PATIENT RESOURCES / DR’s Blog

My Advice for Those Considering Breast Augmentation

by | Breast Augmentation

An area of plastic surgery that I sub-specialize in is surgery of the breast. I love sculpting and creating a beautiful and natural looking breast. I do so with breast implants, with fat transfer and even by moving tissue from one area to another. There is no perfect surgery, and everyone needs something tailored to their own needs and goals. Some patients would look great with a small breast implant that has a teardrop shape; while others may want something larger and fuller at the top of the breast.

Some patients don’t want any breast implant and prefer to just use fat transfer. For others neither fat nor an implant alone will work, in which case I end up using both; the implant provides most of the volume while the fat conceals and softens the edges. I use a technique that I developed and refined after performing countless breast reconstructions and augmentations.

Although each surgical plan should be tailored, there is some terrible advice that should be universally ignored… the idea that you should “always go a little bit bigger with your breast implant than you want just to make sure it looks full” and the similarly misguided advice, “put a large implant in to give you a breast lift”.

I couldn’t disagree more with these statements! That is not to say that women shouldn’t have large implants if they want. For some it will look terrific and match their goals. However, to routinely go big without rationale makes little sense.

I spend a lot of time helping my patients pick the perfect implant size for their goals. I have only ever replaced implants once for a patient of mine, and that was simply because her breasts were too small to fit the implant size she wanted in the initial surgery. We were able to size up to a very nice, but still modestly sized implant several months later. On the contrary, I routinely see patients that had their initial surgery done elsewhere. Not one has ever come to me from another clinic and asked to go bigger. Every single one has come with the request to get their implants made smaller and most also need a breast lift.

The idea that putting an implant in will give the appearance of a breast lift has some merit. But lets look into that idea a bit more. The concept is that the implant will provide volume to the breast, pushing the nipple forward and up – much the same way that a swing rises higher as it swings forward. For patients that need just a little lift it can work great. However, when someone really needs a lift, using a LARGE implant probably won’t, at least not for very long. Sure you may look great on the operating room table. Perhaps even for a few months. However, a LARGE implant weighs a lot. With time, the tissue that was initially really snug around the implant will relax. When it does, there is only one direction that the implant will go… down! Many women might say, “that’s fine, I will get a lift when I need one”. Unfortunately the same is likely to recur with a LARGE implant.

With that being said, here is the advice that I routinely offer to my patients: “Go just big enough to be happy and stop there”. Don’t listen to other people telling you what to do.

We have several techniques that we use to help come to the perfect breast size. Trust your gut. Go with the breast implant size that looks nice for you. It will look natural. It will weigh less. It will be more comfortable. And you will be less likely to need a breast lift in the future. If you are someone that really needs a breast lift now, get a breast lift. Don’t rely on an overly large breast implant to do the lift for you. It simply won’t work over the long run. You will still need a breast lift, but now you will have much larger implants than you originally wanted and run the risk of the same thing happening all over again.

I know my colleagues mean well. They want to offer a simpler surgery. Perhaps they don’t want you to have the scars from a lift. Unfortunately good intentions don’t always turn into good results.

If you are interested in learning more about the bikini bridge, tummy tuck, mommy makeover, liposuction, body contouring or any other plastic surgery procedures, please contact Dr. Rodger Shortt to arrange an appointment at 905-849-4282 or info@drshortt.com.

Dr Rodger Shortt is a plastic surgeon servicing Toronto, Oakville, Mississauga, Burlington, Milton, Hamilton and Georgetown. He strives to provide his patients the best care and excellent plastic surgery results. He is one of only a few plastic surgeons in Canada with a top rating on RateMD, RealSelf and Ontario Doctor Review. Dr Rodger Shortt is a specialist plastic surgeon trained in cosmetic surgery and reconstructive surgery. He specializes in breast surgery, breast augmentation, breast fat transfer, mommy makeover, tummy tuck, body contouring, breast reconstruction and cosmetic surgery of the face. He is the Director of Cosmetic Surgery Training at McMaster University and an Assistant Clinical Professor. If you are interested in a consultation with Dr Shortt please contact as at 905-849-4282 or visit www.drshortt.com.

Testimonials

Amazing plastic surgeon

Amazing plastic surgeon who was initially referred to me by another plastic surgeon. From my first consultation, Dr Shortt immediately knew what surgical procedures were the best option for my situation. No hesitation in diagnosis and recommended plan of action. I’m a breast cancer survivor and I thought a breast reconstruction was a lost cause for me due to my extension radiation treatments and consequential skin damage. Dr Shortt was very methodical and professional throughout the entire 18 month process. Before each surgery, I witnessed assertiveness and confidence with a sure hand mapping my body with his sharpie pen. He made me feel at ease with his good sense of humour and music.
My breast cancer journey is at long last over and I am quite happy with the final results. I feel rejuvenated and have gained my confidence back. I am so glad that I didn’t hesitate with my initial decision to go forward with the breast reconstruction. Thank you so much Dr. Shortt.

Nicest doctor ever

Dr. Shortt made my experience so wonderful and easy, he listened to all my concerns and was so helpful with everything. I had small implants put in to correct my tuberous breast and didn’t want too much of a visible change in size, he did exactly that and was so helpful throughout the whole process and made things very easy. I can’t thank I’m enough!

Amazing Experience with Dr. Shortt

I had an amazing experience with Dr. Shortt and his staff. I am so thankful to have had such a skilled surgeon and I am extremely happy with the results and I am glad I went through with the procedure/ chose Dr. Shortt as my surgeon. When I went for my pre-op check-up with my GP he asked who my surgeon was and when I told him it was Dr. Shortt he said that Dr. Shortt is a very good surgeon/ “one of the best.” The consultation process was excellent, I had more questions than the average patient. I asked specific questions about the procedure and the techniques that he uses for the surgery and he was more than happy to answer all my questions and let me know that I could come back for further consultations if I had more questions etc.

I highly recommend Dr. Shortt

I highly recommend Dr. Shortt. I recently had laser surgery on my face and am very pleased with the results. Dr. Shortt was patient, understanding and answered all my questions during our consultation. I later had some concerns about the surgery and Dr. Shortt listened to them and modified the procedure for me. I felt completely confident in his skill, expertise and professionalism and am very glad I went ahead with the surgery.

Thank You for Making Me Real Again!

Over the past 7 months, I have seen Dr Shortt for 2 procedures – breast implant removal, followed by breast augmentation using fat transfer (separate procedures). Dr Shortt is an amazing surgeon. His professionalism, perfectionism in his work, his bedside manner and not to mention his sense of humour are all on point. He never tries to “up sell” and truly listens. His assistant, Joanne, is excellent.
From my first consult to my post-op after care, the experience has been exceptional.

Absolutely hands down the best!

Absolutely hands down the best! Dr Shortt is very skilled surgeon and has a warm, caring personality along with a sense of humour which will keep you at ease throughout the whole process. You are in the best hands should you choose Dr. Shortt. Thank you Dr Shortt and Joanne for making my surgical journey a great experience!

It’s Been 28 Years …

I was reviewing breast transfer procedures on real self. Dr. Shorrt had comment on a previous post. I checked out his profile/website and decided to go for a consultation. I was glad that he actually conducted the consultation. I’ve been to one where the Dr.’s assistant did the initial one. He was very easy to talk , to express your concerns. He was very knowledge. Some doctors are in rush to explain things. “You don’t get a second chance to make a first impression” . I felt very comfortable right away. I knew I wanted him to be my surgeon.

Feel and look better than ever before.


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