Dr. Atul Kesarwani is the medical director of the Cosmedical Rejuvenation Clinic. As a board certified plastic surgeon, Dr. Kesarwani has 30+ years of experience in the field. Read more about Dr. Kesarwani >
Breast augmentation is one of the most common cosmetic procedures performed by Dr. Kesarwani. This highly desired procedure is designed to enlarge a woman’s breasts and help make them become more proportionate to the body, even if they are different in size. Through breast augmentation, we can help reshape breasts that have lost their fullness due to weight loss, pregnancy, breastfeeding or age. To help redefine your feminine curves, all breast implants are made from silicone shells, but you can choose the filling: cohesive silicone gel or saline (a sterile salt-water solution).
There are different materials for implants, so patients can choose the ones that work for them.
Cohesive Gel Breast Implants
Cohesive gel implants are breast implants with a silicone shell filled with a thick cohesive silicone gel material. They are sometimes called “gummy bear implants” because they are made up of a squishy solid. The material is a silicone gel that is a viscous and inert fluid. It does not react with any chemicals in the body and is not toxic. This particular implants tend to be softer and feel more natural than saline implants.
Cohesive implants are available in a wide range of shapes and sizes, allowing breast augmentation in Toronto to be performed in a natural and proportionate way. Since the silicone material on the inside is thicker than other forms of implantation, they tend to maintain their shape in an upright position and are less likely to produce rippling.
Saline Breast Implants
Saline filled breast implants in Toronto have a silicone shell that is configured to the preferred size with a sterile saline solution. The saline is sterile and salted water. It is completely safe in the body.
The advantage of saline is that it is added to the prosthetic after implantation. By filling implants with saline after insertion, this form of implantation is less invasive than others; they are generally inserted through very tiny incisions, either from around the areola, beneath the breast, or from the armpit.
The downside is the water texture, which is noticeably different from breast tissue. Saline prosthetics can feel like a bag of water and ripples may show through the tissues. A rupture in the implant shell may also cause a leak, and deflation occurs rapidly. While leaks are not dangerous because of the bio-compatibility of saline, breast implant replacement surgery may be required.
With breast implants, there is no wrong answer! The material you choose depends on how you want your breasts to look and feel.
If you’d like to learn more about the cohesive gel or saline breast implants in Toronto, schedule your consultation with Dr. Kesarwani. You’ll meet with Dr. Kesarwani personally during your initial consultation, so you can be sure that you get medical advice from the exact surgeon who’ll perform your surgery. During your consultation, he’ll recommend a range of sizes that will give you the most satisfying results based on your breast width, tissue thickness and unique goals. He can show you before and after photos of both types of implants from his previous breast augmentation patients. See how these patients have benefited from breast augmentation!
3D Imaging of Your Results
As part of your consultation, you’ll also be able to try on sizers to see which size is the best one for you. You can also get an image of your predicted results with our Crisalix 3D imaging computer. That way, you can better visualize what you may look like after your surgery!
Complimentary 3D Imaging To See Your Simulated Results
Reduced Risk of Infection by Using the Keller Funnel During Surgery
Advanced Surgical Techniques to Reduce Bleeding, Bruising and Swelling
A Note on Textured Implants
Please note that we only offer smooth breast implants. Dr. Kesarwani does not use textured implants, including Biocell (manufactured by Allergan). As a matter of fact, he hasn’t used textured breast implants since 2014. Patients with textured implants are not advised by Health Canada to remove them unless they’ve developed issues with them.
Symptoms of Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL) almost always include a new and distinct swelling of your breast. Redness, changes in firmness of the breast or lumps around one or both implants are much less common findings in this condition. Usually the swelling comes on fairly rapidly, over several days or weeks, not over months or years. Typically, this occurs on one side only, but in exceptional cases, it can occur in both breasts.
If you are experiencing any of these symptoms, please contact us. It is important that you know that the vast majority of patients who have symptoms like this do not have BIA-ALCL and do not require any treatment. However, for safety reasons you should contact our office if you develop any of these symptoms. Dr. Kesarwani is one of the few surgeons in Canada who has extensive experience performing complete capsulectomies (removing the entire breast capsule).
Who is an ideal breast augmentation candidate?
The best candidate for breast augmentation is any woman who is unhappy with her breast size and looking to improve her appearance. Women who have mildly to moderately deflated breasts following childbirth or weight loss are often able to restore their breasts to their pre-pregnancy appearance. Potential candidates should also be physically fit, not diagnosed with a condition that compromises healing, and have realistic expectations in mind. A personal consultation with Dr. Kesarwani can answer your questions and help you decide whether breast enlargement may be right for you. His ultimate goal is to help make you comfortable with your decision and happy with the results.
Anesthetic is administered before surgery. This anesthetic is designed to provide you with relief not just during surgery, but also 6-8 hours afterward.
While any incision placement can be performed, Dr. Kesarwani typically recommends inframammary incision placement. This allows for optimal implant pocket creation in the breast. He is meticulous when creating incisions, performing the surgery under direct vision of the surgical site and applying electrocauterization to reduce bleeding and inflammation. This is done to not only make recovery faster, but also reduce the risk of capsular contracture (irregular hardening and thickening of scar tissue around the implant). Dr. Kesarwani also makes sure to irrigate the implant pocket with antibiotic solution to reduce the risk of infection.
