Augmentation Mammoplasty in Brazzaville

Mammoplasty covers several procedures: augmentation (increasing volume with implants), reduction (removing excess tissue and skin), mastopexy (lift for sagging), reconstruction (after mastectomy) and asymmetry correction. The best method is chosen individually based on your wishes and the surgeon's advice.

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When all recommendations are followed, complications are rare. They can include hematoma or seroma, wound infection, reduced or heightened nipple sensitivity, capsular contracture, aesthetic asymmetry, wound separation and tissue necrosis.

The effect of mammoplasty lasts for years: about 10–15 years after augmentation (until the implants are replaced) and 5–10 years after a lift or reduction. Duration depends on weight, pregnancy, skin aging and gravity. Supportive underwear and a stable weight help the result last.

The ability to breastfeed after mammoplasty depends on the type of operation. With augmentation through an under-breast or armpit incision and a submuscular implant, lactation usually remains, because the glandular tissue is not harmed. After a lift or reduction the risk is greater, as ducts may be cut. Raise this with your surgeon ahead of time.

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 anaesthesia — 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.

Scientific evidence does not show that mammoplasty increases breast cancer risk. Implants do not lead to cancer. After surgery, stay on top of regular screening through self-exams, mammography and ultrasound. Always let the examining doctor know you have implants.

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.

Scars do remain after mammoplasty, but a skilled surgeon keeps them to a minimum. Incisions are placed in hidden zones: beneath the breast, around the areola or in the armpit. The scars are reddish for the first months and fade within 6–12 months to become almost invisible.

A little asymmetry in the early weeks after the operation is normal, due to swelling and uneven healing. If the shape or size still differs after 3–6 months, have your surgeon examine you to determine 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.