Breast Surgery with Implants in Leipzig

The term mammoplasty covers several operations: augmentation (implants to increase volume), reduction (excess tissue and skin removed), mastopexy (a lift for sagging), reconstruction (after mastectomy) and correction of asymmetry. Which method is best is decided individually, from your wishes and the surgeon's advice.

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.

The effect of mammoplasty lasts for years: about 10–15 years after augmentation (until the implants are replaced) and 5–10 years after a lift or reduction. Duration depends on weight, pregnancy, skin aging and gravity. Supportive underwear and a stable weight help the result last.

The ability to breastfeed after mammoplasty depends on the type of operation. With augmentation through an under-breast or armpit incision and a submuscular implant, lactation usually remains, because the glandular tissue is not harmed. After a lift or reduction the risk is greater, as ducts may be cut. Raise this with your surgeon ahead of time.

Several things guide implant choice: material (silicone looks most natural, saline is used less often), shape (round or anatomical teardrop), surface (smooth or textured), size and profile. The surgeon selects the best match for your anatomy and wishes.

The surgery itself is performed under general anesthesia — the patient feels nothing. In the first 1–3 days moderate discomfort is possible and is relieved with painkillers. By day 5–7 pain decreases significantly, and by weeks 2–3 discomfort is gone. If pain is severe, tell your doctor right 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 evidence that mammoplasty increases breast cancer risk. Implants do not cause cancer. After surgery, keep up regular screening — self-exams, mammography and ultrasound. Always tell the examining doctor about your implants.

A C-section does not rule out mammoplasty, but full recovery of the body must come first. Wait 6–12 months or more after giving birth and after you stop breastfeeding. Before surgery, you must have a surgeon's consultation and check-up.

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 soon after surgery is normal during the first weeks and is caused by swelling and uneven healing. If shape or size remains different after 3–6 months, your surgeon should examine you to establish the cause.

A temporary decrease or increase in nipple and breast sensitivity is possible after mammoplasty, caused by irritated nerve endings. Most of the time sensitivity returns within 3–12 months. If it has not improved after one year, see your surgeon.

Hormonal drugs such as contraceptives and hormone replacement therapy do not influence implants directly. They may, however, cause swelling or breast tissue volume changes that temporarily affect how the breasts look. Inform your surgeon of these medications before surgery.