Canadian Plastic Surgery Procedure Guide
Across Canada, plastic surgery includes several major types of procedures that can change, rebuild, or improve the face and body. Cosmetic procedures are usually chosen to improve appearance. When plastic surgery helps restore form or function after injury, cancer, birth differences, burns, or medical conditions, it is called reconstructive surgery.
Canadians may look into plastic surgery for many reasons. Some patients want a more natural-looking appearance. For others, the goal is to restore body shape after pregnancy, weight loss, or aging. Plastic surgery may also help after trauma, skin cancer, breast cancer, or a congenital concern. Choosing the right procedure depends on anatomy, goals, health, lifestyle, and recovery needs.
This page explains the main types of plastic surgery procedures in Canada, with sections on facial surgery, breast surgery, body contouring, reconstructive surgery, and non-surgical cosmetic treatments. It also reviews what to consider before booking a consultation.
The Difference Between Cosmetic and Reconstructive Plastic Surgery
Plastic surgery is often divided into two main categories, cosmetic surgery and reconstructive surgery.
Cosmetic Surgery
Cosmetic plastic surgery is focused on appearance. These procedures are usually elective, meaning they are chosen by the patient and are not medically required.
Common cosmetic goals may include:
- Supporting better facial harmony
- Softening signs of aging
- Improving body shape
- Replacing volume lost after weight change or pregnancy
- Changing the shape of the nose, eyelids, ears, lips, breasts, abdomen, arms, or thighs
- Supporting a better fit in clothing
- Helping confidence through natural-looking improvements
Most cosmetic procedures in Canada are paid for privately. Fees can vary based on the procedure, surgeon, facility, anesthesia, follow-up care, and location.
Reconstructive Plastic Surgery Procedures
In reconstructive plastic surgery, the focus is on restoring form, function, or both. It may be needed after cancer surgery, trauma, burns, infections, birth differences, or medical conditions.
Examples of reconstructive plastic surgery include:
- Breast reconstruction following mastectomy
- Skin cancer reconstruction after removal of a tumour
- Cleft lip and palate reconstruction
- Burn reconstruction
- Hand surgery
- Scar revision
- Repair of wounds
- Reconstruction after facial trauma
- Correction of congenital concerns
When reconstructive procedures are medically necessary, some may be covered by a provincial health plan. Changes done only for cosmetic reasons are usually not covered.
Facial Plastic Surgery Procedures
Plastic surgery for the face can help improve balance, reduce visible aging, and create a more refreshed appearance. For many patients, the goal is not to look like another person. The best results often look natural and balanced.
Facelift Procedure (Rhytidectomy)
Facelift surgery, or rhytidectomy, is used to improve sagging in the lower face and jawline. Patients may choose facelift surgery for jowls, loose facial skin, and deeper folds near the mouth.
A facelift may address:
- Jowls near the jawline
- Loose skin in the lower face
- Deeper smile lines
- Descent of cheek tissue
- Less clear separation between the face and neck
Today, facelift surgery often works on deeper support layers below the skin. This can create a smoother, longer-lasting result without a pulled look. A facelift is often combined with a neck lift, eyelid surgery, brow lift, or facial fat grafting.
Neck Lift Procedure (Platysmaplasty)
A neck lift can improve loose skin, muscle bands, and fullness under the chin. The medical term for tightening the neck muscle is platysmaplasty.
Neck lift surgery can help improve:
- Neck bands
- Loose skin on the neck
- A soft or undefined jawline
- Fullness below the chin
- A “turkey neck” look
Skin and muscle tightening may both be needed in certain patients. Some patients may only need liposuction under the chin. Because the face and neck often age together, a facelift and neck lift may be planned together.
Eyelid Surgery for Tired-Looking Eyes
Blepharoplasty, commonly called eyelid surgery, can improve tired-looking eyes by removing or adjusting extra eyelid skin, fat, or tissue.
Upper blepharoplasty may help with:
- Upper lids that feel heavy
- Extra eyelid skin
- An aged or fatigued look
- Skin resting on the eyelashes
- Vision concerns in select medical cases
Patients may choose lower eyelid surgery for:
- Lower eyelid bags
- Under-eye swelling or fullness
- Extra lower eyelid skin
- Shadowing under the eyes
- A tired look that does not improve with rest
Eyelid surgery is one of the most common facial procedures because small changes around the eyes can make the whole face look more rested.
