Breast Augmentation with Implants in Kira

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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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.

Mammoplasty gives a lasting result: around 10–15 years after augmentation (up to implant replacement) and 5–10 years after a lift or reduction. How long it holds depends on weight, pregnancy, skin aging and gravity. To keep the result, wear supportive underwear and keep your weight under control.

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.

Implants are chosen by material (silicone appears most natural, saline is used less frequently), shape (round or anatomical teardrop), surface (smooth or textured), size and profile. Your surgeon selects the option that best suits your anatomy and wishes.

During the operation the patient is under general anesthesia 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.

You can return to work (without physical exertion) after 7–14 days. 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. Wear compression garments for 4–6 weeks. Exact 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 is possible after a C-section once your body has completely recovered. Leave at least 6–12 months after childbirth and after breastfeeding has ended. Surgery requires a prior consultation and check-up by the surgeon.

Mammoplasty always leaves scars, though with a skilled surgeon they are minimal. The incisions are hidden under the breast, around the areola or in the armpit. Scars are reddish in the early months but fade within 6–12 months and become almost 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.

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) do not affect implants directly, but may cause swelling or changes in breast tissue volume, temporarily affecting appearance. Be sure to tell your surgeon about such medications before surgery.