Botox & Fillers

T’is the season!

Answering Your Holiday Botox & Filler Questions

It is no secret that we tend to put more effort into our appearance when attending special events and celebrative get-togethers. The holidays are no exception!

At our office, we tend to have more requests for Botox and facial filler procedures leading up to the holidays, because of the common desire to approach this special, transformative time by putting one’s best face forward – literally.

Botox and dermal/facial fillers, either individually or in combination, can help minimize the appearance of wrinkles and also prevent them. They do this either through plumping the skin or relaxing the facial muscles that create them, respectively. This plumping of the skin and reduction in unwanted wrinkles is what our patients seek, which can give them a ‘fresher’, more youthful appearance – in person, and in photos.

To see some examples of the kind of difference Botox and/or fillers can give you, you can visit these links by the American Society of Plastic Surgeons:

Botox Fillers
Before and After Photos Before and After Photos
3D Video Animation of Procedure (Both procedures found in ‘Skin Treatments’ category)


Nonetheless, as with considering any procedure, it is advisable to make sure you learn about what the procedures involve, the options available, and the risks, so you are more likely to choose the option that is best for you.

Botox and dermal/facial fillers – what’s the difference?

A question we get often is ‘what’s the difference between Botox and fillers?’

Below, you will be able to learn about what both procedures are, and their benefits and risks, so you can be informed even before you step foot into a cosmetic surgeon’s office!


What is Botox? / How Does Botox Work?

Botulinum Toxin Type A (Botox) is an injectable protein that is utilized to minimize the appearances of wrinkles and fine lines on the face, neck and hands.

Botox functions by actively blocking the nerve impulses around the injection site, thereby relaxing and preventing the future contraction of the muscles adjacent to the treatment site.

What is Botox used for?

Botox injections are used to correct a variety of aesthetic issues that contribute to visible signs of aging, including:

  •       Eyebrow furrows (glabellar lines or “11” lines – between the eyebrows)
  •       Crow’s feet (lines and wrinkles surrounding the eye region)
  •       Bunny lines on the sides of the nose
  •       Gummy smiles
  •       Nasal flare
  •       Sagging or fine lines at the corners of the mouth
  •       Drooping eyebrows
  •       Horizontal or vertical neck bands

What are the benefits of Botox?

In addition to helping reduce the appearance of the above static wrinkles (and more) that are created by the muscles the Botox is used to relax, it lessens the intensity of dynamic wrinkles (temporary wrinkles created by movement of the face), resulting in gentler facial expressions, while also preventing static wrinkles.

How Soon Will I See Results? / How Long Does Botox Last?

After the chosen number of injections, spanning 20-30 minutes, Botox can diminish the appearance of fine lines and wrinkles by more than 80% within 5 days. The visible, wrinkle-reducing effects of Botox treatment peak 2-7 days following the initial injections, and the results last approximately 3-5 months.

How popular is Botox?

Botox remains one of the most popular cosmetic procedures because it is a safe, non-invasive treatment for patients with the goal of correcting deep, pervasive wrinkles, as well as for younger patients who are also seeking out Botox treatments as a preventative anti-aging measure. A reason for this may be that  in addition to obscuring the appearance of current wrinkles and lines, Botox injections also serve a pre-emptive function, in that they prevent the creation of new wrinkles by constraining the patient from making the facial expressions responsible for the formation of wrinkles.

The rejuvenating effects of Botox injections are amplified when Botox is performed in conjunction with other cosmetic treatments, such as: chemical peels, dermal fillers, and microdermabrasion.

Who should inject Botox?

The importance of having your Botox treatments performed by an experienced plastic surgeon cannot be emphasized enough, because if Botox is injected by anyone without an in-depth knowledge of facial anatomy and a high level of proficiency in the field of aesthetic enhancement procedures, the results can be devastating. An unnatural “frozen” or “tightly pulled” facial appearance, visible ripples, and shiny foreheads, are only a few of the potential complications that can occur after the improper administration of Botox injections. Dr. Hani Sinno is a skillful and well-respected plastic surgeon who has performed countless Botox treatments at his private practice in Montreal, Quebec, and has helped many of his patients to safely minimize the appearance of their wrinkles and fine lines. During your initial consultation, Dr. Sinno will help you explore your options to determine the ideal treatment sites and optimal number of Botox units you will require to achieve beautiful, natural-looking results.

Are the effects of Botox reversible?

Yes, fortunately the effects of Botox are reversible. If you are not satisfied with your result, there is a type of injectable that can be used to counteract the effects. This is why choosing a qualified, skilled, and experienced injector is so important – so you can be assured that the results will be beautifully natural, and meet (or exceed!) your expectations.

Dermal/Facial Fillers

What are dermal/facial fillers?

Fillers get the name from the word ‘fill’, which is what the function of fillers is – to fill in areas of the face and neck that could use more volume, such as sunken areas of the face or wrinkles. Injectable dermal fillers are a convenient and cost-effective treatment option for individuals with the aesthetic goal of restoring a youthful and refreshed facial appearance without having to undergo an invasive surgical procedure such as a facelift.

What is in dermal/facial fillers?

A key component of many of the newest dermal fillers is a substance known as hyaluronic acid (HA), which is an element found naturally in the skin’s connective tissue.

How do dermal/facial fillers work?

Hyaluronic acid, the main active ingredient in fillers, functions by drawing water into the skin, thereby hydrating the skin and restoring the skin’s youthful “plump,” voluminous appearance. With age, the body’s natural hyaluronic acid levels decrease, causing the delicate facial skin to lose volume and highlighting the appearance of wrinkles, folds and fine lines. By replenishing the body’s hyaluronic acid levels, dermal fillers effectively restore lost volume to the contours of the face, smooth and fill in fine lines and facial wrinkles, augment thin lips, and minimize the appearance of scars. Fillers can also be used to shape and contour the face, such as with chin augmentation and nose correction. This option may also be appealing for those who are considering a surgical intervention. In a simple, non-invasive, temporary fashion, the patient can instantaneously visualize the results of a procedure. The advantage of doing this is that there is only a temporary change and it can be tailored to your preferences on the spot.

What Kinds of Dermal Fillers do you Offer?

Dr. Sinno is pleased to offer his patients a number of effective dermal filler options, including, but not limited to:


  •       JUVÉDERM® : a hyaluronic-acid based injectable that is ideally suited for patients seeking to augment their lips, replenish lost facial volume, or fill in facial wrinkles and folds.  JUVÉDERM® is FDA-approved to provide rejuvenating results that last up to one year from the initial treatment.  Because of its smooth texture, JUVÉDERM® is appropriate for patients of all ethnic groups and skin types, even those with thin, sensitive skin. 9 months – 1 year
  •       Restylane® : a filler formulated with a biocompatible, non-animal based form of hyaluronic acid, making it a safe and effective choice for patients with allergies who would like to add volume to their face and lips, and diminish the appearance of moderate to severe facial folds and lines. On average, Restylane® treatments can last from 6-18 months.


