Breast Augmentation in Boston

The term mammoplasty covers several operations: augmentation (implants to increase volume), reduction (excess tissue and skin removed), mastopexy (a lift for sagging), reconstruction (after mastectomy) and correction of asymmetry. Which method is best is decided individually, from your wishes and the surgeon's advice.

Complications rarely happen when all recommendations are respected. Possible ones are hematoma or seroma, wound infection, reduced or increased sensitivity of the nipple, capsular contracture, aesthetic asymmetry, wound separation 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.

After mammoplasty, breastfeeding depends on the type of surgery. If augmentation uses an under-breast or armpit incision and the implant goes under the muscle, lactation is typically preserved because glandular tissue is not damaged. A lift or reduction has a higher risk since ducts may be cut. Discuss it with your surgeon before surgery.

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.

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.

Work without physical exertion can be resumed 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. Compression garments are worn for 4–6 weeks. Exact timing depends on how you recover.

Mammoplasty has not been scientifically shown to increase the risk of breast cancer, and implants do not cause it. Keep up regular screening after surgery (self-exams, mammography and ultrasound) and always mention your implants to the doctor examining you.

Mammoplasty after a C-section is an option, though the body should recover fully beforehand. Wait at least 6–12 months after delivery and after you finish breastfeeding. You will need a surgeon's consultation and check-up before surgery.

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.

It is normal to have slight asymmetry in the first weeks after surgery, because of swelling and uneven healing. If a difference in size or shape persists after 3–6 months, book an examination with your surgeon to find the cause.

Sensitivity in the nipples and breasts may shift temporarily after mammoplasty, decreasing or increasing, because the nerve endings are irritated. It returns within 3–12 months in most cases. If it has not improved after a year, go see your surgeon.

Implants are not directly influenced by hormonal drugs (contraceptives, hormone replacement therapy), yet swelling or breast tissue volume changes can result and temporarily affect appearance. Mention any such medications to your surgeon before surgery.