Breast augmentation, also called breast implant surgery or augmentation mammoplasty, is one of the most requested cosmetic procedures in Vancouver, British Columbia. Some people want more volume after pregnancy or weight loss. Others want better balance between the left and right side, or a shape that fits their frame. We help patients across Metro Vancouver, from downtown and Yaletown to Burnaby, Richmond, Surrey and the North Shore, understand their options and choose what actually suits their body and goals.
This page covers implant types, incision and placement choices, recovery, costs, risks and Health Canada regulations, so you can walk into a consultation already informed.
What Breast Augmentation Does
Breast augmentation adds volume to the breast using an implant, fat transfer, or a combination of both. The surgery can:
- Increase breast size
- Improve breast asymmetry
- Restore fullness lost after breastfeeding, weight change or aging
- Improve upper pole fullness (the area near the collarbone)
- Balance the body’s overall proportions
It is important to know what augmentation does not do. Implants add volume, but they do not lift breasts that have significant sagging. They also do not correct major breast ptosis on their own. If skin laxity is a factor, a breast lift (mastopexy) may be combined with the implant.
Are You a Good Candidate?
Most healthy adults with fully developed breasts can consider this surgery. Good candidates usually:
- Are in stable general health
- Are at or near a steady weight
- Do not smoke, or are willing to stop well before and after surgery
- Have realistic expectations
- Are not pregnant or breastfeeding
Smoking and nicotine, including vapes and patches, reduce blood flow to healing tissue. That raises the risk of poor scarring and wound problems. We ask patients to stop several weeks before surgery.
If you plan a pregnancy soon, or plan major weight loss, it may be worth waiting. Both can change breast shape after your result has settled.
Breast Implant Types Available in Canada
Health Canada licenses every breast implant sold in this country. Licensed manufacturers have included Allergan, Mentor (Johnson & Johnson), Sientra and Ideal Implant. Your surgeon should tell you the exact brand, model, volume and lot number used in your surgery.
Silicone Gel Implants
Silicone gel implants are the most common choice in Canada. The gel is cohesive, which means it holds together and feels closer to natural breast tissue. Cohesive gel implants are sometimes called “gummy bear” implants because the gel keeps its shape even when the shell is cut.
Silicone tends to feel softer and shows less visible rippling, especially in thinner patients.
Saline Implants
Saline implants use a silicone shell filled with sterile salt water. They are placed empty and filled during surgery, which allows a smaller incision. If a saline implant leaks, the body absorbs the fluid safely and the deflation is obvious.
Saline can feel firmer and may ripple more in patients with less natural tissue.
Structured Saline Implants
Structured implants hold saline inside internal shells. The design aims to give saline a more natural feel while keeping the simple leak detection of saltwater fill.
Smooth vs. Textured Surfaces
Implant shells can be smooth or textured. Macro-textured implants are no longer sold in Canada. In 2019, Health Canada suspended the licences for Allergan Biocell macro-textured implants after a safety review linked them to a higher risk of a rare cancer called BIA-ALCL. Smooth and micro-textured implants remain available.
Implant Size, Shape and Profile
Choosing size is not just about a cup letter. Bra sizing is inconsistent between brands. We work from measurements instead.
Three factors matter most:
- Base width. Your chest wall and existing breast width set a natural upper limit. An implant wider than your breast footprint tends to look and feel wrong.
- Volume. Measured in cubic centimetres (cc), not cup size. Roughly 150 to 200 cc adds about one cup size for many patients, though this varies.
- Profile. Low, moderate, high and extra high profiles describe how far the implant projects forward. A narrow chest often needs a higher profile to reach a given volume.
Implants also come in round and anatomical (teardrop) shapes. Round implants give more upper fullness. Anatomical implants have more volume at the bottom. Round smooth implants rotate freely without changing shape, which is one reason many surgeons prefer them.
During your consultation, we use sizing systems and 3D imaging where helpful, so you can see estimated outcomes before committing.
Incision Options
Where the incision goes affects scar location, not usually the final shape.
- Inframammary fold (IMF): Placed in the crease under the breast. This is the most common approach in Canada. It gives excellent access and control, and the scar hides in the fold.
- Periareolar: Along the lower border of the areola. The scar blends into the colour change. This approach carries a slightly higher reported risk of changes in nipple sensation and breastfeeding difficulty.
