Almost every day a newer, ‘better’ surgical technique or  tool is being marketed as the universal solution that will give patients all the miracles of a new body without any scars or significant downtime. But is it really true?

Manufacturer’s marketing standards do not have to answer to anyone, and unfortunately, claims can be made without being reviewed by experts. ‘Hired guns’ or doctors are compensated for using and promoting the technology by quoting, guaranteeing how this new invention has ‘revolutionized’ their practice. Patients are paraded in front of the media as success stories of this new technology. But are their results truly better than what was available before?

Liposuction is a perfect example to explore on the matter. Traditional (tumescent liposuction) has been around for about 30 years. The equipment for this procedure costs approximately $10 000 in total. Newer technologies such as SmartLipo, VASER, BodyTite and others cost $100 000! They claim to be superior to the traditional liposuction technique. But do they perform a better job?

There are no scientific studies that actually put any of these technologies head on against the traditional liposuction or showed as a concrete result of superiority to the former technique. Yet despite all of this, a lot of money is being spent on marketing these technologies as vastly superior. Everyday hopeful patients seek them out, believing they will achieve a better result through these technologies. So while progress is indisputable and medicine and surgery today is much more advanced to the way it was 30 years ago, sometimes it is important to differentiate the marketing hype for real progress. 






“The Brazilian Butt Lift” is one of the hottest procedures in Cosmetic Surgery. It involves the transfer of fat from various areas of the body into the butt. It sculpts the belly and love handles and shapes the butt into a rounder, fuller, sexier shape. As this map of the US shows, there is a great deal of growth going on in this surgery. Although the map does not show Canada, Toronto is also a major hub of Brazilian Butt Lift. This revolutionary procedure, popularized in Canada by Dr. Jugenburg, has the benefit of using one’s own fat instead of implants to shape the butt.

As the US data shows, Florida is biggest hot spot of Brazilian Butt Lifts in the US. The average price in the US for this procedure is $9000 and in Florida it can cost you well over $15000

Celebrities And Plastic Surgery Trends




Do celebrities truly influence our current perceptions of beauty in deciding what cosmetic surgeries to get next?

Remember the woman who spent around 30,000 to look like curvaceous socialite Kim Kardashian? Well, she’s not the only one that formed a cosmetic decision on a pop culture personality. In fact, based on an online community website with plastic surgery discussions and forums (, the data compiled conclusively showed that Kim Kardashian is the most requested celebrity feature. Many women request her famous derriere, which can now be achieved through the “Brazilian Butt Lift” procedure.

9d243e40-6678-4211-9bca-38fb236e3a09This particular treatment is very in right now, since it provides an instant fuller, rounder and sleeker backside. The Brazilian Butt Lift procedure involves transferring fat from other parts of the body and then re-injecting it back into the backside. Usually, the surgeon will harvest fat from two areas to ensure symmetry. Removing the fat is done through liposuction in spots like the thighs, stomach and just above the butt. It has a very low risk to infection since it’s a closed procedure and there are really no foreign items being inserted into your body which can lead to rejections. This treatment usually runs to about 6,725 in cost and dramatically changes the contours of your

Notable past celebrity trends before Kim K, were Beyonce or J-Lo for their shaped derriere as well, Madonna for her face and hands (anti-aging), Angelina Jolie for her cheekbones and full plumpy lips, Rihanna for her light skin and Kate Middleton for her nose and smile.

When Snooki was trending in reality show Jersey Shore for her gleaming perfect teeth against her very tanned skin people were inspired to go for dental whitening. And what about Krista from The Bachelorette who underwent a dramatic post-natal mommy makeover? That quickly became a highly requested procedure among women as well.

Angelina-jolie-interview-maleficent-2014-630x346Just last summer when Angelina Jolie graced the big screen in “Maleficent” people were transfixed by her structured, prominent cheekbones and wanted help with those too. Last year a Texan woman spent over 25,000 to resemble Jennifer Lawrence after “The Hunger Games” was initially released. These are just a few examples of celeb inspired surgeries among the many fluctuating public’s demands.

Men also jumped on the celeb doppelgänger bandwagon, a Los Angeles singer spent around 100,000 on plastic surgery to look like Justin Bieber, evidently taking off 14 years from his face. Another aspiring performer spent about five grand to resemble Ryan Gosling.

But what’s really surprising (and somewhat comforting) about the Real Self results and research data is that for the most part, people just wanted to improve or fix something that was quite personal to them. This means that more than 90% of people do not want to look exactly like celebrities! The everyday patient simply wants to go on with their lives feeling more confidence and gaining self esteem from their new look.

