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

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.

Dr Shortt is talented, trustworthy, and kind.

Dr Shortt was has been incredible! I went to him in search of options for correctly my breast asymmetry. I read a lot of reviews for plastic surgeons in and around Toronto and I chose Dr Shortt because his reviews were overwhelmingly positive. Initially, I was interested in fat grafting because I feared an implant would be obvious. At my consultation, Dr Shortt explained the advantages and disadvantages of both options. His opinion was that an implant would actually be the better choice because breast augmentation with an implant is much more predictable and due to the difference in my breasts, I would probably need multiple sessions of fat grafting, which would get quite expensive. After the consultation, I understood why an implant would be the better choice for me and my body. He wrote a letter on my behalf advocating that my surgery be covered by OHIP, the Ontario Health Insurance Plan, and they agreed to cover it! I really appreciated that Dr Shortt was honest about what he thought would make me the most happy (an implant in one side), not what would make him the most money (multiple sessions of fat grafting). Throughout the whole process, he was patient, understanding, and confident. His sense of humour put me at ease on surgery day and I couldn’t be happier with the results of my surgery. I didn’t want bigger breasts, just more symmetrical ones and he managed to balance me out beautifully without even touching my bigger left breast. My surgery was three weeks ago and except for the scar (which is healing beautifully) you can’t even tell I had surgery. My new breast looks and feels great and I can’t stop buying pretty new bras now that any bra will work for me. I can’t wait for bikini season! Dr Shortt is talented, trustworthy, and kind. As soon as you meet him, you’ll see that he truly cares about your happiness. Thank you, Dr Shortt!

I would 100% recommend Dr. Shortt and his staff to anyone who is considering breast reconstruction surgery.

I would 100% recommend Dr. Shortt and his staff to anyone who is considering breast reconstruction surgery. Dr. Shortt is a very knowledgeable, thorough and compassionate surgeon. i
felt comfortable with him from the first consultation appointment. He answered every question we had and was never in a rush. I am very grateful to Dr. Shortt for his expertise and his skills for making me feel like a whole woman again
Thank you so much !!

My experience with Dr. Shortt was great.

My experience with Dr. Shortt was great. I highly recommend Dr Shortt if you are considering any surgery. He did my breast reconstruction twice and each was very professional . He also took care of me after that so no concerns.

He was thorough, professional and clearly is the expert in his field.

I had the great pleasure of meeting Dr. Shortt for my initial assessment this week. My appointment was not only on time, but they were able to accommodate my early arrival. Dr. Shortt was a delight. He immediately put me at ease and was not in a rush. He was thorough, professional and clearly is the expert in his field. This is my second assessment and and I very happy that I held out for this referral.

Thank You Dr. Shortt

I wish I had had a breast reduction sooner; the improvement in how I feel physically and mentally is simply amazing. I could repeat so much of what others have said about Dr. Shortt; he is professional, knowleable and is quick with a funny quip when needed. I appreciate and am so grateful for his skill as a surgeon/artist. Joanne is always friendly and helpful and I appreciate her time in scheduling my surgery. Most definately recommend this Dr. Shortt and his team!

Feel and look better than ever before.


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