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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.


Breast Lift Toronto

Fuller, lifted breasts with Dr. Jugenburg’s unique technique

Breast Lift Procedure

Dr. J Rebuilds the breast tissue on the inside! Breast Lift procedure performed by Dr. Jugenburg differs from the traditional breast lift in that unlike a traditional breast lift which simply pulls up a sagging breast, Dr. Jugenburg’s novel technique rebuilds the breast tissue on the inside.  The result is a breast lift that sits better, looks fuller, and lasts longer than a typical breast lift result.


As the above image shows, the patient had Dr. Jugenburg’s breast lift.  She now looks lifted and fuller, yet NO IMPLANTS were used to create this effect, only her own breast tissue which was carefully lifted and reshaped.

Dr. Martin Jugenburg performs Breast Lifts with a minimal amount of scarring around the nipple and in some cases, in a vertical line from the nipple down to the breast fold. Unlike the traditional Breast Lift, Dr. Jugenburg does not use the “inverted T” procedure unless absolutely necessary. After the skin has been cut, Dr. Jugenburg repositions the breast tissue to lift it up and give it a fuller projection. The new look of the breasts may take time to settle because of the swelling that occurs with surgery, but once you have healed you will have extraordinary results. Traditional Breast Lifts do not last forever, as the effects of gravity on the body eventually take their toll, but a new suturing technique that involves the use of permanent sutures has the possibility of greatly extending the life of your Breast Lift. It especially has the potential to maintain the shape of your newly enhanced and positioned areola/nipple complexes. Ask Dr. Jugenburg about the Gore-Tex sutures for your mastopexy surgery.

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To see more Before & After Photos for this procedure, please visit our Photo Gallery

Am I a Good Candidate For A Breast Lift Mastopexy?

You may be a good candidate for Breast Lift Surgery if you have one or more of the following conditions:

  • Breasts that are pendulous, but of satisfactory size
  • Breasts that lack substance or firmness
  • Nipples and areolas that point downward, especially if they are positioned below the breast crease

How Is a Breast Lift Mastopexy Performed?

Breast Lift Mastopexy can be performed by either just lifting the nipple (Periareolar Mastopexy) or reshaping and lifting the entire breast (Vertical Mastopexy.)

What Is Benelli Mastopexy?

Benelli Mastopexy is a breast lift procedure which repositions the nipple and keeps the scarring to a minimum by limiting it to the areola only. This procedure is ideal for women whose breasts have very mild sagging (breast ptosis) and where only 1-2 cm of lifting is required.

 

Call us today at (416) 834-6640
to book your consultation and learn how we can help you get the beautiful breasts you desire.

Dr. Martin performs a unique and exciting NEW type of Mastopexy that creates a perkier, more youthful breast and has longer lasting effects than does the traditional Breast Lift Mastopexy.

  • Perkier appearance
  • More youthful appearance
  • Longer lasting lift
  • Lower risk of complications
  • No loss of volume, no decrease in cup size
  • Minimal scarring

Breast Lift surgery is a procedure that can make a tremendous difference to women whose breasts have lost volume due to weight loss, breastfeeding, or aging. The surgery uplifts and improves the shape of female breasts that exhibit one or more of the following issues:

  • A pendulous shape or sagging (while remaining proportionate with the body frame)
  • Loss of firmness and skin elasticity
  • A flat elongated shape when unsupported
  • Nipples that falls below the breast crease
  • Nipples and areolas (the pigmented skin surrounding the nipple) that point downward
  • Stretched skin and enlarged areolas.

Breast Lift Scars

Breast Lift Surgery leaves scars on the breast that are permanent because the surgery involves repositioning the nipple and breast tissue. Over time however, most scars will fade noticeably. While the incision for this procedure typically has an ‘inverted T’ shape, at the Toronto Cosmetic Surgery Institute, Dr. Martin specializes in minimal scarring Breast Lifts. His incisions are limited to the areola, or if a significant lift is required, he adds a small vertical incision. He thereby completely avoids the large incision usually placed under the breast fold.

What Is a Vertical Breast Lift Mastopexy?

A vertical Breast Lift (Mastopexy) is a ‘full’ breast lift where the entire breast is reshape and lifted. This is a more extensive procedure than a Benelli Mastopexy, and is used in women whose breast ptosis (sagging) requires more than 2 cm of lifting.

What is a Vertical Sling Mastopexy?

Vertical Sling Mastopexy is the latest variation on the mastopexy surgery.  This is a procedure that really reshapes the breasts and creates a perkier, fuller look as if an implant was added (when in fact only the patients own breast tissue was moulded into a perkier breast.)

When Can I Resume My Normal Activities?

After breast lift surgery you should be able return to work within a week or so, depending on your job. To ensure ideal cosmetic outcomes, you will be asked to wear a surgical support bra to maintain the shape and the position of your breasts for 6 weeks. In many instances, you can resume most of your normal activities, including some form of mild exercise after several weeks. You may continue to experience some mild, periodic discomfort during this time, but such feelings are normal. Severe pain should be reported to your doctor.
Any sexual activity should be avoided for a minimum of one or two weeks, and your plastic surgeon may advise you to wait longer. After that, care must be taken to be extremely gentle with your breasts for at least the next several weeks.

Results of a Breast Lift

Breast Lift surgery will make your breasts firmer and more uplifted. The position of your areolas and nipples will be enhanced. The incisions from your breast lift surgery will heal and fade over time. It is important to realize, however, that the incision lines will be permanently visible. In some instances, they will eventually be only faint lines. Fortunately, the incisions for your breast lift are in locations easily concealed by clothing, even low-cut necklines.

