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Breast Surgery
What is the duration of the breast augmentation?
The duration of a breast augmentation surgery performed by Dr. Fanous is generally an hour and a half. This breast surgery takes place in our modern certified surgical center in Montreal.
Is it painful?
Dr. Fanous ensures that the breast augmentation takes place without any pain. In general, you will have very little pain and discomfort during the postoperative period.
Will I have to be put to sleep under general anesthesia?
No. Dr. Fanous uses local anesthesia with sedation.
This type of anesthesia is very appreciated by the vast majority of our patients who undergo a breast augmentation performed by Dr. Fanous at our surgery clinic in Montreal.
Do I have to come back to remove my stitches?
No. Dr. Fanous uses “absorbable stitches” that will disintegrate by themselves.
What are the possible methods for the insertion of breast implants?
There are three main approaches to the breast augmentation: inframammary incision (under the breast), axillary incision (in the armpit) or periareolar incision (around the nipple).
Then, the implant is placed by the surgeon either directly under the gland, or under the pectoral muscle, or under multiple pectoral muscles.
It is important to note that Dr. Fanous always places the implant behind four muscles rather than behind a single muscle only.
What are the differences between implants filled with saline water and those made of cohesive silicone gel?
There are two types of breast implants: saline implants and silicone implants.
The saline implants are made of a flexible pouch filled with saltwater.
At the beginning of surgery, the implants are shaped like empty bags.
To begin with, they are rolled like a cigarette, and then they are inserted behind your chest muscles by Dr. Fanous via a tiny incision of about 1.8 cm.
Once the implants are in place, the doctor fills them with saline water.
This type of implant is preferred by Dr. Fanous in most cases.
The silicone implants are made of a cohesive gel.
They are softer and suppler to the touch. However, these implants require a larger incision (4-5 cm) because they are inserted whole. They are also more expensive.
What will be the size of my implants?
In general, a cup “C” size (ranging from small C, medium C or large C) is the ideal volume for the majority of breasts.
Dr. Fanous listens to your desires, and he will take them into consideration during the procedure.
The goal of Dr. Fanous is to use an implant that is ideal for your body (usually between 300 and 500 cc), while maintaining natural-looking and symmetrical breasts after your breast augmentation.
What is the technique used for the surgery?
Dr. Fanous uses a technique that he published and taught in conferences, named “Mini-incision”.
It consists of a short incision in the crease under the breast, measuring about 1.8 cm.
This mini-incision is mainly used in the case of breast augmentation with saline implants, and gives a tiny scar that is satisfactory in general.
Can Dr. Fanous hide the incision in the nipple?
The periareolar incision (around the nipple) is not the preferred incision of Dr. Fanous for a breast augmentation, as the surgeon must cut through the breast to insert the implant behind it.
However, occasionally, Dr. Fanous uses this incision, especially in the case of a breast augmentation with silicone implants in order to hide the scar.
Can Dr. Fanous hide the incision in my armpit?
This incision is far from the breast, which means that the surgeon must create a long corridor between the incision and the breast to place the implant. This type of incision may increase in theory, the risk that the implant ascends through the tunnel during the postoperative period.
Moreover, this incision is placed above the operated area (the breasts). So, the drains that are left through the incision (to help drain the blood) are not privileged because they work against the direction of gravity.
FREQUENTLY ASKED QUESTIONS
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What is the lifespan of the implant?
The lifetime of an implant is probably around 10 years.
However, it is possible for a rupture to happen at any time, even during the first few months after the breast augmentation. On the other hand, it is also possible that the implant will remain intact for many years.
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Do you place the implant ``under the muscle``?
One of the breast augmentation techniques is to place the breast implants behind one pectoral muscle.
Dr. Fanous inserts the implant behind four pectoral muscles. These muscles completely separate the implant from the natural breast, like a “muscular wall”.The result is a breast that, theoretically, is less likely to sag with gravity over the years, as well as having softer feeling breasts after the augmentation because the implants are covered by the muscles.
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What happens if the implant ruptures?
In the event of a rupture, the saline implant filled with water will drain safely.
In fact, the salt water it contains is identical to the liquid that is part of your body composition.
As for the silicone implant, it is made of a gel so thick that it does not leak if the bag ruptures.
However, a new intervention will have to be performed to replace any ruptured implant.
Generally, the manufacturer that makes the implants provides part of the costs in the case of a revision surgery.
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Will I be able to breastfeed?
Yes.
Dr. Fanous places the implant behind four muscles, not just one. This ‘wall of muscles’ separates completely the implant from the breast.The breast augmentation is not a contra-indication to breastfeeding and will not interfere with it.
However, breastfeeding may cause some breast sagging. -
Will I keep the sensations of my nipples?
Generally, you will not feel any difference in the sensation of the nipples.
A weakening of the breast sensations is a possible but is a rare complication.
The recovery
What is the recovery time?
The recovery varies from one person to another, but you should be able to perform your daily activities a week after your surgery.
When can I go back to work?
Generally, you will be able to resume working one to two weeks after the breast augmentation.
Can I exercise after my breast augmentation?
You can restart muscular activities with your chest and arm muscles one month after your breast augmentation.
Are there possible complications associated with the breast augmentation surgery?
Soon after your breast implant surgery, your body will create a soft collagen capsule around each implant. This step is normal.
However, it is possible that this capsule might tighten around the implant making the breast hard and irregular in shape. This complication is called “capsular contracture”.
Other complications associated with a breast augmentation are possible, but their percentage is low. They include deflation of the prosthesis, infection, bleeding, asymmetry of the breasts, loss of sensation, weakness of the muscles or nerves of the chest, necrosis of the skin, stretch marks, calcium deposits around the prosthesis, bruises, etc.
The cost of the surgery: how much does a breast augmentation cost?
It is simple: call now at 514-935-9513 to get an immediate estimate of the cost of a breast augmentation.
Depending on the esthetic problem and the reputation of the surgeon, the cost of a breast augmentation can vary greatly.
Do you offer payment plans for the breast surgery by installments?
Yes.
We can put you in contact with a financial agency that permits you to pay for your breast implant surgery over a period of 1 or more years.
1 Westmount Square, Bureau 1380,
Montréal, QC, Canada, H3Z 2P9
Phone : (514) 935-9513
Book a consultation with Dr. Nabil Fanous.
