What Is Breast Reconstruction Surgery?

Breast reconstruction is performed following a mastectomy due to breast cancer or other medical condition. The procedure is considered to be reconstructive surgery and not cosmetic, and health insurers should cover it after mastectomy surgery according to the Women’s Health and Cancer Rights Act. A mastectomy removes part or all of the breast, including the nipple and areola, depending on the location and size of the cancerous cells.

The loss of one or two breasts can have a negative effect on a woman’s self-esteem and psychology, as well as the quality of life, and Toronto breast reconstruction can help improve them. Breast reconstructions replaces the breast tissue, skin and, if necessary, nipple to recreate the normal appearance, shape and size of the original breast. While a reconstructed breast will look close to natural, it may not feel or have the same sensation as the one that was removed. This is just one of the issues that Dr. Colin Hong, a noted Toronto plastic surgeon, covers during his detailed consultations with his patients.

Breast reconstruction is not just a physical procedure, but it can affect a woman mentally and emotionally as well. Patients need to thoroughly understand all implications and be fully aware of the nature of the procedure, the recovery issues and the expected results.

Saline-filled implants

Most women receive saline-filled implants which consist of a silicone shell filled with sterile salt. This type of implant is generally less expensive.

Cohesive silicone gel-filled implants

Recently, new cohesive silicone gel implants have become available to Canadian plastic surgery patients. Silicone gel implants tend to feel more like real breast tissue than saline implants and do not ripple or fold as much as saline implants. The current cohesive gel is less likely to seep, run or shift unlike the older type of liquid silicone implants. The silicone implants have two popular subtypes which are the “Round implants” & the “Tear Drop anatomical implants”.

Silicone Gel implants

With advancement in technology daily, new implants are been still invented under the silicone gel implants. Dr. Hong’s expertise in breast augmentation surgeries is remarkable from performing hundreds of breast augmentation surgeries with great artistic skills. His professional & passionate skills can help you achieve your prospective breast augmentation goals. You need a highly skilled and efficient plastic surgeon to give you your desired rejuvenated figure and Dr. Colin Hong is one of the top plastic surgeons in Toronto.

Toronto Breast Reconstruction

Toronto breast reconstruction may be performed either at the time of the mastectomy or later after the recovery from the initial surgery and chemo treatments. The surgical procedure may use either breast implants to create the shape and size of the new breast or flaps of tissue from other parts of the body such as the buttocks, abdomen, thighs or back. The surgeon will decide which option is the most suitable based on the specifics of each case. All surgery is performed under general anesthesia, and depending on the nature of the procedure, it can take from one to six hours.

Dr. Colin Hong is a Board certified Toronto Plastic Surgeon serving cosmetic surgery patients from across the GTA including Toronto, North York, Richmond Hill, Scarborough and Mississauga.

Frequently Asked Questions

Choosing your desired implant for surgery depends on quite a number of multiple factors which include your native breast dimension (height and width) , projection, rib cage width, body anatomy, volume, the thickness of tissue, how you want the breast to look like after surgery. The most effective way of choosing implant size is to try out sizers from your surgeon while wearing a tight body fit.

In cases of implant weights, the bigger the implants the more they will likely weigh. The size of 100 cc silicone implant generally weighs 0.23 lbs while that of the saline implant with size 100 cc weighs 0.21 lbs. Going bigger in size, a 300 cc silicone implant weighs 0.69 pounds and a pair weighs 1.38 pounds. 300 cc saline implants weigh 0.63 lb and a pair weighs 1.26 lbs. In this case, implants weigh almost the same as the exact amount that an actual breast tissue would weigh. 

In most cases, the weight varies slightly depending on the manufacturers. There might be a slight weight variation from different manufacturers.

Whether or not a person performs a breast augmentation, the genetic makeup of the individual has a major role to play in the contribution of breast sag. Factors such as weight (increasing or decreasing), gravity, age, skin elasticity & ethnicity have a lot to do when it comes to breast augmentation sagging. In this case, use a very good supportive bra that will help you to reduce the effect of sagging.

The lifespan of breast implant is not actually guaranteed as it is not predictable when the implant lifecycle will eventually end. In which case, no matter how your counseling process has been with your surgeon before the operation, always bear in mind that you cannot have a breast implant that will last a lifetime. 

There is no set expiry date attached to breast implants because there has not been a reason to get them replaced unless there is a possible rupture or have other problems. Most times implants exceed more than 12 years and even last up to 30 years in some cases.  

There are quite a number of new implants that have been introduced for breast augmentation and are known as “jelly bean”, “gummy bear”, or “highly cohesive gel” implants that are also available for breast augmentation and they have a firmer feeling, but there are no effective long term results to indicate that they are much better or tend to last longer than the saline or silicone implants.  

Breast augmentation is normally performed in our Accreditation of Ambulatory Surgery Facilities. It also has certification by the College of Physicians and Surgeon OHP program.

Since the surgery is under general anesthesia, there is no pain during the procedure. 

The greatest period of discomfort for the patient is usually the first twenty-four to forty-eight hours after breast augmentation surgery. Afterward, pains will reduce and there will be no need for too much pain relievers as usual. We do a 24-hour recovery routine that most patients have a very little discomfort after 24 hours. In the case where breast implants are placed in the submuscular position, there will initially cause more discomfort than when it is placed in the subglandular pocket ( in front of the muscle).

In the case of breast augmentation, general anesthesia is commonly used. This will guarantee a painless procedure and also the surgeon can concentrate to deliver his best surgical result. 

You can see pre and post-operative result in our office.

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Check out our videos:

What Are the Risks of Breast Augmentation?

What Does Breast Implant Removal Do?

What Does Breast Reconstruction Do?

Our Testimonials

Elizabeth Ezpinosa

Amazing experience, Doctor Hong is very confident and good at what he does. Every time I go to him I always get good results that I love and feel safe. Very friendly and helpful staff!

Pat Kia

He has very good skills and also a very professional team.

C Wong

Dr. Hong and his staff are very efficient. Dr. Hong managed to diagnose my genetic disease that's been going on for years, and proposed a reasonable price given my situation. Thank you Dr. Hong. I greatly appreciated your help and will recommend your service to my friends and family