Breast Implants in Montreal

Dr. Michel Alain Danino: Mammoplasty Surgery in Montreal

Breast augmentation involves the insertion of breast implants, or in other words, prostheses made with silicone or filled with saline. The objective of the surgery is to increase the volume of the chest, which often enhances the patient’s self-confidence.


Inserting the Prostheses

The operation is performed under general anesthetic, through an incision made in the crease under the breast. Two different placements are possible:


Subglandular: The implants are placed right in front of the pectoral muscles
Submuscular: The implants are placed deeper, behind the pectoral muscles.

In the case of sagging breasts or low nipples, Dr. Michel Alain Danino can reduce the breast’s cutaneous envelope in order to lift it. This procedure is called mastopexy. In such a case, the resection of the skin implies more significant scarring.

Drain

The surgeon might decide to install a small drain to remove any blood that may accumulate around the implants.

Implants

Breast implants are today made of a sac made from a silicone elastomer and a filler agent. There are two types of prostheses: prefilled implants, for which the various volumes are determined by the manufacturer; and inflatable implants, which are filled by the surgeon, who determines the volume.

New Generation Pre-filled Silicone Gel Implants

Used for over 40 years, this type of implant has a consistency that is very near that of a natural breast. 


Pre-filled implants are made with a malleable silicone gel surrounded by a sealed silicone elastomer envelope.

These envelopes have evolved a good deal. Today, their walls are much more solid and are much more resistant to wear. The silicone gels now come in a much greater variety of shapes, allowing each patient to receive the shape that best suits her. Therefore, in addition to the “classic” round implants, there are now so-called “anatomical” implants, which are shaped like drops of water.

Other Types of Implants

In Canada, patients also have the option of selecting an implant filled with physiological serum, or in other words, saline. These implants can be pre-filled by the manufacturer or “inflated” by the surgeon during the surgery. They are more liquid, therefore, they have a less natural consistency and tend to pucker in a way that is sometimes perceptible to touch or even visible. However, they are much easier to replace in the case of a subsequent surgery than silicone gel implants.

After Surgery: The Post-Operative Monitoring of Mammoplasty

After a breast augmentation, the patient may feel some pain, especially during the first few days. Your surgeon will prescribe an analgesic treatment that will help you tolerate the feeling of tension, inflation, bruising and the awkwardness when lifting your arms. The first bandage will be removed after a few days, and replaced with a lighter bandage. In most cases, the stitches are internal and soluble. If not, they will be removed after a few days. The recovery period lasts between 5 and 10 days. It is recommended that you wait at least one month, and preferably two, before resuming any sporting activities.

Results

After two or three days, you will notice definite results. Your breasts will only return to their normal suppleness after this period, and the implants will stabilize. In general, the scars are very discreet, and the patient will notice a marked improvement in the volume and shape of her bustline, which also leads to a positive psychological boost.


In some cases, the patient may notice asymmetry, excessive firmness, or a look that is unpleasantly artificial. If you are not satisfied with the results, speak to Dr. Alain Danino at his private clinic on Nun’s Island. He may be able to offer you corrective surgery.

Possible Complications

Mammoplasty is a surgical procedure, and therefore, it entails a certain amount of risk related to the anesthesia or the surgery itself.

The Following Complications May Arise Following Surgery:

  • Slight or severe effusion: Accumulation of lymphatic fluid around the implant
  • Hematoma: Accumulation of blood around the implant
  • Infection: Low-grade delayed infection, micro-abscesses or toxic shock syndrome
  • Cutaneous necrosis
  • Anomalies related to scarring
  • Changes in sensitivity
  • Galactorrhea/lactation: secretion of milk, sometimes combined with an accumulation of fluid around the implant

RIsks Specifically Related to Implants:

  • Formation of folds or puckering
  • Capsular contracture: Tightening of the breast or awkward constriction that can sometimes lead to visible distortion
  • Rupture due to wear
  • Improper positioning or displacement
  • Rotation
  • Deformation of the thoracic wall 
  • Peri-prosthetic delayed seroma, or delayed effusion

Contact Dr. Danino for a consultation about mammoplasty.

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