Breast Augmentation with Implants in Los Angeles

There are several types of mammoplasty: augmentation (bigger volume with implants), reduction (removal of excess tissue and skin), mastopexy (a lift for sagging), reconstruction (after mastectomy) and correction of asymmetry. The best approach is chosen individually, considering your wishes and the surgeon's recommendation.

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.

Breastfeeding after mammoplasty depends on which surgery was done. When augmentation is performed through an under-breast or armpit incision and the implant sits under the muscle, lactation is usually kept, as the glandular tissue stays intact. With a lift or reduction the risk rises, because ducts may be cut. Discuss this with your surgeon in advance.

Implant choice is based on material (silicone gives the most natural appearance, saline is used more rarely), shape (round or anatomical teardrop), surface (smooth or textured), size and profile. Your surgeon will pick the best one for your anatomy and goals.

The surgery is carried out under general anesthesia, and the patient feels nothing. Moderate discomfort is possible during the first 1–3 days and is relieved by pain medication. Pain falls significantly by day 5–7, and by weeks 2–3 discomfort is over. If you have severe pain, tell your doctor at once.

Most patients return to work (without physical exertion) after 7–14 days. Light walks are fine after 1–2 weeks. Fitness and swimming come after 4–6 weeks, strength training after 3 months, pool and sea after 4–6 weeks. Compression garments are worn for 4–6 weeks. Exact 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.

Mammoplasty after a C-section is possible, but your body must fully recover first. Wait at least 6–12 months after giving birth and after breastfeeding ends. A surgeon's consultation and check-up are required before surgery.

There are scars after mammoplasty, though a skilled surgeon keeps them minimal. The incisions go in discreet areas, such as under the breast, around the areola or in the armpit. Early on the scars are reddish, but over 6–12 months they fade and are almost unnoticeable.

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.

After mammoplasty, nipple and breast sensitivity may change temporarily — decrease or increase. The cause is irritation of nerve endings. In most cases sensitivity returns within 3–12 months. If there is no improvement after a year, see your surgeon.

Implants are not directly influenced by hormonal drugs (contraceptives, hormone replacement therapy), yet swelling or breast tissue volume changes can result and temporarily affect appearance. Mention any such medications to your surgeon before surgery.