Breast Augmentation in Freetown from $4,700 (≈ SLE 120,000)

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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As long as all recommendations are kept, complications are rare. Among the possible ones: hematoma or seroma, wound infection, reduced 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.

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.

Because the operation is done under general anesthesia, the patient feels no pain. The first 1–3 days may bring moderate discomfort, eased with painkillers. By day 5–7 the pain is much milder, and by weeks 2–3 the discomfort disappears. Let your doctor know immediately if pain is severe.

A return to work (no physical exertion) is possible after 7–14 days. Easy walks from 1–2 weeks. Fitness and swimming from 4–6 weeks; strength training from 3 months. Pool and sea from 4–6 weeks. Compression garments for 4–6 weeks. Precise timing depends on your individual 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.

Mammoplasty is possible after a C-section once your body has completely recovered. Leave at least 6–12 months after childbirth and after breastfeeding has ended. Surgery requires a prior consultation and check-up by the surgeon.

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 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.

Hormonal drugs (contraceptives, hormone replacement therapy) do not affect implants directly, but may cause swelling or changes in breast tissue volume, temporarily affecting appearance. Be sure to tell your surgeon about such medications before surgery.