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Breast Augmentation

You want beautiful sexy breasts, not just a simple breast enlargement. Dr. Jugenburg has studied breast augmentation techniques with some of the world’s most experienced breast surgeons, from whom he has learned the techniques and approaches to perform virtually every type of breast augmentation surgery and to deal with any potential challenge one may encounter during this surgery.


Breast Reconstruction

Dr. Jugenburg has sub-specialization in cancer reconstruction, and has trained at the world-renowned Memorial Sloan-Kettering Cancer Centre in Manhattan. Upon returning to Toronto, Dr. Jugenburg has worked at the Toronto General Hospital and Mt. Sinai Hospital in Toronto, providing some of the most sophisticated care to his patients.


Breast Reduction

Dr. Jugenburg rarely uses the “inverted T” approach, but rather limits the incision to only the vertical component. This means a significant reduction in scar size. Additionally, the technique Dr. Jugenburg performs is associated with fewer complications than the traditional “inverted T” with inferior pedicle technique. As a result, the blood supply, sensation, and “bottoming out” (sagging of the breast) are all improved compared to the traditional approach.


Toronto Breast Augmentation

“We don’t do Big Breasts. We do Beautiful Breasts”

Capsular Contracture in Breast Implants

Surgical and Non-Surgical Treatment of Capsular Contracture

Capsular Contracture is the contraction or tightening of the capsule (tissue that forms around the breast implant). All implants and implanted devices create a tissue response where a capsule forms to envelope the implant.
Capsular contracture is not a normal occurrence and happens in about 1-5% of breast augmentation patients. The physiology of capsular contracture is the formation of collagen fibres created by an immune response to the foreign body (implant) which then contract around the breast implant. This leads to deformation of the implant and discomfort/pain. Capsular contracture is classified as follows:

  • Grade I – breast is normal and soft
  • Grade II – breast is little firm but appears normal
  • Grade III – breast is firm and appears abnormal
  • Grade IV – the breast hard and painful, appears abnormal

Treatment of Capsular Contracture

In the early stages of capsular contracture, medical treatment may be effective in stopping the progression of capsular contracture. Singulaire, which is normally used for asthma, has been reported to show some effectiveness in the treatment of the capsular contracture. Ultrasound, pulsed electromagnetic field and medications (leukotriene pathway inhibitors such as Accolate and Singulair).

When non-surgical methods fail, surgery is used to release the tightened capsule. Under sterile conditions, the breast implant pocket is opened, the implant is removed and the capsule is either cut to release the contraction (capsulotomy) or cut out and removed (capsulectomy).

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