Disclaimer: Dr. Sinno is presenting the above for informative purposes only. The above does not constitute any endorsement, representation or a specific recommendation for any of the aforementioned brands.

How popular are dermal fillers?

Dermal fillers have become increasingly popular because the injections are non-invasive, generally take no more than 30 minutes, and do not require any post-treatment downtime, meaning that patients can easily schedule a treatment session during their lunch hour, and return to work immediately thereafter.

Who should inject Facial Fillers?

In order to safely achieve optimal results from your dermal filler treatment, it is highly important that your injections are performed by a competent and experienced plastic surgeon, because if the dermal fillers are improperly injected, there is an increased risk for a number of complications, including: pooling of blood beneath the skin (hematoma), infection, and unnatural or imbalanced aesthetic results. Dr. Hani Sinno, M.D., is a plastic surgeon who enjoys helping his patients rejuvenate their facial appearance with injectable dermal fillers at his private practice in Montreal, Quebec.

Are Facial Fillers Reversible?

Yes, fortunately facial fillers are reversible through the use of another FDA-approved injectable that safety dissolves the fillers.

What Happens During a Botox or Dermal Filler Consultation?

During your initial consultation, Dr. Sinno will assess your facial anatomy and treatment goals in order to help you select the appropriate dermal filler (or combination of fillers) to ensure that your aesthetic objectives are fulfilled, and you are able to achieve beautiful, natural-looking results from your dermal filler treatment.

How Soon/Long Will I See Results?

The visible results of your dermal filler treatment will be apparent immediately after your treatment, and should last between five months to one year (depending on the specific filler you had injected). Periodic maintenance treatments are recommended in order to preserve your initial dermal filler results.


Please see image below for a visual example of areas of the face that can be treated with both types of injectables:


Your procket guide to botox & fillers and the various treatment areas; Dr Hani Sinno, plastic surgeon.

Happy Holidays!


We hope this blog post served to answer most of your questions about injectables. If you have any others, we would love to answer them for you! Contact us here.

Wishing you a safe and enjoyable holiday season!!


The Eternelle Team


Health and Safety Tips For Halloween

Happy Halloween!

To support your wellness (health and safety) on this spooky day of excitement and sweets, we have put together a list of some important things to consider before going Trick-or-Treating.

Having 2 kids, Dr. Sinno wishes to help make your and your childrens’ Halloween experience even more enjoyable with these suggestions.

Halloween  candy

Health Tips

1. Minimize the percentage of your diet that the candy makes up

Proper nutrition is a significant element of health. The smaller the portion of your food intake that the candy makes up, the less likely it will negatively impact your health.

You can think of the flow of food and water into your body as a river, and candy like a sort of pollution. The more candy you put into your body, the more ‘polluted’ the river. However, a candy here and there in a wholesome nutritious diet is less harmful than large portions and frequent intakes. Here are some more specific tips on how to moderate your intake:


  1. Practice portion control – try to set a limit of the amount of candy that are eaten in one sitting, or in one day. For example, you can set a limit of 1-3 candies/day, and eat healthy whole foods the rest of the day. You will likely feel a lot better by setting this limit! 
  2. Eat real food before the candy – eating a wholesome meal, before trick or treating or eating the candy collected can help reduce cravings and overeating candy as a result of hunger. You can also freeze the candy so it takes longer to eat. Ideally your meals should be plant-based (mostly veggies), and contain protein and fiber that will help regulate blood sugar levels, which can spike after eating candy. 
  3. Don’t feel obliged to eat all the candy you collected – Especially if you have generous neighbours and ambitious children, you could collect with enough candy to last all year! Just because you have the candy available, it doesn’t mean you have to eat all of it. Set boundaries for how much you allow yourself or your children to eat, and if you feel tempted, store the candy out of sight/reach to help you achieve these restrictions. Your body will thank you with better health! Consider collecting only one candy per house visited – If you think it will be difficult to reduce your intake of candy through portion control, collecting less candy per house may help you achieve more physical activity, see more decorated houses, and decrease how many candies will be asking to be eaten once you come home.


2. Stay active

Candy, often with a high sugar and fat content, can significantly spike your blood sugar levels, increase levels of unhealthy fats in the body that can lead to atherosclerosis, and add hundreds of extra (empty) calories to your diet. Exercise and keeping active helps lessen the negative impacts these treats have on the body, though it does not nullify them. Remember – just because one looks fit on the outside, it does not guarantee a healthy bodily system.


3. Brush and floss your teeth!

Increasing intake of sugary foods can increases chances of tooth decay. By brushing your teeth and flossing regularly, and after eating sweets, you reduce the amount of food (sugars) that the bacteria in your mouth have to feed on, which helps prevent them from eroding your teeth as well.

Safety Tips

1. Inspect all candy before considering eating it - In Canada, there have been cases of children finding hazardous items like razors in chocolate bars, a fact that begs parents to ensure to inform children to inspect their candies thoroughly before eating them. Dispose of any unwrapped candy, or candies with broken wrappers, and if the candy is soft, consider breaking it up to check its contents.

2. Opt for safe costumes - You can ensure maximal safety by choosing costumes that have high visibility at night, such as bright colours and reflective fabrics (that you can add onto the costume as well), reducing dragging fabrics that may cause a child to trip, opting for non-toxic face paint as opposed to masks which can reduce how well the child sees at night, and

3. Keep in contact and in sight - If you are going trick-or-treating with your children and perhaps their friends, be sure that they are all in sight and keeping a similar pace, and emphasize this for older children who may be going candy collecting without you. Have at least one child keep a cell phone handy so they and you are able to be contacted.

We hope you found these tips useful.

Please let us know what you think and if you have any questions!

To your wellness,

The Eternelle Team

October 21st / Bra Day: What Your Breasts Need You to Know

What is Bra Day?

Pink ribbon breast cancer awareness

The goal of Bra Day is to raise awareness about the options available to women who want to prevent breast cancer, and especially to women who have been diagnosed with breast cancer, who have undergone or are scheduled for a mastectomy and are looking for information and support to lead a normal life post-surgery, such as through a breast reconstruction procedure.

In Canada, breast cancer comes 2nd as the most commonly diagnosed cancers in women, after skin cancer, and in the US, it is estimated that 1 in 8 women will get diagnosed with breast cancer in her lifetime. It is much more common than you may think!

It is important to educate yourself and your loved ones on the preventative measures, symptoms to look for, and options available after a breast cancer diagnosis in order to take the best possible care of your breasts, and therefore your health.

Breast Cancer Prevention and Detection

In order to reduce the risk you have of getting breast cancer or allowing it to spread, it is imperative that you develop healthy habits that will ultimately improve the relationship you have with your breasts. The risk of developing breast cancer can be inborn such as through genetics, but may also be increased through poor lifestyle choices.


