Should You Consider Breast Augmentation?

Dr David Boudana is pleased to offer a wide array of breast surgery options. Many women come from across Canada seeking his expertise in breast augmentation and other breast enhancement procedures.

As a woman, your breasts likely play an important role in your identity and sense of femininity. Feeling happy with your shape and size can make a huge difference in the satisfaction and enthusiasm you feel every day. But if you’ve noticed unwanted changes with time or pregnancy, or you’ve always felt your breasts were lacking, you may find it difficult to maintain the positive self-image and self-esteem you would like to have.

Breast augmentation is an excellent path back to confidence. There are many reasons for the ongoing popularity of this procedure. Modern breast implants are safe and durable, with an array of shapes and sizes to suit all aesthetic tastes. Today’s advanced surgical techniques produce minimal scarring and lasting, beautiful results.

You deserve to love your body. Dr Boudana has mastered the art of body transformation through breast enhancement and can help you achieve your goals.

Are you a good candidate for breast augmentation?

The ideal Breast Augmentation candidate comes from one of two groups:

  1. Women whose breasts never developed proportionately, are limited in the clothing they can buy, and who would like more confidence in their appearance.
  2. Women who have lost breast volume after breastfeeding and want to restore what was lost and fill up what may have become an empty breast.

Women whose breasts are not just small, but are misshapen, are also good candidates for Breast Augmentation.

Women with drooping breasts may require a breast lift.

You must be healthy enough to undergo an elective operation and mature enough to weigh the risks and benefits of surgery.

Are You A Candidate?

Our Breast Enhancement Cosmetic Self Evaluation can help you decide if breast augmentation is the right procedure for you.

What are the procedure techniques and scars

There are three main approaches to breast augmentation:

  1. Submammary route: the incision is located in the crease under the breast. This is often the most popular option for both patients and surgeons. It minimizes the risk of infection and capsular contracture while leaving a discreet and hidden scar in the mammary crease. The length of the scar is generally between 2 cm and 4 cm.
  2. Periareolar route: the implant is introduced through an incision located on the lower part of the areola where the breast skin and the skin of the areola meet. This approach can be interesting for some patients who require a slight lifting of the areola and allows the insertion of the implant through a periareolar incision. The risks of capsular contracture are slightly higher with this approach and should be discussed in consultation.
  3. Axillary approach: this approach allows the implant to be introduced through a very discreet incision in the armpit. The risk of contracture is also slightly higher than with the submammary approach, but this approach has many advantages for some patients.

Dr. Boudana offers these three approaches to patients.

During the consultation, he will discuss incision location with you so that you understand the advantages and risks of each approach and help you choose the solution that suits you best.

Short scar for breast augmentation

Short scar breast augmentation is one of Dr. Boudana’s specialties. In this procedure, saline implants are inserted in a submuscular position under the breast (incision under the breast). The scar in this case is generally between 1 cm and 2 cm long. If this technique interests you, you can ask for more information during your consultation.

There are two types of breast implants: round implants and teardrop implants (also known as anatomical implants).

It has long been accepted that anatomical implants have a more natural look. However, recent studies suggest that both plastic surgeons and patients cannot tell the difference between breasts augmented with round or teardrop implants. As such, Dr. Boudana believes that, in the absence of sagging or breast deformity, round and teardrop implants will achieve the same result.


These implants are made of a silicone elastomer outer shell filled with a cohesive silicone gel, meaning they retain their shape and roundness like a gel and are less likely to leak if the shell breaks.

These implants differ from saline-filled implants, which in thinner patients can ripple showing folds and wrinkles. The use of silicone implants may reduce the risk of rippling in some patients.

During the pre-operative consultation, Dr. Boudana will advise you on breast implant types, and discuss the pros and cons of each type with you. As an expert breast augmentation surgeon, he is comfortable using all types of implants: saline, silicone, and hybrid.


Saline implants are made of the same silicone elastomer shell as silicone implants but are filled with a saline solution. It is recognized that they are more likely to produce waves under the skin that may be visible especially in thin patients.

Breast implants: over or under the muscle?

The breast implant can be placed under the muscle (subpectoral augmentation) or over the muscle (subglandular augmentation).

Many factors will influence this decision. These include the quality and thickness of the breast tissue, the strength of the pectoral muscle, the size and type of implants chosen, and the type of physical activity the patient performs.

All this will be discussed in consultation with Dr. Boudana, who will explain the advantages and disadvantages of subglandular and subpectoral augmentation.

What is the lifespan of breast implants?

Dr. Boudana understands that breast augmentation represents a considerable investment. Therefore, he wants patients to be reassured about the quality and lifespan of breast implants. There is a misconception that breast implants should be replaced every 10 years, when in fact women can theoretically live their entire lives with the same implants. In reality, breast implants should only be changed if there is a problem.