- Transaxillary: In the armpit. It leaves no scar on the breast but limits precision, and revisions usually require a different incision.
Implant Placement: Above or Below the Muscle
Placement affects feel, appearance and long term behaviour.
Subglandular (over the muscle) places the implant between the breast tissue and the pectoralis major muscle. Recovery is often more comfortable, and the shape can look fuller on top. It suits patients with more natural tissue coverage.
Submuscular (under the muscle) places the implant partly beneath the pectoralis major. This adds soft tissue coverage, softens the upper edge of the implant and may lower the risk of capsular contracture. It can also make mammogram imaging easier to read.
Dual plane is the most common modern approach. The upper part of the implant sits under the muscle and the lower part sits under the breast tissue. It blends the benefits of both.
Types of Breast Augmentation Procedures in Vancouver
“Breast augmentation” is not one operation. It is a group of related procedures, and the right one depends on your anatomy, your goals and whether you already have implants. Below is what we offer at our Vancouver practice and who each option tends to suit.
Silicone Gel Breast Implant Augmentation
This is the most requested option in British Columbia and across Canada. The shell is silicone and the filler is a cohesive silicone gel that moves somewhat like breast tissue. Because the gel is denser than saline, it drapes better and hides implant edges, which is why it is often recommended for patients with thin soft tissue coverage. Silicone implants arrive pre-filled, so the incision is slightly longer than saline requires. You leave with a manufacturer implant card recording the exact device placed.
Cohesive Gel (Gummy Bear) Implant Augmentation
Highly cohesive gel implants use a firmer, more form-stable gel. Cut one in half and it holds together rather than spreading. That stability helps the implant maintain its intended shape over years instead of settling into whatever the pocket dictates. These come in round and anatomical teardrop versions. The trade-off is a firmer feel to the touch. Form-stable implants suit patients who want predictable shape retention and reliable upper pole fullness rather than maximum softness.
Saline Breast Implant Augmentation
Saline implants are inserted deflated and filled with sterile salt water once in position. Two practical advantages follow from that. First, the incision can be shorter. Second, small volume adjustments can be made during surgery, which is useful when correcting asymmetry. Leaks announce themselves clearly, since the breast visibly deflates over a day or two and the fluid is harmlessly absorbed. Saline sits higher on the firmness scale and shows rippling more readily, so adequate natural tissue matters.
Structured Saline Implant Augmentation
Structured saline implants contain nested internal shells that control how the saline moves inside the device. The engineering aims to reduce the sloshing and rippling associated with traditional saline while keeping the safety profile of a saltwater fill. For patients who prefer to avoid silicone gel entirely, whether for personal reasons or peace of mind about silent rupture, this bridges the gap between the two categories. Availability varies by manufacturer licensing, so confirm current options at consultation.
Submuscular and Dual Plane Breast Augmentation
Here the implant sits partly beneath the pectoralis major. In a true dual plane technique, the lower attachment of the muscle is released so the top of the implant is covered by muscle and the bottom rests under breast tissue. The muscle acts as a natural blur filter over the implant’s upper border. Reported capsular contracture rates tend to be lower, and radiologists generally find imaging easier to interpret. Expect more early tightness, since the muscle has been lifted.
Subglandular Breast Augmentation
Placing the implant above the muscle and directly beneath the breast gland avoids disturbing the chest muscle at all. Recovery is usually quicker and less uncomfortable. There is no animation deformity, meaning the breast does not distort when you flex, which matters to weightlifters, climbers and CrossFit athletes around Vancouver. The requirement is enough natural tissue to camouflage the device. In very slim patients, subglandular placement can make edges and rippling visible.
Fat Transfer Breast Augmentation
Autologous fat grafting is augmentation without any device. We use liposuction to remove fat from the abdomen, flanks, thighs or back, purify it, then inject it in fine layers throughout the breast. Two things shape the outcome. You need sufficient donor fat to harvest, and only the fat that establishes a blood supply survives, typically half to two thirds. Expect a subtle increase per session and possible touch-ups. The contouring benefit at the donor site is a genuine bonus.
Composite Breast Augmentation
Composite augmentation uses both, an implant for volume and projection plus a layer of grafted fat over top. The fat acts as padding across the upper pole and along the implant’s outer edge, softening the transition where the breast meets the chest wall. This is a problem-solving procedure for slim patients who want implant-level volume without the tell-tale signs of a device sitting under thin skin. It combines two operations, so plan for a longer surgical time.
