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Do you dream of improving your silhouette?
For an appearance that reflects health and well-being, come live the Clinimedspa experience!
Breast augmentation is the most frequently performed cosmetic surgery. This procedure allows for the addition of saline or silicone gel breast implants to harmonize the appearance of your breast. Having ample breasts as well as a harmonious silhouette has always been a symbol of beauty and femininity. In addition, a woman may have several other reasons for wanting to increase her breast size.
During consultations with our patients, several questions come up regularly about cosmetic breast augmentation surgery. We will try to answer several of these questions here in order to guide you in your decision-making process.
Watch our Healthy Beauty video presentation
—What are the reasons for having breast augmentation surgery?
As we have mentioned, there can be many reasons to have a breast augmentation done. For example, a patient may find that her breasts are too small, or she may simply want to have a nicer shape. Maybe she doesn’t like the shape of her breasts or they are asymmetrical or sagging due to pregnancy or weight loss.
For better results, the surgeon may recommend that you also have a lifting in addition to your breast augmentation. This option will be offered when the prosthesis alone cannot correct sagging breasts. Always keep in mind that no prosthesis can perfectly replace your natural breast tissue. This is why we have to accept the limits of cosmetic surgery.
—Who is a good candidate for breast augmentation?
If you recognize yourself in the above cases, then you are a good candidate for breast augmentation. However, we must understand that the purpose of breast augmentation is above all to help the patient regain her femininity and feel better about herself.
Your mammary glands may have developed little or not at all during puberty (breast hypoplasia). Note that pregnancies can affect the mammary glands in varying ways.
—Ask yourself the right questions when making your decision.
First, you need to ask yourself the right questions before making your decision and consider the long-term implications. Take a step back, talk to your loved ones, and think about the reasons that are motivating you to choose this procedure. You can also talk to other women who have had breast augmentations. They will be able to talk to you about their post-operative experience to help you make an informed decision.
—Points to consider when choosing our clinic
Firstly, Clinimedspa performs more than 375 cosmetic surgeries per year, 45% of which are breast augmentations. Our team of professionals aims to provide you with a safe and personalized experience focused on listening to your needs. In addition, Dr. Arbour has more than 15 years of practice and has developed expertise in breast surgery. His dedication to his patients has allowed him to become one of the best-reviewed cosmetic surgeons in Quebec.
(Source: RATEMD, evaluation site for health care professionals and centres)
We set ourselves apart by offering the least invasive type of anesthesia for each patient. In addition, people often compliment us on the quality of our service and our availability in general.
Although the budget factor is important, you should not base your decision on price alone. Always remember that this is an important decision, and it should not be made lightly. It is very important that you feel confident, secure, and heard, and that you receive good advice when needed.
—The first consultation for breast augmentation
During your consultation, Dr. Arbour will present you with a personalized approach in order to come as close as possible to the desired result. He will then present a Crisalix 3D simulation to you, which you can watch in 4D augmented reality on a large screen. The purpose of the simulation is to give you a preview of your new figure with the addition of breast implants.
—Crisalix 4D augmented reality surgical result simulator
See your new silhouette before the procedure.
The first step in this technology is to superimpose the 3D simulation on your silhouette. The result is then transferred in real time to a screen placed vertically like a mirror. The 3D simulation will follow your movements as well as your silhouette. You will then have the impression that you are looking at yourself in a mirror after your procedure. While viewing, we can also switch from one simulation to the next to help you choose.
Finally, you can also review and share your 3D simulation with your loved ones in the comfort of your own home.
—Points you should be discussed during the consultation for breast augmentation surgery?
During your consultation, Dr. Arbour will discuss the important points of your procedure with you. The following points will be discussed:
- You will need to choose the type of breast implants
- The position of the breast implants: retroglandular or retropectoral
- Dr Arbour will present the surgical approach proposed for your procedure
- Your choice of breast implant volume
- Anesthesia options: local/conscious or general sedation
- The duration of your recovery, as well as the recommendations to follow before and after the operation
- When should the breast prostheses be replaced?
—What are the types of breast implants and their specifics?
