Dr. Paul Oxley - Cosmetic & Plastic Surgery


(604) 589.6841

Paul J. Oxley, MD, FRCSC

seeing is believing

Surgical Procedures


(604) 589.6021

Cosmetic & Plastic Surgery

Surgical Procedures

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Get to Know Your Surgeon
Breast Reconstruction
Breast Augmentation
Breast Reduction
Gynecomastia (Males)
Breast Lift (Mastopexy)

About Breast Augmentation

Breast augmentation is a procedure that allows women to change their breast size to improve confidence and appearance.  Women choosing breast augmentation are looking to enlarge their breasts to make their bodies more proportional, to reshape breasts that have lost their shape after pregnancy and breast feeding, or to balance breasts that are different sizes.  Dr. Oxley has performed more than 400 implant cases in the past 10 years for cosmetic reasons as well as for reconstruction after cancer and congenital asymmetry.


The Procedure

The surgery is performed under general anesthesia, and is a day-care surgery which means an overnight hospital stay is not required.  Both saline and silicone implants are available.

In your consultation with Dr. Oxley, you will be able to discuss the many options available, including size, implant type, incision location, and implant positioning.


Implant Type

Saline implants have a variety of shapes to choose from, including textured, untextured, round, and tear-drop shaped.  Saline implants are FDA approved, and any leakages or implant ruptures are easily noticeable to the naked eye.  A women starting with less breast tissue may visibly notice a slight rippling of the saline implant that would not occur with a silicone implant.

Silicone implants are also FDA approved and have a more natural feel and look to them than saline. However, any leakage or ruptures with silicone implants are more difficult to detect.  New advances in Cohesive Gel implants have reduced leakage rates and related complications to close to zero.

As each individual varies, Dr. Oxley will carefully consider your specific requirements and concerns during your consultation.


Incision Location

There are three main areas of incision possible for breast augmentations.

The most common incision is beneath the crease of the breast.  The advantages are that it is easy for the surgeon to place, there is a decreased chance of bacterial infection, and it provides an easy re-entry point for future revision surgery if necessary.

An incision made under the armpit requires more maneuvering of the implant through the body, the reward being that the post-recovery signs are less visible.  A secondary incision may be necessary for revision surgery.

An incision at the nipple has the advantage of easy placement and a reduced chance of bacterial infection.  However, nipple incisions have been known to alter nipple sensation, reduce cancer detection, and a secondary incision may still be necessary for revision surgery.

Note that the above information is for general purposes, and that the precise incision location is dependant on your own specific needs.  During your consultation, Dr. Oxley will cover in depth the options and suggested course of action that best suits you.


Implant Location

A breast implant can be placed either overtop or underneath the muscle.

Implants placed under the muscle have the added advantages of being less palpable as an implant, having a decreased chance of capsular contraction (a hardening of the breast to produce an out pocketing around the implant), and reducing the wrinkling effect of the skin that can sometimes occur around the implant.

Implants placed above the muscle have the added advantages of being easier to place, not interfering with cancer detection during mammography, and may produce less pot-surgery discomfort.

Again, the above information is for general purposes, and the best implant location is dependant on your own specific needs.  During your consultation, Dr. Oxley will cover in depth the options and suggested course of action that best suits your situation.



You will be able to return to regular activity within a couple of weeks after surgery, in most cases.  Recovery time and post-operative care depends on the type of breast augmentation and your own individual needs and medical history, and will be discussed in detail with Dr. Oxley during your consultation.



What to Expect

During your consultation with Dr. Oxley, one of the key areas that will be addressed is your expected result from having breast augmentation.  Below are some before and after pictures that illustrate some of the results that have been achieved through breast augmentation.

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