At Rice Cosmetic Surgery, we understand that deciding to undergo breast augmentation and choosing a breast implant is a difficult decision. Most research suggests that women think about breast augmentation for many years before actually having the surgery performed. It is not uncommon that women will visit many cosmetic surgeons for a breast enlargement consultation in Toronto. At our office, we understand this and encourage it. Remember this is your body and you need to feel comfortable in your choice of plastic surgeon and your breast implant.
Saline implants are a silicone elastomer shell that is filled with a saltwater solution known as saline. This is the same solution that patients get when having an IV. Saline implants come deflated and are filled with the saline once inserted into the breast. Saline implants have a slightly higher tendency to ripple than cohesive gel implants and therefore need to be placed under the muscle more often. Saline implants tend to provide a more rounded appearance to the breast.
Cohesive Gel Implants
A cohesive gel breast implant is a silicone shell filled with a silicone gel inside. These implants, which have been available for breast augmentation since the year 2000, differ greatly from the previous generation of silicone implants. To understand the consistency of a cohesive gel implant, many patients are told to bite into a gummy bear candy and look inside. For this reason, many patients ask their doctors for “gummy bear” implants rather than referring to them as cohesive gel implants. These implants are widely recognized for their ability to closely mimic the soft, supple appearance and feel of natural female breasts. A cohesive gel implant is filled with a thicker substance than liquid silicone and does not leak if the implant shell holding it inside the breast is ruptured. Cohesive gel implants come in two shapes, an anatomical and a round shape. The beauty of the anatomical cohesive gel implants is that they come in a variety of heights, widths, and projections, while with a round implant you can only alter the width and projection. It should be noted that anatomical cohesive gel implants are best for women seeking natural-looking breasts that are roughly proportionate to their body structures. Anatomical cohesive gel implants are not recommended for women who are seeking overly large breast enhancement. Rice Cosmetic Surgery is able to recommend an implant that is closest to the natural shape of your breasts, allowing for a more natural looking breast. We offer both round and anatomical cohesive gel implants.
Round Versus Anatomical
Breast Implant Shapes
Breast implants are available in both round and contoured shapes. The most common type of implant is the round one. Contoured implants provide for teardrop shaped breasts and can offer various amounts of projection. In general, women with narrow chest walls require implants that offer greater projection. During the consultations, Dr. S. Rice takes the time to understand the reasons the patient has opted for breast augmentation as well as the size and breast shape she wants. Dr. S. Rice then suggests the appropriate implant shape to provide the patient with the results she desires. Dr. S. Rice understands that when it comes to breast augmentation, each patient has her own reasons and expected results, and works to ensure that the patient gets the breasts that she wants.
Breast Implant Sizes
Size is, of course, a major consideration when it comes to breast augmentation. By and large, the objective of breast implants is to achieve a fuller bust that is also in proportion to the overall physique. In general, an increase of up to two cup sizes is the norm, but the specifics vary from case to case. The size of the implants and the effect that they will achieve is part of the detailed consultations and discussions that Dr. S. Rice has with all Toronto breast implant patients. Dr. S. Rice’s objective is to provide patients with the breast implants they need to increase their self-confidence, feeling of self-worth and to enable them to live fuller lives.
Before & After Photos
BeforeAnatomical Cohesive GelAfter
BeforeBreast Augmentation Round Cohesive GelAfter
Before Breast Augmentation Round Cohesive GelAfter
Breast enlargement, also called breast augmentation, is a surgical procedure designed to increase the size of the breasts. In breast enlargement surgery, breast implants filled with silicone cohesive gel or saline are placed under the skin of the chest. The breast implant is placed either in front of or behind the pectoral muscle, making the breasts fuller. After making incisions in the skin, typically in the arm pit (trans axillary) or the breast itself — either around the pink area surrounding the nipple (peri areolar) or in the natural crease under the breast (infra mammary fold), Toronto plastic surgeon Dr. Rice inserts the breast implants and moves them into aesthetically pleasing positions. Breast enlargement can be combined with abreast lift procedure to firm up and lift sagging breasts more dramatically.