Dr. Sinno Suggests These 5 Lifestyle Tips to Help Prevent and Detect Cancer:


1. Lead a healthy lifestyle

In order to strengthen your immune system (which can help you fight off cancer cells), a healthy lifestyle is of utmost importance. This includes:

  • Adopting and maintaining a healthy diet that is ideally plant-based. For more information on diet tips targeting cancer prevention and keeping your body strong based on your individual needs, consult your physician and/or a dietician/nutritionist.
  • Exercise regularly and be sure to get as much physical activity and the types of physical activity that are recommended for your age group. If you have any health concerns, consult your physician.
  • Getting adequate sleep and minimizing stress
  • Reducing your exposure to pollution as much as possible – such as second-hand smoke, car exhausts, etc.
  • Being a non-smoker
  • Minimizing alcohol consumption


2. Get into the habit of doing regular self- breast examinations

Getting to know your breasts is key to being able to know what is normal, and when to give the doctor a visit. Below is a diagram that gives some guidance on how to do a breast check.


The breast examination should be done gently and carefully using the pads of your finger tips, pressing firmly enough to feel the consistency and shape of the underlying tissue. The process should not be rushed and should be done slowly enough to allow you to be attentive to these characteristics. Regularly examining your breasts will allow you to get to know the regular look and feel of your breasts. This way, if there is even a slight change, you will be able to seek clarification and help more immediately. Remember that the sooner the breast cancer is detected, the better; in order to prevent the cancer from progressing onto the next stage (more info on the stages are in the next section).

If you want to get to know your breasts even more, it can help to know your genetic makeup, as women with a BRCA1 and BRCA2 gene are at increased risk of developing breast cancer. You can find out if you have this gene through a genetic blood test that is covered by Medicare in Canada.


3. Be sure to routinely have check-ups with your doctor

Ask your doctor how often you should have clinical check-ups (such as breast exams and/or mammograms) and make scheduling these appointments a priority. Having a good knowledge of your breasts from your own self-examinations can be very helpful for these visits as well. Many cases of cancer detection have been from women noticing a difference in their breasts, and consequently bringing their concern to a doctor. Your breasts may depend on it! A knowledgeable doctor should encourage your questions and understand your concerns.


4. Avoid potentially harmful ingredients in personal care and beauty products

You may be surprised to know that many conventional beauty and personal care products (eg. deodorant, lotions, shampoo, laundry detergent) contain ingredients that may be harmful for your health. Be sure to research ingredients that could pose such risks and re-assess whether or not you want to continue using the products you have. Deodorant is especially important because it is applied near the lymph nodes that are near the breast. Some ingredients may be potentially harmful to your health, particularly through potential carcinogenic and/or hormone-disrupting effects. Some examples of common ingredients you may want to avoid are Parabens (eg. Methylparaben), Sodium Lauryl/Laureth Sulfate, Phthalates, Triclosan, , 1,3-butadiene, and Polycyclic Aromatic Hydrocarbons (PAHs) . You can find out more information about what toxic ingredients are best to avoid in cosmetic and personal products by doing a quick online research.


5. Treat your breasts with care

Some extra steps you can take is to make sure your bra is comfortable and to minimize the amount of time you spend wearing it. Avoid sleeping in your bra unless sleeping without one makes you uncomfortable. In this case, opt for a more loose-fitting, comfortable bra (no padding or underwire).

What is a Clinical Breast Check-Up?

Though helpful, self breast examinations are not the most accurate way to detect breast cancer symptoms. For a more comprehensive examination of breast health, clinical breast check-ups that are done by a doctor will provide you with more in-depth results, through professional breast health examinations such as physical examination, mammogram, ultrasounds and/ or MRIs depending on your age and health condition.


What is Breast Cancer?

Breast cancer is malignant, which means that if it is left untreated, it can spread to other parts of the body, otherwise known as metastasis. When cancer first appears in the breast tissue, it can be very hard to detect in the early stages of development, such as in stages 1 and 2, (see image below) through self breast examinations, and this is why clinical breast check-ups are of great importance. The breast cancer can start spreading to nearby lymph nodes in the breast and chest area, and can also spread to the bones, lungs, liver and brain. To learn more in-depth information about Breast Cancer and how it appears and develops in the body, you can visit the Canadian Breast Cancer Society’s website.

Stages of breast cancer

Surgical Procedures for Breast Cancer

Once the cancer is detected, it needs to be removed as soon as possible. As noted above, your health and life depend on your immediate actions, as to prevent any further spreading or metastasis of the cancer. These risks are not to be taken lightly and treatment should be made your #1 priority.


Treatments for Breast Cancer

Radiation, Drug Therapy, and Chemotherapy:

These methods are used in combination or separately from surgical procedures. To read more about them, you can visit the Canadian Breast Cancer Society’s information page on these treatments.

Lumpectomy and Mastectomy:

The surgical procedure of removal of a lump or tumour in a breast is called a lumpectomy, and a mastectomy involves the removal of a whole breast. Sometimes part of the breast needs to be removed, and at times it could be a whole breast, or both breasts, depending on what is determined to be the safest option for you by the doctor examining your individual situation.

* It is important to note that these procedures, often performed by a general surgeon, are NOT intended to have aesthetic results, including minimal scarring. The surgeon’s main concern is removing the cancer to save your life, not necessarily taking the time to close the incisions in such a way that minimizes scarring. Therefore, these surgical procedures may not only leave a woman with a loss of breast volume and change of shape, but with large scars as well. This is why choosing an immediate breast reconstruction (explained in the following section) may help you achieve the most aesthetic result. Another important thing to consider when researching breast reconstruction options is to look for a qualified, board-certified plastic surgeon, who ideally specializes in aesthetic and reconstructive surgery. You should also consider choosing a doctor specialized in Breast Reconstruction including flap (DIEP, SIEA) surgery and implant based reconstruction, which may help maximize your satisfaction in achieving the results you desire.


What are the options for Breast Reconstruction?


Having a part of the breast missing and/or having significant scarring after the mastectomy can have considerable psychological implications for a woman, such as not feeling normal or being dissatisfied with the appearance and symmetry of their breasts. Post lumpectomy or mastectomy, many women report a consequential feeling of loss of identity or femininity, and the resulting change in shape and size as well as possible large scars from the mastectomy can serve as constant uncomfortable reminders of the breast cancer diagnosis and treatment process. Returning the breasts to the original shape and size is often a natural desire for these women.

To retain the appearance of the breasts, one may choose to wear more padding in the side of the bra that had surgery, or wear prosthetic breasts.Fortunately, there are also surgical breast reconstruction procedures available that can help you regain the way the breasts were before surgery, which can include an augmentation and/or lift as well.

Many women do not realize that breast reconstruction is also covered by Medicare in Canada*.

*Please note that coverage is limited solely to the breast or breasts affected by the cancer.


Immediate vs. Delayed Reconstruction

Immediate breast reconstruction involves strategically planning the breast reconstruction to take part right after the breast mastectomy is performed, as part of a combined procedure. This way, a woman can choose to avoid the period of time where she is living without a breast, and there is generally only one surgery needed for these two procedures.

Delayed breast reconstruction is done after and separately from the mastectomy. In many cases, women have a delayed breast reconstruction because they did not know about the surgical options available to reshape and balance the breasts while planning the mastectomy.


