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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.


Skin Incisions for Implant Breast Augmentation

To insert the breast implants under the breast tissues, small skin incisions are created at either the breast fold, around the areola, or in the armpit.


Which one will be used for your surgery depends on several factors, and our experienced consultants will recommend which incision is best for you after examining you.  These incisions leave scars that fade over time but never go away completely.  A very meticulous surgical technique and careful placement within the natural contours of your body to hide them ensures that they become virtually invisible.

There are four possible approaches to breast augmentation:

  • Breast Fold (infra-mammary)
  • Around the areola (periareolar)
  • Armpit (trans-axillary)
  • Belly button (trans-umbilical)
Toronto Breast Enlargement Incisions

Infra-Mammary Breast Augmentation

This is the most popular approach to breast augmentation.  A small cut in the skin is made inside the breast fold through which the plastic surgeon is able to directly access the space under the breast.  It allows for easy creation of an opening for a breast implant either over or under the muscle.  No breast tissue is injured through this approach, no breast milk ducts are cut and thus there is no effect on breast feeding.

Peri-Areolar Breast Augmentation

The peri-areolar incision means a small skin cut is made along the lower border of the areola, at the border of the dark areola skin and lighter breast skin.  This is a great way to hide the scar, especially in women who have a very stark contrast in the color of the areola vs skin.  In most women, this leads to a virtually ‘invisible’ breast augmentation. This approach to breast augmentation is an preferable in women who do not have a well defined breast fold and in whom Infra-Mammary incision would be difficult to hide.  During the type of breast augmentation, some breast tissue is cut in order to cut through the breast tissue to reach the space into which the breast implants are placed.  Because of this some milk-producing glands and ducts are cut.  Does this affect breast-feeding ability?  Most likely not because only a very tine portion of the breast gland tissue is affected.

Trans-Axillary Breast Augmentation

An incision is made in the armpit and then a tunnel is created into the space under the muscle.  This approach is limited in that breast implants can only be placed under the muscle (sub-muscular breast augmentation).  Going over the muscle (sub-glandular breast augmentation) is not an option.  Saline breast implants of any size can be used, but silicone breast implants only up to a certain size can be tunnelled into the sub-muscular space.  Trans-axillary breast augmentation is probably the best way to hide the scars.  It leaves NO SCARS on the breasts, and the scar in the armpit heals beautifully to a point that even if people look at it, they won’t see it.  For this reason we like this procedure and feel this can be described as a virtually ‘scar-less’ Breast Augmentation.

Trans-Umbilical Breast Augmentation

Belly Button (trans-umbilical) approach for breast augmentation involves making a small cut inside the belly button and then placing  tube under the skin towards the breast through which an instrument is placed create space for the implant.  A saline implant is then folded up and inserted through this tube into the space under the breast.  This technique allows for least amount of control in shaping the breast and is limited to saline breast implants only.  We do not perform this approach because of it’s limitations.

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