Breast Augmentation

Breast augmentation is an operation to enhance the size and shape of the breasts and improve body proportions. The operation can be carried out in women who are naturally small-breasted, as well as those whose breasts have changed as a result of weight loss or childbirth. The goal of breast augmentation surgery is to create a more feminine, proportioned breast. As an accomplished Vancouver breast augmentation surgeon, Dr. Eric Pugash has many years’ experience delivering exceptional breast augmentation results for his patients. To view before-and-after photos of his patients, please visit the breast augmentation photo gallery.

Breast Augmentation with Dr. Pugash

Dr. Pugash is a talented Vancouver breast augmentation surgeon. He offers all currently-used implants, including cohesive silicone gel devices in both round and tear-drop shapes. Please note that Canadian law requires patients to be at least 22 years-old in order to receive silicone gel implants.

Dr. Pugash is also experienced in all the currently used breast augmentation incisions, including the nipple incision and the minimal-incision armpit surgery. By offering patients a variety of implant types and incision placement techniques, Dr. Pugash gives them the freedom of choice regarding their surgical procedures.

Preparing for Breast Augmentation Surgery

As a leading Vancouver breast implants surgeon, Dr. Pugash believes that thorough patient preparation is an important aspect of a successful surgery. He takes into consideration the size and shape of the breasts, the quality of the skin, and the placement of the nipples in helping you plan your procedure. If your breasts appear saggy, Dr. Pugash may recommend a breast lift in conjunction with your breast augmentation.

Individual factors and personal preferences will help you and Dr. Pugash determine your desired breast size. Dr. Pugash will use photographs and implant sizers to help you choose the implant that will give you the best result.

He will also talk to you about placing the implants behind or in front of the chest muscles, and suggest the best choice for you.

The discussion will also cover the type of implant that is best for you. Dr. Pugash has extensive experience with all available implants: saline, cohesive gel, and highly cohesive gel devices (so-called ‘gummy bear’ implants).

Your Breast Augmentation in Vancouver

Dr. Pugash performs breast augmentation on an outpatient basis at Skinworks, False Creek Surgery Centre, and Cambie Surgery Centre. Patients usually return to non-strenuous activities in seven to ten days, and can resume exercising two weeks after surgery.

Dr. Pugash will provide complete care following your surgery to ensure that you are comfortable, return to your activities quickly, and obtain the best possible result. He will remain accessible during the recovery period to answer any questions you might have, and to address any concerns. His goal is to make you feel relaxed and completely cared for during the healing period.

Who is a Candidate for Breast Implants?

The ideal candidates for breast implants are women with naturally small breasts, as well as women who have lost breast volume after pregnancy and nursing or through weight loss. If you are considering breast augmentation you should be in good health and have specific, reasonable expectations of surgery. You should be also able to describe the results you desire.

Please note that saline implants are approved for use in women over the age of 18, and silicone gel implants are permitted in women over the age of 22.

How to Choose Your Breast Implant Size

Breast implants are measured in cubic centimeters (cc’s). One ounce contains a bit less than 30cc’s. In order to choose the best implant size, you and Dr. Pugash will need to consider factors such as your anatomy and goals. Dr. Pugash will use photographs and implant sizers to help you choose the implant that will give you the best result.

Incisions Used in Breast Augmentation

Dr. Pugash uses three primary incision patterns when performing breast augmentation. The areolar incision encircles the lower portion of the areola (dark tissue surrounding the nipple). The inframammary incision is placed within the crease underneath the breast. The endoscopic axillary incision is made within the armpit. The incision pattern that Dr. Pugash recommends depends on your build as well as the type and size of implant.

Recovering from Breast Augmentation

Dr. Pugash provides complete care following your surgery to ensure that you are comfortable, return to your activities quickly and obtain the best possible result. He will remain accessible during your recovery to answer any questions you have and address any concerns. His goal is to make you feel relaxed and completely cared for as you heal from surgery.

The breasts may be sore or swollen immediately following surgery, but Dr. Pugash will prescribe pain medication for any discomfort. He will also ask you to wear a surgical garment to help your augmented breasts heal. Most patients usually return to non-strenuous activities in seven to 10 days and may resume exercising two weeks after surgery.


Armpit Incision

The armpit, or transaxillary incision for breast augmentation is placed high in the axilla (armpit). While patients often believe this technique results in breast enhancement with no scarring, this is not true. The armpit incision is made within a natural skin fold under the arm. This approach to breast implant placement leaves no scars on the breast; rather, the scarring is in the armpit. Patients must understand that this is the only breast augmentation scar that may be visible in public, especially if they are wearing a sleeveless top or bathing suit.

Women who want to recontour and enlarge their bustlines with no breast scarring may choose this method. Dr. Pugash makes an incision in the armpit fold to create a channel to the breast. He then positions the implants through the channel to an area behind the breast tissue and big chest muscle.

How Much Does Breast Augmentation Cost in Vancouver, BC?

The cost of breast augmentation varies, depending on the type of implants Dr. Pugash places and other patient factors. Financing options are available to make breast augmentation more accessible. For specific pricing information, please contact our office by calling (604) 522-5199.

Breast Augmentation FAQs

Dr. Pugash answers the following breast augmentation questions most frequently:

Can I breastfeed with implants?

Experts agree that most women who have breast implants can successfully breastfeed. However, if you are planning to breastfeed, it’s important to bring this to Dr. Pugash’s attention during your initial consultation so he is aware of your intentions and can design your surgical plan around your goals.

How long after breast augmentation can I return to work?

Everyone heals at a different pace, and it’s important to listen to your body and not force any activities if you don’t feel ready. However, most breast augmentation patients return to non-strenuous jobs a week to 10 days after surgery. If your job is more physical and requires tasks like bending and lifting, Dr. Pugash may advise you to wait longer to return to work.

How long do breast implants last?

Today’s breast implants are designed to last many years — approximately 10 to 15 years for saline implants and 15 years or longer for gels. Patients must understand that, in most cases, they will undergo more than one procedure during their lifetime.

Will I have a scar from breast augmentation surgery?

Any surgical procedure will result in some scarring. However, thanks to advances in breast augmentation surgery, Dr. Pugash can place implants with smaller and more discreet incisions than ever before. The scars fade and flatten over time until they are barely visible. Also, Dr. Pugash will provide you with a scar treatment product to apply after surgery.

Complications and Risks

Although the vast majority of Dr. Pugash’s breast implants Vancouver patients recover quickly and do not experience any complications, various surgical risks cannot be eliminated completely. The potential risks of breast augmentation surgery include reactions to the anesthesia, blood accumulation that may need to be drained surgically, and infection. Changes in nipple or breast sensation may result from breast augmentation surgery. Breast implants might also interfere with the process of mammography, although this is less a problem when the implants are placed behind the muscle.

Patients should also understand that a scar capsule forms around the implant as part of the natural healing process. This capsule may sometimes tighten and compress the implant, causing the breast to feel firmer than normal. Capsular contracture can cause discomfort or changes in the breast’s appearance. In such cases additional surgery may be needed to modify or remove the scar tissue, or to remove or replace the implant.

While the risks inherent in any surgery cannot be eliminated entirely, Dr. Eric Pugash and his medical team minimize them by adhering to the strictest safety protocols. As a result, their Vancouver breast augmentation patients consistently achieve excellent aesthetic results in a safe, speedy manner.

To learn more about the breast augmentation with Dr. Pugash, or to get more information on other procedures he offers such as Vancouver tummy tuck and liposuction, contact his practice today.

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To book an appointment and begin your aesthetic transformation journey, call Dr. Pugash’s plastic surgery Vancouver offices.

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