Breast Augmentation

We all want to feel good about ourselves - to feel attractive, sexy, and able to express ourselves in any way we choose.

Whatever the breast enhancement, at the Toronto Cosmetic Surgery Institute, Dr. Jugenburg will add size, curvature and symmetry to meticulously shape your breasts to the beautiful form you have always desired.

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What Is Breast Augmentation Surgery?

While there is much variation in breast shape and size, both between different ethnicities and different individuals, the constant focus in the media on models with figures that have become perceived as perfect and normal, has led many women to feel very self conscious about the appearance of their bodies. Research has shown that breast implants will boost self-esteem and body image, and as a result, sexual satisfaction with a partner.

Breast Augmentation surgery, also known as Augmentation Mammoplasty, is the surgical placement of breast implants under a woman's breasts. It will balance out your proportions, enhance your femininity, and allow you to confidently wear figure-hugging tops and dresses with plunging necklines.

Before and after

Before Before
After After
Before Before
After After
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Common reasons for Breast Augmentation are:

  • Increase fullness and projection of the breasts.
  • Enlarge a naturally small breast, most commonly the result of heredity.
  • Restore breast volume and/or shape lost following pregnancy, breastfeeding and/or weight loss.
  • Improve moderate asymmetry of the breasts.
  • Reconstruction after surgery to treat breast cancer (Mastectomy)

The art of achieving a breast enhancement based on the individual needs of each patient requires the expertise of an experienced and skilled surgeon. If any of the above concerns affect you, you may be an ideal candidate for surgery at the Toronto Cosmetic Surgery Institute.Having performed thousands of breast implant surgeries, Dr. Jugenburgis a highly experienced and compassionate Cosmetic Breast Surgeon with the surgical skill and cosmetic artistry to leave you a woman rejuvenated.

Understanding Your Breasts

A natural breast in women is composed of three main components that sit
above the chest wall: skin, fat, and glandular breast tissue
(milk ducts and milk-producing glands).

  • Women have various amounts of harder glandular tissue in the breasts, which may not develop proportionally with the rest of the body. Breast implants can be used to add volume to the breasts, but cannot reshape the glandular tissue.
  • Fat represents the majority of volume in most breasts and is responsible for their soft and pliable feel. Gaining weight will increase your breast size, but will also increase your overall body size. Breast fat is easily reshaped by the addition of a breast implant.
  • Skin is the envelope that holds it all together. In women with minimal breast tissue (small breasts), the skin will need to stretch more to accommodate a breast implant.

Who is an Ideal Candidate for
Breast Augmentation?

The best candidates are women who have all the information, fully understand what the surgery involves and its limitations, and who have a realistic expectation. Besides fundamentally improving confidence, self-esteem and body image, common reasons for Breast Augmentation are:

  • Small breasts
  • Asymmetrical breasts
  • Drooping or sagging breasts after pregnancy
    and breastfeeding
  • Changes in breast size or shape due to weight loss
  • Reconstruction after surgery to treat breast cancer
    (Mastectomy)

Aesthetic Benefits of Breast Augmentation

The benefits of surgery at the Toronto Cosmetic Surgery Institute
may include:

  1. Additional volume to the lower half of the breast with a gentle upward curve towards the chest wall (the Natural Look)
  2. A more bubbly, rounded (or push-up) look (the Fake Look)
  3. Proper projection: on profile, the nipple sits directly behind the part of the breast that projects the fullest
  4. The nipple is located above the breast fold (if the nipple sits below the breast fold, that by definition is a drooping breast)
  5. Breast size is proportionate to chest width, waist size and height
  6. Breast are more symmetric

Limitations of surgery:

  1. Breast implants cannot lift the breasts; when a breast hangs low, a Breast Lift (Mastopexy) procedure may be required as part of, or in addition to, an augmentation
  2. Implant edges and implant awareness may be more pronounced in thinner patients with minimal existing breast tissue