Breast Lift Complications and Risks You Need to Know

Although risks are to be expected with any surgery, the more complicated the procedure, the greater the risk of a complication occuring. Please read our information page on potential complications of Mastopexy. General risks and complications that apply to any surgery include adverse effects of anesthetic. Although general anesthesia is generally considered more risky than other types of anesthesia, with a good anesthetist that may not be true. Adverse effects to medications may also be an issue.

Loss of Sensitivity or Numbness after a Breast Lift/Mastopexy

Loss of sensitivity is a common, although temporary risk of Breast Lift Surgery. Nerve endings are cut during Breast Lift Surgery, so it takes time until they regenerate and sensation begins to return. This can take several months. However, permanent sensation loss in the areola (nipple) area or breasts, in some cases, can happen.

How Should I Prepare For a Breast Lift Mastopexy?

Your Breast Lift Surgery may be performed in a hospital or a private surgical facility.
A general anesthetic is administered, so that you will be asleep throughout the procedure. When your surgery is completed, you will be taken into a recovery room where you will be closely monitored. Once our nurses determine that you are safe to be released, you will be able to go home under the supervision of an adult. If you have nobody to spend the first night with you, you may choose to stay at our overnight facility.

How Will I Look and Feel Initially?

As soon as you are fully awake after surgery, you will be encouraged to get out of bed for short periods of time. The following day you should be able to move about more comfortably. Straining, bending, and lifting, must be avoided however, since these activities might cause increased swelling or even bleeding.

You will be instructed to sleep on your back to avoid pressure on your breasts, and you will need to wear a support bra for at least 4 weeks until your breasts have healed in place. Stitches and staples are removed on your post-surgical visits and the ones that are left deep inside are absorbable, and will dissolve on their own. You may notice that you feel less sensation in the nipple and areola areas. This is usually temporary. It may, however, take weeks, months, or even more than a year, before sensation returns to normal. Your breasts may also require some time to assume a more natural shape. Incisions may be initially be red or pink in colour and may remain this way for months following surgery.

Scarring Irregularities after a Breast Lift/Mastopexy

While scars are going to be a reality after surgery, there could be a risk of hypertrophic scar tissue (red, raised lump on the skin), keloids (an overgrowth of tissue that grows beyond the boundaries of the original incision) or inner scar tissue. If you smoke or have a history of abnormal collagen formation or scarring, you may have irregular scarring. A regimen of Steri-Strips directly post-op, switching over to scar gels and silicone gel sheeting after suture removal, may be helpful.

Wound Separation (Dehiscence) after a Breast Lift/Mastopexy

The separation of the wound edges may be a risk of Breast Lift in some cases, especially in smokers and diabetics. If this occurs, keep the area very clean and contact the clinic. Revision surgeries are usually not necessary. Expect the healing process to take longer for a patient with separation than it will for a patient with normal wound healing.

Asymmetry after a Breast Lift/Mastopexy

Nobody is perfectly symmetrical. If you look at your pre-surgery pictures you will notice small difference between your breasts. Your breasts may be asymmetrical following surgery as well. Although Dr. Jugenburg will attempt to correct the asymmetry as much as possible.

Hyperpigmentations Or Permanent Bruising after a Breast Lift/Mastopexy

Permanent hyperpigmentation (dark spots) from bruising is a risk of Breast Lift. Hyperpigmentation should subside in a matter of a few weeks but may stay for longer than expected. Do not get discouraged as there are treatments for this rare complication. Intense Pulsed Light treatments can break up the residual blood in the bruise and allow it to be re-absorbed by the body. Simple applications or warm compresses after you’ve healed can assist in the dilation of the blood vessels and the resorption of the blood.

 

Call us today at (416) 834-6640
to book your consultation and learn how we can help you get the beautiful breasts you desire.

Blood Loss after a Breast Lift/Mastopexy

Bleeding can occur after surgery and may require you to go back to the operating room to have the bleeding stopped. In very rare cases, blood transfusions may be necessary. You should cease taking any anti-coagulants, which may include aspirin and aspirin-containing medications, vitamin E, garlic tablets, and more.

Hematoma and Seroma after a Breast Lift/Mastopexy

Any sudden change in contour or colour of your skin should be reported immediately. A hematoma is a collection of liquid or clotted blood in a body cavity that can cause pain, scar tissue, infection and more. A seroma is a collection of the watery portion of the blood in a body cavity or space. A seroma can also cause pain and scar tissue.

Breast Lift with Implants (Augmentation Mastopexy)

When an increase in breast volume is also desired, breast implants are inserted in conjunction with a Breast Lift. Additionally, a skillful placement of a shaped implant also assists in lifting the nipple and giving your breast a more natural and youthful shape.

Fat and Tissue Necrosis after a Breast Lift

If the fat becomes necrotic from lack of blood supply, it tends to turn orange and drain from the incision; however, it can spread and worsen. If the tissue becomes necrotic, immediate treatment is necessary. You must have the tissue removed before it spreads and develops a major infection. Necrosis of the breast tissue, breast envelope and or incision line is a very rare mastopexy complication, but there are increased risks in those with compromised wound healing abilities, a history of smoking, circulatory problems, and diabetes. The chances of necrosis are also increased after radioactive/chemotherapy treatment.

Infection after a Breast Lift/Mastopexy

Infections usually show symptoms three days after surgery. Signs of infection usually include redness, severe swelling, discharge, foul smell, severe pain that develops several days after your surgery and does not improve, intense heat of the area, a fever over 38º C.

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