• Anesthesia:
  • Duration:
    1 hour
  • Pain level:
  • Recovery time:
    7 to 10 days
  • Resuming physical activities:
    4 to 6 weeks

At Phi Plasti Surgery, our breast augmentation techniques allow you to enhance your breast shape and size, resulting in a more proportional silhouette.

Breast augmentation involves using breast implants to enhance the breast’s size and improve its shape.

This procedure can increase self-confidence by providing you with a more harmonious silhouette.

Patients who are good candidates for this procedure:

  • Healthy weight patients
  • No significant medical problems
  • Non-smokers
  • Want to increase the size of their breasts
  • Willing to accept a small scar in the breast fold
  • Ready to accept having an implant in their body

Patients who are poor candidates for this procedure:

  • Bodybuilders
  • Smokers
  • Significant medical problems
  • Droopy breasts (these patients require a breast lift with augmentation)
  • Not willing to accept scars or implants

Are you a good candidate?

Our Self-Evaluation Quiz can help you decide if breast augmentation is the right procedure for you.

Techniques for Breast Augmentation

The scar for breast augmentation can be in the breast fold (infra-mammary), in the areolar skin or in the armpit.

Dr. Gdalevitch performs an infra-mammary incision which is hidden in the breast fold.

There are 2 types of breast implants- saline and silicone. Dr. Gdalevitch recommends silicone implants in most patients.

Silicone Implants:

  • Silicone bag filled with silicone cohesive gel
  • Pros: more natural to the touch, less rippling, no deflation with time
  • Cons: Rupture can go undetected but is not dangerous (as the gel is cohesive and just sits there)

Saline Implants:

  • Silicone bag filled with water
  • Pros: If ruptures, easy to detect (flat tire)
  • Cons: Rippling is more visible, less natural to the touch, deflation with time

Implant Profile

Implants are available in several different profiles including low profile, moderate profile, moderate plus profile, high profile, and ultra-high profile.

Dr. Gdalevitch will determine the right profile based on your breast width and your desired breast size.

Low projection
Moderate projection
Moderate plus projection
High projection
Xtra high projection

Subglandular placement

The breast implant is placed behind the breast tissue and over the chest muscle. Dr. Gdalevitch recommends this for most patients who are small-chested and have good quality skin as this preserves the integrity of the pectoralis major muscle.

Submuscular placement

The breast implant is placed underneath the pectoralis major chest muscle. This is recommended by Dr. Gdalevitch in selected patients, usually those who have had massive weight loss and who have poor quality skin which cannot support the weight of an implant.

At Phi Plastic Surgery, we believe that a beautiful body can take many shapes and sizes. The Phi philosophy centers on respecting your body's proportions and helping you let your inner beauty shine.

We offer our patients the best, most advanced techniques to help them achieve their aesthetic goals.

Pre-op & post-op instructions

These pre-surgical and post-surgical instructions are provided to help you better prepare for your surgery. Please follow the instructions carefully to ensure optimal results. If you have any questions, please contact our office as soon as possible.


ONE MONTH before your surgery

  • Stop using contraceptive pills or hormone therapy.
  • A pre-operative visit (if necessary) approximately one month before your surgery will be scheduled to review your goals and provide you with additional information regarding your surgery.

THREE WEEKS before your surgery

  • Stop all consumption of collagen.
  • Complete your pre-operative tests. Be sure to complete all prescribed pre-operative tests (ECG blood tests, etc.). If your tests’ medical results and clearances are received on time, your surgery may be completed on time.
  • Prepare your surgery date: Plan to ensure a stress-free experience. Arrange your work leave and special assistance to help you with a ride home. Prepare your return by organizing meals, delivery, babysitting, etc. Make sure you have someone scheduled to accompany you home after your surgery. Someone should also be on-call to help you during the first 24 hours after your surgery.

TWO WEEKS before your surgery

  • Stop the consumption of anti-inflammatory drugs.
  • Aspirin, drugs containing aspirin or any anticoagulants such as Arixtra pf, clopidogrel, Plavix, coumadin, dalteparin, edoxaban, eliquis, apixaban, enoxaparin, Fragmin pfsyringe, lepirudin, Pradaxa, dabigatran etexilate, Xarelto, rivaroxaban.
  • A pre-operative visit (if necessary) approximately two weeks before your surgery will be scheduled to review your goals and provide you with additional information regarding your surgery.

SEVEN DAYS before your surgery

  • Stop taking any supplements or medications from the list below. These products can increase the risk of bleeding and other complications. Stop consuming any non-prescribed supplements, including: Omega 3-6, nutricap, echinacea, glucosamine, fat burners, St. John’s wort.
  • Confirm your surgical support plan: This includes your transportation and post-surgical care, including an adult family member or a friend on-call for your support 24 hours after your surgery.
  • Purchase any prescription provided by Dr. Gdalevitch (If applicable) and revise your pre-surgical instructions.

The day BEFORE your surgery

Prepare a bag. It should include the following:

  • All necessary papers
  • Your identification (RAMQ card)
  • Prescription Drugs
  • Glasses if necessary
  • Confirm who will assist you for the first 24 hours after surgery.
  • Take a shower. Use a non-perfumed soap. Wash your hair. Do not put cream or lotions. Do not put deodorants, hair products, perfumes, or makeup on.
  • Remove any nail varnish (even if transparent) from your hands and feet, including shellac, resin, gel or acrylic. All this reduces the risk of post-surgical infections, and nails are monitored for blood circulation.
  • Do not eat or drink dark liquids for 8 hours before your surgery. Do not drink any light liquids 6 hours before your surgery. Anything you eat can cause the cancellation of your surgery and increase the risks associated with surgery and anesthesia. This includes sweets, mints, chewing gum, tea or coffee. You can take a minimal amount of water after brushing your teeth or taking medication.
  • Relax. Enjoy a good night’s sleep and avoid stress.


