Breast Beautiful

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Breast Augmentation in the Toronto, Ontario Area

For many women, an attractive bust line is an important part of feeling self-confident and sexy. Sometimes, achieving desired results means having a breast enlargement, which involves the placement of implants in the breasts to fill them out. Breast augmentation, performed at our Oakville office, near Toronto in Ontario, is designed to increase the size of small or underdeveloped breasts. Breast augmentation can also restore and enhance your breast volume if it has decreased as a result of having children, losing weight, or breast-feeding. If you are interested in breast augmentation, contact our office in Oakville, between Toronto and Hamilton in Ontario today, to find out if this procedure is right for you.

The incision for placement of your implants can be made underneath your breast, around the lower edge of your areola (the pigmented skin surrounding your nipple), or in your armpit. A pocket is created for the implant either behind your breast tissue or behind the muscle between your breast and your chest wall. Depending on your body type and your personal needs, Dr. Khanna uses implants filled with either completely inert and non-toxic saline (salt water) or the newest, most advanced implants, a cohesive silicone gel by McGhan. Implants are available in a number of shapes and sizes allowing you more choice in the shape of your newly enhanced breasts.

Dr. Khanna, a Canadian leader in cohesive gel silicone breast augmentation, is continually searching for the newest, most natural looking implants for her patients. After discussing your personal needs, as well as the benefits and limitations of each type of implant, procedure, and incision, Dr. Khanna will customize your surgical procedure to ensure that your new breasts are precisely what you were expecting.

If you are interested in breast augmentation near Toronto, contact the Institute of Cosmetic & Laser Surgery in Oakville, Ontario for more information.

Breast Augmentation

What are Cohesive Gel Breast Implants?

Cohesive gel implants have been designed to give the most natural look and feel to the breast. They are ideal for providing a breast augmentation to increase cleavage and breast size without producing undesirable and unnatural upper breast fullness. Cohesive gel implants have been in use in Europe since 1995 and have been available in Canada through special approval by Health Canada since November 2000.

Dr. Khanna has had extensive experience with cohesive gel implants and was the first plastic surgeon to gain approval for their use in Canada.

Cohesive Gel Breast Implants

Inverted Nipple Correction

Normally, a woman's nipples are soft and flat, but become firm and erect when they are stimulated. Inverted nipples do not become erect or respond when stimulated. This can be physically uncomfortable and produce emotional distress, especially when it only affects one breast. Inverted nipples may develop during or after puberty. When this occurs later in life, it is important to make certain that there is no condition within the breast itself causing the nipple to become inverted or tethered.

Details of Surgery

Inverted nipple correction surgery can be performed under a local anesthetic in our clinic and will take approximately an hour to perform. If the surgery is in combination with another breast surgical procedure, the correction will be performed under a general anesthetic.

A small incision is made at the nipple areola to access the ligament and tissue that pulls the nipple inward. Dissolvable sutures are utilized to repair the incision site and may also be used to complete the new form of the nipple.

Post Treatment Care

Surgical tape is placed over the incision site and is removed after 7 days. The sutures used are dissolvable and therefore do not have to be removed, though they may be trimmed 7 days after surgery if necessary. The nipple/areola may be tender for 7-10 days after surgery. Initial minimal discomfort can be managed with oral medications.

Possible Risks

The specific risks and the suitability of this procedure for a given individual can be determined only at the time of consultation. All surgical procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally. Major complications are unusual.

Nipple/Areola Reduction

A large areola can be inherited or may be a result of stretching of the tissue from weight gain, breast implants, or pregnancy and breast feeding. Usually, the areola is reduced in conjunction with a breast lift or breast reduction, however if the breast tissue and nipple are in good position, and the areola itself is large, a simple areola reduction can be performed.

Details of surgery

Nipple/Areola reduction surgery can be performed under a local anesthetic in our clinic and take approximately an hour to perform. If nipple reduction is in combination with another breast surgical procedure it will be done under a general anesthetic.