Types of Breast Reconstruction

There are three types of breast reconstruction procedures: implant-based, flap-based, and a combination of the two. Depending on your health state, the amount of supporting tissue you have left after the mastectomy and your preferences, your surgeon will explain to you what option he or she thinks is best for your reconstructive procedure and why.


Implant-based breast reconstruction involves reshaping the breast using an implant. For more information on implant-based breast reconstruction, please visit our ‘Breast Augmentation’ procedure page. Implant reconstruction can be one stage (direct to implant) or two staged (first stage is breast expander insertion and the second stage involves removing the expanded breast and replacing it with the permanent implant).


Flap-based breast reconstruction involves reshaping the breast using a ‘flap’ taken from your body, such as from fat and/or muscle and the accompanying blood vessels.


Combination breast reconstruction is a mix of the two previous methods. It involves using a segment of your body in order to construct a structure that will be able to support an implant.


Dr. Sinno’s ‘Breast Reconstruction’ procedure page has more detailed information about these options.


Don’t Forget to Care For Your Breasts!

We hope that this blog has helped you learn more about how to prevent and/or minimize the damage that breast cancer can cause. Please make sure you take the health of your breasts seriously and treat them with care regularly.


If you have any questions about any of the above information, please do not hesitate to contact us! We would love to hear from you and are always happy to help you achieve the assurance and wellness that you deserve!

To your wellness,

The Eternelle Team



Weight Loss & Plastic Surgery – A Guide to Looking and Feeling Your Best



If you are reading this, you are likely on a path of taking control of your body’s state, and are ready to transform into a lighter, slimmer, happier you! Weight loss can be quite difficult and often frustrating, and we commend you for doing the research that will help you make the best choice for yourself and your future. Remember to give yourself credit for the wholeprocess of your transformation – not just the end result!

We hope that with this blog post, you will have a better idea of the options available for you to bring the best version of yourself to the world!

Is Plastic Surgery For You?

Whether you have been maintaining your fitness and weight regularly, are working on a recent goal of minor or major weight loss, or have recently lost a significant amount of weight, you are likely reading this because you are considering assisting or speeding up the process of improving your appearance and body shape through the help of plastic surgery.

In this blog, you will be guided through some of the  best ways to lose weight, including the descriptions of a variety of available surgical procedures  that focus on improving the look and feel of your skin and body shape, depending on the results you seek to achieve, your anatomy and body condition as well as the options at your disposal. We have also included a FAQ section at the end answering some common questions that patients have when considering these procedures. If you have any other questions regarding these procedures, please feel free to ask us here and we will do our best to guide you and accommodate your needs!

Every body is different, and therefore every person should have an individualized approach to their weight loss, considering a variety of factors such as realistic aesthetic goals, health conditions, genetics, and lifestyle habits.


What Are the Most Effective Ways to Lose Weight Without Surgery?

Dr. Sinno always stresses to his patients the importance of practicing sound lifestyle habits in order to maintain a healthier body weight, and to minimize the risk of complications with surgery should you choose this option. Below, you will find 4 tips Dr. Sinno suggests to follow in order to achieve a healthier body composition:

  1.     Follow a consistent and effective exercise regimen

For your healthy body composition and functioning, a consistent exercise routine is vital. Do some research to find out what ways to keep active are best for you. Remember, what works for one person might not work for you. Don’t be afraid to try different methods as well as explore different activities and if you need further guidance, consider consulting with a health practitioner or personal trainer. As your body evolves, so should your exercise regimen. Do not fall into a strict routine which may lead to a continuous status quo. If you are unable to keep yourself accountable, research ways to help yourself do so! Your health and physical appearance may depend on it!

  1.     Adopt a proper diet which includes sufficient water intake

A common misconception about diet is that it is a temporary effort. Drawing from experience from patient consultations, Dr. Sinno notes that many efforts to eat healthy by the aforementioned have been short-lived, which results in yo-yo dieting – a type of eating habit that usually does more harm than good. The key to a proper diet is to make it a life goal, and to take the time to find healthy, well-balanced foods and meals you love eating rather than punishing and depriving yourself from the latter as a means of losing weight, which may eventually result in the opposite. In addition, consistent hydration and sufficient water intake are key to maintaining a healthy weight, increasing your metabolism and keeping your body at the right temperature. If you are not sure how to do this, consider seeking help from a specialist such as a nutritionist.

  1.     Get sufficient sleep

Without enough sleep, our bodies get stressed and this can cause the release of cortisol, a chemical which increases appetite and can lead to fat storage. Moreover, sleep deprivation can lead to a lower production of leptin, the chemical that tells your body it’s full, which combined with higher amounts of insulin can increase your tendency to give into the temptations of comfort food; in addition to resulting in fatigue which can decrease your overall activity levels, thus hindering your weight loss efforts.

  1.     Keep stress at a minimum

Our brain chemistry has a significant impact on our health, including the potential to cause an increase in fat storage and breakdown of muscle – simply as a result of consistently negative thoughts or an overburdened stressed mindset! Remember to give yourself credit for taking the steps to improve your condition and to practice positive thinking and gratitude.

Dr. Sinno also wants to highlight the importance of not smoking as this not only increases the risk of developing various health conditions, but also increases the risk of developing complications related to healing post surgery.

All of these tips can be put into practice through effective goal-setting.

Of course, even with a rigorous exercise regimen, proper diet, and good lifestyle habits, one may still be left with stubborn fat pockets or excess skin. In this case, a surgical fix may be an effective option, which brings us to the next section..

What Plastic Surgery Options are Available for Weight Loss?

When you meet with your surgeon, you should make sure that you feel comfortable to talk to them as a person and as a doctor, and not feel pressured to follow through with any procedure until you are sure it is right for you. Your surgeon should take the time to understand your goals, medical history, and lifestyle, advising you on how your options are influenced by these factors. The procedures that encompass weight loss through surgery vary, depending on the area of concern and whether or not there will be excess skin removed along with the fat deposits.The following chart summarizes a variety of the surgical options offered by Dr. Sinno, categorized into options best suited for minor and major weight loss.

If you have any questions about any of these procedures, please do not hesitate to ask!


* It is important to note that though these procedures have the potential to make a significant difference in the shape of your body, they should not be a substitute for the aforementioned lifestyle tips. Furthermore, it is advisable to have a BMI of below 30 before going through with these procedures, as studies have shown that this helps keep the chances of complications in the surgery to a minimum.


