Nipple Areola Vascularity

Choosing your breast implants


All of the newest generations of breast implants have a durable external rubber silicone shell. The composition of the contents within the external shell of the breast implant determines whether it is called a saline or silicone implant. Since the shell is very similar, both saline and silicone implants are very durable and safe.

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Superior Medial Pedicle

Unless you gain or lose a significant amount of weight or become pregnant, your breast size should remain fairly constant. However, gravity and the effects of aging will eventually alter the size and shape of virtually every woman's breasts. If, after a period of years, you become dissatisfied with the appearance of your breasts, you may choose to undergo a breast "lifting" procedure to restore their more youthful contour.

Breast reduction surgery will make your breasts smaller and firmer. Without the excessive weight of large breasts, you may find greater enjoyment in playing sports and engaging in physical activity.

Incisions: The incisions from your breast reduction surgery will heal and fade over time. It is important to realize, however, that the incision lines will be permanently visible, more so in some individuals than others. Fortunately, the incisions for breast reduction are in locations easily concealed by clothing, even low-cut necklines.

Adjusting to new body image: Breast reduction often makes a dramatic change in your appearance. For this reason, it may take some time to adjust to your new body image. Most women, however, eventually become comfortable with their smaller breasts and feel very pleased with the results of surgery. In fact, the level of patient satisfaction resulting from breast reduction is among the highest of any plastic surgery procedure.

Women in Montreal, Quebec considering breast reduction surgery have one big question: "what will my breasts look like after my procedure?"

In general the breasts will be smaller, firmer and higher up on your chest wall. Some women will also have their breast reduction reduce their areola in size and/or have it repositioned to be in proportion with their new, smaller breasts. 

During the pre-operative consultation the amount of your reduction will be determined. For breast reduction, one woman may need a lot of excess volume removed, while another woman may achieve breast reduction that meets her needs with only minor tissue removal. The key is balance – keeping your body in proportion. What determines this? Your height, frame, body shape, and hip size all factor in. If your breasts become too small it can make your hips look larger. If your frame is very small, you may need more reduced. 

When you request your consultation through Inside Online, our Web-exclusive system, you will be able to discuss breast shape with a highly-skilled plastic surgeon who will listen to what you have envisioned for yourself.

After Surgery
 After surgery, even though you will have some swelling, you will immediately notice the change in your breasts. However, the final shape and appearance of your breasts may not be apparent for six months to one year. Meanwhile, your breasts will be smaller, firmer and younger looking. 

While the effects of a Montreal breast reduction are permanent, some things can affect breast shape and size. Breasts will still droop over time (but with less breast mass this process will be slower). Breasts size can fluctuate if you gain or lose weight. Breasts can swell or become tender to the touch under hormonal influences.

Saline breast implant
Saline breast implants are silicone rubber external shells engineered to be filled with a physiological solution of salt water. The saline water is harmless as its composition is similar to the saline found in your blood plasma. The saline breast implant is prepared by the manufacturer and provided to your surgeon as an empty shell designed to be filled with saline at the time of your surgery. At surgery, the empty saline implant is surgically placed through a short hidden incision and then filled to the specified volume remotely through a special valve designed within the saline implant. The advantage of a saline breast implant is its collapsible small size. Saline implants offer the breast augmentation patient a shorter incision and great choice of incision methods. The small dimension of a collapsed saline implant facilitates its placement through remote incision sites such as the axilla (armpit). Customized adjustments to produce a desired breast result are also possible by making limited volume adjustments to the saline breast implant during augmentation surgery. In the past, saline breast implants were susceptible to leaks, rupture, and deflation. New designs with thicker external saline breast implant shells have diminished the risk of deflation. However, the water like qualities of saline leave many patients dissatisfied with the "bag of water" unnatural feel and visible external "rippling" sometimes seen with saline breast augmentation.

Silicone breast implant
In contrast, silicone breast implants have the interiors of their rubber silicone envelope filled with a viscous material composed of a gel of polymerized silicone. To reproduce the natural feel of a normal breast, various viscosities of silicone gels have been used in breast implants. Unlike the collapsible saline implant, a silicone breast implant comes from the manufacturer already pre-filled with a fixed volume of silicone gel. Minor adjustments to the fixed volume of a silicone implant are not possible. The larger insertion volume of a silicone breast implant usually requires direct breast access through an infra-mammary or peri-areolar incision. Additionally, the manufacturing of the silicone gel breast implant is more complex resulting in greater cost. Despite these drawbacks, the silicone breast implant remains highly popular. The newest silicone "cohesive" gel breast implants have a natural breast feel. Furthermore, its cohesive viscosity better preserves the desired shape of the breast implant creating fuller and more natural looking breast. The natural feel and fuller breast shape have made these implants desirable in cosmetic breast augmentation. In Montreal, the silicone cohesive gel breast implant is the most popular choice among women choosing to have breast augmentation.

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Inferior Pedicle