Saline breast prostheses:
The saline prosthesis is very safe, consisting of a silicone capsule filled with a sterile saline solution during surgery. The volume can be adjusted to a certain point during the procedure (from 25 to 75 mL, depending on the chosen implant). The downside is that the breast implant can rupture and deflate. In this case, the surgeon will have to replace it within 2 weeks under local anesthesia in the operating room. The result is natural, but the prosthesis is always positioned behind the pectoralis major muscle. It is usually inserted through a very small incision of about an inch. In very thin patients, the prosthesis may cause waves on the sides of the breast during certain movements. These will be noticeable when the patient is naked or in a bikini.
Smooth cohesive silicone gel breast prostheses:
Smooth cohesive silicone prostheses have proven to be very safe. Furthermore, studies have shown no link with an increased risk of breast cancer or chronic disease. In addition, this implant offers a very natural result to the sight and touch. Unlike the saline prosthesis, the cohesive silicone gel prosthesis has its volume from the start. The patient must therefore choose their size in advance, as the volume cannot be adjusted during the procedure. This is why an inframammary (under-the-breast) incision is usually used. In addition, the incision will need to be slightly longer in order to be able to insert the implant into the breast cavity. For volumes up to 400 mL, the incision will be the same length as for a saline implant.
—Anaplastic large cell lymphoma is associated with which type of breast implant?
According to studies, cases of this cancer are associated with textured breast implants. These prostheses have a rough finish that adheres to the breast shell to hold them in place. In rare cases, the constant rubbing of the implant against the breast wall can cause irritation and lead to inflammation. Over a period of several years, this chronic inflammation would promote the development of cancer cells in some patients.
At Clinimedspa, Dr. Arbour has been using only smooth implants for over 10 years. To date, we have not documented any cases of this cancer in our patients.
—How is the silicone gel breast implant inserted?
To insert the silicone gel implant into the breast cavity, we use a Keller Funnel 2 funnel-shaped pouch. Its shape helps to minimize the length of the incision and limits contact with the skin. This reduces the risk of contaminating the implant during its insertion.
To watch the video clip on how breast implants are inserted, click the “LEARN MORE” button.
—Where are the breast implants positioned?
In some cases, the surgeon may consider placing the implants behind the gland (in front of the pectoralis major muscle). This will considerably reduce the recovery time. However, the patient must have enough breast and fatty tissue to cover the implant in order to achieve a natural result. We sometimes use the retroglandular position for women who have very physical jobs or who do heavy weight training.
Dr. Arbour most often positions the implants behind the pectoralis major muscle. During the first month, the pain will be more severe, and the patient will have to adapt her activities accordingly. However, the prosthesis is less likely to cause problematic capsular contracture. The result is more natural at the upper part of the breast and becomes more harmonious at the level of the thorax. Contraction of the pectoralis major muscle can cause the implant to migrate upwards.
—What are the possible approaches to breast augmentation surgery?
The universal technique preferred by most surgeons is the inframammary approach, which involves making an incision in the fold under the breast. This approach is used more specifically for silicone gel implants, and the scar generally heals well.
The second approach is to make very discreet incisions around the nipples, which heal very well. On the other hand, this can sometimes lead to decreased nipple sensitivity. The periareolar incision technique is useful in women with an ill-defined inframammary fold.
Finally, the third approach is to make the incisions in the armpits. The pouch is developed under direct vision with a special camera (endoscope). The transaxillary approach allows the procedure to be carried out without leaving a scar on the breast itself. The recovery is similar to other approaches. This technique is usually used with saline water implants. On the other hand, the risk that the implants do not properly migrate downwards in the correct position is higher. In this case, the surgeon must perform a second operation to correct the situation.
—How do I choose the right breast implant volume for me?
Take the time to choose the right volume for your breast implants before your surgery using our 3D Crisalix simulation. You choose the volume under the guidance of Dr. Arbour and his team. We will guide you in your decision according to your objectives and your physiognomy without imposing a volume on you.
—A practical exercise that can be done at home to assess the volume of the prostheses
At home, you can take a bra that is larger than your usual size and fill the space with zip-lock bags filled with rice.
You then need to measure the amount of rice used in millilitres. During your consultation, you will have the chance to confirm the volume assessed at home with a 3D simulation. This approach also aims to reassure you and eliminate possible hesitation about your final choice.
— General or local anesthesia with sedation?
We recommend an operation under local anesthesia with light sedation. This surgical approach is very safe and offers several advantages, including faster postoperative recovery. With general anesthesia, you are completely asleep and require breathing assistance, which can create discomfort in the airways. In addition, this approach requires a short recovery period in the recovery room. By contrast, local anesthesia with sedation allows you to breathe independently and does not require a waking period. You will therefore be able to return home with your guide more quickly after the procedure. The choice of anesthesia will be determined during your consultation with Dr. Arbour.
