Breast Augmentation

Vancouver Breast Augmentation is a procedure using silicone or saline breast implants that allows a woman to enhance the size and shape of her breasts. Many women report they feel more confident about their appearance after having breast augmentation.

What can it do for me: 
  • Increase breast size

  • Improve breast contours

  • Restore lost breast volume after weight loss, pregnancy, or breast feeding
  • Correct breast asymmetry

  • Correct problems with current breast implants (implant change)
Good Candidates: 

If you wish to enhance the size and shape of your breasts, restore their fullness, or create more symmetry, you may be a good candidate for breast augmentation. You must be emotionally mature, understand your motivations for having this procedure, and have realistic expectations about what the surgery can achieve. Furthermore, you should be finished with having children, no longer be breastfeeding, have no major medical problems, and not be a smoker.

What to Expect on Your First Visit: 

In your consultation, your plastic surgeon will examine you and discuss your options, including:

  • Implant size and positioning
  • Implant type: saline or silicone
  • Incision location

Your surgeon will go over your specific requirements and suggest a course of action that best suits your goals and body type.

Booking Your First Appointment

Please call 604-589-6021
or
Book an appointment online
Breast Augmentation at a Glance
Procedure (point form): 

General anaesthetic

Hospital Stay: 

Day surgery approx 2 hours.
Recovery room 3 hours

Recovery (point form): 

Return to work and regular activity within 2-3 weeks

Procedure: 

The surgery is performed under general anesthesia. It is approximately 1-2 hours and you will spend approximately 3 hours in the recovery room, so plan to spend the day at the hospital. You will be given a prescription for pain-killers and possibly antibiotics.

Topics to Discuss in your Initial Consultation

Note that the following information is for general purposes. Every woman is unique and the options best for you will depend on your own specific needs. During your consultation, your plastic surgeon will examine you and cover in depth the available options as well as suggested course of action that best suits you, including:

  • Implant size
  • Implant type: saline or silicone
  • Incision location
  • Implant location

Choosing Breast Implant Type: Saline or Silicone?

The two breast implant options are saline or silicone. Both have been shown to be safe and are FDA approved. Implants can also be either round or tear-drop shaped, and their surface can be either textured or smooth.

Saline Implants:

Advantages:
  • Volume can be slightly adjusted in the operating room (this is good for patients with different-sized breasts)
  • Leakages or implant ruptures are easily noticeable to the naked eye
  • Less expensive
Disadvantages:
  • Firmer consistency
  • More noticeable to the touch
  • Increased risk of rippling (visible wrinkling)
  • Require enough natural breast tissue to cover or hide implant
  • Heavier than silicone
 

Silicone Implants:

Advantages:
  • Tend to be softer and have a more natural feel and look to them
  • Need less breast tissue to hide them
Disadvantages:
  • They are more expensive
  • Leakage or ruptures have historically been more difficult to detect. However, new advances in Cohesive Gel implants have reduced leakage rates and related complications to close to zero.
 

Choosing Breast Surgery Incision Location:

There are three main areas of incision possible for breast augmentations.

Along the crease of the breast (most common):

Advantages:
  • Easy for the surgeon to place
  • Decreased chance of bacterial infection
  • Easy re-entry point for future revision surgery if necessary
Disadvantages:
  • This incision can sometimes become lumpy
 

Below the nipple:

Advantages:
  • Easy placement
  • Well-hidden scar
Disadvantages:
  • May alter nipple sensation
  • May reduce breast-feeding abilities
  • Would require a secondary incision for revision surgery
 

Under the Armpit:

Advantages:
  • Post-recovery signs are less visible
Disadvantages:
  • Incision requires more maneuvering of the implant through the body.
  • "Blind" dissection for the surgeon means less control and accuracy for shaping the breast so there is a higher risk of asymmetry and implant malposition.
  • Larger implants will not fit with this approach and a secondary incision may be necessary for revision surgery.
 

Choosing Breast Implant Location:

A breast implant can be played underneath or above the muscle.

Under the Muscle Advantages:
  • A less palpable implant
  • Possible slight decreased chance of capsular contraction (hard scar tissue around the implant)
  • Reduced implant visibility (the wrinkling effect of the skin that can sometimes occur around the implant)
Above the Muscle Advantages:
  • Easier placement
  • Less interference with mammography
  • Potentially less post-surgery discomfort
  • Can provide a subtle lift to the breast with the added volume of the implant
 
Breast Implant Placement Options
Preparing for Surgery: 

You will have a pre-operative visit with a nurse to review the details of what to expect during your surgery and recovery. You may need to get some baseline blood tests and possibly meet with an anesthesiologist prior to surgery. Your surgeon may recommend you get a baseline mammogram before as this helps detect future changes in your breast tissue. You will be asked to stop taking all over-the-counter pain or fever medicines (except Tylenol) and blood thinners for two weeks prior to your procedure. Many herbal medicines can also cause bleeding and so need to be stopped before surgery, such as ginkgo biloba, St. John's Wort, and high doses of fish oil, flax seed oil, or vitamin E.

 

Recovery: 

In most cases, you will be able to return to regular activity within a couple of weeks after surgery. Recovery time and post-operative care depends on the type of breast augmentation and your own individual needs and medical history, and will be discussed in detail with your surgeon during your consultation. You will need to see your surgeon several times after your surgery.

Note that once you are healed, special mammogram imaging techniques are required for screening your implants.

 

Possible Complications: 

As in any surgery, risks include infection, scarring, delayed wound healing, bleeding and anesthetic reaction. Risks specific to this procedure include, but are not limited to, asymmetry, numb skin/nipples, implant-related complications, and capsular contracture (scar tissue around implant). Complications in this procedure are relatively uncommon but will be discussed further at the time of consultation.

Contact Us

To learn more about breast augmentation surgery or to schedule your initial consultation, please contact our Surrey office today.