Breast Augmentation

Many women feel unhappy with the size or fullness of their breasts. Breast enlargement is a procedure that involves enlarging the breasts with either either saline (water) or silicone gel implants.


The implants are inserted through a small incision underneath the breast in the crease and placed above or below the pectoralis muscle.

Graphic showing chest before breast augmentation


Graphic showing implant placement for breast augmentation

Implant Placement

Graphic showing results after breast augmentation


Are You a Good Candidate?

You might consider breast enlargement if you are finished with having children, no longer breastfeeding, and your breasts:

  • Are noticeably different in size - a cup size or more
  • Are smaller than you would like
  • Have lost fullness due to weight loss, pregnancy or nursing

Breast enlargement can enlarge, balance, and restore fullness to your breast.

Your Consultation

Your first step will be to have a detailed consultation with Dr MacDonald where she will listen to your goals and concerns and complete a careful examination. Then. Dr. MacDonald will discuss the treatment options that best address your concerns and particular situation.

Dr. MacDonald and her staff will:

  • Give you detail information about the surgery and what you can expect before, during, and after the procedure
  • Discuss any concerns or questions that you may have
  • Discuss potential risks of the procedure


Breast augmentation surgery is a day surgery, meaning you go home the same day. It requires a general anesthetic so we have you complete a pre-operative questionnaire to ensure you are ready for surgery. You will be given instructions on what time to arrive and reminded not to eat or drink anything the night before surgery. The surgery is approximately 2 hours and you will spend approximately 3 hours in the recovery room,so plan to spend the day at the hospital. You will be given a prescription for pain medication before leaving the hospital.


You will need someone to drive you home from the hospital and stay with you for the first 24 hours. Dr MacDonald will see you 5-7 days after surgery to show you how to care for the implants and wound care. You can shower 48 hours after surgery. All the stitches are dissolving and wound care is simply ointment and gauze. You will have a wrap or binder on from the day of surgery and this is worn full-time until the healing is complete: 2-4 weeks.


As in any surgery risks include: infection, scarring, delayed wound healing, or bleeding. Issues specific to this surgery are asymmetry, numb skin/nipples, or capsular contracture (scar tissue around implant). Complications in this procedure are relatively uncommon but will be discussed further at the time of consultation.


The surgery suited best for you will be discussed at the time of consultation and Dr MacDonald’s assistant will e-mail you a detailed cost breakdown.