In addition, implant manufacturers are so confident in the longevity of their product that they offer a lifetime guarantee on implants. This means that in the rare case an implant ruptures, the manufacturer will provide a replacement implant at no charge.

You should also note that in the rare case of rupture, cohesive gel and saline implants are particularly safe. While implants used decades ago had higher risks of rupture, today’s implants are safer. If a rupture does occur, saline implants contain a saline solution that will be absorbed by the body, while the solid silicone in a cohesive gel implant will not leak.

Furthermore, several studies have shown that women with breast implants are no more likely to develop breast cancer than women without implants.

  • Anaesthesia:
  • Duration:
    1 hour
  • Pain level:
  • Recovery time:
    7 to 10 days
  • Resumption of physical activities:
    4 to 6 weeks

Why choose Dr. Boudana for your breast augmentation?

Whether you have always been displeased with the size or shape of your breasts, or want to correct changes following pregnancy, weight loss or aging, Dr. Boudana’s personalized approach will meet your expectations.

With over 1,000 successful breast augmentation surgeries performed per year, Dr. Boudana, one of the most experienced plastic surgeons in Toronto area, Ontario, will guide and advise you in selecting the ideal breast size and shape for your expectations and body proportions.

Procedure details

During the consultation, Dr. Boudana will listen carefully to your expectations regarding desired breast size and shape. We advise bringing in photographs from magazines or social media sites such as Realself, Facebook, and Instagram of the breast sizes and shapes you like (but beware that some of these photographs may have been digitally altered). This will help Dr. Boudana better understand your expectations and goals. As such, a large part of the consultation is dedicated to listening to you.

Dr. Boudana will examine your breasts and assess all the factors that can influence the aesthetic result. These include the size and shape of your natural breast, skin and gland quality, and the position and size of your nipples and areolas.

Dr. Boudana will then photograph your breasts from different angles and place these photographs in your medical record. These photographs will be kept strictly confidential.

He will then take a 3D scan of your breasts and create simulations to choose which implant size is most appropriate to achieve your goal. A virtual reality simulation is also offered.

The surgery is performed under general anaesthesia and lasts between 1 hour and 1.5 hours.

Once you are under anaesthesia, the skin of your breasts will be carefully cleaned with an antiseptic to prevent infection. This step is performed according to medical recommendations and standards. The procedure then begins with the incision. For better visualization, the surgeon uses fibre optic instruments to create a lodge for the prosthesis.

Implant placement is done using the latest techniques, which have been proven to be effective in minimizing the risk of complications:

  • Protection of the nipples by an impermeable film preventing the spread of bacteria from the mammary glands;
  • Irrigation of the implant with an antibiotic or antiseptic solution before opening the implant package;
  • Washing of the prosthetic lodge with the antibiotic or antiseptic solution;
  • No touch technique: the implant is slipped into a specific pocket for insertion;
  • Multi-plane closure.

The use of an insertion pocket (Keller Funnel type) allows for a smaller incision, even for larger implants.

After the surgery, you will receive a personalized follow-up. Our nurses will also be available and will perform the first dressing change at our clinic, typically one week after surgery.

You will be given a postoperative instruction sheet when you are discharged as well as a prescription for pain medication.

All our follow-up appointments are free of charge for the first year after your surgery.


Get The Boost You’ve Always Wanted

Breast augmentation surgery has one of the highest satisfaction rates. According to numerous scientific studies, this procedure can not only improve the appearance and size of your breasts, but also improve your self-esteem and confidence.

The results of breast augmentation are immediately visible. Final results will be visible over the course of a few months as swelling dissipates and your tissues relax.

Your implants also need time to settle in order for the results to look more natural. How long it takes to see your final results will depend on the type of implant that was used, where the implant was placed and your body type. The stronger your pectoral muscles are, the faster you will heal. It’s natural to want to see your results as soon as possible but giving your body time to heal is well worth it.

Breast augmentation will help you obtain fuller and more shapely breasts. Women are often worried about looking unnatural or “fake.” This is avoided by choosing an implant sized appropriately for your tissues.

Dr. Boudana is known for his artistic eye, expert hands, experience, and meticulous attention to detail. He is also known for his outstanding breast enhancement results.

** The photos and/or videos are not presented as a guarantee of result. The results may vary.
** Patients gave their consent for the publication of photos and/or videos.

Do you want to see your new look before the surgery?

Visualize yourself in 3D & discover your new look with Dr. David Boudana!

See your results BEFORE having a surgery.

Book your 3D Consultation Today!

Ready for a more Beautiful Enhanced Breasts?

Schedule your personal or virtual consultation with Dr. David Boudana.

During your consultation, Dr. Boudana will take the time to address your specific goals and to discuss your treatment options. He will determine if you are a good candidate for breast augmentation surgery and review the results that can be realistically achieved. He will also help you determine which complementary procedures may benefit you the most.