Breast
Breast AugmentationBreast LiftBreast ReconstructionBreast ReductionFat Transfer Breast AugmentationTop Surgery
PROCEDURE GUIDE
Breast Augmentation, also called Augmentation Mammoplasty, is a surgical procedure that enhances or restores breast size and shape by placing an implant beneath the breast tissue.
Engineered for Perfection: The PowerBoost Breast AugmentationFor those who desire a sculpted, lifted silhouette with dramatic fullness and superior longevity, traditional augmentation methods often fall short. They compromise support for placement, leading to premature settling and loss of definition. Welcome to the PowerBoost Augmentation: a surgically intelligent technique that doesn’t just place an implant—it builds a foundation for it.
The PowerBoost technique is engineered for the woman who seeks a confident, front-and-center result. This approach is designed to create that coveted "push-up bra" effect—even when you're braless. We focus on constructing a powerful, internal support system that defies gravity, ensuring your results remain impeccably uplifted, full, and perky for years to come. Think of it as the architectural masterpiece of breast augmentation—designed for maximum impact and built to last.
By innovatively modifying the traditional dual-plane approach, we harness the body’s own anatomy to protect your investment. The key is a limited, strategic muscle release that provides critical advantages:
The Internal Support System: We preserve the integrity of your pectoral muscle to act as a strong, natural sling that cradles the implant. This powerful framework provides unparalleled lower pole support, dramatically reducing the risk of "bottoming out" and ensuring long-term stability.
Superior Upper Pole Fullness & Cleavage: By utilizing the muscle's support, we create the dramatic, voluptuous upper pole fullness and defined cleavage that mimic the ideal push-up bra look. The result is a lifted, confident profile that stands the test of time.
A Result That Ages With Grace: The PowerBoost technique is specifically engineered to combat gravity’s effects. Your results will maintain their beautiful, perky position far longer than with traditional methods, making it a premier choice for long-term satisfaction.
This advanced technique is designed for the patient with a vision of a sculpted, uplifted aesthetic. You are the ideal candidate if you desire:
That classic "push-up bra" look with significant upper pole fullness, even without a bra.
Well-defined, dramatic cleavage.
A result that is highly supported and resistant to premature sagging.
You understand that the implant will initially sit higher and will gradually settle into its perfect, permanent position over several months.
The PowerBoost Augmentation is for those who believe that true beauty is built on a foundation of strength and precision.
Schedule a consultation to discover how the PowerBoost technique can engineer your most confident self.
Discover the FrenchAug: The Art of the Effortlessly Natural Breast AugmentationTired of the "done" look? Imagine a breast enhancement so subtle, so beautifully settled, that it moves and feels like it was always yours. Welcome to the FrenchAug, a refined surgical technique designed not to create dramatic volume, but to cultivate innate, natural elegance.The Philosophy of Undone Beauty
The FrenchAug technique is a deliberate departure from traditional methods. We move beyond the high, tight, and often artificial appearance associated with classic augmentations. Instead, we focus on creating a soft, teardrop silhouette that embraces the natural grace of the female form, lower, more settled, and exquisitely natural. This is the look of effortless Parisian style, the subtle enhancement famously favored by icons like Kylie Jenner. It’s not about obvious change; it’s about undeniable confidence.
By placing the implant over the chest muscle, the FrenchAug method offers significant advantages that translate to a more comfortable journey and a superior aesthetic:
Zero Animation Deformity: With the implant positioned above the muscle, you will never experience the unnatural shifting, squishing, or distortion of the breast (known as "animation deformity") that can occur with under-the-muscle placements during activities like yoga, weightlifting, or even simple stretching.
A Dramatically Easier Recovery: Avoiding muscle dissection means significantly less post-operative pain and a much quicker, smoother return to your daily life and light activities.
A result that is highly supported and resistant to premature sagging.
A Truly Natural Drape: Freed from the constricting force of the pectoral muscle, the implant is allowed to settle gently into place, creating a soft slope and a gentle fall that mimics how natural breasts behave.
This technique is perfect for the woman who values subtlety over statement. You are a candidate if you desire:
A small to moderate increase in size and volume.
A natural, "lived-in" teardrop shape without upper pole fullness.
A softer, lower breast profile without tight, defined cleavage.