Your Breast Augmentation Consultation

The decision to have Breast Augmentation is a major step for most women and extremely personal. Dr. Jugenburg therefore always guides and supports his prospective patients through every stage of this process. During an initial consultation at our clinic, you will discuss your reasons for wanting Breast Augmentation and will undergo a thorough medical check-up. If found to be a suitable candidate for surgery,

Dr. Jugenburg will discuss with you all the possibilities that are appropriate for your body, and determine what is the best implant approach for your breasts and personal goals. You will also have the opportunity to examine and try-on various implant sizers (or samples), browse through photos of breast enlargement results in previous patients, view our state-of-the-art facilities, and meet with our team of friendly and experienced staff.

Breast Implant Choices

Many different technique, many options. One is right for you.

At the Toronto Cosmetic Surgery Institute a number of factors, such as breast implant size, shape, composition and placement will be carefully chosen to create the perfect breast size and shape for your body type. Prior to your consultation, we recommend that you prepare photos of cosmetic results in other patients that approximate your personal goals. This will give Dr. Jugenburg a better understanding of exactly what sort of breast enhancement you are looking for. For this purpose, there are numerous websites that show Before and After photos of Breast Augmentation patients.

Key points to remember:
  • 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 is surgery to insert implants beneath the breasts to enlarge them.
  • The implant type and size depends on how much bigger you want your breasts to become and on your breast anatomy, skin elasticity and body type.
  • Breast implant augmentation is not guaranteed to last a lifetime and future surgery may be required to replace one or both implants.
  • Dr. Jugenburg will discuss with you the risks and benefits of breast implants and what results you can expect.

Implant Content

  • Saline implants

    are filled with a sterile saltwater (saline) solution that is similar to the fluid that naturally exists in the human body. Should a saline implant rupture or leak, the saline solution would be absorbed by your body and cause no ill effects. Click here to learn more about Saline implants.

  • Silicone implants

    are approved by Health Canada. Silicone implants are filled with a cohesive silicone gel that holds uniformly together and is available in different densities. A silicone implant has a more natural, pliable quality that more closely resembles natural breast tissue than saline. Click here to learn more about Silicone implants.

Profile

The profile of a breast implant refers to how much the implant protrudes forward from your chest wall.

A low profile implant is very flat, while a higher profile implant will protrude forward (stick out) from your body and create a more prominent breast.

While some patients prefer the bubbly appearance of high profile implants, those wishing for a more natural look should choose a medium profile implant.

Low Profile

Medium Profile

High Profile

Learn more about: Breast Implant Profiles

Size

Choosing the right size breast implant will probably be the most important and difficult decision you will need to make prior to surgery.

During your consultation, Dr. Jugenburg will determine and recommend the right implant to fit your existing proportions, a method known as Dimensional Breast Augmentation; you might instead decide to choose a size that goes beyond what has been suggested.

Dr. Jugenburg will also evaluate your existing breast tissue to determine if you have sufficient tissue to cover and hide your chosen implant size.

If the size you have chosen is too big, the implant edges may become visible following your surgery.

200cc 300cc

400cc 500cc

Shape

Breast implants can be Round or Shaped (also known as Anatomic, Teardrop or Contoured implants).

Although Shaped implants provide a more natural, teardrop shape to the breasts, most women prefer the upper fullness (upper pole) provided by Round implants.

Round implants

Shaped implants (Anatomic)

Placement

Breast implants can be placed over the chest muscle (sub-glandular) or under the chest muscle (sub-muscular).

The position of the implant above or below the muscle will influence the final appearance of your breast enhancement.Going over the muscle is less painful and has a quicker recovery, but is associated with a slightly greater risk of Capsular Contracture and increased implant visibility.

Going under the muscle has the added benefit of giving a more natural look, particularly in thinner patients with small breasts.

