Breast Augmentation

Introduction

Breast augmentation is one of the most popular cosmetic surgical procedures performed today, and for good reason. Whether you’re looking to enhance your natural breast size, restore volume lost to pregnancy or aging, or achieve better symmetry, breast augmentation can help you feel more confident in your body. At Yorkville Institute of Plastic Surgery in Toronto, Dr. Lawrence Tong specializes in creating natural-looking results that complement your unique body type and aesthetic goals.

With over 15 years of experience in cosmetic surgery and training from the prestigious University of Michigan Integrated Plastic Surgery Residency Program, Dr. Tong brings both technical precision and an artistic eye to every procedure. He is double board-certified by the American Board of Plastic Surgery and the Royal College of Physicians and Surgeons of Canada, ensuring you receive care from a surgeon who meets the highest standards of training and expertise.

This comprehensive guide will walk you through everything you need to know about breast augmentation in Toronto, from implant options and surgical techniques to recovery expectations and realistic outcomes.

Benefits of Breast Augmentation

Patients choose breast augmentation for a variety of reasons, and the benefits extend beyond physical appearance:

• Increased breast volume and fuller breast shape
• Improved breast symmetry and proportion to your body frame
• Restored volume lost due to pregnancy, breastfeeding, weight loss, or aging
• Enhanced confidence and self-esteem
• Ability to fill out clothing more comfortably
• Subtle lift in breast position when combined with proper implant placement
• Long-lasting results that can span 10 to 20 years or longer with modern implants

“Dr. Tong is an excellent plastic surgeon. I was very comfortable from my very first consultation. I’m so glad I made the right choice for my huge surgery. In fact, I was so pleased with my tummy tuck that I decided to get breast implants as well! Both came out perfect and even better than I expected. Again, thank you Dr. Tong and his team for the wonderful surgery, I finally have enough confidence to go out again wearing what I want..”
– D.T. ⭐⭐⭐⭐⭐

“I had an amazing experience with Dr.Tong for my breast augmentation procedure. He was incredibly thorough and made me feel comfortable every step of the way. The nurses and office staff are so lovely, I genuinely don’t have a single bad thing to say. I love my results and would recommend him to anyone!”
– C.C. ⭐⭐⭐⭐⭐

“Beyond grateful I chose Dr. Tong for my recent breast implants. From start to finish the experience was a breeze. Dr. Tong and all staff in office as well as surgery day were friendly, patient, and made you feel comfortable.
Dr Tong has the best bed side manner. He takes his time to explain the procedure and implant options and never once made me feel rushed or like he needed to be somewhere else.
Dr. Tong was recommended to me by a few friends and I will be passing the recommendations on to any family or friends as well:)”
– S.L ⭐⭐⭐⭐⭐

Who is a Candidate for Breast Augmentation?

You may be a good candidate for breast augmentation if you:

• Desire a larger breast size that is proportionate to your body
• Have uneven breast sizes and want to improve symmetry
• Have experienced volume loss due to pregnancy, breastfeeding, weight loss, or aging
• Have mild breast sagging with volume loss and wish to address both concerns
• Are in good overall health and able to undergo general anesthesia
• Have realistic expectations about what breast augmentation can accomplish
• Are at least 18 years old (or 22 if choosing silicone implants)
• Are not currently pregnant or breastfeeding¹

Additional Considerations for Candidacy:

• Smokers should quit at least 2 weeks before surgery to promote proper healing
• Patients who are breastfeeding should wait 4 to 8 weeks after finishing breastfeeding before surgery, allowing the true breast size to be determined
• Certain medical conditions may require additional evaluation before proceeding with surgery
• A thorough consultation with Dr. Tong will assess your individual suitability for the procedure

Breast Lift with Implants

Some patients may wish to have the breasts elevated or lifted in addition to increasing the size. If you wish to achieve a larger breast size, a greater degree of projection and a more lifted/rejuvenated breast shape, you may benefit from a comprehensive Breast Augmentation with Lift procedure—commonly referred to as a Breast Lift with Implants. For the right candidate, a Breast Augmentation with Lift can yield the benefits of both breast surgeries in one all-encompassing procedure by increasing breast volume while lifting the breasts to a more youthful position on the chest wall. This is done to reshape the breasts and minimize the appearance of sag for an improved breast contour overall.

After listening to your aesthetic goals, Dr. Tong can help you determine whether a Breast Lift with Implants is the best procedure to attain your desired look.