Brow Lift Procedure
A brow lift, also called a forehead lift, raises a low or heavy brow. It may improve the upper eye area and reduce forehead heaviness.
A brow lift may help with:
- Brow descent
- A heavy upper eyelid look caused by brow position
- Forehead creases
- Frown lines between the brows
- An expression that looks tired, sad, or stern
Although they can affect a similar area, a brow lift is not the same as eyelid surgery. Eyelid surgery addresses extra eyelid skin, while a brow lift changes the position of the eyebrows. Many patients need either one procedure or the other, while some benefit from both.
Cosmetic and Functional Rhinoplasty
Rhinoplasty is nose surgery that can change nasal shape, size, or structure. Rhinoplasty may focus on appearance, breathing, or both.
Rhinoplasty may address:
- A bump along the bridge of the nose
- A lowered nose tip
- A wide nasal tip
- A nose that is not straight
- Overall nose size or projection
- Nose asymmetry
- Breathing issues related to structure
For patients with breathing concerns, rhinoplasty may include work on the septum, which separates the nostrils. That procedure is known as septoplasty. Cosmetic rhinoplasty changes appearance, while functional nasal surgery focuses on airflow.
Otoplasty, Also Called Ear Surgery
Otoplasty, commonly called ear surgery, can change the shape, position, or size of the ears. Prominent ears that stick out may be improved with otoplasty.
Otoplasty may address:
- Ears that sit far from the head
- Uneven ears
- Prominent ear cartilage folds
- Ears that sit far from the head
- Concerns with the earlobes
Ear surgery can be considered for adults as well as children. In children, timing depends on ear development, maturity, and family goals.
Upper Lip Lift Surgery
A lip lift is designed to shorten the space between the upper lip and the nose. Clinically, this measurement is often called the upper lip length. A lip lift can improve upper lip show without adding dermal filler.
Patients may consider a lip lift for:
- Upper lip length that looks long
- Reduced tooth show in the upper smile
- A less visible upper lip
- Poor balance between the upper and lower lips
- Changes around the mouth from aging
A surgical lip lift and lip filler are different treatments. Lip filler mainly adds fullness. The purpose of a lip lift is to change the upper lip position and shape rather than just add volume.
Chin and Jawline Implant Surgery
Implants can be used to improve facial balance in the chin, cheeks, or jawline. Chin surgery can improve facial profile balance when the chin looks small compared with the nose or other features.
Types of facial implant surgery may include:
- Chin implants
- Cheek implant surgery
- Jawline implants
Because the nose and chin affect how the face looks from the side, chin surgery may sometimes be combined with rhinoplasty.
Facial Fat Grafting
Facial fat grafting uses the patient’s own fat to restore volume. cosmetic treatments Fat is usually taken from areas such as the abdomen or thighs, processed, and placed into the face.
Facial fat grafting may address:
- Sunken-looking cheeks
- Under-eye hollowing
- Lost facial volume due to aging
- Thinning soft tissue
- Imbalance in facial volume
Facial fat grafting can be performed by itself or with procedures such as facelift surgery, eyelid surgery, or other facial surgery.
Plastic Surgery Procedures for the Breasts
Cosmetic and reconstructive breast surgery are common parts of plastic surgery in Canada. Breast procedures may increase volume, reduce size, lift the breasts, improve symmetry, or restore breast shape after cancer surgery.
Breast Augmentation in Canada
Breast augmentation surgery uses implants or fat transfer to increase breast size and shape. Implants used for breast augmentation may be saline or silicone gel. Body type, breast tissue, personal goals, and surgeon guidance all help determine implant choice.
Breast augmentation surgery can help improve:
- Small natural breast size
- Volume loss after pregnancy
- Weight-related breast volume loss
- Breast asymmetry
- Desire for more fullness in clothing
Some patients feel nervous about results that may look too large or unnatural. Chest width, skin quality, lifestyle, and long-term maintenance should all be part of the plan.
Breast Lift Procedure
Mastopexy, commonly called a breast lift, raises and reshapes breasts that sit lower than desired. A breast lift does not mainly increase breast volume. Its main goal is better breast position and shape.
