Breast Implants in Essen: Augmentation Surgery

Under mammoplasty come several procedures: augmentation (increasing volume using implants), reduction (excess tissue and skin removal), mastopexy (lifting for sagging), reconstruction (after mastectomy) and correcting asymmetry. The surgeon's advice and your wishes guide an individual choice of the best method.

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.

Breastfeeding after mammoplasty is determined by the type of surgery. Augmentation through an under-breast or armpit incision, with the implant under the muscle, usually preserves lactation, since the glandular tissue is left undamaged. The risk is higher after a lift or reduction because ducts may be cut. Talk to your surgeon about it in advance.

Implant selection considers material (silicone gives the most natural look; saline is less common), shape (round or anatomical teardrop), surface (smooth or textured), size and profile. The surgeon picks the best fit for your anatomy and wishes.

The patient feels nothing during surgery, which is performed under general anesthesia. Moderate discomfort in the first 1–3 days is possible and is treated with painkillers. By day 5–7 the pain is greatly reduced, and by weeks 2–3 no discomfort remains. With severe pain, contact your doctor immediately.

Work is possible after 7–14 days, as long as it involves no physical exertion. Take 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. Timing depends on your recovery.

There is no scientific evidence that mammoplasty increases breast cancer risk. Implants do not cause cancer. After surgery, keep up regular screening — self-exams, mammography and ultrasound. Always tell the examining doctor 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.

Mammoplasty does leave scars, but with a skilled surgeon they are minimal. Incisions are made in hidden areas — under the breast, around the areola or in the armpit. In the first months scars are reddish, but within 6–12 months they fade and become almost invisible.

Mild asymmetry soon after surgery is normal during the first weeks and is caused by swelling and uneven healing. If shape or size remains different after 3–6 months, your surgeon should examine you to establish the cause.

Breast and nipple sensitivity may change for a time after mammoplasty, going down or up. The cause lies in irritation of nerve endings. In the majority of cases sensitivity is restored within 3–12 months. If nothing has improved after a year, consult your surgeon.

There is no direct effect of hormonal drugs (contraceptives, hormone replacement therapy) on implants, but swelling or changes in breast tissue volume may occur and temporarily affect appearance. Let your surgeon know about these medications before surgery.