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-muscular (Below Muscle) Implant Placement

Illustration showing the location of implants with retro-glandular and retro-muscular placementIf you are seeking to enhance the shape, size, and symmetry of your bust, Dr. Patricia Berbari and the team at Centre Chirurgical De La Capitale can use breast augmentation surgery to help achieve your goals. Dr. Berbari will work closely with you during the planning process to create a fully personalized treatment plan based on your unique desires. In addition to having your choice of silicone or saline breast implants, you will also be able to decide on whether the implants will be positioned above your pectoral muscle (retro-glandular) or below (retro-muscular).

Dr. Berbari often recommends below muscle implant placement for patients with naturally small breasts. When you visit our Gatineau plastic surgery practice for a consultation, we will review the unique benefits of each placement location to help determine the approach that will best achieve your goals. To schedule an appointment, contact our practice today.

Performing Below Muscle Implant Placement

Below muscle placement is available for both silicone and saline types of breast implants. After administering anesthesia and sedation as needed to keep you comfortable, Dr. Berbari will carefully create an incision into your breast tissue. Thanks to her outstanding skill, the resulting scar will be as discreet as possible. Next, she will lift and adjust your pectoral muscle to create room for the implant. The implant will then be positioned below the muscle and the incision will be closed.

Advantages of Below Muscle Implant Placement

Retro-muscular implant placement offers several benefits. Dr. Berbari may recommend below muscle implant placement because this technique:

  • Can provide a highly realistic result for women who have a small amount of natural breast tissue (typically those with a "B" cup or lower)
  • Results in less instances of capsular contracture, which occurs when scar tissue constricts around an implant
  • Minimizes the risk of visible rippling around implants
  • Minimizes the risk of implants shifting position over time
  • Works well when performed in combination with a breast lift

We can review the full advantages of this approach during your breast augmentation consultation.


Below muscle implant placement has helped millions of breast augmentation patients achieve their goals. However, there are some potential disadvantages involved:

  • Below muscle implant placement requires a more extensive surgical procedure than above muscle placement, and patients typically experience slightly longer recovery times.
  • Implants can appear warped when the pectoral muscles are flexed.
  • Implants can sit higher on the chest for the first several months following surgery until the pectoral muscle relaxes.
  • Depending on your muscular configuration and body type, there may be limits on the size of implants that can be used.

To help determine if below muscle implant placement may be right for you, Dr. Berbari will examine your breasts, review your medical records, and discuss your preferred implant and incision type.

Schedule an Appointment to Learn More

Breast augmentation with below muscle implant placement can help you achieve the full, shapely bust that you desire. To learn more about below muscle implant placement, schedule a consultation with Dr. Berbari today.

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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