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Breast Augmentation

in Toronto

Dr. Rose Plastic Surgery offers personalized breast augmentation with natural-looking results that honor your unique shape. test

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Embrace Your Personal Vision

Breast Augmentation at Dr. Rose Plastic Surgery

Some women have always wanted more breast volume. Others notice that pregnancy, breastfeeding, weight loss, or time has changed the shape they once had. Sometimes the difference is subtle. A favourite dress fits differently. A swimsuit feels less balanced. A bra creates shape that disappears the second it comes off.

Breast augmentation in Toronto at Dr. Rose Plastic Surgery is planned around proportion, softness, and long-term support. Dr. Jacqueline Rose Makerewich performs breast augmentation with careful attention to implant selection, surgical technique, natural breast tissue, and the details that help fuller breasts still feel balanced on the body.

Full, Sculpted Harmony

What is Breast Augmentation?

Breast augmentation is a cosmetic surgical procedure that uses breast implants to increase breast volume, improve symmetry, restore fullness, and enhance breast shape. Also called augmentation mammoplasty, breast augmentation surgery is planned around natural breast tissue, body proportions, implant type, implant placement, and long-term support.

Breast augmentation is one of the most common procedures in plastic surgery, and the best results come from a thoughtful plan. Implant size, incision placement, implant position, chest wall shape, breast tissue thickness, and skin quality all affect the final result.

At Dr. Rose Plastic Surgery, the breast augmentation procedure starts with a careful conversation. Dr. Rose wants to understand what feels off, what feels right, and what kind of change would feel natural on your body.

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Breast Augmentation at a Glance

  • Best for: Increasing breast volume, improving symmetry, restoring fullness
  • Procedure Type: Cosmetic breast surgery
  • Implant Options: Silicone breast implants, saline breast implants, form-stable silicone implants
  • Anaesthesia: General anaesthesia or awake surgery for select candidates
  • Surgery Length: Approximately 1–2 hours for many patients
  • Downtime: Most patients return to desk work within about one week
  • Pain Level: Tightness, pressure, and soreness are expected
  • Results: Immediate improvement with continued settling over several months
  • Longevity: Long-lasting with routine follow-up
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Fullness, Reconsidered

What Concerns Does Breast Augmentation Address?

Breast augmentation can help patients who want more volume, more proportion, or a fuller breast shape after natural development, pregnancy, breastfeeding, weight loss, or aging.

It may address:

  • Naturally small breasts
  • Loss of breast volume after pregnancy or breastfeeding
  • Breast changes after weight loss
  • Mild asymmetry between one breast and the other
  • Limited upper-pole fullness
  • A lack of projection
  • A breast size that feels out of proportion with the shoulders, waist, or hips
  • Clothing that doesn’t fit the way you’d like
  • A breast shape that no longer matches your aesthetic goals
  • Volume changes after previous breast surgery

Some patients also consider breast implant surgery after a major change in body image. This can happen after pregnancy, after significant weight loss, or after years of feeling that padded bra support is doing all the work.

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The Shape You Choose

What Are the Benefits of Breast Augmentation?

Breast augmentation can create better balance between the breasts, waist, shoulders, and hips. The procedure can also help clothing fit with less padding, less adjusting, and more consistency from one outfit to the next.

Potential Breast Augmentation benefits include:

  • Fuller breast volume
  • Improved breast symmetry
  • Enhanced upper-pole fullness
  • More balanced body contours
  • Better cleavage and projection
  • Improved fit in bras, swimwear, and fitted clothing
  • A natural appearance when implant selection fits the patient’s body
  • Long-lasting results with routine follow-up
  • More control over breast size and shape
  • Improved self esteem for many patients with realistic expectations

Breast augmentation can improve body image for some people, but the strongest results come from clear planning and honest expectations. Dr. Rose will help you understand what breast implants can change and what they can’t.

The Right Fit

Is Breast Augmentation Right for Me?

Breast augmentation may be appropriate if you’re healthy, want to increase breast volume, and understand what implants can realistically achieve.

You May Be a Good Candidate If...

  • You want fuller breasts
  • You’ve lost breast volume after pregnancy, breastfeeding, or weight loss
  • You want improved symmetry
  • You’re at a stable weight
  • You’re a non-smoker or willing to stop smoking before surgery
  • You’re in good general health
  • Your blood pressure and medical history are safe for elective surgery
  • You understand the benefits, limits, and possible risks of breast implants
  • You have realistic expectations for your result

Breast Augmentation May Not Be the Right Fit If...

