Augmentation: Treat yourself!

Breast augmentation is one of the most practiced aesthetic surgeries in Canada and in Montreal. There are many reasons why you may choose to get a breast augmentation:

  • Increase the size and appearance of your breasts;
  • Balance the size of your breasts with the rest of your body;
  • Regain volume lost due to a weight loss or a pregnancy;
  • Improve the shape of your breasts if they droop or are no longer firm
  • Correct a difference in volume between your breasts.


Getting ready for a breast augmentation

During the consultation we will examine your breasts in order to determine the size of the implants in accordance with your physiognomy and your needs. In addition, we will discuss the location of the incision (1. Armpit, 2. periareloar, 3. fold under the breast) , the type and shape of the implant used along with its size and the position of the implant (a. under the muscle, b. over the muscle).

Breast augmentation: surgery

This day surgery lasts approximately one hour and it is performed under general anesthesia. After the surgery, a dressing will be placed around the incision. The rest of your breast will remain uncovered so you will able to notice the results immediately.
The use of a bra is at your discretion. Most the patients feel more comfortable using one.

Recovery after a breast augmentation

This surgery causes moderate pain which is easily controlled with the prescribed medication. You can remove the small dressings and take a shower two days after the surgery. The postoperative consultations are normally scheduled one week, three weeks, three months and one year after the surgery. It is recommended to have a follow up consultation every year after the surgery. Intense physical activity must be avoided during the first six weeks after surgery. If your work does not require any physical activity you will be able to return in a few days. After the surgery, your breasts may be swollen for some time. The final result will be achieved two to three months after the surgery.

Possible complications

  • Infection: Very rare. Severe infection can sometimes require removal of the implant. The implant can be replace several months later when the infection is completely resolved.
  • Bleeding: Can sometimes require surgery to remove the blood that accumulates in the breast. This complication can sometimes be due to strenuous exercise short time after surgery.
  • Healing problems: These problems are very rare after breast augmentation. These scars are treated with massage, silicone dressings or cortisone injections.
  • Asymmetry: Some asymmetries present before surgery can sometimes become more obvious after surgery if they are not corrected. During the preoperative consultation, we will discuss the asymmetries and I will advise you on the appropriate measure to correct them.
  • Sensitivity: Some women report that their nipples become oversensitive, less sensitive or insensitive after surgery. You may also notice small areas of numbness around the scars. These symptoms usually disappear gradually but can be permanent in rare cases.
  • Capsular contracture: When a foreign body (pacemakers, joint replacement prosthesis, breast implants) is implanted the body forms a thin capsule around the implant to isolate it. This capsule is usually very thin and not palpable. In some cases the capsule may thicken and become a fibrous shell that cause capsular contracture. This fibrous shell tightens around the implant and sometimes deforms and increase the firmness of the breast. In more severe cases the contracture may result in pain. Surgery to cut or remove the capsule can correct the situation.
  • Implant ruptures: the implant shell may break as a result of trauma or wear and tear. If the implant is filled with saline water it will deflate and the breast will loose volume. Saline will be absorbed by your body. In implants filled with silicone gel, the cohesive silicone can remain in the shell of the implant or go outside the implant in the capsule surrounding the implant. The breast usually does not lose volume and may remain intact or have a thickening of the capsule (capsular contracture). To ensure the integrity of implants, it is important to have an annual follow-up after an augmentation with silicone implants.
  • Folds: All breast implants can form folds in their shell that can be visible through the skin. These folds are more common with saline implants and in very thin patients.

