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Breast Augmentation

Breast augmentation uses implants to increase breast volume or change shape. People consider it for many personal reasons: to restore volume after pregnancy or weight change, to address naturally smaller breasts, or simply because a different proportion feels right to them. Surgery is a personal choice, not a requirement for confidence or a particular body type.

At PEXY, planning is a conversation about what you hope to change and what surgery can realistically offer. Implant type, size, placement and incision are chosen individually after examining your anatomy and discussing trade-offs. Results vary, and no implant can promise a particular cup size, perfect symmetry, or a permanent result.

01

What it involves

The operation places an implant behind breast tissue, either above or below the pectoral muscle, depending on your tissues, anatomy, activity and goals. Incisions are commonly placed in the breast crease, though other approaches may be discussed. The implant adds volume, while your existing breast tissue and skin continue to influence the final outline.

Implants come in different materials, shapes, widths and profiles. Saline and silicone gel implants have different feel and monitoring considerations; neither is universally best. Your surgeon will explain the options available, device information, expected trade-offs and what follow-up may involve.

A consultation includes medical history, examination and discussion of breast screening and future plans. Before deciding, make sure your questions about implant maintenance, possible future surgery and the alternatives have been answered.

From $12,000 CAD + HST

Over-the-muscle placement, implants included. Pricing & financing

02

Why patients consider it

  • Increasing breast volume when naturally small breasts do not match a person's preferred proportions.
  • Restoring some fullness that has changed after pregnancy, breastfeeding or weight fluctuation.
  • Changing the shape or projection of the breasts, while keeping expectations grounded in anatomy.
  • Addressing a difference in breast volume when implants are an appropriate part of the plan.
  • Seeking a lasting change that external padding or clothing cannot provide.
  • Making a considered personal choice after learning the benefits, limitations and risks.
03

Who may be a candidate

  • Adults in good general health who have a clear, personally motivated goal and understand that results vary.
  • People whose breast development is complete and whose weight and health are reasonably stable.
  • Those willing to discuss implant type, size, placement, screening and the possibility of future procedures.
  • People who can follow recovery instructions and attend recommended follow-up.
  • Anyone pregnant, breastfeeding or recently finished breastfeeding should wait until the appropriate interval has passed and changes have settled; timing is individualized.
  • People with an active infection, uncontrolled medical condition, or nicotine use may need treatment, optimization or to postpone surgery.
  • Surgery may not be a good fit for someone expecting guaranteed symmetry, a precise cup size, a permanent device, or a solution to broader emotional or relationship concerns.
04

Anatomy and surgical planning

Planning considers chest width, breast base width, existing tissue and skin thickness, nipple position, rib-cage shape and natural differences between sides. These features help define an implant range that fits the body rather than simply selecting a volume number. Thin tissue may make implant edges or rippling more visible, and the natural breast may sit differently over an implant over time.

The pectoral muscle, breast fold and skin envelope influence implant position and movement. A lower implant position can affect animation with muscle contraction; a position over the muscle may show more implant contour in some people. Measurements, examination and sometimes photographs guide a plan, but no planning method can predict every detail of healing or long-term change.

05

Techniques and approaches

Implant selection

Options include saline or silicone gel and a range of shapes, widths and projections. The choice is based on your anatomy, desired change, tissue coverage and an informed discussion of device-specific benefits and risks.

Placement

An implant may be placed beneath breast tissue or partly beneath the pectoral muscle. Each position has trade-offs involving tissue coverage, recovery, implant movement and how the breast behaves during muscle activity.

Incision planning

An incision is often made in the breast crease; other incision locations can be considered in selected circumstances. The approach depends on the device, anatomy and surgeon's assessment, and every incision leaves a scar.

Size planning

Sizing uses measurements, examination and discussion rather than a cup-size promise. The goal is a proportionate, informed choice that respects tissue limits and your preferences.

06

Incisions and scars

Breast augmentation requires an incision, so a scar is part of the trade-off. A crease incision is placed where it may be less conspicuous when standing, but visibility depends on skin tone, incision healing, scar tendency and the way the breast changes. Scars can remain noticeable, widen, darken, lighten or become raised.

Scar care and sun protection are discussed after surgery. No technique can guarantee an invisible scar, and scar maturation continues over time.

07

Anesthesia

Anesthesia is individualized after reviewing your health, the operation and your preferences. Options may include general anesthesia or local anesthesia with sedation. Awake or local-only approaches are considered only in selected cases and only in an appropriately accredited facility.

Your surgeon and anesthesia team will explain the plan, fasting and medication instructions, monitoring and recovery arrangements. The choice is made for safety and suitability, not as a one-size-fits-all menu.

08

Preparing for surgery

  • Share your complete medical history, allergies, medications, supplements, nicotine use and prior breast procedures.
  • Discuss pregnancy, breastfeeding plans, future weight changes and any planned screening or imaging.
  • Review implant information, sizing choices, device risks and the possibility of future surgery before consenting.
  • Complete any recommended health assessment, breast examination or imaging based on your age, history and clinician's advice.
  • Follow individualized instructions about medicines that affect bleeding; do not stop prescribed medication without direction.
  • Avoid nicotine as advised, since it can impair healing and increase complications.
  • Arrange a responsible adult to take you home and help during the initial recovery period.
  • Prepare a comfortable recovery space and clothing that opens at the front; follow instructions about food, drink and bathing.
09

The surgical process

On the day of surgery, the team confirms your plan, reviews consent and answers any last questions. Surgical markings may be made while you are upright so the breast folds and natural asymmetries can be assessed. The chosen anesthesia is provided and you are monitored throughout.