Saline Breast Implants

Saline implants are filled with sterile saltwater (IV fluid). They offer several benefits:

• Require a smaller incision for placement (approximately 3 cm)
• Cost slightly less than silicone implants
• If rupture occurs, the saline is safely absorbed by the body
• Implant deflation is immediately noticeable, prompting timely replacement

However, saline implants may feel slightly less natural than silicone, and they carry a higher risk of visible rippling, particularly in thin patients with minimal natural breast tissue.

Silicone Breast Implants

Silicone gel implants are filled with cohesive silicone gel and are the most popular choice among breast augmentation patients. Benefits include:

• Feel soft and natural, closely mimicking the texture of natural breast tissue
• Lower risk of visible rippling compared to saline implants
• Appropriate for patients with thin frames or minimal natural breast tissue
• Require a slightly longer incision (approximately 5 cm) for placement
• Cost slightly more than saline implants

Silicone implants require periodic monitoring via MRI imaging to check for silent rupture, though modern implants are highly durable.

Gummy Bear Implants (Highly Cohesive Silicone)

Gummy bear implants represent the newest generation of silicone technology. These highly cohesive gel implants have a firmer consistency that holds its shape exceptionally well. Key advantages include:

• Behave like a solid, minimizing leakage risk even if the shell is compromised
• Longer potential lifespan compared to traditional silicone implants
• Excellent shape retention and projection
• Smooth shell surface, eliminating the association with BIA-ALCL that was linked to textured implants

Dr. Tong exclusively uses smooth-surfaced implants, including gummy bear options, to ensure the safest possible outcomes for his patients.

Breast Implant Incision Options

The incision location affects scarring visibility and surgical approach. Dr. Tong offers three discreet incision options:

Inframammary Incision (Breast Fold)

This is the most common incision location and Dr. Tong’s preferred approach for most patients.

• Placed in the natural crease beneath the breast
• Hides extremely well and generally heals beautifully
• Covered by any type of clothing
• Minimal visibility even in the nude when the breast is in its natural position
• Allows excellent visualization and control during surgery
• Associated with lower capsular contracture rates

Periareolar Incision (Around the Areola)

This incision is placed at the edge of the areola, the darker skin surrounding the nipple.

• Incision blends with the natural color change of the areola
• Good for patients who may need concurrent nipple adjustments
• Slightly higher risk of capsular contracture compared to inframammary approach
• May affect nipple sensation or breastfeeding ability in some cases
• Requires careful surgical technique to avoid visible scarring

Transaxillary Incision (Through the Armpit)

This incision is placed in the natural fold of the underarm.

• No incision on the breast itself
• Scar is hidden in the armpit fold
• Requires specialized surgical technique
• May limit direct visualization during implant placement
• Less commonly used but an option for select patients

During your consultation, Dr. Tong will discuss which incision location is best suited to your anatomy and goals.

Immediate Recovery (First 24 Hours)

After your procedure:

• You will be monitored in our recovery area as anesthesia wears off
• Our registered nurses will assess your comfort and pain levels
• You will be discharged home with your companion once you are fully alert
• You may experience grogginess, mild discomfort, and tightness in the chest
• Pain medication will be provided to manage discomfort
• You should rest and avoid any strenuous activity

First Two Weeks

During the first 1 to 2 weeks after surgery:

• Expect to feel tight and sore in the chest area
• Pain medication will help manage discomfort, which typically decreases daily
• Most patients return to non-strenuous work within 5 to 7 days
• You may resume light activities such as reading, watching television, and preparing meals
• Avoid lifting, pushing, or pulling anything heavier than 5 pounds
• Sleep with your head elevated on 2 to 3 pillows to reduce swelling
• Wear your surgical bra continuously to support the implants and minimize swelling
• Dr. Tong will see you at one week post-op to remove stitches and assess your progress

Two to Six Weeks

During weeks 2 to 6:

• Swelling and bruising gradually decrease
• You may begin light exercise such as walking at 1 to 2 weeks post-op
• Strenuous activity, including weight lifting, aerobics, jogging, yoga, pilates, spinning, and sports, should be avoided until cleared by Dr. Tong, typically 4 to 6 weeks post-op
• You will have a follow-up appointment at 6 weeks to assess healing and take post-operative photos
• Your breasts will begin to settle into their final position

Three to Six Months

During the first 3 to 6 months:

• Your breasts will gradually settle and take on a more natural appearance
• Initial “high” or “artificial” appearance will resolve as swelling subsides
• Breasts will become softer and more mobile as tissues relax
• Final results become apparent around the 6-month mark
• You will have a final follow-up appointment at 6 months post-op

It is important to note that everyone heals at a slightly different pace. Dr. Tong will provide personalized guidance based on your individual healing progress.

