PATIENT RESOURCES / DR’s Blog

Common Myths About Breast Augmentation Surgery

by | Breast Augmentation, Plastic Surgery

For such a common procedure, there are several myths about breast augmentation that you really need to understand before you can make an informed choice. Through my experience as a plastic surgeon speaking to patients over the years, these are some of the key things people wonder about:

Myth #1: Breast implants will look unnatural

Truth: There is no doubt that everyone has noticed a bad breast augmentation surgery – whether at the beach or in celebrity images. The reality is, the outcome of this surgery does not have to be that way, and really shouldn’t be that way. Breast augmentation should give a fuller, perkier, youthful, beautiful and natural looking breast. If you don’t want a stranger to know you have had a breast augmentation, then it is very important to make the right choice about implant size, shape and position. Some people want a little more fullness in the upper breast, which can still look great and give a youthful shape to the breast. However, no one needs to fear looking “fake”, so long as they choose their surgeon wisely; poor decisions and bad advice are the reason for “fake” looking results.

Myth #2: There will be a lot of scars

Truth: The scars are almost imperceptible in most cases, over time. The incisions can be hidden under the breast, at the edge of the areola, and in the armpit. Each incision choice has pros and cons, which I review with my patients during their consultation.

Myth #3: Implants only last 10 years

Truth: Implants today are manufactured better than they have ever been before. In the past, implants were made of liquid silicone. When the shell of the old-style implants ruptured, the silicone would get into the capsule that surrounded the implant. However, that all came to an end in 1992. Since being reintroduced in 2002, silicone implants are made of cohesive gel and even if cut, they do not leak. They are very durable. You can actually see videos of plastic surgeons driving over them with their cars. I communicate with my patients that although any device can get wear and tear, we have no idea how long that will take. I routinely remove implants placed 35+ years ago by my predecessors. If those ones lasted that long, who knows how long today’s breast implants will last.

Myth #4: Most people wish they had gone bigger

Truth: I couldn’t disagree more! I think that a beautiful breast augmentation, (and for that matter any plastic surgery) looks its best when it still looks natural. My goal as a plastic surgeon is to create perfect, fuller, perkier breasts that look so great it may leave people wondering whether you had surgery, but they should never know for sure. I never want it to be obvious to strangers that someone has had breast augmentation surgery. I regularly see patients that have had surgery elsewhere coming to me to revise their breasts, and usually downsize their implants because they want a more natural appearance. The other thing about large implants…the bigger they are, the harder they fall. In addition to downsizing implants, I am starting to see a lot of patients to repair the “droopiness “ they have developed from going too big. In cases where patients want a large implant, I make sure to advise them about the expected result in the near and long term.

Myth #5: My surgeon will choose the best implant

Truth: Although some surgeons will pick the implant size for their patients, I think this is a recipe for unhappiness. It is really a joint decision. My goal is to give my patients perfect breasts, (perfect breasts are all in the eye of the beholder), and to do that I really need to know what it is that they want. At the time of surgery I am awake, and they are asleep, so I don’t have the luxury of asking them which implants they think look the best. That is why… the more I can understand about what my patients are looking for, the better able I am to give them the result they want. I have at least four different techniques that I use to help patients pick the perfect implants. This is done at the consultation stage and during surgery.

Myth #6: It is a simple surgery

Truth: The concept sounds simple… make a pocket and place an implant, however making perfect breasts is far from simple. Most plastic surgeons that do cosmetic surgery, do breast augmentations. If it is so simple, why are there so many people coming to me seeking revisions? Why are there so many international conferences that focus on breast augmentation? The reality is, a lot of surgeons get themselves into problems because they don’t do all the little things right. They over-dissect the pocket. They weaken the support structures. They choose implants poorly. They don’t respect the heightened need for sterility for an implant surgery. They leave excess blood in the pocket. These problems can be avoided the majority of the time, with careful and meticulous technique; all of which will minimize the need for a revision surgery or other complications. My area of expertise is breast surgery, including creating breasts from nothing, in the setting of mastectomy patients. In doing so, I have learned a lot of tricks and techniques. By doing the very complicated procedures, it makes the breast augmentation easier, but by no means do I ever underestimate the need for precision.