A commitment to wearing a bra for optimal support to maintain the beautiful, settled appearance long-term.
The FrenchAug is the art of enhancement, honoring the body’s natural language to reveal a more confident, authentically you.
Schedule your consultation to explore if the FrenchAug is the key to unlocking your natural beauty.
One of the biggest concerns women have with breast augmentation is scarring and recovery time. At SixSurgery, our surgeons use advanced techniques to offer the Tiny Scar Breast Augmentation, designed to minimize scars, shorten surgery time, and speed up recovery.
Traditional breast augmentation can leave a 4–8cm scar. With our innovative approach, incisions are only 2cm for saline implants and 2.5–3cm for silicone. This means smaller, more discreet scars and results you can feel confident about.
The benefits go beyond scarring. Our refined technique takes just 30 minutes compared to the typical 1–2 hours and can be performed under local or general anesthesia. Recovery is also faster, with many patients returning to daily activities within 5–7 days and resuming more strenuous activity in about six weeks.
Discover our real patients just like you.
Breast augmentation is a deeply personal choice, and the right candidate is not defined by a “perfect body” — it’s about how you feel in your own skin. Women in Toronto choose breast implants for many different reasons, from restoring what was lost to enhancing what was never there.
Maintain a healthy BMI under 30
Not be on immunosuppressant medication
No insulin-dependent diabetes (hospital setting may be required)
No malignant hyperthermia
There are many factors to consider with breast augmentation, and your consultation is the time to explore them all. At SixSurgery, we believe in empowering every patient with the knowledge needed to feel confident and informed. During your pre-operative consultation, you and your surgeon will work closely to design a customized surgical plan that reflects your vision and complements your body. By the end of this process, you will have selected the implant type, filler, width, volume, and shape that best achieves your goals. Here are some of the decisions you will be making:
Your surgeon will combine medical expertise with artistic vision to help you select the implant that best enhances your body. Together, you’ll consider key factors such as:
Your natural breast size and shape
The degree of sagging or drooping of existing breasts
Desired look – natural or fake
Your body shape and proportions
The quality of your existing breast tissue
Lifestyle and physical activity
When planning your breast augmentation in Toronto, one of the most important decisions is whether to choose silicone or saline implants. Both are safe, Health Canada and FDA approved, and can create beautiful results. One may be better than the other depending on the specific case.
Silicone implants are filled with a cohesive gel that closely mimics the softness of natural breast tissue. Because of this natural feel, they are one of the most popular choices for women seeking breast augmentation.
Soft, natural texture similar to real breast tissue
Available in a wide variety of sizes and profiles
Lower risk of visible rippling compared to saline
Modern cohesive gel technology (nicknamed “gummy bear implants”) ensures strength and safety
Slightly higher cost than saline implants
Silicone implants are ideal for women who want the most natural look and feel possible, especially if they have less natural breast tissue to cover the implant.
Saline implants are filled with sterile salt water, a substance that occurs naturally in the body. The outer shell is made of durable silicone, but the implant is filled after it is placed inside the breast. This means the incision can be smaller than what is required for silicone implants.
Inserted empty and filled once in place, allowing for smaller scars
More flexibility for adjusting size and symmetry during surgery
Lower cost compared to silicone
Ruptures are immediately noticeable and the saline is safely absorbed by the body
Slightly firmer feel compared to silicone
Saline implants are a great choice for women who prefer a smaller scar, or who like the peace of mind of instantly detecting implant leaks.
When choosing breast implants, both shape and profile influence how your results will look and feel. These factors affect fullness, cleavage, and projection — making them an important part of your breast augmentation journey.
Round Implants – Symmetrical in all directions, round implants add fullness to both the upper and lower breast. They create a balanced, youthful look and are the most popular choice among women who want rounder cleavage and visible volume.
Teardrop Implants (Anatomical) – Designed with more volume at the bottom and a gentle slope at the top, teardrop implants mimic the shape of a natural breast. They are often chosen for a very subtle, natural-appearing enhancement.
While teardrop shaped implants provide a more natural look, most women prefer round implants for their balanced and full aesthetic
Selecting your implant profile will determine the projection of your implant, in other words, how far your breast will protrude from your body. Different profiles create different aesthetics:
Low Profile – Flatter projection, ideal for broader chests and patients seeking a subtle, natural look.
