Breast Implants in Jakarta: Augmentation Surgery

Several procedures fall under mammoplasty: augmentation (volume increase with implants), reduction (excision of extra tissue and skin), mastopexy (lift of sagging breasts), reconstruction (after mastectomy) and asymmetry correction. The right method is chosen for each patient according to her wishes and the surgeon's advice.

With every recommendation followed, complications seldom occur, though they can include hematoma or seroma, wound infection, reduced or increased nipple sensitivity, capsular contracture, aesthetic asymmetry, wound separation and tissue necrosis.

A mammoplasty result lasts a long time, about 10–15 years after augmentation (until implants need replacing) and 5–10 years after a lift or reduction. Its longevity is affected by weight, pregnancy, skin aging and gravity. Supportive underwear and weight control help preserve it.

Breastfeeding after mammoplasty varies with the type of surgery. Lactation is usually preserved after augmentation through an under-breast or armpit incision with the implant under the muscle, because glandular tissue is not injured. After a lift or reduction there is more risk, since ducts may be cut. Discuss this in advance with your surgeon.

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.

Surgery takes place under general anesthesia, and the patient feels no pain. Moderate discomfort is possible in the first 1–3 days and is managed with painkillers. Pain eases considerably by day 5–7 and discomfort disappears by weeks 2–3. Tell your doctor immediately if pain is severe.

After 7–14 days you can resume work, provided there is no physical exertion. Light walking after 1–2 weeks. Fitness and swimming after 4–6 weeks, and strength training after 3 months. Pool and sea after 4–6 weeks. Wear compression garments for 4–6 weeks. The exact schedule depends on your recovery.

There is no scientific proof linking mammoplasty to a higher breast cancer risk. Implants do not cause cancer. Continue regular screening after surgery, including self-exams, mammography and ultrasound, and always inform 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.

Scars do remain after mammoplasty, but a skilled surgeon keeps them to a minimum. Incisions are placed in hidden zones: beneath the breast, around the areola or in the armpit. The scars are reddish for the first months and fade within 6–12 months to 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.

Following mammoplasty, the nipples and breasts may temporarily become less or more sensitive. Irritated nerve endings are the cause. In most cases normal sensitivity returns within 3–12 months. With no improvement after a year, visit your surgeon.

Hormonal medicines (contraceptives, hormone replacement therapy) do not directly affect implants but may trigger swelling or changes in breast tissue volume, which temporarily affects appearance. You must tell your surgeon about such drugs before the operation.