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.
Which size and shape is right for me?
When considering which size and shape implants are right for you, it’s important to take the following into account:
- Current breast size (and amount of breast tissue)
- Placement of implant
- Incision site (areola, bottom of breast, armpit)
- Body Type
Once these factors have been assessed, your options for implant shape include:
- Round: Round implants are the most common choice, and give women fuller lift and cleavage. Depending on their base width, they can also help give the breasts a bit of a lift to a certain extent. They are spherical, and symmetrical in shape.
- Teardrop: Teardrop shaped implants are shaped according to their name, and are fuller at the bottom than at the top. Teardrop implants more closely mimic the shape of natural breasts, but aren’t as popular due to the risk of rotation.
For those looking for major cleavage, and more volume around the tops of the breasts, round is your best bet.
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 time 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.
Each patients’ recovery time following a breast augmentation or implant procedure will be different depending on several factors such as the exact procedure used and the skill of your attending physician. As a surgical procedure, breast augmentation will require adequate rest and time to properly heal and it is essential to follow the instructions of your doctor to prevent complications during the healing process.
It is common to experience dizziness following the procedure as it will be carried out under general anesthesia. You will be given medication by your doctor and instructed to get plenty of rest for the first few days so as to avoid putting undue stress on the body while it heals. You may experience some pain in the breasts but this can be managed with pain medication. A loss of sensitivity in the area is also common following procedures of this type and should return to normal within a few days of your surgery.
While healing, it is important not to disturb the incisions and to keep them dr. Patients can shower after the initial dressing is removed, usually within 48 hours. There is a very small chance of infection with every surgical procedure so be sure to use the antibiotics provided to you. Dr. Kesarwani does not usually use drains after breast augmentation surgery. If you experience sudden pain or swelling, consult us immediately.
Four Ways to Reduce Swelling
- Cold packs: If the area feels tender or swollen, ice packs can be used to lessen the swelling and numb the pain. Because colder temperatures help to contract the blood vessels, it can provide some level of relief during the healing process.
- Sitting/sleeping upright: In order to prevent fluid buildup that can lead to bruising, swelling, and pain make an effort to remain sitting upright for as much of the recovery phase as possible. You will need to sleep sitting upright or lying on your back so as to avoid putting any pressure on your breasts while healing.
- Diuretics: Excess fluid retention in the body can also be greatly affected by the use of diuretics such as herbal and chamomile tea, water, and cranberry juice.
- Limiting sodium intake: A low salt diet for the first few days following your procedure will help reduce fluid accumulation, easing pain and helping you feel more comfortable.
Recovery is generally very quick after breast augmentation surgery and you can expect to get back to most of your usual activities within a few days of surgery.
How to Sleep Comfortably on Your Back After Breast Surgery
Sleeping on your back is a must after breast augmentation (or any breast surgery for that matter) for several reasons.
- It puts less pressure on incision lines so they heal better.
- It puts less pressure on your breasts, allowing tissues to heal properly.
- There’s less risk of displacement and contour irregularities.
Here are 4 tips that you can do to help become a back sleeper.
- Optimize your bed for back sleeping. This could mean getting a more comfortable mattress or adding extra pillows that can be placed around you. You may even want to put some light pillows on top of your body and face, to mimic that feeling of sleeping on your front.
- Resolve any health issues that prevent you from sleeping on your back. Sometimes, the reason people sleep on their front is because they have back pain or other body pain that prevents them from sleeping on their back. See a doctor to discuss how you can resolve this pain.
- Prevent yourself from sleeping on your front by making it extremely uncomfortable. Put awkward objects near you so that if you roll onto your front while you sleep, you’ll roll onto those objects as well. This can help send a signal to your brain that it’s uncomfortable.
- Start practicing sleeping on your back as soon as possible. The earlier you do it before your breast surgery, the more accustomed you’ll become to it and make it a habit.
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 plastic surgery 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.
6 Questions To Ask Yourself Before A Breast Augmentation
For many women, a small or uneven chest can be the source of low self-esteem. If you’re one of those women, breast augmentation surgery may be ideal. A breast augmentation procedure involves making the chest bigger, creating new, firmer contours, and creating symmetry of the breasts. However, before you consider this surgery, ask yourself the following six questions to ensure it’s the best move.