Moderate Profile – Balanced projection and width, delivering natural yet noticeable results.
High Profile – Greater forward projection with less width, creating fuller, rounder breasts and a more dramatic appearance.
Your surgeon will recommend the right shape and profile based on:
The natural width of your breasts and chest
The quality of your existing breast tissue
Your lifestyle and activity level
Whether you prefer a natural look or a fuller, more dramatic enhancement
At SixSurgery, we only use FDA and Health Canada–approved breast implants from the two leading manufacturers in the world: Allergan and Mentor. Both companies have decades of research, innovation, and proven safety records, making them the most trusted names in breast augmentation.
Allergan Implants – Known for their advanced “Inspira” line, offering a wide range of profiles, shapes, and silicone gel options for highly customizable results.
Mentor Implants – Manufactured in the United States, Mentor implants are praised for their durability, consistent quality, and natural look and feel.
Both manufacturers provide options in silicone and saline implants, with variations in density, profile, shape, and texture to suit different body types and aesthetic goals. Every implant comes with a warranty for additional peace of mind.
👉 Want to learn more about the implant options available to you? Book a consultation and we’ll guide you through the differences, show real before-and-after results, and help you choose the option that fits your body and your vision.
Every breast augmentation requires a small incision to create a pocket for the implant. At SixSurgery, we use advanced techniques to keep scars as minimal and discreet as possible. Depending on your anatomy and goals, your surgeon may recommend one of three incision options:
Inframammary (Breast Fold Incision)
Transaxillary (Armpit Incision)
Periareolar (Areola Incision)
40% of procedures use the inframammary incision (breast fold)
40% use the transaxillary incision (armpit)
20% use the periareolar incision (around the areola)
What incision site is best for you?
During breast augmentation, the surgeon creates a pocket where the implant will sit. This pocket can be placed above the chest muscle (subglandular) or below the chest muscle (submuscular). The placement you choose will affect how natural your breasts look, how they feel, and how they move with your body. This will also impact where they sit, and how they will look after a couple years of, gravity.
Implant is placed directly behind the breast tissue and above the chest muscle.
Benefits: Shorter recovery time, less post-surgery discomfort, easier access for revision.
Considerations: May show rippling more in women with thin breast tissue, and slightly higher chance of capsular contracture.
Implant is placed underneath the chest muscle.
Benefits: More natural contour, especially for women with less natural tissue; reduced risk of visible rippling; lower risk of capsular contracture.
Considerations: Slightly longer recovery, may cause “animation” (movement of the implant with chest muscle flexing).
Combines both techniques: the upper part of the implant sits under the muscle, while the lower part sits under the breast tissue.
Benefits: Offers the natural look of submuscular placement while allowing better shaping of the lower breast, especially helpful for women with mild sagging. There are precautions to take with this method and it does not work for everyone.
At SixSurgery, we specialize in a variety of advanced breast augmentation techniques designed to give you the best results with the least downtime. During your consultation, your surgeon will explain the pros and cons of each option and recommend the technique that best matches your body and your goals.
Our signature Tiny Scar Breast Augmentation is the most requested technique at our clinic. Using cutting-edge surgical methods, implants are placed through an incision as small as 2 cm (saline) or 2.5–3 cm (silicone). These incisions can be hidden in the breast fold, armpit, or along the areola.
Procedure time: ~30 minutes
Scar size: 50–70% smaller than traditional methods (which often leave 4–8 cm scars)
Recovery: Faster return to daily activities
This technique is ideal for women who want natural results with the smallest and most discreet scar possible.
For patients who want a modest, natural enhancement without implants, fat transfer is an excellent option. Fat is harvested from areas such as the abdomen or thighs through liposuction, then purified and injected into the breasts.
Produces a subtle increase (about half to one full cup size)
Uses your own fat for a completely natural look and feel
Provides the added benefit of body contouring in donor areas
Many women have uneven breasts, but for some, asymmetry is more noticeable and affects confidence. Correcting asymmetry is more complex than a standard augmentation, often requiring reconstructive-level expertise. Our surgeons, with extensive experience in breast reconstruction after cancer, use advanced techniques to create balance, symmetry, and natural proportions.
