Breast Augmentation for Patients from Jinja

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.

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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.

Results after mammoplasty last a long while: about 10–15 years for augmentation (until implant replacement) and 5–10 years for a lift or reduction. Weight changes, pregnancy, skin aging and gravity affect their duration. To maintain the result, choose 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 surgery is carried out under general anesthesia, and the patient feels nothing. Moderate discomfort is possible during the first 1–3 days and is relieved by pain medication. Pain falls significantly by day 5–7, and by weeks 2–3 discomfort is over. If you have severe pain, tell your doctor at once.

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.

Scientific evidence does not show that mammoplasty increases breast cancer risk. Implants do not lead to cancer. After surgery, stay on top of regular screening through self-exams, mammography and ultrasound. Always let the examining doctor know you have 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 result in scars, but a skilled surgeon keeps them minimal. Incisions are made in areas that are out of sight: under the breast, around the areola or in the armpit. At first scars are reddish, and within 6–12 months they fade and become nearly invisible.

During the first weeks after the operation, slight asymmetry is normal, since swelling and healing are uneven. If a size or shape difference continues after 3–6 months, see your surgeon for an exam to find its 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.

Implants are not directly affected by hormonal drugs (contraceptives, hormone replacement therapy), though these can cause swelling or changes in the volume of breast tissue and temporarily change appearance. Tell your surgeon about them before the operation.