Why Get Breast Augmentation Surgery?
- You want to increase the fullness and projection of your breasts.
- You want to accentuate your body shape with a curvier look.
- You want to improve the balance of your figure
- You want to enhance your self-image and self-confidence
- You want to feel more attractive and sexier.
Dr. Levine conducts research on breast augmentation
Most plastic surgeons are not interested in conducting research to contribute to the advancement of the medical field. They rely on the research of others to select which techniques to use during surgery. Dr. Levine is not one of these surgeons.
While Dr. Levine does remain up to date on advancements in the field, he is also dedicated to improving the surgical experience of patients by performing his own research. That means he is continually refining his techniques. His ultimate goal is to make your surgery the safest possible and obtain your desired results with the least invasive methods.
Dr. Levine is the principal author of an abundance of research papers devoted to breast augmentation and other body contouring procedures, including tummy tucks and liposuction. He is currently researching the complication, capsular contracture, and whether breast implant type and incision location are contributing factors.
To help advance the field as a whole, Dr. Levine routinely presents at national and international plastic surgery meetings to share his findings with his colleagues. To date, he has delivered 40 to 50 presentations. The majority of these are focused on cosmetic breast surgery. As a result, Dr. Levine has become one of the leading breast augmentation surgeons in the world.
Excellent results and low revision rate
Dr. Levine is incredibly meticulous. He believes that if you’re going to do something, you should do it right the first time. That’s probably why his patients enjoy pleasing results and don’t require a revision. Patients who undergo a second breast augmentation often do so several years later, usually to change their implant size to accommodate aging or new lifestyle.
Had a breast aug with Dr. Levine. Best decision of my life! They are amazing and I am a 110% satisfied customer. I have been to several other surgeons in Canada and the states, and he is by far the best, hands down. No one has more experience or education than him. I live in BC and will absolutely fly in for my next procedure, he's worth it.MelissaFrom Google Reviews
I had the pleasure of having a consult with Dr. Levine in October. After seeing his work on some of my friends. I decided to get a breast augmentation On November 4th. Best decision I have ever made!TraceyFrom Google Reviews
He has excellent bedside manner. Answered everything I wanted to know, made the decision in what would best fit my body as I had a tiny frame.
After care, he had seen me a few times to make sure everything was settling alright.
Right after surgery scars were already very minimal. After 6 weeks they already look like almost nothing! Everyone who has seen them have said they are the best job they have every seen!
I would recommend %100 to do your procedure through Dr. levine
I've been to Dr. Levine on 2 separate occasions and I strongly recommend him to every one. I too went based on recommendations, he did breast augmentations on a few of my friends and the end result was beautiful so I decided to give him a try. He's pretty much the boob master. Dr. Levine is definitely an artist, professional and VERY honest. He'll be very upfront with you on whether something will look good or bad as he takes great pride in his work. He's had many years experience in the field and it honestly shows.
I'm a type 1 diabetic and he took extra care of me due to my condition. He made me feel safe, well taken care of and gave me fantastic results after my surgery. I trust him completely and wouldn't go to anyone else.
His secretary, Christy, is also amazing. She attentive, funny and very welcoming. My whole experience with Dr. Levine and his staff was fantastic and highly recommend him to everyone else.Skillz0729From Google Reviews
$7,600 – $8,200
Length of Surgery
Back at Work
If you have breasts that are too small for your liking and are relatively healthy, have realistic expectations of the surgery and understand the related risks, then breast augmentation may be suitable for you.
There are two main types of implants used in breast augmentation – saline implants and silicone implants. Both are contained in an outer silicone shell, and both are durable. Neither type of implant has been known to hinder breast health. Both are safe, common, and do not interfere with a woman’s natural aging process.
Saline implants are filled with sterilized salt water once the shells are in place inside the body. If the implants leak, they will collapse and the saline will be naturally absorbed and expelled by the body without any health risks. The remaining silicone shell will need to be removed by Dr. Levine and a new implant can replace it at that time.
Silicone implants are pre-filled with a smooth, cohesive gel. They look and feel the closest to natural breast tissue. However, if they rupture, they will not collapse and the gel will remain within the shell or in the breast. Most ruptures occur without any symptoms. These are known as “silent ruptures.”