Can I Breastfeed After Breast Augmentation?

Yes, breastfeeding after breast augmentation is safe and certainly possible. Dr. Tong uses surgical techniques specifically designed to maximize the potential for nursing.

Techniques That Preserve Breastfeeding Function

• Inframammary incision (breast fold) is preferred over periareolar incision
• Submuscular implant placement helps preserve breast tissue and milk ducts
• Selecting an implant size that does not significantly exceed your breast base width
• Avoiding unnecessary manipulation of breast tissue during surgery

Important Considerations

• If you have breastfed in the past, you are very likely to retain nursing function after augmentation when these techniques are utilized
• If you have never breastfed and plan to in the future, communicate this to Dr. Tong before surgery so he can optimize his surgical approach
• Breast implants do not interfere with milk production or safety of breastfeeding
• Silicone from implants does not transfer to breast milk

Breast Augmentation Scars

While any surgical procedure will result in some scarring, Dr. Tong takes meticulous care to place incisions in discreet locations and close them with techniques that minimize visibility.

Scar Maturation Process

All scars go through phases of maturation after surgery:

1. Initial phase (first few weeks): The incision line may be barely noticeable as little scar tissue has formed
2. Active phase (several months): The scar may become pink, raised, and slightly firmer as the body lays down scar tissue to strengthen the incision
3. Maturation phase (6-12 months and beyond): The scar gradually becomes lighter in color, softer, and less noticeable

Minimizing Scar Visibility

• Incisions are placed in natural body contours (breast fold, areola edge, or armpit fold)
• Meticulous closure technique using fine sutures
• Following post-operative wound care instructions, including scar gel and silicone strips
• Avoiding sun exposure to the incision area during healing
• Allowing adequate time for scar maturation before assessing final appearance

Most patients report that scars are virtually undetectable or well-hidden under a bra or bikini once healing is complete.

 
 
Breast Augmentation Cost in Toronto

The cost of breast augmentation varies based on individual factors and the complexity of your procedure. At Yorkville Institute of Plastic Surgery, breast augmentation generally ranges from $11,600 to $12,100 + HST, including anesthesia fees, post-operative care, and related expenses.

Factors Affecting Cost

• Type of implants utilized (saline vs. silicone vs. gummy bear)
• Whether a breast lift is performed in conjunction with augmentation
• Complexity of your individual case
• Surgical technique and approach
• Facility fees and anesthesia costs

Financing Options

We accept major payment methods and offer plastic surgeryfinancing through leading patient lending companies. Financing options can make the cost of cosmetic surgery more manageable with low monthly installments.

To learn more about costs or to discuss financing options, please contact our office at (416) 972-0999.

How Fat Transfer Works

This technique involves:

• Harvesting excess fat cells from another part of your body, commonly the abdomen, hips, or buttocks
• Purifying the harvested fat
• Carefully injecting the fat into the breasts to increase volume

Advantages of Fat Transfer

• Breasts look and feel completely natural, usually indistinguishable from naturally large breasts
• No need for implant removal or replacement in the future
• No risk of implant-related complications such as rupture or capsular contracture
• Dual benefit of slimmer appearance in the donor area (similar to liposuction)
• Soft, natural-looking results without a foreign object

Limitations of Fat Transfer

• Some transferred fat may not survive, resulting in less augmentation than anticipated
• Unpredictability regarding final results, sometimes requiring multiple sessions
• Patients desiring more than a two cup-size increase may need multiple procedures
• Not suitable for all patients or all aesthetic goals

Dr. Tong can perform fat transferbreast augmentation as a standalone procedure or as a complement to standard breast augmentation to smooth implant edges and reduce rippling or dimpling.

Schedule Your Consultation

Ready to take the next step toward greater confidence? Dr. Lawrence Tong and the team at Yorkville Institute of Plastic Surgery are here to guide you through every aspect of your breast augmentation journey. Schedule your personal consultation today. Our friendly staff will work with you to find an appointment time that fits your schedule. No physician referral is required. Your consultation is more than just a meeting, it’s the beginning of your transformation.