Augmentation Mammoplasty in Kikolo

Mammoplasty brings together several procedures: augmentation (implants to add volume), reduction (removal of surplus tissue and skin), mastopexy (lift for sagging breasts), reconstruction (after mastectomy) and asymmetry correction. The most suitable method is selected individually, guided by your wishes and the surgeon's advice.

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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.

Your ability to breastfeed after mammoplasty depends on the surgery type. For augmentation using an under-breast or armpit incision and an implant placed under the muscle, lactation is usually preserved: the glandular tissue is not damaged. A lift or reduction raises the risk, as ducts may be cut. Discuss this with your surgeon ahead of time.

Implant choice considers material (silicone looks most natural, saline is used less often), shape (round or anatomical teardrop), surface (smooth or textured), size and profile. The surgeon will choose the best option for your anatomy and wishes.

During the operation the patient is under general anaesthesia and feels nothing at all. For the first 1–3 days there may be moderate discomfort, relieved by painkillers. By day 5–7 pain is much lower, and by weeks 2–3 discomfort passes. Report severe pain to your doctor straight away.

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 basis for saying mammoplasty raises breast cancer risk. Implants do not cause cancer. Post-surgery, maintain regular screening with self-exams, mammography and ultrasound, and always inform the examining doctor that you have implants.

Mammoplasty after a C-section is possible, but only once your body has fully recovered. Allow at least 6–12 months after giving birth and after breastfeeding stops. A consultation and check-up with a surgeon are required before surgery.

Mammoplasty does leave scars, but in the hands of a skilled surgeon they are minimal. Incisions are placed in hidden areas: under the breast, around the areola or in the armpit. Scars look reddish in the first months, yet within 6–12 months they fade and become nearly invisible.

A little asymmetry in the early weeks after the operation is normal, due to swelling and uneven healing. If the shape or size still differs after 3–6 months, have your surgeon examine you to determine 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.

Although hormonal drugs (contraceptives, hormone replacement therapy) have no direct impact on implants, they can produce swelling or changes in breast tissue volume, temporarily affecting appearance. Be sure your surgeon knows about such medications before surgery.