Breast Surgery with Implants in Kinshasa

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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Complications are rare when recommendations are fully followed, yet they can include hematoma or seroma, wound infection, reduced or increased nipple sensitivity, capsular contracture, aesthetic asymmetry, separation of the wound 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.

Whether breastfeeding remains possible after mammoplasty depends on the type of operation. With augmentation via an under-breast or armpit incision and the implant beneath the muscle, lactation is usually preserved, as the glandular tissue is spared. After a lift or reduction the risk is higher because ducts may be cut. Talk it through with your surgeon beforehand.

In choosing implants, the surgeon considers material (silicone looks most natural, saline is less common), shape (round or anatomical teardrop), surface (smooth or textured), size and profile, and selects the best option for your anatomy and wishes.

The patient feels nothing during surgery, which is performed under general anesthesia. Moderate discomfort in the first 1–3 days is possible and is treated with painkillers. By day 5–7 the pain is greatly reduced, and by weeks 2–3 no discomfort remains. With severe pain, contact your doctor immediately.

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.

Science offers no evidence that mammoplasty increases breast cancer risk. Implants are not a cause of cancer. After the operation, keep having regular screening: self-exams, mammography and ultrasound. Make sure the examining doctor always knows about your implants.

You can have mammoplasty after a C-section, though your body needs to recover completely first. Wait a minimum of 6–12 months after childbirth and the end of breastfeeding. Before surgery, a surgeon's consultation and examination are mandatory.

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.

Slight asymmetry is normal in the first weeks after surgery and comes from swelling and uneven healing. When a difference in shape or size lasts beyond 3–6 months, visit your surgeon for an examination to pinpoint 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 drugs (contraceptives, hormone replacement therapy) have no direct effect on implants, but they can cause swelling or changes in breast tissue volume that temporarily alter appearance. Always tell your surgeon about such medications before surgery.