We missed you! As of June 1 2020, we will be reopening the doors of the CCCPB surgical center and the MedicSPA.




Dr. Berbari and her team prioritize patient and staff safety. Please familiarize yourself with these new procedures:


          Services will gradually resume from June 1 2020, respecting the social distancing guidelines issued by Public Health.


          Long-term follow-ups will resume as of June 22 2020 and will be carried out by telemedicine. Appointments will be given after July 6 2020 as needed.





           We have extended the time slots (fewer appointments per day) to give our employees time to disinfect the rooms between each patient.

           According to the above policies and dates, the contactless payment method will be favoured when making an appointment. Our staff will take your credit card number and the receipt will be emailed to you.

           You will then be invited to answer a COVID-19 questionnaire when booking the appointment (whether it is by email or by phone).

           N.B. follow-up appointments: we will contact you for follow-ups, as visits are now restricted to avoid contamination.



           Please show up on time out of respect for other patients.

           Once you arrive in the clinic parking lot, please announce your arrival by phone (819-243-7667).

           A member of our team will welcome you in the doorway for an evaluation (questionnaire, temperature, mask, hydro alcoholic gel).

           N.B .: Only patients will have access to the clinic, anyone else must remain in the parking lot.



          You will be taken directly to the treatment room.

          We opened door A for the aesthetic care (laser, radiofrequency, PRP etc.) of the MedicSPA and door B for surgery appointments and injections.

          After the appointment, you will be accompanied to the exit by a member of the team.


An explanatory video will be available on social media (@medicspa.gatineau on FACEBOOK and INSTAGRAM) and the website (drpatriciaberbari.com) on May 29 2020, to summarize these new procedures.


When interacting with our staff, understand that they have received strict directives, we ask you to respect them for your safety.

Retro-glandular (Above Muscle) Implant Placement

Illustration showing the location of implants with retro-glandular and retro-muscular placement

Dr. Patricia Berbari and our team offer breast augmentation surgery to help you experience a fuller, more attractive bust. When planning your procedure, there are several aspects that will be customized based on your goals. In addition to choosing between silicone and saline breast implants, you will also have the choice between retro-glandular (above the pectoral muscle) and retro-muscular (below the pectoral muscle) implant placement. We will review the unique advantages of below muscle and above muscle implant placement during your breast augmentation consultation at our Gatineau practice to determine the approach that is right for you. To schedule an appointment, contact our practice today.

Performing Above Muscle Implant Placement

No matter which placement location you select, Dr. Berbari will begin your procedure by providing sedation and anesthesia to ensure your comfort. She will then create incisions in your breast tissue. Dr. Berbari can use a number of different incision techniques based on your needs, and her exceptional surgical skill will help to minimize the appearance of resulting scars. After creating the incisions, she will insert your implants and position them below glandular tissue but above your pectoral muscle. She will complete the procedure by closing and cleaning your incisions.

Benefits of Above Muscle Implant Placement

This surgical technique offers numerous advantages. Many patients choose above muscle implant placement because this approach:

  • Typically allows for simpler surgery since the pectoral muscle does not need to be modified
  • Often leads to a shorter recovery period, allowing patients to get back to work, school, and other activities more quickly
  • Can provide extremely natural-looking results, so long as patients have adequate breast tissue to properly disguise the implants (below muscle implant placement may be more ideal for patients with smaller natural breasts)
  • Allows implants to better maintain their shape since they will not be affected when pectoral muscles are flexed
  • Can usually accommodate larger implants than below muscle implant placement
  • Can create cleavage more easily than below muscle placement since implants can be positioned in closer proximity to each other

During your initial breast augmentation consultation, Dr. Berbari will help determine the implant placement technique that is best-suited for you. The type of implant selected and the incision being performed will also factor into this decision.


Breast augmentation with above muscle implant placement — like all surgical procedures — involves some degree of risk. When compared to retro-muscular implant placement, patients who undergo above muscle breast implant placement face a higher risk of:

  • Visible rippling around the implants
  • Sagging breast tissue
  • Capsular contracture (tightening of scar tissue around an implant)
  • Complications with future breast lifts

Dr. Berbari will thoroughly review the risks associated with above muscle implant placement and explain the steps we take to minimize them.

Schedule an Appointment to Learn More

At Centre Chirurgical De La Capitale, we will design a fully individualized breast augmentation treatment plan based on your unique goals. Schedule a consultation with Dr. Berbari today to learn more about breast augmentation with above muscle implant placement.

Centre Chirurgical De La Capitale

Dr. Patricia Berbari offers plastic and cosmetic surgery procedures to treat a variety of conditions. Our board-certified plastic surgeon is affiliated with a number of medical societies including:

  • Royal College of Physicians and Surgeons of Canada
  • Canadian Laser and Aesthetic Specialists Society
  • International Society of Aesthetic Plastic Surgery

To schedule a consultation, call us at (819) 243-7667 or contact us online today!

Contact Us Today

Dr. Berbari is an excellent doctor - the best there is. Carol, Plastic Surgery Patient

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Gatineau Office

555 Boulevard de la Gappe
Gatineau, QC J8T 8N7

Open Today 8:30am - 6:00pm

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