With cosmetic surgery, communication between patient and surgeon is essential. The surgeon must assess whether the patient’s desires are feasible and realistic. Similarly, the patient should evaluate the physician’s qualifications, ability, and proficiency to inform. Dr. Chen Lee is a board-certified specialist in facial plastic surgery, breast enhancement, and cosmetic body contouring. Dr. Chen Lee will listen attentively to fully understand the outcome you desire from plastic surgery. A complete understanding of your goals will better enable Dr. Lee to facilitate a safe and rewarding plastic surgery experience in Montreal.
All surgery has risks. Common complications of cosmetic surgery includes hematoma, nerve damage, infection, scarring, implant failure and organ damage.[33][34][35] Breast implants can have many complications, including rupture. In 2011 FDA stated that one in five patients who received implants for breast augmentation will need them removed within 10 years of implantation.[36]
The same principles that govern reconstructive surgery are applied to aesthetic surgery: replace like with like, respect anatomic boundaries, minimize tissue trauma, and preserve vascular integrity. Aesthetic surgery is also concerned with scars, especially their length and visibility, and modifications to classic procedures such as face-lifts are made to minimize and hide scars. While age-related changes can weaken the support structures of skin and soft tissue, the advent of bariatric surgery in obese patients can create analogous changes in the tissues of the arms, chest, abdomen, and thighs. Corresponding lifts of these parts of the body can be performed.

Interested in getting breast augmentation, but not sure which implant type is right for you? Dr. Pugash created this infographic on the different types of breast implants including saline, silicone and gummy bear. Below you can read about the specific characteristics of each implant such as their typical life span, what they are filled with, and incision type. For more information, or to schedule a consultation, please contact Dr. Pugash.


When most people think about breast enhancement options they typically think of breast augmentation surgery. While there are many women who wish to increase the size of their breasts (breast augmentation continues to be the most popular plastic surgery procedure in the U.S.), there are also many women who seek to reduce or reposition their breasts without adding extra volume.

A breast reduction typically includes a lift.  However, a lift does not necessarily require a reduction.  Both operations have similar incision patterns and resultant scars, but they have different indications.  One of the first questions I ask a patient who desires an improved appearance of her breasts is if she would like to be the same size, smaller, or larger.  The patient who wants to be the same size and is happy with her breasts when wearing a bra but unhappy with the amount of sagging without a bra is a candidate for a breast lift alone.  The patient who desires to be smaller or has one breast noticeably larger than the other, is a candidate for a breast reduction-lift combination.  Sometimes patients feel their breasts look smaller after removal of the excess skin with the lift even though no breast tissue was removed; the reason for this is that some of what fills your bra cup is excess skin.  The patient with sagging who desires to have larger breasts is a candidate for a breast lift with implants.


Silicone breast implants are the most commonly used and most frequently recommended breast implants in Michigan. The silicone gel used is engineered to be highly cohesiveness, so in the extreme case that the implant ruptures, it will not leak any harmful substances into the body. If the implant ruptures you will not notice a decrease in the volume of the breasts, so it is advisable to have an MRI periodically to detect breakage, even though it’s rare. In addition, the silicone gel promotes a much more natural appearance and a more natural feeling.
Women all around the world want to have an attractive and proportional body. Many times, women are insecure of the way their bodies look just because they don’t think that their breasts are perkier and fuller. Women with small breast sizes tend to look for options to enhance their body shape. While the market provides various solutions, breast augmentation is the most chosen one for permanent and immediate solution to this problem. Breast augmentation can help you attain your dream body by putting implants in your breasts making them appear perkier and fuller.

Aging can affect our entire bodies. For women, their breasts can lose their shape and volume creating a saggy and disproportionate chest appearance. Gravity, pregnancy, breastfeeding and weight fluctuations can also add to the breasts’ loss of definition. A breast lift, otherwise known as a mastopexy, can correct the aforementioned issues and restore the breasts allowing them to appear perky and more youthful.
For example, liposuction may also be necessary to make sure the breasts are contoured and shaped to suit your body type. The most common area would be the breast tail (the uppermost region of the breast, beside the underarms). Many women have an accumulation of fat cells in this area, no matter their weight. In most cases this is not included in a breast lift cost and will incur an additional fee. Liposuction costs start from $3,000 plus tax, per area.

Breast reduction surgery, or reduction mammoplasty, can instantly and effectively reduce breast size through the removal of excess breast tissue. Breast reduction is a surgical procedure that involves the removal of excess skin, fat, and glandular tissue to reduce breast size, eliminating the negative issues associated with breasts that are larger than the patient desires.  Usually, the breast is lifted significantly and enlarged areolas are reduced.  The tissue removed can also be sent to a pathologist for breast cancer screening if the patient desires.

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