Breast lift surgery can help improve:
- Sagging breasts
- Nipples that face downward
- Stretched nipple-areola areas
- Stretched breast skin
- Changes after pregnancy, breastfeeding, or weight loss
Some patients choose a breast lift with implants for more upper breast fullness. Other patients prefer a lift without implants for a natural result.
Breast Reduction
To reduce breast size and weight, breast reduction removes extra tissue, fat, and skin.
Common breast reduction concerns include:
- Neck discomfort
- Shoulder discomfort
- Pain in the back
- Bra strap grooves
- Skin irritation under the breasts
- Trouble exercising
- Trouble finding clothing that fits
In Canada, breast reduction may be considered medically necessary for some patients. Coverage depends on provincial requirements, symptoms, and medical assessment.
Revision Breast Implant Surgery
Breast implant revision surgery is used to change, adjust, or replace current breast implants. Patients may need it for cosmetic goals or medical concerns.
Breast implant revision may be needed for:
- Changing breast implant size
- Rupture of an implant
- Capsular contracture, which means firm scar tissue around an implant
- Breast implant movement
- Asymmetry between the breasts
- Aging changes after breast augmentation
- Breast implant removal
Some patients choose to remove implants and have a lift. Other patients choose new implants with a different size, shape, or placement.
Breast Reconstruction After Cancer Surgery
The breast may be rebuilt after mastectomy or lumpectomy with breast reconstruction. It may involve implants, natural tissue, or a combination.
Breast reconstruction options may include:
- Implant-based reconstruction
- Natural tissue flap reconstruction
- Rebuilding the nipple and areola
- Fat transfer to the breast
- Revision surgery to improve symmetry
Choosing reconstruction is deeply personal. Some people prefer to have reconstruction. Some patients choose a flat closure instead. Both options are valid.
Gynecomastia Surgery
Gynecomastia surgery treats enlarged breast tissue in men. Treatment may involve liposuction, gland tissue removal, or both.
Patients may consider gynecomastia surgery for:
- Puffy nipples
- Gland tissue under the areola
- Chest tissue fullness
- Male chest asymmetry
- Discomfort being shirtless, exercising, or wearing fitted shirts
The best technique depends on whether the fullness is caused by fat, gland tissue, loose skin, or a mix of these.
Body Contouring Plastic Surgery Procedures
Extra skin, stubborn fat, or loose tissue may be improved with body contouring surgery. It is common after pregnancy, aging, or major weight loss.
Tummy Tuck Procedure
A tummy tuck, also called abdominoplasty, removes extra abdominal skin and tightens the abdominal wall. It can also repair separated abdominal muscles, which are known as diastasis recti.
Tummy tuck surgery can help improve:
- Extra abdominal skin
- A lower abdominal overhang
- Lower abdominal skin with stretch marks
- Abdominal muscle separation
- Abdominal changes after pregnancy or weight loss
A tummy tuck is not meant to be a weight-loss procedure. It is usually best for patients near a stable weight who want to improve abdominal shape.
Surgical Liposuction
Liposuction surgery uses a thin tube called a cannula to remove localized fat. The goal is contouring, not general weight loss.
Liposuction may be used on areas such as:
- Abdomen
- Flanks, often called love handles
- The hips
- Thigh areas
- The upper arms
- Back
- Submental area and neck
- Chest fullness
- Inner knee area
Good skin tone matters. When loose skin is present, liposuction alone may not create the desired contour. In that case, skin removal surgery may be needed.
Mommy Makeover
Body changes after pregnancy, breastfeeding, or weight change may be treated with a custom mommy makeover plan. This plan often brings together breast surgery and abdominal contouring.
Mommy makeover options may include:
- Abdominal contouring with tummy tuck
- Surgical breast lifting
- Breast augmentation
- A breast reduction procedure
- Liposuction
- Fat transfer
The name “mommy makeover” can be misleading because similar body changes can affect many patients. It is for anyone with similar body changes. The best plan depends on health, goals, recovery time, and whether future pregnancy is planned.
Arm Lift for Loose Upper Arm Skin
An arm lift, also called brachioplasty, removes loose skin from the upper arms.
