Breast augmentation
Breast augmentation is one of the most requested cosmetic surgeries at Clinimedspa. Our experienced team is here to guide you through every step of the process, from the initial consultation to post-operative recovery.
Breast augmentation
Our approach
At Clinimedspa, we understand that every patient is unique. That’s why we offer personalized breast augmentation solutions to meet your specific needs and aesthetic goals.
We work closely with you to determine the size, shape, and type of implants that best suit you, considering your anatomy and personal preferences.
Breast augmentation
What topics will be covered during the consultation?
During your appointment, Dr. Arbour, along with a nurse from our team, will discuss the key points regarding your procedure. Here are the aspects that will be covered:
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Types of breast implants
Dr. Arbour offers smooth silicone gel implants.
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The position of the implants
Subglandular or dual-plane
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Implant volume
Selecting the implant volume
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Surgical method
The recommended surgical method
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Recovery
The recovery period and pre- and post-operative recommendations
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Implant replacement
The frequency of breast implant replacement
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Results
Discover the before/after results of breast augmentations.
Silicone implants
Breast implants
There are two types of breast implants: those filled with saline solution and those filled with cohesive silicone gel.
Cohesive smooth silicone implants are safe and provide a natural appearance. No link has been shown between them and an increased risk of breast cancer or chronic diseases. Unlike saline-filled implants, the volume of cohesive silicone gel implants is fixed from the outset.
Therefore, the size must be chosen in advance, as it cannot be adjusted during the procedure. The incision typically used is inframammary, slightly longer to facilitate the insertion of the implant into the breast cavity (4 cm in length for most volumes).
Implant illness
At Clinimedspa, the health of our patients is our top priority. We openly address the potential risks associated with breast implants, including breast implant illness, during consultations with Dr. Réjean Arbour. While rare, this concern is taken seriously. Our medical team is here to answer any questions and provide transparent information to ensure the peace of mind of our patients.
Choosing the position
Implant positions
Subglandular position
Sometimes, implants can be placed in front of the pectoral muscle to reduce recovery time. However, the patient must have enough breast tissue for a natural result. This position is sometimes preferred for active women or those who engage in intensive weight training.
The dual-plane technique
Dr. Arbour generally prefers to place the implants behind the pectoral major muscle. While the initial pain may be more significant, this reduces the risk of capsular contracture. The result is a more natural appearance of the breast with a smooth transition to the chest. However, muscle contraction may cause the implant to migrate upward.
Determining your breast implant volume
Implant volume
We will be here to guide you towards an informed decision.
At Clinimedspa, we understand that choosing the volume of your breast implant is a crucial decision for our patients. That’s why we offer a personalized approach with our 3D simulation.
Before your consultation, you can perform a simple exercise by using a larger bra than the one you usually wear and filling the space with zippered rice bags. By measuring the amount of rice in milliliters, you will get an estimate of the desired volume.
During your consultation, you will be able to confirm this estimate with our 3D simulation, allowing you to make an informed decision with confidence. The final choice of volume will be made two weeks before your surgery date.
In general, if you’re unsure between two volumes, we suggest choosing the slightly larger volume to avoid regretting the decision to go with the smaller one.
Our surgical approach
Types of incisions
When it comes to choosing the type of incision for your breast augmentation, several factors come into play, including personal preference, breast morphology, and the surgeon’s recommendations. At Clinimedspa, we prefer the inframammary incision because it allows us to optimally release the pectoral major muscle and the internal bra. Beyond these two techniques, it is also possible to opt for fat grafting in the décolletage. The fat, carefully harvested from the abdomen, is then decanted and cleaned before being precisely injected into the décolletage. This procedure helps enhance the appearance of the cleavage, especially for patients with a wide gap between the breasts, while providing a natural result without the need for additional support.
Inframammary
The universally preferred approach by most surgeons is the inframammary approach, which involves an incision in the fold under the breast. We use it for silicone gel implants, with generally satisfactory healing.
Internal bra
After releasing the muscle fibers of the pectoral major, a certain weakness is created in the fold under the breast. This technique strengthens the support of the lower breast implants by creating an internal support. It helps control the position of the implants, improves their shape, and delays their migration. It uses a resorbable (dissolvable) barbed suture in a double stitch, promoting optimal recovery and lasting results.
