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

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.
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.

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:
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.

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

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 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 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 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 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.

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:
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.
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.

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:
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.

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.
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:
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.

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.

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.
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:
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.
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.
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.
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.
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.
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.
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.

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.
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:
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.
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:
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.
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.

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.

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.
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 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.