Breast augmentation may need to wait if you’re pregnant, breastfeeding, actively losing weight, smoking, or managing a medical condition that raises surgical risk. Patients with sagging breasts may need a breast lift with or instead of implants. Implants can increase breast volume, but they don’t reliably raise a low nipple position or remove excess breast skin.

During your consultation for Breast Augmentation Toronto plastic surgeon, Dr. Rose will discuss whether the procedure makes the most sense for your breast tissue and goals.

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The Details Shape Everything

Choosing the Right Breast Implants

Choosing breast implants involves more than selecting a cup size. Implant dimensions should complement your natural breast tissue, chest width, shoulder width, skin quality, and long-term tissue support.

Bra cup sizes are not precise surgical measurements. A C cup in one brand can fit like a D cup in another. Dr. Rose uses breast measurements, implant dimensions, tissue thickness, and patient goals to choose breast implant sizes that make sense on the patient’s body.

Silicone Breast Implants

Silicone breast implants contain silicone gel that mimics the softness and movement of natural breast tissue. Many Toronto Breast Augmentation patients choose silicone implants because they tend to feel soft and can create a natural result in the right candidate.

Modern silicone implants come in different shapes, sizes, and profiles. Some patients choose round implants for fullness. Others may ask about teardrop implants or form-stable silicone gel implants, which are also called gummy bear implants.

Saline Breast Implants

Saline breast implants are filled with sterile salt water. They are inserted empty, then filled after placement, which may allow for a smaller incision in some cases.

Saline implants can be a good option for select patients, though they may feel firmer and may show rippling more than silicone implants, especially in patients with thinner breast tissue.

Gummy Bear Implants

Gummy bear implants are form-stable silicone gel implants. They hold their shape more than traditional silicone gel implants and may be recommended in certain cases where structure, shape, or tissue support is part of the surgical plan.

Silicone vs. Saline Implants

Silicone Implants

Saline Implants

Filled with silicone gel

Filled with sterile salt water

Softer feel for many patients

Slightly firmer feel

Often chosen for a natural appearance

Can be filled after insertion

Less visible rippling in many patients

Rippling may be more visible

Available in many implant types and profiles

Volume can be adjusted during surgery

Toronto Breast Augmentation surgeon, Dr. Rose will walk you through the different implant types during your consultation and explain which options may best fit your anatomy, goals, and long-term plan.

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Measured, Never Guesswork

How Does Dr. Rose Choose Implant Size?

Implant size should fit the body, the tissue, and the life the patient actually lives. A larger implant can look beautiful on one patient and feel heavy or unsupported on another.

Dr. Rose considers:

  • Chest width
  • Shoulder width
  • Natural breast tissue
  • Skin elasticity
  • Breast fold position
  • Inframammary fold shape
  • Chest wall contour
  • Existing breast volume
  • Desired breast size
  • Activity level
  • Long-term support
  • Personal preferences

A patient with a narrow chest wall may need a different implant width than someone with a broader frame. A patient with thinner connective tissue may need a more conservative implant size to protect long-term support. This is where surgical judgment matters.

The goal is to choose new implants that fit the patient’s body instead of forcing the body to fit the implant.

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Where Support Begins

Where Are Breast Implants Placed?

Implant placement influences breast shape, support, cleavage, and long-term results. Breast implants can be placed above or below the chest muscle, depending on the patient’s tissue and surgical goals.

For many patients, Dr. Rose uses a modified Dual Plane approach. This places the implant beneath the pectoral muscle while allowing the lower portion of the implant to shape the natural breast tissue. The technique supports the implant, softens the upper breast transition, and helps create natural-looking cleavage.

Some patients may be Breast Augmentation candidates for placement above the chest muscle. This can be considered when there is enough breast tissue to cover the implant and the surgical goals support that approach. Dr. Rose will explain the advantages and tradeoffs during the initial consultation.

Consultation about plastic surgery options with Toronto Breast Augmentation provider

Scars, Thoughtfully Placed

Incision Placement for Breast Augmentation

Incision placement affects scar location, implant access, and the type of breast augmentation performed. The right Breast Augmentation incision depends on implant type, implant size, breast anatomy, and the surgical technique.