Breast Augmentation with Lift (Augmentation Mastopexy)
Volume and position are separate problems requiring separate solutions. An implant fills the breast but cannot relocate a nipple that has descended below the inframammary fold. Augmentation mastopexy removes excess skin, tightens the breast envelope and repositions the nipple-areola complex while an implant restores the volume. Scar patterns range from periareolar for minor correction to vertical and anchor for greater laxity. It is a demanding operation, and sometimes we recommend staging it across two procedures for safety.
Correction of Breast Asymmetry and Tuberous Breasts
Perfect symmetry is uncommon in nature, but noticeable differences in volume, shape, nipple height or fold position can be corrected. Solutions include different implant volumes on each side, targeted fat grafting, or a lift performed on only one breast. Tuberous breasts, also called constricted or tubular breasts, involve a narrow base, a high fold and a puffy, enlarged areola. Correction requires releasing the constricting tissue internally and reshaping the areola, not just adding volume.
Breast Implant Exchange and Revision Surgery
Revision addresses what changed. Common reasons include implant rupture, capsular contracture, visible rippling, implants sitting too low (bottoming out), implants drifting toward the armpit or midline, and simply wanting a different size after years. Repair may involve capsule release or removal, pocket adjustment, internal suture support or soft tissue reinforcement. We see steady interest from patients who received macro-textured implants before Health Canada suspended those licences in 2019 and now want them exchanged.
Breast Implant Removal (Explant) with Capsulectomy
Some patients want their implants out, and that is a valid choice we support without argument. Explant removes the devices, with removal of the surrounding scar capsule when clinically indicated. Reasons vary, including contracture, rupture, symptoms a patient attributes to breast implant illness, or a simple shift in priorities. Because tissue has been stretched, we discuss what the breast will realistically look like afterward, and whether fat transfer, a breast lift or nothing at all is the right finishing step.
Your Breast Augmentation Consultation
A good consultation is a conversation, not a sales pitch. Expect:
- A review of your medical history, medications and previous surgeries
- A discussion of any family history of breast cancer
- Chest and breast measurements
- A review of implant options, placement and incision choices
- Photographs for planning and records
- Clear information about risks and recovery
If you are 40 or older, or have risk factors, we may ask for a mammogram before surgery. BC Cancer Breast Screening provides screening mammography across British Columbia and screening centres are available throughout the Lower Mainland.
Bring photos of results you like and results you do not like. Both are useful.
Surgery Day and Anesthesia
Breast augmentation is usually done under general anesthesia as a day procedure. Surgery typically takes one to two hours. You go home the same day with someone to drive you and stay overnight.
In British Columbia, private surgical facilities must be accredited by the Non-Hospital Medical and Surgical Facilities Accreditation Program (NHMSFAP) of the College of Physicians and Surgeons of BC. Only accredited facilities are permitted to provide this type of surgical care in the province. Ask where your surgery will happen and confirm the facility’s accreditation status.
Recovery Timeline
Everyone heals at a different pace, but a typical recovery looks like this:
- Days 1 to 3. Tightness, swelling and soreness peak. Rest, take prescribed medication and keep moving lightly around the house.
- Week 1. Most people manage well on over the counter pain relief by now. Desk work from home is often possible.
- Weeks 2 to 3. Return to office work and light daily activity. Driving resumes once you are off narcotic medication and can move your arms freely.
- Weeks 4 to 6. Gradual return to cardio and lower body exercise. Continue avoiding chest and upper body strength training.
- Weeks 6 to 8. Most patients resume full workouts, including the Grouse Grind, the Stanley Park seawall or a return to the gym, once cleared.
- Months 3 to 6. Swelling resolves and implants settle into their final position. Scars continue to fade for a year or more.
A surgical support bra is worn for several weeks. Sleeping on your back is recommended early on. Vancouver winters make indoor recovery easy, and many patients schedule surgery for the rainy months so they are ready for summer.
Breast Augmentation Risks and Complications
Every surgery carries risk. Being honest about them is part of good care.
Common and manageable: swelling, bruising, temporary changes in nipple sensation, tightness and scarring.