Coolsculpting Non-Surgical Fat Reduction is Now Available at the Toronto Cosmetic Surgery Institute

Coolsculpting in TorontoCoolSculpting-System

Most of us would never turn down the opportunity to target and get rid of areas with stubborn fat.


When diet and exercise won’t work on these areas, there IS another way to get rid of that annoying and unattractive fat. It is the perfect solution to those who are not candidates for liposuction, an want to try a non-surgical solution. It’s called CoolSculpting and it will now be available at the Toronto Cosmetic Surgery Institute.

If you haven’t yet heard of CoolSculpting, you are missing out on knowing about the only FDA-cleared, non-surgical fat reduction treatment, that takes as little as one hour with no down-time! CoolSculpting procedure is non-surgical, safe, effective, and the results are long-term.

Coolsculpting vs Liposuction tableIt may sound too good to be true, but there is a unique science behind the CoolSculpting method. The results are proven, noticeable, and lasting, to help you look your best from every angle. The CoolSculpting procedure is based on the knowledge that cold can actually reduce the number of fat cells in a treated area.  A study by renowned Harvard University scientists, Dieter Manstein, MD and R. Rox Anderson, MD, observed that some children got dimples due to eating popsicles. The idea that cold can selectively affect and eliminate fat cells without damaging the skin or surrounding tissue was the insight behind Cryolipolysis®, the proven science on which the CoolSculpting procedure is based. CoolSculpting technology uses controlled Cryolipolysis (cooling) to target and kill fat cells in a targeted area. In the weeks that follow, these fat cells are naturally eliminated from the body.

Not only does CoolSculpting get rid of stubborn fat, but the results are long-term, as the treated fat cells are gone for good. One common misconception is that weight loss and fat reducing are the same when in fact they are not. When we lose weight, our fat cells become smaller, but the number of fat cells remains the same. When we gain weight, those fat cells simply grow again. CoolSculpting however, actually reduces the number of fat cells in a treated area, meaning fat cells that don’t exist, can’t grow. CoolSculpting also reduces fat without harming the skin or other tissues. The result? You’ll be thinner, and your clothes will fit better, feel better, and look better.

The CoolSculpting procedure is the only, non-invasive procedure that uses advanced cooling technology to eliminate fat, and involves no incisions and no anesthesia. You can even read a book, or watch television while the treatment is taking place! Results are generally seen after 9 to 12 weeks.

Once again:

  • Targets stubborn fat
  • Non-Surgical
  • No pain, incisions, or anesthesia
  • Takes 1 hour, and you relax while procedure takes place
  • Long-term results
  • Available at Toronto Cosmetic Surgery Institute in the Royal York Hotel.


Click here to read more about Coolsculpting in Toronto

Coolsculpting toronto results
Sample results of Coolsculpting after 1 to 2 treatments per area. Note these results are not immediate and take up to 150 days to show.

All About Neck Lifts




Neck Lifts are extremely popular among people of all ages, they are a great way to get rid of excess neck skin or fat, and trim down that wrinkled sagging. The effect of their outcome is quite dramatic, as they can easily take ten to fifteen years off your face and skin. Some younger clients seek neck lift procedures to tighten the loose neck muscles that they were born with, while older crowds want to rejuvenate the appearance of their skin’s elasticity. There are various procedures, approaches and combinations that are available on the market today;

-Cervicoplasty: This procedure removes the excess skin that’s giving your neck that sagging appearance, it tightens aging skin to eliminate visible wrinkles. This is done through incisions under the chin and behind the ears, then the skin is lifted and secured with permanent structures of a special type of permanent adhesive glue.

-Liposuction: By removing excess fat from right underneath the jaw line, liposuction helps define the jaw line, giving you a smooth contoured appearance.

-Platsymaplasty: In focusing and targeting the neck muscles, this procedure helps reduce the neck’s banded appearance.

great-looking-skin-neck-downMost procedures for neck lifts are minimally invasive, since they use smaller incisions for their overall effect. These points are usually under the jaw, behind the ears, and in other strategic placements to help revitalize the appearance of your skin. The procedures are  performed under local anesthesia with IV sedation and take about 1-3 hours.

Its common to combine procedures, I mean, why not? – if you’re getting something done, might as well pair it with another to achieve and perfect the overall look!


The most popular blends are face lifts with chin lifts, focusing on the jowls and cheeks which may involve liposuction. Now you’re probably wondering about the recovery process, and it’s actually, pretty short-lived, 7-14 days is the norm, but for strenuous activity 3-4 weeks is recommended.