Next to choosing a size of breast implant I believe the next decision that women struggle with is which incision do I chose to insert the breast implant. The three most common incisions to insert the breast implant in Toronto are: thru the natural crease under the breast ( infra mammary fold or IMF); thru the areola or the pink area around the nipple ( peri areolar ) or thru the armpit ( trans axillary). What we have found is that most women base their decision on what there girlfriend had or what they believe to be the best incision to hide the scar. Generally all incisions are about the same size – somewhere around 4 cm , so the goal is where can YOU hide that scar the best . Dr Rice and his staff will guide you thru the PRO and CONS of each incision as it applies to you specifically, remember your breasts are never the same as your girlfriends or a picture you saw on the internet, so what works well for them may not work well for you. Remember this is surgery and there will be a scar afterwards, and all women scar differently.
Breast augmentation in Toronto thru the infra mammary fold (IMF) or crease under the breasts
The natural crease under a women’s breast is known as the infra mammary fold. This incision is generally the most popular incision to use when inserting a breast implant. The resultant scar is generally hidden under the breast. For women choosing an anatomical or tear drop shaped breast implant this is generally the only incision you can use, as it is the only incision that the surgeon can assure that the breast implant is straight. The infra mammary fold incision is generally the incision with the least complications.
Breast augmentation in Toronto using the peri areolar or around the nipple approach
The areola is the darkened circle that surrounds the nipple. If you think of the areola as a clock this incision goes along the bottom of the circle from the 3 o’clock to the 9 o’clock position. The first thing to realize is that your areola must be large enough to accommodate the implant, so for women with very small areola this incision may not work. In order to place the implant either above or below the muscle the dissection must go thru the centre part of the breast, this is generally where the milk ducts and nerve endings to the nipple are found. For younger women who have not breast fed yet , they need to realize that this approach may interfere with breast feeding in the future.
Breast augmentation in Toronto using the trans axillary or thru the armpit approach
Using the trans axillary approach the incision is not on the breast but rather thru the armpit. Generally a round implant is needed using this approach. It can be difficult to insert a cohesive gel or gummy bear implant thru this incision and is usually best for a saline implant. Even though there is no scar on the breast there will be a scar in the armpit and this may be an issue when wearing certain types of clothing that expose the armpit.
Recovery from breast augmentation is quite variable between individuals, some people react to surgery better than others. You need to remember that the recovery phase is just a crucial as the surgery itself and trying to speed up your recovery may lead to negative aesthetic results. Generally you want to take it easy for the first few days, nothing that is going to raise your blood pressure too high and cause bleeding or an incision to open. There is a slight difference in the recovery phase depending on whether the implant is placed above or below the muscle, with below the muscle a little more uncomfortable post operatively. Generally most people are back to life like normal within one to two weeks after surgery. The time it will take to recover from breast augmentation surgery depends on several factors, including the type of procedure used to place the breast implants, the overall physical condition of the patient, and other factors. However, you can expect to return to work and most daily activities within a week of the surgery, while exercise and other vigorous physical activities can typically be resumed after two to four weeks.
When properly performed by a qualified cosmetic surgeon, breast enlargement surgery does not affect your ability to breastfeed. Toronto-area breast enlargement surgeon Dr. Sean Brian Rice takes great care to ensure that breastfeeding is not hindered by surgery.
As with all surgeries, breast augmentation enlargement surgery may result in some side effects. Infection, bleeding, numbness of the nipples, and shifting, hardening, or rupture of the implant may occur, although the vast majority of breast enlargement surgeries performed are successful, without any complications or side effects. Breast augmentation surgery does have risks. Common to any surgery is the risk of infection, and bleeding after surgery. Specific to breast augmentation there is a risk of losing sensation to the nipples or small areas of the breast. For those women who have not breast fed there may be a risk of interfering with breast feeding in the future , however, we have had lots of patients who have breast fed after breast augmentation. There is a risk that the implant may shift in position, this is usually due to a capsular contracture or thinking of the scar tissue that may build up around the implant. A secondary surgical procedure may be necessary to address a capsular contracture. There will come a point in time that the implant will need to be replaced. Occasionally due to a combination of the type of implant and thin skin a woman can develop rippling of the implant. The vast majority of breast enlargement surgeries performed are successful, without any complications or side effects
Dr. Sean Brian Rice offers innovative breast enlargement procedures that can dramatically improve the appearance of your breasts. If you live in the Toronto area and would like additional information on breast enlargement, contact our plastic cosmetic surgery office today.
For more information about Breast Augmentation, Contact Dr. Sean Rice
Contact Rice Cosmetic Surgery, located in Toronto Ontario, to learn more about your breast augmentation options. (855) DOC-RICE (362-7423) or local (416) 391-4048.
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