Capsular contracture. Scar tissue forms around every implant. In some patients it tightens, causing firmness, distortion or discomfort. Treatment may require surgery.
Implant rupture or deflation. Implants are not lifetime devices. Silicone ruptures can be silent and may require imaging to detect. Saline deflation is visible.
Rippling and malposition. Visible edges or shifting can occur, more often in thin patients or with larger implants.
BIA-ALCL. Breast implant-associated anaplastic large cell lymphoma is a rare cancer of the immune system. Health Canada’s reviews found the risk varies with shell texture and is highest with macro-textured implants, which are no longer sold in Canada. It often appears as late swelling or fluid buildup around the implant. Report any new swelling or lump to your surgeon.
Breast implant illness (BII). Some patients report symptoms such as fatigue, joint pain and brain fog. Health Canada notes that BII is not currently a formal medical diagnosis and there are no specific diagnostic tests for it. Research continues, and the topic deserves an open discussion at consultation.
Anesthetic and surgical risks including bleeding, hematoma and infection also apply.
Health Canada, Monitoring and Long Term Care
Health Canada tracks breast implant safety through mandatory manufacturer reporting, hospital reporting and voluntary reports from health professionals. In 2026, Health Canada launched a voluntary registry that lets patients subscribe to receive breast implant recall and safety alerts directly. Anyone with implants, or considering them, can sign up.
Keep your implant identification card. Store the brand, model, size and serial numbers somewhere safe.
Long term follow up matters. Implants may need replacement or removal at some point. Silent rupture screening with MRI or ultrasound is often recommended over time, and your surgeon can advise on timing.
Tell your mammography technologist that you have implants. Special views, called Eklund displacement views, are used to image breast tissue around an implant.
Cost of Breast Augmentation in Vancouver
Cosmetic breast augmentation is not covered by the BC Medical Services Plan (MSP). Breast reconstruction after mastectomy is a different category and may be covered, so ask if that applies to you.
Quoted fees in Vancouver usually include several parts:
- Surgeon’s fee
- Anesthesiologist’s fee
- Accredited facility fee
- Implants
- Post surgical garments
- Follow up visits
Be cautious with prices that look far below market. Ask what is included, what happens if a revision is needed, and whether the quote covers the operating room and anesthesia. Cosmetic procedures are taxable in Canada, unlike medically necessary care, so confirm whether tax is included. Many clinics offer medical financing.
Choosing a Breast Augmentation Surgeon in Vancouver
Credentials are the single best filter. Look for:
- Certification in Plastic Surgery by the Royal College of Physicians and Surgeons of Canada
- Full registration with the College of Physicians and Surgeons of British Columbia
- Membership in the Canadian Society of Plastic Surgeons (CSPS) or the BC Society of Plastic Surgeons
- Hospital privileges and an accredited operating facility
- A large before and after gallery of patients with body types similar to yours
“Cosmetic surgeon” is not the same as a certified plastic surgeon. You can verify any physician’s registration and specialty directly through the College’s public registry.
What Other Procedures Can Be Combined With Breast Augmentation
Combining procedures means one anesthetic, one recovery and one facility fee. Here are the pairings we see most often in Vancouver.
- Breast lift (mastopexy): the most common companion by a wide margin. Implants add volume, lifts reposition. If your nipple sits at or below the breast crease, adding volume alone will make a low breast heavier, not higher.
- Liposuction of the abdomen, flanks or thighs: contours the waist so the new breast proportion actually reads. It also harvests fat, which can then be grafted over the implant for softer edges in the same operation.
- Tummy tuck (abdominoplasty): the classic Mommy Makeover combination. Repairs separated abdominal muscles (diastasis recti) and removes loose skin after pregnancy, addressing the two areas most changed by childbearing together.
- Fat grafting to the breast: even alongside an implant, a thin layer of your own fat over the upper pole hides implant borders and smooths the cleavage transition. Particularly useful for slim patients.
- Arm lift (brachioplasty) or thigh lift: usually chosen by patients after significant weight loss, where loose skin affects several areas at once rather than the breasts alone.
Book a Consultation
If you are considering breast augmentation, the next step is a private assessment with measurements, implant sizing and a clear discussion of risks and outcomes. We serve patients throughout Vancouver, the Lower Mainland, the Fraser Valley, the Sea to Sky corridor and Vancouver Island. Contact us to arrange your consultation.
