Breast Augmentation at a Glance
- Potential Benefits: Breast augmentation adds volume and fullness, improves symmetry, and creates more balanced body proportions, including restoring volume lost through weight loss or pregnancy.
- Candidates: Good candidates are women looking to increase breast size, correct asymmetry, or address changes to their breasts over time. Patients considering fat grafting should have sufficient donor fat available.
- Procedure: Surgery is performed on an outpatient basis and typically takes two hours or less. Implant placement and incision location are customized to each patient.
- Recovery: Most patients resume normal routines within the first week, with strenuous activity restricted for about five to six weeks. Swelling and bruising are normal and resolve with time.
- Longevity: Implants typically last around 10 years on average. Most manufacturers offer warranties that may help cover replacement costs if issues arise.
- Surgeons: Dr. Trefor Nodwell and Dr. Sean Smith are board-certified plastic surgeons performing breast augmentation in Ottawa, Ontario. Both use the Keller Funnel technique for silicone implant placement, which minimizes incision size and reduces the risk of complications.
Breast augmentation is one of the most popular cosmetic surgery procedures in the world. Not only can breast implants add volume to the breasts, they can also help improve the contours and proportions of your body, ultimately enhancing your silhouette. Whether you want to add volume to attain larger, more shapely breasts, create a more balanced and symmetrical appearance, or restore volume lost through weight loss or pregnancy, our team can help you achieve your goals.
During your initial consultation, an experienced plastic surgeon on our team will evaluate your needs and discuss options that can help you attain your goals. Any questions or concerns you may have will be addressed. We want you to feel confident about your decision and comfortable throughout the entire process.
How Do I Choose the Right Breast Implant Size?
Selecting the appropriate breast implant size is a decision that hinges on both your individual anatomy and your desired aesthetic outcomes. Your surgeon at The Ottawa Clinic will comprehensively assess your body, taking various measurements to determine which implant options will yield the most natural appearance in proportion to your frame. Engaging in an open conversation about your breast augmentation goals will allow your surgeon to craft a personalized range of implant sizes for your consideration. Our priority is to ensure every patient feels self-assured in their implant selection, confident that they have chosen the size that complements their physique.
Your surgeon will collaborate closely with you throughout the decision-making process, addressing any questions or concerns you may have. By providing you with realistic expectations and a thorough understanding of the potential outcomes, your surgeon aims to empower you with the knowledge needed to make an informed choice. They will consider your lifestyle, body type, and aesthetic aspirations to recommend implant sizes that align seamlessly with your unique vision for breast augmentation. We recognize that the journey to choosing the right breast implant size is a collaborative one, where your input is valued and your concerns are listened to attentively. By blending your goals with the expertise of our surgeons, we strive to deliver outcomes that enhance your confidence and align harmoniously with your natural features.
What Is the Keller Funnel Surgical Technique?
Research and development in the field of plastic surgery is evolving at a breathtaking pace, offering more effective and safe solutions. The Ottawa Clinic has added a cutting-edge surgical technique to its range of services: the use of the Keller Funnel for breast implantation. The Keller Funnel is a surgical device that Dr. Nodwell and Dr. Smith utilize when placing silicone implants into the breast pocket, and it brings significant benefits to patients seeking both safety and superior aesthetic results.
Compared with other methods, the Keller Funnel offers a significantly shorter incision, reducing the risk of visible scarring. It also limits trauma to the body, meaning less post-operative swelling and bruising and a faster, less painful recovery. The Keller Funnel’s “no-touch” technique is also revolutionary in terms of infection prevention: by limiting direct manipulation of the implant, it significantly reduces the chances of contamination. Its use also considerably reduces the risk of post-operative complications, including capsular contracture, which can affect the look and feel of the implant over time. Benefits of the Keller Funnel technique include:
- Shorter incision, helping to limit scarring
- Less force and trauma to the body, reducing post-operative swelling and bruising
- Reduced risk of capsular contracture
- Lower risk of infection through the “no-touch” method
Whether you are a good candidate for the Keller Funnel or an alternative technique will be determined at the time of your consultation.

What Does the Breast Augmentation Procedure Involve?
Cosmetic surgery is a constantly evolving field, combining medical expertise, cutting-edge technology, and individual aspirations. At The Ottawa Clinic, each procedure is meticulously tailored to the unique needs of each patient, guaranteeing harmonious, natural results. Our skilled surgeons utilize a variety of advanced techniques when performing breast augmentation procedures and can recommend the best ones to help you achieve the most natural-looking results.
The entire breast augmentation surgery typically takes about two hours or less, and most patients go home the same day. If an additional procedure such as a breast lift is necessary to achieve the desired aesthetic results, both procedures can often be combined into a single surgery.
Incision Options
- Under the natural breast fold (inframammary): This incision is made in the crease where the lower breast meets the chest. The scar is cleverly concealed in the fold, meaning it is rarely visible even when wearing tight-fitting clothing or swimwear. This technique gives surgeons direct access and excellent visualization during implant placement, enabling optimal precision, and is suitable for different implant types and sizes.
- Around the areola (periareolar): This incision is made around the edge of the areola. Since it follows the naturally pigmented edge of the areola, the resulting scar is often well concealed. This technique minimizes nerve disruption, preserving sensation in the area, and can be particularly beneficial for certain forms of breast correction performed in conjunction with augmentation.
Implant Placement
- Under the breast tissue (sub-glandular): This placement positions the implant directly under the breast tissue, above the pectoral muscle. Since there is less muscle disruption, patients can often expect a shorter recovery period. This technique can also offer a more natural appearance for women who already have a certain amount of breast tissue, and carries less risk of implant movement during muscle contraction.
- Under the pectoral muscle (sub-muscular): Placing the implant under the pectoral muscle provides an extra layer of tissue over the implant, making it less noticeable. For women with little breast tissue, this method can offer a softer, more natural look. Sub-muscular placement can also reduce the risk of certain complications such as capsular contracture, and with the implant under the muscle it is often easier to obtain a clear image of the breast tissue during mammography.
If you would like to learn more about breast augmentation, or if you would like to schedule a consultation, please contact us today.