Neck lifts are really trending right now! Many celebrities opt out for face lifts and neck lift rejuvenation for subtle, younger, smoother skin. Ellen Degeneres is a fan, as her recent photos show that she’s undergone some minor lifting around the neck and face area. The talk show TV host and comedian usually has a “careless” and simplistic style and way of life, neck lifts are a great option because they are subtle with minimal recovery time and fantastic results. She had no shame showing off her new work this month, even during her recovery period, while stepping out with Portia De Rossi in the city.


The double bubble effect is a possible complication of breast augmentation. Patients will exhibit what appear to be two parallel breast folds along the lower portion or pole of the breast. The upper fold represents the original breast fold. The lower fold represents the implant outline when the implant is sitting below the original breast pleat. In another words, you have one ‘bubble’ around the original breast, and a second ‘bubble’ formed from the implant. When the breast and implant is no longer aligned, these two “bubbles” separate into two instead of appearing as one which results in the misshapen look.

A recent article in the Journal of Plastic and Reconstructive Surgery (Dec 2013 issue) addressed this issue and described how to correct this problem.




This image (taken from the article by Dr. Handel) demonstrates the double bubble effect. The inframammary fold has been released and the breast implant has slipped down below the level of the original breast fold. As the illustration shows, now you have two pleats, a double bubble.
The treatment described by Dr. Handel is to release the constricting bands that keep the original fold and stretching of the skin. However when the double bubble fold is caused by a prominent breast glandular tissue sitting on top of the breast implant, the treatment to remove this is quite hard, since it’s non-malleable tissue. In my experience, this breast shaping technique has been very effective in addressing the glandular cause of a double bubble.

In situations when the double bubble occurs because of bottoming out, the best treatment is to repair the breast fold and reposition the breast implant. When the source of a double bubble is capsular contracture, the solution is to remove the contracture and soften the breasts.

If you think you may have a double bubble, contact our office for an assessment at 416-834-6640 or click here


Dual Plane Breast Augmentation is a designated method where the breast implant is placed right underneath the pectoral muscle, whereas the lower part of that implant is sticking out and not entirely covered by the muscle. This is done by releasing the pectoral muscle insertion into the ribcage to allow the breast implant to sit below that insertion. This happens for many women because their breast naturally hang lower and if the pectoral muscle isn’t released, the implant will be forced to sit too high and form a potential double bubble.

Releasing the pectoral muscle can be done in a variety of different ways. An article in the Plastic and Reconstructive Journal (April 2001) by Dr. Tebbetts describes the three different types of dual plane breast augmentations, as demonstrated in the graphic below.




Which type best suits you?

The answer depends on how much your breasts tend to hang against your chest, the amount of glandular breast tissue in your body and also whether or not the breast tissue sitting on top pectoral muscle needs to be repositioned in relation to the pec.

Dr. Jugenburg will examine you accordingly and explain to you which type and method will give you the best results.

To find out more, schedule your consultation by calling 416-834-6640 or click here


Cohesive gel breast implants is another name for silicone breast implants.
Cohesive gel means the silicone is in the form of a gel and the gel is very sticky, more solid than liquid. A gummy bear is more cohesive than Jello. In the same way, modern silicone breast implants are more cohesive than the older type of silicone breast implants. The downside of this change is that the implant feels a little harder. The up side is that the gel stays together and does not ‘leak out’ when a silicone breast implant ruptures. Another up side of the increased cohesiveness of the new silicone breast implants is that these implants have less rippling than the older type of implants. Allergan company has a new INSPIRA line of silicone breast implants which are more cohesive and more filled. Mentor has COHESIVE 1, 2, and 3 referring to increasing degree of cohesiveness. COHESIVE 3 is the most cohesive type of silicone and this is the true ‘gummy bear’ breast implant but this is found only in anatomic (tear drop shaped) breast implants. The Allergan company’s version of gummy bear shaped implants are called STYLE 410.

Cohesive silicone gel breast implants have been available in Canada since 2000.

Cohesive gel implants require a slightly larger incision for insertion compared to saline implants because they are more solid and more difficult to squeeze in through a small incision. . Because of this, insertion is usually performed through an incision in the fold under the breast or occasionally through an incision around the areola. Armpit incision is possible but only up to a certain size. The largest cohesive gel implant Dr. Jugenburg would place through an armpit incision would be 450cc.

Cohesive gel implants are more expensive than basic saline implants and this explains the difference in the surgical fee of gel vs saline breast augmentation.

If you are curious about cohesive gel implants and breast augmentation, your next step would be to schedule an appointment with Top Doctor Martin Jugenburg at our downtown Toronto location. During your consultation Dr. Jugenburg will go over the details of breast augmentation surgery with you and also show you actual cohesive gel implants. You will be able hold them and see how they feel, as well as try on different implant sizes and shape to see which one you like best.