Myth #7: I should know what to expect after one consultation

Truth: I think it takes time to really figure out what patients want in their breast augmentation surgery. This is not something that can be rushed. Hopefully the breasts that I create for my patients will be beautiful for years to come. I think it takes some time to discuss their goals, to go over implant sizing, and to review photos of their ideal breasts so that I can best know what my patients want. Although I use my expertise to help guide my patients, I see my role in the consultation process as helping them to figure out exactly what they want. Sometimes what they say they want… and words they use… simply do not match-up with the implants they are asking for. I take time to help sort that out. It is not a process to be done hastily. These are hopefully going to be your breasts for the rest of your life. In general, I see patients on two occasions, but I am always happy to see them as much as needed, to make sure that they are going to get what they want in the end.

Myth #8: It is a 25 minute procedure

Truth: This surgery needs to be customized every bit as much as any other surgery. It can be a quick procedure. In fact some surgeons take a lot of pride in how fast they can do it, as a boasting point. However, I would prefer to boast about beautiful results and happy patients. I will usually take measurements ahead of time, have patients try different implant sizes, have them bring me photos of breasts that are “ideal”, as well as breasts that are slightly too big and slightly too small. All of this gives me the information to create a beautiful breast that matches their goals. I also bring several implant options to the surgery and several trial sizers so that I can see exactly how things will look. I sit the patient up to make sure they look as nice upright as lying down, and then compare to other implant sizers that are close in size but may have a slightly different shape. It never ceases to amaze me how two implants similar in size, but differing in dimensions, can have such a different result. In virtually every case, there is a perfect implant that the whole surgical team looks at and agrees that it is the best choice. That is a very different (and a slightly longer) surgery than the 25 minute procedure, where the implant is chosen in the office ahead of time and hopefully is good enough.

I hope this blog relieves some concerns and sheds light on common myths about breast augmentation surgery. Breast augmentation surgery can produce beautiful and natural looking results. Some of my very happiest patients are those who I have done breast augmentation surgery for.

When the appropriate amount of time is taken to go over your goals and to really choose the best implant, both during your consultation and during the surgery itself, patients are generally extremely happy.

Click here to book a consultation with Dr Shortt or telephone 905-849-4282.

 

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Dr. Shortt preformed a gynecomastia gland removal on me

Dr. Shortt preformed a gynecomastia gland removal on me, I am 20 years old and have been dealing with gynecomastia my whole life, it has caused me alot of pain and discomfort. I am very athletic and fitness is my passion, having these glands affected how I looked cosmetically as well. I was recommended by my doctor to have Dr. Shortt as my surgeon, and I am so happy I was recommended to him. Throughout the process getting ready for my surgery he was extremely knowledgeable and professional providing all the information I needed to know. His staff were very helpful as well and I sent several emails asking questions and always got a reply right away. The surgery itself went really well and I was surprised that there was very little pain following the surgery, I didn’t really need any painkillers. He removed both glands which happened to be quite large from my chest. I saw Dr Shortt for follow up appointments for the first 3 weeks after, we were both extremely happy with how I was healing and the results. In fact, I am blown away by how much better I look, there is no scar at all and no soreness and discomfort like I had before I got the surgery done. I’m impressed, and I haven’t even healed fully yet since I am only 3 weeks out, I am looking forward to the final results because it’s only going to get better from here. This was a life changing surgery for me, I am so pleased I was able to get the opportunity to have such a great surgeon perform it. If you are a male that is looking for a good surgeon to perform this type of surgery, I am confident that you will be beyond happy with what Dr. Shortt can do, I know I was. Thank you.

I highly recommend dr. Shortt, he is very honest.

I highly recommend dr. Shortt, he is very honest. I had a consultation for my son to do his nose he explained everything to us thoroughly and spend enough time with us and answered all our questions.