Sub-GlandularSub-Muscular
More rounded, bubbly lookMore natural look
Surgery and recovery are shorterSurgery and recovery may be longer
Recovery is less painfulRecovery is more painful
More visible and palpable implantsImplants are less visible and palpable
More difficult mammogramsMammograms are easier
Not recommended in thin patientsPreferable in thin patients

The Royal Treatment - Our Unique Approach

Finding the right surgeon and choosing the best implants for your body are the core choices when it comes to Breast Augmentation surgery.

At the Toronto Cosmetic Surgery Institute, our unique approach to Breast Augmentation will ensure that your whole experience, from the moment of your first consultation with Dr. Jugenburg, right through to your full recovery after surgery, is as positive and comfortable as it can be. Individualized planning, meticulous surgical technique, careful monitoring and post-surgical care all combine to ensure that we offer you the best possible long-term results for your breast enhancement.

Breast Augmentation Safety

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:

  1. Capsular contracture formation (further information is given here)
  2. Breast implant infection
  3. Implant rupture and deflation

Most patients at the Toronto Cosmetic Surgery Institute 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:

  1. More than a million times less than established safety limits (based on the results of FDA reviewed studies).
  2. More than a hundred times less than the amount of silicone absorbed from daily exposure to common consumer products containing silicone, such as antiperspirants, skin lotions and hair care products.

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 Dr. Jugenburg

Alternatives to Breast Implant Augmentation

Alternatives to breast implant augmentation may include:

  • Fat transfer Breast Augmentation
    (further information is given here).
  • Breast Lift surgery (Mastopexy).
  • Flap reconstruction after breast cancer surgery (Mastectomy) - this involves surgery to create a breast from skin and tissue taken from elsewhere on the body.
  • Wearing padded bras.
  • Accepting yourself - talking to a counselor or psychologist may help you overcome your concerns about your appearance and accept yourself as you are.

Augmentation Mastopexy

Over time, breasts loose their youthful perkiness, elasticity and fullness, leaving many women 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 lift?

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:

  1. Dropping or sagging breasts (where the nipple sits below the breast fold)
  2. Nipples and areolas that point downward
  3. Asymmetrical breasts (where one breast is positioned lower than the other)

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 Dr. Jugenburg, scarring is minimal.

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Breast Augmentation General FAQ

The following questions and answers will give you an insight into the most common concerns among prospective Breast Augmentation patients. Since there are a number of decisions that you will need to make regarding your surgery, and a variety of methods that can be used, we have also provided extensive further information on all aspects of Breast Augmentation, which can be found by following the appropriate links. If you have a question that is not answered, please contact us. For the safest, most aesthetically pleasing results, cosmetic surgery treatments must be tailored specifically to each individual patient. To receive personalized advice for your body, please schedule a consultation with Dr. Jugenburg.

  • Your breast size is controlled by genetics and the pituitary gland in your brain. The following are NOT alternative to Breast

    1. Supplements and creams (products that sound too good to be true, usually are)
    2. Sleeping position
    3. Wearing a bra (or not)
    4. Rubbing or squeezing your breasts
    5. Sex (or lack of sex)
    6. Pumps and machines

    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:

    1. When taking the birth control pill, some women's breasts will become enlarged, while other women's breasts will not. Such a change is unpredictable and is considered a side effect of hormonal fluctuations.
    2. Pregnancy increases breast size only for the duration of the pregnancy and nursing period (if breastfeeding).
    3. There is no known way to use weight gain to only increase the size of your breasts (i.e., without also increasing your overall body size).

    How do I know if I will be a good candidate for Breast Augmentation?

  • Breast implants are appropriate for use in women over the age of 18 years-old, or after your breasts have stopped growing. However, maturity levels also make a difference in whether someone is a good candidate for Breast Augmentation or not. Younger women must be aware that the decision to have a breast enlargement is a major decision and a long-term commitment, and that augmented breasts may still change unfavorably as a result of weight fluctuations and pregnancy.

  • You are never too old for a breast enhancement. Age is not a deciding factor, your overall health is. Any woman, regardless of her age, is a good candidate for a Breast Augmentation providing she is healthy, in good physical shape, and understands the long-term commitment and risks associated with a breast implant procedure.