Frequently Asked Questions (FAQ)
1. How much does breast augmentation cost in Vancouver?
Most quotes in Metro Vancouver fall in a wide range depending on implant type, whether a lift is added, and the length of anesthesia. A complete quote should include the surgeon’s fee, the anesthesiologist’s fee, the accredited facility fee, the implants, your support garment and follow up visits. Ask what a revision would cost. Very low prices often exclude the operating room or anesthesia, so compare what is actually included.
2. Does MSP cover breast implants?
No. The BC Medical Services Plan (MSP) does not cover cosmetic breast augmentation. Because it is elective, GST applies to the fees, unlike medically necessary care. Breast reconstruction after mastectomy is treated differently and may be covered, so mention it at consultation if that applies to you. Many Vancouver clinics offer medical financing plans, and some extended health plans cover prescription medication used during recovery.
3. How do I confirm my surgeon is a certified plastic surgeon?
Search the public registry of the College of Physicians and Surgeons of British Columbia. It lists every physician’s registration status, specialty and any disciplinary history. Look for certification in Plastic Surgery through the Royal College of Physicians and Surgeons of Canada, plus membership in the Canadian Society of Plastic Surgeons or the BC Society of Plastic Surgeons. The title “cosmetic surgeon” is not a protected specialty and does not mean the same thing.
4. Where is the surgery performed?
Breast augmentation is usually done as a day procedure in a private surgical facility. In British Columbia, these must be accredited through the Non-Hospital Medical and Surgical Facilities Accreditation Program (NHMSFAP) run by the College of Physicians and Surgeons of BC. Only accredited facilities may legally provide this care. Ask for the facility name and confirm it appears in the College’s facility directory before booking.
5. Is there a minimum age for breast implants?
You must be a consenting adult with fully developed breasts. Health Canada guidance and manufacturer labelling set 18 as the minimum for saline implants and 22 for silicone gel implants in cosmetic cases. Breast growth often continues into the late teens, so operating too early can lead to disappointing results. There is no upper age limit as long as you are healthy enough for general anesthesia.
6. Which is better, silicone or saline implants?
Neither is universally better. Silicone gel implants feel closer to natural breast tissue and show less rippling, which matters for thinner patients. Saline implants are filled during surgery, allow a smaller incision, and make leaks obvious because the body absorbs the salt water. Silicone ruptures can be silent and may need imaging to detect. Both are licensed by Health Canada and both are safe options.
7. How do I pick the right implant size?
Skip cup letters, since bra sizing varies between brands. We measure your breast base width, chest wall and skin quality, then match those to an implant volume in cubic centimetres. Roughly 150 to 200 cc adds about one cup size for many people. Profile matters too, since a higher profile reaches more volume on a narrow chest. Sizers and 3D imaging help you preview options.
8. Should implants go over or under the muscle?
Dual plane placement is the most common approach today. The top of the implant sits under the pectoralis major muscle and the bottom sits under breast tissue. This softens the upper edge and may lower capsular contracture risk. Subglandular placement over the muscle is more comfortable to recover from and suits patients with more natural tissue. Your anatomy and activity level guide the choice.
9. Where will my scars be?
Most Vancouver surgeons use the inframammary fold incision, hidden in the crease under the breast. It gives the best access and heals well. The periareolar incision follows the lower edge of the areola and blends into the colour change, though it carries slightly more risk of altered nipple sensation. The transaxillary approach hides the scar in the armpit but limits precision. Scars fade over 12 to 18 months.
10. Do I need a breast lift with my implants?
It depends on nipple position. If your nipple sits above the breast crease, an implant alone usually works. If it sits at or below the crease, an implant will add volume but will not raise the breast. In that case, augmentation mastopexy combines an implant with a breast lift to remove loose skin and reposition the nipple. It involves more scarring but corrects both issues.
11. Can I use fat transfer instead of implants?
Autologous fat transfer uses liposuction to harvest your own fat, then injects it into the breast. It suits people wanting a modest change, usually half a cup to one cup per session. Your body reabsorbs some of the fat, often 30 to 50 percent, so results vary and repeat sessions are common. You also need enough donor fat. Fat grafting can be combined with an implant in composite augmentation.
