape and size depends on how much bigger you want your breasts to become and is also selected based on your breast anatomy, skin elasticity and body type.
The team will discuss with you the risks and benefits of breast implants and what results you can expect.
While the length of your recovery will be dependent on various factors, it is the team’s top priority to ensure that your experience from your initial consultation through to recovery is as positive and comfortable as it can be.
After surgery, to allow proper healing and to achieve optimal cosmetic results, it is essential that you follow our care guidelines during the initial recovery phase. Thereafter, in order to maintain the new, beautiful appearance of your breasts, long-term proper care of your implants is also important.
Regardless of whether you go home following your surgery or stay at the Fairmont Royal York Hotel, an imperative step to guarantee the most favourable recovery is ensuring you are not left alone during the first 24 hours following the surgery including overnight. You also should not be walking without assistance. During this time, you may be prone to fainting, falling, and hurting yourself. In the event that you wake up in the middle of the night to go to the bathroom, you must also wake up your companion. You are not allowed to go to the bathroom by yourself during the first night after your surgery.FULL DETAILS ON RECOVERY INSTRUCTIONS
A permanent scar remains after surgery where each incision was placed. Our surgeons are experts at creating minimal scars that are beautifully concealed and virtually undetectable. The technique that is chosen for your surgery will therefore depend on:
As with any surgical procedure, no matter how routine, Breast Augmentation is associated with potential complications. At the Toronto Cosmetic Surgery Institute we take many safeguards during surgery to minimize your risk of developing problems and ensure the best possible recovery. Although extremely rare, thereafter, complications with breast implants can occur weeks, months or even years later and include:
Most of our patients have no problems with their implants and continue to enjoy having the breasts they have always desired. Current generation implants are made from an extremely durable silicone shell to decrease the risk of implant leakage or rupture. In the case of silicone-filled implants, the amount of silicone released across the shell (silicone-gel bleed) is limited to:
However, if any breast implant is found to be defective (leak or rupture), since all our implants come with a lifetime warranty, you will receive a brand new implant to replace the damaged one.TALK TO OUR SURGEONS
Alternatives to breast augmentation may include:
Fat transfer breast augmentation is a procedure where fat is removed from other areas of your body using Liposuction and then reinjected into the breasts. This procedure is an ideal alternative for someone who does not want to introduce implants into their body and is looking for a subtle size increase.
Augmentation Mastopexy (with Implants) or Mastopexy, alternatively known as Breast Lift, is a comprehensive procedure that will transform the appearance of deflated, sagging breasts and restore shape and volume.
Flap reconstruction after breast cancer surgery (Mastectomy) – this involves surgery to create a breast from skin and tissue taken from elsewhere on the body
Some people may be more comfortable with wearing padded bras where they can add or remove volume as they please.
Not having any procedure at all is always an option when it comes to cosmetic surgery. Some patients may decide that they are happy and comfortable with their breasts just as they are.
Over time, breasts lose their youthful perkiness, elasticity and fullness, leaving some patients feeling unhappy and discontent with the shape, size and position of their breasts. At some point in time, most women will ask themselves:should I think about getting a breast augmentation?
Augmentation Mastopexy (or Augmentation Breast Lift)is the ultimate procedure to transform the appearance of deflated, shapeless, sagging breasts and restore timeless beauty to a women’s figure. The procedure is a combination of a Breast Augmentation and a Breast Lift (Mastopexy) and can benefit women who have:
The Breast Lift entails the removal and tightening of excess skin to achieve a natural, uplifted, youthful appearance of the breasts.When combined with the placement of breast implants, the volume and shape of the breasts is also restored or enhanced.Furthermore, with the advanced surgical techniques ably employed by our expert surgeons, scarring is minimal.GET A CONSULTATION
We perform about 400 breast augmentation surgeries a year, and about 200 breast augmentations with breast lift per year. This ranks our clinic as one of the top 5 Breast Augmentation specialists in the country.
Our surgeons have performed thousands of procedures during his surgical career.
In addition to cosmetic breast surgery, Dr Constantine’s other passion is reconstructive breast surgery for breast cancer patients, which he continues to perform to this day. Dr. Makerewich’s other passion is hand surgery. Dr. Haywood performs a lot of male breast reductions as one of her favourite procedures.
We use both about 50%.
We use mostly Allergan Inspira. The newest and best silicone implants in the world.
We also carry Mentor implants for patients who prefer those.
Most recently, we introduced an Ideal Implant, the latest generation of breast implants on the market. These are saline based implants that look and feel like silicone implants. They carry the best of both silicone and saline implants.
We are a fully certified facility and as such we are prepared to deal with any and all emergencies like any hospital would. If needed, we can transfer our patients either to the nearest hospital (St. Michael’s hospital is only 5 min away) or to Humber Hospital where Dr. Constantine has privileges and is able to look after you.
We are confident in our work. Should you experience any problems after your breast augmentation procedure, we will take care of you, at no extra cost.
When implants are placed under the muscle, the asymmetric muscle anatomy (this is normal) may mean that one implant is being held higher than the other. It may need help to bring it down when post surgical massage fails to equalize the implants.
Please note that some asymmetry is normal and no two breast will EVER be perfectly symmetrical.
Our practice is virtually all cosmetic. Our surgeons maintains hospital privileges so that can continue to perform breast reconstruction for cancer patients, and reconstructive plastic surgery.
99% of implants settle after 3 months. Rarely it takes longer (it could take up to a year)
We perform 95% under the muscle because of it’s lower capsular contracture rate. However in some situations we do recommend going over the muscle. Most common reason for going over the muscle is when the patient does not want to affect her pectoral muscle function, does not want animation deformity, or specifically wants the overfilled fake look possible only when implants are over the muscle.
We use all three incisions. The decision which one to use is based on your anatomy. While most surgeons only use the breast fold incision (it is the easiest technique), our surgeons will examine you and then determine which one is best for you.
Our statistics are:
40% breast fold, 20 % around areola, 40% through the armpit
No. Building up chest muscle is not helpful
Your breast size is controlled by genetics and the pituitary gland in your brain. The following are NOT alternative to Breast Augmentation
Augmentation and will have no affect on your breast size:The following may affect your breast size, but are not an alternative to Breast Augmentation:
To be a good candidate for a Breast Augmentation, click here to see if you have any conditions that may prevent you from having your procedure done at our clinic.
Please see the fees page by clicking here