Augmentation Mammoplasty in Hoji ya Henda

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.

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Complications rarely happen when all recommendations are respected. Possible ones are hematoma or seroma, wound infection, reduced or increased sensitivity of the nipple, capsular contracture, aesthetic asymmetry, wound separation and tissue necrosis.

Mammoplasty results last a long time: about 10–15 years after augmentation (until implant replacement) and 5–10 years after a lift or reduction. Weight, pregnancy, skin aging and gravity affect how long it lasts. To maintain the result, wear supportive underwear and control your weight.

Breastfeeding after mammoplasty depends on the procedure. Augmentation through an under-breast or armpit incision with a submuscular implant usually keeps lactation intact, since glandular tissue is not damaged. With a lift or reduction the risk is higher, because ducts may be cut. Be sure to discuss this with your surgeon in advance.

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.

The operation is done under general anaesthesia, so the patient feels nothing. Over the first 1–3 days moderate discomfort may occur and is eased with painkillers. By day 5–7 pain drops noticeably, and by weeks 2–3 the discomfort has gone. If the pain is severe, let your doctor know at once.

Work (without physical strain) is possible after 7–14 days. Gentle walks after 1–2 weeks. Fitness and swimming after 4–6 weeks, strength workouts after 3 months. The pool and sea after 4–6 weeks. Compression garments are needed for 4–6 weeks. Exact dates depend on how your recovery goes.

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.

A C-section does not rule out mammoplasty, but full recovery of the body must come first. Wait 6–12 months or more after giving birth and after you stop breastfeeding. Before surgery, you must have a surgeon's consultation and check-up.

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.

Some slight asymmetry during the first weeks after surgery is expected, caused by swelling and uneven healing. Should a difference in shape or size persist after 3–6 months, visit your surgeon to be examined and find out why.

Sensitivity in the nipples and breasts may shift temporarily after mammoplasty, decreasing or increasing, because the nerve endings are irritated. It returns within 3–12 months in most cases. If it has not improved after a year, go see your surgeon.

Hormonal medications (contraceptives, hormone replacement therapy) do not act on implants directly, yet they may lead to swelling or shifts in breast tissue volume that affect the look for a while. Make sure your surgeon knows about them before surgery.