  • Most women are very happy after their Breast Augmentation at the Toronto Cosmetic Surgery Institute.  In fact a review of breast augmentation patients showed that 98% are happy or very happy with their results and would recommend this surgery to their friends.! They feel better about their proportions and curves, and fit and look better in clothes.They feel more feminine, sexy and have more self-confidence even in the most intimate of situations.They finally have the beautiful breasts they have always desired in terms of size, shape and look.

  • No. Breast implants will not prevent you from breastfeeding. However, many women who seek Breast Augmentation have little natural glandular breast tissue and may not be able to produce enough milk to breastfeed; this is not related to the augmentation surgery or the presence of breast implants. Please refer here for further information.

  • During pregnancy, a woman’s breasts will develop and enlarge in preparation for breastfeeding. After pregnancy and breastfeeding, your breasts will either revert to their pre-pregnancy state or possibly leave you with a deflated and sagging appearance. It normally takes about 3 months for these changes to happen, and you should wait until your breasts have stabilized (until they are not changing any longer) before planning your surgery. If you were to otherwise have your breast surgery earlier, it would be difficult to control the final result as your breasts would still be changing and may then require revision surgery at a later date. It is also important that at the time of your surgery your breasts are free from milk. If you are still able to squeeze milk out through your nipples, you are not yet ready for implants. Presence of milk increases the risk of infection and Capsular Contracture.

  • Pregnancy after having Breast Augmentation is quite common. During pregnancy, your breasts will undergo all the normal changes associated with pregnancy regardless of whether or not you have breast implants. However, some women seek additional surgery after a pregnancy that has left them with breasts that are deflated and sagging. Postpartum women (women who are finished with pregnancies) will no longer experience such breast changes, especially if they keep their weight under control, and are ideal candidates for a first Breast Augmentation.

  • Women who are 40 years-old or above, or those with a strong family history of breast cancer, should be screened. It is important to determine that the breasts are free from any disease prior to cosmetic breast surgery.Dr. Jugenburg will assess you during your consultation and determine what investigations are required prior to your surgery. If you have any concerns regarding breast cancer (such as a strong family history of breast cancer or lumps in your breasts), please make sure to mention these during your consultation.

  • The current recommendations for having mammogram screening are no different for women with breast implants than for those without. However, it is essential that you tell your radiologist before the procedure that you have an implant. The radiologist will need to use special techniques to reduce the possibility of your implants rupturing and to get the best possible views of the breast tissue. For further information, please refer here.

  • No. There is no medical evidence to indicate that women who have breast implants are at a greater risk than those without.

  • Health Canada has approved silicone breast implants for Breast Augmentation that are manufactured by three two companies: Allergan and Mentor. An extensive review by the Institute of Medicine in the United States concluded that: "There is no evidence that silicone implants are responsible for any major diseases of the whole body. Women are exposed to silicone constantly in their daily lives.”Silicone is commonly found in hair conditioners, shampoos and styling products, and as coatings on pharmaceuticals pills.

  • Breast implants require proper long-term care to ensure maximum lifetime. Please refer here, for further information on post-operative care, and here for breast implant risks and long-term care.

  • Breast implants are not guaranteed to last a lifetime. Their lifespan varies among patients, and can be expected to last 15 – 25 years. Sometimes, however, a replacement is prompted earlier for various reasons, such as a desired size or style change, or a very rare implant rupture or deflation.

  • Yes, improvements to breast asymmetry are always sort during Breast Augmentation, but can never be achieved and nor is it naturally present in any woman; no one has perfect symmetry. In more pronounced cases of breast volume and shape asymmetry, Dr. Jugenburg can modify the chosen implant profile and/or size in one or both breasts to adjust for this asymmetry. A small breast lift may also be required in one or both breasts to improve the positioning of the two breasts.

