Soft Tissue Fillers

Soft tissue fillers can address wrinkles caused by excessive squinting, frowning, smiling and especially smoking by filling the skin or the tissue under the skin

There are many types of tissue fillers. Some are natural substances which provide a temporary fill such as collagen, hyaluronic acid or dermis. Others are synthetic materials such as polymethyl methacrylate or beads. These synthetic fillers are permanent.

Synthetic tissue fillers are usually permanent, but may occasionally be rejected by the body and results in granuloma or infection.

You may also have permanent filling by having your own fat transferred from one part of your body to another in a procedure known as fat grafting or autogenous lipofilling. Fat transfer is widely used because it is well tolerated as you cannot be allergic to substances taken from your own body. We can discuss with you the risks and benefits of all of the available tissue fillers.

In addition to filling out wrinkles, lipofilling can be used to recontour the face and provide fullness to cheeks, chin, lips and lower eyes. The fat used for fat transfer is liposuction from another part of your body such as the abdomen or thighs and injected into an area of the face that requires more volume.

Injected fat lasts longer in larger areas of non-movement, so while it is successful for the correction of grooves under the eyes and sunken cheeks, it is not as successful for creating fuller lips. Fat grafting can also improve atrophic aging of the hands.

Fat grafting is usually performed on an outpatient basis. Both the area from which the fat is taken and the treatment site are anaesthetised with a local anaesthetic. Using a small needle attached to a syringe, fat is removed from a donor site where you have spare fat such as your abdomen. Once removed, your fat is processed to remove excess fluids and then re-injected using another needle which is placed just under your skin beneath the wrinkle or deeper if contour change is desired.

The procedure may need to be repeated until the desired correction has been achieved

Swelling and bruising are expected after fat injection. Discomfort following the procedure can be easily controlled with medication. Although your body may absorb some of the fat of lipofilling, some of it remains with each treatment for a long-lasting result.

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.

Side Effects

Side effects include a temporary stinging, throbbing, or burning sensation. Faint redness, swelling, and excess fullness may also occur, but usually disappears within a week or so.

Risks

Fillers like hyaluronic acid may result in contour irregularities if administered improperly. Infection is extremely unlikely.

Dr. Hong, who enjoys a reputation as a foremost Toronto arm lift surgeon, also commands a great deal of respect as a Toronto tummy tuck and buttock lift expert. He presides over leading-edge body shaping procedures such as labiaplasty, thigh lift and liposuction in Toronto.

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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