Small incisions are made by the nipple or around the areola depending on the aspect of the nipple/areola complex that is to be corrected. Dissolvable sutures are then placed to help keep the nipple/areola in its new position.

Post Treatment Care

Surgical tape is placed over the incision site and is removed after 7 days. The sutures used are dissolvable and therefore do not have to be removed, though they may be trimmed 7 days after surgery if necessary. The nipple/areola may be tender for 7-10 days after surgery. Initial minimal discomfort can be managed with oral medications.

Possible Risks

The specific risks and the suitability of this procedure for a given individual can be determined only at the time of consultation. All surgical procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally. Major complications are unusual.

To find out if you qualify for nipple/areola surgery, schedule a consultation with Dr. Khanna at our Oakville office, between Toronto and Hamilton in Ontario. She will discuss the risks and benefits of plastic surgery with you to help you make an informed decision.

Nipple Tuck

A nipple tuck is used to correct nipples that are constantly erect, and are never soft and flat. This can be physically uncomfortable and produce emotional distress, especially when it only affects one breast. Patients often have to wear heavier clothing to help camouflage the appearance of permanently erect nipples.

Details of surgery

The nipple tuck procedure can be performed under a local anesthetic in our clinic and take approximately an hour to perform. If the nipple tuck is in combination with another breast surgery procedure, it will be performed under a general anesthetic.

Small incisions are made by the nipple or around the areola depending on the aspect of the nipple/areola complex that is to be corrected. Dissolvable sutures are then placed to help keep the nipple/areola in its new position.

Post Treatment Care

Surgical tape is placed over the incision site and is removed after 7 days. The sutures used are dissolvable and therefore do not have to be removed, though they may be trimmed 7 days after surgery if necessary. The nipple/areola may be tender for 7-10 days after surgery. Initial minimal discomfort can be managed with oral medications.

Possible Risks

The specific risks and the suitability of this procedure for a given individual can be determined only at the time of consultation. All surgical procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally. Major complications are unusual.

To find out if you qualify for nipple/areola surgery, schedule a consultation with Dr. Khanna at our Oakville office, between Toronto and Hamilton in Ontario. She will discuss the risks and benefits of plastic surgery with you to help you make an informed decision.

Male Breast Reduction/Gynecomastia

Gynecomastia is the surgical removal of excess fatty tissue and possibly the removal of excess skin from the male chest. This increase in tissue is often inherited or hormonal. Excess skin is often secondary after dramatic weight loss.

Details of Procedure

This procedure is performed either under a local anesthetic with sedation or a general anesthetic. Liposuction techniques are used to remove the excess fatty deposits leaving the chest flatter in appearance. Excess skin from the breast can also be removed at this time if required.

Post Treatment Care

During recovery the patient is required to wear a compression garment, which aids in healing. The garment is worn for 4-6 weeks, during this time the patient should not engage in any strenuous activities for example, exercise, lifting, pushing, etc. The patient may notice that they are retaining extra fluid; this is normal and will eventually pass through their system. They will also feel discomfort during this time as well; this should begin to subside after 10 days to 2 weeks.

Possible Risks

The specific risks and the suitability of this procedure for a given individual can be determined only at the time of consultation. All surgical procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally. Major complications are unusual.

To find out if you qualify for gynecomastia, schedule a consultation with Dr. Khanna at our Oakville office, between Toronto and Hamilton in Ontario. She will discuss the risks and benefits of plastic surgery with you to help you make an informed decision.

Breast Asymmetry

Most women have some degree of asymmetry of their breasts. Usually, these differences are so minimal as to cause little or no concern. However, there are cases where the difference can be substantial enough to cause both a physical imbalance and significant emotional distress.

Breast asymmetry occurs when a woman's breasts differ in size or shape. For example, a woman's left breast may be a B-cup and the right, a D-cup. On the other hand, a woman may have one breast that significantly droops, and the other does not, making the woman's breasts appear unbalanced. Breast augmentation, or a breast lift (mastopexy) are commonly used to correct breast asymmetry and create balance between the breasts. Depending upon the type and degree of asymmetry, plastic surgeons may utilize one or a combination of these procedures. Following the completion of surgery, women usually have a greater sense of physical balance as well as an improvement in body image and self-esteem.

