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Cosmetic Surgery>>Breasts & Chest >> Breast Augmentation

 

 



CICATRIX * OPTIMA                 1720 HOWARD AVE, SUITE 364               WINDSOR, ON N8X 5A6          TEL/FAX: 519.971 0971

Please read the following information thoroughly before undergoing your breast augmentation surgery. We encourage you to ask any questions regarding anything you might find unclear. There is no such thing as an unnecessary question.

Breast augmentation is a surgical procedure to enhance the size and shape of a woman's breast for a number of reasons:
To enhance the body contour of a woman who feels her breast size is too small
To correct a reduction in breast volume after pregnancy
To balance a difference in breast size
As a reconstructive technique following breast surgery, e.g. mastectomy.

Augmentation following mastectomy is currently covered by OHIP.

Improving the size or shape of one’s breasts often leads to improved self-image and confidence, looking better in clothing, and better body proportions.

A pocket is made for the implant. The pocket can either be made under the breast itself (sub-mammary) or under the chest muscle (sub-pectoral). Sub-mammary placement is usually used in women who already have some breast tissue and are slightly droopy, since it helps to improve the shape. Sub-pectoral positioning is usually used when a woman has little or no breast tissue so the implant will be less "feelable".

The implant is a silicone shell filled with liquid saline (salt water, a natural body fluid also used for intravenous solutions). Implants filled with silicone gel or cohesive silicone gel have become available again. Different types are available, round and anatomic (pear shaped). Deciding which shape is appropriate for you depends on your body shape and the desired outcome.

If droopiness or sagging of the breast is advanced, it may be necessary to tighten up or ‘lift’ the breast (mastopexy) in addition to the augmentation.

The Surgery

The method of inserting and positioning your implant will depend on your anatomy and our recommendations for achieving your desired outcome. The incision will be made either in the crease where the breast meets the chest, or around the areola (the dark skin surrounding the nipple). Every effort will be made to ensure the incision is placed so resulting scars will be as inconspicuous as possible.

Working through the incision, we will lift your breast tissue and skin to create a pocket, either directly behind the breast tissue or underneath your chest wall muscle (the pectoral muscle). The implants are then centered beneath your nipples.

Some surgeons believe that putting the implants behind your chest muscle may reduce the potential for capsular contracture. This placement may also interfere less with breast examination by mammogram than if the implant is placed directly behind the breast tissue. Placement behind the muscle however, may be more painful for a few days after surgery than placement directly under the breast tissue.

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