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Breast Augmentation Offered on Nuns' Island

Small or sagging breasts can affect the harmony of your figure and be a source of embarrassment for some women. Self-confidence is essential for a fulfilling life. If this is your case, cosmetic surgery can provide you with safe solutions and natural looking results. At Centre de Chirurgie Plastique de l’Île-des-Sœurs, breast augmentation is offered for both cosmetic and health reasons, such as in the case of implant replacement. Come talk to Dr Joseph Bou-Merhi.

A Safe Intervention

Breast augmentation, one of the most sought after operations in cosmetic surgery, and is a very safe procedure. Indeed, all serious scientific studies done for the past 40 years show that silicone implants are harmless to your health. For women who, despite everything, are still worried about having silicone in their body, a saline implant is a reassuring option.

Considerations for Breast Augmentation:

Intervention and Recovery

The procedure is done under general anesthesia and you go home the same day. Postoperative pain varies greatly from one patient to another. Most patients take their pain medication for the first few days and can go back to work after a week. Only patients doing very physical work wait two weeks. Monitoring is provided over several months and your plastic surgeon is always at your disposal in case of concern. In order to accommodate you, the deadlines for the consultation and the operation are as short as possible.

Breast Augmentation and Your Health

The risks to your health are probably zero. Breast augmentation has been practiced for over 30 years, and millions of women have undergone this operation. No serious scientific study has been able to associate any disease whatsoever with breast prostheses. Of course, it is essential to remember that every woman over 50 must receive a yearly mammogram and a breast exam.

The Life of Implants

Following the procedure, problems may occur in the implant itself: rupture, indurated (hardened) capsule, change of sensitivity, displacement, folds, undulations, etc. Appropriate actions can correct any problem, but the vast majority of patients have no difficulty. No breast implant lasts indefinitely, of course, even though most can be kept for 15 to 20 years. A rupture or hardening (capsule) will eventually occur and new implants will have to be put in place. On the other hand, as long as no complication occurs, there is no point in making a change. Also note that gel implants should be monitored by magnetic resonance every 3 years.

The Different Types of Implants

 Silicone Gel Implant:

Following the procedure, problems may occur in the implant itself: rupture, indurated (hardened) capsule, change of sensitivity, displacement, folds, undulations, etc. Appropriate actions can correct any problem, but the vast majority of patients have no difficulty. No breast prosthesis lasts indefinitely, of course, even though most can be kept for 15 to 20 years. A rupture or hardening (capsule) will eventually occur and new implants will have to be put in place. On the other hand, as long as no complication occurs, there is no point in making a change. Also note that gel implants should be monitored by magnetic resonance every 3 years.

 Saline Implant:

The ultimate choice for women who do not want silicone in their body. While the consistency of the breast is slightly less natural to the touch than with gel implants, the shape obtained is just as beautiful. In addition, this prosthesis is more versatile, since the volume of liquid that fills it can be modified to correct an asymmetry or to satisfy a patient disappointed with their initial choice of size.

 Profile Implant:

In the form of a drop of water, this implant is advantageous in certain situations, such as when there is no breast tissue or when a breast is sagging, since it allows the nipple to be raised slightly and to reduce any contour deformities (double bubble deformity). This implant contains cohesive gel III, which is more firm and keeps its shape.

 The Inspira Cohesive Gel "Over-Filled" Implant:

This implant accentuates the curve of the breast to give a more pronounced décolleté, and keeps its shape even when sitting or standing and reduces undulations and folds.

The Choice of Implantation Site

The implant can be placed behind the pectoral muscle, which makes it less visible and less palpable. The breast then seems more natural. However, the implant can be placed in front of the pectoral muscle when the patient has a good fatty panniculus (fat accumulation under the skin) to cover it. However, smooth implants have a much higher rate of hardening (capsule contracture) when placed in front of the muscle. It is therefore necessary to use a textured implant, that is to say one where the surface has been modified so that the tissues will grip it. This can make a breast less mobile than a natural breast.

The Choice of Breast Size

Each patient has the right to choose the size of the implant. Some decide to have a small implant, to get a very natural looking breast that does not suggest any surgery. The vast majority of patients opt for a prosthesis that gives them a C cup. Finally, others choose a large implant, either because it matches their silhouette better, or because they prefer a larger, stronger bustline.


To help you select the perfect implant size, Dr Joseph Bou-Merhi will offer trial prostheses of different volumes. They will be placed in a bra, which will allow you to glimpse the final result of the operation. Whatever the desired volume, the projection (implant advanced forward) and diameter (ratio between the height and width of the implant) will be selected according to the width of your natural breast. Photos of patients will also be shown to help you make your decision. Finally, valuable help can come from people you know: women who have undergone the operation with a result that you like and whose height and weight are similar to yours.

The Location of the Incision

Three locations are considered to hide the incision during a breast augmentation:

  • The incision in the crease under the breast is the most used. It allows the prosthesis to be well positioned, to control the bleeding well and even to modify the lower insertion of the pectoral muscle when the breast is sagging, tuberous or atypical.

  • An axillary incision (under the armpit) means you will get the implant with no visible scar, but this procedure has certain disadvantages in that it is more difficult to properly position the prosthesis, to modify the muscle or to reposition the implant.

  • The incision can also be made around the areola, which often leaves a nearly invisible scar. However, there is a higher risk of losing nipple sensitivity and having difficulty breastfeeding.

Dr Joseph Bou-Merhi will know how to proceed in your case and will explain the advantages and disadvantages of each option for you. Ask him your questions: he will be happy to answer you.

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