Area of Body Procedure Minor Surgery Major Surgery
Various Liposuction Can be performed on many areas where there is an excess of fat on the body. Dr. Sinno utilizes the tumescent technique in his liposuction, which has been proven to significantly decrease postoperative, bleeding and bruising.
Face & Neck Facelift May or may not include liposuction of the neck and jowls (noticeable drooping of skin lateral to the chin), tightening of the facial musculature, and the removal or repositioning of surplus facial skin.
Neck Lift Designed to lift and tighten the neck musculature, and to remove excess skin in order to create the appearance of a more firm and youthful neck region.
Neck Liposuction Designed to remove excess fat below the chin, reshaping of the lower face and jaw line to have more appealing and proportionate contour and definition.
Liposuction Can target unwanted fat in the chin, neck, and jawline.
Arms Brachioplasty/ Arm Lift Mini Arm Lift: designed to remove excess and hanging skin, enhancing the contours of the arms to help enable patients to truly appreciate the fruits of their weight loss efforts. This procedure is the lighter version of the Full Arm Lift, and therefore involves a smaller incision.

Full Upper Arm Lift: involves an incision running from the armpit along the underside of the arm to the elbow. The full lift is appropriate for patients with moderate to severe skin elasticity problems caused by the natural aging process, or for patients who wish to remove excess skin after drastic weight loss.

Liposuction Can target unwanted fat deposits in the arm.
Breasts Breast Lift Involves tightening the breast tissue, excising surplus skin, and creating a more supportive structure to maintain the newly lifted and raised position of the breasts, breast lift surgery provides an effective and long-lasting countermeasure to the symptoms of ptosis (sagging).
Breast Augmentation Involves the surgical placement of saline or silicone breast implants to enhance the shape, size, and overall aesthetic appearance of the breasts. Some patients may choose to add an implant in addition to a breast lift procedure in order to maintain a shapely volume of the breast.
Breast Reduction Involves a volumetric reduction of the breasts in order to improve the shape and size of the breasts, and (when necessary) a repositioning of the nipple areola complex to a more appropriate position.
Gynecomastia Correction (for males) Helps reduce the appearance of male ‘breasts’ through the removal of the fat deposits in this area.
Liposuction Can target unwanted fat deposits on the sides of the chest.
Stomach Tummy Tuck Mini / Partial Tummy Tuck: involves the removal of surplus fat and skin from the lower and middle abdominal region resulting in a leaner, tighter, more sculpted abdomen. The Mini Tummy Tuck is performed on patients whose fat deposits are located below the navel and does not require a second incision to reposition the navel.

Full Tummy Tuck: similar to the mini, but includes a tightening of the abdominal musculature. The full tummy-tuck is performed on patients with fat deposits both above and below the navel, and involves an incision made from hipbone to hipbone, followed by contouring of the abdominal skin, tissue, and musculature as needed. This surgery involves using a second incision around the circumference of the navel (belly button) to reposition it to a more aesthetically desirable location.

Liposuction Can target unwanted fat deposits in the stomach area.
Belt Lipectomy/ Lower Body Lift Involves the reshaping of the whole trunk of the body, by removing excess hanging skin and fat around the waist of the body, or ‘muffin top’, through an incision just below the belt line. This procedure can result in a dramatic change in the appearance of the body, including the abdomen, thighs, buttocks, and hips.
Back Belt Lipectomy/ Lower Body Lift Same as above.
Liposuction Can target unwanted fat deposits on the back.
Brazilian Buttlift (Fat Transfer/ Grafting) Involves the liposuction of fat and fat stem cells from another part of the body, purifying the removed fat using state of the art technology, which is then lipo-injected into the gluteal (butt) area, depending on how much augmentation and lift is desired.
Legs Thigh Lift/ Thighplasty Effectively sculpts and tightens the inner and outer thighs, and can also be used to improve the appearance of dimpled, sagging, or excess thigh skin. There are 3 types of procedures available: inner, bilateral, and medial thigh lift.
Liposuction Can target unwanted fat deposits on the legs, such as in the knee area.



Can Plastic Surgery Procedures be Combined?

As noted in the above descriptions, these procedures can be done either in isolation or in combination, based on what option best suits your goals and body. One such combination procedure is the Mommy Makeover, which include one or more of the following services:

Breast Revision, Breast Lift, Breast Augmentation, Liposuction, Tummy Tuck, and Thigh Lift.

Depending on the realistic aesthetic outcome you seek, combining procedures can provide you with the required finishing touches. For example, if you are looking to lose fat in the stomach area and are opting for a mini tummy tuck, you may decide that you would also want to have liposuction performed on the upper stomach area to optimize the result. Upon a consultation with Dr. Sinno, you will be given the undivided attention and thorough information needed in order to to make the choice that is right for you.

Frequently Asked Questions (FAQ)

Liposuction and Tummy Tuck (Abdominoplasty) – What’s the Difference?

The similarity between these two procedures is that they result in the removal of fat cells or pockets, and therefore aid in contouring the body in a way that smooths out fat deposits. However, the level of invasiveness differs. Liposuction involves the insertion of a vacuum tube through a small incision in the skin (about 1/8th of an inch or approximately 3-4mm) into the fat pocket, through which the fat is suctioned out. Liposuction does not address the issue of sagging or excess skin. A tummy tuck, or abdominoplasty, involves an incision below the swimsuit line, hipbone-to-hipbone, which allows for access and as such the removal of fat deposits in the lower abdomen, along with any excess skin in this area in order to provide more significant aesthetic results (if excess skin is an issue). Liposuction can be done on many areas around the body where there are unwanted fat pockets, and has less down time..

  • An easy way to remember the difference is that ‘lipo-’ refers to ‘lipids’ or fats, and ‘suction’ refers to the suction of the fat, such as through a tube, out of the body. On the other hand, procedures that end in ‘-plasty’ refer to the Greek word ‘plastikos’, which means ‘to mold’, and involve modifying through surgery selected rather than just fat removal.

Does a Tummy Tuck Also Target Side Fat or ‘Muffin Top’?

No, a tummy tuck does not address the fat deposits on the sides of the waist. If you’d like to eliminate fat from this area, you may choose to also have liposuction performed on this area as part of your overall procedure. It is common to add liposuction to other procedures in order to make the results more even, but some patients are also satisfied with the results gained from just a tummy tuck procedure, or just a liposuction procedure. Remember, each body is unique in its own way.

Do Fat Cells Come Back After Surgery? Is Liposuction Permanent?

No, fat cells do not generally grow back after being permanently removed surgically. Although technically speaking there will be no new fat cells replacing the ones that were taken out, this does not make you immune to weight gain that can result from negative lifestyle habits and a net increase in calories (meaning the consumption of more calories than you burn). Since you have less fat cells in the area of the surgery, you may notice a decreased tendency to gain weight in that area. However, you may notice that other areas of your body may continue to gain weight if you do not maintain a healthy caloric balance. In addition, fat cells have the potential to expand, and since not all fat cells are removed in the procedure, the ones that are left will still be able to store more fat without the maintenance of the healthy habits explained in the beginning of this blog. Nonetheless, the surgical removal of fat cells is permanent and, if combined with improved lifestyle habits before and after surgery, you should not gain weight back.

How Long Do Results Last?