When placing the implants into the body, Dr. Kesarwani uses the Keller Funnel. This sterile device allows the implant to be placed without directly touching them. With minimal biofilm and bacteria, the implants are less damaged. And the bonus: a shorter incision may be needed when using the Keller Funnel, so you could have a smaller resulting scar!
Implant placement is usually partially under the pectoral muscles (dual plane). We have found that this gives you a nicer, more natural looking shape. In the right patient, the implants may be entirely over the pectoral muscle. This position is known as subglandular. Subglandular breast implant placement is more common for women who have some sagging and have chosen to achieve a subtle lift with implants alone, instead of undergoing a breast lift (mastopexy), which is a more extensive procedure.
Once the implants are placed, layers of sutures are applied so that there are no knots on the surface that could cause bumps and take a long time to dissolve. Doing this also gives you a stronger closure of the incision. A flannel bandage is used to wrap up the chest for compression, reducing the risk of excessive swelling and hematoma.
You may feel some tightness after surgery, but the long lasting anesthetic provides you with relief for 6-8 hours after surgery. Pain medications, anti-inflammatories and antibiotics are also prescribed.
After 48-72 hours, the flannel is removed and you can start wearing a sports bra. You may be asked to massage your breasts to move the implants around, helping the recovery process. You may also need to wear a band to push the implants down if necessary. This is more common in patients with smaller, tighter breasts.
You can get back to work in 4-5 days. Avoid heavy lifting and upper body exercise for 3 weeks to allow your body to heal from surgery. Doing so also reduces the risk of rupturing sutures and capsular contracture.
Your scars will gradually fade in the months after your surgery. We’ll recommend that you apply silicone gel to the scars 24/7 for about three months. This helps the scars to fade so that they’re less visible. You can read more about silicone scar gel here.
Your Post-Op Appointments
Dr. Kesarwani believes that the recovery process is one of the most important parts of your surgical experience. He cares about how you’re doing after surgery. For this reason, Dr. Kesarwani sees every patient himself for a follow up appointment at 48 hours after and 10 days after your surgery. Like our other patients, we’re sure you’ll also appreciate this extra care during your recovery! These appointments allow us to make sure you’re doing well and gives you the opportunity to express any concerns you may have.
Frequently Asked Questions About Breast Augmentation
How much does breast augmentation cost in Toronto? How much do breast implants cost 2019? How much is breast augmentation surgery?
Breast augmentation in Toronto ranges in price according to the type of implants (saline or silicone), surgeon, and facility fees. The average cost is from $7250 to $10,000.
What is the difference between a breast augmentation and breast implants?
Breast augmentation is a surgical procedure that enhances the size of the breasts. Breast implants are the objects used to make the breasts bigger.
What is the meaning of breast augmentation?
Breast augmentation means a plastic surgical procedure that increases breast size.
What are gummy bear implants?
Gummy bear implants are a type of implant that is filled with a cohesive silicone gel. It has the texture of gummy bear candy, hence the name.
Can you squeeze fake breasts?
Yes, it is possible to squeeze fake breasts. Implants are constructed to mimic the feel of natural breast tissue.
Which type of breast implant feels the most natural?
It is generally believed that silicone implants feel the most natural, since they are made with a gel that is pliable. Click here to read more about the female breast.
Do implants soften over time?
The implants feel the same no matter how long you’ve had them. However, it is the scar tissue that naturally surrounds an implant that can contribute to how they feel externally. In the earlier stages of recovery, the implants may feel overly firm. This occurs because the tissues haven’t stretched out. With time, tissue expansion occurs, allowing the implant to take on a more natural shape and feel.
Can breast implants last 20 years?
The data shows that the average lifespan of breast implants is 10 years. But in some cases, patients have found they are comfortable with the same implants for as long as 25 years or longer. At some point, you should expect to get them replaced. The lifespan of your implants depends on a number of factors, including your age, health and your activities. With everyday activities, your implants can move and eventually degrade. Those who complete strenuous activity on a regular basis may find that their implants require replacement within a shorter timespan. If you’ve undergone breast augmentation and you’re wondering whether it’s time to have your implants replaced, it’s important to know the signs of a required replacement. The following are clear signs you’ll need to undergo a replacement surgery in the near future: Rippling occurs when the implant shifts within the body. When your body changes, the implant can fold in on itself under pressure from your skin and tissue. Breast tissue that initially covered the implant may begin to recede as your body changes, highlighting the rippling effect from the implant. Hardening is a leading issue for breast implant patients. This can occur when the scar tissue around the implant builds up as the immune system responds to a foreign object. You might feel tightness or pain around the side of your breast and at the implant site. This is called capsular contracture.
Cosmedical Rejuvenation Clinic is dedicated to providing you with the care and support you deserve on your aesthetic journey, in an open and supportive environment that caters to your unique needs.
If you have any questions or concerns, or would like to book an appointment with our head plastic surgeon, Dr. Atul Kesarwani, or facial plastic surgeon, Dr. Priya Kesarwani, please fill out this form and we will respond shortly.