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).
Cohesive gel implants are breast implants with a silicone shell filled with a thick cohesive silicone gel material. 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 filled breast implants in Toronto have a silicone shell that is configured to the preferred size with a sterile saline solution. 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.
In addition to regular saline implants, we also offer Ideal Implants. These are saline implants but are constructed to have the feel of silicone.
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!
Please note that we only offer smooth breast implants. Dr. Kesarwani does not use textured implants, including Biocell (manufactured by Allergan), and hasn’t since 2014. Patients with textured implants are not advised by Health Canada to remove them.
Symptoms of 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).
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 is needed when using the Keller Funnel, so you’ll have a smaller resulting scar!
Implant placement is usually partially under the pectoral muscles (dual plane). This gives you a nicer, more natural looking shape. In the right patient, the implants may be entirely over the pectoral muscle (subglandular). This is more common for women who have some sagging and are trying to avoid a breast lift, 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.
Your scars will gradually fade in the months after your surgery. We’ll give you silicone gel sheeting to wear 24/7 for a month, then just nightly 2 months after that. This helps the scars to fade so that they’re less visible.
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, he sees every patient himself for a follow up appointment at 48 hours after and 10 days after your surgery.