Anesthesia
At Clinimedspa, we generally use general anesthesia without gas for breast augmentation surgeries. However, for some patients, the option of conscious sedation is also available. This choice depends on several factors, including the patient’s ability to manage initial stress and relax during the procedure. This method is often suitable for patients opting for a conservative implant volume. During your consultation with Dr. Arbour, we will discuss the anesthesia option that best suits you, ensuring your safety and comfort throughout the procedure.
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Before/After
Discover the transformation with Clinimedspa
See the before/after results of our aesthetic surgery procedures, such as breast augmentation. Each treatment is personalized for natural and harmonious results.
Questions about breast augmentation
FAQ
How long after should I change breast implants?
After 10 years, we encourage our patients to come to the clinic for a physical examination and to assess the need for additional tests.
How can I determine my breast implant volume?
At home, you can try the exercise of wearing a larger bra than your usual one and filling the space with zip-lock bags filled with rice. Then, you should measure the amount of rice used in milliliters. During your consultation, you will have the opportunity to confirm the volume you estimated at home with a 3D simulation. This approach also aims to reassure you and eliminate any uncertainties regarding your final choice.
Will my surroundings find the change too drastic?
Many women fear that the change will be too drastic and that others will notice it. It’s important to remember that the satisfaction rate for this procedure is very high, but choosing the right volume is crucial. That’s why it’s better to opt for a slightly larger implant volume rather than too small. When a patient is dissatisfied with the volume of her breasts, it is usually because she chose a volume that is too small, and rarely the opposite.
Anaplastic large cell lymphoma is associated with which type of breast implant?
According to studies, cases of this type of cancer are associated with textured breast implants. These implants have a rough surface that adheres to the breast tissue to keep it in place. In rare cases, the constant friction between the implant and the breast wall can cause irritation and lead to inflammation. This chronic inflammation over several years could promote the development of cancer cells in some patients. At Clinimedspa, Dr. Arbour has only used smooth implants for over 10 years. To date, we have not documented any cases of this type of cancer in our patients.
What is the minimum age to have breast augmentation?
The legal minimum age for breast augmentation is 18. We recommend waiting until after puberty, around 19 years old, before undergoing breast augmentation surgery. Various hormonal factors can influence breast development during this period. Before making your decision, you should take time to carefully consider the long-term emotional and physical impact. Keep in mind that you will eventually need to replace your implants, adjust their volume, or consider a lift depending on changes to your body over the years. Also, think about whether you plan to have children and the potential implications of having breast augmentation before pregnancy.
Can I have breast augmentation after 50?
The good news is that even after 50, you can still have breast augmentation without restriction. Many women are not happy with the appearance of their breasts and consider getting an augmentation. If you’re in good health, you can safely undergo the procedure. However, it’s important to have realistic expectations in order to achieve a natural-looking breast that fits your body type. It’s becoming more common for women to turn to aesthetic surgery later in life. The body ages and shows the effects of time, unlike emotions, which don’t age. For women, the desire to feel feminine and attractive is a natural feeling that has no age.
Can I have a mammogram with breast implants?
Breast cancer screening through mammography is still possible even after breast augmentation surgery. However, it is recommended to inform the technician beforehand that you have breast implants, including their type and position. Additional images may be required to properly assess the breast tissue. However, placing the implant behind the muscle seems to help separate the gland to be analyzed from the implant, making screening easier.
Is it possible to have a pregnancy or breastfeed after a breast augmentation?
After your breast augmentation surgery, you will still be able to have a pregnancy and breastfeed safely. It is recommended to wait at least 3 months, but a 12-month waiting period is preferable. In some cases, women may not be able to breastfeed after their surgery. This is especially true when incisions are made under the nipples (periareolar incisions). This approach can sever ducts necessary for breastfeeding and may also cause a loss of nipple sensitivity, which can make breastfeeding difficult.
How long should I wait after breastfeeding to have a breast augmentation?
We recommend waiting 6 months after breastfeeding or a full-term pregnancy to allow the breast tissues to return to their initial volume. Sometimes, the breasts may retain some additional volume after this period. In some cases, breastfeeding can also lead to breast asymmetry. Additionally, the breasts may lose their original volume and appear saggy. If there is significant sagging (ptosis), a breast lift combined with implants may be recommended. In any case, the choice of implant size will be affected. However, after 6 months, the volume and shape of the breasts are generally stable enough for surgery in most women.
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Our aesthetic surgery clinic also holds Accreditation Canada certification. This certification ensures that our services comply with the safety standards required for healthcare services. Additionally, this certification is a testament to the high level of care quality as required by Accreditation Canada.