Aging, pregnancy, or weight changes can lead to sagging, loss of shape, and volume. Augmentation Mastopexy, or a breast lift with implants, addresses both concerns in one surgery. Best suited for women with:
Drooping or sagging breasts
Nipples or areolas pointing downward
Loss of volume and firmness
Asymmetrical breasts
This combined procedure restores perkiness, repositions the breasts, and enhances size for a rejuvenated, youthful appearance.
SixSurgery is one of the few clinics offering bloodless breast augmentation, a highly innovative approach that minimizes bleeding during surgery. This technique reduces swelling, bruising, and recovery time, giving patients a smoother healing process and better long-term results.
The average cost of breast augmentation in Toronto ranges from $11,500 to $15,000. The price depends on factors such as the type of implant (saline vs silicone), whether additional procedures are required (such as a lift), and the surgeon’s expertise.
💡 Important: While cost is a factor, results are strongly tied to surgeon skill and experience. Choosing a highly qualified breast augmentation surgeon in Toronto ensures safer procedures, fewer complications, and longer-lasting results.
One of the most common questions patients ask is whether breast augmentation will make their cleavage narrower. The short answer: implants will not significantly change your natural cleavage spacing.
Implants are always placed directly behind the nipple.
Why We Don’t “Force” Cleavage
Some clinics attempt to place implants closer together to artificially narrow the cleavage. This can cause the implants to sit too close under the breast, pushing nipples outward and creating an unnatural or uneven look.
At SixSurgery, we enhance cleavage while respecting your anatomy. By aligning the implant with your existing breast tissue, we ensure results that are natural, balanced, and aesthetically pleasing.
✅ Our job is to enhance, not fabricate.
All breast augmentation procedures involve an incision, which means a scar will remain. At SixSurgery, we specialize in techniques that keep scars as small, discreet, and well-hidden as possible — often becoming virtually undetectable over time.
The size and placement of your scar will depend on:
Your natural breast anatomy
Your personal goals and desired look
The type of implant (saline or silicone)
Implant placement (above or below the chest muscle)
Implant profile and size
Our surgeons carefully place incisions in natural creases, folds, or along the edge of the areola, where they blend in with the skin’s natural transition. With advanced techniques such as Tiny Scar Breast Augmentation, incisions can be as small as 2–3 cm — compared to the 4–8 cm scars left by traditional methods.
The result: scars that are beautifully concealed, fade with time, and allow you to enjoy your results with confidence.
Like any surgery, breast augmentation carries some risks. At SixSurgery, patient safety is our highest priority. We use advanced techniques, certified facilities, and FDA/Health Canada–approved implants to minimize complications and ensure the smoothest recovery possible.
Although rare, breast implant complications can occur weeks, months, or even years after surgery. These include:
Today’s breast implants are safer and more durable than ever. Current generation silicone implants use an extremely strong shell with cohesive gel, often called “gummy bear implants.” This technology dramatically reduces the risk of leakage or rupture.
For added peace of mind, all of our implants come with a lifetime manufacturer’s warranty. If a rupture or defect occurs, you’ll receive a replacement implant at no extra cost.
✅ With proper care and a skilled surgical team, most patients experience no problems at all and continue to enjoy their results for many years.
Alternatives to breast augmentation may include:
Fat transfer uses your own body fat to enhance your breasts naturally. Through liposuction, fat is removed from areas such as the abdomen, thighs, or hips, purified, and then injected into the breasts.
Provides a subtle increase of about half to one cup size
Creates a soft, natural look and feel since it uses your own tissue
Doubles as body contouring in donor areas
Ideal for women who prefer not to introduce implants into their body
This procedure is best for patients seeking a modest, natural enhancement rather than a dramatic change.
Your existing breast anatomy
Personal goals
The content of your breast implants (saline or silicone)
The profile and size of your breast implants
The intended position of your breast implants (above or below the chest muscle)
Over time, breasts naturally lose their youthful perkiness, elasticity, and fullness. This can leave some women feeling unhappy or self-conscious about the shape, size, or position of their breasts. Augmentation Mastopexy — also known as a Breast Lift with Implants — is a comprehensive procedure that addresses both sagging and volume loss at the same time.