I had sought a breast reduction to ease the back and neck pain

I had sought a breast reduction to ease the back and neck pain I had endured for years. I had met a few other plastic surgeons over a year period. I had never been comfortable or confident enough to make the decision to have surgery…not until I met with Dr Shortt. I had been afraid of surgery and never felt convinced it was worth it. After my consultation with Dr Shortt , I was excited about how he could help. He made me feel very comfortable. During the initial examination we also spoke about the large deposits of skin and fat under my arms – a constant source of embarrassment and discomfort. I had not worn anything sleeveless in years as they spilled out. He spoke to me about “auxiliary breast tissue removal”. I was thrilled there was something that could be done and both surgeries could be performed together When explaining what the procedure would entail and the recovery time, he spoke with me not at me. He acknowledged my fears and concerns. All my questions had been answered and I knew that surgery was the right decision and he was the right surgeon for me! ( I was so excited about the prospect now that I shared with my daughter now amazing he was – she had also meet other plastic surgeons for implants for herself – she met him and was also so impressed – she had her surgery performed by him as well!) The surgery went well. At all the follow up appointments, he was always timely. You would think being exposed and examined would be uncomfortable, but is wasn’t. He is such a professional and put you at such ease with him that I never had the chance to feel uncomfortable He would exam the areas and scars and instruct how to best take care of them. He shared in my joy and excitement for the difference this had made! I feel better and look better I also want to mention what an amazing team he has as well. Everyone I came into contact with at his office were amazing! I can’t come up with one thing that I feel he could have improved on. Without any hesitation I would, and do, recommend him!

I selected Dr Shortt based on his credentials and experience

At 51 years of age and many, many years of pain, I sought out a Surgeon who would perform for me an OHIP covered Breast Reduction and after a great deal of research, I selected Dr Shortt based on his credentials and experience. Reviewing his past surgery accomplishments, I soon wanted the “Mommy Makeover”. At my first appointment, I was pleasantly surprised by the Dr Shortt’s demeanor. He was found to be very approachable and empathetic. He took the time to explain everything that I needed to know and also answered all of my questions without making it seem a burden. He went through step by step what I would go through during and after my surgery. As a very self-conscious person, he was able to make me feel very comfortable being fully exposed and was professional every step of the way. His Support Staff are all so very courteous and professional. As far as the surgery itself, I would have to say I think that not only is he an excellent Surgeon, he is a Sculptor. I am extremely pleased with the results. The few people that I have shown my stomach and newly formed belly button are astounded at the results. Currently I am 9 weeks post op and feel wonderful and able to go back to the gym. Dr Shortt being a Perfectionist wants another 6mth appt to ensure that I remain am as happy as I am today and that the scarring is as minimal as possible. He has changed my life and I am very grateful. I would and have recommended him to several people already.

I am currently 5 weeks post op and am extremely pleased with my results

I am currently 5 weeks post op and am extremely pleased with my results so far and Dr.Shortt told me if I’m happy with the results so far, wait until I’m finally healed. Dr Shortt is an amazing doctor, his bedside manner is impeccable and at every step of the way he made me feel comfortable and you could tell he genuinely really cared. He took his time to listen to me and my concerns and reassured me he would do his very best, and the results so far are amazing, I am extremely happy and feel amazing. With any big surgery it can be scarey and nervous but Dr.Shortt is very knowledgeable and most of the time had already answered all my questions I had for him and he put me at ease. His staff are amazing to work with too, especially Joanne. Thank you guys, from my very first consult to today you have made this whole experience absolutely amazing. I would highly recommend you definitely go see Dr.Shortt his professionalism and the fact that he actually treats you like a person first shows he really cares.

I am very pleased with the excellent work of Dr. Rodger Shortt

I am very pleased with the excellent work of Dr. Rodger Shortt. His expertise and great manners helped me a lot through the difficult times and multiple operations I went through. As a cancer breast patient, I had two mastectomies for my right and left breasts. Dr. Short joined the surgeon on my second mastectomy and started his wonderful work of inserting the breast tissue expanders. I visited Dr. Shortt’s clinic several times to inject the saline into the breast expanders. During these visits, I appreciated the staff pleasant attitudes and Dr. Shortt recommendations. At the last stage of the process, Dr. Shortt removed the breast expanders and inserted the breast implants and he reconstructed my nipples from my breast skin. I am very pleased with the wonderful job Dr. Shortt has completed. I highly recommend Dr. Shortt and wish him every success with all the patients.

I am so very grateful for all the hard work he did

About 8 years ago I had a lumpectomy leaving my breasts very unbalanced. It has made super uncomfortable about my appearance especially in a bathing suite. Dr. Shortt did an amazing job fixing this. I am so very grateful for all the hard work he did. My girls look like twins instead of cousins. Also, his staff is excellent and caring. I am so happy and recommend him to anyone who needs a good Plastic Surgeon who listens and get the best possible results for his patient.

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