Breast Augmentation

There are many reasons a woman may choose breast augmentation. Patients at our Kitchener-Waterloo clinic may feel their breasts are too small, or note that their breasts aren't the same size. Our plastic surgeons, including 2 women, specialize in breast augmentation.

Women travel to The Cosmetic Surgery Clinic for breast augmentation from London, Guelph and throughout Southwestern Ontario. Request a consultation online to meet personally with one of our surgeons, or call our office at (519) 804-9822 to schedule an appointment.

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What are my options for breast augmentation?

Technological advances in the past decade have led to breast implant options that look and feel more like natural breasts than ever before. You have several options to discuss with your surgeon. Your choices will depend on a number of factors, including your cosmetic goals, your skin's elasticity, and your body's frame. Our surgeons take the time needed to provide all the information you need to make educated decisions. In some cases, your surgeon may recommend combining a breast lift with breast augmentation.

Breast Augmentation Before & After Photos


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Breast Augmentation Before & After Photos

Keep in mind that each patient is unique and your results may vary.
  • Breast Augmentation case #123
    Breast Augmentation case #123

    Case #123

    This young, healthy 29 year old woman was initially wearing a B cup bra.  She wanted a fuller, but natural appearance after surgery.  Her surgery involved an incision in the fold under th... View Case 

  • Breast Augmentation case #12
    Breast Augmentation case #12

    Case #12

    This healthy young woman was disappointed with the natural development of her breasts.  She wanted a larger size, with a fuller contour, especially along the lower pole of the breast... View Case 

  • Breast Augmentation case #6
    Breast Augmentation case #6

    Case #6

    Round moderate profile textured cohesive gel silicon implants 322 grams sub-fascial placement* Our patient came to us wanting to enhance her physique by adding a significant amount of volume t... View Case 

  • Breast Augmentation case #16
    Breast Augmentation case #16

    Case #16

    Style 115 round textured cohesive silicon gel implants 401 grams periaereolar incision sub-glandular placement* View Case 

  • Breast Augmentation case #178
    Breast Augmentation case #178

    Case #178

    This healthy 37-year-old woman was unhappy with both the size and difference in shape of her breasts and wanted a larger, fuller look.  She had breast implant surgery using 335 gram silicon... View Case 

Breast Implant Size

Breast implants come in a variety of sizes. Selecting the proper size is crucial to ensure long-term satisfaction with your breast implants. Your surgeon helps you decide on the best size of implant to meet your goals.

Breast Implant Shape

The shape of the implant you choose depends primarily on your aesthetic goals. Some breast implants give the breast a more rounded appearance. Teardrop-shaped implants, also called anatomically shaped, create results that mimic the gentle slope of a natural breast with more fullness in the lower portion of the breast.

Breast Implant Profile

An implant's profile refers to how far it projects from the body. Implants that have the same volume can create a different appearance based on their profiles, which typically include the options low, moderate, moderate-plus, and high. The best choice depends on your body's frame and the cosmetic goals you communicate to the surgeon.

Breast Implant Filler

There are 2 approved options for breast implant fillers: silicone and saline. While both fillers are approved by Health Canada for breast implants, each has distinct features and benefits.

  • Silicone: The unique qualities of today's silicone gel-filled breast implants make it the filler of choice for patients in countries where both silicone gel-filled and saline-filled breast implants are widely available. Silicone gel-filled implants are available in a range of cohesiveness, from very soft to firm, so you can choose the option that you prefer. Today's cohesive silicone gel implants have eliminated the problems encountered with the silicone implants of the past.

  • Saline: Some patients prefer the look and feel achieved with saline-filled breast implants. Saline implants use a silicone shell that is inserted into the breast and then filled with sterile saline, a saltwater solution, through a valve. The size of the implant shell, as well as the amount of saline that is used to fill it, is what determines the look and level of softness.

Breast Implant Texture

Breast implants can be either smooth or textured. Texturing is designed to help keep the breast implant from shifting in place and to reduce the rate of capsular contracture, but is not recommended for every body type.

Incision Locations

The location of your breast augmentation incision is a personal choice that can be influenced by the size and type of implant you select. There are 3 options for incision location:

  • Periareolar: This incision is made along the lower edge of the areola (the darker skin surrounding the nipple).
  • Inframammary: A small, horizontal incision is made at the base of the breast, just above the crease where the breast connects to the chest wall. This is the most popular location for our breast augmentation patients.
  • Transaxillary: Patients who worry about visible scars on the breasts sometimes prefer the option of making an incision in the area of the armpit. This technique doesn't allow the surgeon to have a direct view of the implant pocket during the procedure.