12. How much time off work will I need?
Desk workers in downtown Vancouver or working from home often return within one to two weeks. Jobs with lifting, reaching overhead or physical labour usually need three to four weeks. Submuscular placement tends to be sorer early on than over the muscle. Plan for someone to drive you home and stay the first night, and avoid driving until you are off prescription pain medication.
13. When can I exercise again?
Light walking starts within days and helps circulation. Lower body and gentle cardio usually resume around four weeks. Chest and upper body strength training, plus anything with impact, generally waits six to eight weeks. That means the Grouse Grind, hot yoga and heavy lifting come later than a walk on the Stanley Park seawall. Return only when your surgeon clears you, since early strain can shift implant position.
14. Will implants affect my mammograms?
You can still be screened. Tell the clinic you have implants when you book, because technologists use extra Eklund displacement views to see tissue around the implant. BC Cancer Breast Screening provides mammography across British Columbia and screens patients with implants. Submuscular placement generally allows easier imaging than over the muscle. Keep following the screening schedule recommended for your age and risk level.
15. Can I breastfeed after breast augmentation?
Many patients can. The inframammary incision is least likely to disturb milk ducts, while periareolar incisions carry somewhat more risk of interference. Implant placement under the muscle also tends to be favourable. No surgeon can guarantee breastfeeding, and some people have difficulty regardless of surgery. If you plan a pregnancy soon, discuss timing, since pregnancy and nursing can change breast shape after your result settles.
16. Do breast implants need to be replaced every 10 years?
No. There is no expiry date, and the 10 year figure is a myth. Implants are replaced when there is a problem such as rupture, capsular contracture or a change in your goals. Manufacturers including Mentor, Allergan and Sientra offer limited warranties covering rupture, so keep your implant identification card with the brand, model and serial numbers. Long term follow up imaging is still recommended.
17. What is capsular contracture?
Scar tissue forms around every implant. In some people that capsule tightens, making the breast feel firm, look distorted or become painful. It is one of the most common reasons for revision surgery. Risk may be reduced by careful sterile technique, antibiotic irrigation, a no touch funnel and submuscular placement. Treatment usually involves surgery to release or remove the capsule, often with implant exchange.
18. What is BIA-ALCL and should I worry?
Breast implant-associated anaplastic large cell lymphoma is a rare cancer of the immune system, not breast cancer. Health Canada found the risk varies by shell texture and is highest with macro-textured implants, which were removed from the Canadian market in 2019 when Allergan’s Biocell licences were suspended. It usually appears years later as swelling or fluid around an implant. Report new swelling or a lump promptly.
19. What is breast implant illness, and can implants be removed?
Some patients report symptoms such as fatigue, joint pain, rashes and brain fog. Health Canada states breast implant illness is not currently a formal diagnosis and there is no specific test for it. Research continues. If you want your implants out, explant surgery is available, sometimes with capsulectomy. Fat transfer or a lift can be added to restore shape. We discuss this openly and without pressure.
20. I live outside Vancouver. How should I plan my trip?
Patients travel to us from Victoria, Nanaimo, Kelowna, Whistler and the Fraser Valley. Plan to stay in the Lower Mainland for at least the first few nights and through your initial follow up. Bring a companion who can drive. Most people can fly or take BC Ferries about one to two weeks after surgery. Virtual consultations are available first, though an in person exam is required before booking your date.
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Service Areas
We welcome patients from every neighbourhood in Metro Vancouver. Our locations are easy to reach by car, by SkyTrain and by the Canada Line, which matters on surgery day and during follow up visits.
Downtown and central Vancouver: Downtown, the West End, Coal Harbour, Yaletown, Gastown, Chinatown, Strathcona, False Creek and Olympic Village.
West Side: Kitsilano, Fairview, South Granville, West Point Grey, Dunbar-Southlands, Arbutus Ridge, Shaughnessy, Kerrisdale, South Cambie, Oakridge and Marpole.
East Side: Mount Pleasant, Riley Park, Grandview-Woodland, Hastings-Sunrise, Kensington-Cedar Cottage, Renfrew-Collingwood, Killarney, Victoria-Fraserview and Sunset.
Patients often travel a short distance for a breast augmentation consultation, since accredited surgical facilities are concentrated near the Broadway and South Granville medical corridor. If parking or transit is a concern on your surgery date, let our team know and we will help you plan the trip.
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