Breast Augmentation in Maputo: Cost and Recovery

Mammoplasty includes several procedures: augmentation (adding volume with implants), reduction (removing excess tissue and skin), mastopexy (lifting sagging breasts), reconstruction (after mastectomy) and asymmetry correction. The optimal method is selected individually, based on your wishes and the surgeon's recommendation.

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Following all recommendations makes complications rare. Still, they may involve hematoma or seroma, infection of the wound, decreased or increased nipple sensitivity, capsular contracture, aesthetic asymmetry, wound separation and tissue necrosis.

The results of mammoplasty are long-lasting: roughly 10–15 years after augmentation (until the implants are replaced) and 5–10 years after a lift or reduction. Weight, pregnancy, skin aging and gravity all influence how long they last. Wearing supportive underwear and managing your weight help maintain the result.

Whether you can breastfeed after mammoplasty depends on the kind of surgery. After augmentation via an under-breast or armpit incision with the implant placed under the muscle, lactation is usually preserved, since the glandular tissue is not damaged. A lift or reduction carries a higher risk because ducts may be cut. Talk this over with your surgeon beforehand.

Selecting an implant means weighing material (silicone looks the most natural, saline is less often used), shape (round or anatomical teardrop), surface (smooth or textured), size and profile. The surgeon then chooses the optimal option for your anatomy and wishes.

The operation itself happens under general anaesthesia, so nothing is felt. Moderate discomfort can occur in the first 1–3 days and responds to painkillers. By day 5–7 pain decreases a lot, and by weeks 2–3 discomfort is gone. In case of severe pain, tell your doctor right away.

You can return to work (without physical exertion) 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. Wear compression garments 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.

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.

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.

In the first weeks after surgery, slight asymmetry is normal: swelling and uneven healing are behind it. If shape or size still differ after 3–6 months, see your surgeon for a check-up to find the reason.

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.

Hormonal drugs (contraceptives, hormone replacement therapy) do not affect implants directly, but may cause swelling or changes in breast tissue volume, temporarily affecting appearance. Be sure to tell your surgeon about such medications before surgery.