Breast Augmentation for Patients from Bilimora

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.

If all recommendations are followed, complications are rare, but they may include hematoma or seroma, wound infection, reduced or increased nipple sensitivity, capsular contracture, aesthetic asymmetry, wound separation and tissue necrosis.

The results of mammoplasty are long-lasting: roughly 10–15 years after augmentation (until the implants are replaced) and 5–10 years after a lift or reduction. Weight, pregnancy, skin aging and gravity all influence how long they last. Wearing supportive underwear and managing your weight help maintain the result.

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.

Choosing an implant takes into account the material (silicone looks the most natural, saline is used less often), shape (round or anatomical teardrop), surface (smooth or textured), size and profile. Your surgeon will select the best option for your anatomy and wishes.

Because the operation is done under general anesthesia, the patient feels no pain. The first 1–3 days may bring moderate discomfort, eased with painkillers. By day 5–7 the pain is much milder, and by weeks 2–3 the discomfort disappears. Let your doctor know immediately if pain is severe.

After 7–14 days you can resume work, provided there is no physical exertion. Light walking after 1–2 weeks. Fitness and swimming after 4–6 weeks, and strength training after 3 months. Pool and sea after 4–6 weeks. Wear compression garments for 4–6 weeks. The exact schedule 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 leaves scars, yet a skilled surgeon makes them minimal. Incisions are made where they are hidden: under the breast, around the areola or in the armpit. Scars are reddish at first, and within 6–12 months they fade until they are almost invisible.

Slight asymmetry early on, in the first weeks after surgery, is normal and is due to swelling and uneven healing. If the difference in shape or size persists after 3–6 months, get examined by your surgeon to identify the cause.

Following mammoplasty, the nipples and breasts may temporarily become less or more sensitive. Irritated nerve endings are the cause. In most cases normal sensitivity returns within 3–12 months. With no improvement after a year, visit your surgeon.

Hormonal drugs (contraceptives, hormone replacement therapy) do not affect implants directly, but may cause swelling or changes in breast tissue volume, temporarily affecting appearance. Be sure to tell your surgeon about such medications before surgery.