This procedure is ideal for women who experience:
A breast lift removes and tightens excess skin to raise the breasts into a more youthful position. When combined with implants, it not only reshapes the breasts but also restores or enhances volume.
Benefits of Augmentation Mastopexy
Restores firmness and elasticity
Improves breast shape and position
Adds volume for fuller, natural-looking results
Creates a more balanced and youthful silhouette
Uses advanced techniques designed to minimize scarring
Our surgeons perform approximately 400 breast augmentations annually in Toronto, plus about 200 breast lifts with implants. This makes our team one of the most experienced in Canada, with thousands of successful surgeries completed. Dr. Jugenburg has performed thousands of procedures during his surgical career. It is one of our most requested procedure.
Both silicone and saline implants are safe and FDA/Health Canada approved.
About half of our patients choose each type.
Silicone: Softer, more natural feel
Saline: Smaller incision, lower cost, leak instantly detectable The best choice depends on your body, lifestyle, and goals.
Despite what you may have read on the Internet) and in most patients who have enough of their own breast tissue to cover the implants, you can’t tell at all who has silicone or saline. We do prefer saline because of how specific you can get in terms of sizing and the smaller scars.
Although rare, risks may include:
Capsular contracture (scar tissue tightening around the implant)
Infection
Implant rupture or deflation
Modern implants are extremely durable and safer than ever, with very low complication rates.
We use three incision options:
Inframammary (breast fold) – most common
Periareolar (around the areola)
Transaxillary (hidden in the armpit)
The best option depends on your anatomy and implant choice.
No, there are no proven non-surgical methods that permanently increase breast size. Your breast size is primarily controlled by genetics and hormones, which means creams, exercises, or supplements cannot replace breast augmentation.
Methods that Do Not Work:
Inframammary (breast fold) – most common
Periareolar (around the areola)
Transaxillary (hidden in the armpit)
These methods will not change breast size.
Temporary Changes That Can Happen:
Birth control pills: Some women may notice breast enlargement, while others see no change. This is unpredictable and only a side effect of hormonal fluctuations.
Pregnancy and breastfeeding: Breasts often become larger during this time but usually return to pre-pregnancy size or smaller afterward.
Weight gain: Can increase breast size since breasts are partly made of fat, but this also increases overall body fat.
👉 For long-lasting results, the only effective options are breast augmentation with implants or fat transfer breast augmentation.
No, there are no proven non-surgical methods to permanently increase breast size. Creams, supplements, bras, massage, pumps, or exercises do not work.Temporary breast size changes can happen due to:
Hormonal fluctuations (e.g., birth control pills may cause temporary enlargement)
Periareolar (around the areola)
Transaxillary (hidden in the armpit)
For long-term, reliable results, breast augmentation or fat transfer are the only effective options.
We are a fully certified surgical facility equipped to handle any medical emergency, just like a hospital. In the rare case that additional care is required, patients can be transferred to nearby hospitals such as St. Michael’s (5 minutes away) or Humber Hospital, where our surgeons have active privileges to ensure seamless care.
Yes, certain re-operations are included in your surgical fee. If you experience problems related to your procedure, we will take care of you at no extra cost.
Covered at no charge:
InframammarCorrection of deviations from the desired outcome (such as implant malposition or early capsular contracture)y (breast fold) – most common
Implant leak or rupture within the first year after surgery
Implant rupture after one year is covered by the manufacturer’s lifetime warranty (you only cover anesthesia costs)
Not included in the initial fee:
Choosing to change implant size (bigger or smaller)
Switching from saline to silicone or vice versa
Breast changes caused by pregnancy, weight fluctuations, or aging
Natural gravity-related changes over time (breasts may fall downward when standing or shift to the side when lying down)
The most common re-operation is due to asymmetry when implants are placed under the muscle. Because chest muscles are naturally uneven, one implant may sit slightly higher. This is typically corrected with massage, but in rare cases, a minor adjustment may be needed.
👉 Note: Some degree of asymmetry is normal — no two breasts are ever perfectly symmetrical.
Our surgeons focus almost entirely on cosmetic breast surgery, including breast augmentation, lifts, and revisions. In addition, they maintain hospital privileges and continue to perform breast reconstruction procedures for cancer patients.