To Facelift Or Not To FaceLift?


When frequenting the idea of getting cosmetic surgery, age is usually a factor leading or influencing that decision. What age is the norm for getting a facelift? Is 40 too young? Not to worry, this article will put your mind at ease while we answer the questions for you.

Facelifts have decreased in popularity over the last few years in the US. The reasons behind this are partly due to the common non-surgical procedures like Botox, injectables and microdermabrasion, as well as at-home skin care routines and peels or face masks. These technological advances also give you the look and feel of younger, supple skin without the risks or cost of a larger scale procedure.

Recently, people have also stepped away from the idea of facelifts because of their environmental awareness. The skin damage caused by the over-exposure outside in the sun is now a serious matter, and as a result, sun screen use with higher SPF and less frequent tanning is practiced by many across the world. So because of this avoidance in skin damage, the 40- year olds of today look much younger than they did years ago, and no longer require the need for facelifts. So to come back to our initial question; 40 years old is now considered too young to get the cosmetic surgery.

But, what can a facelift actually do? How does it work? Well, the primary goal of a facelift is to tighten the sagging skin around the face that usually occurs along the jawline, cheeks, jowls and neck areas. It also counteracts signs of aging, like the deep creases around the mouth area, in the neck and displaced facial fat.

Although many people usually associate this cosmetic surgery with the stereotypical  overdone “wind-tunnel” look, the truth is, over the recent years people aim for a subtle youthful lift, something very natural for personal and professional reasons. Facelifts have evolved over the years and have been perfected to choices for “mini” facelifts to full in depth face lifts, which is evidentially, a more thorough procedure.

If you’re considering getting a face lift, make sure that it is the right choice for you, not simply because of your age, but because there are many other alternatives available on the market today to achieve that desirable youthful look. However, if you’re still unsure, Professional Plastic Surgeon Dr. Martin Jugenburg will gladly guide you through a consultation and recommend what is best for you while answering any of your concerns and questions about the surgery.

Top 7 Plastic Surgery Trends You Need To Know




Two In One

The fine line between reconstructive and cosmetic surgery is slowly starting to disappear. People who opt for getting a corrective procedure to fix a bump or undesirable problem also pair it with a cosmetic improvement. Similarly, clients that get a strictly nonessential fix, also want the corrective benefits. I.e. Someone that desires a nose job, may also want to breathe better after the procedure.

Meryl Streep, Hillary Rodham ClintonTake A Selfie

Thanks to the selfie, our appearance matters now more than ever! Social media websites like Facebook engage millions of users everyday. From teens to elders, everyone wants to look their best when they post a new photo. An increase of rhinoplasty, eyelid rejuvenation and neck contouring is expected in 2015 thanks to the social media trend.

Golden Age

Reaching your seventies is the new fifties. With all the active seniors maintaining busy lives, the desire to look youthful is becoming increasingly popular. Women in their 60s and 70s are attracted to the less evasive techniques that plastic surgeons offer. This, along with their healthy lifestyles contribute to minimal risk of complications during their procedures. The maximum age for cosmetic therapy is no longer relevant, as women in their eighties are as safe and successful as their young counterparts.

Bright Eyes

In 2015, luminous and youthful eyes will be extremely popular. With the recent advances in eye rejuvenation treatments, brightening the eyes and fixing eye bags or crepey skin will be in increasing demand. This can be achieved through Blepharoplasty, but requires to be performed in an accredited ambulatory surgery center under local anesthesia. Minimal risks, side effects or recovery time are involved. The procedure can make you look ten years younger without breaking the bank.


A small tweak here and there can make a noticeable difference in your image, self esteem and confidence. Instead of going big, concentrating on minimalism and detailing is becoming quite on trend for 2015. Examples of these types of procedures are earlobe reductions or injecting fillers into the creases of the ears and hollows of the face like the temples, jawline. Others are removing moles or birthmarks, upper lip lifting through incisions under the nostril for discrete placement. Taking smaller steps are easier and will naturally improve your overall look.

Fat Chance

Advances in harvesting techniques towards fat grafting and tissue regeneration are continuously improving and becoming more reliable. The treatment involves transferring the excess fat found from targeted areas on the body such as the thighs, and injecting it into areas that are lacking. The results are extremely natural, successful and last quite a long time. Stem cell research and growth factors found in fat will increase demand for these procedures in 2015.


Individual stand alone procedures will become increasingly merged in 2015. Stacking surgeries will help for all types of cosmetic improvements. Whether it’s fillers paired with neurotoxins that smooth out the skin or laser assisted drug delivery to target a tissue area, these combinations can greatly benefit the individual  treatments.