Breast Augmentation

Why should you consider breast augmentation surgery? The main reason is YOU.

Breast augmentation surgery has been the #1 cosmetic procedure in North America for years. Why? Because it boosts the self-esteem of women of all ages. This includes professional women, homemakers, mothers, and a wide variety of so-called “regular” women – women like you!

Instead of feeling self-conscious about your appearance, book a consultation with renowned cosmetic surgeon Dr. Martin Jugenburg, at the Toronto Cosmetic Surgery Institute. Dr. Jugenburg will guide your efforts to find the ideal you, creating for you breasts that are fuller and more symmetrical, providing you with a natural look that suits you!

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 augmentation will boost self-esteem and body image.

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.

LEARN MORE ABOUT YOUR BREASTS

Types of Implants Available

Many different breast augmentation techniques, 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 Breast Augmentation consultation, we recommend that you prepare photos of cosmetic results in other patients that approximate your personal goals. This will give us 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 about breast augmentation:


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.

Cleavage After Breast Augmentation

Patient often ask what happens to their cleavage during a breast augmentation, and equally of then they ask if it will become more narrow.  The answer is: your cleavage will not change much.  During a breast augmentation, a breast implant should be placed such that it sits behind your nipple.  If you are one of the women who have wide set breasts, your implants will have to be placed wider apart.  This is because a breast implant is meant to enlarge your existing breasts, not to create new ones.  If you were to place them close together (in an attempt to get a tighter cleavage), you will end up with implants that may sit more medially (towards the middle) but your natural breast will then sit on the side and because of the curvature of the implant, your nipples will now be made to look sideways.  Not a pretty result.  That is why we must align your implants with your existing breast tissue during a breast augmentation.

Real Breast Augmentation Results

Look at the image below, and now take a closer look and notice the cleavage did not change much with the breast augmentation, only the breasts became fuller.  The image below, with the medial border of the breasts highlighted, shows what really happened during the breast augmentation.

Breast Augmentation Fees

Implant Type Price
Breast augmentation (anatomic silicone breast implants) $10 800+ (CURRENTLY UNAVAILABLE)
Round Implants (Saline) $7500+
Round Implants (Silicone) $9500+
Fat Transfer $9800+ (+ $2500 when added to a liposuction procedure)
Round Implants (Ideal Implant) $10500+
Breast augmentation and a Lift $12100 – 14100+
Breast augmentation revision (initial surgery done by another surgeon) $10 300 – $15 300+ depending on the type of repair required

Our Approach to Augmentation

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

Full Service 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 breast augmentation 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:

  • Capsular contracture formation (further information is given here)

  • Breast implant infection

  • Implant rupture and deflation

The Current State of Breast Augmentation

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:

  • More than a million times less than established safety limits (based on the results of FDA reviewed studies).

  • 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.

Alternative Procedures

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

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 lose 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 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:

  • Dropping or sagging breasts (where the nipple sits below the breast fold)

  • Nipples and areolas that point downward

  • 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.

Questions about Breast Augmentation

We perform about 400 breast augmentation surgeries a year, and about 200 breast augmentations with breast lift per year.  This ranks Dr. Jugenburg as one of the top 5 Breast Augmentation specialists in the country.

Dr. Jugenburg has performed thousands of procedures during his surgical career.

In addition to cosmetic breast surgery, Dr. Jugenburg’s other passion is reconstructive breast surgery for breast cancer patients, which he continues to perform to this day.

We use both about 50%.

  • We like Saline because when they rupture you know it.
  • However both are good and safe and look the same
  • the difference between silicone and saline is in the feel, not the look
    • despite what you may have read on the Internet) and in most patients who have enough of their own breast tissue to cover the implants, you can’t tell at all who has silicone or saline
  • We love the NEW Ideal Implant because it is a saline based implant that has features of a silicone.  It has the best of both worlds.  It is our favourite!

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. Jugenburg 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.

  • Any re-operation that is required to correct any deviations from the desired goal, capsular contracture or implant malposition immediately after surgery are covered.

  • Implant leak or rupture within the first year of the surgery is fully covered.

  • Implant leak or rupture after 1 year are covered by a lifetime warranty by the implant manufacturer, you will cover the cost of anesthesia.

 

Re-operations which are not covered in the initial fee:

  • changing your implants to a bigger or a smaller size
  • changing the type of implant
  • correcting breast changes related to pregnancy, weight gain or loss.  Please remember your body will continue to change and age after your breast augmentation surgery, and the same applies to your breasts.  Your breast may change shape, volume, and position over time.  Any future ‘touch ups’ to correct these changes are not covered.

  • Over time gravity will displace your implants.  Your breasts fall downward when you stand, and to the side when you’re lying down.  This is normal.

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.

Dr. Jugenburg’s practice is virtually all cosmetic.  He maintains his hospital privileges so that can continue to perform breast reconstruction for cancer patients, one of his passions.

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), Dr. Jugenburg 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

  • Supplements and creams (products that sound too good to be true, usually are)
  • Sleeping position
  • Wearing a bra (or not)
  • Rubbing or squeezing your breasts
  • Sex (or lack of sex)
  • 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:

  • 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.

  • Pregnancy increases breast size only for the duration of the pregnancy and nursing period (if breastfeeding).

  • 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).

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