Common incision options include:

  • Inframammary incision: placed in or near the breast crease
  • Periareolar incision: placed along the border of the areola
  • Transaxillary incision: placed in the natural fold of the armpit

Some plastic surgeons also discuss umbilical incisions, though this approach is far less common and has limitations. Dr. Rose will explain which incision placement offers the safest access and best scar position for your plan.

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No Breast Scar

Transaxillary Breast Augmentation

Dr. Rose has developed particular expertise in transaxillary breast augmentation, an advanced surgical technique that places the incision discreetly within the natural crease of the armpit instead of on the breast itself.

For suitable Breast Augmentation candidates, this approach leaves no scar on the breast. The implant is placed through the underarm incision, and the breast itself remains free of an incision line. This can be especially appealing for patients who want breast augmentation performed with the most discreet scar placement possible.

Transaxillary breast augmentation is not the right approach for every patient. Implant size, implant type, tissue quality, and whether another breast surgery is needed can affect candidacy. During consultation, Dr. Rose will determine whether the transaxillary approach fits your anatomy, implant plan, and surgical goals.

Subtle Has Power

Small-Volume Breast Augmentation

Not every patient wants a dramatic change.

Small-volume breast augmentation is for women who want subtle enhancement while maintaining a natural appearance. This approach can restore proportion, add soft fullness, or improve clothing fit while keeping the breast shape refined and believable.

This option may suit patients who:

  • Want a modest increase in breast size
  • Prefer a natural result
  • Have an athletic frame
  • Want more fullness without looking heavy
  • Want to restore volume after pregnancy or weight loss
  • Prefer proportion over a noticeable “boob job” look

For many Toronto Breast Augmentation patients, the goal is simple: a little more shape, a little more balance, and a result that still feels like theirs.

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Two Paths to Fullness

Breast Augmentation vs. Fat Transfer

Breast augmentation with implants and fat transfer breast augmentation can both increase breast volume, but they work in different ways.

Option

How It Works

Best For

Limitation

Breast implants

Silicone or saline implants are placed to add volume

More predictable volume and shape

Requires implant maintenance

Fat transfer

Liposuction removes fat from one area and injects it into the breasts

Subtle increase using the patient’s own fat

Limited volume change

Breast augmentation with lift

Implants are combined with lifting

Volume loss with sagging breasts

More scars and more complex surgery

Fat transfer can be useful for subtle volume, contour blending, or small refinements. Breast implants offer more predictable volume and projection. Dr. Rose will discuss which approach makes sense based on your breast tissue, body type, and goals.

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Before Surgery Day

How Should I Prepare for Breast Augmentation?

Preparation begins before surgery day. During your consultation, Dr. Rose will review your medical history, discuss implant options, take detailed measurements, and develop a surgical plan based on your anatomy and goals. You’ll also receive instructions about medications, nicotine cessation, transportation, activity limits, and how to set up your recovery space at home.

You may need updated breast imaging depending on your age, medical history, breast cancer screening needs, or family history. Breast implants can make mammogram screening more technically involved, so it’s important to tell your imaging clinic that you have implants after surgery.

The week before surgery is also a good time to prepare your recovery area. Set out loose tops, front-closure clothing, water, snacks, prescribed medications, and a supportive sports bra or surgical bra if Dr. Rose’s team recommends one. Make the first few days easy.

Precisely Planned

How Is Breast Augmentation Performed?

Breast augmentation is performed using carefully planned incisions, precise implant placement, and meticulous tissue handling to create a balanced result. The surgery details vary based on the implant type, incision, implant placement, and whether another procedure is being performed.

Typical breast augmentation surgery includes:

  1. Surgical planning and markings: Dr. Rose confirms the plan, markings, incision location, and implant choice.
  2. Anaesthesia: Breast augmentation may be performed under general anaesthesia or, for select candidates, with awake surgery techniques.
  3. Incision creation: The incision is placed according to the surgical plan, such as the breast crease, areola border, or armpit.
  4. Pocket creation: Dr. Rose creates space for the implant either above or below the chest muscle.
  5. Implant placement: Silicone implants or saline implants are placed with attention to symmetry, position, and support.
  6. Shape and symmetry check: Dr. Rose assesses the breast shape, implant position, and balance between both sides.
  7. Closure: Incisions are closed in layers. Absorbable sutures may be used depending on the surgical plan.
  8. Dressing and support: A surgical bra or supportive dressing helps protect the early result.