The lasting of results depends on the procedure, the patient’s physiology and the patient’s lifestyle. The best way to have this question answered is by coming in for a consultation with Dr. Sinno or with an accredited health care professional. As mentioned above, even though the result of the procedure should be permanent, fat accumulation can be possible again if one does not take the steps necessary to maintain the results and his or her lifestyle. If you think you will need help with this responsibility, despite taking the actions you believe are necessary, consider seeking the help of experts or specialists in this field to ensure you are able to maintain the best possible results!

Am I a Good Candidate for Weight Loss Surgery?

Due to the uniqueness of every person who comes to our office, it would be very difficult to describe the ideal candidate for surgery or to confirm to our readers that they are a good candidate for surgery. The best way to find out is through a consultation with Dr. Hani Sinno.

Here are some factors that can help you determine if you are ready for a consultation.

The ideal candidate for surgery:

  • Is a non-smoker or is willing to stop smoking before and after the surgery in order to minimize complications with the surgery and healing
  • Has a BMI of under 30, or is making efforts to do so

* Studies show that after a BMI of 30, risks of complications increase dramatically

  • Is determined to make the best decision, has done research, and has questions
  • Is ready to be realistic about the aesthetic results that surgical procedures can provide
  • Is motivated to continue improving their lifestyle after the surgery

Ready for the Next Step?

We hope this guide helped you have a better idea of what your potential options are and understand more about the importance of doing your research to make the best possible decision for yourself! Furthermore, the ideal way to find out the best option for you is to schedule a consultation with a qualified and board-certified plastic surgeon, such as Dr. Hani Sinno, who will help you determine the answer through his professionalism, expertise, and experience.

We look forward to seeing you at your office and to supporting you on your praiseworthy journey of becoming the best version of you!!


The Eternelle Team

August 1-7: Breastfeeding Awareness Week

Mother Breast Feeding

Every year, August 1-7 is internationally recognized as Breast-Feeding Awareness Week, commemorating the ‘Innocenti Declaration’, which was signed in 1990 by government policy makers, World Health Organization (WHO), and UNICEF to acknowledge the importance of protecting, promoting, and supporting the precious practice of breastfeeding.

If you are currently a mother, are planning on becoming one or know someone who fits this description, please consider the wealth of benefits that breastfeeding brings to a mother and her baby, and spread the word to others who may be appreciative of this information.

Benefits of Breastfeeding

The benefits of breastfeeding go beyond the nutritional components of breast milk. It also allows for stronger bonding between the mother and child and encourages skin on skin contact, both of which can help improve a baby’s mental, emotional as well as physical development.

Some notable benefits of breastfeeding are:

For Baby:

  • Nutrition for healthy development
  • Closer bond to mother
  • Better psychological development
  • Breast milk contains antibodies (disease fighting proteins) that help the baby fight off infection
  • Decreases risk of diseases such as pneumonia, colds, and viruses, and of some childhood cancers
  • Decreases risk of infant mortality
For Mother:

  • Closer bond to baby
  • Encourages skin-on-skin contact, producing endorphins that benefit you both!
  • May help you shed pregnancy weight
  • Decreased risk of ovarian and breast cancer
  • Lowered risk of postmenopausal osteoporosis
  • A healthier baby – which will make you happier, reduce stress, and increase the amount of cherishable moments you have with your baby


Dr. Sinno Suggests These Tips for a Smooth Breastfeeding Experience

1. Make sure you are adequately nourished so that you are providing the right nutrients for your baby. If you are not sure if you are getting the nutrition you need, be sure to seek advice from a health professional.

2. Learn about proper ways to breastfeed and the correct way to hold and support your infant, as well as about how to best position the mouth with the nipple to facilitate latching.

3. Try to increase the amount of skin-on-skin contact with you and your baby as much as possible. This causes the release of bonding chemicals that are healthy for you and your baby

4. Give your baby ‘on-demand’ access to being fed, meaning feeding your baby as soon as you think the baby may be hungry or the baby shows signs of hunger. This also means that the feeding access should be unrestricted, with the amount of feeding being determined by the baby.

5. Inadequate milk production is a common problem and can be a result of a variety of factors, including inherent lack of milk production. If you think this is a concern for you, be sure to seek professional advice on how to maximize milk production.

6. Try your best to make breastfeeding exclusive especially for the first six months after birth, or as exclusive as possible. A consultation with a health professional will help you make the right decision regarding breastfeeding and supplementation.

*Exclusive breastfeeding means no other form of food or drink is used to nourish the baby. The infant should be able to feed often and unrestricted. However, if insufficient milk is produced, supplementation can be helpful. Be sure to consult with a trusted physician regarding the best options to feed your baby..


Breastfeeding Concerns Related to Breast Implants

Rightfully so, one common concern that women may have when it comes to breast augmentation procedures where implants are used is the negative or hindering effects the insertion of implants may have on the ability to breast-feed. Contrary to popular belief, breast augmentation procedures should not interfere with breastfeeding. In fact, Dr. Sinno’s preferred method is placing the implants under the muscle where very minimal breast glandular tissue is involved in the surgical dissection. Dr. Sinno always tailors his techniques according to each patient, her specific anatomy, and her desired outcomes.Even if the incision site (chosen by the patient and surgeon based on anatomy and preference) is through the nipple, the nerves and ducts necessary for the breastfeeding process should remain unaffected. Often, if there are complications related to lack of milk production (see #5 of the tips above), it is unlikely to be the result of an implant, but a factor of how much functional glandular tissue was present before and after the surgery, and their effectiveness in milk production – which can be improved through a consultation with a specialist.

How Does a Breast Augmentation Work?

In order to understand how an implant may affect the breast’s ability to produce milk, it is important to understand the anatomy behind the procedure. To view an animation of a breast augmentation surgery containing information about implant sites, visit

Breast Implant Diagram

The image above demonstrates the anatomy of a regular breast, and the two most common implant insertion sites Dr. Sinno uses: subglandular (middle diagram: with the implant in front of the pectoralis major muscle (or the muscle you may know as ‘pec’ muscle) and under the mammary gland) and submuscular (rightmost diagram, with the implant behind the pectoralis major muscle), which is the procedure Dr. Sinno prefers. The implant – its insertion and its presence over time – should not interfere with the mammary gland, which is the structure in the breast that produces the milk. The mammary glands are left intact, and there has been no evidence suggesting that implants increase the toxicity level in the body and/or breast.

For more information about this procedure, click here or contact us.

To learn more about World Breastfeeding Awareness Week, check out World Health Organization’s Campaign here.


We would love to hear from you!

We are excited to answer all of your questions about these important topics!


Our priority is to provide you with the most viable options to help you make a choice that is best for you, considering a variety of important factors related to your goals, lifestyle, and preferences.

To your comfort and health,

The Eternelle Team


Hello Readers,

I trust that everyone is having an excellent summer so far. For this month’s blog, I have chosen one of the most popular and common procedures to discuss, a procedure so ancient that its practice dates back to Ancient Egyptian times.

Nefertiti Ancient Egyptian Rhinoplasty

Rhinoplasty is a surgical procedure that can help enhance the shape and size of the nose. When performed by the right properly accredited surgeon, it can be a safe and highly satisfactory procedure. Of course, it must be performed on the right person for the right reasons as well.

