Breast Implants in Ottawa, Eastern Ontario
The breasts can lose volume and their shape can change after weight loss, childbirth, or as a result of aging. Breast augmentation can enhance the size of the breast as well as give you a better supported breast position. Dr. Callaghan will assess your breasts, taking into consideration factors such as the size and shape of your breasts, the quality of your skin, and the placement of the nipples. If your breasts are sagging, a breast lift may also be recommended.
Breast implants are not linked to breast cancer or disease, nor do they interfere with breast feeding. They can make it more difficult to read mammograms. Women at increased risk of breast cancer will need to consider this prior to making a decision about whether to have implants. Breast implants can be placed under the chest muscle so that they will interfere less with mammograms, but other factors also need to be considered. Dr. Callaghan will discuss this with you fully.
A rare (1:300,00 patients) lymphoma condition called ALCL has recently been observed in large global epidemiological studies of patients receiving textured surface breast implants. The disease is treatable and so rare as to be a non-determining factor for women deciding on breast augmentation. Dr. Callaghan will discuss this newest information with you fully.
Breast augmentation is usually performed on an outpatient basis, so it is important to arrange for someone to drive you home after surgery and to stay with you the first night following surgery. Individual factors and personal preferences will help you and Dr. Callaghan determine your appropriate breast size goal, type of implant, the location of incisions, and whether the implants will be placed underneath or on top of the pectoral chest muscle.
In 1992, the FDA decided that silicone gel-filled implants would not be generally available for cosmetic breast enlargement. Only saline implants were used then. That moratorium continued until 2006 when both U.S. and Canadian health regulatory authorities signaled their satisfaction with safety concerns. Canadian patients have enjoyed unqualified access to cohesive gel breast implants since then.
Dr. Callaghan only sources breast implants from Allergan and from Johnson & Johnson (Mentor Medical), the two most established and reputable manufacturers of these devices--both authorized by Health Canada and the FDA.
Cohesive silicone gel breast implants are now available in Canada in a wide variety of shapes, sizes, and shell surface designs. The new cohesive gel does not seep, run, or shift. Silicone gel implants may have some advantages over saline filled implants, depending on a patient's specific tissue characteristics. Silicone gel implants have been available in Canada for several years and have an excellent safety record. Dr. Callaghan will discuss the merits of each implant type and help you decide which one is best for your needs.
At the surgery, once the incision is made, Dr. Callaghan creates a pocket into which the implant will be inserted. This pocket is made either directly behind the breast tissue or underneath the breast and pectoral muscle. This places the implant beneath a double layer of coverage for better camouflage in thin patients. After surgery, some bruising and swelling will occur initially, but this will disappear a few days. Patients are provided with a special elastic support garment to control breast shape and implant position. Most residual swelling will resolve within 1 - 3 months. After breast implant surgery, it is often possible to return to work within just a few days or a week.
Some potential, but uncommon, complications of breast augmentation include blood accumulation that may need to be drained surgically, or infection. Although rare, an infection that does not subside with appropriate treatment may require temporary removal of the implant. Changes in nipple or breast sensation may result from breast augmentation surgery, though they usually are temporary.
When a breast implant is inserted, a thin layer of scar capsule forms around it as part of the natural healing process. The capsule may sometimes tighten and compress the implant, causing the breast to feel firmer than normal. This is called capsular contracture. Capsular contracture can occur to varying degrees. If it is severe, it can cause discomfort or changes in the breast's appearance. In such cases, more surgery may be needed to modify or remove the scar tissue, or perhaps remove or replace the implant.
Breast implants are not lifetime devices. They cannot be expected to last forever. Surgery may be required to replace your implants if they rupture at some point in the future. The manufacturer currently provides a replacement implant as part of their lifetime warranty and product support. Except in the event of implant deflation, the results of your breast surgery should be long-lasting. The lifetime of implants is not known precisely, but is estimated to be 15 – 20 years.
Contact us today to find out more about which implants are right for you. We proudly serve patients in Ottawa, Eastern Ontario, and the surrounding areas.