- Why do I want a breast augmentation?
If your breasts are uneven, small, or misshapen, a breast augmentation may fix those issues. But, you have to be doing it for YOU and not someone else. If a partner or someone else in your life is encouraging you to make your breasts bigger through augmentation surgery, don’t do it. The only reason to undergo a cosmetic surgery is if you want it, not somebody else.
- What are my goals with this surgery?
Look at pictures online or in magazines to see the kind of size and shape you want your breasts to be. If your goal is to go from an A cup to a triple D then you need to rethink having a breast augmentation. Choose a cup size and shape that your body can support. Your surgeon will be able to help you determine what will look appropriate for your frame.
- How is my health?
In order to undergo any type of surgery, you need to be in good health. That doesn’t mean that if you have asthma or diabetes that you can’t have a breast procedure done, but you will need to discuss it with your primary doctor first.
- Have I done enough research?
Read up about the procedure, including its risks and side effects, so you can get a general idea of whether the procedure is right for you.
- Will I have time for the recovery period and follow up?
Following a breast augmentation procedure you need to have patience and free time. If you cannot take a few days off from work, you can’t have surgery. You need to give your body time to recover, and there will be follow-up visits with Dr. Kesarwani to ensure that you are healing nicely and that your chest is responding well to its new contours.
- Are my expectations realistic?
You will not wake up the day after your surgery with gorgeous new breasts. As mentioned, there is a recovery period that you have to wait through before noticing the results of your procedure. If you have realistic expectations, then this won’t bother you.
Insecurity about the size and shape of your breasts can take a huge toll on your self-confidence. It can affect the types of activities you participate in, the clothes you wear, and your general mood and happiness. Breast augmentation is a reliable, safe procedure.
At Cosmedical Rejuvenation Clinic, breast augmentation is one of our most commonly performed procedures, and the one that gives women the most satisfaction!
All About Undergoing A Mammogram Exam With Breast Implants
Mammograms are critical tools in the detection of breast cancer, and they’re recommended for all women aged 40 and above. The process of undergoing a mammogram can be made more complicated by getting breast augmentation with cohesive gel implants. This means that those with cohesive gel implants should understand the different approach to their mammogram compared with traditional diagnostic services.
As with any diagnostic tool, there are multiple benefits to undergoing a mammogram. One of the most important benefits of this process is that it can aid in the early and effective detection of cancer. Using a mammogram, specialists can detect breast abnormalities that might otherwise lead to a dangerous cancer developing over a short period of time. Quick diagnosis is often critical to optimal results in the treatment process.
There are many professionals in the medical field who specialize in performing mammograms on patients with cohesive gel implants. The specialist will know the techniques that can be used to manipulate the tissue to highlight any abnormalities and complete a comprehensive diagnosis. In booking your treatment, and on arrival, you should make sure the team understands that you have breast implants and therefore require a specifically-designed procedure. During your procedure, the specialist will work to minimize the compression of the breast to reduce the chances of damage to your implants. Those that have been trained in this process can complete a full mammogram without having to significantly adjust the procedure.
One option for imaging breasts with breast implants is the use of displacement, which involves moving the breast implant manually by pushing the implants from surrounding tissue. This will allow the tissue to be analyzed without impacting the breast implants. The specialist can then complete the full imaging of the breast tissue.
In addition to undergoing a mammogram, many specialists will recommend that women over the age of 40 undergo several other diagnostic tests, including MRIs and ultrasounds. Both of these diagnostic tools are often used for women with implants when specialists are uncertain of the full value of the mammogram process.
By working with trained professionals and researching their diagnostic needs, women with breast implants can safely undergo mammograms and protect their health for the coming years.
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.
Can I exercise with breast implants?
Exercise is an important component to promoting optimal health. Many people incorporate exercise into their daily routine to keep healthy, release stress, or build strength. After surgery, it is important for those who typically exercise to continue doing so. However, post-operation is an important time for healing and one must be aware of their limitations when it comes to going back to hitting the gym. For those who have had breast implants, there are special precautions to take when it comes to exercising post-surgery. It is best to consult with your surgeon as to their recommended timeframe for when you can get back to your exercise regimen.