It can help correct deformities or irregularities from trauma or those that we were born with.

It can also be coupled with a procedure to help with breathing problems and snoring known as septorhinoplasty. In fact, in Quebec, with a valid RAMQ health card, the Regie Assurance Maladie du Quebec can financially cover a portion of a septorhinoplasty! This will allow you to have more affordable pricing for your desired nose job while also treating breathing problems.

2015-06-21 septorhinoplasty EN

Rhinoplasty can be performed under local anesthesia with sedation or general anesthesia. General anesthesia for this surgery is usually more comfortable for both patient and surgeon as it can help reduce major intra-op complications.


Rhinoplasty Benefits

Other than the previously mentioned septorhinoplasty which can help with breathing problems, this procedure can help with defects involving all structures of the nose including the bone, cartilage, tip shape and size, nasal dorsal hump, nostril shape and size, angles and proportions.


Types of Rhinoplasty

Closed Rhinoplasty: all the incisions are made in the nasal mucosa (the skin inside the nose) so no external visible scars are seen.

Open Rhinoplasty: this method involves an internal incision and a small external incision that usually heals with no noticeable scar. This technique helps the surgeon visualize the nasal bone and cartilage more than the closed rhinoplasty and can be better suited for surgeries that require more “work” or need a higher level of enhancement.

Non-surgical Rhinoplasty: this plastic surgical technique uses the injection of dermal fillers to augment the nose thus creating subtle or dramatic changes. By using these non-permanent injectables in the office, the surgeon can help the patient create filling contours, camouflage skin irregularities, fill-in low areas, visually decrease humps, define and enhance the tip, and give the nose an overall “finished” look.  Generally, dermal fillers last 6-9 months.  This procedure is much cheaper in the short term and can help the patient “preview” his or her nose before they commit to a more permanent surgical rhinoplasty. The advantage is that it can be as quick as 5 minutes in the office with no anesthesia necessary. The recovery time is minimal. Because non-surgical rhinoplasty involves the use of adding dermal fillers to alter shape, it is not recommended for very large or very asymmetric noses.

If you are considering a rhinoplasty or a septorhinoplasty, remember that you can always come and see me for a more personal consultation. Once again, my mission is to provide patients with utmost, prioritized care aimed to enhance your comfort, provide you with a safe procedure, and minimize your recovery time, but most importantly, help you achieve the natural improvement you seek.

I hope you enjoyed this month’s blog. Please feel free to leave your comments and feedback. For all other questions or personal concerns, do not hesitate to come and see me in person for a consultation and a closer examination. I work very closely with my patients to determine their best options and help them make an informed-decision. I would be delighted to help you achieve your goals.

Dr Hani Sinno Interview


Dr. Hani Sinno


“We’re all human beings – we all deserve the best.”

When I met Dr. Hani Sinno, a top rated Montreal plastic surgeon with a very unique professional background, I felt a deep and comfortable connection right away. It was like time had stopped and I found myself connecting with a powerful yet very sensitive human being. I was in a safe place.

Dr. Sinno knows a thing or two about fragility and empowerment. As a child, he grew up in the Persian Gulf where war and political instability forced his parents to take him through 9 major moves just to keep him safe. From Lebanon, to Bahrain, to Canada, back and forth, Dr. Sinno had to learn to adapt quickly, learn new skills and languages, make new friends and adopt various cultures – fast. Being cheerful and highly sensitive to other people’s feelings was a question of survival, and what makes for a highly sought after professional today.

Dr Sinno-suit-1024x682

Dr. Hani had always wanted to study Medicine, and right after his dad moved him back to Lebanon when the Civil War ended, he flew again to Canada to continue his education. He then embarked on a path to acquire what I call “extreme knowledge”. First, he was admitted to one of Canada’s top universities, McGill, and graduated #1 of his class in his Science Major, Physiology. He received numerous awards and honors including admission to McGill Medical School. In Medicine, he continued to excel and continued his educational journey following his passion for improving quality of life of his patients in the field of plastic surgery. During his residency, he completed a two-year biomedical engineering masters degree in just one year and was granted a Research Fellowship. During this time, he discovered a natural collagen-complement formation to strengthen wounds. His work was considered for a few patents at McGill and got 4 peer-reviewed publications in prestigious scientific journals.Realizing he loved research, he went on and got over 80 abstracts published, lectured in 44 national and international meetings, and published over 44 peer-reviews in manuscripts.

For those who don’t know, plastic surgery is the most competitive discipline in Medicine, and requires a residency of 5 to 6 years following a medical degree comprised of 4 years. Not only did Dr. Sinno graduate from a top school, but he is also one of very few plastic surgeons in Montreal who have completed a prestigious 1-year fellowship in aesthetic/cosmetic surgery. Dr. Sinno completed the aforementioned at one of the world’s top universities: Harvard. This meaningfully translates into extreme knowledge and enhanced safety. Dr. Sinno knows how to perform some of the most complex and intricate reconstructions, how to use the most cutting edge technology and how to proactively avoid pitfalls to maximize results and minimize recovery time.

Essentially, this extra training makes Dr. Sinno a Super-Surgeon in our eyes while his personality makes him a gem. He always treats his patients like they were family members. The conversations with them inspire complete trust and confidentiality. He knows how to establish a grounded connection with them, and having experienced the soothing vibe of his presence myself, I understand what sets him apart.

Dr. Sinno loves doing reconstructive surgery becauseit offers a significant improvement in the quality of life of patients recovering from severe illness such as breast cancer or major trauma. It allows them to feel normal again. Providing this crucial step in full recovery is the ultimate reward as patients are allowed to enjoy their physical bodies again, regain their function, and gain back their full confidence with one thought only: “I beat cancer, I can do anything!” Cosmetic surgery, which makes for a large portion of his practice, is a totally different challenge because it is about dealing with “improving the normal rather than fixing what is broken”. Both require an extensive high quality training combined with a deep love for human beings and a genuine desire to help them.

Aside from his very successful professional practice, Dr. Sinno is very generous of his time and expertise. He is an Assistant Professor of Surgery at McGill University and also teaches at University of Montreal. He enjoys teaching to medical students and residents, the next generation of medical practitioners and surgeons. In addition, Dr. Sinno actively volunteers for two non-profit organizations, namely: 1- Médecins du Monde, where he treats refugees from all around the world who have suffered the atrocities of war and poverty; and 2- Operation Smile (children born with abnormal lips and palates).

Regarding his future plans, they are all about striving to continually enhance his patients’ quality of life,improve their state of being and attend to their concerns. “Everyone is fragile and can be empowered to feel great and beautiful, no matter what their starting point is. My job is to help them achieve a state of self-confidence and well-being, within the utmost respect.”

Dr. Sinno’s story is one of true success; he is now rated within the top 10 Plastic Surgeons in the country according to while achieving a prestigious top 2 in Quebec. You can find more about Dr. Sinno by visiting and you can book your consultation now at 514-DR-SINNO (514-377-4666).