Is Awake Breast Augmentation an Option?

For suitable candidates, Dr. Rose offers awake breast augmentation. This approach uses local anaesthetic with sedation instead of general anaesthesia and may allow for a different recovery experience. Your consultation will determine whether awake surgery is appropriate for your procedure.

Healing in Stages

Breast Augmentation Recovery

Breast augmentation recovery happens in stages. Most patients feel swelling, tightness, and soreness during the first several days, then become more comfortable as the chest relaxes and early swelling improves.

Social Downtime

Following a Breast Augmentation Toronto patients may return to desk work within about one week. Patients with physically demanding jobs may need more time away from work, especially if lifting, reaching, or upper-body movement is part of the role.

Physical Activity

Walking is encouraged soon after surgery. Upper-body exercise, heavy lifting, chest workouts, and high-impact movement should wait until Dr. Rose confirms that healing is progressing appropriately. Many patients avoid upper-body workouts for the first few weeks and return to more intense activity in stages.

Surgical Bra and Support

Dr. Rose’s team may recommend a surgical bra or supportive sports bra during early recovery. Many patients wear supportive garments for several weeks as swelling improves and the implants settle.

Recovery Timeline

  • Days 1–3 - Tightness, swelling, soreness, pressure
  • Week 1 - Improved comfort, light activities, desk work for many patients
  • Weeks 2–4 - Swelling continues improving, movement feels easier
  • Around 6 Weeks - Gradual return to full exercise if cleared
  • 3–6 Months - Final settling and softening continue
  • Up to 1 Year - Scars mature and fade

Follow-Up Care

Follow-up appointments are necessary to monitor recovery progress, incision healing, implant position, and comfort. Dr. Rose closely monitors healing and provides scar guidance, activity recommendations, and recovery support as your results settle.

Patient care after surgery is one of the places where small details matter. A question answered early can prevent stress later.

Shape Takes Time

When Will I See My Results?

You’ll notice fuller breasts immediately after surgery, though early swelling and implant position can make the breasts look higher or firmer at first. Over the next several months, swelling decreases, implants settle, and the breast tissue softens.

Typical Changes

Fuller breasts with swelling

Swelling decreases

Implants begin settling naturally

Softer, more natural appearance

Up to 1 Year

Continued scar maturation

The early phase can feel a little strange. Breasts may look high, tight, or firmer than expected before they soften. Dr. Rose will guide you through what’s normal and what needs attention.

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Built for the Long View

How Long Do Breast Implants Last?

Breast implants are durable medical devices, and many patients enjoy their results for years. They’re not considered lifetime devices, so routine follow-up is important.

Implants don’t need to be replaced on a fixed schedule. Future surgery may become necessary if implant rupture, capsular contracture, cosmetic changes, aging, weight changes, or personal preferences call for revision surgery.

Some patients choose revision surgery years later because their body has changed. Others replace implants because they want a different size, shape, or feel. Dr. Rose will explain long-term implant care so you understand what maintenance may look like.

Safety Before Size

Breast Implant Safety and Risks

Breast augmentation is elective surgery, so patient safety comes first. A board-certified plastic surgeon should review the benefits, risks, implant choices, surgical facility, and long-term follow-up before you decide to undergo breast augmentation.

Possible complications can include:

  • Bleeding
  • Infection
  • Changes in nipple or breast sensation
  • Capsular contracture
  • Implant rupture or leak
  • Implant malposition
  • Rippling
  • Scar tissue concerns
  • Asymmetry
  • Need for revision surgery
  • Anaesthesia-related risks

Capsular contracture occurs when scar tissue around the implant tightens and changes the feel or shape of the breast. Mild cases may only feel firmer. More significant cases can cause discomfort, distortion, or the need for revision surgery.

Scar Placement With Purpose

Scars After Breast Augmentation

Breast Augmentation Incision placement is carefully planned to minimise scar visibility while providing safe access for implant placement.

Depending on your surgical plan, incisions may be placed:

  • Within the breast crease or inframammary fold
  • Around the areola
  • Within the natural fold of the armpit through the transaxillary approach

Scars continue maturing for many months after surgery. They may look pink or raised at first, then fade and flatten with time. Dr. Rose provides detailed scar care instructions and follows your healing closely throughout recovery.