An arm lift may help with:
- Hanging upper arm skin
- Extra skin after major weight loss
- Upper arm changes from aging
- Trouble wearing sleeveless tops
- Skin rubbing and irritation
The improved arm shape comes with a scar along the inner or back portion of the arm. Many patients feel the improved arm contour is worth the scar, but careful discussion is important.
Thigh Lift Procedure
Thigh lift surgery improves thigh contour by removing loose skin. Thigh lift surgery is common after significant weight loss.
Patients may consider a thigh lift for:
- Inner thigh skin laxity
- Thigh skin rubbing
- Difficulty fitting pants
- Extra skin that feels heavy
- Changes after bariatric surgery or major weight loss
There are different thigh lift patterns. The right option depends on how much skin needs to be removed and where the looseness is located.
Body Contouring Lift
Loose skin around the lower body can be removed with a body lift. A body lift can address the abdomen, hips, outer thighs, buttocks, and lower back.
Body lift surgery may be helpful after:
- Large weight loss
- Surgery for weight loss
- Body changes related to pregnancy
- Aging-related lower-body skin looseness
Because it is a larger surgery, recovery takes more time. The best candidates are usually in good health and at a stable weight.
Fat Transfer to the Body
With fat grafting, fat is removed from one area and placed in another. This procedure may improve contour or add volume using the patient’s own fat.
Common treatment areas include:
- Breast volume
- The buttocks
- Hips
- Facial soft tissue
- Surface irregularities after surgery or injury
Fat grafting uses your own tissue, but not all transferred fat survives. The result can shift over time, and some patients may need more than one session.
Skin Lesion, Scar, and Surface Treatments
Plastic surgery also includes treatments for the skin surface, scars, and soft tissue.
Surgical Scar Revision
The look or feel of a scar may be improved with scar revision. Scar revision cannot guarantee an erased scar, but it may make the scar less raised, tight, wide, or visible.
Scar revision may address:
- Surgical scars
- Injury-related scars
- Scars from burns
- Scars that feel thick
- Scars that limit comfort
- Movement-limiting scars
Scar treatment can include surgery, copyright injections, laser treatment, silicone therapy, or several methods together.
Plastic Surgery for Moles, Cysts, and Skin Lesions
Benign skin lesions, cysts, moles, and lumps may be removed by plastic surgeons when a precise closure is needed. A medical assessment may be needed for some lesions to rule out skin cancer.
Removal may be considered for:
- A lesion that gets irritated
- Noticeable growth
- Bleeding
- Concern about how it looks
- A need for diagnosis
- Physical comfort
Changing moles or suspicious skin lesions should be reviewed by a qualified medical professional.
Plastic Surgery After Skin Cancer
After skin cancer removal, reconstruction may be needed to close the area and restore appearance. This is common on the face, nose, eyelids, ears, lips, scalp, and hands.
Skin cancer reconstruction may involve:
- Simple direct closure
- A skin graft
- Reconstruction with local flaps
- Complex reconstruction
The aim is to remove the cancer safely and preserve function and appearance as much as possible.
Common Non-Surgical Cosmetic Options
Surgery is not needed for every patient. Early signs of aging, facial lines, volume loss, and skin quality concerns may be improved with non-surgical cosmetic treatments. Compared with surgery, non-surgical treatments often have less downtime but need maintenance.
BOTOX Cosmetic Treatments
Neuromodulators such as BOTOX reduce movement in selected facial muscles. They are often used for expression lines.
BOTOX and neuromodulators may treat:
- Lines between the eyebrows
- Lines across the forehead
- Lines at the outer corners of the eyes
- Bunny lines on the nose
- Chin dimpling
- Neck muscle bands in some situations
Neuromodulator results are temporary, so maintenance appointments are often part of the plan. Most patients want a softer, rested look rather than a frozen face.
Dermal Filler Treatments
Volume can be restored or added with dermal fillers. They are often made with hyaluronic acid, a gel-like substance that shapes and supports soft tissue.
Dermal fillers may treat:
- Lip enhancement
- Midface fullness
- Chin contour
- Lower-face contour
- Hollowing under the eyes
- Deeper smile lines
- Lines from the mouth corners toward the chin
Filler results depend on product choice, injection technique, facial anatomy, and treatment goals. Overfilling may look unnatural, so conservative planning is important.