Although both materials are durable, it is important to note that breast implants may not last a lifetime. While it is uncommon, you may need to have your implants replaced if they are damaged. Even after breast augmentation, your breasts can change with your age, weight, or hormone levels.
While the choice is ultimately yours, Dr. Levine has found that silicone implants provide a more natural looking result. However, if you have a nice breast shape and sufficient tissue to begin with, then natural looking results can be achieved with saline or silicone breast implants
Smooth breast implants are the softest feeling. These implants can move with the breast implant pocket, which may be more natural looking. However, they are associated with a higher risk of palpable or visible rippling unless they are placed under the pectoral muscle.
Textured breast implants develop fine scar tissue to basically stick to the implant, making them less likely to move around inside of the breast and get repositioned. They have also been shown in several studies to diminish the risk of capsular contracture, a condition where scar tissue builds up causing the breast to become overly firm, distorted in appearance and painful.
In general, a woman should be able to do any physical activity after recovering from breast augmentation surgery that she was able to do before it. Both saline and silicone implants are strong and will not rupture under the pressure that such activities may cause.
You can climb Mt. Everest, SCUBA dive, skydive, fly in an airplane, and visit the Dead Sea with silicone and saline breast implants. Changes in pressure or altitude, wearing a wetsuit or parachute harness will in no way affect your implants. Once you have recovered from surgery, you can resume your normal activities without concern. Generally, you can resume full activities after about a month.
It is important to note that breast augmentation, while giving you the firm, full breasts of your youth, does not prevent the effects of gravity and aging. Breasts sag because of gravity and aging. The more you support them, the less effect the weight of the implant will have on the tissue of your breasts. Big or small, there is little doubt that a bra reduces the pressure of the implant on your skin. So the more you wear a bra, the better your breasts should age over time.
There is no clear way to know before birth if a mother, with or without implants, can breastfeed fully, needs help due to a low milk supply, or can partially breastfeed but needs to supplement with formula. Genetics, hormones, and the ability of the baby to appropriately latch on all play a part in breastfeeding. However, how breast augmentation surgery is done can impact how it may affect breastfeeding.
It is possible to breastfeed after breast augmentation procedures but it is important to wait until your breasts are fully healed before attempting it. Some women do experience milk loss, but ways to increase your milk production can be discussed with your primary physician after breast augmentation. Dr. Levine will discuss your breastfeeding plans during your consultation including ways to preserve the mammary ducts through alternate incision sites.
Dr. Levine prefers the inframammary approach. Based on his research, he has found it to be associated with the most pleasing results and lowest complication rate. However, there are other incision sites. Implants can be inserted into your body via a crease under your breast (inframammary incision), via the areola (periareolar incision), or via the armpit (transaxillary incision).
Inframmary incision: The inframammary incision in breast augmentation is the most popular technique among plastic surgeons. Inframammary incisions are made in the fold where the lower part of the breast meets the chest wall. It offers direct access to the areas where a pocket will be created for an implant, without damaging the surrounding muscular tissue.
Periareolar incision: Periareolar incisions are made at the outer edge of the areola, following the curve that separates the darker skin of the nipple from the rest of your breast. Because the colour around the areola is darker, the scar is usually well-camouflaged, sometimes virtually invisible within a few weeks after surgery. However, this type of incision is more likely to interfere with breastfeeding as milk ducts and nerves might be severed in the nipple.
Transaxillary incision: Transaxillary incisions are made in the natural fold in the armpit. Once the incision has been made, a channel to the breast is created, and a pocket is made for the implant. Both saline and silicone implants can be used in this method. Transaxillary incision tend to leave the breasts looking untouched and is less likely to damage the mammary gland than are inframmary or periareolar incisions. One downside to transaxillary incisions is that the incision location can only be used once. If revision surgery is required, new scarring will occur in a secondary location. Transaxillary incisions are also most likely to result in capsular contracture.
Your implant can be inserted into a pocket in one of two places – partially under the pectoral muscle (submuscular) or directly behind the breast tissue over the pectoral muscle (submammary/subglandular). Often times, deeper implant placement helps camouflage implant related imperfections, which is true for submuscular placement. That’s why it’s preferred for very thin, lean women. Because the muscle better conceals implant characteristics, edges and rippling may be less visible.
