Breast Augmentation with Implants in Libreville

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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Complications are uncommon if every recommendation is followed, but possible ones include hematoma or seroma, wound infection, lower or higher nipple sensitivity, capsular contracture, aesthetic asymmetry, wound separation and tissue necrosis.

Mammoplasty results are durable: about 10–15 years following augmentation (until implant replacement) and 5–10 years following a lift or reduction. Weight, pregnancy, aging skin and gravity influence how long the effect lasts. Maintain it by wearing supportive underwear and watching your weight.

Breastfeeding after mammoplasty depends on the type of surgery. With augmentation through an under-breast or armpit incision and the implant placed under the muscle, lactation is usually preserved — the glandular tissue is not damaged. After a lift or reduction the risk is higher because ducts may be cut. Discuss this with your surgeon in advance.

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 (without physical strain) is possible after 7–14 days. Gentle walks after 1–2 weeks. Fitness and swimming after 4–6 weeks, strength workouts after 3 months. The pool and sea after 4–6 weeks. Compression garments are needed for 4–6 weeks. Exact dates depend on how your recovery goes.

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.

After a caesarean section, mammoplasty is possible once full recovery is complete. At least 6–12 months must pass after the birth and after breastfeeding ends. A surgeon's consultation and check-up must take place before surgery.

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.

Slight asymmetry early on, in the first weeks after surgery, is normal and is due to swelling and uneven healing. If the difference in shape or size persists after 3–6 months, get examined by your surgeon to identify 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.

Hormonal medicines (contraceptives, hormone replacement therapy) do not directly affect implants but may trigger swelling or changes in breast tissue volume, which temporarily affects appearance. You must tell your surgeon about such drugs before the operation.