Can breast augmentation improve my sex life?
It’s long been established that confidence is a sought after trait in men and women. Breast augmentation, along with procedures enhancing the body, mostly in the abdominal area lead to greater satisfaction with personal appearances. The boost of self-esteem can change the way people carry themselves. Whether it’s the extra pep in your step or daring to wear flirtier makeup, hair, or clothing, breast implants can have a long-term, positive effect. Even before reaching intimacy, it’s common for clients to feel confident in engaging in situations feeling confident and sexy. Flirtation or increased contact with men is a minor but perceivable benefit. These moments are a great way to lift moods or turnaround a usual day. For those in a committed relationship, the change in your perception of your body adds spice to things like foreplay. Studies show that clients experienced higher levels of arousal, as well as feeling happier about their sex lives. Feeling confident can have a link with the way you experience sexual intercourse. Experts have surveyed clients who have had the procedure, and it’s been shown that breast augmentation will enhance what happens in the bedroom. Researchers have a few ideas to explain the phenomenon. One explanation identifies self-doubt as the main obstacle for women to enjoy themselves in bed. Removing those negative thoughts will help you connect more strongly to the moment. Post-recovery, clients reported having sex more frequently with a greater sense of satisfaction. In addition to women enjoying sex more, partners are also reported as having an improved sex life. Although not all women who opt for the procedure are in relationships, the ones who do see an improvement in their sex lives with their partners. Seeing an improvement in the bedroom can provide positive feedback for both partners. Mutual enjoyment is an important part of long-term satisfaction of sex between a couple.
Will removing breast implants cause my breasts to sag?
It is possible that there will be some sagging, but it does not always happen to all women. And even when it does occur, it is not necessarily a permanent condition. First of all, there are a few variables that can influence the probability that breasts will sag after implant removal. One of the biggest factors is the original ratio of implant volume to breast tissue volume. If you still have a fair amount of breast tissue in relation to the volume of the implant, then there will be less sagging, since a smaller percentage of the total volume is being taken out. For example, if the original implants brought you from a B cup to a C cup, then you can expect minimal sagging. However, if the change was more drastic, like an A cup to a D, then there could be some noticeable sagging. The characteristics of your skin will also make a difference. If your skin still retains a lot of elasticity, then it will be able to contract and adjust to the new, smaller breast volume. Skin tends to gradually lose elasticity with age. However, everybody’s own skin will be different. If you do experience some sagging after breast implant removal, or you anticipate it following an upcoming removal, it does not have to be permanent. There are a couple of things that can return your breasts to a more full-looking shape. After a couple of months, your skin may adjust to the new volume and return to a more perky shape. Depending on your skin’s elasticity, this could take more or less time.
Do breast enhancement creams and pills work?
Aging, having children, genetics: these factors all play a role in the size and shape of our bust. Breast enhancement creams and pills promise to grow and shape our chests, but do they actually work? The answer is a resounding NO. Breast enhancement creams and pills use a combination of botanical materials like fennel, wild yam extract, saw palmetto, and dong quai. These ingredients are classified as phytoestrogens because they are thought to have the same effects as human estrogen. In actuality, these phytoestrogens don’t do much in the way of making the bust bigger. They can stimulate your glands, but there’s no chance of your breasts actually getting bigger. Just because an item is deemed natural, does not mean that it’s not full of harmful ingredients. Furthermore, breast enhancement creams may cause you to develop an allergic reaction, leaving you with a rash or infection on your chest that can only be cleared through the use of antibiotics. Some of these natural creams and pills boast commercial claims that they actually work based on clinical trials, but, in reality, there is no basis to these claims. It is important to note that any creams and pills that increase the glandular development of the breasts can increase your likelihood of developing cancer. This is not to signify that these pills and creams actually work, but they could stimulate the glands enough that the tissues are more susceptible to breast cancer. To err on the side of caution, do not use breast enhancement creams or pills. They don’t work, and, in worst case scenarios, they can be extremely harmful to your health.