In a subglandular placement, the implant is placed in a pocket behind the breast gland, entirely on top of the pectoral muscle. If your breasts are slightly sagging, subglandular placement offers a lift effect unrestricted by overlying muscle.
If an inch of tissue can be pinched in the upper pole of your breasts, then subglandular placement may be better. This is because the results look more natural (since there’s no breast tissue under your muscles).
Your incision site and implant placement will be decided during your initial consultation with Dr. Levine and will be based on your lifestyle, desired breast outcome, and anatomy.
You should wait about 4 months to see your results.
As with any surgery, there are inherent risks with undergoing a breast augmentation. Possible breast augmentation surgery risks include:
- Changes in nipple or breast sensation, which may be temporary or permanent
- Breast contour and shape irregularities
- Breast asymmetry
- Poor wound healing
- Unsightly scarring
- Wrong or faulty position of the implant
- Implant leakage or rupture
- The formation of tight scar tissue around the implant (capsular contracture)
- Fluid or blood accumulation (seroma or hematoma)
- Wrinkling of the skin over the implant
- Possibility of revisional surgery
Many complications can be avoided by precisely following Dr. Levine’s pre- and post-surgical instructions and returning for periodic follow-up appointments.
Capsular contracture (CC) is a complication of breast augmentation surgery. CC occurs when scar tissue that normally forms around the implant tightens and squeezes the implant and becomes firm. It is generally caused by an immune response to having a foreign material in the body and can happen in patients with artificial joints, prostheses, or pacemakers as well as those who have breast implants.
Capsular contracture is rated on a four-grade Baker scale as follows:
- Grade I – the breast is normally soft and appears natural in size and shape
- Grade II – the breast is a little firm, but appears normal
- Grade III – the breast is firm and appears abnormal
- Grade IV – the breast is hard, painful to the touch, and appears abnormal
Placing implants beneath the pectoral muscle, using textured implants, limiting the handling of implants, allowing minimal contact with the chest wall skin before insertion, and irrigating the sites with antibiotic solutions have all decreased the incidence of CC in breast augmentation patients.
In a 15 year study of 1,400 breast augmentation patients, 26.9% experienced capsular contracture of some sort. These were linked to implant type, pregnancy after implantation, infection, and hematoma. Experiencing previous radiation treatment, and undergoing radiation treatment after a breast augmentation for breast cancer can also greatly increase the likelihood of experiencing CC.
Capsular contracture can be corrected surgically by removing the scar tissue in a procedure known as capsulorrhaphy.
In a report released in June 2011, the FDA supports the safety and effectiveness of silicone implants when used as intended, but states that women should fully understand the risks before considering getting them. Breast implants are not lifetime devices. The longer a woman has them, the more likely she is to have complications and need to have the implants removed or replaced.
Some possible causes of implant rupture are:
- Capsular contracture
- Compression during a mammogram
- Damage by surgical instruments
- Damage during procedures to the breast, such as biopsies and fluid drainage
- Normal aging of the implant
- Over-filling or under-filling of saline-filled breast implants
- Physical stresses to the breast such as trauma or intense physical pressure
Currently, when a saline-filled implant ruptures, the saline leaks into the body and is absorbed and expelled naturally. This may leave the breast feeling deflated, uneven, or soft.
In the case of silicone gel-filled breast implant ruptures, some women may notice decreased breast size, hard knots, uneven appearance of the breasts, pain or tenderness, tingling, swelling, numbness, burning, or changes in sensation. However, most ruptures occur without any symptoms. These are known as “silent ruptures.”
Magnetic Resonance Imaging (MRI) is currently considered the most effective way to detect a rupture of a silicone breast implant. Many implant manufacturers recommend that women with silicone gel-filled breast implants undergo MRI screening three years after they receive a new implant and every two years after that for early detection of a silent rupture.
Current breast augmentation procedures are the product of nearly 100 years of research and development. When silicone implants began rupturing in 1992, the Food & Drug Administration of the United States immediately pulled silicone implants from the market. When they were allowed back on the market in November 2006, manufacturers were required to conduct follow-up studies on the long-term safety and performance of implant devices. The results were conclusive with consistent and convincing findings of no association between breast cancer and breast implants. A 2015 long-term review of 32 studies further concluded that there was no conclusive link between silicone gel implants and long-term health outcomes such as breast cancer.