Volume or Position

Breast Augmentation vs. Breast Lift

Breast augmentation increases breast volume. A breast lift raises and reshapes the breast.

Some patients benefit from one procedure, while others need both to create the right combination of fullness and position. If nipples sit low, the breast fold has dropped, or breast skin has stretched, implants alone may create fullness without enough lift.

During consultation, Dr. Rose evaluates breast tissue, skin quality, nipple position, and aesthetic goals to determine the best plan.

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A Broader Plan

Can Breast Augmentation Be Combined with Other Procedures?

Breast augmentation is frequently combined with other surgery to create a more complete surgical plan.

These may include:

Combining procedures can reduce the number of recovery periods and create balanced improvements across multiple areas. It can also increase surgical time, so Dr. Rose will recommend combinations only when they support patient safety and a sensible recovery plan.

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Expertise With Restraint

Why Choose Dr. Rose for Breast Augmentation in Toronto?

Dr. Jacqueline Rose Makerewich is a double board-certified plastic surgeon certified by both the Royal College of Physicians and Surgeons of Canada and the American Board of Plastic Surgery.

Her breast augmentation philosophy centres on proportion, balance, natural-looking support, and patient safety. Her experience with modified Dual Plane breast augmentation, transaxillary breast augmentation, and small-volume augmentation allows her to plan each procedure around the individual rather than forcing every patient into the same surgical approach.

Patients appreciate Dr. Rose’s thoughtful consultation process, meticulous surgical planning, attentive follow-up care, and commitment to helping every patient make informed decisions with confidence. Toronto breast augmentation surgery patients come to Dr. Rose because they want clarity. They want to understand implant types, breast implant sizes, incision placement, recovery, and the tradeoffs that shape a natural result.

Start With A Clear Plan

Schedule a Consultation

Schedule a consultation with Dr. Rose Plastic Surgery to discuss breast augmentation, implant options, surgical techniques, recovery, and the approach that best suits your goals and anatomy.

Breast Augmentation Frequently Asked Questions

Breast augmentation cost varies based on implant type, surgical complexity, surgeon experience, anaesthesia, surgical facility fees, follow-up care, and whether other procedures are performed at the same time. Revision surgery and more complex procedures can cost more. During consultation, Dr. Rose will provide a detailed plan and quote based on your surgery details.

Most patients describe tightness and pressure rather than severe pain. Discomfort is usually most noticeable during the first several days and improves with medication, rest, and normal healing. Soreness and swelling can continue for a few weeks.

The ideal breast implant size depends on your breast tissue, chest width, lifestyle, skin quality, aesthetic goals, and desired breast size. Bra cup sizes are imprecise, so Dr. Rose uses measurements and implant dimensions instead of choosing by cup size alone.

Both silicone implants and saline implants can be safe and effective. Silicone gel implants tend to feel softer and more like natural breast tissue. Saline implants are filled with sterile salt water and may require smaller incisions in some cases. Dr. Rose will explain which option suits your goals.

Gummy bear implants are form-stable silicone gel implants. They hold their shape more than traditional silicone gel implants and may be useful for patients who want structure, shape retention, or a specific breast contour.

Breast implants can affect breastfeeding for some women, though many patients can breastfeed after breast augmentation. Results depend on natural anatomy, incision placement, milk supply, future pregnancy, and surgical technique. Dr. Rose will discuss this if future breastfeeding is part of your planning.

Breast implants can make mammogram screening more involved because implants can obscure some breast tissue. They do not appear to increase breast cancer risk. Patients should tell the imaging clinic they have implants so special implant-displacement views can be used when appropriate.

Breast implants are long-lasting medical devices, but they aren’t lifetime devices. Some patients keep implants for many years, while others need replacement because of rupture, capsular contracture, cosmetic change, or personal preference. Routine follow-up helps monitor implant health.

Capsular contracture happens when scar tissue around a breast implant tightens. This can make the breast feel firm, look distorted, or become uncomfortable. Mild cases may be monitored, while more significant cases may need revision surgery.

Every breast augmentation procedure involves an incision. Dr. Rose offers transaxillary breast augmentation for suitable candidates, allowing the incision to be hidden within the natural crease of the armpit rather than on the breast.

If breast volume is your main concern, breast augmentation may be appropriate. If your nipples sit low or the breasts have significant sagging, a breast lift or breast augmentation with lift may create a better result. Dr. Rose will determine the most suitable approach during your consultation.