Chemical Peels for Skin Texture and Tone
A chemical peel uses a controlled solution to improve the outer layers of skin.
Chemical peels may help with:
- Patchy skin tone
- Skin dullness
- Mild lines
- Sun damage
- Mild marks from acne
- Uneven texture
Peel strength can range from light to deeper treatments. Recovery depends on the type of peel.
Laser and Energy-Based Skin Treatments
These treatments may improve concerns such as uneven tone, redness, texture, hair growth, scars, and visible aging.
Patients may consider options such as:
- Laser resurfacing for texture
- IPL skin treatment
- RF skin treatments
- Energy-based skin tightening
- Laser-based hair reduction
- Vascular laser treatment for redness or broken vessels
These treatments should be matched to skin type, skin tone, and the concern being treated. This is especially important for patients with darker skin tones, where pigment changes can be a risk.
Dermabrasion vs. Microdermabrasion
Outer skin layers can be removed with dermabrasion, a deeper resurfacing procedure. Microdermabrasion is lighter and more surface-level.
Common concerns include:
- Uneven texture
- Mild scarring
- Tired-looking skin
- An uneven skin surface
- Early fine lines
The best treatment depends on the patient’s skin quality, goals, available downtime, and comfort with risk.
Choosing the Right Plastic Surgery Procedure
The right procedure should be chosen based on the concern, not just the procedure name. A patient may request one procedure, then find out that a different option fits their anatomy better.
For instance:
- A heavy upper eyelid look may come from extra eyelid skin, brow descent, or both.
- A soft jawline can come from loose skin, neck bands, fat, or chin position.
- Abdominal fullness may come from fat, loose skin, separated muscles, or internal weight.
- A flat breast appearance may require a lift, implants, fat grafting, or combined treatment.
- Under-eye bags may be caused by fat pads, hollowing, skin laxity, or pigmentation.
A good treatment plan should answer three questions:
- What is behind the concern?
- Which option is the best match for that cause?
- What must be accepted with that option?
Every procedure has trade-offs, which may include scars, downtime, swelling, cost, maintenance, and possible complications.
What Patients Often Worry About Before Surgery
Most patients have mixed feelings before plastic surgery. Excitement is common, but so are nerves. It is normal to worry about safety, pain, scars, recovery, cost, and natural-looking results.
“Will the Result Still Look Like Me?”
This is one of the most common patient concerns. Many patients want to look refreshed rather than changed. Natural-looking plastic surgery should respect your facial features, body frame, age, and personal style.
The goal is often to improve balance, not chase perfection.
“How Long Is the Recovery?”
Recovery depends on the procedure. Non-surgical treatments may require little or no downtime. Procedures such as tummy tuck, body lift, or mommy makeover usually need more recovery planning.
Patients should usually expect:
- Swelling and bruising
- Restrictions on exercise or lifting
- A break from work
- Appointments after surgery
- Scar management
- A staged return to physical activity
- Final results that take time to settle
The body needs time to heal. Many procedures look better over weeks and months.
“What Should I Know About Plastic Surgery Scars?”
A scar forms whenever an incision is made. A good plan places scars as carefully as possible and supports healing.
Scar healing depends on:
- Family scar tendencies
- Pigment response in the skin
- Surgical procedure type
- Where the incision is placed
- Wound tension
- Smoking or nicotine use
- Exposure to the sun
- How the scar is cared for
Most scars fade with time, but they do not fully disappear.
“What Should I Know About Plastic Surgery Safety?”
Every surgery has risk. Patients should understand possible risks such as bleeding, infection, poor scarring, anesthesia issues, asymmetry, delayed healing, numbness, fluid buildup, and dissatisfaction.
Safety is influenced by:
- Your health
- Medication use
- Smoking, vaping, or nicotine exposure
- The planned procedure
- Where the procedure takes place
- The anesthesia approach
- The surgeon’s skill, training, and experience
- Your post-operative care
A careful consultation should review benefits, risks, alternatives, and realistic expectations.
Plastic Surgery in Canada
In Canada, plastic surgery is regulated through medical licensing, provincial colleges, hospital systems, surgical facilities, and professional standards. Patients should not rely only on marketing terms, because recognized medical training matters.
