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

All in all I can not say enough good things about my experience with both Dr. Shortt and his staff

Dr Short t was my surgeon for breast reduction, tummy tuck, bra-line back lift and panniculectomy. I was at ease upon our first meeting. I felt he genuinely was on my side and interested in my well being. Although the surgeries I have undergone have been major , the pain was surprisingly minor. I have had excellent recoveries and shockingly minimal scaring. I could not be more satisfied with having been his patient. I did some research about plastic surgery and costs were in line with others. All in all I can not say enough good things about my experience with both Dr. Shortt and his staff

I had a bump on my thumb removed by Dr Shortt a few years ago.

I had a bump on my thumb removed by Dr Shortt a few years ago. It was e third time I’d had it removed, as it kept growing back, but since Dr Shortt removed it, it hasn’t returned!

I’m very pleased with the results of my explant surgery.

Dr Shortt was recommended to me for my explant surgery. I was informed he was the best surgeon for the job and that I would be very happy with the results.
We met on a couple of occasions before the surgery and discussed the options of new implants, fat grafting or just an explant. He was courteous, respectful and very knowledgeable.
He respected my decision to just have the explant surgery and didn’t try to sell me on other procedures. He is all about what’s best for his patients. When I had my pre-op at the hospital, the intake nurse couldn’t say enough wonderful things about him and his skills. That solidified it for me.
I’m very pleased with the results of my explant surgery. It was a unique case in that the implants had completely liquified. They were done 8 years ago by another recommended surgeon in Burlington, not Dr Shortt himself. It seems they were just defective.
Dr. Shortt noted that he had never seen any implants come out in that condition. I appreciate that he is following up with the manufacturer to inform them of the situation.
if you are choosing implants, please do your research and educate yourself and if you choose to have them done, Dr. Shortt is your guy.

Dr. Shortt is a true professional, with an amazing bedside manner.

Recently I had Dr Shortt remove a large lump from the back of my leg. His genuinely friendly manner immediately put me at ease.
In the hospital, he explained how the procedure was going to work, which made me feel comfortable. The actual procedure took less than 5 minutes, with no pain. I was completely relaxed, knowing I was in good hands. Dr. Shortt is a true professional, with an amazing bedside manner. I’d trust him to do absolutely any surgical procedure and would feel confident that the outcome would be very successful.

Huge Breasts Be Gone!

Absolutely hands down the best! Dr Shortt is very skilled and has a warm, caring personality along with a sense of humour:) You are in the best hands should you choose Dr. Shortt. Thank you Dr Shortt and Joanne for making this a great experience!

He is a masterful surgeon and he has exceeded my expectations.

Dr. Shortt performed breast reduction/tummy tuck surgery and I am very happy with the results. He is a masterful surgeon and he has exceeded my expectations. I’m a 64 yr. old woman who has lived with shoulder and back pain for years. I decided to have a breast reduction in the hope of easing this discomfort and improving my quality of life in retirement. I was able to discuss questions and concerns easily with Dr. Shortt. He has a quiet, kind manner , complemented by a good sense of humour. I would not hesitate to recommend Dr. Shortt to my family and friends. The office staff are also very professional, friendly and helpful.

Breast Reconstruction at 55 and a New Lease on Life!!

I went to Dr. Shortt for breast reduction in 2015 and things went sideways when they found an early form of breast cancer (DCIS). It hadn’t shown up on the mammogram 6 months earlier. Dr. Rodger delivered the news, and was gentle and frank about my choices. I had been thrilled and pleasantly surprised with the breast reduction. I was equally happy about what followed after the cancer news; no chemo or radiation required: just a series of surgeries starting with a unilateral mastectomy, DIEP Flap surgery for breast reconstruction, nipple reconstruction and scar remediation, all ending with a nipple tattoo by one of his expert colleagues. I’ve never been so well cared for in my life. Dr. Shortt and his teams, both at the office and in the OR, formed a circle of care that kept me comfortable, confident and happy.
Dr. Shortt has fully embraced social media, which translates into access to tons of information through his blogs, links about procedures (i.e. DIEP flap surgery), and the ability to ask him questions remembered after appointments. He’s a straight shooter and a healer with a quick wit and a world of personal experience. I can’t recommend him enough!

Feel and look better than ever before.


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