In all cases, the incisions are very small and inconspicuous. Any resulting scars fade and are barely perceptible.

Periareolar Incision
Inframammary Incision
Transaxillary Incision

How is breast augmentation surgery performed?

Our surgeons perform breast augmentation surgery using a general anesthetic, meaning you will be asleep during the procedure. They begin the operation by making the smallest possible incision in the location you selected during the consultation. The next step is creating a small space, called a pocket, where the surgeon inserts the implant. There are 2 general options:

  • Subglandular: This is above the chest muscle, behind the breast's glandular tissue. This option is usually associated with a slightly shorter recovery time. Patients with little existing breast tissue may not be good candidates for this location because it can be difficult to camouflage the implants' edges.

  • Submuscular: You may choose to have the implants placed under the chest muscles. Recovery following a submuscular placement is a bit longer, but many patients prefer the look and feel of having implants behind the muscle. This location is also preferred for patients who choose to have anatomically shaped implants because there is less risk of the implants rotating.

After inserting the implants and ensuring the breasts are symmetrical, your surgeon closes the incisions with dissolving stitches that don't need to be removed. Even though the operation itself takes only about an hour, expect to spend 3 hours at our practice on the day of the surgery.

What can I expect during the recovery?

The initial swelling that occurs following the procedure typically resolves within a few days, but residual swelling may take a few weeks to a month to disappear. A follow-up appointment is scheduled within a few days of the operation, which is an excellent time to ask any questions you might have. You are always welcome to contact our office at any time.

Breast augmentation patients can often resume normal daily activities such as driving, showering, cooking or shopping within 1 to 2 days after surgery. Expect to take 3 or 4 days off work, depending on the physical nature of your job. Some patients benefit from wearing support bras for a short period of time after surgery.

Avoid vigorous activities for 2 to 3 weeks, and take extra care to be gentle with your breasts for at least 1 month. You can begin lower body exercises 2 to 3 weeks after surgery, but avoid upper body exercises for at least 6 weeks.

Real Patient Results

We're proud of the results we achieve and the satisfaction our patients get when they see their dreams become reality. See for yourself.

View Photo Gallery Patient Testimonials

Frequently Asked Questions

How should I prepare for breast augmentation surgery?

The first step is a thorough consultation with your surgeon to determine your goals and preferences for your breast augmentation. The Clinic's patient coordinator will guide you through all the details of the planning process for your procedure, including financing, scheduling, and paperwork.

Aspirin and certain anti-inflammatory drugs can cause increased bleeding, so you should avoid taking these medications for a period of time before surgery. If you are a smoker, you will be asked to stop smoking well in advance of surgery.

You are to have nothing to eat or drink for the 12 hours immediately before your surgery.

What will the day of surgery be like?

You will arrange for someone to drive you to The Cosmetic Surgery Clinic and to pick you up after the procedure. Our staff will assist you with planning for your ride home.

You will meet our highly qualified and professional operating room staff so you will be assured that you are in excellent hands. Our anesthesiologist will talk to you before you go to sleep for your surgery. After the procedure is completed, you will be taken to our recovery area where you will continue to be closely monitored. After a brief recovery period you will be permitted to leave with your driver.

Vigorous activities should be restricted for a period of 2 to 3 weeks. Care must be taken to be extremely gentle with your breasts for at least 1 month.

Financing Options


We understand living on a budget. Check out our convenient financing options for qualifying patients.

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What results can I expect?

Breast augmentation can result in your breasts being fuller and having an enhanced shape. Clothes may fit better and most women experience a boost in their self-confidence.

How long will the results last?

The results of breast augmentation are long-lasting. However, gravity and the effects of aging will eventually alter the size and shape of every woman's breasts. If, after time, you become dissatisfied with the appearance of your breasts, you may choose to undergo a breast lift aiming to restore their youthful contour.

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Meet Our Surgeons

The talented, experienced plastic surgeons at our Kitchener-Waterloo clinic have the advanced training to create exceptional, natural-looking results that meet the individual needs of our patients. The collaborative nature of our practice benefits patients in many ways.

Dr. Robert Shenker Dr. Amy Chesney Dr. Stephanie Ma

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