Plastic Surgeon Credentials in Canada
When researching plastic surgery in Canada, patients should look for proper training and credentials. Plastic surgeons should be trained in medicine, surgery, and the specialty of plastic surgery.
Important consultation questions include:
- Do you have certification in plastic surgery?
- Are you licensed by the provincial medical college?
- Do you commonly perform this type of surgery?
- Where would my surgery be done?
- Who is responsible for anesthesia care?
- What are the risks for my specific case?
- Who do I contact if I have a complication?
- How many follow-up visits are included?
- Can I see examples of similar cases?
This is not about challenging the surgeon. It is about understanding your options.
Cost of Cosmetic Surgery in Canada
Cosmetic surgery costs can vary widely across Canada. Procedure complexity, surgeon experience, anesthesia, facility fees, implants or devices, garments, follow-up care, and location can all affect price.
In major Canadian cities such as Vancouver, Toronto, Calgary, Edmonton, Ottawa, and Montreal, fees may be higher because of overhead and demand. Costs may vary in smaller Canadian cities, but price should not outweigh safety, training, and follow-up care.
If a very low price means less attention to safety, training, facility standards, or aftercare, it can be a warning sign.
Medical Tourism for Plastic Surgery
Travelling abroad for lower-cost plastic surgery is something some Canadians consider. This may seem appealing, but there are added risks to consider.
Possible concerns with surgery abroad include:
- Limited post-surgery follow-up
- Long travel after surgery
- Infection-related complications
- Different health care standards
- Difficulty accessing medical records
- Difficulty managing complications back in Canada
- Communication barriers
- Revision surgery costs
Surgery closer to home can make follow-up care easier if swelling, healing concerns, or complications happen.
What to Bring to a Plastic Surgery Consultation
During a consultation, you can learn what is possible, what is safe, and what results are realistic. It should not feel rushed or high-pressure.
Before the visit, preparation can help:
- Write down the main concerns you want to discuss.
- Bring a list of your medications and supplements.
- Share your medical history.
- Do not hide smoking, vaping, cannabis, or nicotine use.
- Bring photos if they help explain your goals.
- Ask about recovery, scars, risks, and alternatives.
- Ask what result is realistic for your body or face.
A good consultation should include a clear discussion of options. Sometimes the best advice is to wait, choose a smaller treatment, improve health first, or avoid surgery altogether.
Good Candidates for Plastic Surgery
A good candidate is usually someone who is healthy, informed, and realistic. A good candidate understands that surgery may improve appearance, but it cannot create perfection or fix every life problem.
You may be ready for plastic surgery if:
- You have good general health
- You have a clear concern
- You are at a stable weight for body contouring
- You do not smoke, or you can stop before and after surgery
- You understand healing takes time
- You accept the risks and trade-offs
- The choice is based on your own goals
- Your goals are realistic
You may need to postpone surgery if you are pregnant, planning major weight loss, using nicotine, managing an unstable medical condition, or feeling pressured by someone else.
Combined Plastic Surgery Procedures
It may be safe to combine some procedures. In some cases, procedures should be separated into different surgeries. Combined surgery can reduce overall downtime, but it can also increase surgical time and recovery demands.
Common combinations include:
- Lower face and neck rejuvenation
- Eyelid surgery with brow lift
- Combining rhinoplasty and chin surgery
- Breast lift with breast augmentation
- Abdominoplasty with liposuction
- Breast and body procedures in a mommy makeover
- Body lift with thigh or arm contouring
- Fat grafting with facial surgery
The safest plan depends on health, procedure length, anesthesia, recovery support, and risk level.
Understanding Your Plastic Surgery Options in Canada
In Canada, plastic surgery covers a wide range of cosmetic and reconstructive options. Some options are designed to refine facial, breast, or body shape. Reconstructive options may repair tissue after cancer, injury, burns, or medical conditions. Non-surgical treatments can also help with wrinkles, volume loss, skin texture, and early aging changes.
The right procedure is not always the most popular option. A good procedure choice fits the patient’s anatomy, goals, health, and comfort level.
A good plan should focus on safety, natural-looking results, clear expectations, and proper follow-up care. For procedures such as eyelid surgery, rhinoplasty, breast augmentation, tummy tuck, liposuction, facelift surgery, or reconstructive plastic surgery, the first step is education about benefits and limits.