—How long is the recovery period following breast augmentation?
The recovery time will vary from person to person and can range from 4 days to 2 weeks for office-type work. You can gradually resume your activities. Exercise or sports may be gradually reintegrated into your daily life after a period of approximately 4 weeks following your procedure. Postoperative recommendations and precautions will be given to you in your information kit during your consultation.
—After how long do I have to replace the breast prostheses?
As long as your prostheses are intact and the breasts are flexible, there is no reason to replace them. If you decide to have breast augmentation, however, you will need to plan for two to three breast surgeries in your lifetime, or at least one procedure for the initial positioning and one for their removal. Sometimes, many women consider changing the size of the implants after several years, which requires another procedure.
—Will those around me find the change too radical?
Many women fear that the change will be too drastic and that those around them will notice it. We must not forget that the satisfaction rate for this procedure is very high, but that choosing the right volume is essential. This is why it is best to opt for a slightly larger implant volume rather than erring on the side of too small. When a patient is dissatisfied with the size of her breasts, it is usually because she has chosen a volume that is too small, and rarely the other way around.
—What results can I expect after my breast augmentation?
Sometimes, the implants take a long time to position themselves properly and remain high. As a general rule, you should allow 3 months for them to stretch the breast tissue and produce the desired result. If they remain too high after this time, you should consider correcting the situation with additional surgery.
During the first month following the operation, a capsule naturally forms around the prostheses. As long as this capsule remains flexible, there will be no problems. However, if this capsule thickens and deforms your breast, it is usually advisable to correct the situation by excising the capsule and repositioning the implants.
Before/After photo gallery
You can access our gallery of before/after breast augmentation photos by clicking the button below. You can see results from surgeries with saline implants or silicone gel implants.
«Disclaimer: These photos are published for informational purposes only to provide information on the nature of the procedure. They do not constitute a guarantee of results.»
– Is there a maximum age to have breast augmentation?
The minimum legal age to have breast augmentation is 18 years old. We recommend that you wait until after puberty, which is around 19 years of age, to have breast augmentation surgery. Several hormonal elements can also influence breast development during this period. Before you make your decision, you need to take the time to fully assess the long-term impacts, both emotionally and physically.
Do not lose sight of the fact that you will eventually have to replace your prostheses, adjust their volume, or consider a lift, according to the changes in your silhouette over the years. In addition, determine whether you want to have children and what the implications of having breast augmentation before pregnancy will be.
—What is the maximum age to have breast augmentation?
The good news is that even after age 50, you can have unrestricted breast augmentation. Many women dislike the look of their breasts and consider having breast augmentation. If you are in good health, it is safe to have this procedure. On the other hand, you need to have reasonable expectations in order to have natural-looking breasts that match your physiognomy.
It is now more common for women to have cosmetic surgery later in life. The body ages and suffers the effects of time, unlike feelings, which do not age. In women, the desire to be feminine and to please are natural feelings that are ageless.
—If I have breast augmentation, can I still get pregnant or breastfeed?
After your breast augmentation operation, you can still get pregnant and breastfeed safely. However, it is recommended to wait at least 3 months, and preferably 6 to 12 months. In certain circumstances, though, women cannot breastfeed after their surgery. This is especially true with incisions made under the nipples (periareolar incisions). This approach can cut the ducts necessary for breastfeeding and cause loss of sensitivity in the nipples, which can make breastfeeding difficult.
—Having a mammogram with breast prostheses, is it possible?
Screening for breast cancer with mammography is still possible even after breast augmentation surgery. However, it is recommended that you notify the technician before the exam that you have breast prostheses. Additional images may be needed to properly assess the mammary gland.
—How long do I have to wait after breastfeeding to have breast augmentation?
We recommend that you wait 6 months after breastfeeding to allow the breast tissue to return to its original volume. Sometimes, the breasts may still gain some volume after this period. The breasts may also lose their original volume and start to sag. Asymmetry of the breasts may also occur following breastfeeding. In each of these cases, the choice of breast implant volume would be affected. However, after 6 months, the size and shape of the breasts seem sufficiently stabilized to proceed with surgery in the majority of women.