  • Do not drink or eat on the day of your surgery.
  • Do not train before surgery.
  • Please bring your medications which have been prescribed to you in a bag as above.
  • Please bring your compression socks if they have been prescribed to you.
  • Do not wear any makeup, jewellery, contact lenses, hairpin or piercings: during surgery, an electric cautery is used, and any piercing or jewellery can cause burns.
  • Wear light and comfortable clothing. Wear a top that opens forward. Do not wear a sweater, turtleneck or tight clothing. You can wear a skirt, but pants and a jogging jacket are ideal. Flat shoes that are easy to put on and remove (no heels) should be worn. A lip balm is recommended.

post-op instructions

When you get home

You can expect to have some pain in the breasts. You may feel like it is challenging to take a deep breath.

To help you rest comfortably, follow these instructions:

  1. Take extra-strength Tylenol every 4 hours
  2. Take an anti-nausea medication such as Gravol 30 minutes before taking your prescribed pain medication
  3. Take your pain medication as prescribed
  4. Take your antibiotics as prescribed
  5. Try and rest in a semi-sitting position until bedtime
  6. Avoid using your arms for anything strenuous
  7. Keep your surgical bra in place
  8. Apply ice to your upper breast area (10 minutes on, 10 minutes off)

Contact us immediately if you experience any of the following:

  • Pain that is not controlled by the pain medication
  • One breast is unusually large, painful and bruised.
  • A fever of greater than 38.5
  • Severe nausea or vomiting
  • Hallucinations or incoherent behaviour
  • Pain or swelling of one calf
  • Excessive bleeding through your dressing
  • Incapable of urinating

The first day following surgery

  • Your pain will start to dissipate after 48 hours.
  • Avoid staying in bed all day, and rest in a semi-sitting position.
  • Avoid strenuous activities with your arms.

Healing and follow up

  • Your breasts will not be fully healed for 4-8 weeks.
  • Your breast implants will appear too high for the first two weeks. This is normal.
  • Exercise is not permitted until four weeks after surgery to prevent implant displacement.
  • You should rest for at least one week after surgery and gradually regain daily activities, except for strenuous upper body activities or exercise.

You will have a follow-up appointment 1-2 weeks after surgery, then at one month and three months.

Your results

Recovery from a breast augmentation surgery involves two days of pain requiring medication, two weeks for the skin to heal, two months for the breasts to settle and two years for the scars to fade. Time off work is approximately 2-3 weeks. There is a strict restriction on exercising for 4-6 weeks.
A breast augmentation will enhance the size and shape of the breasts and will accomplish the following

  • Restore lost volume and a youthful, firm shape
  • Provide a natural look and feel
  • Enhance cleavage
  • Correct asymmetry and improve breast projection
  • Increase self-confidence that comes with a fuller, rounder breast shape
  • Enhance overall silhouette by improving breast volume and shape

The result creates enhanced curves and contours to the breasts with a fuller breast volume.

View most frequently asked questions

What is the lifespan of breast implants?

A breast implant is suitable for life. There is a risk of rupture of 1% per year, but a ruptured implant is not dangerous. The two main reasons to have your implants replaced are:

  • The scar around the implant is contracted and hard (called capsular contracture)
  • The breast is no longer aesthetic because either the breast or the prosthesis is falling (ptosis)

Can I breastfeed after breast augmentation?

Yes. Breastfeeding is not affected by this surgery, but 30% of women in the general population cannot breastfeed.

What are the risks of breast augmentation?

Breast augmentation risks include general anesthesia, bleeding or hematoma, infection, asymmetry, malposition, rippling, capsular contracture, implant rupture in the long run, visible scar, and wound dehiscence. Most of these risks are very rare. All of these will be reviewed with you during your consultation.

Does my risk of breast cancer increase if I have breast implants?

No, there is no risk of breast cancer with saline or silicone implants. Also, patients with breast implants may undergo routine mammograms for breast cancer screening. During mammography, the implant will be moved in order to better see the breast tissue.

Is it better to place the implant under or in front of the muscle?

The position of the implant depends on each patient. There are advantages and disadvantages to each technique.

What kind of implant should I choose; round or anatomic, silicone or saline?

Silicone is a highly safe product. Today’s implants are much improved compared to the silicone implants of the 1990s. For the majority of patients, silicone implants give a more natural result.

The shape of the implants can be anatomic or round. Anatomic implants are textured. This technology has had many problems, including a rare form of cancer called anaplastic large-cell lymphoma. Dr. Perry does not use anatomic implants and prefers round smooth implants. During your consultation, Dr. Perry will help you choose the right implant for you.

How much does the procedure cost?

Bilateral breast augmentation (implants)

starting at $9,000

For a more beautiful and proportional you!

φ Phi is the Greek symbol that indicates the golden ratio, a ratio that is synonymous with beauty.

Dr. Perry Gdalevitch offers a unique approach that involves applying the principles of perfect proportions (phi) to help you achieve your aesthetic and reconstructive goals.

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