Always be a first-rate version of yourself, instead of a second-rate version of somebody else. - Judy Garland
You find that the size of your breasts contributes greatly to your overall body profile, which is why you're unhappy about how you look. You find that your breasts aren't as large as you'd like them to be. This has negatively affected how you view yourself.
You're tired of wearing heavily padded bras to fill out your clothes and want to do something about it. Breast augmentation gives you the ability to achieve a more proportionate body contour. The procedure, also known as breast enhancement and augmentation mammoplasty, increases the size of your breasts with implants.
Unique point: aiming for proportional beauty from a female perspective
As a woman, I develop a kinship with my patients because I can understand where they're coming from. I understand what they want to achieve from surgery. After all, how men perceive women and how women perceive themselves is different. For example, a man may prefer the obviously enhanced look, breasts that are characterized by being overly round, high and protruding.
My patients have repeatedly expressed that they want results that look natural, and as woman, I know what this means. When it comes to breast augmentation, "natural" means that your results make not just your breasts look better, but also you, as a whole.
During the pre-surgery planning phase, I'll measure your breast and chest wall dimensions as well as look at your body profile to see the width of your hips, waist, thighs, and projection of your buttocks to better determine a breast implant shape and size that will give you the most complementary results. That way, your breasts won't look too big or too small on your body; they'll look just right from your point of view.
Unique point: all-female medical team
Some patients feel uncomfortable about showing their body to man, even if they're a medical professional. I don't want you to feel uncomfortable. For this reason, I offer you the option of having an all-female medical team so no man will ever see you.
Unique point: results that last longer
I believe that your breast augmentation should achieve results that you'll be happy with for a long time, or better yet, a lifetime! For this reason, I've refined my surgical techniques to make your experience safer. My techniques minimize any long term complications that are associated with implants. Proper implant selection is imperative.
Picking the right breast implant size
You may want larger implants, but consider the long term effects. First is sagging. The skin naturally thins with the aging process. Larger implants accelerate this which leads to a faster rate of sagging. I've seen many patients who had to undergo a lift or implant replacement to a smaller size just a few years after their initial breast augmentation. Downsizing breast implants is one of the most common reasons that patients undergo a second breast augmentation surgery. So, why not just get it right the first time?
Second is the incidence of stretchmarks (Striae Distensae). While smoking and a younger age are also factors that contribute to the development of stretchmarks, a larger implant size is also a primary risk factor, according to a 2014 study.
Picking the right breast implant profile
Breast implants are available in a range of profiles. Profile refers to how tall an implant is, based on the width of its base. It is also known as projection. Your implant should be suitable for your body. One that is too wide can increase your risk of nerve damage and pain.
Picking the right breast implant shape
Breast implants come in a round or teardrop shape. Round implants tend to be more common, however the right one for you will be selected based on your unique body measurements.
What will happen during your surgery
General anesthesia is administered.
These are some specific details that can contribute to how long your surgery will take:
- saline or silicone breast implants: saline implants may take a little longer because they'll need to be filled once they've been placed.
- incision placement: this can be around the border of the areola or within the natural breast fold. Transaxillary placement (incision located in the armpit fold) has been found to increase the risk of capsular contracture, according to a study published in the Aesthetic Surgery Journal.
- subglandular or submuscular placement: subglandular placement involves placing the breast implants underneath the glandular (breast) tissue and over the pectoral (chest) muscle.
Submuscular placement involves positioning breast implants underneath the chest muscle (may be a better option if you have thin skin or little body fat).
Generally speaking, however, the surgery follows these steps: An incision is made in the desired location. Then, the breast implants are placed into an implant pocket. Any incisions made in the breast tissue are closed with layered stitches. Then, the incisions on the skin are closed with stitches, surgical tape or skin adhesive before dressing the treated area with bandages. A surgical bra over the bandages is also placed.
I don't believe that breast augmentation is for younger women who want an improvement short-term. The procedure should achieve results that last as long as possible, or even a lifetime. – Dr. Leila Kasrai
Recovering from your surgery
- One week off and limitations on activity
- Feelings of discomfort, numbness and "tingling"
- Instructions on scar care
- See your results in four months or so, and final results in six
Once the effects of the anesthesia have subsided, you are released into the care of someone you've authorized to help you. You'll also need someone to stay with you the first night following the procedure.
You should arrange to take about one week off from work or your usual routine.
The most intense period of recovery occurs in the initial three to five days following your surgery. During this initial recovery period, you should get plenty of rest. Make sure to abstain from any rigorous activity, including heavy lifting or making sudden, jerking movements with your arms. But make sure you don't just lie in bed all day, either. Walk around the house periodically to help decrease the risk of developing blood clots.
