Breast Augmentation for Patients from Belgrade

Mammoplasty spans several procedures: augmentation (enlargement with implants), reduction (excess tissue and skin are removed), mastopexy (lift of sagging breasts), reconstruction (after mastectomy) and asymmetry correction. The ideal method is chosen for you individually, taking into account your wishes and the surgeon's advice.

Complications are rare when recommendations are fully followed, yet they can include hematoma or seroma, wound infection, reduced or increased nipple sensitivity, capsular contracture, aesthetic asymmetry, separation of the wound and tissue necrosis.

A mammoplasty result lasts a long time, about 10–15 years after augmentation (until implants need replacing) and 5–10 years after a lift or reduction. Its longevity is affected by weight, pregnancy, skin aging and gravity. Supportive underwear and weight control help preserve it.

Breastfeeding after mammoplasty varies with the type of surgery. Lactation is usually preserved after augmentation through an under-breast or armpit incision with the implant under the muscle, because glandular tissue is not injured. After a lift or reduction there is more risk, since ducts may be cut. Discuss this in advance with your surgeon.

When choosing implants, the factors are material (silicone looks most natural, saline is used less often), shape (round or anatomical teardrop), surface (smooth or textured), size and profile. The surgeon will find the best option for your anatomy and preferences.

The surgery itself is performed under general anesthesia — the patient feels nothing. In the first 1–3 days moderate discomfort is possible and is relieved with painkillers. By day 5–7 pain decreases significantly, and by weeks 2–3 discomfort is gone. If pain is severe, tell your doctor right away.

You can return to work (without physical exertion) after 7–14 days. Light walks after 1–2 weeks. Fitness and swimming after 4–6 weeks, strength training after 3 months. Pool and sea after 4–6 weeks. Wear compression garments for 4–6 weeks. Exact timing depends on your recovery.

Mammoplasty is not linked by scientific evidence to an increased breast cancer risk, and implants do not cause cancer. After surgery, keep doing regular screening: self-exams, mammography and ultrasound. Tell any examining doctor about your implants every time.

After a C-section, mammoplasty can be done once the body has fully healed. At least 6–12 months should pass after delivery and after breastfeeding ends. A consultation and examination by a surgeon are required before the operation.

Mammoplasty always leaves scars, though with a skilled surgeon they are minimal. The incisions are hidden under the breast, around the areola or in the armpit. Scars are reddish in the early months but fade within 6–12 months and become almost invisible.

Mild asymmetry in the first weeks after surgery is normal and results from swelling and uneven healing. If a difference in shape or size remains after 3–6 months, see your surgeon for an examination to identify the cause.

After mammoplasty, nipple and breast sensitivity may change temporarily — decrease or increase. The cause is irritation of nerve endings. In most cases sensitivity returns within 3–12 months. If there is no improvement after a year, see your surgeon.

Hormonal medicines (contraceptives, hormone replacement therapy) do not directly affect implants but may trigger swelling or changes in breast tissue volume, which temporarily affects appearance. You must tell your surgeon about such drugs before the operation.