Breast Implants in Mannheim: Augmentation Surgery

Yes. Boob job is the everyday name for breast augmentation. At City Medical Centre it is done with round or anatomical implants that the surgeon chooses with you at the consultation.

Breast enlargement adds volume with implants. A breast lift (mastopexy) raises sagging breasts and removes excess skin. Which one suits you is decided at the free consultation.

Mammoplasty brings together several procedures: augmentation (implants to add volume), reduction (removal of surplus tissue and skin), mastopexy (lift for sagging breasts), reconstruction (after mastectomy) and asymmetry correction. The most suitable method is selected individually, guided by your wishes and the surgeon's advice.

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When all recommendations are followed, complications are rare. They can include hematoma or seroma, wound infection, reduced or heightened 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.

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.

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.

The operation is done under general anaesthesia, so the patient feels nothing. Over the first 1–3 days moderate discomfort may occur and is eased with painkillers. By day 5–7 pain drops noticeably, and by weeks 2–3 the discomfort has gone. If the pain is severe, let your doctor know at once.

You can get back to work (no physical exertion) in 7–14 days. Light walks in 1–2 weeks. Fitness and swimming in 4–6 weeks, strength training in 3 months. Pool and sea in 4–6 weeks. Keep wearing compression garments for 4–6 weeks. The precise timing depends on your own recovery.

No scientific data suggest that mammoplasty increases breast cancer risk, and implants are not carcinogenic. After the operation, continue regular screening: self-examination, mammography and ultrasound. Always tell the doctor who examines you about your implants.

Mammoplasty after a C-section is an option, though the body should recover fully beforehand. Wait at least 6–12 months after delivery and after you finish breastfeeding. You will need a surgeon's consultation and check-up before surgery.

Mammoplasty leaves scars, yet a skilled surgeon makes them minimal. Incisions are made where they are hidden: under the breast, around the areola or in the armpit. Scars are reddish at first, and within 6–12 months they fade until they are almost invisible.

Mild asymmetry in the first weeks after surgery is normal and results from swelling and uneven healing. If a difference in shape or size remains after 3–6 months, see your surgeon for an examination to identify 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.

There is no direct effect of hormonal drugs (contraceptives, hormone replacement therapy) on implants, but swelling or changes in breast tissue volume may occur and temporarily affect appearance. Let your surgeon know about these medications before surgery.