The surgeon creates the planned pocket, places the implant and checks the position before closing the incision. Dressings and a support garment may be applied. The details vary with the operation and individual needs; you receive written instructions and follow-up arrangements before going home or to the next stage of care.

10

Recovery and restrictions

First days

Soreness, swelling, tightness and temporary changes in sensation are common. The degree and duration vary. Take medication only as directed and contact the team for symptoms that concern you.

First weeks

Bruising and swelling gradually settle, while the implants and breast tissues continue to adjust. Keep incisions clean and follow wound-care instructions; do not judge the final shape early.

Activity & restrictions

Walking is encouraged as advised, but lifting, strenuous exercise and upper-body exertion are restricted initially. Your surgeon will guide a gradual return based on healing rather than a universal calendar.

Garments & support

A surgical bra or other support may be recommended. Wear it as directed and avoid underwire or pressure over healing areas until cleared.

Follow-up visits

Visits allow the team to assess healing, position and concerns. Keep scheduled appointments and seek advice promptly for new or worsening symptoms.

Returning to work

Timing depends on discomfort, job demands and recovery. Desk work may differ from physically demanding work; plan flexibility and confirm readiness with your care team.

Recovery is individual. Your surgeon will give you written instructions specific to your procedure.

11

Potential benefits

  • Adds breast volume using an implant selected around individual measurements and goals.
  • Can change breast projection and the way clothing fits.
  • May restore some fullness after pregnancy or weight change, while not correcting substantial sagging by itself.
  • Offers a range of implant types and placement options to discuss with the surgeon.
  • Creates a defined change without relying on external padding.
12

Important risks and complications

Please read this section carefully.

Every surgery carries risk. Your surgeon will review these, and others specific to you, before you decide, and you will have time to ask questions.

  • Capsular contracture: scar tissue around the implant can tighten, causing firmness, discomfort or a change in shape; further treatment may be needed.
  • Rupture or leak: saline rupture usually causes loss of volume, while silicone rupture may be less obvious and require imaging assessment.
  • Infection can require antibiotics and, rarely, implant removal or later replacement.
  • Bleeding or hematoma, and fluid collection or seroma, may require additional treatment or drainage.
  • Changes in nipple or breast sensation can be temporary or lasting; breastfeeding may be affected in some cases.
  • Asymmetry, implant displacement, rippling, visible edges or an unsatisfactory shape can occur.
  • Scars may be raised, widened, discoloured or otherwise noticeable.
  • Blood clots, anesthesia complications and other general surgical risks are possible.
  • Implants are not lifetime devices; future surgery for rupture, wear, changing preferences or complications may be needed.
  • Screening and imaging should be discussed: implants can affect breast imaging, and implant integrity monitoring may involve ultrasound or MRI depending on device guidance and clinical advice.
  • BIA-ALCL, a rare lymphoma associated mainly with certain textured implants, has been reported. Ask about current device-specific information and report persistent swelling, a mass or fluid around an implant.
13

Limitations and realistic expectations

  • An implant cannot guarantee a particular cup size, exact symmetry or a specific look in every outfit.
  • Augmentation adds volume but does not reliably lift a low nipple or remove significant excess skin.
  • The implant may be felt or visible, especially with limited natural tissue coverage.
  • Natural aging, pregnancy, weight changes and gravity continue after surgery.
  • Implants require ongoing awareness, follow-up and possible future surgery; they are not lifetime devices.
14

Alternatives

  • Do nothing and keep your current breast shape; choosing no surgery is a valid option.
  • Use clothing, a well-fitted bra or removable padding for a non-surgical change in appearance.
  • Consider fat transfer if a modest volume change and suitable donor fat are priorities, understanding its distinct limits.
  • Consider a breast lift if the main concern is nipple position or loose skin rather than volume.
  • Discuss augmentation with lift when both volume and skin-envelope changes are concerns.
15

Long-term considerations

  • Keep a record of your implant type and operative details, and tell future clinicians that you have implants.
  • Follow routine breast screening recommendations and discuss how implants affect imaging with your screening provider.
  • Ask about device-specific ultrasound or MRI monitoring and arrange it as advised; monitoring does not prevent rupture.
  • Contact your care team about new firmness, pain, swelling, a lump, shape change or persistent fluid.
  • Plan for the possibility of later implant removal, exchange or other surgery as your body and preferences change.
16

Common questions

The decision starts with measurements, tissue coverage and a discussion of the change you want. Sizers or visual aids may help communicate preferences, but they cannot predict an exact cup size or guarantee a particular result.

There is no single replacement date that applies to everyone. Implants are not lifetime devices, and a future operation may be needed because of rupture, contracture, a change in preference or another issue.

Many people can breastfeed, but surgery can affect milk production or sensation, and outcomes cannot be guaranteed. Incision and placement choices are discussed in light of your plans, and future clinicians should know you have implants.

Tell the imaging provider about your implants so appropriate techniques can be used. Routine breast screening and implant-integrity monitoring are separate discussions; ultrasound or MRI may be advised depending on the device and your circumstances.

17

Start with a conversation

A consultation covers your goals, an examination, the options that suit your anatomy, and the risks and trade-offs, so you can decide at your own pace. Booking a consultation is not booking surgery.

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Related procedures

This page is general education, not medical advice, and does not predict your result. Outcomes vary and cannot be guaranteed.

Questions first.
Decisions later.

A consultation is a conversation: your goals, your anatomy, your options and the honest trade-offs. Booking one is not booking surgery.

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