Mammoplasty in Bursa: Implants and Price

Mammoplasty is an umbrella for several procedures: augmentation (increasing volume with implants), reduction (taking away excess tissue and skin), mastopexy (lifting sagging breasts), reconstruction (after mastectomy) and asymmetry correction. Your wishes and the surgeon's advice determine the best individual method.

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.

Mammoplasty results are durable: about 10–15 years following augmentation (until implant replacement) and 5–10 years following a lift or reduction. Weight, pregnancy, aging skin and gravity influence how long the effect lasts. Maintain it by wearing supportive underwear and watching your weight.

Whether breastfeeding remains possible after mammoplasty depends on the type of operation. With augmentation via an under-breast or armpit incision and the implant beneath the muscle, lactation is usually preserved, as the glandular tissue is spared. After a lift or reduction the risk is higher because ducts may be cut. Talk it through with your surgeon beforehand.

Selecting an implant means weighing material (silicone looks the most natural, saline is less often used), shape (round or anatomical teardrop), surface (smooth or textured), size and profile. The surgeon then chooses the optimal option for your anatomy and wishes.

During the operation the patient is under general anesthesia and feels nothing at all. For the first 1–3 days there may be moderate discomfort, relieved by painkillers. By day 5–7 pain is much lower, and by weeks 2–3 discomfort passes. Report severe pain to your doctor straight away.

You may go back to work (with no physical exertion) after 7–14 days, take light walks after 1–2 weeks, and do fitness and swimming after 4–6 weeks. Strength training is allowed after 3 months, pool and sea after 4–6 weeks. Compression garments stay on for 4–6 weeks. 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.

It is possible to have mammoplasty after a C-section, provided the body has recovered fully. Wait no less than 6–12 months after birth and after finishing breastfeeding. A surgeon's consultation and examination are needed before the operation.

Scars after mammoplasty are unavoidable, but with a skilled surgeon they stay minimal. Incisions are made in hidden places, namely under the breast, around the areola or in the armpit. Scars look reddish during the first months, but within 6–12 months they fade to 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.

Mammoplasty may temporarily alter the sensitivity of the nipples and breasts, making it lower or higher. This is caused by irritated nerve endings. In most cases it recovers within 3–12 months. If you see no improvement after a year, contact your surgeon.

Hormonal drugs (contraceptives, hormone replacement therapy) have no direct effect on implants, but they can cause swelling or changes in breast tissue volume that temporarily alter appearance. Always tell your surgeon about such medications before surgery.