Aesthetic breast surgery and breast augmentation is a sub-specialization of Toronto plastic surgeon Dr. Wanzel's. He completed additional training after his seven year residency in aesthetic and reconstructive breast surgery.
Breast augmentation is used to enhance the appearance of the breast by placing a breast implant under the breast mound. Breast augmentation will increase volume, improve the fullness of the breast, correct asymmetry, and provide a more youthful shape.
Breast enhancement surgery remains a popular procedure due to the relative straight forwardness of the operation and the predictability of the results. After completing his fellowship in aesthetic and reconstructive breast surgery, Dr. Wanzel is well versed in a variety of techniques, allowing him to tailor solutions to your particular needs.
Am I A Candidate for Breast Augmentation Surgery?
- You are in good overall health and can handle all of the basic risks of surgery
- You are not pregnant
- You are not breastfeeding
- You have fully developed breasts and feel that your breasts are not big enough or not shaped to your liking
- You have experienced a change in shape or size because of aging, massive weight loss or pregnancy/breastfeeding
- Your breasts are not symmetrical
- You have an abnormal breast shape that may look deflated, oblong or disproportionate
What Is Breast Augmentation?
Breast augmentation surgery can be done with either saline-filled implants, which consist of a silicone rubber shell filled with sterile saline (salt water) or the newer (and more popular) Health Canada and FDA approved cohesive gel silicone implants.
"Dr. Wanzel and his staff are professional, polite and kind. His staff is warm and welcoming, and often share a laugh or two. Dr. Wanzel's knowledge and professionalism is exceptional, in whatever procedure you choose.Our discussions were lengthy (which I prefer), and decisions are made, when the patient is ready. His gentle way, and again, professionalism, leaves you knowing you are in very capable hands. I have always been more than satisfied with all my procedures." - Carla K
What types of implants are used?
The implants themselves are either round or anatomic (ie. "tear drop" shaped) devices. Nowadays, all silicone implants are made of "cohesive gel", which some people endearingly refer to as "gummy bears". This type of gel is far superior to the older liquid silicone that was used decades ago. If one were unlucky enough to have a leak in the shell of their modern day implant, the cohesivity of the gel means that it is a much easier problem to fix and much less invasive a surgery, leading to a much easier recovery for patients.
HOW ARE IMPLANTS PLACED?
To insert the implants, a small incision is made either underneath the breast (in the existing fold) or around the lower portion of the areola. A pocket is then created into which the implant is inserted. This pocket is either made directly behind the breast tissue or beneath the pectoral muscle of the chest. There are advantages and disadvantages of each location and Dr. Wanzel will discuss his recommendations and the risks and benefits with you at your consultation.
What Should I Expect From My Recovery?
The surgery is performed as an outpatient and under general anesthesia. You will awake with your bra on and a small dressing over the incision. The operation only takes 1-1.5 hours. However, most people are sore for a few days after. Depending on your particular situation, it may take either days or often weeks for the skin to stretch and accommodate the new implant so that the result becomes more and more natural appearing.
When Can I return to normal activity?
In general, moving around and walking is permitted and encouraged early on. Walks for exercise are possible at about the 2 week mark. Jogging and more vigorous exercise is allowed at about 4 weeks. At 6 weeks, there are essentially no restrictions. However, Dr. Wanzel will guide you through a customized recovery depending on your exact surgery and how the recovery process is progressing.
What Are The Risks Af Breast Augmentation Surgery?
Complications following a breast augmentation are thankfully quite rare. The most common complication (and happily it is exceedingly rare) in the first day or two is a hematoma (ie. a collection of unwanted excess blood within the implant pocket). Other complications include, but are not limited to infections, a decreased sensation of the nipple and/or areola, a decreased potential for lactation and future breast feeding, asymmetries, and possible implant failures over time (ie. a leak or rupture of the implant).
The most common long term complication is a capsular contracture. Since a breast implant is a foreign body inside your body, the body's natural defence is to wall it off with some scar. This is the same process that would happen with any other foreign body (eg. a pacemaker or a piece of glass stuck in your foot). Most times this scar is thin and imperceptible. However, it it progresses and gets thicker, it can distort the breast shape and is sometimes painful as well. The solution is often more surgery to free up or remove the excess scar.