Treatment of breast asymmetry is best undertaken once a woman has completed puberty, and there is no further breast development expected. For significant differences however, treatment is sometimes undertaken during puberty in order to try to alleviate any emotional distress during these formative years. In cases of breast asymmetry, each woman's situation is unique.

To find out if you qualify for breast asymmetry correction, schedule a consultation with Dr. Khanna at our Oakville office, between Toronto and Hamilton in Ontario. She will discuss the risks and benefits of plastic surgery with you to help you make an informed decision.

Breast Lift: Mastopexy

Mastopexy is the lifting of the breast, and repositioning of the nipples if necessary. This surgery is beneficial for patients who are happy with the appearance of the breast while in a bra; but would like a better shape and contour out of a bra. This surgery will rejuvenate the shape of the breast and restore a more youthful, firmer appearance, without changing the size. Mastopexy or breast lift is used to correct pendulous or ptotic breasts, lack of firmness, nipples that point downward and are usually below the breast crease. For women who need a lift but also desire a change in size to a larger fuller breast, implants may be inserted during surgery. A mastopexy on its own does not give the same result as implant surgery. Patients should be aware of this and consider the expectations they have very carefully.

Mastopexy surgery is performed under a general anaesthetic, and can take approximately one and a half to three and a half hours. The nipple in a youthful breast sits in line, or above the crease of the breast, with some fullness under the nipple. There are 3 different techniques that can be performed depending on the severity of the breast laxity. After measurements are taken Dr. Khanna will discuss the variables that can affect which technique will be performed. Some of these variables are the size and shape of the breast, the condition of the skin, age, and if an implant is being inserted during surgery.

The first technique involves an incision made around the areola (nipple) only, this is known as a benelli incision. The excess tissue is removed, and in some cases the nipple can also be reduced. The skin is then drawn together and re-stitched. The idea is similar to a draw string.

The second technique is known as a lollipop incision. The incision is made around the areola and down the front of the breast, in one vertical line, to the inframammary crease. Again, the excess tissue is removed, and the nipple can also be reduced at this time if need be. The incision is the re-stitched around the areola and along the vertical line to the crease of the breast. This scarring will be in the form of a lollipop outline. Approximately 90% of patients will require this technique.

The third is technique involves an incision similar to the lollipop, but an additional incision is made along the bottom of the breast, from right to left very slightly above the crease of the breast. This incision looks similar to an anchor. This technique is usually used on a patient who has very ptotic or sagging breasts. There tends to be more tissue to remove in this case.

For patients who are having an implant inserted, a pocket will be made under the breast tissue, or deeper under the chest wall muscle, to accommodate the implant. This can be done in combination with any of the techniques listed above if needed.

The recovery for mastopexy is between 4-6 weeks. Following surgery patients will have gauze dressings, and must wear an elastic bandage or a surgical bra. The breasts will be swollen, and bruised. Any discomfort can be controlled with pain medications prescribed by the surgeon. Patients are able to shower 2 days after the surgery. During this time patients should not be doing heavy lifting or strenuous activities for 4-6 weeks. The breasts may seem slightly misshapen for the first few weeks after surgery. The breasts will eventually relax into a normal rounded position. Follow up visits will be scheduled within the following week to check on the healing process.

Patients should be aware that mastopexy will give you a lift and added firmness for quite a few years, however this will not last forever. The effects of time will again, take their toll. Pregnancy, aging, and fluctuations in weight can also cause the skin to become lax again. Patients who have had an implant along with the mastopexy may have a longer lasting result.


Incisions outline the area of skin to be removed in the new nipple position.


Skin formally located above the nipple is brought down together to reshape the breast and give an uplift to the appearance.


The incisions may vary depending on the patient. They may be simply around the nipple areolar complex, around the nipple and straight down or the full anchor incision as shown here. This will depend on the amount of tissue needed to be excised.