Breast Implants in Bukavu: Augmentation Surgery

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.

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Following all recommendations makes complications rare. Still, they may involve hematoma or seroma, infection of the wound, decreased or increased nipple sensitivity, capsular contracture, aesthetic asymmetry, wound separation and tissue necrosis.

The outcome of mammoplasty is long-lasting: about 10–15 years after augmentation (until implants are replaced) and 5–10 years after a lift or reduction. Its duration is influenced by weight, pregnancy, skin aging and gravity. Keep the result by wearing supportive underwear and managing your weight.

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.

Implants are chosen by material (silicone appears most natural, saline is used less frequently), shape (round or anatomical teardrop), surface (smooth or textured), size and profile. Your surgeon selects the option that best suits 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.

Most patients return to work (without physical exertion) after 7–14 days. Light walks are fine after 1–2 weeks. Fitness and swimming come 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 your recovery.

No scientific data suggest that mammoplasty increases breast cancer risk, and implants are not carcinogenic. After the operation, continue regular screening: self-examination, mammography and ultrasound. Always tell the doctor who examines you about your implants.

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.

Scarring is part of mammoplasty, but with an experienced surgeon it stays minimal. Incisions are hidden under the breast, around the areola or in the armpit. During the first months scars appear reddish; within 6–12 months they lighten and become 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.

Nipple and breast sensitivity can change temporarily after mammoplasty, either decreasing or increasing. It happens because nerve endings are irritated. Sensitivity usually returns within 3–12 months. If there is still no improvement after a year, consult your surgeon.

Implants are not directly affected by hormonal drugs (contraceptives, hormone replacement therapy), though these can cause swelling or changes in the volume of breast tissue and temporarily change appearance. Tell your surgeon about them before the operation.