FAQ

  • How much does it cost to get a breast augmentation in Montreal?
    $6,000 for saline implants and $7,000 for silicone implants.
  • What is the fee for a breast augmentation consultation in Montreal?
    $100 for a 45 minutes consultation.
  • Are there any financing plans available for breast augmentation in Montreal?
    Yes. We can refer you to some financial institutions offering interest rates from 9,95% to 25.66% according to your credit rating, including the possibility to break down payments over a period of 6 months to 5 years. Loans are open and payable at any time. Althoughwe do not encourage debt, we recommend this solution instead of the use of credit cards, which generally have higher interest rates.
  • When can I start physical exercise?
    You must wait six weeks before starting any intense physical activity. It is recommended to start with exercises progressively after the surgery.
  • How long does pain last after surgery?
    Tolerance to pain is different in every patient. After approximately five days pain stops, but discomfort or a nagging sensation may remain when in movement. These sensations may linger for a few weeks, especially when doing physical activity.
  • When will I be able to drive again?
    You can drive once you stop taking the prescription drugs and when movement no longer causes any pain.
  • When will I be able to have sexual intercourse after surgery?
    You can restart sexual activity as soon as you feel comfortable. It is recommended to wait for at least two weeks to allow for the healing of the incisions and to avoid the risk of opening the wounds.
  • When will I be able to take a shower?
    Unless otherwise indicated, you will be able to take a shower after the removal of the dressings 2 days after surgery.
  • When will I be able to take a bath, go to a spa or swim?
    With the physician’s authorization, immersion in water is possible three weeks after the surgery.
  • What is the recovery time for these surgeries?
    The pain usually disappear in a week. The swelling lingers more and could take up to two months to disappear.
  • What happens if I have an emergency outside office hours?
    After the surgery we will provide you with emergency numbers.
  • When will the stitches be removed?
    The sutures are melting stitches, so there is no need to have them removed. The small knots on the sides of the scars may take longer to fall. If that is the case, they will be removed in the post operatory consultation 3 weeks after the surgery.
  • When will I be able to use underwire bras?
    You can use them two months after the surgery.
  • Can I still get pregnant after a breast augmentation?
    Yes. Pregnancy is possible and harmless. The breasts will gain volume and the skin will stretch in the same way as pregnant women who don’t have breast prostheses. This volume change may cause tissue loosening and a fall of the breast. Some women, whether carrying prostheses or not, choose to get a breast lift after a pregnancy in order to reposition the nipple and give more firmness to the breast.
  • Can I still breastfeed after a breast augmentation?
    Yes. Breast implants do not change your capacity to breastfeed.
  • What is capsular contracture?
    When a foreign body (cardiac pacemaker, joint replacement prosthesis, breast implant) is placed inside the body a thin capsule is formed around the implant in order to isolate it. This capsule is normally very thin and non-palpable. In some cases this capsule may thicken and become a fibrous shell, which causes capsular contracture. This shell tightens around the implant and may deform it, causing the breast to become harder. In the worst case scenario, the contracture may cause pain. A surgery that cuts or removes the capsule can be performed to correct the situation.
  • What is a breast massage?
    During the consultation three weeks after the surgery, we will provide you with information as to how to perform the massages. It is important to follow the instructions related to these massages.
  • What is silicone?
    Silicone is a product made of silicium, an element which, combined with oxygen, forms the silica found in sand, crystals and quartz.
  • Is silicone used for other products apart from breast implants?
    Silicone is used to manufacture cosmetic products like creams, shampoos and deodorants. Most of the silicone in these products is absorbed by the skin. Silicone is also used to produce canned and prepared foods, baby soothers, bottle nipples and dolls. In these cases, silicone is mostly absorbed by the gastrointestinal tract. Silicone is also used to produce pacemakers and joint replacement prostheses. It is also used as a lubricant for syringes.
  • What is the main difference between the silicone implants used these days and those that were subject to a moratorium in 1992?
    Breast implants used in our days are thicker and have a textured silicon envelope. The thickness of the envelope reduces the risk of silicone leaking through the walls and the textured surface reduces the risk of capsular contracture. The gel inside modern prostheses is cohesive and non-liquid. www.nap.edu/catalog/9618.html.
  • Do breast implants increase the risk of breast cancer?
    Research has clearly proven that women with saline or silicone breast prostheses are not at any greater risk of developing breast cancer. (Institute of Medecine) www.nap.edu/catalog/9618.html.
  • If I carry silicone breast implants, is there any risk of developing autoimmune diseases or connective tissue diseases?
    No. Several studies have shown that there is no link between these diseases and silicone prostheses. (Institute of Medecine) www.nap.edu/catalog/9618.html.
  • Is it dangerous to breastfeed my baby if I carry silicone breast prostheses?
    No. There is no proof showing that the quantity of silicone in the milk or in the blood is higher in patients carrying breast prostheses than in women who don’t have prostheses. It is interesting to note that cow’s milk and infant formulas contain higher silicium (main element of the silicon) quantities than the milk of those women who carry breast prostheses..(Institute of Medecine) www.nap.edu/catalog/9618.html
  • Can I still have a mammography after a breast augmentation?
    Yes. However it is important to mention this fact to the technician performing it. When asking for an appointment at the clinic you must ensure that they are familiar with the techniques necessary for imaging patient with implants.
  • Are breast implants covered with a warranty?
    The company called Natrelle offers a warranty in case of implant rupture. This warranty is offered at no charge and includes the replacement of the ruptured prosthesis as well as a financial aid of $1,200 to cover operating room expenses. The company also offers the possibility of enrolling to the Premier insurance for a $100 fee. This insurance also offers the replacement of the contralateral prosthesis as well as a financial aid of $2,400 to cover operating room expenses. For more information, please visit this link: www.CPPwarranty.com
  • Are there any additional resources regarding security on breast implants?
    Breast prostheses are the most studied implants. You can find more information in the following websites:

Before & After

Those pictures will highlight the differences before and after the procedure.

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