Joëlle Parent-Proulx, Présidente

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Hello Readers!

I trust that everyone is doing well. Summer is around the corner, sun is shining and today’s topic comes just in time for bathing suit and bikini season.

Liposuction is the extraction and/or removal of one’s body fat and is generally performed to get rid of excess fat in certain areas of the body. This procedure has gained tremendous popularity in recent years among both males and females.

Did you know? Liposuction


Liposuction can be performed using 2 methods:

  1. Invasive liposuction (a.k.a. tumescent liposuction)
  2. Non-invasive liposuction (a.k.a. using external Body Contouring Devices)


Invasive Liposuction

  1. Traditional Liposuction: most surgeons use this time-tested and research proven technique also known as the “tumescent technique”. This is a surgical procedure that can be done under either general anesthesia or local anesthesia. The type of anesthetic is determined by your surgeon depending on your general medical health and the area where liposuction is needed. Greater targeted areas will likely need general anesthesia. This procedure involves placing fluid into the fat cell layer under your skin using small incision measuring no larger than 2-4 mm. The fluid injected contains a local anesthetic as well as medications that help shrink blood vessels to limit any bleeding. The otherwise solid body fat becomes liquid and is then removed or “sucked” out using hollow cannulas.
  1. Non-Traditional Liposuction or Alternatives:

- Laser assisted liposuction (Smart Lipo, Cool Lipo)

- Power assisted liposuction

- Ultrasound assisted liposuction (VASER liposelection).  .

These techniques have recently been popularized by the companies that produce these machines. They use cannulas that produce heat, vibration, or ultrasound waves respectively to help break up the fatty tissue and make liposuction potentially easier for the surgeon.

It is very IMPORTANT to note that there is still very little evidence that any of the invasive liposuction “adjuncts” improve results greatly over traditional tumescent liposuction. They can increase cost, and risk. The risks can include skin burns and skin dimpling and irregularity.


The MOST IMPORTANT decision for the patient is to choose the quality and experience of the surgeon as well as a surgeon who is truly a board certified plastic surgeon by the Royal College of Surgeons of Canada in Plastic Surgery.

Non-Invasive Liposuction

This method involves the employment of external body machines that use heat (e.g. Thermage), cold (cryotherapy) (e.g. Cool Sculpting, Zeltiq), or ultrasound (e.g. Liposonix, UltraShape) from the outer surface of the skin in an attempt to dissolve and shrink fat.

These can be costly and being a minimal procedure, you can only expect a minimal result!

These techniques cannot take off large volumes of fat; however, substantial amounts of money pour into the marketing of such devices which are promoted sometimes with inquorate promises such as “inches off with no surgery.” Often patients end up spending more money over longer periods of time with lesser or minimal results.

Finally, another technique called mesotherapy can be performed. It involves the injection of a chemical into the fat cell layer to disrupt the fat cells so that the body can later absorb them. This technique has not been shown to be as effective and research has shown from experience that it may end up being more costly, less effective, and more painful than traditional liposuction. Furthermore, the results could take several months to show versus the same results that one would see within two weeks following traditional liposuction.

I hope you enjoyed this month’s blog. Please feel free to leave your comments and feedback. For all other questions or personal concerns, do not hesitate to come and see me in person for a consultation and a closer examination. I work very closely with my patients to determine their best options and help them make an informed-decision. I would be delighted to help you achieve your goals.

Breast Augmentation

Breast Augmentation

Today, I would like to discuss one of the most popular and common female procedures: Breast augmentation, the enlargement of the female breast.

It is considered a “cure” to female breast hypoplasia or the underdevelopment of breast tissues in some females. This procedure is performed using two methods: implants or autogenous tissue (such as the transfer of one’s own fat from other areas of the body). I hope that the following blog article will clarify some general questions about this topic. Some women undergo this procedure for medical reasons while others for beauty and self-satisfaction. Whatever your reason may be, I would be happy to meet with you in a private consultation for more detailed and specific information related to your body.

Breast augmentation is most commonly performed using prosthetic implants. Autogenous tissue (such as fat) is not as commonly practiced due to the fear that the injected fat can interfere with mammogram results thus affecting the detection of breast cancer. Although expertly trained radiologist have shown that they can determine the differences. It’s always best to consult your physician or plastic surgeon regarding such matters.

There are two different types of breast implant prosthetic fillings, either silicone or saline (salt water). While the internal content may differ, both types of implants have a silicone external shell or cover.

In 1990, the FDA had a moratorium on silicone breast implants in suspicion of harm to the patient’s health. As a result, from 1990 to 2000, the most common breast augmentation procedures had been performed using saline implants. However, no study has shown concrete evidence that silicone implants are associated with autoimmune disease. Therefore, both silicone and saline-filled implants are currently approved by the FDA and Health Canada respectively.

Presently, the newest and latest silicone implant technology includes cohesive gel implants. Essentially, they are gummy bear type implants that are filled with a solid-like gel as opposed to a liquid.

Historically, silicone implants have been associated with more capsular contracture (change of shape of the augmented breast) complication rates when compared to saline implants. On the other hand, saline implants have been associated to rippling (visible waves that can be seen under the patient’s skin caused by the implant). However, technological advancements in modern day plastic surgery and the development of the most recent silicone cohesive gel implants have shown a drastic decrease in complication rates.

Your Options

Breast implants can be placed either under the breast tissue or under the muscle. Placement under the muscle can be associated with a little more pain in the first week after surgery, but has been shown to decrease complications including rippling and capsular contractures thus giving you an overall more natural look.

On the other hand, placement under the breast tissue can be associated with changes to nipple areolar sensations and the probability of a less natural-looking outcome. There are several factors to consider when making such a decision such as the nature of your body, work (ex. athletes) or, simply, personal preferences. In the end, the choice is yours and is made based on an informed decision following examination and consultation with your surgeon.

Incision Options

1- Inframammary fold: this is the most common incision technique, which is placed directly under the breast. It allows for bigger implants, both saline and silicone, in addition to a more controlled shape of the breast. Furthermore, the scar is hidden under the breast and is usually not visible when standing in a natural posture.
2- Areola: this incision is placed around the colored part of the nipple. It could result in one of the least visible types of scars. Should the patient decide to undergo a breast lift in the future, an incision in the same place could be used to avoid further scarring (or a new one), which is the advantage of this technique.
3- Axilla: this incision takes place through the armpits. This technique leaves no incision scars on the breasts whatsoever. However, the final outcome of the breast shape could be less predictable. In addition, larger implants cannot be used either.

Many female patients, mothers and/or mothers-to-be, are concerned about whether breast augmentation affects breast-feeding. The answer is: NO.

As long as the surgeon did not incise the breast ducts, which he/she should never do (under normal circumstances), patients can feel safe about future plans of breast-feeding.

For all other questions or personal concerns, do not hesitate to come and see me in person for a consultation and a closer examination. I work very closely with my patients to determine their best options and help them make an informed-decision. I would be delighted to help you achieve your goals.


Dr. Hani Sinno