Breast Augmentation with Implants in Málaga

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.

If all recommendations are followed, complications are rare, but they may include hematoma or seroma, wound infection, reduced or increased nipple sensitivity, capsular contracture, aesthetic asymmetry, wound separation and tissue necrosis.

Mammoplasty results hold for a long time, roughly 10–15 years after augmentation (up until implant replacement) and 5–10 years after a lift or reduction. Weight, pregnancy, the aging of skin and gravity play a role in duration. Supportive underwear and weight control help maintain the result.

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.

The choice of implant looks at material (silicone looks most natural, while saline is used less often), shape (round or anatomical teardrop), surface (smooth or textured), size and profile. The surgeon will choose what works best for your anatomy and wishes.

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.

Work without physical exertion can be resumed 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. Compression garments are worn for 4–6 weeks. Exact timing depends on how you recover.

Mammoplasty has not been scientifically shown to increase the risk of breast cancer, and implants do not cause it. Keep up regular screening after surgery (self-exams, mammography and ultrasound) and always mention your implants to the doctor examining you.

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 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.

Sensitivity in the nipples and breasts may shift temporarily after mammoplasty, decreasing or increasing, because the nerve endings are irritated. It returns within 3–12 months in most cases. If it has not improved after a year, go see your surgeon.

Although hormonal drugs (contraceptives, hormone replacement therapy) have no direct impact on implants, they can produce swelling or changes in breast tissue volume, temporarily affecting appearance. Be sure your surgeon knows about such medications before surgery.