  • You should be close to your ideal weight prior to surgery. Fluctuations in your weight can result in unpredictable changes in the appearance of your breasts, which may impact unfavorably on the outcome of your breast enlargement.

  • While smoking causes lung cancer, it can also lead to various other adverse events during and after surgery. The many toxins in cigarettes will interfere with the healing of your wound sand increase your risk of infection, for example.

  • Most women experience some decrease in nipple sensation initially after surgery, but this normally resolves after a few weeks or months. In some women, however, a very rare effect is either hypersensitivity or decreased sensation that lasts for a long time, or even permanently.

  • Stretchmarks are the result of a weak inner layer of skin. Some women are genetically predisposed to stretchmarks. Although much less common in the breasts than in the abdomen, they can still appear regardless of the implant size. In general, however, stretchmarks are rare and very few patients at the Toronto Cosmetic Surgery Institute develop them.

  • If performed by an experienced, skilled and certified Plastic Surgeon (in Canada), such as Dr. Jugenburg, most women are very happy after their first breast implant surgery.Although we try to help patients who had bad results from previous surgery, we are very clear up front: revision surgery is complicated, may require several touch-ups or revisions, and the end result will not be perfect. There is always risk the procedure may fail and you are not better off than when we met you. Of course, there is also the very small risk that you may come out worse than you are. If you wish to come in and be assessed by Dr. Jugenburg regarding revision surgery, it is essential that you bring with you all the available information (your previous OR report, information about your existing implants, and pictures of you taken prior to your very first surgery and any subsequent procedure).

  • Dr. Jugenburg will guide and advice you to ensure that you have all the necessary information to make a careful decision on which implant type will provide you with the best cosmetic results. During your consultation, Dr. Jugenburg will examine any asymmetries or limitations of your existing breast anatomy, and discuss with you your desires,goals and options. You will try-on various implant sizers, view a 3D simulation of how your breasts may look after surgery, and view our extensive gallery of Before and After photos in previous patients. While the results achieved by one patient will not necessarily reflect those of another, after the consultation process you should have a good idea of whether the appearance of your breasts after surgery will meet your goals.

  • Whether or not you also require a Breast Lift will be discussed with you at your consultation. This will depend on the elasticity of your skin, the extent of sagging and excess skin, the position of the nipples, and the presence of asymmetry between the breasts. The lower the nipple, or the greater the asymmetry, the more likely you will require a lift in one or both breasts. If your nipples are positioned symmetrically in the middle of both breasts, it is unlikely you will require a lift.

  • If you are very slim and have insufficient skin (or skin elasticity) and fat in your breasts to adequately hide your implants, but you can still have beautiful results from breast implant augmentation. In such cases, an implant placement below the chest muscle is preferred, as the compression and contours of the muscle will better disguise the implant and creates a more natural look.

  • No breast implant feels entirely natural. Every woman knows every part of her body and you will always be able to feel your implants. If you choose implants that are appropriate for your body, over time they will become a seamless part of you. A degree of natural rippling/wrinkling on an implants surface is relatively common and can be felt, particularly when a woman leans forwards; however, this effect is similar to the folding of natural tissue in larger breasts (without implants) and is more pronounced in saline implants. Women with small breasts, in whom the skin and fat is stretched more to cover their implants, will likely remain more aware of the implant edges. In such women, the implants will also feel firmer and more fixed than in women who had natural breasts of a C cup size or above.

  • According to the two main FDA-approved manufacturers of breast implants, Allergan and Mentor, breast implants have no expiration date and have no definite lifespan. If you have no problems with your implants, there is no need for a replacement no matter how much time has past, whether it is 5, 10 or more years. However, Breast Augmentation results are not permanent.Over time, your breasts can change due to affects of gravity, aging, weight fluctuations, pregnancy and breastfeeding. If, after a period of years, you become dissatisfied with the appearance of your breasts, you may choose to undergo a Breast Lift or Implant Exchange to restore a more youthful contour.

     

    For further information on the long-term care of breast implants, please refer here.

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