You may notice some bruising, swelling, tenderness and numbness. You may also feel some pain. Your entire breast may be affected, or just the nipple and areola area. These are common symptoms that should diminish over time. You can take oral pain medication as directed to relieve any postoperative discomfort. Some tingling may also felt, which is caused by nerve regeneration. This tingling sensation feels somewhat the same as when your foot falls asleep.
You can resume your normal activities, including your exercise routine, gradually. I will let you know when it is okay to do so because it depends on your rate of healing. Most patients return to exercise usually in a month or two after their surgery. Make sure to wear your surgical bra as advised. It is extremely important that you wear a good sports bra to provide the support your breasts need as you heal.
Note that the required incisions will result in scarring. However, I take meticulous care to position the incisions in areas of your body that help to conceal any scars. Furthermore, with proper care (no sun exposure!), scars will fade from their initial pink color to the color of your skin. With proper healing, your scars will be almost invisible to other people.
You’ll love your results
You'll have more voluptuous yet natural-looking breasts — without padded bras! It can be quite amazing to see how much more confidence my patients have after their surgery. You may feel like you no longer have a boyish body, and love your new found femininity.
Frequently asked questions about breast augmentation
What is breast augmentation?
This procedure, also known as augmentation mammaplasty, augmentation mammoplasty, breast enhancement and breast enlargement, is for patients who want to have larger breasts. A minor lift may also be achieved for patients with mild to moderate ptosis (sagging). Volume is added with a breast implant prosthesis. The prosthesis is a silicone shell that is filled with saline or cohesive silicone gel.
Am I a candidate?
Like other cosmetic surgical procedures, you should be in good health and have realistic expectations before considering breast augmentation.
I just had a baby. Can I get breast implants?
Your body needs some time to revert back to how you were before getting pregnant. If you've just had a baby or are breastfeeding, you should wait at least six months after either situation before considering surgery.
Which is right for me: saline or silicone?
Both implant types can create a beautiful result.
Pros for saline breast implants:
- The implant shells are placed in the body first, then they're filled with saline afterward. As a result, a shorter incision is required.
- Saline implant ruptures are generally more easily detected because deflation occurs at a faster rate.
Pros for silicone breast implants:
- Current silicone models tend to achieve a more natural feeling and looking breast. This is because they tend to resemble natural breast tissue better.
- Allergan offers a cohesive gel implant that provides a subtle lift for mildly to moderately sagging breasts, making a breast lift unnecessary.
What size should I choose?
A sizing session can be done to help you figure out what implant size would be best for you. This involves trying on different implant sizers. Sizers are just samples of real breast implants that you can place inside your bra. This helps you get a general idea of what range would be right for you. I'll also help you by suggesting a range as well, considering your body measurements and expressed goals.
Is there a way to get bigger breasts without surgery?
There is no FDA or Health Canada approved method of increasing breast size without surgery. Although there may be many products on the market that claim to do this, in the form of pills, creams and devices, none have been scientifically proven or approved by either governing medical body. The most effective non-surgical method of enhancing breast size is to simply stuff your bra!
Can I get another procedure done at the same time?
It is common for other procedures to be performed at the same time as breast augmentation. For example, a tummy tuck and breast lift may be done simultaneously as part of a mommy makeover. I'll assess your health and determine whether this can be done safely for you.
Is it painful?
After your surgery, discomfort and pain may be experienced. However, my patients are usually able to cope with these side effects well. Pain medication can be prescribed to help you. It can take a few weeks for all discomfort to disappear. To help with your recovery and minimize discomfort, please follow the care instructions I'll give you before and after your surgery.
When can I start working out again?
You can start doing lower body exercises a couple weeks after your surgery. Please refrain from upper body exercises, like push ups and bicep curls, for at least a month or two. I'll let you know when you can start working out again when you meet with me for a post-op appointment.
Does submuscular placement make me weaker?
Some women, particularly those who strength train regularly, express concern about how submuscular breast implant placement affects their strength. Some doctors believe that muscle development can be adversely affected, however I haven't found this to be true in my patients. You should be able to still maintain and improve your strength regardless of implant position. It is extremely important, though, that you wait to start exercising again until you're healed from surgery.
However, if you are a fitness model or bodybuilder who is considered about your appearance, you should know that flexing can sometimes distort the breast implant, making it look unnatural. For this reason, subglandular placement may be better for you.
Although surgical complications are generally uncommon, there are certain risks associated with any surgery. I take every precaution to minimize any surgical risks.
- Seroma and hematoma
- Excessive swelling, bruising and bleeding
- Permanent changes in sensation
- Capsular contracture
- Wound healing complications
Be sure to follow all of the instructions I give you, both before and after surgery. This will help further minimize the risks associated with your breast enhancement.