Breast Enlargement Surgery in Bremen

Mammoplasty includes several procedures: augmentation (adding volume with implants), reduction (removing excess tissue and skin), mastopexy (lifting sagging breasts), reconstruction (after mastectomy) and asymmetry correction. The optimal method is selected individually, based on your wishes and the surgeon's recommendation.

Complications are uncommon if every recommendation is followed, but possible ones include hematoma or seroma, wound infection, lower or higher 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.

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.

In choosing implants, the surgeon considers material (silicone looks most natural, saline is less common), shape (round or anatomical teardrop), surface (smooth or textured), size and profile, and selects the best option for your anatomy and wishes.

Surgery takes place under general anesthesia, and the patient feels no pain. Moderate discomfort is possible in the first 1–3 days and is managed with painkillers. Pain eases considerably by day 5–7 and discomfort disappears by weeks 2–3. Tell your doctor 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.

There is no scientific basis for saying mammoplasty raises breast cancer risk. Implants do not cause cancer. Post-surgery, maintain regular screening with self-exams, mammography and ultrasound, and always inform the examining doctor that you have implants.

You can have mammoplasty after a C-section, though your body needs to recover completely first. Wait a minimum of 6–12 months after childbirth and the end of breastfeeding. Before surgery, a surgeon's consultation and examination are mandatory.

Mammoplasty does leave scars, but in the hands of a skilled surgeon they are minimal. Incisions are placed in hidden areas: under the breast, around the areola or in the armpit. Scars look reddish in the first months, yet within 6–12 months they fade and become nearly 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.

Temporary changes in nipple and breast sensitivity, reduced or heightened, can occur after mammoplasty. The reason is irritation of nerve endings. For most patients sensitivity comes back within 3–12 months. If a year passes without improvement, see your surgeon.

Although hormonal drugs (contraceptives, hormone replacement therapy) have no direct impact on implants, they can produce swelling or changes in breast tissue volume, temporarily affecting appearance. Be sure your surgeon knows about such medications before surgery.